A21 W912PM23Q0034 -Amendment 0001 - 07-06-2023 - Final.pdf

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

The purpose of this amendment is to update the Period of Performance in the Statement of Work from 17 July 2023 - 31 January 2024 to 14 August 2023 - 30 June 2024.

All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 9

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

16C. DATE SIGNED

BY 06-Jul-2023

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 W912PM23Q0034

X 9B. DATED (SEE ITEM 11)

22-Jun-2023

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 1 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

06-Jul-2023

CODE

U S ARMY CORPS OF ENGINEERS, WILMINGTON

WILMINGTON DISTRICT

ATTN: CONTRACTING DIVISION

69 DARLINGTON AVE

WILMINGTON NC 28403-1343

W912PM 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912PM23Q0034

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 17-JUL-2023 TO

31-JAN-2024

N/A FALLS LAKE PROJECT

SCOTT AIKEN

11405 FALLS OF NEUSE RD

WAKE FOREST NC 27587

910-251-4835 FOB: Destination

W912PM

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 14-AUG-2023 TO

30-JUN-2024

N/A FALLS LAKE PROJECT

SCOTT AIKEN

11405 FALLS OF NEUSE RD

WAKE FOREST NC 27587

910-251-4835

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

POP 17-JUL-2023 TO

31-JAN-2024

N/A FALLS LAKE PROJECT

SCOTT AIKEN

11405 FALLS OF NEUSE RD

WAKE FOREST NC 27587

910-251-4835

CAGE

POP 14-AUG-2023 TO

30-JUN-2024

N/A FALLS LAKE PROJECT

SCOTT AIKEN

11405 FALLS OF NEUSE RD

WAKE FOREST NC 27587

910-251-4835

The following Delivery Schedule item for CLIN 0003 has been changed from:

CAGE

POP 17-JUL-2023 TO

31-JAN-2024

N/A FALLS LAKE PROJECT

SCOTT AIKEN

11405 FALLS OF NEUSE RD

WAKE FOREST NC 27587

910-251-4835

CAGE

POP 14-AUG-2023 TO

30-JUN-2024

N/A FALLS LAKE PROJECT

SCOTT AIKEN

11405 FALLS OF NEUSE RD

WAKE FOREST NC 27587

910-251-4835

SECTION L - INSTRUCTIONS, CONDITIONS AND NOTICES TO BIDDERS

The following have been modified:

STATEMENT OF WORK

STATEMENT OF WORK

CONFINED SPACE RESCUE (CSR) TEAM

U.S. Army Corps of Engineers, Wilmington District

FALLS LAKE DAM TOWER

July 06, 2023

1. GENERAL: The Contractor shall furnish all labor, materials, and services, to provide the

U.S. Army Corps of Engineers, Wilmington District, Falls Lake Project with a (4) person Confined Space Rescue (CSR) Team to support the dam gate replacement work at the Falls Lake Dam Tower.

In the performance of this contract the Contractor shall comply with the following documents and any references proscribed in this contract.

1.1. EM 385-1-1, Safety and Health Requirements Manual (Revision 30-Nov-2014)

1.1.1. Section 21 - Fall Protection

1.1.2. Section 24 - Confined Space Entry

• Download from the U.S. Army Corps of Engineers, Publications website:

https://www.publications.usace.army.mil/portals/76/publications/engineermanuals /em 85-1-1.pdf

• Install App from the Google Play Store online:

https://play.google.com/store/apps / * Search for “EM 385-1-1 Safety Manual”

1.2. Occupational Safety and Health Association (OSHA) Regulations https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.146

1.3. Federal & State Transportation Laws & Regulations

2. SPECIFICATIONS: The Contractor shall provide a Confined Space Rescue (CSR) Team, consisting of 4 team members, to be on stand-by during the dam gate replacement work at the Falls Lake Dam Tower. The CSR Team shall be available 12 hours per day, 7 days a week, for a total of up to 45 days, and up to 3 separate deployments. There shall be up to 1 full day allowed for Mobilization & up to 1 full day for De-Mobilization, for each deployment (NTE 3 deployments). The scheduling for each deployment shall be coordinated with the On-site Supervisor (section 5), at least (2) weeks prior to each deployment. The drawings for the Falls Lake Dam Tower (Enclosure B) are provided for your reference.

CONTRACT REQUIREMENTS ARE AS FOLLOWS:

https://www.publications.usace.army.mil/portals/76/publications/engineermanuals/em%2085-1-1.pdf https://www.publications.usace.army.mil/portals/76/publications/engineermanuals/em%2085-1-1.pdf https://play.google.com/store/apps https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.146

2.1. CSR Team = 4 personnel

2.2. Trained and Certified in Confined Space Entry and Rescue

2.3. Valid State and/or Federal Photo Identification for each team member

2.4. Prepare & Submit the required Rescue Plan, (29 CFR 1910.146), IAW section 21 of the

EM 385-1-1, before the 2-week deployment notice is given.

