36C24124Q0668.docx
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- Solicitation number
- 36C24124Q0668
About this file
This is a Sources Sought notice for Underground Storage Tank (UST) and Above Ground Storage Tank (AST) inspection and testing services for the VA Connecticut Healthcare System (VACHS) in West Haven and Newington, CT. VACHS is seeking services for initial, annual, three-year, and ten-year UST and AST inspections and testing, as well as onsite operator training, to comply with local and federal regulatory requirements. The notice invites qualified vendors to submit statements of capability and interest by July 3, 2024 at 5:00 PM ET. Based on the responses, the requirement may be set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs), Veteran-Owned Small Businesses (VOSBs), or Small Businesses, or procured through full and open competition. The awarded contract will have a base period of 09/01/2024 - 09/30/2025 with four one-year option periods. Vendors must have a field service representative within 200 miles of the facilities and be certified by the Steel Tank Institute, American Petroleum Institute, or approved by the Connecticut Department of Energy and Environmental Protection.
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SUBJECT*
VACHS UST and AST Inspections and Testing - Service Contract
GENERAL INFORMATION
| CONTRACTING OFFICE’S ZIP CODE* |
| 03104 |
| SOLICITATION NUMBER* |
| 36C24124Q0668 |
| RESPONSE DATE/TIME/ZONE |
| 07-03-2024 17:00 EASTERN TIME, NEW YORK, USA |
| ARCHIVE |
| 15 DAYS AFTER THE RESPONSE DATE |
| RECOVERY ACT FUNDS |
| N |
SET-ASIDE
| PRODUCT SERVICE CODE* |
| H291 |
| NAICS CODE* |
| 238290 |
| CONTRACTING OFFICE ADDRESS |
| Department of Veterans Affairs |
VAMC Manchester
718 Smyth Road Manchester NH 03104
POINT OF CONTACT*
Contract Specialist Nathan Langone Nathan.Langone@va.gov 603-340-0102
PLACE OF PERFORMANCE
| ADDRESS |
| VAMC West Haven |
950 Campbell Ave
West Haven CT
| POSTAL CODE |
| 06516 |
| COUNTRY |
| USA |
ADDITIONAL INFORMATION
AGENCY’S URL
URL DESCRIPTION
AGENCY CONTACT’S EMAIL ADDRESS
EMAIL DESCRIPTION
Sources Sought Notice Sources Sought Notice
DESCRIPTION
| *= Required Field |
| Sources Sought Notice |
Sources Sought Notice
This is a Sources Sought notice only. This is not a request for quotes and no contract will be awarded from this announcement. The Government will not provide any reimbursement for responses submitted in response to this Source Sought notice. Respondents will not be notified of the results of the evaluation.
If a solicitation is issued it shall be announced at a later date, and all interest parties must response to that solicitation announcement separately. Responses to this notice are not a request to be added to a prospective bidders list or to receive a copy of the solicitation The purpose of this announcement is to perform market research to gain knowledge of potential qualified sources and their size classification relative to NAICS 238290 (Other Building Equipment Contractors) SBA size standard $22 Million. VA Connecticut Healthcare System West Haven and Newington Campuses require initial inspection and testing services, and annual inspection and testing services, three year required inspections, ten year required inspections, and onsite operator training for Underground Storage Tank (UST) and Above Ground Storage Tank (AST)and associated Automatic Tank Gauging (ATG) system inspections and testing services to comply with local and federal UST and AST regulatory requirements. VACHS is currently seeking services for all labor, transportation, parts, and expertise necessary to provide preventative maintenance and emergency (unscheduled) repair of the VACHS UST and AST inventory. The full SOW is attached below for reference.
This Sources Sought notice provides an opportunity for respondents to submit their capability and availability to provide the requirement described below. Vendors are encouraged to submit information relative to their capabilities to fulfill this requirement, in the form of a statement that addresses the specific requirement identified in this Sources Sought. Information received from this Sources Sought shall be utilized to facilitate the Contracting Officer’s review of the market base, for acquisition planning, size determination, and procurement strategy.
