B.01.02 Amendment(s) – W912DQ25Q1007-01.pdf

W912DQ25Q1007

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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.

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

This is an amendment to the Performance Work Statement (PWS) Sections 1.8.5. Site Restoration, 3.1 Services, Technical Exhibit 1, and Technical Exhibit 5. See the PWS for amendended text.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 25

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

16C. DATE SIGNED

BY 05-Dec-2024

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W912DQ25Q1007

X 9B. DATED (SEE ITEM 11)

22-Nov-2024

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

Offer 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 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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 you 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

05-Dec-2024

CODE

USACE, KANSAS CITY CT

FEDERAL BLDG CT-C 601 E 12TH STREET

KANSAS CITY MO 64106-2896

W912DQ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION C - DESCRIPTIONS AND SPECIFICATIONS

The following have been modified:

PERFORMANCE WORK STATEMENT

Performance Work Statement Underground Storage Tank Removal

Part 1

1. General

This is a service contract to provide the removal, disposal, and closure of two Underground Storage Tanks (UST’s). The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1. Introduction:

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform the removal, disposal, and closure of two UST’s, piping, connections, and associated ground sampling as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2. Project Site- Place of Performance:

The UST Removal site is located at U.S. Army Corps of Engineers- Stockton Lake Project, Maintenance Compound located at 16435 E. Stockton Lake Drive, Stockton, MO.65785, Cedar County, Missouri. The UST removal site is situated within a fenced compound at the location above. Upon coordination with government personnel the site can be made accessible prior to start of work. Contact phone number 1-417-276-3113 shall be used for coordination purposes. Staging and work activities will be limited with regards to the User’s facility operations. This will be discussed during the Pre-work Meeting.

1.3. Period of Performance: All work shall be completed within 120 days from the date of award.

1.4. Hours of Operation: The contractor is responsible for conducting business, between the hours of 0730am and 1600pm Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings, or except as specified herein or as approved by the COR. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must always maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.5. Recognized Holidays: The contractor will not be allowed to work during any Federal holiday. When one of the designated holidays falls on a Sunday the following Monday is observed as the legal holiday. When a legal holiday falls on a Saturday the proceeding Friday is observed as the holiday. Work shall be scheduled around the below listed Federal holidays except as specified herein or as approved by the COR.

New Years Day Martin Luther King Jr. Day Presidents Day Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day

1.6. Submittals: All submittals listed below are to be submitted and approved prior to start of work and/or prior to closeout:

1.6.1. Prework Submittals

1.6.1.1. Work Plan

1.6.1.2. Schedule

1.6.1.3. Quality Control Plan

1.6.1.4. Accident prevention Plan in accordance with EM-385-1-1

1.6.1.5. Activity Hazard Analysis for each feature of work

1.6.1.6. Proof of Insurance

1.6.1.7. Qualifications

1.6.1.8. Reports

1.6.1.9. Closeout Documents

1.6.2. Submittal Contents

1.6.2.1. Work Plan: A plan clearly indicating areas of work and the order of operations to complete the work i.e. Demolition of concrete pad, closure of two UST’s, disposal and site restoration, etc.; Work plan must be submitted to the Government fifteen (15) days prior to startup of work. Pre-work must include the following:

1.6.2.1.1. Excavation and Material Handling

1.6.2.1.2. Spill Containment Plan

1.6.2.1.3. Field Sampling and Laboratory Testing Plan

1.6.2.1.4. Tank Removal Plan

1.6.2.2. Schedule: The Contractor shall prepare and submit to the Contracting Officer’s Representative for approval a practicable schedule showing the order in which the Contractor proposes to perform the work, and the dates on which the Contractor contemplates starting and completing the several salient features of the work.

1.6.2.3. Quality Control: The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is how he assures himself that his work complies with the requirement of the contract. The Contractor shall submit a copy of their quality control plan to the COR for approval prior to the start of work. After acceptance of the quality control plan the contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his QC system.

