AMICO Patient Headwalls Submittals_BES RSP.pdf

Architectural

Submittal Package Project Name:

Date Prepared:

Quote #:

PO #:

Revision #:

jtpop headwall

Amico Contact InformationSubmittal Package Instructions

Customer Contact Information Name Title Email Phone #

Date Required on Site: Submittal To Be Returned By:

Project Manager:

Tel: 905.764.0800 Ext.

Mobile:

Email:

Adanna Knowles Director, Project Management Mobile: 647.284.8798 Email: aknowles@amico.com

Additional Amico Products Included in this Project:

LiftsNone Lights Accessories Other:

Download Package Review and Collaborate Approve Upload Package

All signatures in this package certifies that Amico is authorized to proceed with fabrication of the headwalls based on the information provided.

Approval Name (Please Print) Signature Date

Delivery Verifications Requested On Site Delivery Date:

Ship To Address:

Special Instructions:

Delivery Notes:

Facility Name:

City:

Street Number:

State/Province:

On Site Contact:

Street Name:

Zip/Postal Code:

Contact Phone Number:

EIN/FEIN# of Receiver:

Type of Receiving Dock:

Other Requirements (additional charges apply):

Hours of Delivery:

Equipment On Site to Unload:

Other:Forklift Pallet Jack

Dock Level (elevated)

Liftgate

Ground Level

Box Truck

Type of Truck Required:

Amico's Standard Truck - 53' Transport

Dock Appointment Required for Delivery: Yes No

• There is a 2 hour time limit to offload full truck loads, and up to an hour for less than a truck load shipments, additional charges will apply if this is surpassed.

Note:

• Headwalls will be shipped in vertical sections. Please see installation manual for more information.

Note:

Mechanical - U.S.

Amico gas outlets will be provided in English.

Connection Type:

WAGD/AGSS System:

Copper Pipe:

Active

Type “L”

Passive

Type “K” NA (NuLook Refresh)

Ohmeda D.I.S.S. Chemetron Puritan-Bennett

Other:

RKoshy Line

Architectural

Color Name:

Code:

Finish:

Grain Direction:

3D Wrapped Panel Color:

Color Name:

SO Code:

Finish:

Resin Panels Selection:

Provisions:

Ceiling Height:

Mirror Units:

Stud Height: Stud Gauge: Drywall Thickness:

Horizontal

Required

Vertical

Not Required

Provision Type Manufacturer (Name/Model #) Opening Gang Size Back Box Gang Size Power Type

Nurse Call

Staff Assist

Code Blue

Telephone/Data

Monitor Outlet

Other:

Other:

NP

NP

NP

NP

NP

NP

NP

EP

EP

EP

EP

EP

EP

EP

LV

LV

LV

LV

LV

LV

LV

Standard Colors**: Standard Colors**:

Bed Bumpers: Vertical Horizontal **Custom colours are available at additional cost.

Caramel

W-BED-BUMP-AC-C20

Antique White

W-BED-BUMP-H44-AW

Biscotti

W-BED-BUMP-AC-B20

Biscotti

W-BED-BUMP-H44-BC

Monterey

W-BED-BUMP-AC-M20

*Additional charges may apply.

Other*:

Pull string is provided for all provisions in headwall.

RKoshy Line

RKoshy Line

RKoshy Text Box

LOW VOLTAGE PROVISION - STANDARD 1G\1G\LV

Electrical - U.S.

All devices shall be Leviton unless otherwise noted.

* If headwalls are near a water source but GFCI is not required please confirm

** Isolated power wiring shall be XHHW, brown with stripes for hot wires, orange with stripe for neutral, and green for ground, unless otherwise noted.