Submission Instructions: Interested parties who consider themselves qualified to perform the services are invited to submit a response to this Sources Sought Notice by 17:00 EST, 3rd of July 2024. All responses under this Sources Sought Notice must be emailed to Nathan.Langone@va.gov with Sources Sought # 36C24124Q0668 in the subject line. Telephone inquiries will not be accepted or acknowledged, and no feedback or evaluations will be provided to companies regarding their submissions.
Interested parties should complete the attached Sources Sought Worksheet. Parties may submit additional information related to their capabilities, provided it contains all the requirements contained in the Sources Sought Worksheet. Responses to this Sources Sought shall not exceed 8 pages. In addition, all submissions should be provided electronically in a Microsoft Word or Adobe PDF format.
Attachment 1 Sources Sought Worksheet
QUALIFICATION INFORMATION:
Company / Institute Name: _______________________________________________________ Address: ______________________________________________________________________ Phone Number: ________________________________________________________________ Point of Contact: _______________________________________________________________ E-mail Address: ________________________________________________________________ Unique Entity Identifier (UEI) #: ___________________________________________________ CAGE Code: __________________________________________________________________ SAM Registered: (Y / N) Other available contract vehicles applicable to this sources sought (GSA/FSS/NASA SEWP/ETC): __________________________________________________________________
SOCIO-ECONOMIC STATUS:
VIP Verified SDVOSB: (Y / N) VIP Verified VOSB: (Y / N) 8(a): (Y / N) HUBZone: (Y / N) Economically Disadvantaged Women-Owned Small Business: (Y / N) Women-Owned Small Business: (Y / N) Small Business: (Y / N) NOTE: Respondent claiming SDVOSB and VOSB status shall be registered and Center for Veterans Enterprise (CVE) verified in VetBiz Registry www.vetbiz.gov.
BASED ON THE RESPONSES TO THIS SOURCES SOUGHT NOTICE/MARKET RESEARCH, THIS REQUIREMENT MAY BE SET-ASIDE FOR SDVOSB, VOSB, SMALL BUSINESSES OR PROCURED THROUGH FULL AND OPEN COMPETITION.
CAPABILITY STATEMENT:
Provide a brief capability and interest in providing the service as listed in Attachment 2 Statement of Work with enough information to determine if your company can meet the requirement. The capabilities statement for this Sources Sought is not a Request for Quotation, Request for Proposal, or Invitation for Bid, nor does it restrict the Government to an ultimate acquisition approach, but rather the Government is requesting a short statement regarding the company’s ability to provide the services outlined in the SOW. Any commercial brochures or currently existing marketing material may also be submitted with the capabilities statement. This synopsis is for information and planning purposes only and is not to be construed as a commitment by the Government. The Government will not pay for information solicited. Respondents will not be notified of the results of the evaluation.
STATEMENT OF WORK
UNDERGROUND AND ABOVE GROUND STORAGE TANK
INSPECTION AND TESTING SERVICES
BACKGROUND
VA Connecticut Healthcare System West Haven and Newington Campuses require initial inspection and testing services, and annual inspection and testing services, three year required inspections, ten year required inspections, and onsite operator training for Underground Storage Tank (UST) and Above Ground Storage Tank (AST)and associated Automatic Tank Gauging (ATG) system inspections and testing services to comply with local and federal UST and AST regulatory requirements.
VACHS is currently seeking services for all labor, transportation, parts, and expertise necessary to provide preventative maintenance and emergency (unscheduled) repair of the VACHS UST and AST inventory.
JUSTIFICATION
Veterans Health Administration (VHA) seeks to continue to improve the operational capabilities of critical support systems by establishing services that result in fewer operational problems, improved communications, increased efficiency within the facility and to improve the quality of services to veterans. RSCA Section 22a-449(d)-106 requires that all regulated UST’s must be maintained in a safe and operable condition at all times.
