36C24919R0050-0002002.pdf

RENOVATE BUILDING 28 FOR SPECIALTY CARE

PROJECT NO. 596-16-101

DRAFT COMMISSIONING PLAN

Lexington VA Medical Center

Submitted by:

National Facility Solutions, LLC

01/2019

Commissioning Plan Lexington VA Medical Center – Leestown Division Renovate Building 28 for Specialty Care

National Facility Solutions, LLC 1

Table of Contents

A. EXECUTIVE SUMMARY

B. PROJECT DESCRIPTION

C. PURPOSE OF THE PLAN

D. COMMISSIONING GOALS AND OBJECTIVES

E. ABBREVIATIONS & DEFINITIONS

F. COMMISSIONING ACTIVITIES

G. COMMISSIONING SCOPE

H. COMMISSIONING TEAM INFORMATION

I. GENERAL MANAGEMENT PLAN

J. GENERAL DESCRIPTIONS OF THE ROLES OF THE COMMISSIONING TEAM

K. GENERAL MANAGEMENT PLAN PROTOCOLS

L. COMMISSIONING TEAM RESPONSIBILITIES

M. DELIVERABLES

N. COMMISSIONING PROCESS

1. DOCUMENTATION OF DESIGN NARRATIVE

2. COMMISSIONING SPECIFICATIONS

3. PREPARE COMMISSIONING PLAN

4. COMMISSIONING KICKOFF MEETING

5. CONSTRUCTION SITE VISITS

6. ISSUES LOG

7. PRE-FUNCTIONAL CHECKLISTS

8. FUNCTIONAL PERFORMANCE TESTING

9. FINAL COMMISSIONING REPORT

10. SCHEDULING

11. SEPARATE ATTACHMENTS – SUPPORTING COMMISSIONING DOCUMENTATION

O. APPENDICES

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A. EXECUTIVE SUMMARY

The commissioning for the Lexington VA Medical Center Leestown Division Renovation of Building 28 for Specialty Care will include the mechanical and associated controls, plumbing, fire protection, electrical lighting and power panels and distribution, and fire alarm systems for the building.

The scope of the commissioning includes design reviews, submittal review, on-site inspections, pre functional testing, functional testing, issues log, O&M manual review, preparation of systems manuals, and owner training plan review. As outlined within this commissioning plan, all systems included will be pre-functionally tested by the installing contractors and then functionally tested by National Facility Solutions (NFS) with the installing contractors. Prior to the functional testing NFS will visit the site to review the installation of building systems.

During the first site visit, a Kick Off meeting will take place with the commissioning team including the VA project manager and facilities teams, National Facility Solutions, the general contractor, mechanical, controls, test and balance, electrical, plumbing, fire alarm and fire protection contractors and subcontractors. The meeting will include an overview of the commissioning process, the current progress of construction, review of any unanswered questions relative to building systems and a review of the pre-functional and functional testing.

Prior to the next follow up site visit NFS will review submittals and prepare the functional test plan for review with the site team.

The commissioning process will follow the project construction schedule. During the construction, key milestone commissioning activities will be completed relative to the pace of the design and construction. These activities are listed below. The dates will be provided upon review of the project schedule.

Ø 1/17/19: Commissioning Plan Draft Issued Ø TBD: Commissioning Kick Off Meeting Ø TBD: Submission of Prefunctional Checklists Ø TBD: Submission of Functional Test Plans Ø TBD: Construction Site Visit Ø TBD: Functional Testing Ø TBD: Final Report

Should you have any questions or comments on the commissioning process, please feel free to contact Adelle Hancock at 612.599.5539 or ahancock@natfas.com.

B. PROJECT DESCRIPTION

Lexington VA Medical Center-Leestown is located approximately five miles from Lexington VA Medical Center- Cooper and offers inpatient Post-Traumatic Stress Disorder (PTSD) treatment, nursing home care, hospice and respite services, home based primary care, prosthetics and orthotics, geriatrics, optometry, mental health, and substance abuse treatment as well as primary care and women health.

This project will renovate and repairs Building 28 for specialty care to include clinics dental and audiology. The project renovates the 1st and 2nd floors of Building 28 for a total renovated space of about 36,000 square foot.

The project was also perform repairs and replacement of the heating and cooling system, elevators, plumbing, medical gas, and electrical systems throughout the building (Ground, 1st, and 2nd floors) in order for the operation of the newly renovated clinical space. The project will also include a new drop-off driveway, entrance canopy, and exterior and interior wayfinding from campus entrance to exam room to promote patient centered

National Facility Solutions, LLC 3 care concepts and satisfaction. The 1st and 2nd floors of Building 28 are currently vacant. Approximately 4,000 square feet or less of space will become swing space for clinical use and storage for patients files and records.

Project will also provide primary entrance to the 1st Floor from exterior grade.

This project will include the demolition and installation of new HVAC, plumbing, fire protection, electrical and fire alarm system. The scope of the work will include the following:

HVAC Systems: Demolition of existing HVAC systems, replacing with new air handling units in the attic areas, variable and constant volume air terminal units with reheat coils, lab hoods, air curtain, exhaust fans, hot water heating system pumps extending from existing boiler system and heat exchanger piping, unit heaters, chilled water pumps extending from existing air cooled chilled water system piping, split-system air conditioning units, extension to existing building and campus building automation system panels and controls, ductwork and piping distribution, testing/balancing and commissioning of all systems.

Plumbing Systems: Demolition of existing Plumbing systems, replacing with plumbing fixtures, gas-fired domestic water heaters, circulating pump, sump pumps, thermostatic mixing valves, water/waste and vent piping systems, testing/balancing and commissioning of all new plumbing equipment.

Fire Protection Systems: Demolition and replacement of existing fire sprinkler/piping systems new sprinkler heads and piping in the new renovated areas.

