doh-4204 attachment to scope of work.pdf
PDF 28 KB Posted
- Attached to
- Water and Wastewater Tesing Federal contract opportunity
- Solicitation number
- 6923G521R0201
About this file
This solicitation requests proposals for water and wastewater testing services. The Saint Lawrence Seaway Development Corporation requires a contractor to operate and test four wastewater treatment systems and one potable water treatment system according to regulatory requirements. Services include daily monitoring and recording of water system parameters, administering testing schedules, addressing issues, and coordinating with oversight agencies. The contractor must have a Class C water operator and qualifications to perform wastewater testing. The base period of performance is February 1, 2021 through September 30, 2021 with four one-year option periods. Proposals will be evaluated based on past performance and price. The solicitation is set aside for small businesses and will result in a firm-fixed price contract. The solicitation and any amendments will be posted to www.beta.sam.gov.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 6923G521R0201A0001 solicitation modification.pdf | ||
| NY0023051 (Eisenhower).pdf | ||
| NY0023078 (Maintenance).pdf | ||
| NY0023035 (Snell).pdf | ||
| SCA Wage Determination 15-4170.txt | TXT text file | |
| SLSDC CONTRACTOR GUIDANCE 05-11-2020.docx | DOCX document | |
| Water and Wastewater Testing Bid Scedule.xlsx | XLSX spreadsheet | |
| Statement Of Work.docx | DOCX document |
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Text version
NEW YORK STATE DEPARTMENT OF HEALTH
Bureau of Public Water Supply Protection Empire State Plaza - Corning Tower Room 1110 Albany, NY 12237
(518) 402-7712
Designation of Water Operator in Responsible Charge
INSTRUCTIONS
1. Type or Print - No pencil/felt tip pen.
2. Form must be completed in its entirety.
3. Form must be completed by system owner and designated operator in responsible charge.
4. Form must be signed and dated by both parties.
DOH-4204 (04/01: interim revision 01/10
V E R I F I C A T I O N
Note: Read carefully before signing
I certify that all information provided in this form for designation of operator in responsible charge for the above referenced water system is true. I understand that misstatement of material facts may result in a violation of Subpart 5-4 of the State Sanitary Code.
Signed _____________________________________________________ Date ________/________/________ (System Owner)
Signed _____________________________________________________ Date ________/________/________ (Operator in Responsible Charge)
5. Submit to the New York State Department of Health.
1. System Name: 2. Classification of System: 3. System Phone:
4. System Address: (Street) (City) (State) (Zip)
S Y S T E M I N F O R M A T I O N
5. Owner's Name: (Last) (First) (MI)
7. Owner's Address: (Street) (City) (State) (Zip)
6. Home phone:
Work phone:
O P E R A T O R I N R E S P O N S I B L E C H A R G E I N F O R M A T I O N
9. NYS DOH Certificate #
12. Home phone
Work phone ( )
( )11. ORC's Name: (Last) (First) (MI)
13. ORC's Address: (Street) (City) (State) (Zip)
10. Grade of CertificationDo not provide Social Security number
File details come from the government source that posted it. Updated .