ATTACHMENT A- STATEMENT OF WORK SOW.docx

STATEMENT OF WORK

Under Dispenser Containment (UDC) and Sump Installation Project Number 663A4-27-001

2. Contract Title Under Dispenser Containment (UDC) and Sump Installation at VAMC American Lake, WA.

3. Background The VA Puget Sound Health Care System, American Lake Division, is required to install Department of Ecology-approved Under Dispenser Containment system and an extractor valve containment sump for the underground storage tank system to address deficiencies identified during a Washington State Department of Ecology inspection.

4. Scope.

The contractor shall provide personnel certified for the regulated underground storage tank (UST) services they perform. Installation, repair, and modification of the UST system and its components shall be performed or directly supervised by a provider holding ICC UST Installation/Retrofitting (U1) certification. Regulated tank or piping tightness testing shall be performed or directly supervised by a provider holding ICC UST Tank Tightness Testing (U3) certification. If conditions encountered require a formal site assessment, that work shall be performed or directly supervised by a provider holding Washington State Site Assessment (U7) certification, or another qualification accepted under WAC 173-360A-0930.

The Contractor shall maintain all required licenses and certifications for the duration of the contract. Failure to maintain the required certifications shall constitute grounds for suspension of work until deficiencies are corrected at no additional cost to the Government.

5. Contract Task Requirements:

Task 1 Regulatory Notifications

The contractor shall:

Prepare and complete all Washington State Department of Ecology UST notifications, checklists, testing records, and supporting documentation applicable to the work as directed by the VA Contracting Officer Representative (COR).

The contractor shall sign all portions requiring certification by the UST service provider and submit the completed documents to the VA COR within 5 business days upon VA COR request.

The contractor shall not submit documents directly to Ecology on behalf of the VA unless specifically authorized in writing by the Contracting Officer. The VA, as the UST owner/operator, will review, sign where required, and submit the documents to the Department Ecology through the TCP External Document Submission (TEDS) portal.

If authorized and directed by the VA COR to submit any documents to the Department of Ecology, the contractor shall provide the COR confirmation of submission and a complete copy of the submitted package and all documents.

Task 2 Fuel Dispenser Removal

The contractor shall:

- Perform mechanical and electrical disconnects of existing fuel dispensers.

- Drain product lines back to the underground storage tanks.

- Remove dispensers without damaging equipment.

- Secure and protect dispensers for reinstallation.

If evidence of a suspected release is encountered, stop work in the affected area, protect the site, and notify the VA COR and CO immediately in writing by email and by phone .

Task 3 Demolition and Excavation

The contractor shall:

-Saw cut and remove concrete as necessary.

-Utilize hydro-excavation and vacuum truck methods to expose existing fuel system components.

-Excavate in a manner that minimizes disturbance to surrounding infrastructure.

-Maintain excavation safety requirements in accordance with relevant standards such as OSHA, and the State of Washington.

Task 4 Product Piping Removal

The contractor shall:

-Remove exposed fuel product piping between dispensers and extractor valves.

-Properly dispose of removed materials.

Task 5 Extractor Valve Removal and Reinstallation

The contractor shall:

-Remove existing extractor valves.

-Protect valves from damage during storage.

-Reinstall extractor valves within the newly installed containment sump.

-Contractor will be responsible for repairing or replacing any pipes, connections, or equipment damaged during the removal, storage, or reinstallation of the system.

Task 6 Containment Sump Installation

The contractor shall furnish and install:

-New extractor valve containment sump.

-New traffic-rated manhole assembly.

-Associated fittings, boots, seals, and accessories.

The containment sump shall:

-Be compatible with the existing fuel system.

-Provide liquid-tight containment.

-Meet current EPA and Washington State requirements.

Task 7 Under Dispenser Containment (UDC) Installation

The contractor shall furnish and install new UDC systems beneath each fuel dispenser.

The UDC assemblies shall:

-Meet current regulatory requirements.

-Be compatible with the existing dispensing equipment.

-Include all required mounting hardware and penetrations.