Electrical Systems: Demolition of existing electrical systems, replacing with new electrical systems including new electrical power distribution extending from existing panels to lighting and lighting control systems to new outlets and equipment, fire alarm and communication/security systems.

C. PURPOSE OF THE PLAN

The purpose of this Commissioning Plan is to provide clear direction to the commissioning team on the implementation, execution, validation and documentation of all commissioning activities associated with the delivery of a complete and fully functional facility. This plan begins with the commissioning activities to be conducted during the pre-construction phase and continues throughout construction and the acceptance phase.

At a minimum, this project specific plan accomplishes the following objectives:

1. Establishes the commissioning guidelines that the process will follow

2. Identifies the commissioning team

3. Lists all systems and components included within the process

4. Lists all key commissioning activities

5. Lists and identifies the roles and responsibilities of each team member

6. Establishes key milestone dates associated with the completion of the commissioning activities

7. Establishes the lines of communication for all team members

8. Provides the reporting methods

9. Outlines all deliverables to be provided

10. Identifies any post construction commissioning activities

Throughout the commissioning process this plan will be updated with any project, system or component changes, improvements, recommendations or key events that have an effect on the overall process.

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D. COMMISSIONING GOALS AND OBJECTIVES

The primary goal of the commissioning process is to integrate the project commissioning team in order to collectively deliver to the Client a fully functional facility in accordance with the Owner's Project Requirements and Basis of Design. The secondary goal is to facilitate a collaborative environment that assists the team members in achieving their respective project goals. Achieving these goals requires full integration and involvement of the commissioning team with representation from the Owner, Operator, General Contractor, and all participating sub-contractors. In addition, achieving these goals requires clear guidelines for the execution of this process.

These commissioning objectives include:

Ø Verify and document that the equipment is installed and started per manufacturer’s recommendations and to industry accepted minimum standards.

Ø Verify and document that equipment and systems receive complete operational checkout by the installing contractors.

Ø Verify and document equipment and system performance based on pre-functional and functional testing and checkout.

Ø Verify the completeness of operations and maintenance materials.

Ø Verify that the facility's operations personnel are adequately trained on the operation and maintenance of building equipment.

E. ABBREVIATIONS & DEFINITIONS

The following are common abbreviations and definitions used throughout this report:

A/E - Architect and Design Engineers BoD - Basis of Design CxA - Commissioning Authority CC - Construction Checklist Cx - Commissioning Cx Plan - Commissioning Plan Document EC - Electrical Contractor Firm - Commissioning Firm FPT - Functional Performance Test GC - General Contractor (Prime) MC - Mechanical Contractor MM - Maintenance Manager OPR - Owners Project Requirements PF - Pre-functional Checklist PM - Project Manager Subs - Subcontractors TAB - Test, Adjust & Balance

F. COMMISSIONING ACTIVITIES

Outlined below are the activities that will be conducted for this project:

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Ø Review Design Narrative Ø Conduct design reviews Ø Provide commissioning specifications Ø Conduct submittal reviews Ø Develop and utilize a Commissioning Plan Ø Develop pre-functional checklists Ø Develop functional test plans Ø Conduct a Commissioning Kickoff Meeting Ø Conduct construction site visits Ø Conduct commissioning meetings Ø Verify installation of systems Ø Maintain commissioning issues log Ø Review startup report information Ø Review test and balance report Ø Conduct functional testing Ø Review Operations and Maintenance Manuals Ø Prepare Systems Manuals Ø Review training plans for operating personnel Ø Conduct systems training Ø Complete a Final Commissioning Report Ø Conduct seasonal testing Ø Conduct warranty period site visit and post occupancy inspection

G. COMMISSIONING SCOPE

The below systems and equipment will be commissioned in this project. All general references to equipment in this document refer only to equipment that is to be commissioned.

Ø HVAC Systems Ø Building Automation Systems Ø Electrical Systems Ø Lighting & Lighting Control Systems Ø Plumbing Systems Ø Fire Alarm Systems Ø Fire Protection Systems

A complete equipment list has been provided in the appendices.

H. COMMISSIONING TEAM INFORMATION

1 Lexington VAMC David Knapp 859.233.4511 ext 3366

VA COR, Project Manager davidj.knapp@va.gov

2 Lexington VAMC Matt Whisman 859.281.3883 VA Cx CO matthew.whisman@va.gov

4 National Facility Solutions Adelle Hancock 612.599.5539 Project Manager ahancock@natfas.com

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I. GENERAL MANAGEMENT PLAN

NFS coordinates the commissioning activities and will report directly to the VA. NFS responsibilities, along with the designation of the Cx Team, are detailed within this Cx plan and the project specifications. The Cx process will require the coordinated effort of all members of the Cx Team in order to meet the goals of this commissioning process.

Refer to the commissioning team representatives in above section for the names and contact information.

J. GENERAL DESCRIPTIONS OF THE ROLES OF THE COMMISSIONING TEAM

Commissioning Agent - The commissioning specialist develops the commissioning plan, coordinates activities with the VA, conducts site visits, attends pre-functional testing as necessary, facilitates and manages the functional testing, collects all key documentation and provides the final commissioning report.

Facilities Maintenance - Attends functional testing, participates in commissioning meetings, assist in resolution of facility operational issues, and attends all owner training.

General Contractor - Manages all sub-contractors, providing directives and manages all contractual relations as it pertains to the commissioning requirements, assists the commissioning agent in confirmation and validation of commissioning activities associated with the plan.

Installing Contractor - Completes pre-functional and functional commissioning requirements as specified, attends commissioning meetings and participates in all specified commissioning activities.

Design Agency's Representative - Perform construction observation; participate in functional testing, assist in resolving problems.

Manufacturer. - Equipment manufacturers and vendors provide documentation to facilitate the commissioning work and perform contracted startup.

