36C24726Q0680 0001.docx

DOCX document 46 MB Posted Jul 24, 2026

Attached to: J059--EMERGENCY LOW VOLTAGE (480) SOURCE SWITCHGEAR and AUTOMATIC TRANSFER SWITCH (ATS) AND THE UTILITY LOW VOLTAGE (480) SOURCE SWITCHGEAR AND ATS Federal contract opportunity
Solicitation number: 36C24726Q0680
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

About this file

Written by GovTribe AI · Jul 24, 2026

This is a Standard Form 30 Amendment to Solicitation extending the closing date and providing supplemental information for a low-voltage electrical switchgear maintenance and testing project at the Department of Veterans Affairs Central Alabama Veterans Health Care System.

The solicitation 36C24726Q0680 is for Emergency Low Voltage (480V) Source Switchgear and Automatic Transfer Switch (ATS) maintenance, as well as Utility Low Voltage (480V) Source Switchgear and ATS services. The amendment extends the receipt of offers deadline to August 4, 2026, at 1:00 PM EDT and specifies that site visits may be conducted between July 27 and August 3, 2026, with Raymond Herndon serving as the point of contact (843-543-3820). The work involves testing and maintenance of low-voltage automatic transfer switches (480V) only and specifically excludes the VHA Directive 1028 tri-annual maintenance contract. Key findings from the questions and answers clarify that PIV credentialing (approximately 6 weeks processing) will not delay mobilization, contractor personnel may access the site under escort during credentialing, and existing active VA-issued PIV credentials are acceptable. Only foremen and supervisors require initial PIV credential issuance. The equipment includes three GE 489 protective relays on CAT-ISO parallelling switchgear and four Eaton FP-5000 protective relays on main distribution switchgear. ASCO brand automatic transfer switches are specified. Any work requiring outages must be scheduled at least two weeks in advance, likely occurring after hours or weekends. The amendment includes comprehensive manufacturer drawings and technical documentation for Cutler-Hammer medium-voltage switchgear assemblies and Eaton medium-voltage switches with detailed bills of material, certified production test reports, and seismic application guidelines.

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5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 07-24-2026 Department of Veterans Affairs Central Alabama Veterans Health Care 215 Perry Hill Road Montgomery

36109-3798 Department of Veterans Affairs Central Alabama Health Care System East Campus 2400 Hospital Road Tuskegee

36083-5001 To all Offerors/Bidders

36C24726Q0680

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 08-04-2026 1:00 EDT X The purpose of this amendment is to extend the closing date, provide Question and Answers and to provide Site Visit POC and times. Any site visit should be accomplished between 27 July through 3 August 2026.

POC: Raymond Herndon raymond.herndod@va.gov Mobile # 843-543-3820 Charleston VAMC

SEE ATTACHED QUESTIONS AND ANSWERS

Marcus Watts Contracting Officer

1. What is the expected processing time for background investigations and PIV credential issuance?

A: Approximately 6 weeks. (Contractor will be escorted during P/M and temporary badges are available).

1. May contractor personnel access the site under escort while PIV credentialing is pending?

A: Yes.

1. Will existing active VA-issued PIV credentials be accepted for this contract?

A: Yes

1. Which contractor personnel are required to obtain PIV credentials under this contract?

A: Initially, foreman and supervisors.

1. Has the project schedule accounted for the personnel vetting and PIV credentialing process before mobilization?

A: PIV process will not affect mobilization. (See item 1)

1. Can you confirm the quantity of all low-voltage circuit breakers that are 1600A and higher?

A; This P/M is for the low voltage Automatic Transfer switches (480v) only.

7. Please confirm whether all testing and services are to be performed in accordance with ANSI/NETA MTS and VHA Directive 1028.

A: This contract is not for the 1028 Directive tri-annual maintenance and inspection

8. Please provide the shutdown and test schedule for this solicitation A: Any work that requires an outage will need to be scheduled at least 2 weeks in advance, and most likely will need to happen after hours or on a weekend 9 . I don't see the protective relays on the switchgear listed, can you confirm they are excluded?

A: There are three (3) GE 489 protective relays on the CAT-ISO parallelling switchgear, and, four (4) Eaton FP-5000 protective relays on the main distribution switchgear. These should be included

10. What brand(s) are the ATS's?

A: ASCO

See below one line (comprehensive)

CAT-1SO Gear Manufacturers Drawings Switchgear Manufacturer

Generator (Big 3) and Main Switchgear Project drawings

N/a image1.png image2.emf

CAT-ISO Gear Manufacturers Drawings.pdf

Xerox Scan_07212026100528

Xerox Scan_07212026100424

Xerox Scan_07212026100313

Xerox Scan_07212026100002 image3.emf

Main Switchgear Manufacturer Drawing (Birdhouse & H200 Switchgear).pdf

Master Document Index

Cutler-Hammer Medium Voltage Assemblies

MVA 15 kV Lineup

GO-ITEM: MCS03114-002 File/Rev: MM001J47.HTM/2 SO Number: PO Number:

Designation: Customer:

EMS0625 - Ralph Johnson VA Medical

User: hillpp Date: 5/21/2009 9:49:52

Approval: Construction: As-Built: X

Drawing Description Document Name Rev

1 Master Drawing List MM001J47.DOC 2 2 Certified Production Test Report M90006K3.DOC 2

3 NAMEPLATES MK876I2Y0101.DOC 2

4 KEY LOCK SCHEDULE MK876I2K0101.DOC 2

5 BILL OF MATERIAL MK876I2P0101.DOC 3

6 INDOOR BASE PLAN WITH FLOOR CHANNELS

(36W X 96.25D) 6533C07.DWG 8

7 LEGEND LEGEND-GWD.DWG 5

8 PANEL BOARD MK876I2D0101.DOC 2

9 END VIEW MK876I2O0101.DWG 2

10 ROOF PLAN & FLOOR PLAN MK876I2Q0101.DWG 2

11 GENERAL DESCRIPTION MK876I2Z9001.DOC 2

12 FRONT VIEW MK876I2F0101.DWG 2

13 ONE LINE MK876I2L0101.DWG 2

14 SECTIONAL SIDE VIEW MK876I2V0101.DWG 2

15 SECTIONAL SIDE VIEW MK876I2V0201.DWG 2

16 SECTIONAL SIDE VIEW MK876I2V0301.DWG 2

17 SECTIONAL SIDE VIEW MK876I2V0401.DWG 2

18 ELECTRICAL MASTER DRAWING MK876I2E0101.DWG 2

19 SCHEMATIC DIAGRAM MK876I2S0101.DWG 3

20 THREE LINE DIAGRAM MK876I2T0101.DWG 2

21 WIRING DIAGRAM MK876I2W0101.DWG 1

22 WIRING DIAGRAM MK876I2W0102.DWG 1

23 WIRING DIAGRAM MK876I2W0201.DWG 1

24 WIRING DIAGRAM MK876I2W0202.DWG 1

25 WIRING DIAGRAM MK876I2W0203.DWG 1

26 WIRING DIAGRAM MK876I2W0301.DWG 1

27 WIRING DIAGRAM MK876I2W0302.DWG 1

28 WIRING DIAGRAM MK876I2W0303.DWG 1

29 WIRING DIAGRAM MK876I2W0401.DWG 1

30 WIRING DIAGRAM MK876I2W0402.DWG 1

Certified Production Test Report - MVA

Cutler-Hammer, 2210 Highway 72/221 East, Greenwood, SC 29648

GO-ITEM: MCS03114-002

EQUIPMENT DESIGNATION:

CERTIFICATION

The test below reflect the requirements in ANSI/IEEE C37.20.2 CSA C22.2 No. 31-04 and EEMAC G11-1 for inspections and production testing.

TESTING PASSED NA

Actual operation performed wherever possible, inspection or continuity checks made. X Component devices operated as shown on diagrams. X Control bus energized as 80% rated D-C or 85% A-C control voltage. X Control devices operated as shown on diagrams. X Verification of all remote circuits and spare contacts which were not included in operational test. X

Unless otherwise reported, protective relays, and other associated equipment functionally tested by energizing current and potential circuits to rated values. X

Instruments operated, expected readings verified. X Electro-mech watt hour meters checked for proper direction of disc rotation and current circuits for phasing. X

Protective relays operated for functional check in accordance with rating and application. Instantaneous trips manually operated to verify correct functioning of operation indicator and associated circuits.

Relays set and checked for operation within range of test equipment X Control circuits and associated wiring received insulation test of 1500 volts, 60 cycles for one minute, except where equipment manufacturer specifications do not permit. X

Primary insulation tested at (19K VAC, 60Hz RMS). X Primary insulation tested at (36K VAC, 60Hz RMS). X Primary insulation tested at (60K VAC, 60Hz RMS). X Primary insulation tested at (80K VAC, 60Hz RMS). X The corona pulse magnitude was less than 100pC when tested at a corona-extinction voltage of 3.5 KV. X voltage of 5.5 KV. X voltage of 10.5 KV. X voltage of 19.5 KV. X voltage of 26.5 KV. X

This certifies that the above is based upon recorded factory tests made at this location.

Silas Childs

Tester

Certified Production Test Report - MVA

02/25/2009 Date

M90006K3.DOC

NAMEPLATES

JIANG

GREENWOOD

RALPH H. JOHNSON VA MEDICAL CENTER

CHARLESTON, SC MP00031

FILENAME : MK876I2Y0101

GO. : MCS03114-002 ITEM: 002 SHEET 1

THE INFORMATION ON THIS

DOCUMENT WAS CREATED

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

PURPOSE IN WHICH IT WAS

SUPPLIED. REV: 2 DESIGNATION: NAMEPLATES

CIRCUIT NAMEPLATES

4.32 x 1.00 [109.7 x 25.4] SCREW MOUNTED NAMEPLATES WHITE WITH BLACK LETTERS 0.20 [5.1]

Maximum number of characters per line – 18

ID LINE ONE LINE TWO LINE THREE TOTAL

QTY

C01A CPT FUSE DRAWER 1

C01D BUS 1 VT 1

C02A LINE 1 VTS 1

C02D MAIN BKR 1 1

C03A LINE 2 VTS 1

C03D MAIN BKR 2 1

C04A CPT FUSE DRAWER 1

C04D BUS 2 VT 1

EXTERIOR DEVICE NAMEPLATES

2.50 x 0.75 [63.5 x 19.05] SCREW MOUNTED NAMEPLATES WHITE WITH BLACK LETTERS 0.20 [5.08]

Maximum number of characters per line – 14

ID LINE ONE LINE TWO TOTAL

D137 86-1 1 D138 86-2 1

D480A FP5200 2

D612 CPT 2

D642 TRIP 86 2

D750A POWER XPERT METER 2

INTERIOR DEVICE NAMEPLATES

2.50 x 0.75 [63.5 x 19.05] SCREW MOUNTED NAMEPLATES WHITE WITH BLACK LETTERS 0.20 [5.08]

Maximum number of characters per line – 14

ID LINE ONE LINE TWO TOTAL

D007 BUS V.T.S 2

D017 LINE V.T.S 2

D199 BKR CONTROL 30 AMP 2

D624 FUSE DRAWER 2

NAMEPLATES

FILENAME : MK876I2Y0101

GO. : MCS03114-002 ITEM: 002 SHEET 2

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

SUPPLIED. REV: 2 DESIGNATION: NAMEPLATES

ID NP ENGRAVING

G.O: MCS03114 Manufactured in: GREENWOOD,SC, USA Date of Mfr.: 01/22/2009 Item: 002 Rated Freq: 60 Phases: 3

Shop Order: 72YK876 Rated Max Voltage: 15kV Type: VC-W Power Frequency Withstand: 36 kV BIL: 95 kV

MAIN BUS CURRENT RATINGS

Continuous: 1200A Momentary, RMS Asymmetrical:

36.8 KA RMS 2 Second Short Time: 23kA

Enclosure Type: 1 Enclosure Category: C Instructions: IB 32-255-1 8063A76H05

KEY LOCK SCHEDULE

FILENAME : MK876I2K0101

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

SUPPLIED. REV: 2 DESIGNATION: KEYLOCK

ITEM

NO.