Task 8 Fuel Piping Installation

The contractor shall furnish and install:

-Double-wall OPW flexible fuel piping.

-Transition fittings and accessories required for a complete installation.

The contractor shall:

-Connect piping between extractor valves and new UDCs.

-Verify and repair Fuel Line and connections from fuel tank to dispensers to ensure proper installation and operation.

Perform testing in accordance with manufacturer requirements.

Task 9 Electrical and Communication Systems

The contractor shall:

-Provide raceways for three (3) new monitoring probes to the low-voltage gutter located on the exterior of the building.

-Install communication conduits along the retaining wall behind dispensers.

-Install a common junction box and distribute communication wiring to all UDCs and containment sumps.

-Install all required conductors and terminations.

-Program the installed UDC and containment-sump sensors into the existing Veeder-Root TLS-4. Run new wiring and terminate both ends where required for a complete and operational installation.

-Install new or existing tank probes only as required to restore the existing monitoring functions identified in the contract.

-Verify associated TLS-4 wiring and repair or replace deficient wiring included within the defined work limits.

-Verify correct point identification, alarm response, communications, and normal TLS-4 operation.

Task 10 Leak Detection Equipment

The contractor shall furnish and install:

-Leak detection sensors within each UDC.

-Leak detection sensors within the containment sump.

-All associated wiring, programming and accessories.

Task 11 Fuel Dispenser Reinstallation

The contractor shall:

-Reinstall existing dispensers.

-Complete all mechanical, electrical, and communication connections.

-Ensure equipment is properly anchored and aligned.

-Restore functionality to Dispenser #1 to normal operations. (System reset inoperative).

Task 12 Concrete Restoration

The contractor shall:

-Form and pour concrete in areas disturbed by the work.

-Match existing grades and elevations.

-Restore all disturbed surfaces.

-Perform all compaction of disturbed soils.

Task 13 Hose Retrievers

The contractor shall:

-Furnish and install heavy-duty hose retrievers at each fuel dispenser.

Task 14 Startup, Testing, and Commissioning

The contractor shall:

-Perform tightness testing of newly installed containment systems, piping, and associated components in accordance with Washington State Department of Ecology requirements and manufacturer recommendations. Tightness testing shall include hydrostatic testing, where applicable, to verify liquid-tight integrity of containment systems.

-Verify leak detection functionality.

-Verify communication system functionality.

-Verify proper operation of fuel dispensers.

-Conduct final commissioning.

-The UST system and associated equipment shall not be placed back into service until all required programming, startup testing, tightness testing, regulatory inspections, documentation, and certifications have been completed and accepted by the Authority Having Jurisdiction, where applicable, and copies of all required documentation have been provided to the COR.

General Standards & Requirements:

GENERAL SECTION 01 00 00 – GENERAL REQUIREMENTS – See Attachment.

40 CFR (Code of Federal Regulations) Part 280, the EPA (Environmental Protection Agency) underground storage tank rule

29 CFR Part 1926, the OSHA (Occupational Safety and Health Administration) construction standards, including excavations and confined space entry

29 CFR 1910.120, HAZWOPER (Hazardous Waste Operations and Emergency Response), only if contaminated material is handled

WAC (Washington Administrative Code) 173-360A and RCW (Revised Code of Washington) 90.76

WAC 173-340 (Model Toxics Control Act) and WAC 173-303 (Dangerous Waste Regulations)

WAC 296-155

Washington State Fire Code (WAC 51-54A)

NFPA (National Fire Protection Association) 30A and NFPA 30

NFPA 70 (National Electrical Code)

PEI (Petroleum Equipment Institute) RP (Recommended Practice) 100 and RP 1200 UL (Underwriters Laboratories) listings

Manufacturer installation and testing requirements ICC (International Code Council) UST (underground storage tank) certifications U1, U3, and U7

6. Deliverables

The contractor must submit all deliverables to VA COR within 5 business days of contract award.

The Contractor shall submit the following deliverables to the Contracting Officer’s Representative (COR). Each deliverable requires COR review and written approval before it is considered accepted. Work that depends on a deliverable shall not proceed until the COR has approved it.

