UPDATED STATEMENT OF WORK_ 36C24224Q0616.docx

STATEMENT OF WORK

Medical Gas System Preventive Maintenance New Jersey Healthcare System

Background:

The New Jersey Healthcare System at Lyons and East Orange campuses has a requirement for preventive maintenance on their medical gas systems. We are currently seeking a full service and preventative maintenance contract for both campuses. The contractor must perform quarterly preventative maintenance (PM) services on each piece of equipment outlined in this scope of work.

Scope:

The contractor must provide all labor, materials, and equipment necessary for a full preventive maintenance program. PM must include quarterly inspection and testing of the equipment. It must also include evaluation of the medical gas system in accordance with VHA Directive 7515(1) – Medical Gas and Vacuum Systems, NFPA 99 – Healthcare Facilities Code and the terms within this statement of work.

The contractor must evaluate existing medical/dental compressed air and medical vacuum systems, terminal performance, compressor or source configuration, valves, gauges, warning systems and alarms, back-up systems, vents, and contamination for compliance with current NFPA 99 – Healthcare Facilities Code specification and requirements.

Contractor employees must be ASSE 6040 certified to perform maintenance and ASSE 6030 certified for inspection and testing. Minor repairs must be done while on station more difficult repairs or those needing additional parts a quote will be provide for those deficiencies.

Medical Air & Vacuum Systems: All systems must be serviced Quarterly. PM must include services to replace any parts per the Manufacturers recommended intervals. At completion of Service, a report must be sent to the respective COR.

Repair Procedures: Any repairs beyond the SOW PM procedures must be quoted first before any repair work can be approved through the Contracting Officer for completion.

Equipment List:

East Orange:

Bldg 1, C Level C-132 – One EMSE Cabinet 15 H/P Quad Vacuum System (Model 1QCB15S200), Busch Claw vacuum Pumps (Model MINK MV 0602B)

Bldg 1, C Level C-112 – Two Sullair Hitachi Screw Compressor Medical Air (Model DSP-22AT6N-M125, Ser. # U1240304 & U1243830) 30 KW/40 H/P Simplex Screw Compressor, Patton Medical Air Dryers 275 SCFM/64-020275 Two Sullair Hitachi Screw Compressor Dental Air (Model DSP22AT6N-M125, Ser. # U1241137 & U1243829) 30 KW /40 H/P Simplex Screw Compressor, BEKO Refrig. Dryer

Parts List for East Orange Equipment:

EMSE Cabinet 15 H/P Quad Vacuum System – 1 Ea.

(4) ..4107400122 KIT O2CL OIL CHANGE SIZE B (4) ..3003937680 238 SOLBERG PAPER ELEMENT 238 Sullair Hitachi Screw Compressor for Dental Air – 2 Units V-3003087989-SPL 51188820 Hitachi Oil Filter Element

(1) .3003417389-SPL OIL- GL6BN- 5 GALLONS

(1). V-51185510-SPL 51185510 PARTS KIT, SUCTION THROTTLE

VALVE

(1). V-5372E633-SPL 5372E633 PARTS KIT, OIL MIST REMOVER

(1). V-54704050-SPL 54704050 V-BELT FOR MOTOR+

(1). V-21717211-SPL 21717211 ELEM, AIR FILTER

(1) .3003409493 XR19060 COSA DEWPOINT SENSOR XTR-100

XENTAUR COSA/ XR19060

(1).1280568562 CELL CO DETECTOR AMICO A31065 65-2400T

Sullair Hitachi Screw Compressor for Medical Air – 2 Units

(1). V-3003087989-SPL 51188820 Hitachi Oil Filter Element

(1) .3003417389-SPL OIL- GL6BN- 5 GALLONS

(1). V-51185510-SPL 51185510 PARTS KIT, SUCTION THROTTLE

VALVE

(1). V-5372E633-SPL 5372E633 PARTS KIT, OIL MIST REMOVER

(1). V-54704050-SPL 54704050 V-BELT FOR MOTOR+

(1). V-21717211-SPL 21717211 ELEM, AIR FILTER

(1) .3003807389 4038140 BEKO FILTER ELEMENT

Lyons:

Chemtron Medical air System – 7.5 H/P Powerex Compressor (Model DAPOL 7.5-120T), Cabunet Model 100 Compressors ser. # 2187 Chemtron Vacuum System (Model DVR5-120T) Lube Vacuum Pumps VCEH-100 5 H/P Ser. # 2187-987198

Parts List for Lyons Campus:

Chemtron Medical Air System – 1 Unit

(2) ..ELM24-003 E1-24 HF SERIES GRADE 1 FLR EL M

(2) ..ELM21-003 E7-24 HF SERIES GRADE 7 FLR EL M

(2) ..ELM22-003 E5-24 HF SERIES GRADE 5 FLR EL M

(2) ..4107652477 FLR ELM, INLET SUCTION 849 PREV P/N:

ELM01-006

(4) ..MUF01-008 PURGE EXH MUF 1" MPT ARROW ASQ F-8M

Reports:

The contractor will provide a copy of service report to the COR. The report will include a list of all preventive maintenance checks completed, as well as, identified problems and/or deficiencies found. The contractor will provide two inspection reports to the COR following completion of evaluation. The inspection documents will include, as a minimum, test parameters consisting of terminal performance, valve testing, cross connections, alarm testing, leak detection, equipment evaluation, contaminant, particulate and dewpoint testing. The service reports must be signed by both the service provider and the COR at completion of work. An electronic version of same must be sent to the COR.

Period of Performance:

The period of performance shall be one year from date of award with provision for one option year. Performance shall exclude federal holidays. Federal Holidays observed by the Federal Government are:

- New Year’s Day

The contractor shall provide quarterly services in July, October, January, and April.

All work must be performed Monday through Friday during the hours of 8:00 AM to 4:30 PM; except for the Operating Room and Recovery Rooms, which will be done at night or on weekends as scheduled and approved by the COR. No work shall be performed on Saturdays, Sundays, and Holidays unless otherwise stated and approved by the COR.

Place of Performance:

Department of Veterans Affairs New Jersey Healthcare System East Orange Campus 385 Tremont Ave E Orange, NJ 07018

Upon arrival the contractor will report to Plumbing Shop Foreman, Bldg. 1, Room B-102, Ext. 3365. The contractor is required to sign out before leaving the facility in order to provide reports as required.

Department of Veterans Affairs New Jersey Healthcare System Lyons Campus 151 Knollcroft Lyons, NJ 07939

Upon arrival the contractor will report to M&R Shop Foreman, Bldg. 15, Ext. 4280. The contractor is required to sign out before leaving the facility in order to provide reports as required.