1.6.2.4. Activity Hazard Analysis: An Activity Hazard Analysis must be provided prior to breaking ground. The Activity Hazard Analysis must address all foreseeable safety concerns such as electrical safety, safety zone protection, fall protection, fire safety, personal protective equipment, signage/protective fencing and hazardous material handling. A template will be provided.

1.6.2.5. Accident Prevention Plan. Contractor shall prepare a site-specific Accident Prevention

Plan (APP). Prepare the APP in accordance with the format and requirements of USACE EM 385- 1-1. Cover all paragraph and subparagraph elements in USACE EM 385-1-1, Appendix A, "Minimum Basic Outline for Accident Prevention Plan". The APP shall be job-specific and address any unusual or unique aspects of the project or activity for which it is written.

1.6.2.6. Insurance: The Contractor shall procure and maintain during the entire period of performance under this contract, the minimum amounts of insurance, as specified in Section H of this contract. Proof of Insurance shall be submitted prior to the start of work.

1.6.2.7. Qualifications: Qualifications. The contractor shall have sufficient production capability, facilities, and personnel necessary to perform the required work as stated in this PWS. The contractor shall provide a qualified Site Superintendent and Quality Control Manager. If qualifications allow, these positions may be held by a single individual. Designated personnel shall be always onsite when work is in progress. Contractor shall have 2 years of experience in all methods similar in scope to this contract.

1.6.2.8. Reports:

1.6.2.8.1. Environmental Sampling and Analysis

1.6.2.8.2. Closeout Documents

1.6.2.8.2.1. MO DNR Closure Report

1.7. Background and existing conditions:

The two (2) Underground Storage Tanks (DNR #ST0007344) installed in 1991, are double wall steel Interstitial STIP-3 tanks, with heavy tar coating, and bare flex connections associated with fiberglass product lines. The UST’s are located under a twenty foot (20’) by fifteen foot (15’) by eight inch (8”) thick concrete pad. Tanks were taken out of use in Sept. 2023. Tank One (1) is a 1,500-gallon tank and was originally an unleaded tank until 2016 when it was switched to a diesel tank. Tank two

(2) is a 1,000-gallon (1060) diesel tank. The Sacrificial Galvanic Cathodic Protection System consists of eight

(8) installed 17-lb packaged magnesium anodes (two (2) each in four (4) drilled holes) and two (2) each one-pound spike anodes installed on the bare flex connections located underneath the fuel pump dispensers. A Gasboy Fuel Control Console (Model: GKE-B) for use with dispensing devices is mounted between the two

(2) Bennet (Model: 3913S-GEAASNNNLR-USA) fuel dispenser pumps that sit upon a five and a half inch (5.5”) to seven-inch (7”) thick, by eight foot (8’) long, by three foot (3’) wide concrete island riser, wrapped in metal, with two (2) concrete protective barriers, measuring one foot (‘1) deep, by three foot (3’) wide, by eighteen and a half inches (18.5”) high, wrapped in metal, sitting on each end of the riser. Tanks are Resource Conservation Recovery Act (RCRA) empty at less than one inch (1”). No known seepage has been observed at the site. Existing native soils are predominately alsup gravelly silt loam. Unsure if native soil was used or backfill soil was transported in from another location, when UST were placed in 1991. Current backfill soil type is unknown.

1.8. Scope:

The complete removal of one (1) 1500 gallon and one (1) 1000 gallon Underground Storage Tanks (UST’s), to terminate and make safe all associated connections, the removal of concrete, piping, ancillary equipment, dispensing pumps, vent pipes, 250i Interstitial Tank Veeder -Root monitoring system (if still in place), control console, the plugging of all lines going to and from the tanks, the proper removal all remaining product in tanks, the cleaning and disposal of tanks, laboratory testing, providing reports required by regulatory agencies, the disposal of waste materials or any contaminants to the requirements of State and Federal Regulations.

The asphalt edge adjacent to the concrete shall be saw cut to create a linear smooth edge. Contractor is responsible for any damage caused during removal. The hole from the tanks will be secured and left open until satisfactory sample results have come back. Contractor will backfill and compact the disturbed area. All work areas must be left clean free of debris when complete.