1. Site-Specific Health and Safety Plan (HASP)- due within five (5) business days after contract award.

2. Environmental Compliance Plan (ECP)- due within five (5) business days after contract award.

3. Regulatory Inspection Records and Correspondence, submitted as each phase or and within 2 business days after VA COR request.

4. Manufacturer Product Submittals for the under-dispenser containment (UDC) systems, containment sump, piping, leak detection systems, and ancillary equipment, submitted and approved. due within five (5) business days after contract award.

Product and equipment submittals shall include:

Manufacturer name, model number, and part number for all installed equipment (UDCs, containment sump, extractor valves, leak detection sensors, Veeder-Root TLS-4 components/probes, fuel piping).

Serial numbers for all serialized components.

Manufacturer warranty documentation/certificates for each component, including start date and duration.

5. Equipment Installation Manuals: manufacturer installation, operation, and maintenance (O&M) manuals. - due within five (5) business days after contract award.

6. Equipment Data Record for all installed equipment (UDCs, containment sump, extractor valves, leak detection sensors, Veeder-Root TLS-4 components and probes, and fuel piping), including:

· Manufacturer name, model number, and part number.

· Serial numbers for all serialized components.

· Manufacturer warranty documentation or certificates for each component, with the start date and duration.

7. Testing Records and As-Built Documentation, including tightness test results. due with the Final Commissioning Report.

· 8. System Startup and Commissioning Report: Final Commissioning Report shall be submitted to the COR for formal review and shall include all startup testing, tightness testing, leak detection verification, and TLS-4 programming confirmation results. Due within five (5) business days after completion of startup testing.

Review, approval, and correction. The VA COR will review each deliverable and notify the Contractor in writing of approval or of any discrepancy, error, or omission.

The Contractor shall correct the discrepancies and resubmit the deliverable within three (3) business days after receipt of the COR’s written notice, at no additional cost to the Government. The COR will then review the resubmittal.

All regulatory documentation, testing reports, certifications, permits, inspection reports, and as-built documentation shall be submitted to and accepted by the COR before final acceptance of the project.

7. Performance Monitoring & Government Acceptance

A controlled fueling system shutdown will be required.

The contractor shall submit a written outage request at least 14 calendar days in advance identifying the affected equipment, duration, sequence, safety controls, contingency measures, and return-to-service procedure.

No unrelated facility-wide utility shutdown is anticipated; any additional shutdown identified during planning requires advance Government and VA COR approval in writing.

Final acceptance shall not be granted until the COR has reviewed and provided written approval of the Final Commissioning Report and all associated testing/regulatory documentation.

Any discrepancies or deficiencies identified by the COR during this review shall be corrected by the contractor at no additional cost to the Government prior to final acceptance.

8. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).

The Government will not furnish any equipment or materials for this work.

The contractor shall base its work on this SOW, solicitation information, the site visit, and required field verification.

The contractor shall verify all field conditions before beginning work. Information obtained from the site visit is for the contractor’s reference and does not relieve the contractor of the responsibility to verify field conditions.

9. Warranty

Contractor shall warrant all workmanship for a minimum of one (1) year from the date of final acceptance, covering labor and installation defects — distinct from manufacturer equipment warranties. The Warranty period shall begin aft written final acceptance by the VA COR.

10. Risk Control

The contractor shall:

-Prevent releases of petroleum products.

-Immediately report spills to the COR.

-Properly contain and dispose of contaminated materials.

-Comply with EPA, Washington State Department of Ecology, and VA environmental requirements.

-Maintain spill response materials on site.

-Secure work areas to protect patients, visitors, and staff.

11. Place of Performance.

9600 Veterans Drive SW, Tacoma, WA 98493

12. Period of Performance and Working Hours.

The contractor shall submit all deliverables within five (5) business days after contract award.

The period of performance is 90 calendar days after government receipt of deliverables and written approval by the VA COR and CO on the project schedule.

Normal on-site working hours are 0700-1630, Monday through Friday, excluding federal holidays, unless otherwise approved by the COR.