36C26319Q0537-002.pdf

Statement of Work

MOLD, LEAD, AND ASBESTOS ABATEMENT

Sioux Falls Veterans Administration Health Care System

Sioux Falls, South Dakota

1.0 REQUIREMENTS AND SCOPE. The Sioux Falls Veterans Administration

Health Care System (VAHCS) intends to award an indefinite delivery indefinite quantity (IDIQ) contract to a qualified firm with the capability and capacity to provide mold, lead, and asbestos abatement, air monitoring, and mold, lead, and asbestos debris removal.

2.0 PERFORMANCE WORK STATEMENT. The contractor will provide mold, lead, and asbestos abatement, air monitoring, and mold, lead, and asbestos debris removal from the Sioux Falls VAHCS. Services will be provided during the following periods:

Base Period: July 1, 2019 through June 30, 2020

***up to (4) ordering periods as approved by the VA contracting officer***

Ordering Period 1: July 1, 2020 through June 30, 2021 Ordering Period 2: July 1, 2021 through June 30, 2022 Ordering Period 3: July 1, 2022 through June 30, 2023 Ordering Period 4: July 1, 2023 through June 30, 2024

The price schedule establishes a minimum amount of air sampling services along with air sampling mobilization services that will be paid to the contractor during the base year. This ensures the contractor payment during the base period and will keep the contract open and available to the

VA.

The Contractor shall schedule abatement and must begin to perform abatement work on-site no later than four weeks from date of task order award. Exceptions to this standard would require pre-approval from the VAMC Sioux Falls COR.

3.0 RECORDKEEPING AND REPORTS. The contractor shall provide Final Project Documentation for each abatement project. The Final Project Documentation shall be in electronic form sent to the Sioux Falls VAHCS Engineering Department. The Final Project Documentation will include:

3.1 Preliminaries

3.1.1 Certificate of Liability Insurance

3.1.2 Invoice

3.1.3 Proposal

3.2 Daily Documentation

3.2.1 Initial Exposure Assessment

3.2.2 Pre-commencement Damage Control Survey

3.2.3 Pre-Abatement Checklist

3.2.4 Safety Topics

3.2.5 Daily Sign-in and Sign-out Log

3.2.6 Containment Sign-in and Sign-out Log

3.2.7 Quality Control Daily Report

3.2.8 Daily Shift Checklist

3.3 Clearance Inspection

3.3.1 Contractor Final Inspection Report

3.3.2 Owner Representative Certificate of Substantial Completion

3.4 Notifications

3.4.1 South Dakota Department of Environment and Natural

Resources Notification of Demolition and Renovation

3.5 Landfill/Waste Manifests

3.6 Air Monitoring Reports

3.7 Safety Data Sheets

3.8 Employee Certification

3.8.1 Abatement Certification Card

3.8.2 Respirator Fit Test Certification

3.8.3 Medical Examination Results

3.8.4 Certificate of Workers Acknowledgement

4.0 STATEMENT OF WORK. The Contactor will perform an inspection for the presence of Mold, Lead, and/or Asbestos Containing Material (ACM) and Presumed Asbestos Containing Material (PACM). Contractor will then submit a detailed report and a quote for abatement of all mold, lead, and/or ACM and PACM. The Contractor is required to furnish all labor, materials, services, equipment, insurance, and perform all work to remove and dispose of all mold, lead, and/or ACM and all PACM. The Contractor will be responsible for the cleanup and removal of all mold, lead, and/or asbestos contaminated gypsum board, insulation, carpeting, ceiling tiles and other debris created as part of the abatement. The Contractor shall provide an air sampling technician independent of the abatement contractor to collect and analyze air samples.

5.0 CONTRACTOR RESPONSIBILITY. The Contractor shall complete all requirements of the contract. The Contractor shall be responsible for performing the scope of the work in accordance with all Federal, State and Local regulations. The Contractor shall abide by the following:

5.1 Preliminary.

5.1.1 The Contractor shall provide proof of current and valid Liability Insurance.

5.1.2 The Contractor shall perform an inspection of the mold, lead, and/or asbestos abatement area; submit a work proposal and summary invoice.

5.1.3 The Contractor shall construct a negative pressure

enclosure for each phase of the abatement.

5.2 DAILY DOCUMENTATION.

5.2.1 The Contractor shall perform an initial exposure assessment.

5.2.2 The Contractor shall perform a pre-commencement damage

control survey.

