rev_Amendment__0004.pdf

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:

(a) By completing items 8 and 15, and returning or (c) By separate letter or telegram 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 RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION

NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE 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.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

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.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

3PQCB

Solicitation Number: 47PD0218R0002 Title: General Construction IDIQ Term Contract with Design Build Capabilities State of Maryland, and including Jefferson and Berkeley Counties in West Virginia

Please see continuation page for more details.

General Service Administration - PBS, Region 3 100 South Independence Mall West Philadelphia, PA 19106

See Block 6

47PD0218R0002

47PD0218R0002

1 70

02/14/2018

01/25/2018

INSTRUCTIONS

Instructions for items other than those that are self-explanatory, are as follows:

Item 1 (Contract ID Code). Insert the contract type identification code that appears in the title block of the contract being modified.

Item 3 (Effective date).

(1)

(2)

(3)

(4)

(5)

For a solicitation amendment, change order, or administrative change, the effective date shall be the issue date of the amendment, change order, or administrative change.

For a supplemental agreement, the effective date shall be the date agreed to by the contracting parties.

For a modification issued as an initial or confirming notice of termination for the convenience of the Government, the effective date and the modification number of the confirming notice shall be the same as the effective date and modification number of the initial notice.

For a modification converting a termination for default to a termination for the convenience of the Government, the effective date shall be the same as the effective date of the termination for default.

For a modification confirming the contacting officer's determination of the amount due in settlement of a contract termination, the effective date shall be the same as the effective date of the initial decision.

(a)

(b)

(c)

(d)

(e)

(f)

Item 6 (Issued By). Insert the name and address of the issuing office. If applicable, insert the appropriate issuing office code in the code block.

Item 8 (Name and Address of Contractor). For modifications to a contract or order, enter the contractor's name, address, and code as shown in the original contract or order, unless changed by this or a previous modification.

Item 9, (Amendment of Solicitation No. - Dated), and 10, (Modification of Contract/Order No. - Dated). Check the appropriate box and in the corresponding blanks insert the number and date of the original solicitation, contract, or order.

Item 12 (Accounting and Appropriation Data).

When appropriate, indicate the impact of the modification on each affected accounting classification by inserting one of the following entries.

(2) Accounting classification Net decrease $

Include subject matter or short title of solicitation/contract where feasible.

Item 16B. The contracting officer's signature is not required on solicitation amendments. The contracting officer's signature is normally affixed last on supplemental agreements.

(i)

NOTE: If there are changes to multiple accounting classifications that cannot be placed in block 12, insert an asterisk and the words "See continuation sheet".

Item 13. Check the appropriate box to indicate the type of modification. Insert in the corresponding blank the authority under which the modification is issued. Check whether or not contractor must sign this document. (See FAR 43.103.)

Item 14 (Description of Amendment/Modification).

Organize amendments or modifications under the appropriate Uniform Contract Format (UCF) section headings from the applicable solicitation or contract. The UCF table of contents, however, shall not be set forth in this document

Indicate the impact of the modification on the overall total contract price by inserting one of the following entries:

(i) Total contract price increased by $

(ii) Total contract price decreased by $

(iii) Total contract price unchanged.

State reason for modification.

When removing, reinstating, or adding funds, identify the contract items and accounting classifications.

(g)

(h)

When the SF 30 is used to reflect a determination by the contracting officer of the amount due in settlement of a contract terminated for the convenience of the Government, the entry in Item 14 of the modification may be limited to --

(i) A reference to the letter determination; and

(ii) A statement of the net amount determined to be due in settlement of the contract.

(1)

(2)

(3)

(4)

(5)

(6)

STANDARD FORM 30 (REV. 10-83) BACK

(1) Accounting classification Net increase $

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Aerosol Monitoring & Analysis, Inc.

Environmental Consultants

May 8, 2017

Susan Raab, P.E., LEED AP ID+C Vice President Whitman, Requardt & Associates, LLP 801 South Caroline Street Baltimore, Maryland 21231

AMA Job# 17225

RE: Report for the asbestos-containing materials (ACM) investigation for the “SSA NCC

Remodel Health Suite” project at the National Computer Center (NCC) located at the Social Security Administration (SSA) Headquarters Campus in Woodlawn, Maryland

Dear Ms. Raab:

Per your request, Aerosol Monitoring & Analysis, Inc. (AMA) is providing the following Hazardous Materials report for the “SSA NCC Remodel Health Suite” project at the National Computer Center (NCC) located at the Social Security Administration (SSA) Headquarters Campus in Woodlawn, Maryland. The purpose of the work was to identify and quantify ACM that may be associated with the “SSA NCC Remodel Health Suite” project.

AMA representatives Mr. Jorge Lopez and Mr. Pat Dincher, who are trained/accredited EPA asbestos inspectors, performed the ACM investigation for the “SSA NCC Remodel Health Suite”” project on April 28, 2017. AMA did not inspect the Health Suite for any other hazardous materials, such as lead or PCB’s.

ASBESTOS CONTAINING MATERIALS INVESTIGATION

The asbestos investigation work was conducted in accordance with the Asbestos Hazard Emergency Response Act (AHERA) 40 CFR Part 763 regulation. Suspect ACM associated with the “SSA NCC Remodel Health Suite”” project were visually evaluated, quantified, and locations documented. For the bulk of this investigation AMA relied on existing documentation, provided by Whitman, Requardt & Associates, LLP (WR&A), concerning ACM at the site.

During AMA’s investigation, a total of three (03) bulk samples of suspect ACM were collected and submitted for laboratory analysis. The samples were placed in sterilized “whirl-pak” bags and assigned unique identifiers, which were recorded on the bags and the bulk survey-sampling sheets.