CATALOG

TYPE PROJ. EXTENDED /

WITHDRAWN

INT LOCK

NOTE WHERE USED VS

H01 KFL000010S E 0 E K1 BREAKER PAN ASSEMBLY 02

H02 KFL000010S E 0 E K1 BREAKER PAN ASSEMBLY 03

H03 KFL003710S E 3/8 E K2 F-FRAME LV BKR 01

H04 KFL000010S E 0 E K2 FUSE DRAWER 01

H05 KFL003710S E 3/8 E K3 F-FRAME LV BKR 04

H06 KFL000010S E 0 E K3 FUSE DRAWER 04

NOTES:

1. SECTION 2 AND SECTION 3

2. SECTION 1 AND SECTION 4

PURCHASE FROM ----- KIRK KEY COMPANY

ULTIMATE USER ----- RALPH H. JOHNSON VA MEDICAL CENTER

LOCATION ----- CHARLESTON, SC

BILL OF MATERIAL

FILENAME : MK876I2P0101

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

SUPPLIED. REV: 3 DESIGNATION: BILL OF MATERIAL

DEVICE

NAMEPLATE QTY PART

NUMBER DESCRIPTION * DEVICE ID’s

VERTICAL SECTION 01

D624 3 677C453G03 PRI-FUSE, CH, CLE, 15.5 KV 5.0E CLE-

1AF

1 K876LKH04 KEY INTERLOCK PER DWG

MK876I2K0101

1AK

1 K876LKH03 KEY INTERLOCK PER DWG

1BA

1 EHD3100 PROT/CTRL, CH, BREAKER, EHD, 3

POLE 100 AMP

1BB

D017 1 1C17629G06 VT, ITI, 1PT L-L ASSY, 110KV BIL,

14400:120 SYS V

1DA

2 5981C07G05 PRI-FUSE, CH, CLE, 15.5 KV 1.0E CLE-

1DF

1 KYK1 PROT/CTRL, CH, INTLK KIT, FOR

SERIES C F-FRAME BKR

1BC

1 YS2036 PROT/CTRL, CH, PANEL BOARD BOX,

20W X 36H X 5.75D

1PA

1 LT2036S PROT/CTRL, CH, PANEL BOARD TRIM,

20 X 36 SURF

1PB

1 MK876I2D0101 PROT/CTRL, CH, PANEL BOARD

INTERNALS FOR K876

1PC

D612 1 3CPT595301382A CPT, ITI, 30 KVA, 95KV BIL, 3-PH

13800/120-208V, 2 TAPS 7.5%

1WA

VERTICAL SECTION 02

1 68C5010G01 CH, BREAKER WHEEL CONVERSION

KIT

B 2BW

D007 1 1C17639G06 VT, ITI, 2PTS L-L ASSY 14400:120 SYS

2BA

4 5981C07G05 PRI-FUSE, CH, CLE, 15.5 KV 1.0E CLE-

2BF

D199 1 3A40335G20 PROT/CTRL, CH, PULL FUSE 2P W/2 30

AMP FUSES

2CA

1 3A40369G02 BREAKER, 150 VCPW 750, 1200A 60HZ,

UL, 125VDC C/M/T

2DB

1 K876LKH01 KEY INTERLOCK PER DWG

2DK

1 6510C50G03 SWITCH, GWD, MOC, 9 POLE 5A-4B

CONN ONLY

2DM

3 6350C24H01 CT, ABB, SCV 1200/5MR STD ACC C200 2DP

1 6510C49G03 SWITCH, GWD, TOC, 9-POLE 4A-5B

WIRED

2DT

1 PX4051A1BB METER, CH, POWER-XPERT 4000

METER W/ COMM EXPANSION AND I/O

CARDS

2HA

D750A 1 PXD-MMG METER, CH, POWER-XPERT GRAPHIC

DISPLAY MODULE

2HB

D642 1 3A40273G06 LIGHT, CH, E22, IND LT ASSY AMBER

125V

2PA

GO. : MCS03114-002 ITEM: 002 SHEET 2

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

1 3A40273G36 LIGHT, CH, E22, IND LT ASSY GREEN

2PB

1 3A40273G46 LIGHT, CH, E22, IND LT ASSY RED

2PC

D137 1 7802D RELAY, ELS, LOR-24, 125VDC/120VAC

2 DECK 30-140VDC

2PD

1 2452D SWITCH, ELS, SER 24, BKR CTRL,

PULL-TO-LOCK HNDL 5-ST

2PE

D480A 1 66D2041G11 RELAY, CH, FP5200-00, 5A, 48-125VDC

120VAC, INCOM,DRAWOUT CASE

2PF

3 UHS12060B0D0A1A ARRESTER, CPS, 12KV DISTRIBUTION

CLASS

2WA

6 8264A16H06 COMPONENT, WES, TERMINAL 1/0

AWG COMPRESSION

2WL,2ZL

2 8264A16H01 COMPONENT, WES, TERMINAL 6 AWG

COMPRESSION

2WY,2ZY

1 6353C97H01 ZERO SEQ CT, ABB, 50:5A C10 2ZZ

VERTICAL SECTION 03

1 68C5010G01 CH, BREAKER WHEEL CONVERSION

B 3BW

D007 1 1C17639G06 VT, ITI, 2PTS L-L ASSY 14400:120 SYS

3BA

4 5981C07G05 PRI-FUSE, CH, CLE, 15.5 KV 1.0E CLE-

3BF

D199 1 3A40335G20 PROT/CTRL, CH, PULL FUSE 2P W/2 30

3CA

1 3A40369G02 BREAKER, 150 VCPW 750, 1200A 60HZ,

3DB

1 K876LKH02 KEY INTERLOCK PER DWG

3DK

1 6510C50G03 SWITCH, GWD, MOC, 9 POLE 5A-4B

3DM

3 6350C24H01 CT, ABB, SCV 1200/5MR STD ACC C200 3DP

1 6510C49G03 SWITCH, GWD, TOC, 9-POLE 4A-5B

3DT

3HA

D750A 1 PXD-MMG METER, CH, POWER-XPERT GRAPHIC

3HB

D642 1 3A40273G06 LIGHT, CH, E22, IND LT ASSY AMBER

3PA

1 3A40273G36 LIGHT, CH, E22, IND LT ASSY GREEN

3PB

