Sol_75H71026Q00065_Amd_0001.pdf

(x)

75H71026Q00065 x x 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 ACKNOWLEDGEMENT 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 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.

x

Kayenta AZ 86033

Highway 160, Mile Post 394.3 PO Box 368 Acquisition Department Kayenta Health Center

02/06/20260001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

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

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

02/06/2026

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

ORDER NO. IN ITEM 10A.

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

The purpose of Amendment 0001 is as follows:

1) Provide questions and answers.

***This is a Total Small Business Set-Aside***

This contract is subject to the electronic payment process by the Department of Treasury.

All invoices complying to the requirements at 52.212-4(g) must be submitted through www.ipp.gov. For additional information, refer to the incorporated clause at 352.232-71

Electronic Submission of Payment Requests (FEB 2022).

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

JERLYN R. BEGAY

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H71026Q00065/0001

The Government will keep the solicitation posted and open for quotes until 02/23/2026 at 12:00pm

MST.

Period of Performance: 03/01/2026 to 02/28/2027

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

Questions and Answers

1. Can the Government confirm the estimated volume (e.g., pounds or containers) of infectious waste generated per pickup at each facility (Kayenta Health Center and Inscription House Health Center), or provide historical usage data?

Kayenta Health Center (KHC)

• Total containers (9/2024–12/2025): 591

• Average per pickup: ~20 containers

• Peak per pickup: 32 containers

• Estimated annual volume: ~450 containers

Inscription House Health Center (IHHC)

• Total containers (9/2024–11/2025): 19

• Average per pickup (overall): <1 container

• Average per non-zero pickup: ~3 containers

• Peak per pickup: 4 containers

• Estimated annual volume: ~20 containers

Combined estimated annual volume: ~470 containers

2. Is the bi-monthly pickup schedule fixed (e.g., specific weeks/days), or may the Contractor propose pickup days in coordination with the COR?

• KHC: Bi-weekly pickup required.

• IHHC: Bi-weekly schedule currently in place, could limit to monthly schedule. Will be dependent on Safety and infection control standards.

However, the Government reserves the right to adjust IHHC pickup frequency (e.g., monthly or on call) based on historical low volume trends.

IHHC is extremely low volume.

Compared to KHC:

Facility Total Containers Avg Per Pickup Peak

KHC 591 19.7 32

IHHC 19 0.7 4

IHHC volume is ~3% of KHC volume.

Pickups occur on Mondays. If Monday is a federal holiday, pickup will occur the next business day.

3. For the “Minimum Pickup/No Waste” CLINs, should pricing assume a required site visit even when no waste is collected, or is this intended as a standby charge only?

The following fee may be applied: Minimum Pickup/No Waste Fee for both sites

4. Are there any anticipated changes to operating hours or access procedures that could impact pickup scheduling during the period of performance?

The facilities operating hours are Monday through Friday from 8:00 am to 5:00 pm, all federal holidays are observed. Vendor shall comply with the facilities operating hours.

5. Can the Government confirm whether fuel or environmental surcharges are expected to be fixed for the contract year, or adjusted periodically?

The following fee may be applied: Fuel Energy Surcharge CLIN:

6. Is there a preferred format or additional documentation required for waste manifests and certificates of disposal beyond what is required by regulation?

• Signed manifest

• Certificate of receipt

• Certificate of destruction

7. Waste Volume & Container Quantity

-What is the average volume or weight of infectious waste generated per pickup?

Historical data reflects:

• KHC: 591 containers (9/2024–12/2025)

• IHHC: 19 containers (9/2024–11/2025)

-How many containers are expected to be on-site, and what is the size (in gallons) of each container?

• KHC minimum on-site storage capacity of Thirty-Five (35) containers

• IHHC minimum on-site storage capacity of Five (5) containers

8. Container Requirements & Supply

-Are contractors expected to provide additional containers beyond the minimum supplied?

No

-Are there any specific container types, brands, or standards required?

31-gallon containers

9. Pickup Schedule & Access

-Is the bi-weekly pickup schedule fixed? Yes

IHHC can reduce number of pick ups to 1 pick up per month. On the first Monday of the month. If Monday falls on a federal holiday the pickup will be scheduled for the next business day.

