36C25021Q0110 0001.docx

36C25021Q0110

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) 11/03/2020 583-21-1-630-0002 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 To all Offerors/Bidders

36C25021Q0110

X

X One (1) The purpose of this amendment is to correct section 20 of the SF 1449.

Please see the attached new solicitation.

Olalekan K. Ismail Contracting Officer

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

583-21-1-630-0002 36C25021Q0110 Olalekan Ismail 317-988-1527 11-10-2020 14:00

EST

Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 X X 562910 $22 Million N/A X Department of Veteran Affairs VA Medical Center (90 CSC) 1481 West Tenth Street Indianapolis IN 46202 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240

Department of Veterans Affairs Financial Management System P O Box 149971 Austin TX 78714-9971 512-242-7300 N/A See CONTINUATION Page Contractor shall provide all necessary labor, equipment, too and supervision to conduct UST & AST inspection and maintenance in accordance with the SOW Offerors are encouraged to attend site visit on November 5, 2020. at 12:00 Noon EST at Parking Lot H 1481 W 10 Street, Indianapolis IN 46202 See CONTINUATION Page 583-3610162-669-854100-2543 010055590 X X One(1) Olalekan Ismail Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration will be handled by the following individuals:

a. Contractor: _______________________ Address: _______________________

Contractor Point of Contact (POC) for Contract: __________________________

Alternate POC for Contract: ______________________ Title: ______________________ Phone: ______________________ Email: ______________________ DUNS NUMBER: ____________ TAX ID: _______________ Business Size: ___________________

b. GOVERNMENT: Contracting Officer 00250 Olalekan Ismail, 317-988-1527 Olalekan.ismail@va.gov Department of Veterans Affairs Network Contracting Office (NCO 10) 8888 Keystone Crossing Suite 1100 Indianapolis, IN 46240

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [x] Monthly to: http://www.tungsten-etwork.com/us/en/

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Tungsten Network: http://www.tungsten-network.com/customer-campaigns/veterans-affairs-us/

5. SECURE FAX: All faxes in regard to this contract shall contain the following on the coversheet:

This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

6. QUOTE SUBMISSION: Follow the submission instructions provided in the Instructions to Quoters.

7. LATE QUOTE SUBMISSION: Late submissions shall not be considered.

8. QUESTIONS: All questions shall be submitted no later than the 5th calendar day at Noon, Eastern Time, after the issuance of the solicitation to olalekan.ismail@va.gov. Phone calls shall not be accepted.

9. ACKNOWLEDGEMENT OF AMENDMENTS: Contractor shall acknowledge any and all amendments and include a signed copy with their quote submission. List of Amendments are listed below

Page 1 of Page 1 of Page 1 of Page 1 of

B.2 STATEMENT OF WORK

Indianapolis VAMC Underground Storage Tank (UST) / Aboveground Storage Tank (AST) Inspection & Maintenance Scope of Work (SOW)

GENERAL:

Contractor shall provide all labor, tools, equipment, material, and supervision necessary to inspect and maintain Underground Storage Tank (UST) and Aboveground Storage Tank (AST) at the Indianapolis VA Medical Center, located at 1481 W 10th Street Indianapolis IN 46201. All prospective bidders are encouraged to make site visit to verify existing conditions.

CONFORMANCE STANDARDS:

All services provided under this contract must be performed in conformance with applicable Local, State, and Federal codes, rules, and regulations (e.g. the Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA), and Equipment Manufacturer Standards and Industry Codes / Standards, etc.).

EPA has created a web-page that has specific hyperlinks to Industry Codes and Standards for UST systems. This web-address is located below: contractor must comply with these industry codes and standards throughout this contract.

http://www.epa.gov/oust/cmplastc/standard.htm

SERVICE HOURS:

All Work to be done during normal business hours. Monday through Friday from 0800 – 1630. Contractor is required to check in and out with the Contract COR – Jeff Abshire (Facility GEMS Manger) or Contract Project Manager – Stephen Poynts (Facility Electric Shop Supervisor).