1 3A40273G46 LIGHT, CH, E22, IND LT ASSY RED

3PC

D138 1 7802D RELAY, ELS, LOR-24, 125VDC/120VAC

3PD

GO. : MCS03114-002 ITEM: 002 SHEET 3

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

1 2452D SWITCH, ELS, SER 24, BKR CTRL,

3PE

D480A 1 66D2041G11 RELAY, CH, FP5200-00, 5A, 48-125VDC

3PF

3 UHS12060B0D0A1A ARRESTER, CPS, 12KV DISTRIBUTION

3WA

6 8264A16H06 COMPONENT, WES, TERMINAL 1/0

3WL,3ZL

2 8264A16H01 COMPONENT, WES, TERMINAL 6 AWG

3WY,3ZY

1 6353C97H01 ZERO SEQ CT, ABB, 50:5A C10 3ZZ

VERTICAL SECTION 04

D624 3 677C453G03 PRI-FUSE, CH, CLE, 15.5 KV 5.0E CLE-

4AF

1 K876LKH05 KEY INTERLOCK PER DWG

4BA

1 K876LKH06 KEY INTERLOCK PER DWG

4AK

1 EHD3100 PROT/CTRL, CH, BREAKER, EHD, 3

4BB

D017 1 1C17629G06 VT, ITI, 1PT L-L ASSY, 110KV BIL,

4DA

2 5981C07G05 PRI-FUSE, CH, CLE, 15.5 KV 1.0E CLE-

4DF

1 KYK1 PROT/CTRL, CH, INTLK KIT, FOR

4BC

D612 1 3CPT595301382A CPT, ITI, 30 KVA, 95KV BIL, 3-PH

4WA

MISCELLANEOUS

1 32220WA00K MISC, PAINT, ANSI 61, 9OZ AEROSOL COMP

1 REF700B214 SWITCHGEAR STORAGE INSTRUCT

DWG

COMP

1 8064A02G01 HANDLE ASSY COMP

1 7813C41G03 RAIL EXTENSION LH/RH COMP

1 701B601G03 BREAKER, CH, LEV-IN CRANK W/

CLUTCH – CLOSED DOOR

2 69B1003H01 NAMEPLATE, GWD, ARC FLASH LABEL COMP

1 691C607G01 BREAKER LIFTING YOKE, CH, VCPW

5/15/27KV 36IN-WIDE

1 6526C23G11 TEST JUMPER, CH, VCPW, 5/15/27KV COMP

1 5676B22H01 SEISMIC CERTIFICATE COMP

1 1C19086H01 LIFT DEVICE, CH, BREAKER COMP

1 1A30257G01 ELEC LEVERING-IN DEVICE W/CLUTCH

120VAC

GO. : MCS03114-002 ITEM: 002 SHEET 4

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

1 6511C83G01 RAIL CLAMP, CH, FOR 5/15/27KV VCPW

SWITCHGEAR

2 RP02201001E INSTRUCT , CH , RENEWAL-PARTS

LEAFLET, 5/15KV

VERTICAL SECTION SUMMARY

2 3A40369G02 BREAKER, 150 VCPW 750, 1200A 60HZ,

2DB,3DB

6 6350C24H01 CT, ABB, SCV 1200/5MR STD ACC C200 2DP,3DP

D017 2 1C17629G06 VT, ITI, 1PT L-L ASSY, 110KV BIL,

1DA,4DA

D007 2 1C17639G06 VT, ITI, 2PTS L-L ASSY 14400:120 SYS

2BA,3BA

12 5981C07G05 PRI-FUSE, CH, CLE, 15.5 KV 1.0E CLE-

1DF,2BF,3BF,4DF

D624 6 677C453G03 PRI-FUSE, CH, CLE, 15.5 KV 5.0E CLE-

1AF,4AF

2 2452D SWITCH, ELS, SER 24, BKR CTRL,

2PE,3PE

D642 2 3A40273G06 LIGHT, CH, E22, IND LT ASSY AMBER

2PA,3PA

2 3A40273G36 LIGHT, CH, E22, IND LT ASSY GREEN

2PB,3PB

2 3A40273G46 LIGHT, CH, E22, IND LT ASSY RED

2PC,3PC

D480A 2 66D2041G11 RELAY, CH, FP5200-00, 5A, 48-125VDC

2PF,3PF

D137 1 7802D RELAY, ELS, LOR-24, 125VDC/120VAC

2PD

D138 1 7802D RELAY, ELS, LOR-24, 125VDC/120VAC

3PD

1 LT2036S PROT/CTRL, CH, PANEL BOARD TRIM,

20 X 36 SURF

1PB

1 MK876I2D0101 PROT/CTRL, CH, PANEL BOARD

INTERNALS FOR K876

1PC

3 PX4051A1BB METER, CH, POWER-XPERT 4000

2HA,3HA

D750A 2 PXD-MMG METER, CH, POWER-XPERT GRAPHIC

2HB,3HB

1 YS2036 PROT/CTRL, CH, PANEL BOARD BOX,

20W X 36H X 5.75D

1PA

D199 2 3A40335G20 PROT/CTRL, CH, PULL FUSE 2P W/2 30

2CA,3CA

2 EHD3100 PROT/CTRL, CH, BREAKER, EHD, 3

1BB,4BB

2 KYK1 PROT/CTRL, CH, INTLK KIT, FOR

1BC,4BC

1 1A30257G01 ELEC LEVERING-IN DEVICE W/CLUTCH

120VAC

GO. : MCS03114-002 ITEM: 002 SHEET 5

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

1 1C19086H01 LIFT DEVICE, CH, BREAKER COMP

1 32220WA00K MISC, PAINT, ANSI 61, 9OZ AEROSOL COMP

1 5676B22H01 SEISMIC CERTIFICATE COMP

1 6511C83G01 RAIL CLAMP, CH, FOR 5/15/27KV VCPW

SWITCHGEAR

1 6526C23G11 TEST JUMPER, CH, VCPW, 5/15/27KV COMP

2 68C5010G01 CH, BREAKER WHEEL CONVERSION

1 691C607G01 BREAKER LIFTING YOKE, CH, VCPW

5/15/27KV 36IN-WIDE

2 69B1003H01 NAMEPLATE, GWD, ARC FLASH LABEL COMP

1 701B601G01 BREAKER, CH, LEV-IN CRANK W/