K. GENERAL MANAGEMENT PLAN PROTOCOLS

Ø Request for Information: NFS will follow these guidelines established for the project when requesting additional information.

Ø Verbal Information or Clarifications: NFS will provide no verbal information or clarifications as it pertains to changes within the construction contracts unless approved by the construction manager. All clarifications will be issued through the construction manager for final review and approval.

Ø Notification of Deficiencies: All notification of deficiencies will be issued to the construction manager through the Issues Log. The Issues Log will be updated as necessary to keep the Issues up to date on the project.

Ø Functional Test Scheduling: Functional testing schedules will be issued in the Project Commissioning

Memorandum.

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Ø Meeting scheduling: All meeting will be scheduled through the construction manager. The construction manager will be responsible for ensuring all required sub-contractors are present.

Ø Change Requests: All change requests will be issued directly to the construction manager for review and final approval.

Ø Work Directives in the Field: NFS will issue no work directives in the field.

Ø Dispute Resolution: NFS will not directly act as the contract manager and will not assume responsibility of managing the sub-contractors or other members of the commissioning team.

L. COMMISSIONING TEAM RESPONSIBILITIES

COMMISSIONING AGENT (CxA)

The primary role of NFS is to develop and coordinate the execution of a testing plan to verify and document that systems are functioning in accordance with the design intent and the Construction Documents. NFS is not responsible for design concept, design criteria, code compliance, general construction scheduling, cost estimating, or construction management. NFS will assist with problem-solving relating to these deficiencies.

However, the involvement of NFS in resolving deficiencies does not supersede the responsibility of the team as outlined within their respective contracts.

The CxA will:

-Coordinate and direct all commissioning activities.

-Work with the VA and the team to ensure that commissioning activities are scheduled.

- Maintain an up-to-date Cx Plan.

-Request and review additional information required to perform commissioning tasks, including O&M materials, contractor start-up and checkout procedures, and sequences of operation.

- Review Contractor submittals applicable to commissioned systems, concurrent with the A/E reviews.

- Perform site visits, as necessary, to observe component and system installations. Attend construction job-site meetings, as necessary, to monitor construction and commissioning progress.

- Review completed pre-functional checklist and start-up reports.

- Review final test and balance report.

- Review functional performance test procedures developed by the controls contractor, utilized procedures as the basis for the final functional performance test.

- Coordinate, witness, and document functional performance tests completed by installing contractors.

- Coordinate retesting as necessary until satisfactory performance is verified.

- Maintain a master deficiency and resolution record. Provide the VA with written progress reports and test results with recommended actions.

- Review the training proposed by the contractors for the Owner’s operating personnel.

- Review the O&M manuals.

- Prepare a final commissioning report.

- Perform warranty period site visits to evaluate performance of systems post occupancy

- Perform deferred and/or seasonal testing

DESIGN AGENCY REPRESENTATIVE

- Provide design intent and sequence of operation documentation.

- Assist in resolution of system deficiencies identified during commissioning.

- Assist in resolution of system deficiencies identified during warranty period commissioning.

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OWNER FACILITIES MAINTENANCE

- Arrange for facility operating and maintenance personnel to participate in commissioning activities and training sessions.

- Attend on site functional testing.

- Assist in problem resolution and support overall commissioning process.

GENERAL CONTRACTOR

- Facilitate the coordination of the commissioning work on-site.

- Furnish copies of construction documents, addenda, change orders and approved submittals and shop drawings related to the commissioning,

- Ensure that Subs execute their commissioning responsibilities according to the Specifications and Cx Plan.

- Coordinate the training of owner personnel.

- Prepare O&M manuals, according to the Specifications, including updating original sequences of operation to as-built conditions.

- Ensure that Subs execute required seasonal or deferred functional performance testing.

- Ensure that Subs correct deficiencies and make necessary adjustments to O&M manuals and as-built drawings for issues identified during the warranty period.

- Assist in pre-functional and functional testing validation.

INSTALLING CONTRACTORS (Mechanical, Electrical, TAB, Controls, Plumbing, Fire Alarm)

- Provide additional requested documentation, prior to normal O&M manual submittals, to NFS for development of start-up and functional testing procedures.

- Assist in clarification of operation and control of commissioned equipment where the specifications, control drawings or equipment documentation is not sufficient for writing detailed testing procedures.

- During the startup and checkout process, execute the mechanical-related portions of the construction checklists for all commissioned equipment. Perform and clearly document all completed startup and system operational checkout procedures.

- Resolve pre-functional and other punch list items before functional testing. Air and water TAB shall be completed with discrepancies and problems resolved before functional testing.

- Perform functional performance testing, under the direction of NFS, for commissioned equipment.

- Resolve equipment or system deficiencies and retest as required verifying modified performance.

- Prepare O&M manuals according to the Specifications, including updating original sequences of operation to as-built conditions.

- Provide training of the Using Agencies training of personnel as specified.

- Coordinate with equipment manufacturers to determine requirements to maintain the validity of warranties.

- Execute seasonal or deferred functional performance testing, as necessary.

- Correct deficiencies and make necessary adjustments to O&M manuals and as-built drawings for issues identified during the warranty period.

VENDORS

- Provide requested submittal data, including detailed start-up procedures and specific responsibilities of the Owner to keep warranties in effect.

- Provide information requested by CxA regarding equipment sequence of operation and testing procedures.

- Assist in equipment testing per agreements with contractors.