LOCATION OF SERVICES
VA Connecticut Healthcare System VACHS Storage Tank Inspection and Testing Services
VA Medical Center West Haven 950 Campbell Avenue West Haven, CT 06516 VA Medical Center Newington 555 Willard Avenue Newington, CT 06111
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PERIOD OF PERFORMANCE
Base contract period shall be 09/01/2024 – 09/30/2025. The contract will also contain the provision for (4) annual option years:
Option Year 1: 10/01/2025 – 09/30/2026 Option Year 2: 10/01/2026 – 09/30/2027 Option Year 3: 10/01/2027 – 09/30/2028 Option Year 4: 10/01/2028 – 09/30/2029
QUALIFICATIONS
To be considered eligible for consideration, potential bidders shall have a field service representative located within 200 miles of the West Haven and/or Newington Campuses of the VA Connecticut Healthcare System and have been trained by the Original Equipment Manufacturer (OEM) on the specific model of equipment that he/she is being asked to provide services for.
Bidders must provide upon request, documentation of factory certified service/maintenance training on the specific equipment under the terms of this contract. The Contracting Officer and/or Contracting Officer’s Representative (COR) specifically reserve the right to reject any of the Contractor’s personnel and refuse them permission to work on the equipment outlined herein, based upon credentials provided.
Bidders shall be certified by the Steel Tank Institute (STI) or the American Petroleum Institute (API), or have equivalent qualifications approved by the Connecticut Department of Energy and Environmental Protection (DEEP).
Bidders shall provide documentation and qualification to provide instruction of proposed Operator Training administered by Licensed Instructor(s), and Program & Exams be in accordance with the Regulations of Connecticut State Agencies (RSCA) 22a-449(d)-108(b) and approved by the Connecticut Department of Energy and Environmental Protection (DEEP).
Subcontracting of any ensuing award of this solicitation shall be allowed without written permission of the Contracting Officer. Service response on calls from unauthorized personnel could result in non-payment.
SCOPE OF WORK
The contractor shall furnish all labor, materials, equipment, tools, supervision, and all incidentals to complete the work for the services described in this document including inspection and testing of Underground and Above Ground Storage Tanks.
Inspections and Testing for the VACHS inventory of Underground Storage Tanks (UST) and Above Ground Storage Tanks (AST), associated Automatic Tank Gauge (ATG) system inspections and testing. VA Medical Center West Haven current inventory includes one (1) UST and ten (10) AST. VA Medical Center Newington current inventory includes three (3) UST. For each contract option year renewal, review with the VA Contracting Officer, VA COR, and VA GEMS Coordinator any additional inventory, removal of inventory, and replacement of inventory to be adjusted for contract requirements and as to maintain compliance with the Annual Notification for Underground Storage Tanks Form DEEP-UST-NOT-001 submitted by VACHS to The Connecticut Department of Energy and Environmental Protection.
The UST and AST systems shall be inspected and tested or retested in accordance with 22a-449(d)-101 through 103 of the Regulations of Connecticut State Agencies (RSCA).
In addition, Medical Center Spill Prevention, Control, and Countermeasure (SPCC) Plan requires an Annual Pump Controller/ Day Tank inspection for VACHS inventory of all AST’s associated with generators.
VACHS SPCC Plan for 10 – year Inspection for Above Ground Boiler Plant Tanks:
6.14 Certified Tank Inspections of Large ASTs
The VACHS will retain the services of a Certified Tank Testing Contractor to perform an integrity test of all ASTs with capacities greater than 5,000 gallons in accordance with the STI Standard SP001, revised January 2018, 6th edition, API Standard 653, or other industry standard determined by the tank tester to be appropriate for the type of tank, under the following circumstances:
· Every ten (10) years from the date the tank was installed as new;
· Whenever material repairs or alterations are made to the tank;
· If evidence of a leak occurs;
· In the event of damage to the tank or containment structure; or
· If the results of the internal and/or external tank inspections reveal evidence of leakage or deterioration.
