Amendment_0004_--_X-Ray_Renovation_at_Claremore_--_Final.pdf

Claremore Indian Hospital

Indian Health Service

US PHS Indian Hospital

101 South Moore Avenue

Claremore, Oklahoma 74017 Phone: (918) 342-6020 Fax: (918) 342-6217

SCOPE OF WORK

X-ray Room 346 Renovation into EKG & Echocardiogram Rooms Project

Project # OK6CAS01H4

August 10, 2016

I. Objective:

The objective of this project is to remodel X-ray Room 346 in the Radiology Department into two rooms for EKG and Echocardiogram services at the US PHS Indian Hospital located in Claremore, Oklahoma. The hospital is a 110,000+ ft2 hospital building that consists of outpatient services such as OB/GYN, Behavioral Health, Pediatrics, Medical/Urgent Clinics, Contract Health, Dental, WIC, Pharmacy, Diabetes Education, and Public Health, as well as in-patient services that includes ER, OB, in-patient, OR, and ICU.

II. Background:

The X-ray room 346 was originally constructed for a 1970’s era x-ray unit that was replaced with a leased unit in the early 1990’s. The entire x-ray unit that was leased has been removed from the room and is currently being utilized for echocardiogram services. The room information is as follows:

1. Smooth finished lead-lined drywall is used throughout the room along with lead-lined doors leading to the interior Radiology hallway. The 9’ drywall ceiling is not lead-lined.

2. The East wall is shared with corridor 269 is a 2 hour fire-smoke barrier with two layers of 5/8” Type X drywall on each side of the wall. The wall extends from the floor to the bottom of the roof.

3. The South wall is shared with corridor 008 and extends from the floor to the bottom of the roof.

4. The West and North walls extend from the floor to just above the 9’ ceilings and are open to the rest of the Radiology Department suite.

5. Room 346 and the entire Radiology Department is located in the healthcare occupancy section of the hospital.

6. The X-ray room 346 has 394 ft2 with an additional 40 ft2 bathroom.

7. The X-ray room 346 floor consists of original 1” blue tile circa 1977 with silicone for grout.

8. Electrical conduit, exposed junction boxes, and track for the x-ray unit have been removed but are still present under the floor and above the ceiling. Wiring has been removed from all x-ray unit conduits with the exception of the two feeder lines coming in from electrical room 302 480 VAC 3 PH disconnect from distribution panel.

9. The existing X-ray room 346 layout is shown in the following attachment:

A. Current X-ray Room 346 Layout & Conditions

III. Scope of Work:

A. General:

1. The contractor shall be responsible for all aspects of verifying the layout and design of the proposed renovations, including the material to be installed in the existing X-ray room 346. Any photos and/or sketches are for reference use only. If any clarification or additional information is required, the IHS contracting officer shall be notified with a written Request for Information (RFI).

2. Contractor shall provide all labor, materials, supplies, tools and equipment, transportation, supervision and all other necessary items for remodeling X-ray Room 346.

3. The Claremore Indian Hospital is a tobacco free campus. No smoking is permitted on the campus grounds.

4. The Contractor shall provide their own Personal Protective Equipment (PPE), LOTO equipment, infection control barriers, vehicles barriers, and any other safety related supplies, materials, and equipment.

5. The Contractor shall be responsible for furnishing to the Government an access roster with the names of all employees performing work on the project and shall be responsible for ensuring the access roster is current throughout the contract performance period.

6. Contractor shall reuse data drops (2 in wall, 5 new rolled up above) and install new data drop conduit in the required locations in the renovated areas shown on the layouts. All new data outlet locations shall have ¾” EMT installed and protrude out of the same side of the wall 1’ above the 9’0”H drop-in ceiling. Data connections and drops are to be coordinated with the IT department.

7. As-built prints for plumbing, sewer, medical gas lines & outlets, building construction, etc. are available for review.

8. Signing in/out and scheduling of contractors and sub-contractors shall be coordinated with the Project Manager or his designee in his absence in order to maintain efficient use of traffic-flow, parking, access to building and locked areas.

9. The Contractor shall, at all times on the hospital campus including storage areas and work sites, keep the work area and public access areas free from accumulations of waste materials. The Contractor shall remove from the work and premises any rubbish, tools, equipment, and materials that are not the property of the Government. Upon completing the work, the Contractor shall leave the work area in a clean, neat, and orderly condition satisfactory according to IHS Facilities Management.