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M. DELIVERABLES

The deliverables as defined within the contract documents are as follows for this project:

DELIVERABLE ANTICIPATED DUE DATE

Sample Commissioning Plan Draft 1/17/19 Design Review 6/22/16

Commissioning Specifications 1/13/17 Commissioning Kick Off Meeting Minutes To Be Determined

CD Design Review 1/13/17 Submittal Review To Be Determined

Commissioning Duration Schedule To Be Determined Controls Coordination Meeting Minutes To Be Determined

Pre-Functional Checklists To Be Determined Functional Performance Tests To Be Determined

Issues Log To Be Determined Systems Manuals To Be Determined

Final Commissioning Report To Be Determined Warranty Site Visit Report To Be Determined

Post Occupancy Field Visit Report To Be Determined Final Commissioning Report Amendment To Be Determined

N. COMMISSIONING PROCESS

The following topics (1-11) sequentially detail the commissioning process by commissioning task and or activity.

NFS is the lead commissioning authority and will lead and facilitate the commissioning process with the construction team. The activities associated with the commissioning process for the project have been designed to achieve the project goals and objectives.

1. DOCUMENTATION OF DESIGN NARRATIVE

NFS will review the design narrative to prepare for the commissioning activities. Clear design intent is critical to the commissioning process. The design narrative should incorporate the Owner’s Project Requirements from VA Standards and other project documentation, and should describe the designer’s approach to the project requirements.

2. COMMISSIONING SPECIFICATIONS

The commissioning specifications are included in the master specifications. These documents describe the scope and requirements for commissioning, as well as the roles and responsibilities of the general contractor, installing subcontractors, owner personnel, Design Team, and the NFS Team. NFS will review the commissioning specifications that already exist in the project specification book and provide feedback to ensure that the spec matches the commissioning plan and that it is comprehensive enough to provide for a well commissioned project with proper contractor involvement.

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3. PREPARE COMMISSIONING PLAN

The process of developing the commissioning plan will include the initial development of the draft Cx Plan using the information gathered from the review of the basis of design, plans and specifications. This plan will include the list of the equipment to be included in the plan and sample pre-functional and functional commissioning checklists.

Upon review and approval of the draft plan, NFS will utilize submittal documentation to incorporate into the plan the Pre-Functional checklists. The update to the plan will be submitted to the team for review and comment.

The final section of the plan (Functional Performance Tests) will be developed upon receipt of the Approved direct digital controls submittal and Point Verification Test (PVT) submitted by the Direct Digital Controls Contractor.

The timeline of plan completion will be executed within the requirements of the project schedule. As necessary due to changes or additions to the commissioning scope, NFS will update the plan and provide revisions to the VA for distribution.

4. COMMISSIONING KICKOFF MEETING

A pre-commissioning kickoff meeting will be held and will be run by the VA and NFS. This meeting will include all applicable sub-contractors that are involved in the commissioning process.

During this meeting, NFS will advise the contractors of their roles in this process, and will explain what tasks and milestones have been added to the “standard” construction process as a result of the developer including commissioning in their scope.

The general contractor will direct the contractors to the Cx specification and will clear up any questions that may arise as a result of the specification. It is expected that the general contractor will be prepared and will be familiar with the commissioning specification and its requirements, and will be able to clearly explain what the contractors need to do to participate. Prior to this kickoff meeting, NFS will be available to aid in their understanding of the commissioning requirements.

This meeting will be scheduled by the VA with the agenda provided by NFS.

5. CONSTRUCTION SITE VISITS

NFS will conduct on-site construction observations and will update the Issue Log of any deficiencies noted.

On site observations are conducted to verify compliance with manufacturer’s installation and start -up instructions and recommendations, compliance with the design intent, and meeting the requirements for efficient operation and maintenance. Construction observation is not for the express purpose of ensuring compliance with codes and standards. Regularly scheduled meetings are held for site coordination, reporting on construction and commissioning progress, and resolution of any identified issues or deficiencies. Construction observation activities will be coordinated with the owner’s

National Facility Solutions, LLC 11 operation and maintenance staff to facilitate their participation in the commissioning process and familiarize them to the building systems that they will ultimately be required to operate and maintain.

6. ISSUES LOG

NFS will make scheduled site visits to witness equipment and system installations. Each site visit will have a specific agenda and will be coordinated with the VA. NFS will attend selected planning and job-site meetings in order to remain informed on construction progress and to update parties involved in commissioning. The VA provides NFS with information regarding substitutions or change orders that may affect commissioned equipment or the commissioning schedule.

All deficiencies found from site visits and functional performance testing will be documented in a NFS Issues Log. The Issues log will provide in detail the nature of the issue, the systems or component it is related to, the individual or party responsible to resolve and any proposed solution. The issues log will be issued to the VA for incorporation into the VA master construction issues log.

NFS will communicate and coordinate all issues through the VA for resolution management.

7. PRE-FUNCTIONAL CHECKLISTS

The pre-functional checklists are developed and completed for all systems and equipment included within the commissioning scope. The checklist captures equipment nameplate and characteristics data, and confirms the as-built status of the equipment or system. The checklists ensure that the systems are complete and operational and document the installation of components and completion of systems.

The checklists will be prepared from manufacturer’s data, drawings and specifications to include the required installation, checkout, and start up procedures. The installing Subs date and initial the checklists as the construction and start-up is completed. NFS reviews and verifies the completed checklists before scheduling the functional performance testing.

During site visits, NFS will verify checklist completion in conjunction with the general contractor. The completion of the checklist is the responsibility of the installing sub-contractors. These checklists will be maintained in the general contractor job-site trailer under the supervision of the general contractor. As the checklist activities are completed with the construction of the project, the checklists are to be signed off by the installer.

The general contractor will aid in supervising this process by reviewing and discussing the completion of the checklists during job meetings.

8. FUNCTIONAL PERFORMANCE TESTING

NFS will develop the functional test plans for the systems based on the drawings, specification, manufacturers’ requirements and the facility control contractors sequence of operation. These tests will be designed to focus on the overall systems performance as compared to testing and validating the control points of the system. The controls point verification is completed by the controls contractor through the point verification testing as required per the specifications.