1.8.1. Underground Storage Tank Closure Activities: The contractor will be responsible for all notifications, closure reports, and post closure paperwork to MO DNR. The contractor shall provide notifications to MO DNR Underground Storage Tank Division thirty (30) days prior to underground storage tank closure. Once UST Closure is approved by MO DNR the Contractor shall notify the MO DNR Tank section three (3) days prior to the start of onsite closure activities. The Phone number for the section is 573-751-6822. Contractor shall follow the MO DNR UST removal regulations along with attached Tank Closure checklist. A closure notice form and a closure report form must be submitted at the appropriate times per MO DNR by the contractor. All MDNR closure procedures must be adhered to.

Link to MO DNR closure procedures: (https://dnr.mo.gov/document-search/closure-notice-underground-storage-tanks-mo-780-2121). Contractor shall provide copies of all forms submitted to and received from MO DNR to Stockton Lake Project Office, 16435 E. Stockton Lake Drive, Stockton, MO. 65785.

1.8.2. Field Sampling and Testing: Submit a detailed sampling and testing plan in accordance with MO

DNR UST Division and Missouri Rick-Based Corrective Action (MRBCA) processes for petroleum storage tanks. Contractor shall have all associated sampling and testing sent to a third party for possible contamination. Upon successful removal of the UST’s and satisfactory sampling results, the contractor must submit a Closure Report within sixty (60) days of completion of closure activities to MO DNR:

(https://dnr.mo.gov/document-search/closure-report-petroleum-releases-underground- storage-tank-sites-mo-780-2120) The Contractor must call the spill hotline at 1-573- 634-2436 if contamination is confirmed (e.g., staining, odor).

1.8.3. Salvage Rights: Contractor will have all salvage rights to any fuel, tanks, tank piping, and wiring upon removal.

1.8.4. Disposal of Waste: Contractor shall remove, profile waste stream, and provide transportation, in accordance with the 49 CFR (DOT) for any Resource Conservation Recovery Act (RCRA) or NON- Resource Conservation Recovery Act or (NON- RCRA) Waste generated during the removal of the UST’s. USACE representative will sign any Hazardous Waste or Non-Hazardous Waste Manifest if RCRA or NON- RCRA waste is generated. Disposal of all waste materials to include tank sludge, fuel, contaminated soil around the tanks and pumps. All waste materials must be disposed of in accordance with Missouri Department of Natural MO DNR approved procedures, at approved facilities. Once tanks are safe for disposal the contractor has the option to place them in our onsite scrap metal bin or haul them off to their own facility.

1.8.5. Site Restoration: Complete restoration of the site to include removal and disposal of pumps, piping, and associated concrete, the backfilling of tank holes with suitable soil to standard the American Society of Testing and Materials (ASTM) D2487 (the Unified Soil Classification System), free of debris and organic material, then and mechanically compacted. The CE-55 soil compaction test is used to determine the compaction characteristics of the subgrade soils and is given in MIL-STD-621. This is abbreviated as a percent of maximum density. Contractor shall place clean backfill in layers with a maximum loose-lift thickness of eight inches (8”) in depth, compact between each layer to ninety-five percent (95%) maximum density for cohesive soils, and ninety-five percent (95%) to one hundred percent (100%) maximum density for cohesionless soils. Backfill to be topped with 18” of crushed limestone (1” base) or MODOT 5 stone, in layers of eight inches (8”) thick, fully compacted between each layer, to within eight inches (8”) from the top of existing grade of surrounding asphalt area. Backfill and crushed stone shall be provided by the Government. All work areas must be cleaned and swept to leave them free of debris when complete.

1.9. General Information.

1.9.1. Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.9.2. Security Requirements: Contractor performing work under this contract must comply with the requirements of the Antiterrorism/Operations Security Requirements (AT/OPSEC). See Technical Exhibit 3 of this PWS.

1.9.3. Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. The maintenance compound will close at 1600 (4:00pm) Monday through Friday at which time the contractor shall be off the premises. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.9.4. Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards and lock combinations issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in the Quality Control Plan. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the Contracting Officer.

1.9.4.1. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re- keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor.