10. Work performed shall minimize interruptions to the hospital by performing work after normal business hours or weekends when required.

11. Contractor shall abide by all following codes concerning work performed on-site:

a. International Building Code

b. FGI 2014 Guidelines for Design & Construction of Healthcare Facilities

c. NPFA 13 Standard for the Installation of Sprinkler Systems

d. NFPA 70 National Electrical Code

e. NFPA 99 Healthcare Facilities

f. Medical Gas Codes & References (including CGA)

g. NFPA 72 National Fire Alarm Code

h. NFPA 80 Standard for Fire Doors and Other Opening Protectives

i. NFPA 101 Life Safety Code 2012 edition

j. NFPA 105 Standard for Smoke Door Assemblies and Other Opening Protectives

k. OSHA and EPA regulations

l. Other associated or referred NFPA and building guidelines for healthcare construction as noted in the IHS 2013 A/E Design Guide http://www.ihs.gov/des/includes/themes/newihstheme/display_objects/docum ents/AEDesignGuide2013.pdf

12. Contractor shall provide a dumpster for the removal of debris, material, and waste for the duration of the project and dispose of according to State, Federal, and EPA regulations. At least 50% of recyclable materials shall be recycled. Location of the dumpster(s) shall be coordinated with the Facility Engineer/Manager.

B. Demolition

1. Ceiling:

a. Remove drywall ceiling, ceiling grid, supply and return grills, two 2x4 light fixtures, two small single light fixtures, old speaker, and x-ray unit electrical enclosures. Includes all items attached to the ceiling. Ceiling suspension wires may be reused for the new suspended ceiling.

b. Remove double unistrut from both sides on the bottom of the x-ray steel support structure. Steel support structure to remain.

c. Remove sprinkler heads and install flex lines with new sprinkler heads for use in the new ceiling.

http://www.ihs.gov/des/includes/themes/newihstheme/display_objects/documents/AEDesignGuide2013.pdf http://www.ihs.gov/des/includes/themes/newihstheme/display_objects/documents/AEDesignGuide2013.pdf

2. Walls & Floor:

a. Remove 14’6” linear feet of lead-lined walls for the control room including lead-lined glass, electrical, and data. Leave data cables and electrical wiring rolled up above ceiling for later reuse.

b. Remove both lead-lined doors and door frames on the West wall.

c. Remove portions of West corridor wall by the North door for a 1’ wider and 4” taller 4’Wx7’H door assembly.

d. Remove portion of the West corridor wall to relocate the new 4’Wx7’H South door 1’4” to the South according to the print.

3. Electrical:

a. Remove two electrical enclosures in the North and South walls. Leave conduits abandoned in wall and seal around conduits and inside conduits where it comes out of the walls. Repair walls where the two electrical enclosures were removed.

b. Remove all x-ray unit empty electrical conduits and enclosures above the ceiling and under the sub-floor crawlspace. The two electrical enclosures in the floor with cover plates can remain.

c. Remove two main disconnects from the North wall and remove the conduit up to 2’ above the 9’ ceiling. Install two electrical enclosures/junction boxes to roll up wiring into from the two disconnects to be removed. Upstream feeder disconnects are located in Electrical Room 302.

d. Electrical to be removed from the walls being demolished include two light switch locations, two receptacles, one dimmer switch, and two data drops (do not cut!) in the control room walls to be demolished.

C. Installation

1. New walls:

a. Install 12’ 3” linear feet of new 9’H smooth-finished walls according to the print.

b. Install 10’4” linear feet acoustic accordion wall with a header built to support the accordion wall’s weight (Woodfold Series 2100 or equivalent specifications with vinyl covering, no woodgrain covering). Accordion wall to be opened and pushed back to the East side wall and latched on the West side new wall when closed.

c. Patch and/or replace areas on all remaining walls where conduit, walls, and electrical were removed and where damaged walls exist.

d. Install 1’4” new wall along the Radiology corridor for the new South 4’W x 7’H door and door frame.

e. Install two new 4’W x 7’H wooden doors and steel door frames at the described locations with keyed locksets.

f. Install new electrical and data outlets according to the layout. Provide separate

¾” conduit and 2”x4” boxes for data drops at the same height as the electrical drops. Electrical outlet for the treadmill is to be rated at 208 VAC 1-phase

2. New sink and plumbing:

a. Install a new wall-mounted porcelain sink equivalent to existing style in hospital.