During the functional performance testing, the systems interactions under various conditions and modes of operation. The systems are run through all of the sequences of operation and the response of

National Facility Solutions, LLC 12 components is verified. Testing proceeds from components to sub-systems to systems, and finally to interlocks and connections between systems.

Key Modes of Operation to be Evaluated Include:

v Occupied Mode - Reviewing/testing system performance during the occupied mode.

v Un-Occupied Mode - Reviewing/testing system performance during the unoccupied mode.

v Alarming - Reviewing and initiating alarming conditions and confirm alarming notification.

v External Systems Integration - Reviewing external systems integration to confirm systems integration is complete and functional. (Example: Fire Alarm System interface with the HVAC System)

The development of the Functional Tests will be completed when the final approved control submittal has been received as well as the completion of the point verification testing prepared by the controls contractor. To enable the development of accurate Functional Tests, this information is necessary.

These tests will be scheduled by the general contractor, as recommended and coordinated by NFS, upon completion of all the system pre-functional requirements. NFS and relevant sub-contractors will perform the witnessing of the testing at a minimum. Others invited to attend are the owner's and maintenance staff representatives.

NFS will maintain the Issues log throughout all functional testing and will issue results accordingly.

9. FINAL COMMISSIONING REPORT

A final Commissioning Report will be compiled which summarizes all of the tasks, findings, and documentation of the commissioning process. The report will address the actual performance of the building systems in reference to the design documents. All test reports by various sub-contractors, manufacturers and controlling authorities will be incorporated into the final report.

The commissioning report includes:

v An evaluation of the operating condition of the systems at the time of functional test completion, v Deficiencies that were discovered and the measures taken to correct them, v Functional test procedures and results, v Reports that document all commissioning field activities as they progressed, v Description and estimated schedule of required deferred testing.

NFS will lead the preparation of the report, and may request project related memos from the VA for inclusion into the report.

10. SCHEDULING

The completion of the pre-functional and functional testing will be executed as necessary to maintain project schedule and execute activities per specification.

11. SEPARATE ATTACHMENTS – SUPPORTING COMMISSIONING DOCUMENTATION

Listed below are the documents that will be required to complete the final Commissioning Report.

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Ø Commissioning Kick-Off Meeting Agenda Ø Air Balance Report Ø Equipment Start Up Reports Ø Pre-Functional Checklists signed off by Cx team Ø Functional Test Plan with noted results Ø Final Commissioning Issues Log with noted completion dates

End of Commissioning Plan (See Following Sheets for the Equipment List, Example Pre Functional Checklist, and Example Functional Test Plan)

O. APPENDICES

O.1. Equipment List

O.2. Example Pre-Functional Checklist

O.3. Example Functional Performance Plan

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Appendix O.1: Equipment List

EQUIPMENT IINVENTORY LIST

# BLDG SYSTEM

EUIPMENT

TAG TO EQ.

ID

TYPE LOCATION AREA

SERVED

1 28 Air Handling System 28-AHU-1N Air Handling Unit Attic 1st Flr. North 2 28 Air Handling System 28-AHU-1S Air Handling Unit Attic 1st Flr. South 3 28 Air Handling System 28-AHU-2N Air Handling Unit Attic 2nd Flr. North

4 28 Air Handling System 28-AHU-2S Air Handling Unit Attic 2nd Flr. South

5 28 Air Handling System 28-AHU-GN Air Handling Unit Attic Gr. Flr. North 6 28 Air Handling System 28-AHU-GS Air Handling Unit Attic Gr. Flr. South 7 28 Air Circulation System 28-ACT1 Air Curtain Vest. 1A100 Vest. 1A100 8 28 Air Circulation System V2-1 VAV Box 1A200 1A201 9 28 Air Circulation System V2-2 VAV Box 1A215 1A200

10 28 Air Circulation System V2-3 VAV Box 1A215 1A211 11 28 Air Circulation System V2-4 VAV Box 1A215 1A244 12 28 Air Circulation System V2-5 VAV Box 1A215 1A242 13 28 Air Circulation System V2-6 VAV Box 1A215 1A215, 1A232 14 28 Air Circulation System V2-7 VAV Box 1A220 1A221 15 28 Air Circulation System V2-8 VAV Box 1A220 1A220 16 28 Air Circulation System V2-9 VAV Box 1A216 1A222 17 28 Air Circulation System V2-10 VAV Box 1A216 1A219 18 28 Air Circulation System V2-11 VAV Box 1A216 1A218 19 28 Air Circulation System V2-12 VAV Box 1A216 1A217 20 28 Air Circulation System V2-13 VAV Box 1A216 1A223 21 28 Air Circulation System V2-14 VAV Box 1A216 1A216 22 28 Air Circulation System V2-15 VAV Box 1A235 1A236 23 28 Air Circulation System V2-16 VAV Box 1A232 1A235

24 28 Air Circulation System V2-17 VAV Box 1A232 1A237 25 28 Air Circulation System V2-18 VAV Box 1A232 1A234 26 28 Air Circulation System V2-19 VAV Box 1A233 1A233 27 28 Air Circulation System V2-20 VAV Box 1A233 1A238 28 28 Air Circulation System V2-21 VAV Box 1A233 1A231 29 28 Air Circulation System V2-22 VAV Box 1A215 1A239 30 28 Air Circulation System V2-23 VAV Box 1A215 1A230 31 28 Air Circulation System V2-24 VAV Box 1A241 1A240 32 28 Air Circulation System V2-25 VAV Box 1A212 1A213 33 28 Air Circulation System V4-1 VAV Box 1A207 1A207 34 28 Air Circulation System V4-2 VAV Box 1A202 1A207 35 28 Air Circulation System V4-3 VAV Box 1A207 1A208 36 28 Air Circulation System V4-3 VAV Box 1A207 1A208 37 28 Air Circulation System V4-4 VAV Box 1A202 1A208A 38 28 Air Circulation System V4-5 VAV Box 1A202 1A251 39 28 Air Circulation System V4-6 VAV Box 1A202 1A250 40 28 Air Circulation System V4-7 VAV Box 1A202 1A202