SERVICES REQUIRED:

Reference Table 1– Services required for the Indianapolis VAMC UST / AST Scope of Work (SOW) (see pages 3 – 13).

This table outlines twenty (22) specific services required by the Indianapolis VAMC.

TANK INVENTORY (EQUIPMENT INCLUDED IN SERVICE CONTRACT):

Reference Table 2 – UST Overview – Indianapolis VAMC, for an overview of all Indianapolis VAMC USTs (see page 14). Reference Table 3 – AST Overview – Indianapolis VAMC, for an overview of all Indianapolis VAMC ASTs (see page 15).

CONTRACTOR REQUIREMENTS:

1) Contractor shall perform work in a professional manner and follow applicable UST and AST compliance requirements (e.g. IDEM’s Report of Aboveground Storage Tank Rules and Relations Pursuant to SEA 312 – November 2015: https://www.in.gov/idem/cleanwater/files/ast_rules_overview.pdf; 329 IAC 9 – Underground Storage Tanks: http://iac.iga.in.gov/iac//T03290/A00090.PDF)

2) Contractor must be licensed/certified by the State of Indiana and provide a copy of Certification from State Fire Marshal that contractor can perform service (i.e. in accordance with 675 IAC 12)

3) Contractor shall check in with VAMC at time of arrival and checkout as defined in service hours.

4) Contractor to complete the VA Vendor Credentialing process and have all employees working on VA property badged with VA contractor badges through Police Services before beginning any work at the VA. All contractors shall wear VA Contractor Badges at all times during while onsite

5) Contractor shall be required to follow all Infection Control Risk Assessment (ICRA) requirements set forth by the infection control staff. Please see attached Indianapolis VAMC ICRA Matrix of Precautions document for further information. Contact the COR if any service work would need to obtain an Infection Control Construction Permit.

6) Contractor to remove all trash and debris at the completion of job. The work area is to be kept clean at all times.

7) The Contractor shall furnish all parts as necessary to complete all tests.

NOTE:

All work is expected to encounter normal conditions. If anything unusual (e.g. hazardous material spill, other hazards not normally faced during service operations, etc.) is encountered the VA will be notified and pricing will adjust accordingly.

In the event that UST(s) and/or AST(s) systems or the systems that monitor these UST(s) and/or AST(s) are replaced (due to malfunction or the determination is made that these UST(s) and/or AST(s) have reached the end of their life expectancy), a contract addendum will be made to accurately reflect the maintenance and service of the facilities UST(s) and AST(s).

PAYMENT FOR SERVICES:

Invoices will be paid in arrears on a monthly basis upon completion of the services. Each invoice must include VA purchase order number, and invoice number and the month of the service being invoiced.

SECURITY REQUIREMENTS:

The Contractor’s employees shall wear visible identification and company uniforms approved by the COR at all times while on the premises of the VAMC. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section or from the COR. The VAMC will not invalidate or make reimbursement for parking violations of the Contractor under any conditions. Smoking is prohibited inside any buildings at the VAMC. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

Table 1 – Services Required for the Indianapolis VAMC UST / AST Scope of Work

Tank (s)

USTs 1, 3, 4

(Sti-P3 USTs) Corrosion Protection

Contractor shall perform cathodic testing (Sacrificial Anode System) on applicable tank(s).

a) Contractor must be a qualified cathodic protection tester (i.e. in accordance with 329 IAC 9-1-9) – contractor shall state “Qualified Cathodic Protection Tester, IAW 329 IAC 9-1-9)” on all service related documents where work is done on cathodic systems.

b) Contractor shall review the cathodic protection system’s design: location of tanks, lines, anodes, testing locations, and structure to soil potential readings.

c) Contractor shall review previous cathodic protection system test: tank to soil potential readings, test locations, and previous inspectors’ comments and observations.

d) Contractor shall test the system(s) (In accordance with the standards outlined in 40 CFR 280) for electrical continuity in accordance with a code of practice developed by a nationally recognized association: tanks, product lines, flex connectors, vent lines, conduit and other tank system equipment.

e) Contractor shall conduct structure-to-soil potentials on all protected tanks, piping, and flex connectors at a minimum of three per tank: one along the centerline, and one at either end. For each product line, tested above piping at the ends and middle (away from anode locations). Conduct additional tests on long piping runs.

f) Contractor shall provide written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service; report shall include a description of how items a) through e) above were completed.