In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.9.4.2. The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.9.5. Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.9.6. Contracting Officers Representative: The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates.

1.9.7. Key Personnel: The contractor shall provide a contract manager or alternate personnel who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the COR. The contract manager or alternate shall be available between 7:00 a.m. and 4:30 p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons or except as specified herein or as approved by the COR.

1.9.8. Identification of Contractor Employees: All contract personnel attending meetings, answering

Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.9.9. Contractor Conduct: Contractor personnel shall be fully always clothed while performing these services. Clothing shall be clean and neat in appearance. Contractor personnel shall utilize tact, diplomacy, and courtesy always during contact with the public. Any illegal or criminal activity may result in termination of the contract. No person performing this Contract shall consume any alcohol or drugs (except prescription drugs not affecting duty performance) during duty hours or within the eight

(8) hour period next preceding duty hours.

1.9.10. Equipment Breakdown/Staffing: Equipment breakdown or staffing issues shall not relieve the

Contractor of the responsibility of performing the work as specified. It shall be the responsibility of the Contractor to assure that he/she has, or can obtain on short notice, sufficient backup equipment and personnel to continue the services, as specified, without interruption.

1.9.11. Title 36 Rules and Regulations: Contractor and Contractor Personnel will comply with Title 36

Rules and Regulations for the entire period of performance of this contract.

1.9.12. Safety Requirements: All services shall be performed in accordance with applicable safety requirements set forth in Corps of Engineers Manual EM-385-1-1, “Safety and Health Requirements Manual” and supplements thereto. The EM-385-1- 1 is hereby incorporated by reference, and the Contractor is required to perform this contract in accordance with the standards set forth therein. Any equipment or materials not in conformity with this manual shall be removed from Government property immediately. The Contractor will be expected to take a vital interest in safety, hazard, and to educate their employees to work and plan their work safely.

1.9.13. Man Hours Reporting: The contractor shall report the number of hours worked monthly during the period of performance of services under this contract. These hours will be recorded and submitted to the COR, at the Stockton Project Office by first of every month.

PART 2 DEFINITIONS

AND ACRONYMS

1. DEFINITIONS AND ACRONYMS:

2.1. Definitions:

2.1.1. Contractor. A supplier or vendor having a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. Contracting Officer. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. Defective Service. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.4. Deliverable. Anything that can be physically delivered but may include non- physical things such as meeting minutes.

2.1.5. Physical Security. Actions that prevent the loss or damage of Government property.

2.1.6. Quality Assurance. The government procedures to verify that services being performed by the

Contractor are performed according to acceptable standards.

2.1.7. Quality Assurance Surveillance Plan. An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8. Quality Control. All necessary measures taken by the Contractor to assure that the quality of a product or service shall meet contract requirements.

2.1.9. Subcontractor. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.10. Underground Storage Tank: An underground storage tank system is a tank and any underground piping connected to the tank that has at least 10 percent of its combined volume underground. The federal UST regulations apply only to UST systems storing either petroleum or certain hazardous substances.

2.1.11. Workday. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. Work Week. Is defined as Monday through Friday, unless specified otherwise.

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND

SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1 Services: NONE. The Government will provide the removal of the fuel island and pumps, vent pipes that attach to the carpenter shop, and will handle all aspects of backfilling the hole and resurface the top of the UST Site with concrete pad at a later date.

3.2 Facilities: The Government will provide access to the carpenter shop within the maintenance compound where the Automatic Tank Gauge (ATG) is located as well as the outdoor space where the UST’s are located.

3.3 Utilities: The Government will provide access to water and to 110-volt power. If utilities are furnished, the following is required: The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.4 Equipment: The Government will provide access to the Veeder Root ATG and all aspects of the UST systems.

3.5 Materials: The Government will provide backfill materials, crushed rock, as built drawings and the UST file as needed.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Items and Responsibilities

4.1. General: The Contractor shall furnish all supplies, equipment, facilities, and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.2. Materials: The Contractor shall furnish materials, supplies, and equipment necessary to meet the requirements under the PWS.

