36C24626Q0427 0001.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 04-01-2026 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 To all Offerors/Bidders

36C24626Q0427

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 04-21-2026 12pm EDT See CONTINUATION Page X The purpose of this amendment is to update Sections B.2 Price/Cost Schedule, B.3 (PWS), extend the deadline for quote submission, and provide government answers to contractor questions for the requirement under solicitation 36C24626Q0427.

a. Section B.2 Price/Cost Schedule is hereby updated and attached on page 2.

b. Section B.3 Performance Work Statement (PWS) is hereby updated and attached on page 5.

c. Government answers to contractor questions are attached on page 7.

d. The deadline for quote submission is hereby changed from 4/17/2026 12pm et. to 4/21/2026 12pm et.

e. Please see attached spreadsheet for waste totals.

There are no other changes to this solicitation as a result of this amendment.

Harold McQuillia Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Annual Regulated Medical Waste Removal Services at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Base POP Begin: 05-01-2026 POP End: 04-30-2027 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: F108 - Environmental Systems Protection - Environmental Remediation LOCAL STOCK NUMBER: Annual Contract

Additional Service Pickups at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Base POP Begin: 05-01-2026 POP End: 04-30-2027 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Annual Regulated Medical Waste Removal Services at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 1 POP Begin: 05-01-2027 POP End: 04-30-2028 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Additional Service Pickups at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 1 POP Begin: 05-01-2027 POP End: 04-30-2028 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Annual Regulated Medical Waste Removal Services at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 2 POP Begin: 05-01-2028 POP End: 04-30-2029 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Additional Service Pickups at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 2 POP Begin: 05-01-2028 POP End: 04-30-2029 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Annual Regulated Medical Waste Removal Services at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 3 POP Begin: 05-01-2029 POP End: 04-30-2030 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Additional Service Pickups at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 3 POP Begin: 05-01-2029 POP End: 04-30-2030 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Annual Regulated Medical Waste Removal Services at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 4 POP Begin: 05-01-2030 POP End: 04-30-2031 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

Additional Service Pickups at the Asheville VAMC, Franklin CBOC, Rutherfordton CBOC and Hickory Community Based Outpatient Clinic.

Contract Period: Option 4 POP Begin: 05-01-2030 POP End: 04-30-2031 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal

B.3 PERFORMANCE WORK STATEMENT (PWS)

(1) Description: Contractor shall furnish all labor, materials, equipment, supervision, etc., necessary to provide Medical, Chemotherapy, and Pathological Waste Removal and Disposal in accordance with all terms and conditions of this PWS for the following facilities:

• Charles George VAMC – 1100 Tunnel Rd., Asheville, NC 28805

• Franklin Clinic – 647 Wayah St., Franklin, NC 28734

• Rutherfordton Clinic – 374 Charlotte Rd, Rutherfordton, NC 28139

• Hickory Clinic – 2440 Century Pl SE, Hickory, NC 28602

(2) Coordination: Environmental Management Services will serve as the focal point and provided the Contracting Office Representative (COR) for this contract. The Contractor must pre coordinate work and if needed, associated outages with the COR. This work will be accomplished during regular work hours. The contractor will respond to Building 47, Room EB01 on the prescheduled date/time, and the COR. Contact must be made with the COR prior to accomplishing the starting any work. The COR will be immediately notified whenever the garden installation, or related activities interfere with normal VAMC operation.

(3) Specific Requirements: The Contractors work shall include, but not be limited to:

• Contractor shall develop Medical Waste Removal Plan for approval. The plan will require approval by the Chief of Environmental Management Services prior to implementation and is subject to the contracting officer’s approval.

• The contractors Medical Waste Removal and Processing of Disposal Plan shall establish the strategy and methods for conducting a safe, effective, and environmentally sound Medical Waste Removal program in accordance with all Federal, State and Local regulations.

• Respective contractors may review the installation's historical records of Medical Waste Removal activity actions, survey facilities and grounds, consult with Environmental Management to develop a medical waste removal plan conducive to this facility and the population that it serves.

• Contractors Medical Waste Removal plan shall comply with all applicable Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA)., state/local regulatory provisions, and medical facilities quality control and safety guidelines.

• Vendor to provide removal, processing, and disposal of designated medical, pathological, and chemotherapy waste (approximately 105,000 pounds) twice weekly at the VA Medical Center, 1100 Tunnel Road Building 47 Asheville NC.

• Vendor will provide removal, processing, and disposal of designated medical, pathological, and chemotherapy waste (approximately 250 pounds) once every two weeks at Franklin Community Outpatient Clinic, Franklin NC. Vendor will provide removal, processing, and disposal of designated medical, pathological, and chemotherapy waste (approximately 250 pounds) once every two weeks at Rutherfordton Community Outpatient Clinic, Rutherfordton NC.

• Vendor will provide removal, processing, and disposal of designated medical, pathological and chemotherapy waste (approximately 350 pounds) once every two weeks at the Hickory Community Outpatient Clinic, Hickory NC.

• Contractor will ensure that the containers are cleaned prior to returning each time they are emptied. Contractor personnel are required to interrupt their work at any time so as not to interfere with the normal functioning of the facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment, and carts. Contractor will perform services every Tuesday and Thursday.

• If the COR during hours other than those previously stated in the contract authorizes emergency service, the Government will be charged at the rates listed in this contract.

• Contractors are required to provide license to Government prior to start of work. Contractors are required to have Bodily Injury Liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence. Contractors are required to have Property Damage Liability insurance coverage of at least $500,000.

• In the event of inclement weather, the entire work shall be rescheduled to a date and time satisfactory to the contractor and the Chief, Environmental Management Services. Postponement will not reflect any penalties assessed to the contractor, nor shall there be any additional cost to the Government.

• NOTE: Work is being completed in a hospital environment. The Contractor must take all precautions to ensure all tools and materials are under continuous observation and accountability. At no time will tools be left unattended or unsecured.

• When complete, notify the COR to inspect and accept all accomplished work. Provide the COR all documentation and warranty information concerning installed components/equipment and work accomplished. Ensure all invoicing documents are submitted in accordance with the instructions provided in the formal contract.

(4) Other Station Rules and Guidelines: The Contractor will adhere to the following station rules.

• All work will be accomplished to industry standards and compliant with all current CODE requirements (Life Safety, NFPA, Electrical and Building). All Dept. of Veteran Affairs, Federal regulations and codes will be complied with.

• This is a hospital environment. The Contractor and his personnel are expected to be appropriately dressed (preferably uniformed) and to conduct themselves professionally.

• This is a federal facility as well as a medical center. As such, there is NO tobacco usage allowed inside any federal building or on the grounds except in designated areas. The COR will brief the Contractor as to designated smoking areas prior to commencement of the contract. Failure to follow these regulations can result in removal of the worker or Contractor from the facility and/or a US Magistrate’s ticket and fine.

• Parking will be in designated lots. Consult with the COR as to allowable parking and material drop-off.

• Any work requiring a shutdown or utility outage will be requested in advance and scheduled by the COR prior to the work being accomplished. The Contractor will coordinate his activities with the COR to identify any smoke or fire barriers that must be penetrated or disrupted because of this contract and will restore the fire barrier to its rating through the use of fire stopping. The Contractor and his personnel will be trained and certified to use and apply fire stopping prior to its application and at the Contractor’s expense.

• The Contractor will be responsible for ensuring that all the employees and other personnel visiting the work site have and are using the appropriate Personal Protective Equipment (PPE) that addresses the hazards found at the site. The Contractor will be responsible for the upkeep, issue, and training for the PPE used and maintaining all required documentation.

• Since the incidents of September 11, 2001, the Federal Government has begun to implement new security measures to help protect federal facilities. The Contractor will provide to the COR a list of employees expected to work on this contract. This list will be on company letterhead and contain the employees’ name, driver’s license number, address, and nationality. This list will be verified and signed by a corporate officer. These personnel are subject to a background check and fingerprinting to be eligible to receive a security badge.

• Identification Badges will be picked up from Work Order Desk Room EB22 in Building 47.

• Compliance Awareness Training shall be completed by vendor prior to access to Charles George VAMC. Vendor has responsibility for “Duty to Report” any fraud, waste and abuse witnessed while on VA premises to the Compliance Officer.

MEDICAL WASTE REMOVAL ASHEVILLE VAMC 36C24626Q0427 QUESTIONS

1. Estimated Annual Quantities The price schedule indicates a quantity of 105,000 lbs annually; however, the Performance Work Statement references approximately 185,000 lbs at the Asheville VAMC alone, in addition to volumes at the outpatient clinics.

0. Can you please confirm the correct estimated annual total quantity to be used for pricing? Based on 11/1/2024-10/31/2025, a total weight of 80,282.8 was billed. The performance work statement has been updated to match the estimated quantity of 105,000/year which covers CGVAMC and all CBOCs.

1. Waste Stream Scope The general description references medical, chemotherapy, pathological, and pharmaceutical waste.

1. Can you confirm whether all four waste streams are included within the recurring services to be priced under the contract? Regulated Medical Waste (RMW), Trace Chemotherapy, and Pathological waste are the three wastes generated. I do not have any record of pharmaceutical waste being generated under this contract.

The current Performance Work Statement (PWS) includes medical, chemotherapy, pathological, and pharmaceutical waste. However, pharmaceutical waste is not generated at this facility under the current scope of services. The applicable waste streams for this contract are Regulated Medical Waste (RMW), Trace Chemotherapy, and Pathological waste.

1. CLIN Structure (EA Quantity Line Items) The schedule includes a separate line item with a quantity of 140 EA. Can you clarify what this line item represents (e.g., scheduled pickups, emergency services, or other service units), and how it is intended to be priced?

The 140 EA line item represents service-based units, specifically scheduled service occurrences (e.g., routine pickups and any authorized additional or emergency service events) rather than waste volume. Pricing for this line item is intended to cover per-service activities that are separate from the total annual poundage identified under the primary waste removal CLIN.

1. Is there a current vendor servicing the facility under contract?

Please search sam.gov for contract 36C24624D0014

1. The quantities listed for quote are different than the listed contract value by lbs.:

0. Asheville: 105,000.00 lbs vs (approximately 185,000 pounds) 80,282.8 pounds produced between 11/1/24-10/31/25

0. Franklin: 140.00 lbs vs (approximately 250 pounds)

556.1 pounds produced between 11/1/24-10/31/25

0. Rutherdfordton: 140.00 lbs vs (approximately 250 pounds)

708.49 pounds produced between 11/1/24-10/31/25

0. Hickory: 140.00 lbs vs (approximately 350 pounds)

1493.7 pounds produced between 11/1/24-10/31/25

1. Please provide the estimated number of containers needed for each site:

1. Regulated Medical waste includes medical waste and sharps. Trace chemo is processed separately, as is Pathological. Could you please provide a breakdown of the estimated volume of each waste type per facility:

1. Please provide the requested size of containers for each waste type:

1. Can you please provide waste totals by waste stream? Regulated medical waste, pathological waste, trace chemotherapy waste, nonhazardous pharmaceutical waste? See attached Excel spreadsheet.

See attached document: 1097 RMW 11.1.2024-10.31.2025.

Regulated Medical Waste Removal and Disposal