5.2.2.1 The Contractor shall take all precautions to avoid

damage to Sioux Falls VAHCS property or equipment. Any damage to Sioux Falls VAHCS property or equipment by the Contractor shall be repaired by the Contractor to its original state or better condition at no additional expense to the Sioux Falls VAHCS.

5.2.2.2 The Contractor shall ensure that the Contractor’s

operations are conducted in a manner that does not interfere with the normal operations of the Sioux Falls VAHCS, the safety and health of the Sioux Falls VAHCS employees, or the environment. The Contractor’s personnel will have limited access to the Sioux Falls VAHCS.

5.2.3 The Contractor shall perform a pre-abatement checklist.

5.2.4 The Contractor shall document any safety meeting topics that have been discussed with the Contractors employee’s.

5.2.5 The Contractor shall maintain a daily sign-in and sign-out log.

5.2.6 The Contractor shall maintain a containment sign-in and sign-out log.

5.2.7 The Contractor shall complete a quality control daily report.

5.2.8 The Contractor shall perform a daily shift checklist.

5.3 CLEARANCE INSPECTION.

5.3.1 The Contractor shall perform and sign a final inspection report.

5.3.2 The Contractor shall perform and sign a certificate of

substantial completion.

5.4 NOTIFICATIONS.

5.4.1 The Contractor shall complete and submit the Notification of demolition and renovation to the South Dakota Department of Environment and Natural Resources.

5.5 LANDFILL/WASTE MANIFESTS

5.5.1 The Contractor shall dispose of waste generated according to 29 CFR 1910.1001 and 29 CFR 1926.1101.

5.5.2 The Contractor shall complete all forms necessary to

properly dispose of all waste generated by the Contractor.

5.5.3 The Contractor shall provide documentation of the waste forms and disposal site manifest.

5.6 AIR MONITORING REPORTS.

5.6.1 The Contractor shall provide an air sampling technician independent of the abatement contractor to collect and analyze air samples.

5.6.1.1 This will help to eliminate conflict of interest.

5.6.2 The individual analyzing the air sample shall be at a

minimum a Phased Contrast Microscope (PCM) Analyst.

5.6.3 The PCM Analyst shall have a NIOSH 582 or NIOSH 582E

Certificate.

5.7 SAFETY DATA SHEETS.

5.7.1 The Contractor shall submit Safety Data Sheets.

5.8 EMPLOYEE CERTIFICATION.

5.8.1 The Contractor shall provide employee Abatement

Certification Card.

5.8.2 The Contractor shall provide employee Respirator Fit Test Certification.

5.8.3 The Contractor shall provide employee Medical Examination Results.

5.8.4 The Contractor shall provide employee Certificate of

Workers Acknowledgement.

5.9 29 CFR 1926.1101. Asbestos.

5.10 29 CFR 1910.1001. Asbestos.

5.11 29 CFR 1910.132. Personal Protective Equipment.

5.12 29 CFR 1910.134. Respiratory Protection.

5.13 29 CFR 1926.50 App A. First Aid Kits

5.13.1 Contractor shall reference 29 CFR 1910.266 App A. for

required contents of First Aid Kits.

5.14 29 CFR 1926.1101(m). Medical Surveillance Guidelines.

5.15 40 CFR 61, Subpart M. National Emission Standards for

Asbestos.

5.16 40 CFR Part 763. Asbestos

5.17 ADMINISTRATIVE RULES OF SOUTH DAKOTA 74:36:08

5.18 ADMINISTRATIVE RULES OF SOUTH DAKOTA 74:31

5.19 SOUTH DAKOTA CODIFIED LAWS 34-44.

5.20 EXPERIENCE MODIFICATION RATE (EMR)

5.20.1 The Contractor shall submit their EMR and Safety Record.

6.0 SCHEDULE. See contract document for duration of contract.

6.1 Pre-Abatement meeting. The Contractor shall attend a meeting scheduled by the Sioux Falls VAHCS before starting work.

7.0 TEMPORARY FACILITIES AND STAGING AREA. The electrical energy and the water consumed shall be provided by the Sioux Falls VAHCS at no cost to the Contractor from existing lines and sources or from services adjacent to the work areas. Contractor’s use of utilities shall be coordinated with the Sioux Falls VAHCS. Contractor is responsible for insuring that adequate electrical power and water are available to complete the work. The Contractor will be permitted to use areas as directed by the Sioux Falls VAHCS for staging and storage of materials.

The area is restricted to uncontaminated work equipment and supplies.

The area shall be left clean and restored to same condition as when accepted by the Contractor.