4.3.Equipment: The Contractor shall provide equipment that will be needed to meet the requirements of the PWS.

5. Technical Exhibit List:

PART 5

TECHNICAL EXHIBITS

5.1 Technical Exhibit 1 – Performance Requirements Summary

5.2 Technical Exhibit 2 – Deliverables Schedule

5.3 Technical Exhibit 3 – Anti Terrorism and Operations Security Requirements.

5.4 Technical Exhibit 4 – Corps Watch Training and Acknowledgement

5.5 Technical Exhibit 5 – Quality Assurance Surveillance Plan.

5.6 Technical Exhibit 6 – MO DNR Tank Closure Checklist Form PUB2218

5.7 Technical Exhibit 7 – MO DNR Closure Notice UST Form 780-2121

5.8 Technical Exhibit 8 – MO DNR Closure Report Petroleum Release UST Form 780-2120

TECHNICAL EXHIBIT 1 PERFORMANCE

REQUIREMENTS SUMMARY

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance

Objective Standard Performance

Threshold Method of

Surveillance

PRS # 1.

The Contractor shall provide Complete Underground Storage Tank Removal and Disposal. PWS paragraph 1.8.

The contractor shall provide the safe termination of all connections to and from the tanks. The UST removal to include all remaining product, concrete, dispensing pumps, product piping, vent pipes, 250i Interstitial Tank Veeder -Root monitoring system (if still in place), control console, the plugging of all lines going to and from the tanks, the removal of tanks, the cleaning and the proper disposal of tanks, materials, and any contaminants to the requirements of State and Federal Regulations. Contractor shall follow the MO DNR UST removal and disposal regulations.

Zero Deviation from the standard.

100% inspection

PRS # 2

The Contractor shall provide and complete all Underground Storage Tank Closure Activities.

PWS paragraph 1.8.1.

The Contractor shall be responsible for all notifications, closure reports, and post closure paperwork to MO DNR with copies delivered to the Stockton Lake Project Office. The contractor will provide notifications to MO DNR Underground Storage Tank Division thirty

(30) days prior to underground storage tank closure to MO DNR. The Contractor must provide notification to the MO DNR Tank section three (3) days prior to onsite closure activities beginning. Contractor shall follow the MO DNR UST removal regulations along with attached Tank Closure checklist. A closure notice form and a closure report form must be submitted at the appropriate times per MO DNR by the contractor.

Zero Deviation from the standard.

100% Inspection

PRS # 3

The Contractor shall provide sampling and testing for Contaminants.

PWS paragraph

1.6.2.1. 1.6.2.8.1., 1.8.1., and 1.8.2.

The contractor shall have all associated sampling and testing sent to a third party for possible contamination.

Upon successful satisfactory sampling results the contractor must submit a Closure Report within sixty (60) days of completion of closure activities to MO DNR.

Zero Deviation from the standard.

100% Inspection

PRS #4

The Contractor shall complete Disposal of Materials and Waste.

PWS paragraph 1.8.3., 1.8.4. and 1.8.5.

Contractor shall remove, profile waste stream, and provide transportation, in accordance with the 49 CFR (DOT) for any Resource Conservation Recovery Act (RCRA) or NON-Resource Conservation Recovery Act or (NON-RCRA) Waste generated during the removal of the UST’s. Disposal of all waste materials must be disposed of in accordance with Missouri Department of Natural (MO DNR) approved procedures, at approved facilities.

Zero Deviation from the standard.

100% Inspection

PRS #5

The Contractor shall complete Site Restoration Activities.

PWS paragraph 1.8.5.

Restoration of the site to include removal and disposal of pumps, piping, and associated concrete, the backfilling of tank holes with suitable soil free of debris & organic material and then compacted mechanically. Contractor shall place clean backfill in layers with a maximum loose- lift thickness of eight inches (8”) in depth, mechanically compact between each layer to ninety-five percent (95%) maximum density for cohesive soils, and ninety-five percent (95%) to one hundred percent (100%) maximum density for cohesionless soils. Backfill to be topped with 18” of crushed limestone (1” base) or MODOT 5 stone, in layers of eight inches (8”) thick, fully compacted between each layer, to within eight inches (8”) from the top of existing grade of surrounding asphalt area. All work areas must be cleaned and swept to leave them free of debris when complete.