Base Year (within 90 days from contract award) and Option Year (3) and within 6 months of installation and within 6 months of any repairs to the UST system

NOTE: In the event that a reading of -875 mV or lesser negative value is recorded with testing being conducted above the structure, on any type of corrosion protection system, then annual testing will be required thereafter as long as the system does not fall below -850 mV. Readings below -850 mV constitute a FAILED Test.

Federal Citations Related to this Service/Activity:

· 40 CFR 280.20(a)

· 40 CFR 280.20(b)

· 40 CFR 280.31(a)(b)

· 40 CFR 280.70(a)

Tank (s)

1, 3, 4

(Sti-P3 UST Tanks) Corrosion Protection

Contractor shall conduct fuel temperature testing on applicable tank(s). Sti-P3 tanks are warranted for max operating temperature of 120 degrees Fahrenheit.

a) Contractor shall test fuel temperature per manufacture instructions and indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

Federal Citations Related to this Service/Activity:

· 40 CFR 280.40(a)(2)

All ASTs Leak and Release Detection

Contractor shall perform a tank tightness test (in accordance with an EPA approved method: e.g. precision, volumetric or nonvolumetric) on applicable tank(s).

a) Contractor shall perform a tank tightness test on applicable tanks.

· The tightness test method must be able to detect a leak at least as small as 0.1 gallon per hour with certain probabilities of detection and of false alarm.

b) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

c) All AST tanks shall be inspected per the following requirements from the most recent edition: “Standard for the Inspection of Above Ground Storage Tanks” (Author: Steel Tank Institute)

Annually

· 40 CFR 280.43(c)

Leak and Release Detection

Contractor shall determine if Leak Detection Equipment (i.e. Veeder Root TLS 450) is certified for the types of tanks, piping, and stored contents on which the release detection system is used and meets minimum performance standards, with the probability of detection and probability of false alarm. Most manufacturers have their Leak Detection devices tested and certified by a third party to verify that their equipment meets specific performance requirements set by regulatory agencies.

a) Contractor shall evaluate the facilities Leak Detection Equipment and provide documentation in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Base Year (within 90 days from contract award) and during any UST system change or upgrade

· 40 CFR 280.40(a)(3)

Tank (s)

Leak and Release Detection

Contractor shall service all the ATG system components according to the manufacturer’s service instructions, as outlined below:

a) Contractor shall evaluate Veeder Root Mag Probe and sensor maintenance:

· Check the sensor is resting firmly on bottom of monitored pan/sump.

· Replace probe and mag sensor cables (refer to Veeder Root literature for more info)

· Verify epoxy kits have been installed on field wiring.

b) Contractor shall evaluate Containment Sump and Piping Sump Sensor (including dispenser pan):

1. Inspect sensors to verify floats move freely (float type only).

1. Turn sensor upside down to verify the monitor liquid alarm is activated (float type only).

1. Inspect sensor cable for any cracking or damage.

1. Verify sensor is firmly secured in an upright position on the bottom of the pan (solid state only)

1. Verify epoxy kits have been installed on field wiring.

1. Replace sump or piping sensor cables if cracked or damaged.

1. Mag probes only - inspect floats and probe shaft for any residue build up. Clean with mineral spirits as necessary.

c) Contractor shall perform an annual “Walkthrough Inspection” of all UST containment sumps. The inspection should include the following:

· Visually check for damage, leaks to the containment area, and releases to the environment

· Remove liquid from containment sumps

· Remove Debris

· For double-walled sumps with interstitial monitoring, check for leaks in the interstitial area.

d) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

Federal Citations and other Information Related to this Service/Activity:

· Veeder Root Service / Maintenance Manuals

Tank (s)

(via TLS-450 ATG) Leak and Release Detection

Contractor shall perform an annual release detection system test on all release detection equipment (e.g. probes, sensors, etc.).