CLUTCH

1 7813C41G03 RAIL EXTENSION LH/RH COMP

1 8064A02G01 HANDLE ASSY COMP

1 K876LKH01 KEY INTERLOCK PER DWG

2DK

1 K876LKH02 KEY INTERLOCK PER DWG

3DK

1 K876LKH03 KEY INTERLOCK PER DWG

1BA

1 K876LKH04 KEY INTERLOCK PER DWG

1AK

1 K876LKH05 KEY INTERLOCK PER DWG

4BA

1 K876LKH06 KEY INTERLOCK PER DWG

4AK

1 REF700B214 SWITCHGEAR STORAGE INSTRUCT

DWG

2 RP02201001E INSTRUCT , CH , RENEWAL-PARTS

LEAFLET, 5/15KV

2 6510C49G03 SWITCH, GWD, TOC, 9-POLE 4A-5B

2DT,3DT

2 6510C50G03 SWITCH, GWD, MOC, 9 POLE 5A-4B

2DM,3DM

D612 2 3CPT595301382A CPT, ITI, 30 KVA, 95KV BIL, 3-PH

1WA,4WA

2 6353C97H01 ZERO SEQ CT, ABB, 50:5A C10 2ZZ,3ZZ

4 8264A16H01 COMPONENT, WES, TERMINAL 6 AWG

2WY,2ZY,3WY,3ZY

12 8264A16H06 COMPONENT, WES, TERMINAL 1/0

2WL,2ZL,3WL,3ZL

6 UHS12060B0D0A1A ARRESTER, CPS, 12KV DISTRIBUTION

2WA,3WA

GO. : MCS03114-002 ITEM: 002 SHEET 6

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

* NOTES

B SHOP TO INSTALL ON VCP-W BREAKERS FOR THIS JOB

DISTRIBUTION PANEL BOARD

TITLE DISTRIBUTION PANELBOARD CUTLER-HAMMER

GREENWOOD, SC

G.O. # - ITEM

MC03114-002

DATE

08/25/2008

REV 2 SHEET 1OF 1 MK876I2D0101

CUTLER-HAMMER

TYPE POW-R-LINE 2A DC 100A MAIN BREAKER

CIRCUIT DESCRIPTION LEFT SIDE POLES AMPS

BKR CTRL 2B 1 2 30

PWR XPERT DEV 5 2 15

SPARE 9 2 20

SPARE 13 2 20

CIRCUIT DESCRIPTION RIGHT SIDE POLES AMPS

BKR CTRL 3B 2 2 30

SPARE 6 2 20

SPARE 10 2 20

SPARE 14 2 20

ALL BREAKERS ARE TYPE GHB.

NOTE: THE SUM OF THE BRANCH BREAKER AMPERE RATINGS MOUNTED OPPOSITE

ONE ANOTHER CANNOT EXCEED 140A.

1) PROVIDE COVERPLATE OVER UNIDENTIFIED SPACES.

2) PROVIDE UL LABEL.

3) SHIP INTERIOR ONLY. BOX AND TRIM ORDERED SEPERATELY.

BOX: YS2036 36”H X 20”W X 5.75”D

TRIM: LT2036S SURFACE

SERVICE: 2-WIRE 125 VDC

BUS: COPPER

INCOMING: MAIN BREAKER TOP FEED

DEVICE ID: PB1

PURCHASE FROM SUMTER PLANT

GENERAL DESCRIPTION

DAVIS

CHARLESTON, SC

FILENAME: MK876I2Z9001

BY CUTLER-HAMMER. IT

WAS DISCLOSED IN

CONFIDENCE AND IS ONLY

TO BE USED FOR THE

SUPPLIED. REV: 2 DESIGNATION:

CUSTOMER NAME RALPH H. JOHNSON VA MEDICAL CENTER

INSTALLATION CHARLESTON, SC

P.O. # MP00031

S.O. # 72YK876

SYSTEM LINE TO LINE VOLTAGE 13800 V

BASIC IMPULSE LEVEL 95 KV CREST

GROUND SOLID GROUNDING

NUMBER OF PHASES 3 PH

FREQUENCY 60 HZ

PHASE SEQUENCE 1 - 2 - 3 OR A - B - C

ENCLOSURE TYPE GEAR INDOOR

REAR ACCESS COVERS

REAR LATCHING BOLTED

FRONT LATCHING QUARTER TURN KNOB

FINISH ENCLOSURE EXTERIOR ANSI 61

VERTICAL SECTION INTERIOR ANSI 61

BUS BUS RATING 1200A COPPER SILVER PLATED

JOINT HARDWARE HT STL (YELLOW ZINC CR)

SUPPORT INSULATION GLASS POLYESTER

GROUND BUS .25 X 2 COPPER NO PLATING

CIRCUIT BREAKER TYPE BREAKER 150 VCP-W 500 DIRECT ROLL IN

SHORT CKT CURRENT @ MAX KV 18 KA RMS SYM

VOLTAGE RANGE FACTOR, K= 1.3

CLOSING AND LATCHING CURRENT 62 KA PEAK

INTERRUPTING TIME 5 CYCLE

MOTOR VOLTAGE 125VDC

CLOSE VOLTAGE 125VDC

TRIP VOLTAGE 125VDC

SECONDARY & CONTROL BREAKER CONTROL POWER REMOTE

WIRE TYPE SIS

WIRE SIZE NON CURRENT CKT’S # 14 MIN

WIRE SIZE CURRENT CKT’S # 14 MIN

TERMINALS INSULATED LOCK IN FORK (ALL)

WIRE MARKERS ADHESIVE WRAP ON

TERMINAL BLOCKS (GENERAL) STANDARD 50A, 600V

TERMINAL BLOCKS (CTS) SHORT CKT TYPE 50A, 600V

WIRING DIAGRAM STANDARD

STANDARDS ANSI, IEEE, NEMA , UBC-SEISMIC ZONE 4

MISC REQUIREMENTS MIMIC BUS REQUIRED - 3/8" RED PLASTIC ADHESIVE

OPTIONAL EQUIPMENT 1 BREAKER LIFT DEV., ELECTRIC LEVERING DEVICE

Medium Voltage Switches

MVS 5/15 kV Trnsfmr Primary Switch

GO-ITEM: MCS03114-003 File/Rev: WM002Z44.HTM/2

Designation: Sub 1A Customer:

User: erontm Date: 1/12/2009 6:43:14

1 Master Drawing List WM002Z44.DOC 2 2 Certified Production Test Report - Greenwood W9000UA2.DOC 1

3 SEISMIC APPLICATION 7278A58.DOC 9

4 GWD-EMS0625-RALPH JOHNSON G081G62P.PDF 1

5 FRONT VIEW G081G62F.DWG 1

6 SCHEDULE G081G62N.DWG 1

7 FLOOR PLAN G081G62Q.DWG 1

8 SECTION VIEW G081G62V.DWG 1

9 BASE BOLT DOWN GUIDLINES MVS 5-15KV

SEISMIC 260C258.DWG 4

10 BASE WELDING GUIDLINES MVS 5-15KV

SEISMIC 260C258A.DWG 4

11 MVS 5/15KV SEISMIC ANCHOR PLAN 91C2504.DWG 1

W9000UA2.DOC

Certified Test Report

GO NO.: MCS03114 ITEM (S): 003

CUSTOMER ORDER NO.: 192528

EQUIPMENT DESIGNATION: Sub 1A

REFERENCE DRAWINGS:

CERTIFICATION: CERTIFICATION: The test below reflect the requirements in ANSI/IEEE C.37.20.3, CSA C22.2 No. 31-M89, and EEMAC G11-1 for inspections and production testing.

TESTING:

PASSED

DOES NOT

APPLY

v Mechanical Inspection Check X v Mechanical Function Check X v Electrical Joint Tightness Check X v Grounding of Instrument Transformer Case Test X v Electrical Operation Check / Sequence Test X v Power Circuitry Di-electric Test (19kVAC, 60Hz RMS for one

(1) minute) v Power Circuitry Di-electric Test (36kVAC, 60Hz RMS for one v Power Circuitry Di-electric Test (60kVAC, 60Hz RMS for one v Power Circuitry Di-electric Test (80kVAC, 60Hz RMS for one v Control Circuitry Di-electric Test (1.8 kVAC 60Hz RMS for one (1) second) v Polarity Test Transformer to Meters / Relays X v Cleanliness and Completeness Check X

Jason Brooks Tester

1/7/2009

Seismic Application Guidelines for Users of Cutler-Hammer Type MVS/MEB/MSB Medium Voltage Switchgear Assemblies and Unitized

Power Centers.

Greenwood, South Carolina USA

See the last page for Revisions Drawing No.: 7278A58

Based upon testing performed on generic MVS Medium Voltage Switchgear Assemblies and a generic Unitized Power Center (UPC) fastened to a tri-axial seismic test table and shaken to simulate the effects of an earthquake, the following requirements must be accommodated during design the of the foundation and the installation of the switchgear:

1. Foundation Design:

The foundation must be continuously true and level within 0.32mm (0.0125") in 36” in any direction beneath the switchgear assembly. The foundation must be designed to withstand loads imposed on it by the earthquake motion. The maximum equipment reaction loads are to be based upon the maximum tensile strength of a 13mm (.5") diameter SAE J429 Grade 5 bolt (or ASTM 449, type 1) at each point of fastening to the foundation, tightened a minimum torque of 10.4 kg-m (75 ft-lb.). Use of equal strength weldments may be utilized. The documents 260C258 (5/15kV MVS switchgear), 6977C74 (27/38kV MVS switchgear), and 6977C76 (UPC) shows supplemental floor plan details indicating where the foundation's load-supporting surfaces must be.

2. Movement at the Top of a MVS/MEB/MSB Switchgear Assembly or a

Unitized Power Center (UPC) During an Earthquake:

MVS/MEB/MSB switchgear or a UPC will move up to 150mm (6") in the directions of up and down, side to side, or front to rear. The maximum motion from the "at rest" position would be 75mm (3") up or down, left or right, front or rear. Top entry of conduits, bus duct, power cables, etc., must accommodate the maximum expected motion excursions. Bottom entry of such apparatus will obviously eliminate the need to accommodate the top of switchgear movement.

3. Field assembly of a MVS/MEB/MSB Switchgear Assembly or a Unitized

Power Center (UPC) shipped in multiple shipping groups:

The inter-unit tie fasteners to join the shipping groups together must be installed and properly tightened when the MVS/MEB/MSB Switchgear or UPC is installed on the foundation. Failure to join the shipping groups together could result in damage to the equipment during an earthquake.

4. Securing of Entering/Exiting power cables.

Power cables must be lashed together from the point of entry to the point of termination as shown in the instruction leaflet IB02102001E.

5. Storage of "loose" pieces of equipment:

The user must provide storage areas to secure "loose" pieces of equipment (such as spare fuses and miscellaneous accessories) away from the switchgear so that the switchgear, unitized power center, and/or the loose pieces are not damaged during an earthquake.

6. Locking of enclosure doors during an earthquake:

Enclosure door handles must be either locked or fastened closed with fasteners to prevent their attempting to unlatch during an earthquake.

7. Internal cross bracing behind any optional rear door:

The internal cross braces located behind any rear door must be in place and securely fastened at all times to properly brace the rear of the enclosure. These cross braces may be removed for access during installation procedures or maintenance procedures, but they must be replaced and securely fastened when these procedures are either completed or suspended.

Revisions

Revision 1. Prepared by GLF 7/14/93. Approved by TGR 7/14/93.

Revision 2. Completely redrawn. GLF 11/17/93. TGR 11/24/93.

Revision 3. 75 FP’s was 65 FP’s. GLF 1/14/94. TGR 14AP94.

Revision 4. Sections 1, 2, and 6 changed based upon input from Seismic Council.

TGR. 19AP95

Revision 5. Grammatical correction in section 1. TGR 07AU95.

Revision 6. WLI/WVB changed to MVS/MEB throughout the document. TGR

02OC00.

Revision 7. GMVS-0611: “Greenwood” was “Sumter” in title block. TGR 09/28/05.

Revision 8. GMVS-0702. Extensive revisions to clause 1. TGR 08/24/06.

