36C25523Q0641 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 NUMBERE

D 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 amendmen t, 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)

NONE

36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 To all Offerors/Bidders

36C25523Q0641 08-10-2023

X X X September 01, 2023 X The purpose of this amendment is to incorporate the included revised statement of work, replacing the one originally included with the solicitation and extend the quote due date to September 01, 2023.

Vernon J Hoobler Contracting Officer Jefferson Barracks Veterans Affairs Medical Center St Louis Missouri Statement of Work

1. SCOPE: THE CONTRACTOR SHALL PERFORM ALL ROUTINE SAMPLING AND

ANALYSES REQUIRED IN OUR INDUSTRIAL WASTEWATER DISCHARGE PERMITS AS REQUIRED BY THE METROPOLITAN ST LOUIS SEWER DISTRICT ORDINANCE NO. 8657, FOR THE PERIOD 10-1-23 THUR 9-30-24. AT THE FOLLOWING LOCATIONS:

a) VAMC, JOHN COCHRAN DIV., 915 N.

GRAND AVE, ST LOUIS, MO 63106

b) VAMC, JEFFERSON BARRACKS DIV., ST LOUIS, MO 63125

2. SERVICES TO BE PROVIDED: ALL NECESSARY COMPOSITE AND GRAB

SAMPLES WILL BE OBTAINED QUARTERLY AS REQUIRED PER DISCHARGE PERMIT NO.1008545900-3 FOR PREMISE AT 915 NORTH

GRAND (2 EACH SAMPLING POINTS) AND DISCHARGE PERMIT NO.

1008544300-3 FOR PREMISE AT JEFFERSON BARRACKS (1 EACH

SAMPLING POINT). ANALYSIS OF SAMPLES WILL COMPLY WITH

ONLY THE PARAMETERS IDENTIFIED IN THE PERMITS BY ST.

LOUIS SEWER DISTRICT.

(NOTE: COPIES OF PERMITS SUBMITTED UNDER SEPARATE

COVER).

3. SPECIAL INSTRUCTIONS: (1) THE FOLLOWING TOXIC ORGANICS ARE

SUSPECTED TO BE PRESENT IN OUR EFFLUENT DISCHARGE AND

REQUIRE AN ANNUAL ANALYSIS: THE TOTAL TOXIC ORGANICS CAN

BE SAMPLED AND TESTED DURING ANY ONE OF THE QUARTERLY

TEST CYCLES.

a) THE SAMPLING POINT LOCATIONS ARE INDICATED ON THE

PERMITS. ASSISTANCE FOR DIRECTIONS AND/OR ESCORT

TO THESE LOCATIONS CAN BE OBTAINED BY CONTACTING

THE FOLLOWING PIPE SHOP FOREMEN:

1) PREMISE AT 915 N. GRAND AVE -

Nathan Walter PH 314-289-6450.

2) PREMISE AT JEFFERSON BARRACKS -

Tim Middleton PH 314-894-6657.

(2) FURNISH SEPERATE WRITTEN TEST REPORTS FOR EACH

SAMPLING POINT EVERY THREE MONTHS (QUARTERLY);

1ST. QUARTER - OCTOBER, NOVEMBER, DECEMBER; 2ND -

QUARTER - JANUARY, FEBRUARY, MARCH; 3RD QUARTER - APRIL, MAY, JUNE; 4TH QUARTER - JULY, AUGUST, SEPTEMBER. THESE SIGNED REPORTS WILL BE POST

MARKED NO LATER THAN THE 28TH DAY OF THE QUARTER - DECEMBER, MARCH, JUNE, SEPTEMBER. THE ORIGINAL

COPY OF THE REPORTS WILL BE SENT TO THE CHIEF,

ENGINEERING SERVICE, 138 JB, VAMC, JEFFERSON

BARRACKS DIVISION, ST LOUIS, MO 63125.

(3) THESE REPORTS SHALL CONTAIN THE INFORMATION

REQUIRED BY THE METROPOLITAN ST LOUIS SEWER

DISTRICT ON FORMS WHICH ARE SUPPLIED BY THE

DISTRICT.

4. IDENTIFICATION: The contractor’s field service employee shall wear visible identification at all times while on the premises of the VA Medical Center. Smoking is prohibited inside of buildings. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of the VA regulations may result in citation answerable in the United States (Federal) District Court.

5. VEHICLES: All vehicles will be locked and the keys removed while performing service on the Medical Center’s property. This is intended to protect the contractor’s property and provide for the safety of the Medical Center’s personnel. Vehicle(s) shall be identified. Parking in the appropriate designated parking areas is expected. Information on parking is available from the VA Police. The VA Medical Center will not invalidate or make reimbursement for parking violations of the contractor for any conditions.

6. SAFETY REQUIRMENTS: In the performance of this contract, the contractor shall take such safety precautions as the Contracting Officer or designee may determine to be reasonably necessary to protect the lives and health of the occupants of any building. The Contracting Officer or designee will notify the contractor of any noncompliance with the foregoing provisions and action to be taken.

Jefferson Barracks Sewer sampling 3rd Quarter is usually when TTO testing is done.

July-Sept All other testing done quarterly JAN-MAR, APR-JUNE, JULY-SEPT and OCT-DEC

John Cochran Sewer sampling Sample point 001 3rd Quarter is usually when TTO testing is done.

July-Sept All other testing done quarterly JAN-MAR, APR-JUNE, JULY-SEPT and OCT-DEC

John Cochran Sewer sampling Sample point 002 3rd Quarter is usually when TTO testing is done.

July-Sept All other testing done quarterly JAN-MAR, APR-JUNE, JULY-SEPT and OCT-DEC

John Cochran Sewer sampling Sample point 003 No testing required

JB MSD sewer reports to be filled out by COR.

JC MSD sewer reports to be filled out by COR.

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