Sink shall have a manually operated commercial-grade gooseneck faucet.

b. Install healthcare grade mirror above new sink.

c. Plumb new hot and cold water lines to existing lines running over the room.

Insulate the hot water line back to the South wall. Provide proper support for all water lines including the existing water lines above the room.

d. Plumb new sewer line from sink to existing sewer line in the crawl space below the room. Access is available in room 521 to the West by Lab.

3. New Ceiling:

a. Install new Armstrong suspended ceiling with 2’x2’ ceiling tiles Armstrong Ultima Heath Zone 1935(A) ceiling tiles. Reuse existing ceiling support wire where possible and install new support wires where needed.

b. Install four new Lithonia 2’x4’ LED Volumetric Troffer 6000 Lumens 5000K light fixtures with dimmer switch and occupancy controls, or equivalent according to the print. Install support wires where needed.

c. Install new flex line sprinkler heads in the ceiling where required for proper coverage.

4. New Cabinetry Room 345:

a. Install a 9’0” wall-mounted solid-surface countertop 30” D along the new wall at 32”H according to the print. Provide a 2’W x 28”D x 30”H laminated open-faced lower cabinet with adjustable middle shelf and no backing under the east side of the new countertop. Connect lower cabinet to bottom of the countertop.

Install foot pads on bottom of lower cabinet to keep cabinetry off of floor.

b. Install a 9’0 upper laminated cabinet with three sets of opposing swinging doors with adjustable middle shelves. Match existing door handles in Radiology.

5. New Cabinetry Room 346:

a. Install a 6’0”L x 30”D x 2”H (thickness) wall-mounted solid-surface countertop along the new wall at 32”H according to the print. Provide a 1’6”W x 28”D x 30”H laminated open-faced lower cabinet with adjustable middle shelf and no backing under the east side of the new countertop. Connect lower cabinet to bottom of the countertop. Install foot pads on bottom of lower cabinet to keep cabinetry off of floor.

b. Install a 9’0 upper laminated cabinet with three sets of opposing swinging doors with adjustable middle shelves. Match existing door handles in Radiology.

6. Flooring:

a. Patch holes in floor where needed and where conduit was removed from floor.

Provide a level floor in order for the new floating flooring to lay on by filling in low spots and leveling high spots where needed.

b. Install floating luxury vinyl plank in both new rooms and provide transition strips where new floor meets the bathroom door and both corridor doors. Seal off transition strip with silicone at the bathroom door.

c. Install new cove base along all perimeter walls in rooms 345 and 346, and in the corridor where needed.

B. Materials

1. All commercial vinyl wall material shall be Koroseal “Desert Sand” texture, “Oyster” #5821-10 vinyl wall covering or equivalent, and shall apply the manufacturer’s recommended wallpaper adhesive. Walls to be covered shall be primered before covering with vinyl wallpaper.

2. All cove base shall be Roppe 100 black rubber cove base in matching heights or equivalent.

3. All paint shall be Sherwin Williams low or zero VOC, satin/eggshell for walls, semi-gloss latex enamel for metal door frames with colors selected by COR/project officer. New drywall installed shall have primer applied before painting.

4. All electrical duplex receptacles and light switches shall be hospital grade, 120 VAC, 20 amp rated. Receptacles within 6’ of wet location areas shall be of the same type but GFCI.

5. All drywall installed shall be 5/8” Type X fire-rated unless matching existing drywall.

6. All applied joint compound and taping shall be provided with a smooth finish for painting or applying commercial vinyl wall paper.

7. All 2’x4’ lighting installed shall be brand name (GE, Sylvania, Lithonia, Philips, etc.), flat-panel edge-to-edge, volumetric, or recessed where noted, 5000K, 120 VAC, LED light fixture rated at the comparable wattage of existing light fixtures in the exam rooms.

8. All steel door frames installed shall have the jointed fill in with the appropriate material, sanded smooth, and painted two coats with zero-VOC latex enamel Sherwin Williams paint.

9. All door replacements shall be minimally rated 20 minute smoke-rated, 1-3/4” thick solid-bonded, red oak machined doors stained with Sherwin Williams “Fruitwood” stain. These doors will not be lead-lined.