a) Confirm proper settings are applied to the ATG (In Accordance With TLS-450 Setup and Operation Manual – 577013-940).

b) Perform self-diagnosis test on the ATG system.

c) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

· Veeder Root Service / Maintenance Manuals

Contractor shall check for deflection (deflection is a measure of the roundness of your tank).

a) Deflection evaluation. FRP tanks are made from materials considered to be sensitive to flexing, over deflection may result in cracking and a leak. Allowable deflections vary with tank diameters and may be measured by following the manufacturer’s installation checklist.

b) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

c) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Base Year (within 90 days from contract award)

Utilize tank manufacture guidelines and recommendations from Industry Codes and Standards

Tank (s)

Contractor shall check tightness of tank 5 (jacketed tank) – between space of steel tank and secondary jacket.

a) Contractor shall check the jacketed steel tank to make sure the space between the steel tank and secondary jacket is tight. This space is known as the interstitial space or secondary containment area.

b) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Base Year (within 90 days from contract award)

· Utilize tank manufacture guidelines and recommendations from Industry Codes and Standards

Leak and Release Detection

Contractor shall evaluate Interstitial Monitoring (Including Sump Sensors).

a) Inspection shall include the following:

· Electrical junction boxes are intact and no obvious wire breaks are visible

· Sump sensor is present

· Sensor is positioned correctly

· There is no liquid or product present

· The lid has a tight seal and is securely fastened

· The sump is not damaged (A damaged sump would no longer hold product if a release occurs)

· Pipe boots are loose to allow for pipe's interstitial space to drain liquids into sump

b) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually and during any servicing

· 40 CFR 280.43(g)(1)

· 40 CFR 280.43(g)(2)

· 40 CFR 280.40(a)(2)

Tank (s)

1,3,4,5 Leak and Release Detection

Contractor shall conduct tightness testing of piping (American Suction Type).

a) Inspection shall include the following:

· Electrical junction boxes are intact and no obvious wire breaks are visible

· Sump sensor is present

· Sensor is positioned correctly

· There is no liquid or product present

· The lid has a tight seal and is securely fastened

· The sump is not damaged (A damaged sump would no longer hold product if a release occurs)

b) Contractor shall test containment sumps used for piping interstitial monitoring.

c) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Base Year (within 90 days from contract award) and Option Year (3)

· 40 CFR 280.44(a)

· 40 CFR280.42(b)(1)(i)

· 40 CFR 280.40(a)(2)

Contractor shall conduct piping inspection (Automatic Line Leak Detector).

a) Contractor shall conduct a service test on the Automatic Line Leak Detector for proper function. Confirm proper connection points. Verify unit is product appropriate.

b) Verify epoxy kits have been installed on field wiring

c) During or immediately after running a test (i.e. 3.0 gph self-test per Veeder Root console), visually inspect the flexible fuel lines for leakage and check flexible fuel control lines for any chafing or excessive corrosion.

d) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

· 40 CFR 280.44(a)

· 40 CFR280.42(b)(1)(i)

Tank (s)

Leak and Release Detection

Contractor shall conduct tightness testing of piping (pressurized piping).

a) Contractor shall conduct line tightness testing (in accordance with an EPA approved method: e.g. precision, volumetric or nonvolumetric). This tightness testing must be conducted by a professional trained in performing line tightness testing or by using a permanently installed electronic system.

b) Contractor shall test containment sumps used for piping interstitial monitoring.

c) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

Federal Citations and other Information Related to this Service/Activity

· 40 CFR 280.42(b)(1)(ii) 40 CFR 280.41(b)

Spill Protection & Overfill Control

Contractor shall conduct a visual inspection of spill bucket.

a) Contractor shall inspect the spill bucket for signs of wear, cracks, or holes and/or perform a hydrostatic test. Based on this inspection, the contractor may suggest a test to determine if the spill bucket is tight or needs repair or replacement.

b) Contractor shall test spill bucket(s) every three years for liquid tightness. The test must be conducted according to a code of practice or manufacturer’s instructions.

