SOW - Med Gas Repair.docx

Statement of Work

1. Title: Medical Gas and Vacuum System Repair

2. General:

2.1. The Contractor shall provide all labor, tools, material, and special equipment necessary to perform repairs on the facility medical air and medical vacuum systems and associated equipment at the James J. Peters V.A. Medical Center Campus located at 130 West Kingsbridge Road, Bronx, New York 10468. These repairs are necessary to bring the medical air and vacuum systems and equipment into compliance.

2.2. At the completion of all repairs, the Contractor must provide documentation certifying compliance with current National Fire Protection Association (NFPA) - 99 (Health Care Facilities Code latest edition), Compressed Gas Association (CGA) and The Joint Commission Organization (TJC) - latest edition or other applicable current recommendations.

3. Conformance Standards:

3.1. This requirement is for the repairs of medical piped gas and vacuum systems. All services provided under this contract shall be performed in conformance with the NFPA, CGA and ASSE specifications and regulations. (www.nfpa.org) (www.asse.org) (www.cganet.com)

· NFPA 5.1.14.2 Maintenance of Medical Gas, Vacuum, WAGD, and Medical Support Gas Systems.

4. Contractor Qualifications:

4.1. Persons maintaining these systems shall be qualified to perform these operations. Appropriate qualification shall be demonstrated by either or both of the following:

4.1.1. Credentialing to the requirements of ASSE 6040, Professional Qualification Standard for Medical Gas Maintenance Personnel.

4.1.2. Credentialing to the requirements of ASSE 6030, Professional Qualification Standard for Medical Gas Systems Verifiers.

5. Scope:

5.1. Contractor shall repair the following medical air and vacuum system items, listed in the chart below as identified in the latest annual medical air and vacuum inspection report.

5.2. Abbreviation Chart

5.3. Outlets

ITEM #

DEVICE #

ROOM NUMBER

STA #

GAS

OUTLET DEFICIENCY

DESCRIPTION OF REPAIR REQUIRED

5.4. Zone Valve Boxes

ZONE VALVE LOCATION

ZVB DEFICIENCY

DESCRIPTION OF REPAIR REQUIRED

ICU ENTRANCE

MED AIR GAUGE OUT OF CALIBRATION

REPLACE GAUGE

ICU ENTRANCE

OXYGEN GAUGE OUT OF CALIBRATION

REPLACE GAUGE

CORRIDOR BETWEEN 7B-11 & 7B-12

ROOM LABELS INCORRECT

ADD ROOM 7B-62 TO LABELING

CORRIDOR BETWEEN 7C-12 & 7C-11

ZVB NEEDS TO BE RELABELED

RELABEL ZVB WITH PROPER ROOM NUMBERS LABEL

CORRIDOR BETWEEN 7C-12 & 7C-11

ZVB NEEDS TO BE RELABELED

RELABEL ZVB WITH PROPER ROOM NUMBERS LABEL

OUTSIDE 1C-46

ZVB NEEDS TO BE RELABELED FADED

RELABEL ZVB WITH ROOM NUMBERS LABEL

ACROSS 1D-127

ROOM LABELS INCORRECT

ADD PRO A,B,C TO LABELING

5.5. Area Alarm Panels

ALARM PANEL LOCATION

AAP DEFICIENCY

OUTSIDE 7B - 64

LABELING FADED

RELABEL ROOM NUMBERS

OUTSIDE 1E-104

PANEL NOT FUNCTIONAL

TROUBLESHOOT AND TEST PANEL

OUTSIDE 1E-134

PANEL NOT FUNCTIONAL

TROUBLESHOOT AND TEST PANEL

OUTSIDE 1A-06

RELABEL ROOM AND GAS NUMBERS

INSIDE 2D-09

RELABEL ROOM NUMBERS

5.6. Source Systems

SOURCE SYSTEM AND LOCATION

SOURCE SYSTEM DEFICIENCY

1&2

OXYGEN HIGH PRESSURE SWITCH

HARD TO ACCESS

RELOCATE PRESSURE SWITCH FOR BETTER ACCESS

OXYGEN LOW PRESSURE SWITCH

RELOCATE PRESSURE SWITCH FOR BETTER ACCESS

MED AIR HIGH PRESSURE SWITCH

RELOCATE PRESSURE SWITCH FOR BETTER ACCESS

MED AIR LOW PRESSURE SWITCH

RELOCATE PRESSURE SWITCH FOR BETTER ACCESS

OXYGEN HIGH PRESSURE SWITCH

DID NOT FUNCTION AS DESIGNED

REPLACE PRESSURE SWITCH

MED AIR SYSTEM MAIN BLDG

BROKEN FLEX LINE

REPLACE FLEX LINE

MED AIR SYSTEM CLC BLDG

REGULATORS

IN NEED OF TIMED OVERHAUL

MED VACUUM SYSTEM CLC BLDG

FAILING CHECK VALVE

REPLACE CHECK VALVES

6. Place of Performance:

Department of Veterans Affairs James J. Peters VA Medical Center 130 W Kingsbridge Road Bronx, NY 10468

7. Period of Performance:

July 21, 2025 – September 5, 2025

8. Safety Requirements:

8.1. In the performance of this contract, the Contractor shall take such safety precautions as OSHA may determine to be reasonably necessary to protect the lives and health of occupants of the building.

9. Reporting Requirements:

9.1. The Contractor shall be required to report to the Facilities Management Office (Building 100, room GC -100), or the designated location, prior to any start of work during normal working hours.

9.2. When the service is complete, the Contractor shall document services rendered on a legible field service report.

9.3. The Contractor shall log out at the Facilities Management Office, (or designated location), and submit the field service report to the Contracting Officer Representative (COR) for a signature, during normal working hours.

10. Inspection:

10.1. VA personnel and the Contractor shall inspect any work that is performed and agree on the condition and any existing damage or failures prior to beginning work. A final inspection for quality assurance will take place after completion of the work by VA personnel prior to acceptance.

11. Days and Hours of Operation:

11.1. All work shall be performed during normal business hours.

11.2. Normal business hours are Monday-Friday 8:00am to 4:30pm excluding the following federal holidays

11.3. Federal Holidays:

New Year’s Day Martin Luther King Jr’s. Day President’s Day Memorial Day Juneteenth Fourth of July Labor Day Columbus Day Veteran’s Day Thanksgiving Christmas Day

12. Additional Work

12.1. Should any other repairs be found during the performance of this contract that are outside the scope included herewith, the contractor shall provide a quote to the Contracting Officer (CO) and the Contracting Officer’s Representative (COR) or designated alternate point of contact. The Government will review the recommended repairs and decide on need, timeline and mechanism for completing the repair.

12.2. Any additional work outside of this Statement of Work are not authorized, unless approved through a modification to the contract by the CO. No one aside from the CO has the authority to obligate funds for the VA.