10. All door locksets shall be Corbin Russwin CL3300 series extra heavy duty commercial lockable lever with 626 NZD finish with D1 keyway. Match existing facility door brackets in hospital (4-1/2” x 4-1/2” ball-bearing hinge heavy duty).

11. All medical gas outlets and piping installation shall be installed according to NFPA 99, CGA, and other applicable codes, purged with nitrogen while piping is exposed to air, and tested/inspected by a third-party. No shark bites are allowed and any non-conforming work will be halted and corrected before continuing.

12. All flooring shall be commercial grade and shall be low-maintenance (no waxing) MetroFlor Engage Select “Desert Sand” CTN 1541 luxury vinyl plank or equivalent.

13. All flooring surfaces shall be prepped for the new floating flooring to lay flat with no visible low or high spots.

14. All new cabinetry shall be ¾” laminated construction matching existing cabinetry in Radiology.

IV. General Requirements

A. Point of Contacts:

All applicable documents shall be distributed as follows:

Contracting Officer:

Judy Perkins, Contract Specialist Oklahoma City Area Indian Health Service Office of Environmental Health and Engineering 701 Market Drive Oklahoma City, Oklahoma 73114 Phone: (405) 951-6023 Fax: (405) 951-3932 Judy.Perkins@ihs.gov

Facility Manager, IHS COR, & Project Officer Shawn Chopper, Facility Engineer/Manager Facilities Management US PHS Indian Hospital-Claremore 101 S. Moore Avenue Claremore, OK 74017 Phone: (918) 342-6020 Shawn.Chopper@ihs.gov

B. Contractor Work Hours:

Monday through Friday, normal business hours of 7:45 am to 4:30 pm, after normal business hours of 4:30 p.m. to 10 pm, and weekends from 7:00 am to 7 pm. Work identified in this scope of work shall be accomplished while the hospital is occupied and fully operational. Coordination and scheduling of work is shall be coordinated with the IHS COR. Work performed shall be planned to minimize the impact to services to the hospital by working after-hours and weekends when needed.

C. Safety Requirements:

1. Contractor shall abide by all Safety, Security and Infection Control Policies and Procedures of the Claremore Indian Hospital.

mailto:Judy.Perkins@ihs.gov mailto:Shawn.Chopper@ihs.gov

2. A hard barrier with zipper doors and ante room is required in the Radiology interior hallway in order to meet infection control requirements for this project.

3. Before any construction or services are to be performed within an IHS healthcare facility, The Contractor is 100% responsible for implementing and maintaining all Safety and Infection Control

Measures during performance of their contract. Initial and periodic inspection will be conducted by the IHS COR, Safety

Officer, and Infection Control Officer and any deficiencies will have to be immediately corrected by Contractor. The implementing of all Safety and Infection Control Measures is the sole responsibility of the Contractor to ensure these measures meet OSHA & NFPA Codes and ASHRE & The Joint Commission

Standards.

4. All trades must comply with all typical laws and standards. The contractor shall review procedures with respect to Life Safety and Infection Control measures prior to beginning inspection job. A film video will be made available to the contractor to view prior to starting inspection to comply with infection control procedures during hospital construction.

a. Video on “Infection Control during Construction”.

b. OSHA standard 1926.28 Personal Protective Equipment (PPE).

c. ILSM (Interim Life Safety Hospital Measure) Policy-Part A, Chapter 10, Section 4.

d. Guideline for environmental infection control in Health Care Facility 2003.

5. Contractor shall read and agree to all of the health safety regulations needed for this job.

a. Control risk assessment per type of project of activity per matrix of precaution for construction and renovation-Type 1-5. Attached policy “Infection Control during Construction and Renovation (Part H, Chapter 4, Section 7.0).

D. Quality of Workmanship:

1. Contractor shall perform high quality trade & craft workmanship. All work must conform to, and comply with, the latest edition & version of ALL applicable codes including, but not limited to, OSHA, NFPA, IBC, FGI Guidelines for Design and Construction of Health Care Facilities 2014 edition, and The Joint Commission Codes, Standards and Guidelines for Hospitals (CAMH).

E. Project Review, Coordination, Meetings and Submittals:

1. After Contractor receives the Notice to Proceed (NTP) from IHS Contracting

Officer, Contractor shall coordinate with the IHS Contracting Officer to schedule a date and time to have a Pre-Construction Conference project review meeting.