Zero Deviation from the standard.

TECHNICAL EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverables

Frequency

# of Copies

Medium Format

Submit To

Proof of Insurance Once prior to the start of work

One (1)

Electronic is preferred but hardcopy will also be accepted.

Attn: Patricia Burns Email:

patricia.a.burns@usace.arm y.mil Address: 16435 E. Stockton Lake Dr. Stockton, MO 65785

Quality Control Plan, Schedule and Pre-work Plan to include: Excavation and Material Handling, Tank Removal Plan, Spill Containment Plan, Field Sampling and Laboratory Testing Plan

Once prior to the start of work

One (1)

Same as above.

Same as above.

Accident Prevention Plan and AHA

Once prior to the start of work

One (1)

Same as above.

Same as above.

SDS and Product Information Once prior to the start of work or for any new chemical used on the project

One (1)

Same as above.

Same as above.

Security Requirements Documentation

As Needed As Neede d

Same as above.

Same as above.

Exposure Man Hours Report Once per month on the 1st of the month the previous month’s man hours will be reported.

One (1)

Same as above.

Same as above.

UST Closure notifications, approvals, letters, reports, and post closure paperwork

Immediately after they are received by Contactor

One (1)

Same as above.

Same as above.

All contamination sampling reports and test results

Immediately after they are received by Contactor

One (1)

Same as above.

Same as above.

All waste disposal documents Immediately after they are received by Contactor

One (1)

Same as above.

Same as above.

TECHNICAL EXHIBIT 3

ANTITERRORISM OPERATION SECURITY REQUIREMENTS (AT-OPSEC)

All Contractor and all associated sub‐Contractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by Government representative). The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.

All Contractor and all associated sub‐Contractors employees will receive a CORPS Watch information paper (provided by the authorized Government representative) and provide a written acknowledgement to the COR, no later than 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract.

The Contractor must pre‐screen candidates using the E‐verify Program. (http://www.dhs.gov/E‐Verify) website to meet the established employment eligibility requirements. The vendor must ensure that the candidate has two valid forms of Government issued identification to ensure the correct information is entered into the E‐verify system. An initial list of verified/eligible candidates must be provided to the COR no later than 3 business days after the initial contract award.

Per the E-Verify Website the following exemptions apply:

Employers whose contracts are exempt from the E-Verify federal Contractor rule are not required to enroll in E- Verify.

A contract is considered exempt if any one of the following applies: (1) It is for fewer than 120 days. (2) It is valued at less than $150,000, the simplified acquisition threshold (Source: http://www.uscis.gov/e-verify/federal- Contractors/exemptions-and-exceptions).

All contract employees, including sub-contractor employees who are not in possession of the appropriate security clearance, will be escorted in areas where they may be exposed to classified and/or sensitive materials and/or sensitive or restricted areas.

(End of Antiterrorism/Operation Security Requirements)

TECHNICAL EXHIBIT 4

Stockton Lake Project Corps Watch Information Paper And Employee Acknowledgement Sheet

1. In modern times, Security is simply EVERYONE’s responsibility. We owe it to our organization, our families, and ourselves to constantly be vigilant about what goes on around us. Trust your instincts. We rely on our senses every day of our lives. If a behavior or activity makes you feel uncomfortable, report it. If it doesn’t look, sound, or smell right, report it. The simple rule is, “If you see something, say something!”

2. The Contractor and all associated sub‐Contractors shall brief all employees on the local iWATCH, Corps

Watch, or See Something, Say Something program (training standards provided by the requiring activity ATO

– herein, below). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported to the COR NLT 5 calendar days after contract award.

3. Give as many details as you can and report, at a minimum, the following:

(1) What you witnessed including the date, time and location.

(2) Description of who was involved.

(a) Male or Female?

(b) Height, build, hair/skin color, and age.

(c) English speaking or otherwise?

(3) Vehicle description /license number??