Hot Wire Color: Black Phased* Isolated Power**

Receptacle Type Voltage Amperage

Standard

Tamperproof

GFCI*

Other:

Please check this box if the following are confirmed and match the local NEC code and hospital specifications:

Comment

Circuitry (phased wiring schedule)

Conduit sizes

Electrical Terminations

Low Voltage Requirements

Quantity and type of receptacles on the headwall

For headwall systems that show critical power only, please confirm the # of sources feeding into the headwall

Switch Type Voltage Amperage Color

Momentary (20A only)

Single Pole

Three Way

Other:

• Circuit distribution is depicted as 1E, 2E... for critical and 1N, 2N... for normal power circuits. Circuit schedule must be provided at time of returned submittal. Engraved plates to be provided by others, if required.

• Consulting electrical engineer or electrical contractor should review headwall wiring on Amico drawings to verify compatibility with the building wiring.

Notes:

Down NOTE: Default is up.

Ground Pin Orientation:

Up

* Phased Wiring:

Amico will provide the following wire colors in the sequence shown:

• #1E = Black, #2E = Red #3E = Blue, #4E = Black... etc.

• #1N = Black, #2N = Red, #3N = Blue, #4N = Black... etc.

(Please confirm and approve the circuit IDs in the Drawings)

Emergency Color: Red Faceplates*: Stainless Steel NylonNormal Color: Ivory White Grey

120 120

120 120

120 120

120 120

277 277

277 277

277 277

277 277

20 20 Red

Red

Red

Red

Ivory

Ivory

Ivory

Ivory

White

White

White

White

Grey

Grey

Grey

Grey

20 20

20 20

20 20

LV

LV

LV

LV

Line Voltage Devices:

#10

#10

Hot and Neutral:

Ground:

#12

#12

Stranded & THHN (Standard)

Stranded & THHN (Standard)

* Bed Receptacle's faceplates are blue aluminum

Comments:

All pre-installed electrical receptacles are wired to the Junction Box unless requested otherwise.

Pre-wired Receptacles:

Junction Box Wire-Whip 6'

AV O A VO

VAC-4G OXY-5G AIR-5G

NULOOK MANIFOLD SURFACE MOUNTED PANEL WALL

(M/N: FW0909-NU-GEN-P)

MFGR. : TBC MODEL No. : TBC

MFGR. : AMICO TYPE CONNECTION : TBC

IMPORTANT: PLEASE VERIFY THAT THE ABOVE INFORMATION IS

CORRECT, AND PROVIDE THE REMAINING DETAILS. APPROVAL - PRINT AND SIGNATURE DATE PHONE NO.

UNIT AS SHOWN - N.T.S.

O 2 AMICO GAS OUTLET, OXYGEN

A 2 AMICO GAS OUTLET, MED AIR

V 2 AMICO GAS OUTLET, VACUUM

N2 4 RECEPTACLE - DUPLEX IVORY

IE2 5 RECEPTACLE - DUPLEX RED

NC 1 PROVISION - NURSE CALL 3G

SLM 2 VACUUM SLIDE

DA 2 PROVISION - DATA 1G

CB 1 PROVISION - CODE BLUE 1G

DRAWING # 01

PATIENT ROOM 20

SALEM VA MEDICAL CENTER

SALEM, VA

SEE NOTES 9' - 0"

SYSTEM DETAILS

SYM QTY DESCRIPTION

PS 1 PANEL WALL (SURFACE)

MC 1 MONITOR CHANNEL - 13"

LV 1 PROVISION - LOW VOLTAGE 1G

SW 2 PROVISION - SWITCH 1G

AX 2 PROVISION - AUXILIARY 1G

MO 1 PROVISION - MONITOR OUT 1G

SC 1 37 PIN COMM. - 12' CABLE

BB 1 VERTICAL BED BUMPER - PAIR

HC 2 HORIZONTAL CHANNEL

1 1/2" MANIFOLD - OXY

1 3/4" MANIFOLD - VAC

1 1/2" MANIFOLD - AIR

Ø Ø Ø

NOTE:

- PLEASE REFER TO DRAWING # 01R FOR

NOTES

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VIEW B-B

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FINISHED FLOOR LINE

AutoCAD SHX Text A

AutoCAD SHX Text B

AutoCAD SHX Text A

AutoCAD SHX Text B

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CEILING LINE

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NC

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MO

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BLOCKING BY OTHERS

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HANGING BRACKET

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VIEW A-A

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LV

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DA

AutoCAD SHX Text N2

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IE2

AutoCAD SHX Text #1E

AutoCAD SHX Text N2

AutoCAD SHX Text #1N

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IE2

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SC

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BB

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HC

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HC

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CB

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AX

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SW

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AX

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SW

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SLM

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MC

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SLM

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IE2

AutoCAD SHX Text #1E

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DA

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FOR VISUAL PURPOSES ONLY

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ACTUAL NUMBER & LOCATION OF EMT

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CONDUITS & GAS PIPES TO BE

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CONFIRMED DURING PRODUCTION

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%%UUNLESS OTHERWISE SPECIFIED

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TERMINATION BOX

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LOCATION

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HOSPITAL

AutoCAD SHX Text www.amico.com

AutoCAD SHX Text 85 Fulton Way Richmond Hill, Ontario L4B 2N4, CANADA Toll-Free:1-877-462-6426(T) 1-866-440-4986(F) Tel: (905) 764-0800 Fax: (905) 764-0862

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NURSE CALL

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GAS OUTLETS

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FINISH

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CEILING HEIGHT

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REV. BY:

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DATE:

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REV. NO:

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PROJECT PM:

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SBARACAO

AutoCAD SHX Text Sep-10-2021

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CONSTRUCTION USE

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NOT FOR

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FOR SUBMITTAL

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PURPOSES ONLY

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TYPE:

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QUANTITY:

AutoCAD SHX Text IF MIRRORED UNITS ARE REQUIRED, THE CUSTOMER MUST INDICATE THE QUANTITY BELOW QTY MIRRORED: ____________

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RKOSHY

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AC013880

DRAWING #01 NOTES

MFGR. : N/A MODEL No. : N/A

MFGR. : N/A TYPE CONNECTION : N/A

IMPORTANT: PLEASE VERIFY THAT THE ABOVE INFORMATION IS

CORRECT, AND PROVIDE THE REMAINING DETAILS. APPROVAL - PRINT AND SIGNATURE DATE PHONE NO.

UNIT AS SHOWN - N.T.S.

- HANGING BRACKET TO BE SUPPLIED BY AMICO.

- BLOCKING TO BE SUPPLIED BY OTHERS.

- EMERGENCY RECEPTACLES TO BE SELF ILLUMINATED

- ENGRAVING TO BE PROVIDED BY OTHERS

- 1G DATA PROVISION TO HAVE 2G BACKBOX.

- GAS MANIFOLDS TO BE SHIPPED LOOSE & INSTALLED ON SITE BY

OTHERS:

-- Ø1

2" AIR MANIFOLD - QUINTUPLE CONNECTIONS

-- Ø1

2" OXYGEN MANIFOLD - QUINTUPLE CONNECTIONS

-- Ø3

4" VACUUM MANIFOLD - QUADRUPLE CONNECTIONS

- GAS OUTLETS BACK BODIES WILL HAVE 8' HOSES WITH DISS

CONNECTOR

- ELECTRICAL TERMINATION BOX WITHIN UNIT

- CUSTOMER TO CONFIRM CIRCUITRY

- MISALIGNMENT OF GRAIN MAY OCCUR BETWEEN SEAMS OF JOINED

PANELS WITHOUT REVEAL OR RAIL

- LAMINATE FINISH - RENOLIT COVAREN 3.0105.009 - 1 572 00 TACTION

OAK GIBRALTAR SYNCHRO

DRAWING # 01R

PATIENT ROOM

SALEM VA MEDICAL CENTER

SALEM, VA

N/A N/A 00

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LOCATION

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HOSPITAL

AutoCAD SHX Text www.amico.com

AutoCAD SHX Text 85 Fulton Way Richmond Hill, Ontario L4B 2N4, CANADA Toll-Free:1-877-462-6426(T) 1-866-440-4986(F) Tel: (905) 764-0800 Fax: (905) 764-0862

AutoCAD SHX Text

NURSE CALL

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GAS OUTLETS

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FINISH

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CEILING HEIGHT

AutoCAD SHX Text QUOTE No.