VA Lexington - Renovate Building 28 for Specialty Care

41 28 Air Circulation System V4-8 VAV Box 1A276 1A276 42 28 Air Circulation System V4-9 VAV Box 1A260 1A261 43 28 Air Circulation System V4-10 VAV Box 1A254 1A260 44 28 Air Circulation System V4-11 VAV Box 1A254 1A262 45 28 Air Circulation System V4-12 VAV Box 1A254 1A259 46 28 Air Circulation System V4-13 VAV Box 1A254 1A263 47 28 Air Circulation System V4-14 VAV Box 1A254 1A258 48 28 Air Circulation System V4-15 VAV Box 1A254 1A257 49 28 Air Circulation System V4-16 VAV Box 1A254 1A264 50 28 Air Circulation System V4-17 VAV Box 1A254 1A265 51 28 Air Circulation System V4-18 VAV Box 1A254 1A256 52 28 Air Circulation System V4-19 VAV Box 1A254 1A254 53 28 Air Circulation System V4-20 VAV Box 1A215 1A266 54 28 Air Circulation System V4-21 VAV Box 1A215 1A273 55 28 Air Circulation System V5-01 VAV Box 1A106 1A111 56 28 Air Circulation System V5-02 VAV Box 1A106 1A110 57 28 Air Circulation System V5-03 VAV Box 1A106 1A112 58 28 Air Circulation System V5-04 VAV Box 1A106 1A109 59 28 Air Circulation System V5-05 VAV Box 1A106 1A113 60 28 Air Circulation System V5-06 VAV Box 1A106 1A106 61 28 Air Circulation System V5-07 VAV Box 1A106 1A107 62 28 Air Circulation System V5-08 VAV Box 1A102 1A158 63 28 Air Circulation System V5-09 VAV Box 1A102 1A157 64 28 Air Circulation System V5--10 VAV Box 1A115 1A116 65 28 Air Circulation System V5-11 VAV Box 1A115 1A117 66 28 Air Circulation System V5-12 VAV Box 1A115 1A155 67 28 Air Circulation System V5-13 VAV Box 1A115 1A118 68 28 Air Circulation System V5-14 VAV Box 1A115 1A154 69 28 Air Circulation System V5-15 VAV Box 1A115 1A119 70 28 Air Circulation System V5-16 VAV Box 1A115 1A153 71 28 Air Circulation System V5-17 VAV Box 1A115 1A115

72 28 Air Circulation System V5-18 VAV Box 1A122 1A127, 1A128

73 28 Air Circulation System V5-19 VAV Box 1A122 1A125, 1A126

74 28 Air Circulation System V5-20 VAV Box 1A122 1A129, 1A130

75 28 Air Circulation System V5-21 VAV Box 1A122 1A122

76 28 Air Circulation System V5-22 VAV Box 1A122 1A123, 1A124

77 28 Air Circulation System V5-23 VAV Box 1A138 1A151 78 28 Air Circulation System V5-24 VAV Box 1A138 1A150 79 28 Air Circulation System V5-26 VAV Box 1A138 1A138 80 28 Air Circulation System V5-27 VAV Box A1A138 1A147 81 28 Air Circulation System V5-28 VAV Box 1A138 1A148 82 28 Air Circulation System V5-29 VAV Box 1A138 1A141B 83 28 Air Circulation System V5-30 VAV Box 1A138 1A147 84 28 Air Circulation System V5-31 VAV Box 1A138 1A142

85 28 Air Circulation System V5-32 VAV Box 86 28 Air Circulation System V5-33 VAV Box 1A143 1A145 87 28 Air Circulation System V5-34 VAV Box 88 28 Air Circulation System V6-1 VAV Box 1A101 1A101 89 28 Air Circulation System V6-2 VAV Box 1A163 1A161 90 28 Air Circulation System V6-3 VAV Box 1A187 1A190

91 28 Air Circulation System V6-4 VAV Box 1A187 1A188, 1A189

92 28 Air Circulation System V6-5 VAV Box 1A191 1A187 93 28 Air Circulation System V6-6 VAV Box 1A191 1A191 94 28 Air Circulation System V6-7 VAV Box 1A191 1A191 95 28 Air Circulation System V6-8 VAV Box 1A184 1A192 96 28 Air Circulation System V6-9 VAV Box 1A163 1A163 97 28 Air Circulation System V6-10 VAV Box 1A163 1A163 98 28 Air Circulation System V6-11 VAV Box 1A171 1A172 99 28 Air Circulation System V6-12 VAV Box 1A171 1A171

100 28 Air Circulation System V6-13 VAV Box 1A165 1A170 101 28 Air Circulation System V6-14 VAV Box 1A165 1A169 102 28 Air Circulation System V6-15 VAV Box 1A165 1A175 103 28 Air Circulation System V6-16 VAV Box 1A165 1A168 104 28 Air Circulation System V6-17 VAV Box 1A165 1A176 105 28 Air Circulation System V6-18 VAV Box 1A165 1A167 106 28 Air Circulation System V6-19 VAV Box 1A165 1A177 107 28 Air Circulation System V6-20 VAV Box 1A164 1A166 108 28 Air Circulation System V6-21 VAV Box 1A163 1A178 109 28 Air Circulation System V6-22 VAV Box 110 28 Exhaust System 28-EF1 Exhaust Fan Attic South Wings 111 28 Exhaust System 28-EF2 Exhaust Fan Attic North Wings

