Attachment 1 - Statment of Work - Backflow Testing.docx
DOCX document 17 KB Posted
- Solicitation number
- 36C25926Q0177
About this file
This document is a Statement of Work (SOW) for backflow assembly testing and repair services at multiple Department of Veterans Affairs (VA) facilities in Wyoming. The scope requires annual testing of 37 backflow preventers across 11 buildings, including the Sheridan WY Medical Center, VA Clinic in Gillette, and the Sheridan VA Water Treatment Plant. The contractor must perform testing in April during normal business hours, use ASSE 5110 (Tester) or equivalent certified technicians, and coordinate with facility maintenance to minimize disruptions.
The contract includes specific requirements for testing double check and reduced pressure backflow assemblies, obtaining temporary contractor badges, maintaining accurate device data sheets, and providing comprehensive testing reports. A line item is included for approximately 6 annual backflow rebuild kits, which may include components like O-rings, gaskets, diaphragms, springs, and valves. The contractor must generate a typed report detailing testing procedures, results, device conditions, and provide new annual certification tags for each tested device.
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Other files
| File | Type | Posted |
|---|---|---|
| Backflow Survey Oct2025.xlsx | XLSX spreadsheet | |
| 36C25926Q0177 A0001.docx | DOCX document | |
| 36C25926Q0177.docx | DOCX document | |
| Attachment 2 - Wage Determination 2015-5411 Rev 27 dated 12-03-2025.pdf | ||
| Attachment 3 - 852.219-75 VA Notice of Limitations on Subcontracting.docx | DOCX document |
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Text version
1.0 Scope of Work. The contractor shall conduct backflow assembly testing annually to meet EPA requirements at the Sheridan WY Medical Center, located at 1898 Fort Road, Sheridan WY 82801, the VA Clinic located at 604 Express Dr. Gillette, WY 82718, and the Sheridan VA Water Treatment Plant located Soldier Creek Road in Sheridan WY. Testing will be in accordance with all local, Wyoming Department of Environmental Quality (DEQ), the American Society of Sanitary Engineers (ASSE), and Federal standards.
1.1 The contractor shall supply labor and materials to test 19 double check valves backflow assemblies in buildings 1, 4, 5, 7, 8, 9, 64, 71N, 86, 87, and the Gillette VA Clinic. The contractor shall also test 18 reduced pressure backflow assemblies in buildings 3, 6, 7, 8, 9, 71, 71N, 86, 31, 90, the water treatment plant, and the Gillette VA Clinic.
1.2 The contractor will perform the required testing during normal hours (7:30 am to 4:00 pm, Monday thru Friday). Hours may be adjusted with approval of the Contracting Officers’ Representative (COR) or the Safety Office prior to scheduling.
1.3 The contractor will coordinate with the maintenance manager or other point of contact to minimize any unwanted outages. Additionally, the contractor will verify accuracy of data sheets maintained on the presently installed backflow preventers, including location, type, size, manufacturer, serial #. If data sheet is missing contractor shall replace it and the plastic sleeve near the device.
1.4 Contractors will be required to obtain a temporary contractor badge and wear it while performing work on VAMC property.
2.0 Certification: The testing must be completed by an ASSE 5110 (Tester) and repairs by a 5130 (Repairer) certified technician or equivalent ABPA Certified Technician. Contractor shall maintain all necessary licenses and permits required to perform the specified services.
3.0 Performance Period: Annual testing is required and will be completed in the month of April. Scheduled dates for testing will be coordinated and approved by the Contracting Officer’s Representative (COR) or other designated point of contact at least two weeks in advance.
3.1 The contract will have a line item to cover the repair costs of failed backflow preventers rebuild kits. Expect a failure rate of 6 backflow rebuild kits per year. Rebuild kits could include O-rings, gaskets, diaphragms, springs, strainers, screens, test cocks, relief valves, seals, seats, poppets, plungers, and lubricants.
3.2 Contractor shall provide a typed report detailing testing procedures used, testing results, the condition of each backflow device, and repairs provided. Contractor shall provide a new tag each year on each device tested. The tag will contain the date last certified and pass/fail results.
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