F108--520-23-1-549-0001 Pharmaceutical Hazardous Waste New Contract base +4

5. PROJECT NUMBER (if applicable) CODE 7. ADMINISTERED BY 2. AMENDMENT/MODIFICATION NUMBER CODE 6. ISSUED BY 8. NAME AND ADDRESS OF CONTRACTOR 4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE 9A. AMENDMENT OF SOLICITATION NUMBER 9B. DATED PAGE OF PAGES 10A. MODIFICATION OF CONTRACT/ORDER NUMBER 10B. DATED BPA NO. 1. CONTRACT ID CODE FACILITY CODE CODE Offers 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: The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers E. IMPORTANT: is extended, (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 electronic communication 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 is not extended. 12. ACCOUNTING AND APPROPRIATION DATA (REV. 11/2016) is required to sign this document and return ___________ copies to the issuing office. is not, 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. 15C. DATE SIGNED B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: D. OTHER Contractor 16C. DATE SIGNED 14. DESCRIPTION OF AMENDMENT/MODIFICATION 16B. UNITED STATES OF AMERICA 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 16A. NAME AND TITLE OF CONTRACTING OFFICER 15B. CONTRACTOR/OFFEROR STANDARD FORM 30 PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) (Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.) (If required) (SEE ITEM 11) (SEE ITEM 13) (X) CHECK ONE 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT (Signature of person authorized to sign) (Signature of Contracting Officer) 1 14 0001 520-23-1-549-0001 Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport LA 71101 Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport LA 71101 To all Offerors/Bidders 36C25623Q0047 10-12-2022 X X X 0 The purpose of this amendment is to provide an updated SOW. See attached. PAUL FILHIOL Contracting Officer Page 14 of 14 The purpose of this amendment is to provide an updated SOW. CONTINUATION PAGE Statement of Work Transport and Disposal of Waste Pharmaceuticals BACKGROUND: Department of Veterans Affairs, Gulf Coast Veteran s Health Care System (GCVHCS) is seeking removal services of waste pharmaceutical products (hazardous and non-hazardous) and associated contaminated materials for 12 months plus 4 option years for the main campuses, Joint Ambulatory Care Centers, associated Outpatient Clinics, and Community Based Outpatient Clinics (CBOC). SCOPE: The contractor shall provide all labor and materials necessary for the collection and removal of waste pharmaceutical products (hazardous and non-hazardous) and associated contaminated materials for the Department of Veterans Affairs; Gulf Coast Veteran s Health Care System (GCVHCS). This contract includes disposal of used RxDestroyer containers. This contract does not include any pharmaceuticals that are placed in recycling or reverse distribution programs by the facility. This contract does not include any controlled narcotics that have not been treated in the RxDestroyer containers. Drugs subject to this contract include the following three types: Hazardous Pharmaceutical Wastes can include: WARFARIN (>0.3%) P001 PHENTERMIN (CIV) P046 PHYSOSTIGMINE P204 PHYSOSTIGMINE SALICYLATE (ESERINE) P188 AZASERINE U015 CHLORAMBUCIL U035 CHLOROFORM U044 CYCLOPHOSPHAMIDE U058 DAUNOMYCIN U059 ARSENIC TRIOXID (TRISENOX) P012 DICHLORODIFLUROMETHANE U075 TRICHLOROMONOFLUOROMETHANE U121 LINDANE U129 LIDOCAINE / EPINEPHRINE P042 HEXACHLOROPHENE U132 MELPHALAN U150 MERCURY U151 MITOMYCIN C U010 PARALDEHYDE U182 PHENACETIN U187 PHENOL U188 RESERPINE U200 RESORCINOL U201 SELENIUM SULFIDE U205 STREPTOZOTOCIN U206 WARFARIN (<= 0.3%) U248 Non-Hazardous Waste Drugs are those Drugs not regulated as listed or characteristic Hazardous Wastes by the United States Environmental Protection Agency and Not