112 28 Exhaust System 28-EF3 Exhaust Fan Attic Gen. Lab 1A207

113 28 Exhaust System 28-EF4 Exhaust Fan Attic Gen. Lab 1A207

114 28 Exhaust System 28-EF5 Exhaust Fan Gas Man. 0-01 Gas Man. 0-01

115 28 Heating System 28-HGP1 Pump Penthouse AHU Coils 116 28 Heating System 28-HGP2 Pump Penthouse AHU Coils 117 28 Heating System 28-HWP1 Pump Basement Building 118 28 Heating System 28-HWP2 Pump Basement Building

119 28 Heating System 28-UH1 Unit Heater Gas Man. 0-01 Gas Man. 0-01

120 28 Heating System 28-UH2 Unit Heater 1A131 1A131 121 28 Heating System 28-UH3 Unit Heater 1A185 1A185 122 28 Heating System 28-UH4 Unit Heater 1A224 1A224 123 28 Heating System 28-UH5 Unit Heater 1A272 1A272 124 28 Chilled Water System 28-CHP1 Pump Basement AHU Coils 125 28 Chilled Water System 28-CHP2 Pump Basement AHU Coils

126 28 Split AC Systems 28-SSAH1 Split AC Unit Elev. Equip Rm Elev. Equip Rm

127 28 Split AC Systems 28-SSAH2 Split AC Unit Elev. Equip Rm Elev. Equip Rm

128 28 Split AC Systems 28-SSAH3 Split AC Unit Elev. Equip Rm Elev. Equip Rm

129 28 Split AC Systems 28-SSAH4 Split AC Unit Elev. Equip Rm Elev. Equip Rm

130 28 Plumbing Systems 28-DWH-1 Water Heater G-01 Building 131 28 Plumbing Systems 28-DWH-2 Water Heater G-01 Building 132 28 Plumbing Systems 28-DWH-3 Water Heater G-01 Building 133 28 Plumbing Systems 28-HWRP1 Circulating Pump G-01 Building 134 28 Plumbing Systems 28-SP-1 Sump Pump Elevator Elevator 135 28 Plumbing Systems 28-SP-2 Sump Pump Elevator Elevator 136 28 Plumbing Systems TV-1 Thermostatic Valve Eye Wash Eye Wash 137 28 Plumbing Systems TV-2 Thermostatic Valve Sinks Sinks

138 28 Building Automation

Systems BAS Control equipment and devices Building Building

139 28 Fire Alarm Systems FAS Signalling and detection devivces Building Building

140 28 Lighting Systems Fixtures and Controls Building Building

141 28 Electrical Systems Panels, Power Distribution Building Building

National Facility Solutions, LLC

Appendix O.2: Example Pre-Functional Checklist

VA Lexington Renovate Bldg. 28 for Specialty CareNational Facility Solutions Better Buildings. Better Lives.

Project Pre-Functional Checklist

Building: Lexington VA Medical Center

System: Air Circulating System

Equipment: 28-ACT1

Status

Confirm the air curtain is installed and functioning01

CommentsActivityOrder Assigned To

01.01 Confirm that the air curtain is installed above the door securely

01.02 Confirm there is no damage

01.03 Confirm power is connected to the air curtain

01.04 Confirm the door limiting switches have been installed

and wired to the air curtain controller

01.05 Confirm the air curtain speed controller is installed and speed is set

01.06 Confirm that the air curtain has been tested and is

functional

Project Pre-Functional Checklist

Building: Lexington VA Medical Center

System: Air Circulating System

Equipment: V2-1

Status

Confirm VAV box is installed and functioning01

Comments

New

ActivityOrder Assigned To

01.01 NewConfirm that the VAV box, the damper actuator and the hot water heating coil are installed and connected to supply ductwork

01.02 NewConfirm that the supply inlet and outlet ductwork is sealed, tested and insulated

01.03 NewConfirm that the VAV box hot water heating coil is

connected with hot water and all valving (shut-off valves, balancing valves, T & P fittings, strainers, etc.)

are installed and functional

01.04 NewConfirm that the hot water piping is flushed, filled, insulated and operating

01.05 NewConfirm that the DDC thermostat is installed and wired to the VAV box damper and reheat coil control valve

01.06 NewConfirm that the controls for the VAV box, reheat coil, thermostat and (where required) occupancy sensors are interfaced with the BAS

01.07 NewConfirm that the BAS interface of all scheduled points and programming for the VAV box is complete including sequences of operation, occ/unocc. settings, system graphics, trending, temperature setpoints, status, alarms, etc.

01.08 NewConfirm that the VAV box, coil and all control, status and alarm points are interfaced with the BAS

01.09 NewConfirm that the maximum and minimum damper

positions have been set and the damper is varying the air volume correctly from heating minimum to cooling maximum positions

01.10 NewConfirm that all air and hot water testing of the VAV box and coil and balancing has been completed and the results are included in the final balancing report

01.11 NewConfirm that the discharge air temperature sensor is installed, interfaced with the BAS and is functioning

01.12 NewConfirm all sensors and controls have been calibrated and are accurate

01.13 NewConfirm that there is proper clearance and access to all

VAV box components, heating coil, damper, etc. for servicing

01.14 NewConfirm that there is no damage to the VAV box, ductwork, piping, valves and the heating coil

Project Pre-Functional Checklist

01.15 NewConfirm that the VAV box and coil are labeled and

identified properly

01.16 Confirm zone "high" and "low" temperature alarms are

signaled at the BAS when space temperatures exceed the zone setpoint conditions

01.17 Confirm alarms are signaled at the BAS when discharge

air temperatures are over programmed high/low conditions after programmed time has elapsed