2.5. Provide a copy of the following certifications for all personnel, prior to the deployment date: Society of Professional Rope Access Technicians (SPRAT), CSE/CSR, HAZWOPER, First Aid, CPR, AED

2.6. Adhere to the Falls Lake Permit-Required Confined Space Entry Program (Enclosure A)

2.6.1. The Contractor is responsible for providing an Entry Supervisor and/or

Attendant as defined by the Permit-Required Confined Space Entry Program (Enclosure A). The responsibilities of these positions can be fulfilled by a single individual; i.e., the Attendant and Entry Supervisor may be the same person.

This person may be an acting member of the CSR Team; i.e., an added individual to the team to fulfill these roles is not necessary.

2.6.2. The Contractor is not responsible for providing safety and confined space entry equipment for workers and inspectors. The Contractor is only required to supply such equipment for CSR Team, and that equipment which is needed for emergency rescue of workers and inspectors.

2.7. Travel Expenses shall be included in the Daily Rate (up to 45 days working, and 6 days mobilization/demobilization)

3. SITE VISIT (if needed): Please contact the Technical POC (TPOC) (section 6) upon solicitation to coordinate.

4. WORKSITE LOCATION:

FALLS LAKE DAM

11405 Falls of Neuse Rd.

Raleigh, NC 27614 POC #1: MARK WILMES (919) 846-9332 / mark.d.wilmes@usace.army.mil

POC #2: FRANCES GEORGE (919) 619-7295 /

francis.e.ferrell@usace.army.mil

5. ON-SITE SUPERVISOR / POINT OF CONTACT (POC):

U.S. ARMY CORPS OF ENGINEERS, WILMINGTON DISTRICT

ON-SITE SUPERVISOR / POC: STEPHEN CAPPS, Facilities Maintenance Supervisor https://www.ecfr.gov/cgi-bin/text-idx?SID=65b279ee2e7530009034c1f152d451e5&tpl=/ecfrbrowse/Title29/29tab_02.tpl mailto:mark.d.wilmes@usace.army.mil mailto:francis.e.ferrell@usace.army.mil

232 Battleship Rd.

Wilmington, NC 28403-1343 910-380-1345 mobile stephen.m.capps@usace.army.mil

6. TECHNICAL POINT OF CONTACT (TPOC):

U.S. ARMY CORPS OF ENGINEERS, WILMINGTON DISTRICT

TPOC: SCOTT AIKEN

69 Darlington Avenue Wilmington, NC 28403-1343 910-251-4835 michael.s.aiken@usace.army.mil

7. PERIOD OF PERFORMANCE (POP): (M) 14-AUG-2023 - (W) 30-JUN-2024

(up to 45 days, and up to 3 deployments within this POP)

* Upon contract award, the Contractor shall coordinate with the On-site Supervisor (section

5) and the Technical POC (section 6) for the exact start date, and all future deployment scheduling.

* The CSR Team will be provided a TWO WEEK NOTICE, prior to deployment.

* No pickups, deliveries, or work shall be scheduled on the following Federal Holidays:

Martin Luther King Jr’s Birthday Monday, January 16, 2023 Washington’s Birthday Monday, February 20, 2023 Memorial Day Monday, May 29, 2023 Juneteenth National Independence Day Monday, June 19, 2023 Independence Day Tuesday, July 4, 2023 Labor Day Monday, September 4, 2023 Columbus Day Monday, October 9, 2023 Veterans Day Friday, November 10, 2023 Thanksgiving Day Thursday, November 23, 2023 Christmas Day Monday, December 25, 2023 New Year’s Day Monday, January 1, 2024

8. INVOICING: Invoice(s) shall be submitted to the Technical POC (section 6) through either of the two methods listed below:

• e-mail (preferred)

• United States Postal Service (USPS)

MANDATORY INFORMATION required on ALL INVOICES:

* MUST BE EXACTLY AS IT APPEARS ON THE CONTRACT DOCUMENT *

CONTRACT # W912PM22P0000_ (exactly as it appears on the Contract

Document) INVOICE # ___________________ (must say invoice and have an invoice #) COMPANY NAME and ADDRESS (exactly as it appears on the Contract

Document) mailto:stephen.m.capps@usace.army.mil mailto:michael.s.aiken@usace.army.mil

INVOICED CONTRACT LINE ITEM NUMBERS (CLINs) (e.g., 0001, 0002, etc.)