The Certified Tank Inspection shall include all of the elements of the monthly and annual inspections, as well as a tank integrity test that is appropriate for the type of AST such as: a hydrostatic test, ultrasonic test, radiographic test, or other non-destructive shell testing method. Tests of the AST piping system will be performed in accordance with the applicable industry standard for the type of piping or as recommended by the piping manufacturer or a qualified piping inspector.
Scheduled inspections and testing shall be completed Monday through Friday and during regular business hours of 8:00 a.m. and 4:30 p.m. with a minimum 5-day notification. No work shall be performed on Government Holidays unless an emergency status has been indicated by the VA Contracting Officer.
US Federal Holidays:
New Year’s Day Martin Luther King Jr. Day President’s Day Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veteran’s Day Thanksgiving Day Christmas Day
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West Haven Storage Tank Inventory:
1. AST Tank Building 1 (Generator Building 1)
· 1 x 8,000-gal diesel AST.
a. Testing/Calibration: ATG (Pneumercator ETD 1000 & TMS 2000) – Annually.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
2. AST Tank Building 1 (Generator Building 1)
· 1 x 10,000-gal diesel AST.
a. Testing/Calibration: ATG (Pneumercator ETD 1000 & TMS 2000) – Annually.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
3. UST Tank L: Bldg. 2 (Generator Building 2)
· 1 x 12,500-gal diesel UST. (Emergency Generator only)
a. Initial Hydrostatic testing of Sumps and Spill Buckets.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Testing/Calibration: ATG (Veeder-Root TLS-300C) – Annually.
d. Tanks and line tightness testing – Annually.
e. Line Cathodic Protection testing. – Annually.
f. Hydrostatic testing of Sumps and Spill Buckets – Every 3 years.
g. UST Integrity test – Every 3 years.
h. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
4. AST Tank M: Bldg. 65 (Grounds)
· 1 x 500-gal diesel AST. (Emergency Generator only)
a. Testing/Calibration: ATG (Pneumercator ETD 1000 & TMS 2000) – Annually.
b. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
5. AST Boiler Tank Farm (Boiler Plant)
· 4 x 20,000-gal #2 Fuel AST. (Boilers)
a. Testing/Calibration: ATG (Pneumercator TMS 3000) – Annually.
b. 10 Year Review of Farm Tanks: Third Party Inspection. (Due 2028).
c. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
6. AST Tank 19 (Generator Building 19)
· 1 x 10,000 gal AST
a. Testing/Calibration: ATG (Veeder-Root TLS-300C) – Annually.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
7. AST Tank Building 1 SPS (Generator 20)
· 1 x 2,000 gal AST
a. Testing/Calibration: ATG (Veeder-Root TLS-300C) – Annually.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
8. AST Fuel Tank Base (Generator 30)
· 1 x 2,000-gal diesel AST. (Emergency Generator only)
a. Testing/Calibration: ATG (Veeder-Root TLS-300C) – Annually.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
Newington Storage Tank Inventory:
1. UST Tank #4: (Building 11)
· 1 x 6,000-gal diesel UST (Emergency Generator Only)
a. Initial Hydrostatic testing of Sumps and Spill Buckets.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Testing/Calibration: ATG (Veeder-Root TLS-300C) – Annually.
d. Tank and line tightness testing – Annually.
e. Line Cathodic Protection test – Annually.
f. Hydrostatic testing of Sumps and Spill Buckets – Every 3 years.
g. UST Integrity testing – Every 3 years.
h. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
2. UST Tank #6: (Building 2W)
· 1 x 4,000-gal diesel UST (Emergency Generator Only)
a. Initial Hydrostatic testing of Sumps and Spill Buckets.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Testing/Calibration: ATG (Veeder-Root TLS-300C) – Annually.
d. Tank and line tightness testing – Annually.
