36C24819Q0646-0001001.pdf

Campus Wide Backflow Prevention Evaluation

Scope of Work

Contractor shall provide all parts, services, labor, supervision, and specialty services to conduct a full campus wide mechanical backflow prevention evaluation of the CW Bill Young VAMC located at 10000 Bay Pines Boulevard, Bay Pines, FL 33744. Contractor shall inventory all existing backflow preventers both throughout the exterior site and within buildings on campus and shall identify other locations throughout the campus which require backflow prevention but do not currently have them installed. Buildings that fall under this contract include: 100, 101, 71, 111, 106, 102, 13, 1, 103, and Fisher House. The backflow prevention assembly at the supply main to all buildings on campus shall be evaluated.

Evaluation:

Contractor shall evaluate all existing backflow prevention devices for adequacy of their intended use and location and whether they are installed in accordance with applicable codes, standards and industry practices. Contractor shall inventory all existing backflow prevention devices and document, at a minimum, location, size, type, model, serial number, type of installation, and hazard assessment (high/low), other defining characteristics.

For locations that are currently without backflow prevention in place, contractor shall provide a recommendation of the type of backflow prevention to mitigate the hazard. If a backflow preventer cannot mitigate the risk, recommendations of other mitigation strategies shall be provided. Recommendations shall be made in accordance with VA Master Specifications, VA

Plumbing Design Guide, and International Building Code. Contractor shall survey all areas in which cross connection is potentially a concern including, but not limited to, biomedical equipment, building service equipment, mechanical areas, non-potable water sources, operating rooms, morgues, medical & dental labs, irrigation systems, decorative water features.

Deliverables:

1. Detailed report including, at a minimum:

a. Areas and equipment evaluated

b. Codes followed for evaluated

c. Color pictures of all identified cross connection risks

d. Color pictures of all existing cross connection devices/assemblies

e. Evaluation of hazards

f. Rank of identified hazards

g. Estimated Costs to bring deficiencies into compliance

2. Provide inventory of all existing backflow preventers to include location, type of device, size, manufacturer, serial #, date of last certification, degree of hazard, and status

(pass/fail). Template for documentation shall be provided at the beginning of the contract and approved by the VA Contracting Officer’s Representative.

3. Credentials and experience of evaluators

4. Applicable inspection, testing, and maintenance requirements for existing and recommended backflow preventers.

Coordination:

Contractor shall have a kick off meeting with the VA COR and other identified parties prior to the start of the evaluation. This meeting shall include review of existing drawings and inspection materials, orientation of the facility, and safety and infection control requirements. All coordination for this contract shall be done in advance with the VA COR. High risk patient care areas will require off-tour evaluation including the operating rooms, dialysis, procedure rooms, radiology, nuclear medicine, or other areas identified by the VA COR. VA will provide an escort for all teams that are conducting the evaluation.

Training of Staff

Contractor shall provide one day of training at the conclusion of the evaluation targeted for the maintenance and operations staff that reviews the report with staff. This training shall include training on the risk of cross connections, all types of backflow prevention that are on campus or recommended for use at this station, and inspection, testing, and maintenance requirements.

This training is not intended to be used for certification of individuals, but instead provides a broad breadth of knowledge for the maintenance and operations staff to be used during routine maintenance and repair activities and/or installation of systems and equipment that presents a cross connection risk.

Credentials:

All evaluators shall provide documentation of experience and/or certification of previous cross connection evaluation experience.

All inspectors and evaluators must be nationally certified through the American Society of

Sanitary Engineers (ASSE Series 5000), Standard #5120 Cross Connection Control Surveyor

Contractor shall provide evidence of past experience within VA healthcare facilities and be familiar with healthcare requirements, equipment, and VHA Directives for water quality including

VHA Directive 1061.

Applicable Codes:

All evaluations, recommendations, testing, inspections, and training shall be done in accordance with all codes applicable to a cross connection control program including, but not limited to:

• Florida Plumbing Code

• International Building Code

• International Plumbing Code

• Occupation Safety & Health Administration (OSHA)

• Environmental Protection Agency (EPA)

• American Water Works Association (AWWA)

• Nation Fire Protection Association (NFPA)

• VA Master Specifications

• VA Plumbing Design Guide

• American Society of Sanitary Engineering (ASSE)