Regulated as a controlled substance by the United States Drug Enforcement Agency. This classification of drugs includes cytotoxic agents not regulated as hazardous wastes. RX destroyers are a commercial accumulation container partially filled with a solvent/activated charcoal mixture that renders the drugs (controlled and non- controlled) unusable. These containers and their contents will still require incineration or equivalent destruction under this contract. Waste pharmaceutical products (hazardous and non-hazardous) and associated contaminated materials shall be processed and disposed of off-site by the contractor at a facility in compliance with all Federal, State and Local requirements. Management and processing of wastes and completion of all services shall be in accordance with all Federal, State, and Local regulations. WASTE REMOVAL SERVICES: waste pharmaceuticals include waste pharmaceutical products (hazardous and non-hazardous) and associated contaminated materials. Contractor shall: Coordinate all scheduling of services with the GEMS Manager. Provide the appropriate containers for initial accumulation of waste pharmaceuticals. Containers will be black in color for hazardous waste pharmaceuticals and white with blue lids for non-regulated pharmaceuticals. Openings on containers will include industry standard retrieval prevention. Containers will be approximately 3 gallons in size or 7 gallons in size. Exact sizing must accommodate storage space in accumulation locations. Ensure provided containers are leak-proof, lidded, labeled to display type of waste and all other US DOT and state required marking to ensure compliance with all accumulation requirements for waste pharmaceuticals in 40 CFR. All containers shall always be damage free and in good working order. Remove all containers over 50% full from initial accumulation points and replace with empty initial accumulation containers. Waste pharmaceutical containers at initial accumulation locations at all VA facilities at Biloxi, Mobile, Pensacola, Eglin AFB, Panama City (2 facilities) will be serviced. Remove all full containers from central accumulation area. Replenish a supply level of 10 each 3 gallon containers and 6 each 12 gallon containers at the central accumulation area. Ensure provided containers are clearly identifiable for the regulated pharmaceutical waste streams. Ensure prior to departing any facility, contractor has obtained the COR or designee s signature for confirmation of manifest including but not limited to: Pickup/Delivery Location, Pickup/Delivery Date, Proper Description of the Waste, Volume of Waste (number of containers picked up and/or pounds), US DOT Compliant Manifest with Unique Number (Shipping Papers). Transport the waste to the treatment facility. Treatment shall be by, recycling, reclamation, incineration, or other means in accordance with all applicable Federal, State and Local requirements. Provide signed manifests, applicable signed land ban notification forms and signed certificates of destruction for all wastes removed from all facilities to the GEMS Manager. Completed documentation will be provided in accordance with Federal, State and local regulations. Transport and Disposal of waste The Contractor shall transport and dispose of the waste in accordance with all applicable Environmental Protection Agency (EPA), U.S. Department of Transportation (DOT), Mississippi Department of Environmental Quality (MDEQ), Occupational Safety and Health Administration (OSHA), Food and Drug Administration (FDA) and any other state and federal guidelines. SCHEDULE OF PICKUPS: PHAMACEUTICAL WASTE ACCUMULATION AREAS. CAMPUS LOCATION PICKUP FREQUENCY Estimated Maximum Annual Volume/Weight Gulf Coast Veteran s Health Care System 400 Veteran s Avenue Biloxi, MS 39531 See Attachment 2 for list of accumulation locations. POC: Green Environment Management System (GEMS) Manager Every 2 months at priority pickup locations. (55 -65 days between pickups.) Once per quarter at all other pickup locations at Biloxi facility (85 95 days between pickups.) Haz. Waste 60 lb Non-Reg Waste 2400 lb Rx Destroyers 40 each 16 oz. containers Mobile Veteran s Affairs Clinic 4444 Demetropolis Road Mobile, AL 36619-9602 See Attachment 2 for list of accumulation locations. POC: Green Environment Management System (GEMS) Manager Once per quarter. (85 95 days between pickups.) Haz. Waste 5 lb Non-Reg Waste 200 lb Rx Destroyers 12 each 16 oz. containers Pensacola Veteran s Affairs Clinic 790 Veterans Way Pensacola, FL 32507-1000 See Attachment 2 for list of accumulation locations. POC: Green Environment Management System (GEMS) Manager Once per quarter. (85 95 days between pickups.) Haz. Waste 60 lb Non-Reg Waste 1500 lb Rx Destroyers 20 each 16 oz. containers Eglin Air Force Base Veteran s Affairs Clinic 100 Veterans Way Eglin Air Force Base, FL 32542-1038 See Attachment 2 for list of accumulation locations. POC: Green Environment Management System (GEMS) Manager Once per quarter. (85 95 days between pickups.) Haz. Waste 5 lb Non-Reg Waste 200 lb Rx Destroyers 12 each 16 oz. containers Panama City Beach VA Clinic 2600 Veterans Way Panama City Beach, FL 32408-7186 See Attachment 2 for list of accumulation locations. POC: Green Environment Management System (GEMS) Manager Once per quarter. (85 95 days between pickups.) Haz. Waste 5 lb Non-Reg Waste 200 lb Rx Destroyers 12 each 16 oz. containers VA MENTAL HEALTH PCB Outpatient Clinic West 140 Richard Jackson Blvd, Panama City Beach, FL 32407 See Attachment 2 for list of accumulation locations. POC: Green Environment Management System (GEMS) Manager Once per quarter. (85 95 days between pickups.) Haz. Waste 5 lb Non-Reg Waste 40 lb Rx Destroyers 2 each 16 oz. containers NOTES: Total of Estimated Maximums will be more than Estimated Usage Amounts (see Attach 2). DOCUMENTATION FROM THE CONTRACTOR: The contractor shall prepare and submit to the COR an original signed Certificate of Destruction (manifest) for each pick up for each site. The contractor shall maintain proper records concerning each Certificate of Destruction issued. The manifest shall at a minimum contain the following: Pickup/Delivery Location, Pickup/Delivery Date, Amount of waste (number of containers picked up and/or pounds), Destruction Certification Document/Manifest Number, Destruction Certification Date, any other information as required by the COR. Completed manifests confirming delivery and processing of the regulated wastes shall be submitted within 35 days of initial pickup date. Contractor shall provide monthly reporting that shows the pounds by waste stream shipped and processed to the COR. This shall be tracked each month and provided in excel spreadsheet. Waste Classification and determination: The contractor will provide designated contact information for submission of documentation demonstrating generator s knowledge and/or analytical results as appropriate for wastes offered for removal/disposal under the contract statement of work. Wastes that are generated on a recurring basis will need to be profiled annually. Working with the COR the contractor will provide training per the SOW based on the classification of the wastes identified during review of profiled wastes and interview of GEMS manager. TRAINING FOR CONTRACTOR: All contractor on-site employees and on-site subcontractors under this contract or order are required to complete the VA's on-line Combined Privacy and Information Security Awareness Training Course and the additional Privacy Awareness Training Course annually. Contractors must provide signed certifications of completion to the COR every 12 months during each year of the contract. This requirement is in addition to any other training that may be required of the contractor and subcontractor(s). Containers: Department of Veterans Affairs requires all waste containers > 5 Gallons to be on either dollies or carts and not sitting directly on the floor. Contractor shall provide clean replacement containers as needed on or before scheduled service days. Provided containers shall appropriate containers for initial accumulation of waste pharmaceuticals and overpack of expired pharmaceuticals from the Pharmacies. Accumulation containers will be black in color for hazardous waste pharmaceuticals and white with blue lids for non-regulated pharmaceuticals. Openings on containers will include industry standard retrieval prevention. Containers will be approximately 3 gallons in size or 7 gallons in size. Exact sizing must accommodate storage space in accumulation locations. Overpack containers must conform to DOT specifications for the waste being transported. Overpack containers will consist of 30 gallon plastic open top drums with secure lids unless otherwise approved by the Contracting Officer. Ensure provided containers are leak-proof, lidded, labeled to display type of waste and all other US DOT and state required marking to ensure compliance with all accumulation requirements for waste pharmaceuticals in 40 CFR. All containers shall always be damage free and in good working order. Pick Up Location: The COR is responsible to provide an initial drawing for GCVHCS and each CBOC and Outpatient Clinic identifying the correct location of pick up locations. This shall be updated quarterly to ensure it is always as accurate as possible. QUALITY CONTROL: Contractor must replace all containers that are more than approximately one-half (1/2) full, to ensure no overfills between service days. Contractor should have service infrastructure to handle all applicable issues related to waste disposal and service. Contractor should be able to complete all terms and conditions of the contract immediately following the award of the contract. There are to be no delays in delivering the service and/or products. CONTRACTOR S RESPONSIBILITY: Contractor will only transport the waste to facilities that are permitted for the processing of each waste. Contractor shall take all precautions necessary to protect persons and property from injury or damage during the performance of this contract. Contractor shall be responsible for any injury to their employees, or others, as well as for any damages to personal or public property that occurs during performance of this contract that is caused by their employees' fault or negligence. 13. QUALITY ASSURANCE: The Government will investigate complaints from any facility. All information received will be provided either verbally and/or in writing to the contractor for appropriate action. 14. WORK HOURS: All pickups shall be performed between 8:30am and 3:30pm, Monday Friday or as established by the Facility COR/Point of Contact 15. NATIONAL HOLIDAYS: Holidays observed by the Federal Government are: - New Year s Day - Martin Luther King s Birthday - President s Day - Memorial Day - Juneteenth Day - Independence Day - Labor Day - Columbus Day - Veteran s Day - Thanksgiving Day - Christmas Day 25. HOLIDAY RESCHEDULING: Generally, when it is necessary to reschedule a service and/or pickup because of a holiday; service and/or pickup must occur on the next business day following the holiday (alternate arrangements can be made with individual sites at their discretion). 