The bulk samples of suspect ACM were submitted along with a chain of custody to AMA Analytical Services, Inc. in Lanham, Maryland. AMA Analytical Services, Inc. is accredited by the U.S. Department of Commerce, National Institute of Standards and Technology (NIST) through the National Voluntary Laboratory Accreditation Program (NVLAP) for Bulk Asbestos Analysis, (NVLAP #101143), and by the American Industrial Hygiene Association (AIHA #8863).

2 Aerosol Monitoring & Analysis, Inc

The bulk samples of suspect ACM were analyzed using polarized light microscopy (PLM), following the EPA Method 600/R-93/116. PLM is an optical microscopic technique used to distinguish the different types of asbestos fibers by their shape and unique optical properties.

The technique is based on observing the refraction of light from the various crystalline asbestos structures and identifying the corresponding color changes through the microscope.

Analytical results of greater than one percent (>1%) asbestos, by PLM classify a material as asbestos containing per the EPA and the State of Maryland.

RESULTS FOR ACM INVESTIGATION

Based upon the results of the PLM laboratory analysis, none of the 3 bulk samples collected by AMA for the “SSA NCC Remodel Health Suite” project contained >1% asbestos.

Please refer to the Bulk Sample Table I, attached to this report for materials sampled, sample results and locations of materials collected during this investigation.

Please note that AMA did not use destructive investigation techniques to evaluate inaccessible areas, such as behind walls, above fixed ceilings, and within mechanical equipment.

The following ACM were identified in the existing documentation, provided by Whitman, Requardt & Associates, LLP (WR&A), and were observed by AMA to be associated with the “SSA NCC Remodel Health Suite” project:

12"x12" Cream floor tile with olive mottle (850 SF) Black floor tile mastic (858 SF) 12”x12” Tan with brown streaks floor tile (8 SF) contaminated by surrounding asbestos-containing floor tile and mastic (Room G09G) 2” Wide beige mastic on fiberglass duct insulation & light brown mastic on metal duct

(291 SF)

White pipe joint/fitting mastic on fiberglass (138 LF)

It was observed by AMA at the time of the inspection that certain building components affected by the “SSA NCC Remodel Health Suite” project were inaccessible, which may contain suspect asbestos-containing materials. Therefore, AMA made assumptions on the locations of possible suspect asbestos-containing materials, which may exist in these areas, and they are as follows:

Assumed metal fire doors (9 Doors) Assumed pipe and pipe fitting insulation within pipe chases (55 LF) Assumed mirror mastic (1 Mirror at 4 SF)

If these assumed ACM, or other additional suspect materials, are observed during renovation/ demolition activities for the “SSA NCC Remodel Health Suite” project, they should be sampled by an accredited asbestos inspector and submitted for laboratory analysis, or treated as an ACM.

3 Aerosol Monitoring & Analysis, Inc

REGULATORY COMPLIANCE FOR ACM

The EPA defines a “friable asbestos material” as “any material containing greater than one percent asbestos as determined using the method specified in the appendix A, subpart F, 40 CFR Part 763, Section 1, PLM or TEM, that, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure.” The friable ACM must be abated prior to renovation or demolition activities, regardless of the methods used.

A regulated asbestos-containing material (RACM) is defined by the EPA’s National Emissions Standards for Hazardous Air Pollutants (NESHAP), Asbestos Regulations (40 CFR 61, Subpart M), as follows:

Regulated asbestos-containing material (RACM) means (a) Friable asbestos material, (b) Category I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this subpart.

The materials that are considered friable, category I, and category II are as follows:

Friable: An ACM that, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure.

Category I: Non-friable asbestos containing resilient flooring, floor mastics, asphalt roofing, packing and gaskets.

Category II: All other non-friable ACM

The identified ACM associated with the “SSA NCC Remodel Health Suite” project are categorized as follows:

Friable:

None identified

Category I:

Floor tile and floor tile mastic

Category II:

Pipe seam sealants Duct seam sealants Metal fire doors

Pipe and pipe fitting insulation Mirror mastic

By this definition the identified friable and non-friable ACM must be abated prior to demolition or renovation if these activities will cause these materials to become disturbed, crumbled, pulverized, or reduced to powder.

4 Aerosol Monitoring & Analysis, Inc

The Occupational Safety and Health Administration (OSHA) 29 CFR 1926.1101 regulation defines work involving the disturbance of asbestos-containing thermal system insulation (TSI) and surfacing material as Class I work, and asbestos-containing miscellaneous materials as Class II work.

Disturbance and/or removal of the following ACM must be performed in accordance with the requirements set forth in 29 CFR 1926.1101 for Class I & Class II work as well as any project specifications, State and Local regulations.

Class I:

None identified

Class II:

Floor tile and floor tile mastic Pipe seam sealants Duct seam sealants

Metal fire doors Pipe and pipe fitting insulation Mirror mastic

Additional suspect ACM may be located within areas which were inaccessible to AMA at the time of the investigation, such as inaccessible pipe chases, and within metal doors. If additional suspect materials are observed during renovation/ demolition activities, they should be by sampled by an accredited asbestos inspector and submitted for laboratory analysis, or treated as an ACM.

APPENDICIES AND TABLES

Table I: Asbestos Bulk Sample Table

Table II: Room Inventory Table

APPENDIX A: ACM Laboratory Results

APPENDIX B: Training Certifications and Accreditations

If you have any questions regarding this report please contact our office.

