S222--MEDICAL WASTE SERVICES _ AMENDMENT

Amendment / Modification

This amendment (0001) to solicitation 36C24626Q0278 extends the due date for quotes and provides answers to vendor questions.

• The due date for quotes has been extended.

• Answers to vendor questions are provided.

• The proposal deadline is extended to Monday, February 23, 2026, at 8:00 AM EST.

• The amendment includes answers to specific questions regarding waste stream volumes, container sizes, pickup frequencies, and estimated annual poundage for pathological waste, trace chemotherapy waste, and incinerator waste at various VA locations (Salisbury VAMC, Charlotte HCC, CBOC, and Kernersville HCC).

Solicitation / RFP / RFQ

This solicitation is for medical waste disposal services for the Salisbury VA Medical Center, Charlotte HCC, CBOC, and Kernersville HCC. The services include the removal, transport, and incineration or microwave of regulated medical waste.

• Removal, transport, and disposal (incineration or microwave) of all regulated medical waste, including sharps, pathology waste, and chemotherapy waste.

• Services are required for multiple VA facilities: Salisbury VAMC, Charlotte HCC, Charlotte CBOC, and Kernersville HCC.

• Specific pickup frequencies are outlined for each location (e.g., twice weekly for Salisbury VAMC, once weekly for Kernersville HCC, bi-weekly for Charlotte CBOC, and weekly for Charlotte HCC).

• Containers must be heavy duty, clean, puncture resistant, leak resistant, and approximately 24"x24"x24" with waterproof, puncture-proof liners.

• Compliance with DOT, OSHA, EPA, and relevant state and local regulations is mandatory.

• Specific requirements for TB, Flu, and OSHA compliance are detailed.

• A written back-up plan for disposal system failure is required.

• The contractor must provide proof of all state and federal licenses and permits for incinerators and operators.

• The contractor assumes all liability for waste disposal from pickup to destruction.

• Contract Type: Firm Fixed Price.

• Period of Performance (POP): The initial POP is from 03-16-2026 to 03-15-2027. The contract may be extended up to five (5) years total, with options for extending services and the contract term.

• NAICS Code: 562112 - Hazardous Waste Collection.

• Size Standard: $47 Million.

• Quotes are due by 8:00 AM EST on February 19, 2026.

• Quotes must be submitted via email to Maurice Anderson (maurice.anderson1@va.gov) and Jamie Sullivan (Jamie.Sullivan4@va.gov).

• A site visit is scheduled for Tuesday, February 10, 2026, at 1:00 PM EST at the Salisbury VAMC (Building 21B).

• Evaluation factors include Technical/Management Approach, Past Performance, and Price.

• Offerors must be registered in SAM and be a verified Service-Disabled Veteran Owned Small Business (SDVOSB).

• Failure to submit a complete quote or acknowledge amendments may result in disqualification.

• This acquisition is set aside for Small Business.

• Offerors must be verified Service-Disabled Veteran Owned Small Businesses (SDVOSB).

• Several attachments are referenced, including pickup locations, QASP, and a site visit map.

• Specific clauses regarding limitations on subcontracting, security prohibitions, and insurance requirements are included.

Form / Attachment / Pricing Sheet

This document provides visual information regarding pickup locations for biohazard waste at three different facilities: Charlotte CBOC, Charlotte HCC, and Kernersville HCC. It serves as a visual guide for bidders to understand the physical environment and specific areas designated for waste pickup.

• Charlotte CBOC: Images show the exterior of the facility, a door labeled "303 Infectious Waste," and an interior room with waste bins and a sink.
• Charlotte HCC: Images display loading dock areas with equipment and pallets, and doors labeled "OC13 BIO HAZARD WASTE ROOM" and "OC16 Bio Hazard Waste." An interior room shows stacked biohazard waste containers.
• Kernersville HCC: Images depict a loading dock area with designated pathways and a door labeled "G116 Biohazard Waste." An interior room shows numerous red biohazard waste bins.

This attachment is relevant for bidders involved in waste management services, particularly biohazard waste. It provides critical visual context for the pickup locations, helping bidders assess logistical requirements, site access, and the scale of operations at each facility. This information is crucial for accurate proposal preparation and understanding the operational environment.

Form / Attachment / Pricing Sheet

This document is a site map of the W.G. (Bill) Hefner Medical Center in Salisbury, North Carolina. It is intended to provide a visual reference for the layout of the facility, including buildings, roads, parking lots, and other key areas.

• A numbered list of buildings with their corresponding names (e.g., 1. Administration Building, 3. Outpatient Clinics, 42. Geropsychiatric Building).
• Roads and driveways are labeled, indicating traffic flow and access points.
• Parking lots are designated with numbers.
• Areas of the facility are highlighted with red hatching, potentially indicating specific zones or structures of interest.
• A green hatched area is present, possibly indicating a specific type of zone or land use.
• The map includes the name and location of the medical center: W.G. (Bill) Hefner Medical Center, Salisbury, North Carolina.

This map is crucial for bidders to understand the physical layout of the W.G. (Bill) Hefner Medical Center. It can help in planning site visits, understanding logistical considerations for any proposed work, and visualizing the environment where services or products will be delivered or utilized. It is particularly relevant if the opportunity involves work on-site, requires access to specific buildings, or necessitates an understanding of the campus layout.

Form / Attachment / Pricing Sheet

This document is the Salisbury VA Regulated Medical Waste Quality Assurance Surveillance Plan (QASP). It outlines the systematic method the Government will use to evaluate contractor performance for the collection, transport, and disposal of Regulated Medical Wastes (RMW).