(4) Have you seen this activity before?

4. How to report:

In an emergency call 911.

Contact the Stockton Lake Project Office at 417-276-3113.

Contact your immediate supervisor or the COR for your contract.

CORPS WATCH EMPLOYEE ACKNOWLEDGEMENT SHEET

Printed Name Signature Date

TECHNICAL EXHIBIT 5

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

For Underground Storage Tank Removal and Disposal Services Contract

Number: W912DQ-25-X-XXXX Stockton Lake Project

Contractor’s name: TBD

1. PURPOSE.

This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:

What will be monitored.

How monitoring will take place.

Who will conduct the monitoring.

How monitoring efforts and results will be documented.

This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance. In addition, the QASP should recognize that unforeseen and uncontrollable situations may occur.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor. Updates shall ensure that the QASP remains a valid, useful, and enforceable document. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.

The following FAR clauses may apply depending on contract type:

52.212-4 – Contract Terms and Conditions – Commercial Items

2. GOVERNMENT ROLES AND RESPONSIBILITIES.

The following personnel shall oversee and coordinate surveillance activities.

a. Contracting Officer (KO) - The KO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The KO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The KO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

Assigned KO: Christopher Anderson Organization or Agency: USACE Telephone:

816-389-3850 Email: Christopher.w.anderson@usace.army.mil

b. Project Manager (PM) - The PM acts as an acquisition consultant and serves as liaison between the US Army Corps of Engineers, Kansas City District (CENWK) and the requesting program office, as well as liaison between the CENWK and the supporting contracting office.

Assigned PM: Brian Wright Telephone: 816 389 3923 Email: brian.d.wright@usace.army.mil

c. Contracting Officer’s Representative (COR) - The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance. The COR shall keep a quality assurance file. At the conclusion of the contract or when requested by the KO, the COR shall provide documentation to the KO. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf. The contractor shall refer any changes they deem may affect contract price, terms, or conditions to the KO for action.

Assigned COR: Patricia A. Burns Telephone:

816 389 3005 Email: patricia.a.burns@usace.army.mil

3. CONTRACTOR REPRESENTATIVES:

The following employees of the contractor serve as the contractor’s Program Manager and Task Manager for this contract.

a. Program Manager/Task Manager– TBD Telephone:

Email:

4. PERFORMANCE STANDARDS.

Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

The Performance Requirements Summary Matrix, paragraph 6 in the Performance Work Statement includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Performance Objective

Standard Performance Threshold

Method of Surveillance

PRS # 1.

The Contractor shall provide Complete Underground Storage Tank Removal and Disposal. PWS paragraph 1.8.

The contractor shall provide the safe termination of all connections to and from the tanks. The UST removal to include all remaining product, concrete, dispensing pumps, product piping, vent pipes, 250i Interstitial Tank Veeder -Root monitoring system (if still in place), control console, the plugging of all lines going to and from the tanks, the removal of tanks, the cleaning and the proper disposal of tanks, materials, and any contaminants to the requirements of State and Federal Regulations. Contractor shall follow the MO DNR UST removal and disposal regulations.

Zero Deviation from the standard.

100% inspection

PRS # 2

The Contractor shall provide and complete all Underground Storage Tank Closure Activities.

PWS paragraph 1.8.1.

The Contractor shall be responsible for all notifications, closure reports, and post closure paperwork to MO DNR with copies delivered to the Stockton Lake Project Office. The contractor will provide notifications to MO DNR Underground Storage Tank Division thirty

(30) days prior to underground storage tank closure to MO DNR. The Contractor must provide notification to the MO DNR Tank section three (3) days prior to onsite closure activities beginning. Contractor shall follow the MO DNR UST removal regulations along with attached Tank Closure checklist. A closure notice form and a closure report form must be submitted at the appropriate times per MO DNR by the contractor.

Zero Deviation from the standard.

100% Inspection

PRS # 3

The Contractor shall provide sampling and testing for Contaminants.

PWS paragraph

1.6.2.1. 1.6.2.8.1., 1.8.1., and 1.8.2.