Respectfully submitted, Michael Novak Project Manager

TABLE I

ASBESTOS BULK SAMPLE RESULTS

Table I Asbestos Bulk Sample Results

Social Security Administration (SSA) Headquarters National Computer Center

“SSA NCC Remodel Health Suite” Project

AMA, Inc. Table I-1 April 2017

Sample Number Material Sampled

Sample Location

Sample Result (% and type of asbestos)

172250426-01 Gray duct seam sealant Room G08

(Emergency Room) No asbestos detected

172250426-02 Gray duct seam sealant Room G08 (Emergency Room)

No asbestos detected

172250426-03 Gray duct seam sealant Room G08 (Emergency Room)

No asbestos detected

TABLE II

ROOM INVENTORY TABLE

Table II ACM Room Inventory Table

Social Security Administration (SSA) Headquarters National Computer Center

“SSA NCC Remodel Health Suite” Project April 2017

Material Description Material Location Analytical Result Estimated Quantity

Units Comments

Room G09E

White pipe joint/fitting mastic (applied to fiberglass)

Throughout plenum Previously identified ACM 100 LF As per SSA NCC Asbestos Reinspection Report 2012

12"x12" Cream with olive mottle floor tile Throughout floor Previously identified ACM 112 SF SSA NCC Asbestos

Reinspection Report 2012

Black floor tile mastic Throughout Previously identified ACM 112 SF SSA NCC Asbestos

Reinspection Report 2012

Metal door (unlabeled) West wall Assumed ACM 1 Door 3'x7' Door 2'x2' White speckled with deep fissures & gouges ceiling tile Throughout dropped ceiling No asbestos detected 112 SF

SSA NCC Asbestos Reinspection Report 2012

Spray-applied fireproofing Throughout above dropped ceiling, on metal ceiling deck and walls No asbestos detected 150 SF

SSA NCC Asbestos Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 335 SF AMA "NCC 3rd Floor

Renovation" project report

Brown baseboard mastic Throughout all walls No asbestos detected 41 LF SSA NCC Asbestos

Reinspection Report 2012 Fluorescent light ballast Throughout N/A 2 Ballast Fluorescent light tube Throughout N/A 4 Tube

Room G08 Emergency

12"x12" Cream with olive mottle floor tile Throughout floor Previously identified ACM 130 SF SSA NCC Asbestos

Reinspection Report 2012

Black floor tile mastic Throughout Previously identified ACM 130 SF SSA NCC Asbestos

Reinspection Report 2012

2" Wide beige mastic (applied to fiberglass duct insulation)

Light brown mastic

(applied to joints on bare metal ducts)

Throughout plenum Previously identified ACM

(SSA NCC Asbestos Reinspection Report 2012)

Total SF of

Duct

Both materials are associated with same duct line

Metal door (unlabeled) North and west walls Assumed ACM 2 Door 3'x7' Door 2'x2' White speckled with deep fissures & gouges ceiling tile Throughout dropped ceiling No asbestos detected 130 SF

SSA NCC Asbestos Reinspection Report 2012

AMA, Inc. Table II - 1 April 2017

Social Security Administration (SSA) Headquarters National Computer Center

“SSA NCC Remodel Health Suite” Project April 2017

Material Description Material Location Analytical Result Estimated Quantity

Units Comments

Spray-applied fireproofing On ceiling deck and upper walls No asbestos detected 170 SF SSA NCC Asbestos

Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 424 SF AMA "NCC 3rd Floor

Renovation" project report

Gray metal duct seam sealant Throughout plenum, on newer HVAC unit No asbestos detected 4 SF

Brown baseboard mastic Throughout all walls No asbestos detected 48 LF SSA NCC Asbestos

Reinspection Report 2012 Fluorescent light ballast Throughout N/A 2 Ballast Fluorescent light tube Throughout N/A 4 Tube

G09D Bathroom

White pipe joint/fitting mastic (applied to fiberglass)

Throughout plenum Previously identified ACM 20 LF SSA NCC Asbestos

Reinspection Report 2012

2" Wide beige mastic (applied to fiberglass duct insulation)

Light brown mastic

(applied to joints on bare metal ducts)

Throughout plenum Previously identified ACM

SSA NCC Asbestos Reinspection Report 2012

Total SF of

Duct

Both materials are associated with same duct line

Pipe & pipe fitting insulation (assumed) West wet wall Assumed ACM 15 LF Mirror mastic (assumed) West wall Assumed ACM 4 SF Metal door (unlabeled) East wall Assumed ACM 1 Door 3'x7' Door

Plaster Throughout fixed ceiling No asbestos detected 30 SF SSA NCC Asbestos

Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 206 SF AMA "NCC 3rd Floor

Renovation" project report

Ceramic wall tile grout Throughout all walls No asbestos detected 156 SF AMA "NCC 3rd Floor

Renovation" project report

Ceramic wall tile mastic Throughout all walls No asbestos detected 156 SF AMA "NCC 3rd Floor

Renovation" project report

Spray-applied fireproofing On ceiling deck and upper walls No asbestos detected 30 SF SSA NCC Asbestos

Reinspection Report 2012

Mosaic ceramic floor tile grout Throughout floor No asbestos detected 30 SF AMA "NCC 3rd Floor

Renovation" project report

Mosaic ceramic floor tile mastic Throughout floor No asbestos detected 30 SF AMA "NCC 3rd Floor

Renovation" project report

AMA, Inc. Table II - 2 April 2017

Social Security Administration (SSA) Headquarters National Computer Center

“SSA NCC Remodel Health Suite” Project April 2017

Material Description Material Location Analytical Result Estimated Quantity

Units Comments

Fluorescent light ballast Throughout N/A 1 Ballast Fluorescent light tube Throughout N/A 1 Tube

Room G09C

12"x12" Cream with olive mottle floor tile Throughout floor Previously identified ACM 63 SF SSA NCC Asbestos

Reinspection Report 2012

Black floor tile mastic Throughout Previously identified ACM 63 SF SSA NCC Asbestos

Reinspection Report 2012

White pipe joint/fitting mastic (applied to fiberglass)

Throughout plenum Previously identified ACM 12 LF SSA NCC Asbestos

Reinspection Report 2012

2" Wide beige mastic (applied to fiberglass duct insulation)

Light brown mastic

(applied to joints on bare metal ducts)

Throughout plenum Previously identified ACM

SSA NCC Asbestos Reinspection Report 2012

Total SF of

Duct

Both materials are associated with same duct line

Metal door (unlabeled) East wall Assumed ACM 1 Door 3'x7' Door 2'x2' White speckled with deep fissures & gouges ceiling tile Throughout dropped ceiling No asbestos detected 63 SF

SSA NCC Asbestos Reinspection Report 2012

Spray-applied fireproofing On ceiling deck and upper walls No asbestos detected 83 SF SSA NCC Asbestos

Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 326 SF AMA "NCC 3rd Floor

Renovation" project report

Brown baseboard mastic Throughout all walls No asbestos detected 30 LF SSA NCC Asbestos

Reinspection Report 2012 Fluorescent light ballast Throughout N/A 2 Ballast Fluorescent light tube Throughout N/A 4 Tube

Room G09B

12"x12" Cream with olive mottle floor tile Throughout floor Previously identified ACM 63 SF SSA NCC Asbestos

Reinspection Report 2012

Black floor tile mastic Throughout Previously identified ACM 63 SF SSA NCC Asbestos

Reinspection Report 2012

AMA, Inc. Table II - 3 April 2017

Social Security Administration (SSA) Headquarters National Computer Center

“SSA NCC Remodel Health Suite” Project April 2017

Material Description Material Location Analytical Result Estimated Quantity

Units Comments

2" Wide beige mastic (applied to fiberglass duct insulation)

Light brown mastic

(applied to joints on bare metal ducts)

Throughout plenum Previously identified ACM

SSA NCC Asbestos Reinspection Report 2012

Total SF of

Duct

Both materials are associated with same duct line

Pipe & pipe fitting insulation (assumed) South wet wall Assumed ACM 10 LF Metal door (unlabeled) East wall Assumed ACM 1 Door 3'x7' Door

2'x2' White speckled with deep fissures & gouges ceiling tile

Throughout dropped ceiling No asbestos detected 63 SF SSA NCC Asbestos

Reinspection Report 2012

Spray-applied fireproofing On ceiling deck and upper walls No asbestos detected 63 SF SSA NCC Asbestos

Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 326 SF AMA "NCC 3rd Floor

Renovation" project report

Brown baseboard mastic Throughout all walls No asbestos detected 30 LF SSA NCC Asbestos

Reinspection Report 2012 Fluorescent light ballast Throughout N/A 2 Ballast Fluorescent light tube Throughout N/A 4 Tube

Room G09G

12"x12" Tan with brown streaks floor tile Strips in center of room Previously identified ACM 8 SF Contaminated by asbestos-containing floor tile mastic

12"x12" Cream with olive mottle floor tile Throughout floor Previously identified ACM 240 SF SSA NCC Asbestos

Reinspection Report 2012

Black floor tile mastic Throughout Previously identified ACM 248 SF SSA NCC Asbestos

Reinspection Report 2012

2" Wide beige mastic (applied to fiberglass duct insulation)

Light brown mastic

(applied to joints on bare metal ducts)

Throughout plenum Previously identified ACM

SSA NCC Asbestos Reinspection Report 2012

Total SF of

Duct

Both materials are associated with same duct line

White pipe joint/fitting mastic (applied to fiberglass)

Throughout plenum Previously identified ACM 6 LF SSA NCC Asbestos

Reinspection Report 2012

Metal door (unlabeled) West wall Assumed ACM 1 Door 3'x7' Door

AMA, Inc. Table II - 4 April 2017

Social Security Administration (SSA) Headquarters National Computer Center

“SSA NCC Remodel Health Suite” Project April 2017

Material Description Material Location Analytical Result Estimated Quantity

Units Comments

2'x2' White speckled with deep fissures & gouges ceiling tile

Throughout dropped ceiling No asbestos detected 240 SF SSA NCC Asbestos

Reinspection Report 2012

Spray-applied fireproofing On ceiling deck and upper walls No asbestos detected 240 SF SSA NCC Asbestos

Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 600 SF AMA "NCC 3rd Floor

Renovation" project report

Brown baseboard mastic Throughout all walls No asbestos detected 43 LF SSA NCC Asbestos

Reinspection Report 2012 Pipe & pipe fitting insulation (assumed) South wall Assumed ACM 15 LF

Fluorescent light ballast Throughout N/A 7 Ballast Fluorescent light tube Throughout N/A 14 Tube

Room G09F

12"x12" Cream with olive mottle floor tile Throughout floor Previously identified ACM 72 SF SSA NCC Asbestos

Reinspection Report 2012

Black floor tile mastic Throughout Previously identified ACM 72 SF SSA NCC Asbestos

Reinspection Report 2012

2" Wide beige mastic (applied to fiberglass duct insulation)

Light brown mastic

(applied to joints on bare metal ducts)

Throughout plenum Previously identified ACM

SSA NCC Asbestos Reinspection Report 2012

Total SF of

Duct

Both materials are associated with same duct line

Metal door (unlabeled) West wall Assumed ACM 1 Door 3'x7' Door 2'x2' White speckled with deep fissures & gouges ceiling tile Throughout dropped ceiling No asbestos detected 72 SF

SSA NCC Asbestos Reinspection Report 2012

Spray-applied fireproofing On ceiling deck and upper walls No asbestos detected 72 SF SSA NCC Asbestos

Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 252 SF AMA "NCC 3rd Floor

Renovation" project report

AMA, Inc. Table II - 5 April 2017

Social Security Administration (SSA) Headquarters National Computer Center

“SSA NCC Remodel Health Suite” Project April 2017

Material Description Material Location Analytical Result Estimated Quantity

Units Comments

Brown baseboard mastic Throughout all walls No asbestos detected 30 LF SSA NCC Asbestos

Reinspection Report 2012 Pipe & pipe fitting insulation (assumed) South wall Assumed ACM 15 LF

Fluorescent light ballast Throughout N/A 2 Ballast Fluorescent light tube Throughout N/A 4 Tube

Room G08

12"x12" Cream with olive mottle floor tile Throughout floor Previously identified ACM 170 SF SSA NCC Asbestos

Reinspection Report 2012

Black floor tile mastic Throughout Previously identified ACM 170 SF SSA NCC Asbestos

Reinspection Report 2012

2" Wide beige mastic (applied to fiberglass duct insulation)

Light brown mastic

(applied to joints on bare metal ducts)

Throughout plenum Previously identified ACM

SSA NCC Asbestos Reinspection Report 2012

Total SF of

Duct

Both materials are associated with same duct line

Metal door (unlabeled) West wall Assumed ACM 1 Door 3'x7' Door 2'x2' White speckled with deep fissures & gouges ceiling tile Throughout dropped ceiling No asbestos detected 170 SF

SSA NCC Asbestos Reinspection Report 2012

Spray-applied fireproofing On ceiling deck and upper walls No asbestos detected 170 SF SSA NCC Asbestos

Reinspection Report 2012

Drywall & drywall joint compound Throughout all walls No asbestos detected 900 SF AMA "NCC 3rd Floor

Renovation" project report

Brown baseboard mastic Throughout all walls No asbestos detected 65 LF SSA NCC Asbestos

Reinspection Report 2012 Fluorescent light ballast Throughout N/A 5 Ballast Fluorescent light tube Throughout N/A 10 Tube

AMA, Inc. Table II - 6 April 2017

APPENDIX A

ACM LABORATORY RESULTS

Chain of Custody: 272090

Client: Aerosol Monitoring & Analysis, Inc

Address: PO Box 646 1331 Ashton Road Hanover, MD 21076

Attention: Mike Novak

Job Name: SSA-NCC-Health Suite

Job Location: Not Provided

Job Number: 17225

P.O. Number: Not Provided

Date Submitted: 04/28/2017

Date Analyzed: 05/03/2017

Report Date: 05/03/2017

Date Sampled: 04/28/2017

Person Submitting: Jorge Lopez

CERTIFICATE OF ANALYSIS

Summary of Polarized Light Microscopy

AMA

Sample Number

Client Sample Number

Total Asbestos

Chrysotile Percent

Amosite Percent

Crocidolite Percent

Other Asbestos Percent

Mineral Wool Percent

Fiberglass Percent

Organic Percent

Synthetic Percent

Other Percent

Particulate Percent

Sample Type

Sample Color

Homogeneity Analyst

ID

Comments

272090-1 172250428-01 NAD -- -- -- -- TR -- -- -- -- 100 DS Gray Homogeneous LBP

272090-2 172250428-02 NAD -- -- -- -- TR -- -- -- -- 100 DS Gray Homogeneous LBP

272090-3 172250428-03 NAD -- -- -- -- TR -- -- -- -- 100 DS Gray Homogeneous LBP

4475 Forbes Blvd. · Lanham, MD, 20706 · (301) 459-2640 · Toll Free (800) 346-0961 · Fax (301) 459-2643 1/3

Address: PO Box 646 1331 Ashton Road Hanover, MD 21076

Attention: Mike Novak

Job Name: SSA-NCC-Health Suite

Job Location: Not Provided

Job Number: 17225

P.O. Number: Not Provided

Date Submitted: 04/28/2017

Date Analyzed: 05/03/2017

Report Date: 05/03/2017

Date Sampled: 04/28/2017

Person Submitting: Jorge Lopez

CERTIFICATE OF ANALYSIS

Summary of Polarized Light Microscopy

AMA

Sample Number

Client Sample Number

Total Asbestos

Chrysotile Percent

Amosite Percent

Crocidolite Percent

Other Asbestos Percent

Mineral Wool Percent

Fiberglass Percent

Organic Percent

Synthetic Percent

Other Percent

Particulate Percent

Sample Type

Sample Color

Homogeneity Analyst

ID

Comments

The following footnotes only apply to those samples which the total asbestos result is flagged with a note number.

TEM RECOMMENDATION - Please note, due to resolution limitations with optical microscopy and/or interference from matrix components of this sample, results which are reported via PLM as negative or trace (<1%) for asbestos may contain a significant quantity of asbestos. It is recommended that the additional analytical technique of TEM be used to check for asbestos fibers below the resolution limits of optical microscopy.

MATRIX REDUCTION RECOMMENDATION - Please note, due to interference from the matrix components of this sample, results which are reported via PLM as negative or trace (<1%) for asbestos may contain a significant quantity of asbestos which is obscured from view. It is recommended that the additional preparation technique of gravimetric reduction be performed on this sample to minimize the obscuring effects of matrix components, followed by reanalysis by PLM and/or TEM.

Analysis Method - EPA/600/R-93/116 dated July 1993 NAD = "No Asbestos Detected" TR = "Trace equals less than 1% of this component"

Uncertainty: For samples containing asbestos in range of 1-10% the CV is 0.43, 11-35% CV=0.55, >35 CV=0.23. All results are to be considered preliminary and subject to change unless signed by the Technical Director or Deputy.

Analyst(s): Lom Butruk

Technical Director Peerawut Chaikeenee

This report applies only to the sample, or samples, investigated and is not necessarily indicative of the quality or condition of apparently identical or similar products. As a mutual protection to clients, the public, and these Laboratories, this report is submitted and accepted for the exclusive use of the client to whom it is addressed and upon the condition that it is not to be used, in whole or in part, in any advertising or publicity matter without prior written authorization from us.

Sample types, locations, and collection protocols are based upon the information provided by the persons submitting them and, unless collected by personnel of these Laboratories, we expressly disclaim any knowledge and liability for the accuracy and completeness of this information. Residual sample material will be discarded in accordance with the appropriate regulatory guidelines, unless otherwise requested by the client. NVLAP accreditation applies only to polarized light microscopy of bulk samples and transmission electron microscopy of AHERA air samples. This report must not be used to claim, and does not imply product certification, approval, or endorsement by NVLAP or any agency of the Federal Government. All rights reserved. AMA Analytical Services, Inc.

4475 Forbes Blvd. · Lanham, MD, 20706 · (301) 459-2640 · Toll Free (800) 346-0961 · Fax (301) 459-2643 2/3

Address: PO Box 646 1331 Ashton Road Hanover, MD 21076

Attention: Mike Novak

Job Name: SSA-NCC-Health Suite

Job Location: Not Provided

Job Number: 17225

P.O. Number: Not Provided

Date Submitted: 04/28/2017

Date Analyzed: 05/03/2017

Report Date: 05/03/2017

Date Sampled: 04/28/2017

Person Submitting: Jorge Lopez

CERTIFICATE OF ANALYSIS

Summary of Polarized Light Microscopy

AMA

Sample Number

Client Sample Number

Total Asbestos

Chrysotile Percent

Amosite Percent

Crocidolite Percent

Other Asbestos Percent

Mineral Wool Percent

Fiberglass Percent

Organic Percent

Synthetic Percent

Other Percent

Particulate Percent

Sample Type

Sample Color

Homogeneity Analyst

ID

Comments

4475 Forbes Blvd. · Lanham, MD, 20706 · (301) 459-2640 · Toll Free (800) 346-0961 · Fax (301) 459-2643 3/3

M nMn nnQlyticQl Services, Inc.

Focused on Results www.amalab.com

AIHA-LAP (#100470) NVLAP (#101143-0) NY ELAP (10920)

4475 Forbes Blvd. • Lanham, MD 20706

(301) 459-2640 • (800) 346-0961 • Fax (301) 459-2643

CHAIN OF CUSTODY

(Please Refer To This

Number For Inquires) 272090

Mailing/Billing Information:

1. Client Name:

2. Address 1:.

3. Address 2: _

4. Address 3:

Phone #: "^32,1

•Xvk

5.

tA V I

ZIP 70?

Submittal Information:

1. Job Name:

2. Job Location:

3. Job#:_L!lZZ£L

Fax « Ain-(^A-2^A

4. Contact Person:

5. Collected by:

P.O. #:

Cell:

Cell:

Reporting Info (Results provided as soon as technically feasible). If no TAT/Reporting Info is provideoTAMA wilf assign defaults of 5-Day and email/fax to contacts on file.

AFTER HOUR.S (must be pre-schcduied)

□ 4 Hours n ImmpHiatp n:il<> Diip-

^ NORMAL BUSINESS HOURS□ 4 Hours M 1 n

□ Same Day *-^Day □ Results Required By Noon

□ NextDay iH□ 2 Day Due: 5/3|<7 bf

REPORT TO:

□ Email 2:

r omments- Tit V^rbah" ^ Asbestos Analysis *PCM Air - Please Indicate Filter Type:

□ NIOSH 7400 (QTY)

□ Fiberglass (QTY)

TEM Air* - Please Indicate Filter Type:

□ AHERA (QTY)

□ NIOSH 7402.

□ Other (specify

Pl.M Bulk jHEPA 600 - Visual Estimate.

.(QTY)

TF.M Bulk

□ ELAP 198.4/Chatfleld.

□ NY Slate PLM/TEM_

□ Residual Ash

TEM Dust*

□ Qual. (pres/abs) Vacuum/Dust.

.(Q

_(QTY)

.(QTY)

Metal-s Analysis

□ Pb Paint Chip. .(QTY)

TY)

□ *Pb Dust Wipe (wipe type

□ *Pb Air (QTY)

.(QTY)

□ EPA Point Count

□ NY State Friable 198.1.

(QTY) □ Pos Slop

.(QTY)

-(QTY)

□ Grav. Reduction ELAP 198.6_

□ Other (specify ).

MISC

□ Vermiculite

.(QTY)

-(QTY)

□ Quan. (s/area) Vacuum D5755-95

□ Quan. (s/area)Dust D6480-99

TEM Water

□ Qual. (pres/abs) (QTY)

□ ELAP 198.2/EPA 100.2.

□ EPA 100.1

(QTY)

.(QTY)

(QTY)

□ Pb SoiySolid.

□ Pb TCLP

.(QTY)

-(QTY)

□ Drinking WaterQ Pb_

□ Waste WaterQ Pb

□ Pb Furnace (Media

Fungal Analysis

-(QTY)

_(QTY)QCu.

_(QTY)QCu_

_(QTY) □ A.S.