26. PLACE OF PERFORMANCE: Gulf Coast Veteran s Health Care System and its associated Outpatient/Outreach Clinics. Gulf Coast Veteran s Health Care System 400 Veteran s Avenue Biloxi, MS 39531 Mobile Veteran s Affairs Clinic 4444 Demetropolis Road Mobile, AL 36619-9602 Pensacola Veteran s Affairs Clinic 790 Veterans Way Pensacola, FL 32507-1000 Eglin Air Force Base Veteran s Affairs Clinic 100 Veterans Way Eglin Air Force Base, FL 32542-1038 Panama City Beach VA Clinic 2600 Veterans Way Panama City Beach, FL 32408-7186 VA MENTAL HEALTH PCB Outpatient Clinic West 140 Richard Jackson Blvd Panama City Beach, FL 32407 27. PERIOD OF PERFORMANCE: Services will be performed from 10/01/2022 to 09/30/2023 with the base year and provisions for four (4) Option Years. 28.PRICING/CLINS (Attachment 2): Use this list to develop your quotes for Base and Option Years. ATTACHMENT 1 PHARMACEUTICAL WASTE SERVICE LOCATIONS Priority Location CAMPUS BLDG FLOOR ROOM White w/Blue lid Non-hazardous 3 gallon White w/Blue lid Non-hazardous 12 gallon Black w/white lid Hazardous 3 gallon Rx Destroyer (16 oz) X Biloxi Central Collection Shed 1 1 See SOW See SOW See SOW See SOW Biloxi 1 2 A119 1 0 1 1 x Biloxi 1 2 C115 2 3 3 1 X Biloxi 3 1 1B102 2 3 3 1 Biloxi 3 1 F125 1 0 1 1 Biloxi 3 2 B120 1 0 1 1 Biloxi 3 2 B122 1 0 1 1 Biloxi 3 2 D111A 1 0 1 1 x Biloxi 3 4 B100 0 1 1 1 x Biloxi 3 4 D103 1 0 1 1 Biloxi 15 1 D102 1 0 1 1 Biloxi 15 1 G102 1 0 1 1 Biloxi 15 2 D102 1 0 1 1 Biloxi 15 2 G102 1 0 1 1 Biloxi 19 3 B127 1 0 1 1 Biloxi 25 1 A137 1 0 1 1 Biloxi 25 1 B119 1 0 1 1 Biloxi 25 1 C160 1 0 1 1 Biloxi 25 2 A138 1 0 1 1 Biloxi 25 2 B118 1 0 1 1 Biloxi 30 1 G113 1 0 1 1 Biloxi 30 1 H114 1 0 1 1 Biloxi 30 1 J113 1 0 1 1 Biloxi 30 2 F160 1 0 1 1 Biloxi 30 2 G106 1 0 1 1 Biloxi 30 2 G140 1 0 1 1 x Biloxi 30 4 F127 1 0 1 1 x Biloxi 30 4 F143 1 0 1 1 x Biloxi 30 4 G116 1 0 1 1 x Biloxi 30 4 G134 1 0 1 1 Eglin Clinic 1 Primary Care -245 1 0 1 1 Eglin Clinic 1 Behavioral Hlth - 150 1 0 1 1 Pensa. Clinic 1 1C102 1 0 1 1 Pensa. Clinic 1 1C191 1 0 1 1 Pensa. Clinic 1 MRI - 119 1 0 1 1 Pensa. Clinic 1 1D142 1 0 1 1 Pensa. Clinic 2 2C187 1 0 1 1 Pensa. Clinic 2 1D175 1 0 1 1 Pensa. Clinic 2 2B114 1 0 1 1 Pensa. Clinic 2 2C115 1 0 1 1 Pensa. Clinic 2 2C126 1 0 1 1 Pensa. Clinic 2 2C146 1 0 1 1 Pensa. Clinic 2 2C17 3 1 0 1 1 Pensa. Clinic 2 2D111 1 0 1 1 Pensa. Clinic 2 2D138 1 0 1 1 Pensa. Clinic 2 2D143 1 0 1 1 Pensa. Clinic 2 2D148 1 0 1 1 Pensa. Clinic 2 2D160 1 0 1 1 Pensa. Clinic 2 2D167 1 0 1 1 Pensa. Clinic 2 2E107 1 0 1 1 Pensa. Clinic 1 1B119 0 3 3 1 Mob Clinic 2 2C114 1 0 1 1 Mob Clinic 2 2A138 1 0 1 1 Mob Clinic 1 1C109 1 0 1 1 Mobile Clinic 1 Co-Vid Vaccination 1 0 1 1 Mobile Clinic 1 Pharmacy Area 1 0 1 1 Mob Clinic 1 1D118 1 0 1 1 PCB Clinic 1 Primary Care 1 0 1 1 PCB Clinic 1 Dental 1 0 1 1 PCB Clinic 1 Radiology/COVID 1 0 1 1 PCB-W Clinic 1 Behavioral Health 1 0 1 1 ATTACHMENT 2 Contract Annual Usage Estimates CLIN Unit Cost Qty Requested Total 0001 Pick-up at Gulf Coast Veteran s Health Care System 400 Veteran s Avenue Biloxi, MS 39531 8 each 0002 Pick-up at Mobile Veteran s Affairs Clinic 4444 Demetropolis Road Mobile, AL 36619-9602 4 each 0003 Pick-up at Pensacola Veteran s Affairs Clinic 790 Veterans Way Pensacola, FL 32507-1000 4 each 0004 Pick-up at Eglin Air Force Base Veteran s Affairs Clinic 100 Veterans Way Eglin Air Force Base, FL 32542-1038 4 each 0005 Pick-up at Panama City Beach VA Clinic 2600 Veterans Way Panama City Beach, FL 32408-7186 4 each 0006 Pick-up at VA MENTAL HEALTH PCB Outpatient Clinic West 140 Richard Jackson Blvd, Panama City Beach, FL 32407 4 each 0007 Disposal of 30 gallon drum of Non-Regulated Pharmaceuticals 24 each 0008 Disposal of 3 gallon container of Non-Regulated Pharmaceuticals 60 each 0009 Disposal 12 gallon container of Non- Regulated Pharmaceuticals 40 each 0010 Disposal of 5 gallon drum of overpacked Hazardous Waste Pharmaceuticals 18 each 0011 Disposal of 3 gallon container of Hazardous Waste Pharmaceuticals 30 each 0012 Disposal of 16 oz Rx Destroyer container (incineration) 50 each