e. Line Cathodic Protection test – Annually.
f. Hydrostatic testing of Sumps and Spill Buckets – Every 3 years.
g. UST Integrity testing – Every 3 years.
h. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
3. UST Tank #7: (Building 2E)
· 1 x 6,000-gal diesel UST (Emergency Generator Only)
a. Initial Hydrostatic testing of Sumps and Spill Buckets.
b. Pump Controller/Day Tank Inspection per SPCC – Annually.
c. Testing/Calibration: ATG (Veeder-Root TLS-300C) – Annually.
d. Tank and line tightness testing – Annually.
e. Line Cathodic Protection test – Annually.
f. Hydrostatic testing of Sumps and Spill Buckets – Every 3 years.
g. UST Integrity testing – Every 3 years.
h. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
Description of Services:
1. Service provider shall perform Inspection and Testing to maintain compliance with all local, state, and federal tank inspection and testing regulations and guidelines.
Contractor shall provide a schedule of regulatory inspections and testing and self-verify all AST and UST system components and testing/inspections requirements in accordance with 22a-449(d)-101 through 103 of the Regulations of Connecticut State Agencies (RSCA).
a. Initial Hydrostatic testing of Sumps and Spill Buckets.
b. Automatic Tank Gauge Testing (ATG)
a. Veeder-Root (TLS-300C x4)
c. Automatic Tank Gauge Testing (ATG)
a. Pneumercator (TMS 3000, TMS 2000, ETD 1000 & LDE 700)
d. Hydrostatic Sumps Test
e. Hydrostatic Spill Buckets Test
f. Tanks and Line Tightness Test
g. Cathodic Protection Test
h. UST Integrity Test
i. Third Party Tank Farm Inspection
j. Submit inspection checklist and report deficiencies to the VA Contracting Officer, VA COR, VA Chief Engineer, and VA GEMS Coordinator.
2. Coordinate all Inspections and Testing with the facility GEMS Coordinator through the VA Safety Department located at each Medical Center.
3. Coordinate all placement and removal of Lockout Tagout devices for ay energy sources with the VA Safety and Outage Coordinator in compliance with MCP 138-075 LOTO Policy.
4. Coordinate requests to access Confined Space(s) with the VA Safety Department through permit and entry of Confined Space in compliance with SOP SO-010.
5. Training: Service provider shall provide onsite initial operator training and certification to a first and second shift VA Staff at West Haven and first – shift VA Staff at Newington campuses to meet the facility requirements for Class A/B Operators, and Class C Operators as required by RSCA Section 22a-449(d)-108(c)(2).
a. Class A Operator Training: primary statutory and regulatory responsibility to operate and maintain the underground storage tank system. The Class A Operator’s responsibilities include managing resources and personnel, such as establishing work assignments, to achieve and maintain compliance with regulatory requirements.
b. Class B Operator implements applicable underground storage tank regulatory requirements in the field. This individual implements the day-to-day aspects of operating, maintaining, and recordkeeping for underground storage tanks at one or more facilities.
c. Class C Operator is an employee and is, generally, the first line of response to events indicating emergency conditions. This individual is responsible for responding to alarms or other indications of emergencies caused by spills or releases from underground storage tank systems. This individual notifies the Class B or Class A operator and appropriate emergency responders when necessary. Not all employees of the facility are necessarily Class C operators.
· Eight (8) VA Staff for initial Class A/ B Operator Trained/Certified at West Haven VAMC.
· Seven (7) VA Staff for initial Class A/ B Operator Trained/Certified at Newington VAMC.
· Twenty (20) VA Staff for initial Class C Operator Trained/Certified at West Haven VAMC.
· Five (5) VA Staff for initial Class C Operator Trained/Certified at Newington VAMC.
· Onsite refresher training/retraining is required every two years for a minimum of six (6) VA Staff at West Haven and six (6) VA Staff at Newington campuses to meet facility training as required per RSCA Section 22a-449(d)-108(c)(2).