• Purpose: To explain what will be monitored, how monitoring will occur, who will conduct it, and how results will be documented.
• Government Roles & Responsibilities: Defines roles for the Contracting Officer (CO) and Contracting Officer's Representative (COR), including Marcus Davis as the COR.
• Contractor Representatives: Placeholder for contractor's program manager and other personnel.
• Performance Standards: Details specific indicators, standards, acceptable quality levels (100% deviation allowed for most), methods of surveillance (direct observation, random sampling, customer complaints, periodic inspection), and potential incentives (Positive Past Performance & exercise of option period).
• Methods of QA Surveillance: Lists direct observation, periodic inspection, validated user/customer complaints, and random sampling.
• Ratings: Defines Excellent (Exceeds Standards), Satisfactory (Meets Standards), and Unsatisfactory (Fails to Meet Standards).
• Documenting Performance: Outlines procedures for documenting acceptable and unacceptable performance, including the use of Contract Discrepancy Reports (CDRs).
• Frequency of Measurement: Describes periodic analysis of surveillance frequency and monthly/quarterly performance assessment meetings.

This QASP details how the contractor's performance will be monitored and evaluated. Bidders should review the performance standards, acceptable quality levels, and surveillance methods to understand the Government's expectations for quality and compliance in waste collection, transport, and disposal services. This document is critical for understanding the performance metrics that will determine contractor success and potential incentives or penalties.

Form / Attachment / Pricing Sheet

This document is a "REGISTER OF WAGE DETERMINATIONS UNDER THE SERVICE CONTRACT ACT" issued by the U.S. Department of Labor, Employment Standards Administration, Wage and Hour Division. It provides the minimum wage rates and fringe benefits required for various occupations when performing contract work subject to the Service Contract Act (SCA) within specific geographic areas.

• Geographic Area: North Carolina Counties of Cabarrus, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Union, and South Carolina Counties of Lancaster, York.
• Occupational Listings: Provides a comprehensive list of occupations with corresponding "OCCUPATION CODE TITLE" and "RATE".
• Fringe Benefits: Indicates that fringe benefits are required and follow the occupational listing, with specific details provided later in the document.
• Executive Orders: Notes the applicability of Executive Order (EO) 13706 (Paid Sick Leave) and EO 13658 (Minimum Wage) for federal contractors, outlining specific requirements and minimum hourly rates.
• Conformance Process: Details the process for requesting authorization of additional classifications and wage rates if an occupation is not listed.

This document is crucial for bidders to understand the minimum labor costs associated with performing contract work in the specified geographic areas. Bidders must ensure their proposals account for these mandated wage rates and fringe benefits to comply with the Service Contract Act. Failure to adhere to these wage determinations can lead to contract violations.

Form / Attachment / Pricing Sheet

This document is a Wage Determination (No. 2015-4399, Revision No. 29) issued by the U.S. Department of Labor, Wage and Hour Division, under the Service Contract Act. It establishes the minimum wage rates and fringe benefits required for various occupations performing work on federal contracts in specific geographic areas.

• Geographic Area: North Carolina Counties of Davidson, Davie, Forsyth, Stokes, Yadkin.
• Occupational Listings: Provides a detailed list of occupations with corresponding minimum hourly wage rates and required fringe benefits.
• Fringe Benefits: Specifies a Health & Welfare rate of $5.55 per hour (or $222.00 per week / $962.00 per month) for all listed occupations. It also notes specific rates for EO 13706.
• Executive Orders: Includes information on Executive Order 13706 (Paid Sick Leave) and Executive Order 13658 (minimum wage for federal contractors).
• Vacation and Holidays: Outlines requirements for paid vacation and holidays.
• Footnotes: Provides explanations for specific occupations or conditions, such as computer employees, night/Sunday pay, hazardous pay differentials, and uniform allowances.
• Conformance Process: Details the procedure for requesting additional classifications and wage rates if an occupation is not listed.

This document is critical for bidders to understand the minimum labor costs associated with performing the contract. It directly impacts proposal pricing by defining the required wages and benefits for all service employees working on the contract within the specified geographic area. Bidders must ensure their proposed wages meet or exceed these minimums.

Solicitation / RFP / RFQ

This is a combined synopsis for medical waste disposal services for the Salisbury VA Health Care System, including Salisbury VAMC, Charlotte HCC, CBOC, and Kernersville HCC.

• Medical waste disposal services.

• Not specified in this synopsis.

• All correspondence and responses shall be via e-mail to maurice.anderson1@va.gov.

• Telephone requests for information or questions will NOT be accepted.

• Offerors are responsible for downloading all documents, including amendments, from the sam.gov website.

• This acquisition is being solicited as a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside on the open market.

• Applicable NAICS Code: 562112 with a size standard of $47 Million.

• The solicitation number is 36C24626Q0278.

• Response Date/Time/Zone: 02-19-2026 8:00 EASTERN TIME, NEW YORK, USA.

• The contracting office is Network Contracting Office 6, Fayetteville NC.

• Point of Contact: Maurice R Anderson, maurice.anderson1@va.gov.

• Place of Performance includes Salisbury VAMC, Charlotte HCC, CBOC, and Kernersville HCC.

• Referenced attachments include: Medical Waste Disposal Services Solicitation, Wage Determinations (2015-4399 Rev 29 and 2015-4423 Rev 32), Pickup Locations, Quality Assurance Surveillance Plan (QASP), and Site Visit Map.