The Contractor is responsible to provide meeting minutes to the IHS CO and IHS COR within five business days after this meeting.

2. The Pre-Construction project review meeting shall be conducted prior to start of any construction work to ensure that all communication and documentation is in order and approved. At this meeting the Contractor shall also provide the following additional information:

Gantt Chart Progress Schedule;

List of Contractor’s on-site staff and, if any, sub-contractor listing;

Submittal Register for items that will be submitted for this project;

3. Prior to the start of any work, Contractor shall have items above reviewed and approved by the IHS COR and IHS Contracting Officer.

4. Contractor shall provide submittals for IHS COR review and approval. IHS COR shall respond within seven business days with either an approval, return for correction, or disapproval.

5. Contractor shall provide all warranties for installation, craftsmanship, and material to the IHS COR and IHS CO at the completion of the project.

F. Material and Equipment:

1. All supplies, materials, and equipment shall be new and of a type of quality that conforms to applicable Federal specifications and standards. All supplies and materials to be used in the performance of work described herein are subject to the approval of the IHS COR.

a. The contractor shall submit to the IHS COR a listing indicating the name of the manufacturer, the brand name, and the intended use of each of the materials proposed for use in the performance of its work.

b. The contractor shall not use any materials which the IHS COR determines would be unsuitable for the intended purpose.

c. The contractor shall use Green/Environmentally products and material when replacing the flooring where possible.

d. Materials (drywall, ceiling tiles, flooring, cove base, glue, etc.) used by the Contractor shall conform to healthcare construction requirements and all applicable codes.

G. Submittals / Request for Information (RFI):

2. Submittals may be drawings, sketches, manufacturer’s literature, catalog descriptions, or other descriptions in sufficient detail to allow a decision.

Submittals shall be required as follows:

a. The contractor shall submit a layout (sketch, print, AutoCAD drawing, etc.)

for any changes to the proposed layout according to the SOW.

b. Submittals shall be provided where called for in the specifications or on the drawings.

c. For any item the contractor proposes to substitute for a specified item as same “or equal”.

d. For any proposed design change or deviation from the specifications or the drawings.

e. For anything in the plans or specifications found to conflict with applicable codes and standards.

f. Contractor shall provide electronic submittals and any MFG signed & dated warranties

3. Substitutions or deviations not approved by the COR shall risk rejection.

Submittals and Safety Data Sheets (SDS) for chemicals and materials shall not be used until the submittal and SDS is approved.

4. A Request for Information (RFI) document shall be required on this project for anything not understood by the contractor.

5. All chemicals and materials used with SDS information shall be turned in BEFORE use to the Facility Manager/COR for approval.

DEPARTMENT OF HEALTH & HUMAN SERVICES

246-2046-Q-0041; X-Ray Room Renovation

Amendment #4 Questions and Answers (Q&A)

Question 1: On the fire doors- we are not going back with lead lined correct?

Answer 1: Correct, we are not maintaining the lead-lining of the room including the doors. Wood doors are 20 minutes smoke rated minimum, 1-3/4” solid bond, red oak machined, Sherwin Williams “Fruitwood” stained.

Question 2: Wood species of door type of veneer?

Answer 2: Red oak

Question 3: Size metal studs?

Answer 3: 3-5/8” wide and either matching gauge or 25 gauge/required by code. New walls shall be properly braced above the ceiling for horizontal support.

Question 4: How tall are you wanting the actual accordion wall?

Answer 4: Depends according to what manufacturer provides and according to the header that has to be built for the accordion wall. 8’ tall would be ideal if the header allows for it.

Question 5: Can you tell me how much wall covering is needed and where it is located. It looks like it is in the corridor where the door is moving.

Answer 5: I notice I left out how far down to move the south door opening. It is to be moved 1’4” to the South.

I corrected it on the SOW and on Attachment B.

The answer to the square footage of wall covering with the changes above should be self-evident. The north door opening is made wider and taller, and should not require any wall paper. Since the South door is being moved South 1’4”, vendors will need to replace enough wall covering to cover the new wall from floor to the 9’ ceiling, so the answer would be at least 1’4” wide x 9’, and the maximum would be the width of the wall paper x 9’.