The contractor shall have all associated sampling and testing sent to a third party for possible contamination.

Upon successful satisfactory sampling results the contractor must submit a Closure Report within sixty (60) days of completion of closure activities to MO DNR.

Zero Deviation from the standard.

PRS #4

The Contractor shall complete Disposal of Materials and Waste.

PWS paragraph 1.8.3., 1.8.4. and 1.8.5.

Contractor shall remove, profile waste stream, and provide transportation, in accordance with the 49 CFR (DOT) for any Resource Conservation Recovery Act (RCRA) or NON-Resource Conservation Recovery Act or (NON-RCRA) Waste generated during the removal of the UST’s. Disposal of all waste materials must be disposed of in accordance with Missouri Department of Natural (MO DNR) approved procedures, at approved facilities.

Zero Deviation from the standard.

100% Inspection

PRS #5

The Contractor shall complete Site Restoration Activities.

PWS paragraph 1.8.5.

Restoration of the site to include removal and disposal of pumps, piping, and associated concrete, the backfilling of tank holes with suitable soil free of debris & organic material and then compacted mechanically. Contractor shall place clean backfill in layers with a maximum loose- lift thickness of eight inches (8”) in depth, mechanically compact between each layer to ninety-five percent (95%) maximum density for cohesive soils, and ninety-five percent (95%) to one hundred percent (100%) maximum density for cohesionless soils. Backfill to be topped with 18” of crushed limestone (1” base) or MODOT 5 stone, in layers of eight inches (8”) thick, fully compacted between each layer, to within eight inches (8”) from the top of existing grade of surrounding asphalt area. All work areas must be cleaned and swept to leave them free of debris when complete.

Zero Deviation from the standard.

5. METHODS OF QA SURVEILLANCE.

Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP.

Regardless of the surveillance method, the COR shall always contact the contractor's task manager or on-site representative when a defect is identified and inform the manager of the specifics of the problem. The COR, with assistance from the PM, shall be responsible for monitoring the contractor’s performance in meeting a specific performance standard/AQL.

a. VALIDATED USER/CUSTOMER COMPLAINTS. (Relies on the user of the service to identify deficiencies.

Complaints are then investigated and validated. Highly applicable to services provided in quantity and where quality is highly subjective.)

b. 100% INSPECTION. (Evaluates all outputs. Most applicable to small quantity, but highly important services. May be used where there are written deliverables and stringent requirements such as tasks required by law, safety, or security.)

c. RANDOM SAMPLING. (Designed to evaluate the outputs of the award requirement by randomly selecting and inspecting a statistically significant sample. Highly recommended for large quantity repetitive activities with objective and measurable quality attributes.)

Surveillance results may be used as the basis for actions (to include payment deductions) against the contractor. In such cases, the Inspection of Services clause in the Contract becomes the basis for the KO’s actions.

6. RATINGS.

Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used:

EXCEPTIONAL:

Performance significantly exceeds contract requirements to the Government’s benefit.

SATISFACTORY: Performance meets contractual requirements.

UNSATISFACTORY: Performance does not meet contractual requirements.

7. DOCUMENTING PERFORMANCE.

a. ACCEPTABLE PERFORMANCE (EXCEPTIONAL/SATISFACTORY).

The Government shall document positive performance. A report template is attached. Any report may become a part of the supporting documentation for fixed fee payments, award fee payments, or other actions.

b. UNACCEPTABLE PERFORMANCE (UNSATISFACTORY).

When unacceptable performance occurs, the COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COR file.

When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR) and present it to the contractor's task manager or on-site representative. A CDR template is attached to this QASP.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor must present this corrective action plan to the COR. The Government shall review the contractor's corrective action plan to determine acceptability.

Any CDRs may become a part of the supporting documentation for contract payment deductions, fixed fee deductions, award fee nonpayment, or other actions deemed necessary by the KO.

8. FREQUENCY OF MEASUREMENT.

a. Frequency of Measurement.

During contract/order performance, the COR shall take periodic measurements, as specified in the Performance Standards Summary Matrix, and shall analyze whether the negotiated frequency of measurement is appropriate for the work being…