Revision 9. GMVS0807. Several changes throughout document. Compare revisions

8 and 9 to see changes. T.G. Robirds 09/06/2007.

| VA MEDICAL |

| SUB 1A |

| G.O. Item | Assembly / Section | Description |

| 003 | G081G62PA01 | MVS SWITCHGEAR 15KV |

| | | INDOOR |

| | | FRONT VIEW − G081G62F SHEET 1 |

| | G081G62PG01 | FUSED SWITCH |

| Technician _________ Engineer ___________ | | Sheet 1 of 4 |

| NT01− EXTERIOR COLOR: ANSI 61 LIGHT GRAY |

| NT02− INTERIOR COLOR: ANSI 61 LIGHT GRAY |

| NT03− LINE SWITCH BUS: 800 AMPERE SILVER PLATED COPPER. |

| GROUND BUS: SILVER PLATED COPPER. |

| NT04− ASSEMBLY DESIGN MOMENTARY RATING: 64KA ASYMMETRICAL |

| NT05− ANCHOR CLIP FOR ANCHORING OF MVS SWITCHGEAR |

| TO CUSTOMER PAD SUPPLIED UNMOUNTED. |

| NT06− THIS JOB IS UL LISTED. |

| NT07− SEISMIC QUALIFIED DESIGN, ZONES 3−4. |

| NT08− SEISMIC QUALIFIED, SPARE FUSES (IF SUPPLIED) STORED ELSEWHERE. |

| NT09− CUSTOMER TO REFER TO DRAWING 7278A58: |

| ITEM 1−WHEN DESIGNING FOUNDATION |

| ITEM 2−FOR SPECIFIC DETAILS CONCERNING MOTION OF THE SWGR |

| ITEM 3−FOR PROPER INSTALLATION OF HARDWARE AT SHIPPING SPLITS |

| ITEM 4−FOR PROPER SECURING OF CABLES ENTERING |

| ________ AND EXITING THE SWITCHGEAR |

| ITEM 5−CONCERNING STORAGE OF ITEMS THAT ARE SHIPPED LOOSE. |

| NT10− NAMEPLATES WILL BE SUPPLIED BLANK AND REMOVABLE |

| UNLESS OTHERWISE SPECIFIED. |

| NT11− MIMIC BUS SUPPLIED |

| Revisions: |

| RV01− DATE 11/19/08 DRAFTER DLM |

| FOR CONSTRUCTION |

| Sheet 2 of 4 |

| 0001 |1D78050G36 | SWITCH, MVS2 15KV 95KV BIL | 1| | | | |

| 0002 |LL02000001E | SF6 FREE LABEL | 1| | | | |

| 0003 |260C146G07 | SELECTOR SWITCH, TOP ENTRY | 1| | | | |

| 0004 |ULNOTE | THIS STRUCTURE IS UL LISTED |REF| | | | |

| 0005 |54A9955H01 | NAMPL, E|C−H SWGR RATING UL | 1| | | | |

| 0006 |54A9955H02 | NAMPL, E|C−H SWITCH RATING UL | 1| | | | |

| 0007 |54A9955H03 | NAMPL, E|C−H SEL SW RATING UL | 1| | | | |

| 0008 |5676B40H03 | SEISMIC LABEL | 1| | | | |

| 0009 |7278A58 | SEISMIC APPLICATION GUIDELINES |REF| | | | |

| 0010 |91C2504 | STANDARD 5/15KV SEISMIC |REF| | | | |

| 0011 |260C258 | TYPICAL LOAD BEARING SURFACES |REF| | | | |

| Sheet 3 of 4 |

| 0012 |5981C19G09 | FUSE, 15.5KV CLE 125A 31 | 3| | | | |

| 0013 |UHS12060B0D0A1A| ARRESTER, CPS, 12KV DISTRIBUTI | 3| | | | |

| 0014 |KFL005010S | KEY INTERLOCK TYPE F KIRK | 1| | | | |

| 0015 |ISA029 | SCHEME FOR ABOVE KEY |REF| | | | |

| 0016 |7274A78 FIG 1 | NEMA 2 HOLE DRILLING PLAN |REF| | | | |

| 0017 |SA00646H08 | MIMIC BUS, RED PLASTIC STRIP | 3| | | | |

| 0018 |G081G62ZG01 | FUSED SWITCH | 1| | | | |

| 0019 |1A33762G31 | SUPPORT, CABLE 36W CHANNEL KIT | 1| | | | |

| Sheet 4 of 4 |

GO-ITEM: MCS03114-004 File/Rev: WM002Z46.HTM/2

Designation: Sub 1B Customer:

User: erontm Date: 1/12/2009 6:47:59

1 Master Drawing List WM002Z46.DOC 2 2 Certified Production Test Report W9000UB0.DOC 1

3 SEISMIC APPLICATION 7278A58.DOC 9

4 GWD-EMS0625-RALPH JOHNSON G081G63P.PDF 1

5 FRONT VIEW G081G63F.DWG 1

6 SCHEDULE G081G63N.DWG 1

7 FLOOR PLAN G081G63Q.DWG 1

8 SECTION VIEW G081G63V.DWG 2

Certified Production Test Report - Greenwood

GO-ITEM: MCS03114-004

EQUIPMENT DESIGNATION: Sub 1B

The test below reflect the requirements in ANSI/IEEE C.37.20.3, CSA C22.2 No. 31-M89, and EEMAC G11-1 for

Mechanical Inspection Check X Mechanical Function Check X Electrical Joint Tightness Check X Grounding of Instrument Transformer Case Test X Electrical Operation Check / Sequence Test X Power Circuitry Di-electric Test (19kVAC, 60Hz RMS for one (1) minute) X Power Circuitry Di-electric Test (36kVAC, 60Hz RMS for one (1) minute) X Power Circuitry Di-electric Test (60kVAC, 60Hz RMS for one (1) minute) X Power Circuitry Di-electric Test (80kVAC, 60Hz RMS for one (1) minute) X Control Circuitry Di-electric Test (1.8 kVAC 60Hz RMS for one (1) second) X Polarity Test Transformer to Meters / Relays X Cleanliness and Completeness Check X

Ansel Fambrough

01/09/2009

W9000UB0.DOC

test table and shaken to simulate the effects of an earthquake, the following requirements must be accommodated during design the of the foundation and the designed to withstand loads imposed on it by the earthquake motion. The maximum equipment reaction loads are to be based upon the maximum tensile strength of a 13mm (.5") diameter SAE J429 Grade 5 bolt (or ASTM 449, type 1) at each point of fastening to the foundation, tightened a minimum torque of 10.4 kg-m (75 ft-lb.). Use of equal strength weldments may be utilized. The documents 260C258 (5/15kV MVS switchgear), 6977C74 (27/38kV MVS from the "at rest" position would be 75mm (3") up or down, left or right, front or rear. Top entry of conduits, bus duct, power cables, etc., must accommodate cross braces may be removed for access during installation procedures or