· Onsite re-training specific to Notice of Violation (NOV) to include seven (7) Class A/B Operator Trained/Certified and five (5) Class C Operator Trained/Certified VA staff at Newington VAMC to meet facility re-training as required per RSCA Section 22a-449(d)-108(c)-(2).
SUBMITTALS/DELIVERABLES
1. Service provider shall provide to the VA an inspection schedule of required inspections and inspection frequency.
2. Service provider shall request specific records to tanks, piping, and other information required to perform services.
3. The Service provider shall submit two (2) hard copies and electronic copy of all inspection and testing data/reports to the VA COR and VA Safety/GEMS Coordinator within five (5) business days. Repairs and replacements identified in the generated report shall not be considered for modification or inclusion into this contract.
4. The Service Provider shall be responsible for the proper disposal of all waste generated while conducting inspections and testing. A Waste Manifest shall be provided to the GEMS Coordinator at each Medical Center for any waste that is generated, including Universal Waste, Hazardous Waste, Used Oil, etc.
5. VA shall provide all specific UST and AST tank information referencing current inventory required to perform task and scope of work.
6. VACHS shall coordinate and conduct an Annual inventory review with the VA Contracting Officer, VA COR, and VA GEMS Coordinators to maintain VACHS inventory for compliance with all required inspections and testing, and the required Annual Notification for Underground Storage Tanks submitted by VACHS to The Connecticut Department of Energy and Environmental Protection.
SPECIAL INSTRUCTIONS
1. Contractor Check-in: All employees of the service provider shall comply with VA Security Management Program and obtain permission of the VA Police and restricted from unauthorized access. Upon arrival, the contractor shall sign-in at Building 15 in West Haven and Building 3, 3rd Floor in Newington and receive a temporary identification badge prior to performing services at VA Connecticut Healthcare System. The contractor shall wear visible identification always displaying the name and company ID while on site. All site visits shall be coordinated with the VA COR or assigned POC.
2. Per Directive 1805, smoking, vaping, and smokeless tobacco are prohibited on the grounds of VA facilities, including in vehicles. This Directive applies to all Service providers and their employees.
3. No photography of VA premises is allowed without written permission of the contracting officer. Patients and staff are not to be photographed at any time.
4. VA reserves the right to close down or shut down the facilities and order Service provider employees off the premises in the event of a national emergency. The Service provider may return to the site only with the written approval of the VA Contracting Officer.
5. Parking for Service provider and employees shall be in designated areas only. Service provider shall coordinate with VA COR.
6. The Service provider shall confine all operations (including storage of materials) on government premises to areas authorized or approved by the VA Contracting Officer. The Service provider shall confine all operations (including storage of materials) on government premises to areas authorized or approved by the VA Contracting Officer. The Service provider shall hold and save the government, its officers, and agents, free and harmless from liability of any nature occasioned by the Service provider’s performance. Working space and space available for storing materials shall be as determined by the COR. Workers are subject to the rules of the Medical Center applicable to their conduct. Execute work in such a manner as to reduce impacts with work being done by others.
7. Billing: Provide COR with a report or statement of work completed and include statements with request for payment. Statement should include service completed and the date each service item was completed. Labor charges shall be billed hurly, and any unused labor totals will be credited back to the VA Medical Center on the next billing cycle, upon receipt of the service report.
Safety Codes / Certification / Licensing:
Environmental abatement work, if necessary, is to be performed by Service Provider under supervision and monitoring for the VA by a Certified Industrial Hygienist.
The Service Provider shall comply with all codes as described above, as well as codes customarily applied in VA construction jobs such as NFPA fire code, OSHA, VA Design Guides, etc. Labs used by the Service Provider shall be licensed as required by any applicable governing agencies, and their certifications and licenses shall be included in the reports.
Travel:
Service Provider and/or subcontractors will travel from their place of business to the West Haven and Newington VA Medical Center of the VA Connecticut Healthcare System.
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