-Are there any facility holidays, restricted hours, or access/security protocols we should be aware of? The facility observes all federal holidays. Operating hours are 8:00 am to 5:00 pm Monday to Friday.

-Please clarify whether there is one designated on-site hazardous waste collection point or multiple collection locations throughout the hospital facility?

There is one designated hazardous waste collection point at both locations

10. Regulatory / Documentation Requirements

-Are there any additional tribal, state, or Joint Commission documentation or reporting requirements beyond the standard signed manifests?

• Signed manifest

• Certificate of receipt

• Certificate of destruction

Contractors must use a permitted facility consistent with regulatory requirements.

11. Disposal / Transport Constraints

-Is there a required disposal facility, or can the contractor select the disposal location? Unless otherwise specified, the contractor may select a properly permitted treatment/disposal facility consistent with all applicable regulations.

-Are there any tribal or local permits, travel restrictions, or special handling requirements for offsite transport?

Contractor is responsible for obtaining/maintaining all required permits and complying with applicable Federal/State/Tribal transport requirements.

What are the routine volumes of waste and breakdown of each to be collected each trip, so we may capacity plan?

Kayenta Health Center (KHC)

• Total containers (9/2024–12/2025): 591

• Average per pickup: ~20 containers

• Peak per pickup: 32 containers

Inscription House Health Center (IHHC)

• Average per pickup (overall): <1 container

• Average per non-zero pickup: ~3 containers

• Peak per pickup: 4 containers

12. Will this requirement be at two different locations, both: IHHC and KHC?

Yes. Requirement includes two different locations: Kayenta Health Center (KHC) and Inscription House Health Center (IHHC).

13. Are you able to share what the infectious disease waste is?

Infectious waste consists of regulated medical waste generated from healthcare operations (e.g., materials contaminated with blood/body fluids and other regulated medical waste as defined by applicable regulations and facility policy). The Government will not provide detailed clinical inventories; contractors shall manage waste tendered by the facilities in accordance with applicable regulations.

14. Could you provide the estimated number of containers the facility believes they may need? The SOW states, "The contractor will provide a minimum quantity of containers to each site sufficient for storage between pick-ups once every two weeks.

Contractor shall pick up infectious waste per the delivery schedule and provide documentation (manifest)."

• KHC minimum on-site storage capacity of Thirty-Five (35) containers

• IHHC minimum on-site storage capacity of Five (5) containers

15. Could you provide clarity that the red bags will be provided by the facility or by the contractor "Red disposal plastic bags shall be provided and used by the facility to collect infectious waste within the healthcare facility."

Red disposal bags are purchased and provided by the Government/facility. The contractor is not responsible for furnishing red disposal bags but must ensure waste is properly packaged and secured within contractor-provided containers prior to transport.

16. To assist with accurate pricing, could you please advise whether there is any available information regarding the current or average volume of infectious waste being generated at each facility (e.g., pounds, containers, or pickups per period)?

Historical data reflects the following:

Kayenta Health Center (KHC)

• Total containers (9/2024–12/2025): 591

• Average per pickup: ~20 containers

• Peak per pickup: 32 containers

• Estimated annual volume: ~450 containers

Inscription House Health Center (IHHC)

Total containers (9/2024–11/2025): 19

• Average per pickup (overall): <1 container

• Average per non-zero pickup: ~3 containers

• Peak per pickup: 4 containers

• Estimated annual volume: ~20 containers

Combined estimated annual volume: ~470 containers

17. What is the specific size of containers? And/or what will be in the containers being disposed and What are the specific pick-up days.

Container size/type: 31-gallon containers.

Pickup days: bi-weekly Mondays (next business day if a federal holiday).

Contents: regulated medical/infectious waste as generated by healthcare operations;

exact contents vary based on clinical operations.

18. Are the sites in rural areas?

Yes—these facilities are in rural service areas; offerors should account for rural logistics, travel time, and access requirements in their approach and pricing.

19. Please provide the estimated annual volume of infectious waste for Kayenta Health Center (KHC)

Please provide the estimated annual volume of infectious waste for Inscription House Health Center (IHHC)

20. Please confirm the container type and size required

31-gallon regulated medical waste containers.

21. Please confirm whether containers are Government-provided or Contractor-provided. A41

Contractor-provided containers. The Government provides the secured storage area and red disposal bags.