Project Pre-Functional Checklist

Building: Lexington VA Medical Center

System: Air Circulating System

Equipment: V2-2

Status

Confirm CAV box is installed and functioning01

Comments

New

ActivityOrder Assigned To

01.01 NewConfirm that the Constant Air Volume (CAV) box, the

damper actuator and the hot water heating coil are installed and connected to supply ductwork

01.02 NewConfirm that the supply inlet and outlet ductwork is sealed, tested and insulated

01.03 NewConfirm that the CAV box hot water heating coil is

connected with hot water and all valving (shut-off valves, balancing valves, T & P fittings, strainers, etc.)

are installed and functional

01.04 NewConfirm that the hot water piping is flushed, filled, insulated and operating

01.05 NewConfirm that the DDC thermostat is installed and wired to the CAV box damper and reheat coil control valve

01.06 NewConfirm that the controls for the CAV box, reheat coil, thermostat and (where required) occupancy sensors are interfaced with the BAS

01.07 NewConfirm that the BAS interface of all scheduled points and programming for the CAV box is complete including sequences of operation, occ/unocc. settings, system graphics, trending, temperature setpoints, status, alarms, etc.

01.08 NewConfirm that the CAV box, coil and all control, status and alarm points are interfaced with the BAS

01.09 NewConfirm that the maximum and minimum damper

positions have been set and are at the same positions for heating, cooling or satisfied conditions

01.10 NewConfirm that all air and hot water testing of the CAV box and coil and balancing has been completed and the results are included in the final balancing report

01.11 NewConfirm that the discharge air temperature sensor is installed, interfaced with the BAS and is functioning

01.12 NewConfirm all sensors and controls have been calibrated and are accurate

01.13 NewConfirm that there is proper clearance and access to all

CAV box components, heating coil, damper, etc. for servicing

01.14 NewConfirm that there is no damage to the CAV box, ductwork, piping, valves and the heating coil

01.15 NewConfirm that the CAV box and coil are labeled and

identified properly

Project Pre-Functional Checklist

01.16 Confirm zone "high" and "low" temperature alarms are

signaled at the BAS when space temperatures exceed the zone setpoint conditions

01.17 Confirm alarms are signaled at the BAS when discharge

air temperatures are over programmed high/low conditions after programmed time has elapsed

Project Pre-Functional Checklist

Building: Lexington VA Medical Center

System: Air Handling System

Equipment: 28-AHU-1N

Status

Confirm AHU installation is complete and functional1

Comments

New

ActivityOrder Assigned To

1.01 NewConfirm that the AHU is installed securely to the floor in the attic with vibration isolators and the unit is seismically braced

1.02 NewConfirm access door and panels are sealed, gasketed

and close tightly with no leakage

1.03 NewConfirm all supply, return, relief and outdoor air

ductwork connections are complete, sealed, pressure tested and insulated

1.04 Confirm that required service clearance for maintenance

is provided at the unit components and sub-components

1.05 Confirm that the unit and the components are all

identified, labeled and valves are tagged

1.06 Confirm all coils and fins are undamaged and clean

1.07 NewConfirm that all construction debris has been removed and a new set of pre and final filters have been installed in the unit

1.08 NewConfirm that hot water and chilled water piping with all valves, strainers, P & T fittings, gauges, thermometers and other accessories are connected to the AHU heating and cooling coils, filled with chemically treated hot water, chilled water, pressure tested and insulated

1.09 NewConfirm that the condensate drain is connected with

properly sized deep-seal trap and is discharging to nearest drain location and flow is unobstructed

1.10 Confirm that the fans are lubricated, belts adjusted and are rotating in the proper direction and are operating with no unusual noise or vibration

1.11 NewConfirm that electrical power has been connected to the two AHU fans, lights, the VFD's, etc., connections are tight and the power is energized to all systems

1.12 NewConfirm that the motorized minimum and economizer

outdoor air dampers, relief air dampers and actuators are installed with insulated ductwork connecting from the louver to the AHU. Confirm the return air damper is installed with actuator. Confirm all dampers are interfaced with the AHU and BAS, tested and functional

1.13 NewAir flow measuring stations at the supply and return

from the AHU are installed, calibrated, interfaced with the BAS and functioning

Project Pre-Functional Checklist

1.14 All air control dampers modulate without binding and

fully open/close. All water control valves stroke fully and spanning is calibrated

1.15 NewConfirm structural platforms have been installed around the AHU and to all damper/louvers with no obstructions and for full service/access to all system equipment and components

1.16 NewConfirm that all controls are installed at the AHU, including the return, relief, minimum and economizer outdoor air damper actuators, control valves, sensors and interface with the BAS is completed, tested and functional and all control system and safety interlocks with AHU, and exhaust fans are complete

1.17 NewConfirm that the supply and return fan VSD's have been programmed, tested and are modulating fan speeds as required to maintain discharge pressure setpoint conditions in the ductwork and the required differential air flows to maintain required minimum outdoor air and building pressurization

1.18 NewConfirm that the AHU operations are interfaced with the operation of the boiler and glycol heating system and with the operation of the air cooled chiller system

1.19 NewConfirm that the unit, components and sub-components

are not damaged

1.20 NewConfirm that the air handling system air and water test and balancing has been completed and results are included in the final report

1.21 NewConfirm that all control sequences of operation are

programmed, including graphics, operating schedules, status, trending, alarms, safeties, all control and monitoring points, etc. are completed and functioning at the BAS for this system

1.22 NewConfirm that the economizer damper control strategy

has been programmed and is functioning

1.23 NewConfirm that the freeze stat is installed and functioning

1.24 Confirm a pressure switch has been located at the

supply fan discharges and de-energize the fan systems when pressure exceeds the setpoint.

1.25 NewConfirm all control devices (sensors, valve positions, etc.) are calibrated and data is received and graphically depicted at the BAS

1.26 NewConfirm all alarms (i.e.: dirty filter, high/low leaving air…