Revision 2. Completely redrawn. GLF 11/17/93. TGR 11/24/93.

| VA MEDICAL |

| SUB 1B |

| G.O. Item | Assembly / Section | Description |

| 004 | G081G63PA01 | MVS SWITCHGEAR 15KV |

| | | INDOOR |

| | | FRONT VIEW − G081G63F SHEET 1 |

| | G081G63PG01 | FUSED SWITCH |

| Technician _________ Engineer ___________ | | Sheet 1 of 4 |

| NT01− EXTERIOR COLOR: ANSI 61 LIGHT GRAY |

| NT02− INTERIOR COLOR: ANSI 61 LIGHT GRAY |

| NT03− LINE SWITCH BUS: 800 AMPERE SILVER PLATED COPPER. |

| GROUND BUS: SILVER PLATED COPPER. |

| NT04− ASSEMBLY DESIGN MOMENTARY RATING: 64KA ASYMMETRICAL |

| NT05− ANCHOR CLIP FOR ANCHORING OF MVS SWITCHGEAR |

| TO CUSTOMER PAD SUPPLIED UNMOUNTED. |

| NT06− THIS JOB IS UL LISTED. |

| NT07− SEISMIC QUALIFIED DESIGN, ZONES 3−4. |

| NT08− SEISMIC QUALIFIED, SPARE FUSES (IF SUPPLIED) STORED ELSEWHERE. |

| NT09− CUSTOMER TO REFER TO DRAWING 7278A58: |

| ITEM 1−WHEN DESIGNING FOUNDATION |

| ITEM 2−FOR SPECIFIC DETAILS CONCERNING MOTION OF THE SWGR |

| ITEM 3−FOR PROPER INSTALLATION OF HARDWARE AT SHIPPING SPLITS |

| ITEM 4−FOR PROPER SECURING OF CABLES ENTERING |

| ________ AND EXITING THE SWITCHGEAR |

| ITEM 5−CONCERNING STORAGE OF ITEMS THAT ARE SHIPPED LOOSE. |

| NT10− NAMEPLATES WILL BE SUPPLIED BLANK AND REMOVABLE |

| UNLESS OTHERWISE SPECIFIED. |

| NT11− MIMIC BUS SUPPLIED |

| Revisions: |

| RV01− DATE 11/19/08 DRAFTER DLM |

| FOR CONSTRUCTION |

| Sheet 2 of 4 |

| 0001 |1D78050G36 | SWITCH, MVS2 15KV 95KV BIL | 1| | | | |

| 0002 |LL02000001E | SF6 FREE LABEL | 1| | | | |

| 0003 |260C146G07 | SELECTOR SWITCH, TOP ENTRY | 1| | | | |

| 0004 |ULNOTE | THIS STRUCTURE IS UL LISTED |REF| | | | |

| 0005 |54A9955H01 | NAMPL, E|C−H SWGR RATING UL | 1| | | | |

| 0006 |54A9955H02 | NAMPL, E|C−H SWITCH RATING UL | 1| | | | |

| 0007 |54A9955H03 | NAMPL, E|C−H SEL SW RATING UL | 1| | | | |

| 0008 |5676B40H03 | SEISMIC LABEL | 1| | | | |

| 0009 |7278A58 | SEISMIC APPLICATION GUIDELINES |REF| | | | |

| 0010 |91C2504 | STANDARD 5/15KV SEISMIC |REF| | | | |

| 0011 |260C258 | TYPICAL LOAD BEARING SURFACES |REF| | | | |

| Sheet 3 of 4 |

| 0012 |5981C19G09 | FUSE, 15.5KV CLE 125A 31 | 3| | | | |

| 0013 |UHS12060B0D0A1A| ARRESTER, CPS, 12KV DISTRIBUTI | 3| | | | |

| 0014 |KFL005010S | KEY INTERLOCK TYPE F KIRK | 1| | | | |

| 0015 |ISA029 | SCHEME FOR ABOVE KEY |REF| | | | |

| 0016 |7274A78 FIG 1 | NEMA 2 HOLE DRILLING PLAN |REF| | | | |

| 0017 |SA00646H08 | MIMIC BUS, RED PLASTIC STRIP | 3| | | | |

| 0018 |G081G63ZG01 | FUSED SWITCH | 1| | | | |

| 0019 |1A33762G31 | SUPPORT, CABLE 36W CHANNEL KIT | 1| | | | |

| Sheet 4 of 4 |

GO-ITEM: MCS03114-005 File/Rev: WM002Z45.HTM/2

Designation: Sub 2A Customer:

User: erontm Date: 1/12/2009 6:45:50

1 Master Drawing List WM002Z45.DOC 2 2 Certified Production Test Report W9000UB1.DOC 1

3 SEISMIC APPLICATION 7278A58.DOC 9

4 GWD-EMS0625-RALPH JOHNSON G081G64P.PDF 1

5 FRONT VIEW G081G64F.DWG 1

6 SCHEDULE G081G64N.DWG 1

7 FLOOR PLAN G081G64Q.DWG 1

8 SECTION VIEW G081G64V.DWG 2

Certified Production Test Report - Greenwood

GO-ITEM: MCS03114-005

EQUIPMENT DESIGNATION: Sub 2A

The test below reflect the requirements in ANSI/IEEE C.37.20.3, CSA C22.2 No. 31-M89, and EEMAC G11-1 for

Ansel Fambrough

01/09/2009

W9000UB1.DOC

Revision 2. Completely redrawn. GLF 11/17/93. TGR 11/24/93.

| VA MEDICAL |

| SUB 2A |

| G.O. Item | Assembly / Section | Description |

| 005 | G081G64PA01 | MVS SWITCHGEAR 15KV |

| | | INDOOR |

| | | FRONT VIEW − G081G64F SHEET 1 |

| | G081G64PG01 | FUSED SWITCH |

File details come from the government source that posted it. Updated Jul 24, 2026.