_(QTY) □ As_

.(QTY)

_(QTY)

-(QTY)

(QTY)

(QTY)

' Atf^amples received in good condition unless otherwise noted.

(TEM Water sample.s °C)

Collection Apparatus for Spore Traps/Air Samples:.

Collection Media

□ *Spore-Trap. .(QTY) □ Surface Vacuum

□ Asbestos Soil PLM (Qual) PLM (Quan) PLM/TEM (Qual) PLWTEM (Quan) |f field data sheets are submitted, there is no need to complete bottom section.

•It is recominended that blank samples be submiiictj with all air and surface samples ANALYSIS MATRIX

SAMPLE INFORMATION DATE/ VOL (L)/ /

CLIENT ID# SAMPLE LOCATION/ID time. Wine AreJ I /§/§/§/ h/

V

5' Xrt.1 t\ay\

□ *Surface Swab.

□ *Surfacc Tapc_

□ Other (Specify

—(QTY)

-(QTY)

(QTY

Dust

□ Culturable ID Genus (Media„

□ Culturable ID Species (Media.

_ (QTY)

.) (QTY)

_) (QTY)

.a ^g/

CQ

_£2_

CLIENT CONTACT

gABORATORY STAFF ONLY)

\ -02.

\y ^3

%Ak)1x~N33 z

4^

X.

z

■y z z

Date/Time:

Date/Time:

Date/Time:

Contact:Bv:

Contact:Bv:

Contact:Bv:

APPENDIX B

TRAINING CERTIFICATIONS AND ACCREDITATIONS

WRA 90175-102 Health Suite Remodel May 2017 - Final Submission National Computer Center

Sensitive But Unclassified (SBU)

PROPERTY OF THE UNITED STATES GOVERNMENT

FOR OFFICIAL USE ONLY

Do not remove this notice. Properly destroy documents when no longer needed.

Page 1 020850 GSA Mid-Atlantic Region

SECTION 020850 - ASBESTOS ABATEMENT PROCEDURES

PART 1 - GENERAL

1.1 DESCRIPTION OF WORK:

A. General: This section includes all work necessary to reduce air concentrations of asbestos to the specified level and maintain the specified asbestos control limits during the life of the contract. It also includes removal, containment, and disposal of asbestos containing materials.

1. Work Area: The work areas include the following:

“SSA NCC Remodel Health Suite” Project National Computer Center (NCC) Social Security Administration (SSA) Headquarters Campus Woodlawn, Maryland

2. The following asbestos containing materials are to be removed:

Refer to Hazardous Materials Report dated May 8, 2017 for information regarding the presence, quantity and location of asbestos containing materials identified in the scope of work areas. Those asbestos containing materials that will be impacted by renovation and or demolition activities must be removed. Contractor is responsible for coordination with demolition/new work scope of work to determine extent of asbestos removal required, verification of quantities to be removed and phasing. Asbestos removal is only required in areas of impact.

“SSA NCC Remodel Health Suite” Project Confirmed and Assumed Asbestos Containing Materials (ACM) Include:

12"x12" Cream floor tile with olive mottle (850 SF) Black floor tile mastic (858 SF) 12”x12” Tan with brown streaks floor tile (8 SF) contaminated by surrounding asbestos-containing floor tile and mastic (Room G09G) 2” Wide beige mastic on fiberglass duct insulation & light brown mastic on metal duct (291 SF) White pipe joint/fitting mastic on fiberglass (138 LF) Assumed metal fire doors (9 Doors) Assumed pipe and pipe fitting insulation within pipe chases (55 LF) Assumed mirror mastic (1 Mirror at 4 SF)

B. Related Work Specified in Other Sections: Section 01546, "Safety and Health," applies to all work covered by this section.

1.2 QUALITY ASSURANCE:

A. Contractor Qualifications: The Contractor shall be a firm of established reputation (or if newly organized, whose personnel have previously established a reputation in the same field), which is regularly engaged in, and which maintains a regular force of workmen skilled in asbestos abatement, and shall have performed this work on previous projects.

FOR OFFICIAL USE ONLY

Do not remove this notice. Properly destroy documents when no longer needed.

Page 2 020850

Contractors performing work for GSA in the State of Maryland must be licensed to perform asbestos work in Maryland. Licensing requirements may be obtained from:

Maryland Department of the Environment Division of Asbestos Licensing & Enforcement 1800 Washington Blvd. STE 725 Baltimore, Maryland 21230--1720

1. Contractor employees assigned to active asbestos work areas in Maryland must be licensed in the State of Maryland as trained asbestos Workers or Supervisors. Workers performing work for GSA in Maryland must be licensed in Maryland.

2. Pursuant to NESHAP requirements the contractor should provide appropriate written notification at least 10 days prior to the start of asbestos abatement work to:

Asbestos Program Coordinator, Mail Code 3LC62 U. S. Environmental Protection Agency Region III 1650 Arch Street Philadelphia, PA 19103-2029 and to the appropriate local jurisdiction (Maryland) 10 days prior to work:

Maryland Department Of The Environment Air and Radiation Management Administration / Asbestos Division 1800 Washington Boulevard, STE 725 Baltimore, MD 21230-1720

B. Laboratory Qualifications: Laboratory shall be regularly engaged in asbestos testing, and personnel used for monitoring airborne concentrations of asbestos fibers shall be proficient in this field. See "Submittals" paragraph for the specific information, which must be submitted for approval of the laboratory.

C. Asbestos Control Limits: The enclosed work areas shall be defined as a regulated area in accordance with 29 CFR 1910.1001 and 29 CFR 1926.1101.