22. Please confirm the required pickup frequency for KHC Bi-weekly.

23. Please confirm the required pickup frequency for IHHC

• Bi-weekly, due to low volume this can be changed with the approval of Infection control, Safety, CO and COR.

24. If on-call, please provide historical pickup frequency for the past 12 months

Not applicable. The requirement is scheduled bi-weekly pickups (not on-call), with emergency pickup available per contract requirements.

25. Please clarify the conditions under which the “Minimum Pickup/No Waste” CLINs apply

Applies when a scheduled pickup occurs and no waste is tendered for collection. The CLIN is intended to cover the contractor’s mobilization/scheduled service availability for that pickup occurrence unless canceled by the COR in advance.

26. Please confirm whether the Government expects one minimum charge per scheduled pickup or one per month

One minimum charge applies per scheduled pickup occurrence when the “Minimum Pickup/No Waste” condition is met (not per month), unless the solicitation specifies otherwise.

27. Please clarify what specific record retention requirements apply (e.g., number of years, format, reporting frequency).

Contractor shall retain manifests, certificates, and related records in accordance with applicable regulatory requirements and contract terms.

28. Please confirm whether this fee is per pickup, per month, or annual

Fees should follow the CLIN structure in the solicitation. For waste disposal quantities, pricing is typically per pickup and/or per container; if the solicitation includes monthly CLINs, those will be identified.

29. Please provide the formula or basis for calculating the Fuel/Energy Surcharge CLIN

Offerors should propose a surcharge methodology tied to an objective, verifiable index (e.g., DOE/EIA), with clearly stated adjustment frequency.

30. Please confirm whether the surcharge is a fixed monthly fee, a percentage of the invoice, Indexed to DOE fuel rates

31. Please confirm the exact pickup locations within each facility (loading dock, waste room, exterior enclosure, etc.

Pickup will occur at the designated hazardous waste collection point (secured waste storage area/exterior enclosure) at each facility. Specific directions will be provided during post-award coordination/site visit.

32. Please confirm whether escort requirements apply for contractor personnel

Yes. Contractors shall comply with facility security procedures; access may require coordination with security and escort per facility protocol.

33. Please confirm whether PIV badges are required under 52.204-9

The Government will confirm credentialing/badge requirements in the solicitation.

Contractor personnel must comply with all access and identification requirements.

34. Please confirm whether reusable containers are permitted

Yes, reusable containers are permitted provided they meet all applicable regulatory requirements, are compatible with safe handling and transport, and are maintained in sanitary, leak-proof condition.

35. Please provide historical waste volumes for each site for the past 12 months

Aggregate CY 2025 data is provided: 408 total containers; avg ~18 per pickup; peak 26. Site-by-site breakout will be provided if/when available

36. Please provide historical pickup frequency for each site

Historical data reflects the following:

Kayenta Health Center (KHC)

• Total containers (9/2024–12/2025): 591

• Average per pickup: ~20 containers

• Peak per pickup: 32 containers

• Estimated annual volume: ~450 containers

Inscription House Health Center (IHHC)

• Total containers (9/2024–11/2025): 19

• Average per pickup (overall): <1 container

• Average per non-zero pickup: ~3 containers

• Peak per pickup: 4 containers

• Estimated annual volume: ~20 containers

Combined estimated annual volume: ~470 containers

37. Please confirm whether weekend or after-hours pickups are permitted or required

Not required. Pickups are during normal operating hours (8:00 AM–5:00 PM, Monday– Friday), except for federal holidays. If a federal holiday falls on the day of pickup, then it will automatically schedule for the next business day.

38. Please confirm whether the Government requires pricing for emergency pickups, additional containers, overweight containers or spill response

The Government may request pricing for emergency pickups and surge support. Offerors should price any such services in accordance with the solicitation CLINs (if included). Spill response and incident actions shall be handled per regulatory requirements and contract terms.

39. Please confirm whether invoices must be per pickup, monthly, or per CLIN

Invoices shall be submitted monthly and must be itemized by CLIN and include pickup dates, manifest numbers, container counts, and applicable charges.

40. Please confirm whether separate invoices are required for KHC and IHHC

The Government prefers invoices clearly segregated by site (KHC vs IHHC) with manifest references for each pickup.