ATTACHMENT A- STATEMENT OF WORK Statement of Work

STATEMENT OF WORK

Under Dispenser Containment (UDC) and Sump Installation Project Number 663A4-27-001

2. Contract Title

Under Dispenser Containment (UDC) and Sump Installation at VAMC American Lake, WA.

3. Background

The VA Puget Sound Health Care System, American Lake Division, is required to install Department of Ecology-approved Under Dispenser Containment system and an extractor valve containment sump for the underground storage tank system to address deficiencies identified during a Washington State Department of Ecology inspection.

4. Scope.

The contractor shall provide personnel certified for the regulated underground storage tank (UST) services they perform. Installation, repair, and modification of the UST system and its components shall be performed or directly supervised by a provider holding ICC UST Installation/Retrofitting (U1) certification. Regulated tank or piping tightness testing shall be performed or directly supervised by a provider holding ICC UST Tank Tightness Testing (U3) certification. If conditions encountered require a formal site assessment, that work shall be performed or directly supervised by a provider holding Washington State Site Assessment (U7) certification, or another qualification accepted under WAC 173-360A-0930. The Contractor shall maintain all required licenses and certifications for the duration of the contract. Failure to maintain the required certifications shall constitute grounds for suspension of work until deficiencies are corrected at no additional cost to the Government.

5. Contract Task Requirements:

Task 1 Regulatory Notifications

The contractor shall:
Prepare and complete all Washington State Department of Ecology UST notifications, checklists, testing records, and supporting documentation applicable to the work as directed by the VA Contracting Officer Representative (COR).

The contractor shall sign all portions requiring certification by the UST service provider and submit the completed documents to the VA COR within 5 business days upon VA COR request.

The contractor shall not submit documents directly to Ecology on behalf of the VA unless specifically authorized in writing by the Contracting Officer. The VA, as the UST owner/operator, will review, sign where required, and submit the documents to the Department Ecology through the TCP External Document Submission (TEDS) portal.

If authorized and directed by the VA COR to submit any documents to the Department of Ecology, the contractor shall provide the COR confirmation of submission and a complete copy of the submitted package and all documents.