1. Inside Asbestos Work Area: For personnel wearing negative-pressure respirators, air concentrations of asbestos shall not exceed an 8-hour time weighted average of 0.1 fibers (longer than 5 microns), per cubic centimeter of air. Regardless of respiratory protection worn, air concentrations inside the work area will not exceed an 8-hour time weighted average of 0.1 fibers per cubic centimeter. It is the responsibility of the contractor to provide an independent industrial hygiene consultant to provide the required personal air monitoring and to assure that all safety and health procedures are followed.

2. Outside Asbestos Work Area: Air concentrations of asbestos shall be maintained at the lowest attainable level and shall not exceed an 8-hour time weighted average of 0.01 fibers (longer than 5 microns) per cubic centimeter of air. This applies to all areas in the building while work is in progress except for the asbestos work area, and to the entire building, including the former work area, after final cleanup. To assure compliance with these standards, the government will provide the required air monitoring outside the contractor's work area and the government's industrial hygienist will have unrestricted

FOR OFFICIAL USE ONLY

Do not remove this notice. Properly destroy documents when no longer needed.

Page 3 020850 GSA Mid-Atlantic Region access to the contractor's worksite. The asbestos abatement contractor may perform any air sampling he wishes to assure compliance and for comparison with this standard.

1.3 REFERENCES:

A. American National Standards Institute (ANSI) Publication:

Z9.2-79 Fundamentals Governing the Design and Operation of Local Exhaust Systems

B. American Society for Testing and Materials (ASTM) Publication:

E 849-82 Safety and Health Requirements relating to Occupational Exposure to Asbestos

C. Code of Federal Regulations (CFR):

29 CFR 1910.1001, Occupational Safety and Health Act (OSHA), INCLUDING Appendix A through I.

29 CFR 1910.20, Subpart C, General Safety and Health Provisions.

29 CFR 1910.134, OSHA General Industry Respirator Requirements.

29 CFR 1926.1101. Occupational Exposure to Asbestos, Construction Industry Standard, INCLUDING Appendix A through K.

40 CFR Part 61, Subpart M: U.S. Environmental Protection Agency, National Emission

Standards for Hazardous Air Pollutants (NESHAP) Asbestos.

D. State and Local Regulations:

1. Applicable State of Maryland regulations shall apply.

1.4 SUBMITTALS:

A. Initial Submittals of Asbestos Abatement Contractor or Subcontractor Qualification Information:

Items 1.4.A.1. through 1.4.A.5 below are to be submitted after the bid receipt, but are required to be approved by the contracting officer prior to award.

1. Five Projects: Name and location of at least 5 asbestos abatement projects performed by the Contractor, including name and telephone number of contract representative.

2. Five Air Tests: Copy of daily log and air monitoring reports including final decontamination levels of last five abatement projects.

3. Experience and Qualifications of Supervision: Name of and experience record of superintendent and foreman. Include evidence of knowledge of applicable regulations;

evidence of participation and successful completion of EPA approved training course in asbestos removal and/or supervision of asbestos related work; and experience with asbestos related work in a supervisory position as evidenced through supervision of at least two asbestos abatement contracts.

FOR OFFICIAL USE ONLY

Do not remove this notice. Properly destroy documents when no longer needed.

Page 4 020850 GSA Mid-Atlantic Region

4. Experience and Qualifications of Workers: Name and experience record, if any, of workmen who will be assigned to this project. Include for each person evidence of successful completion of State of Maryland training given by qualified personnel.

Provide certification that employees meet the medical surveillance requirements of the state for which they are licensed.

5. License Information: Provide a copy of a current State of Maryland Asbestos

Contractor's License for projects in the State of Maryland

B. Post-Award Asbestos Abatement Submittals: Items 1.4.B.1. through 1.4.B.8 below are to be submitted after the award, but are required to be approved by the contracting officer or his designated representative prior to starting work.

1. Plan of Action: Submit a detailed plan of the procedures proposed for use in complying with the requirement and regulations included in this specification. The plan shall include the location and layout of decontamination areas, the sequencing of asbestos work, the interface of trades involved in the performance of work, methods to be used to assure the safety of building occupants and visitors to the site. Expand upon the use of portable HEPA ventilation system, closing out of the building's HVAC system during removal, method of removal to prohibit emissions in work area, and packaging of removed asbestos debris.

2. Disposal Plan: A disposal plan including location of approved disposal site and the contractors method for documenting proper asbestos disposal to the contracting officer or his designated representative.

3. Environmental Protection Agency (EPA) Notification: Provide a copy of the NESHAPS

Notification of Demolition Renovation Form sent to the Regional EPA Asbestos Regulation Office. (Paragraph 1.02)

4. Local Government Notification: Provide a copy of the notification sent to the appropriate

State or Local Governmental Asbestos Regulation Office. (Paragraph 1.02)

5. GSA Asbestos Control Permit: Submit a GSA Asbestos Control Permit with lines one through nine filled out. Start and Finish dates may be left blank until project schedule is determined. (A copy is attached to Page 02085-11)

6. Certificates of Compliance: Submit certification that vacuums, ventilation equipment, and other equipment required to contain airborne asbestos fibers conform to ANSI Z9.2.

7. Information on Encapsulating Material: Submit written evidence that material meets the latest requirements of the Environmental Protection Agency (EPA) and possesses the specified characteristics.

8. Laboratory Qualification Information: Submit proof of qualifications of testing laboratory and personnel. Accreditation by the American Industrial Hygiene Association (AIHA) for asbestos analysis and two most recent consecutive quarterly reports showing that the laboratory analyzing the samples has been judged proficient by successful participation in the National Institute for Occupational Safety and Health (NIOSH) Proficiency Analytical Testing (PAT) Program, shall be considered sufficient proof of…