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REV. BY:

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DATE:

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REV. NO:

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PROJECT PM:

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SBARACAO

AutoCAD SHX Text Sep-10-2021

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CONSTRUCTION USE

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NOT FOR

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FOR SUBMITTAL

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PURPOSES ONLY

AutoCAD SHX Text Sep-10-2021

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TYPE:

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QUANTITY:

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RKOSHY

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AC013880

Extras to be Confirmed During Submittal Stage - Headwalls Topic To Be Discussed In Progress Complete N/A

Tamperproof Receptacles

GFCI Receptacles

Circuitry (Phased Wiring Schedule)

Backlit Panel

Mirrored Units

Back to Back Units

Nurse Call Details

Gas Terminations

Electrical Terminations

Ceiling Obstructions (Photos Required)

Wall Obstructions (Photos Required)

Stud Size/Gauge

Dialysis Box

LV Requirements

Phased Shipping Requirements

Installation Manual Provided

Conduit Sizes For headwall systems that show critical power only - Please inform Amico if the critical power is coming from the same source, or two separate sources Electical details are compliant to the local NEC code and hospital specifications

Terms and Conditions

• Manufacturing of the product(s) covered by this submittal package will not commence until all verification pages and drawings are approved and signed.

• The information herein forms the basis for manufacturing and shall take precedence over all other documentation, including but not limited to, project specifications, addenda, drawings, and any email, verbal or RFI communications.

• Standard lead time is 10-12 weeks from receipt of fully completed and signed submittal package, fully executed Purchase Order, and Credit approval.

• Shipping: Freight pricing is based on a 53' Dry Van and a single delivery (unless otherwise specified on the quote). Redirection of any shipment after it has left Amico’s facility may incur additional cost. Additional charges may apply for flatbeds and liftgates. Please ensure the equipment and staff are available on-site to receive and offload the equipment.

• Units will be manufactured as per the ceiling height listed on the approved shop drawings and Architectural verification page.

• Low voltage conduit will be ¾" unless otherwise specified. All copper piping will be Type L, unless otherwise noted.

• All headwalls will be pre-wired and piped as indicated in the attached drawings. Service connection points will be above the ceiling.

• Device placement and unit configuration will be as per approved shop drawings. Please reference elevations and verify the electrical receptacle and gas outlet positioning, and ensure that the configuration shown will allow enough room for the secondary equipment.

• Engraving is not included in the quote. Additional costs will apply if engraving is required.

• All 37 pin connectors come with 12' cable; 25' cable is available at an additional cost.

• Global colors for 3D Wrapped Panels will result in longer lead times and may be subject to additional costs.

• MIRRORED units will be manufactured as per the room layout chart in the submittal drawings.

• Amico manufactures all products in accordance with the current National Electrical Code (NEC/CEC) specifications. It is the responsibility of the customer to notify Amico if the local electrical code varies or differs from that of the current NEC.

• It is the responsibility of the customer to verify that the medical gas outlets specified meet the requirements of the local authority.

• Headwall blocking is to be provided and installed by others.

• Customer acknowledges that on-site conditions may differ from room to room.

• Customer to identify and communicate to Amico and obstructions in the building walls where the headwalls are to be installed.

• Amico will base the measurements of the headwalls on the dimensions of the rooms provided. Amico will not be held liable if headwall measurement discrepancies occur on site.

ACA-SUBMITTAL 08.10.2021

Signature: