36C24626Q0576 0003.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) 08-24-2026 N/A 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

36C24626Q0576

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 08-31-2026 07:00am EDT x The purpose of this amendment is to answer vendor questions by providing an updated SOW. The receipt of offers will be extended to the date and time mentioned in block 11.

Cherisse Hall Subject: Statement of Work (SOW)

Introduction: The Fayetteville VA Medical Center requires a service contract to isolate and terminate the 8 inches steam line located between buildings 9 and 10 as shown in the picture below.

Statement of Work (SOW)

1. Purpose:

· The purpose of this contract is to engage qualified personnel to safely isolate and terminate the steam line segment between Building 9 and Building 10, ensuring compliance with all safety and regulatory standards.

· It is essential for the contractor to conduct a site visit to review the work specifications and requirements, obtain all necessary measurements, and gain a comprehensive understanding of the scope of work to be performed.

2. Scope of Work:

2.1 Site Preparation:

· Conduct a pre-work safety assessment.

· Obtain necessary permits and clearances.

· Notify affected personnel and coordinate work schedule.

· The contractor shall be responsible for but not limited to providing AHA, LOTO, confined space permits, and air monitoring reports.

· Please be advised, the contractor shall coordinate the shutdown request with the COR 5 Five business days prior to the starting date in order to gain the leadership’s approvals.

2.2 Line Isolation:

· Shut down the steam supply to the designated segment.

· Drain and vent residual steam and condensate from the line.

· Install appropriate isolation valves or blockages to secure the segment.

· Repair or replace leaking 4-inch valve.

2.3 Line Termination:

As shown in the picture above, the contractor will perform but not limited to the following:

· Cut and physically remove the segment of the steam line between Building 9 and Building 10.

· The contractor will remove any layers of insulation if exist and recover the pipes that have demoed of insulation.

· Provide and install a brand-new inverted 2-inch bucket steam trap for the condensation water by the contractor.

· Cap or seal the line ends to prevent leaks or hazards.

· Ensure all work adheres to applicable codes and safety standards.

· Note: If the contractor determines that the manhole cannot be used as a viable access point, the contractor must submit a Request for Information (RFI) with a proposed alternative solution. This submission is required so that the Contracting Officer (CO) and Contracting Officer’s Representative (COR) can review and pre-approve the solution prior to accepting offers.

2.4 Post-Work Activities:

· Conduct an inspection to verify proper termination.

· Restore or reroute any affected systems as necessary.

· Document the work performed and update system records.

· Remove all tools, materials, and debris from the site.

3. OSHA Standards and Safety Requirements:

· All work shall adhere to OSHA standards, including but not limited to:

· ASME B31.1 or B31.3 piping codes.

· OSHA 1910.261 (Steam, hot water, and hot oil piping)

· OSHA 1926 Subpart C (General Safety and Health Provisions)

· OSHA 1910.146 (Permit-Required Confined Spaces)

· OSHA 1910.252 (Hot Work Operations)

· Other applicable federal, state, and local regulations.

· The contractor is responsible for implementing appropriate safety measures, including lockout/tagout (LOTO), confined space procedures, atmospheric testing, and hot work permits.

4. Contractor Responsibilities:

· Provide all necessary safety gear, proof of training/certificates, and ensure all personnel are qualified.

· Provide and maintain approved lockout/tagout (LOTO) procedures, confined space entry procedures, and other safety protocols.

· Ensure all hot work permits are issued prior to commencement of hot work activities and that atmospheric testing is performed and maintained throughout the entire scope of work.

· Provide all required materials, including suitable 300 lb flanges, blank covers, gaskets, bolts, and fasteners rated for the pressures and temperatures associated with the repairs.

· All safety gear, equipment, and tools must be inspected and approved by our safety personnel before use.

· Consult with the onsite safety manager to ensure all safety requirements are met, including compliance with OSHA standards and site-specific safety procedures.

5. Deliverables:

· Completed line shutdown and physical termination.

· As-built documentation and schematic updates.

· Safety and compliance certifications, including proof of training and permits.

· Approval of documentation from our safety personnel.

6. Responsibilities:

· Contractor: Provide qualified personnel, safety gear, equipment, materials, and ensure all safety procedures and permits are in place.

· The Client- COR: Reserve the right to request authentication of factory training certificates or credentials from the Contractor at any time for any personnel who are servicing facility equipment.

7. Acceptance Criteria:

· Work will be considered complete upon successful isolation, termination, inspection approval, and verification of safety compliance by the designated client and safety personnel.

· Upon completion of work the Contractor shall leave a copy of the service report with the using service and submit to the same location as designated above a service report annotating what service, calibration, etc., were performed and whether the work was done.

· The service designee and the FSE (Field Service Engineer) attesting that the completed work is satisfactory working order and is functioning at an acceptable level of performance shall sign this report. The contractor shall sign out at the designated location before leaving.

· Failure to furnish a service report or obtain a signed copy of the service report could result in delays of payment or non-payment. The COR or Alternate COR in the using service has the authority to approve/request a service call from the contractor.

· The Contractor shall immediately notify the COR of any deficiencies, which are a hazard. It shall be the responsibility of the FVAMC to take the necessary actions to initiate any Interim Life Safety Measures (ILSM).

8. Unscheduled and Emergency Service:

· All Work will be performed during the normal VA business hours (8:00 - 16:30) Monday through Friday, except Federal holidays, unless otherwise specified. Contractor may work outside normal business hours by arrangement with the COR if such services are provided without additional charge to the Government.

9. Performance Working Hours:

· Government normal duty hours are from 0800-1630, Monday through Friday, excluding Federal Holidays observed by the Veterans Administration are listed below and revised to include any other day specifically declared by the President of the United States to be a national holiday.

· If a holiday falls on Sunday, the following Monday will be observed as the National Holiday. When a holiday falls on a Saturday, the preceding Friday is observed as a National Holiday by the U.S. Government agencies. Also included would be any day specifically declared by the President of the United States of America as a National Holiday.

10. Changes to The Performance Work Statement (SOW):

· Any changes to this SOW shall be authorized and approved only through written correspondence from the CO. A copy of each change will be kept in a project folder with all other products of the project. Costs incurred by the contractor through the actions of parties other than CO shall be borne by the contractor.

See attached document: Steam Pipe-Site Steam Plan Sheet.

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