(Note: This spill bucket test would not be necessary if the UST system(S) had double walled spill bucket(S) and periodic interstitial monitoring occurred)

c) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually for item a)

Base Year (within 90 days from contract award) and Option Year (3) for item b)

Tank (s)

Spill Protection & Overfill Control

Contractor shall inspect automatic shutoff – drop tube.

a) Contractor shall review the drop tube assembly for abnormalities (rusty, bent, cracks or holes) especially at connections to tank and/or spill bucket. Confirm device is operational (unobstructed) and is installed at correct distance below the tank top as specified by the manufacturer. Consult Tank Chart for actual tank dimensions. The device shall shut off flow into the tank when the tank is no more than 95% full or alert the transfer operator when the tank is no more than 90% full by restricting flow into tank or triggering a high-level alarm.

b) Contractor shall inspect and test the overfill prevention equipment (i.e. OPW61SO Drop Tube Automatic Shutoff) according to a code of practice or manufacture’s instructions. the fill pipe drop tube to confirm flapper valve is present and that there are no obstructions in the drop tube that will prevent the device from operating (i.e., dip stick).

c) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

Federal Citations and other Information Related to this Service/Activity

· 40 CFR 280.20(c)(1)(ii)

· 40 CFR 280.21(d)

Spill Protection & Overfill Control

Contractor shall inspect overfill alarm.

a) Contractor shall check the electronic overfill alarm to make sure that it is functioning properly and that the alarm activates when the fuel reaches 90% of the tank capacity or is within one minute of being overfilled. Accomplish by over-riding setup program to show tank capacity at +90%.

b) Contractor shall ensure that the alarm can be heard and/or seen from where the tank is fueled.

c) Contractor shall make sure that the electronic device and probe are operating properly.

d) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

Federal Citations and other Information Related to this Service/Activity

· 40CFR280.20(c)(1)(ii)(B) 40 CFR 280.21(d)

Tank (s)

1,3,4,5 General Requirements

Contractor shall perform fuel filtration / decontamination of the fuel that meets field interpretation (Millipore Patch Test Standards) for diesel fuel to ASTMD-975 standards.

a) Contractor shall perform fuel filtration / decontamination to ensure that there is no buildup of contamination in the bottom of the tank(s).

b) Contractor shall add a mircro-biocide fuel treatment (e.g. Amerstat 25) to control against bio-degradation.

c) Contractor shall provide documentation in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service that identifies the following information: background on service provided and results before and after fuel treatment – include chart that has the following columns: Tank ID, Tank Size, Chart Gallons, Water Before, Water After, Before Fuel Values and the After Fuel Values.

Annually

· Utilize tank manufacture guidelines and / or recommendations from Industry Codes and Standards

Dispensers and Emergency Shut-Offs

Contractor inspection of stand-alone dispenser and hose and nozzle components.

a) Contractor shall calibrate product dispensers according to local standards or to an accuracy of six cubic inches for every five gallons of product withdrawn.

b) Contractor shall open each dispenser and inspect all visible dispenser lines, fittings and couplings, and inspect the sump beneath the dispenser for any signs of leakage.

c) Contractor shall observe for obvious leaks, cracks, deformations and ensure breakaway is installed (i.e. in the hose and nozzle components).

d) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

· 40 CFR 280.43(a)(5)

Tank (s)

Dispensers and Emergency Shut-Offs

Contractor inspection of dispenser pan sensor (solid-state only), dispenser sump.

a) Contractor shall evaluate the following elements of the dispenser pan sensor:

· Inspect sensor cable for any cracking or damage

· Verify sensor is firmly secured in the upright position on the bottom of the pan

· Verify epoxy kits have been installed on field wiring

· Replace sensor cable if cracked or damaged

b) Contractor shall evaluate the following elements of the dispenser sump:

· Inspect shear valve. Assess unit is in place and properly anchored. Observe for obvious leaks

· Inspect sump. Assess sump is clean and empty. Note any signs of leaks.