(Must Match the Contract Line Item Numbers in the contract)

SMALL BUSINESS, VETERAN OWNED, OR 8A (if applicable, Indicate on invoice)

9. OPSEC REFERENCE:

1. General security requirements and guidance: The security requirements described below apply to all contract personnel (including employees of the prime Contractor (“Contractor”) and all subcontractor employees) supporting the performance requirements of this contract. The Contractor is responsible for compliance with these security requirements. Questions regarding security matters shall be addressed to the designated Government representative (e.g., Contracting Officer Representative (COR), Requiring Activity (RA) representative, or Contracting Officer (if a COR or other RA representative is not appointed)). Contract personnel are critical to the overall security and safety of US Army Corps of Engineers (USACE) installations, facilities and activities, and security awareness training contributes to those efforts. The Department of Defense (DoD) and Army security training requirements specified below, if applicable, are performance requirements; all applicable contract personnel shall complete initial training within 30 days of contract award or the date new contract personnel begin performance on the contract. Within five business days from the completion of training, the Contractor shall provide written documentation (e.g., email or memorandum) to the Government representative. The documentation shall include the names of contract personnel trained and which training they completed; the Contractor shall maintain training records as part of their contract files and be prepared to provide copies of training certificates to the Government representative. Contractor personnel and vehicles are subject to search when entering federal installations. Additionally, all contract personnel shall comply with Force Protection Condition (FPCON) measures, Random Antiterrorism Measures (commonly referred to as “RAMs”), and Health Protection Condition (HPCON) measures. The Contractor is responsible for meeting performance requirements during elevated FPCON and/or HPCON levels in accordance with applicable RA plans and procedures -- this includes identifying mission essential and non-mission essential personnel. In addition to the changes otherwise authorized by the changes clause of this contract, should the FPCON or HPCON levels at any individual facility or installation change, the Government may implement security changes that affect contract personnel. The Contractor shall ensure all contract personnel are aware of their security responsibilities, including any site-specific requirements identified in local policies or procedures.

2. Antiterrorism (AT) Level 1 training: All contract personnel requiring routine access to Army Installations, facilities, and controlled access areas, or requiring network access shall complete initial and annual refresher AT Level 1 awareness training. Online AT Level 1 awareness training is available at https://jko.jten.mil/ (website subject to change).

3. Physical security and access control requirements: All contract personnel requiring physical access to a federal installation or facility shall comply with the access control https://jko.jten.mil/ procedures of that location. Contract personnel requiring unescorted access to meet contract performance requirements on a DoD installation in the US shall be vetted by the installation/facility Provost Marshal/Directorate of Emergency Services/Security Office using the National Crime Information Center-Interstate Identification Index (commonly referred to as “NCIC-III”) and Terrorist Screening Database (commonly referred to as “TSDB”). Contract personnel shall comply with all personal identity verification requirements specified in installation/facility policies and procedures. Contract personnel who do not meet requirements for unescorted access to USACE facilities shall coordinate escorted access with the Government representative, as needed. Contract personnel who receive keys, access cards, or lock combinations that provide access to government-owned property shall comply with key and lock control procedures of the RA.

6. Suspicious Activity Reporting training (e.g., iWATCH, CorpsWatch, or See

Something, Say Something): All contract personnel shall receive initial and annual refresher training from the RA representative on the local suspicious activity reporting program. This locally developed training provides contract personnel with general information on suspicious behavior, and guidance on reporting suspicious activity to the project manager, security representative or law enforcement entity.

9. Training requirements for the protection of sensitive information: All contract personnel with access to critical information (as identified in the RA’s OPSEC Program) shall complete initial and annual refresher OPSEC Level I Awareness training, which is available at the following websites: https://www.iad.gov/loss, or http://www.cdse.edu/catalog/operations-security.html (websites subject to change). All contract personnel with access to Controlled Unclassified Information (CUI) shall complete initial and annual refresher CUI training in accordance with applicable Army policy.

13. Escorting in classified and/or sensitive areas: In accordance with applicable regulations, all contract personnel who do not possess the appropriate security clearance or access privileges will be escorted in areas where they may be exposed to classified information or operations, sensitive information or activities, or restricted areas.

14. Pre-screen candidates using E-Verify Program: Contractors shall comply with the requirements set forth in FAR clause 52.222-54 Employment Eligibility Verification and FAR Subpart 22.18 in using the E-Verify Program at (https://www.e-verify.gov/) (website subject to change) to meet the contract employment eligibility requirements.

Contractors are encouraged to cooperate with Federal and State agencies responsible for enforcing labor requirements to include eligibility for employment under United States immigration laws in accordance with FAR 22.102-1(i). An initial list of verified/ eligible candidates shall be provided to the COR no later than three business days after the initial contract award. When contracts are with individuals, the individuals will be required to complete a Form I-9, Employment Eligibility Verification, and submit it to the Contracting Officer to become part of the official contract file.

10. ENCLOSURES:

https://www.iad.gov/loss http://www.cdse.edu/catalog/operations-security.html

10.1. Enclosure A – Permit Required Confined Space Policy Falls Lake Dam

10.2. Enclosure B – Falls Lake Dam Tower and Gate Drawings

11. APPENDIX A – List of Acronyms

Statement of Work SOW U.S. Army Corps of Engineers USACE Confined Space Rescue CSR Cardio-Pulmonary Resuscitation CPR Automated External Defibrillator AED Not to Exceed NTE Occupational Safety & Health Association OSHA Point of Contact POC Technical Point of Contact TPOC

(End of Summary of Changes)