· Ensure interstitial sensors if installed are positioned at the lowest portion

· Observe for obvious open electrical junction boxes or broken wiring

c) Contractor shall inspect emergency shut off to ensure it is accessible and has not obvious damage.

e) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

(via UST overview document) UST Overview Document

Contractor shall evaluate the accuracy of the UST Overview Document (i.e. Table 2 of this SOW).

a) Contractor shall evaluate the UST Overview Document and make the necessary adjustments so that the document reflects all UST information accurately (e.g. Tank and Pipe Information, Release Detection Method Utilized, Spill Protection and Overfill Control).

b) Contractor will indicate results in a written report (i.e. in PDF Format) which will be e-mailed to COR within ten business days from date of service.

Annually

Tank (s)

Training Facility Personnel

Contractor shall conduct UST training for facility employees.

a) Contractor shall provide training on the following elements of the UST program:

· Overview of the facility UST systems. This shall include discussion about each tank’s specifications (e.g. tank and pipe construction material, release detection utilized, spill protection, overfill control, etc.)

· Use instruction on the ATG (i.e. Veeder Root TLS 450).

b) UST Regulatory Overview (1 hour in length, PowerPoint Presentation, with handouts).

Annually

Contractor Hourly Rate to Correct Deficiencies

· Hourly rate for contract employees correcting deficiencies identified during inspections and testing services outlined in SOW.

See Schedule of Supplies Template

(amount is based upon 80 hours of contract work per year)

Contractor Estimated Cost of Supplies and Materials

Estimated amount (cost) of supplies and materials for correcting (e.g. replacing UST components, etc.) deficiencies identified during inspections and testing services outlined in SOW.

See Schedule of Supplies Template

*(Amount is based upon contractor estimate to correct deficiencies identified during inspections and testing services per year).

*This amount should not include total UST replacement – this SOW is for the service and maintenance of existing UST(s) and ATG equipment.

Table 2 – Underground Storage Tank (UST) Overview – Indianapolis VAMC Updated Last - 12/10/2013

Table 3 – Aboveground Storage Tank (ATS) Overview – Indianapolis VAMC Updated Last - 5/4/2020

Outside, South of Building 22

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Contractor shall provide all labor, tools, equipment, material, and supervision necessary to inspect and maintain Underground Storage Tank (UST) and Aboveground Storage Tank (AST) at the Indianapolis VA Medical Center, located at 1481 W 10th Street Indianapolis IN 46201.

Contract Period: Base POP Begin: 12-01-2020 POP End: 11-30-2021

Contractor shall provide all labor, tools, equipment, material, and supervision necessary to inspect and maintain Underground Storage Tank (UST) and Aboveground Storage Tank (AST) at the Indianapolis VA Medical Center, located at 1481 W 10th Street Indianapolis IN 46201.

Contract Period: Option 1 POP Begin: 12-01-2021 POP End: 11-30-2022

Contractor shall provide all labor, tools, equipment, material, and supervision necessary to inspect and maintain Underground Storage Tank (UST) and Aboveground Storage Tank (AST) at the Indianapolis VA Medical Center, located at 1481 W 10th Street Indianapolis IN 46201.

Contract Period: Option 2 POP Begin: 12-01-2022 POP End: 11-30-2023

Contractor shall provide all labor, tools, equipment, material, and supervision necessary to inspect and maintain Underground Storage Tank (UST) and Aboveground Storage Tank (AST) at the Indianapolis VA Medical Center, located at 1481 W 10th Street Indianapolis IN 46201.

Contract Period: Option 3 POP Begin: 12-01-2023 POP End: 11-30-2024

Contractor shall provide all labor, tools, equipment, material, and supervision necessary to inspect and maintain Underground Storage Tank (UST) and Aboveground Storage Tank (AST) at the Indianapolis VA Medical Center, located at 1481 W 10th Street Indianapolis IN 46201.

Contract Period: Option 4 POP Begin: 12-01-2024 POP End: 11-30-2025

Total Base Year

Total Option Year 1

Total Option Year 2

Total Option Year 3

Total Option Year 4

Grand Total

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in 32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or…