621-23-101 SOW 5-24-2023.pdf

STATEMENT OF WORK

Design/Build Services for

621-23-101

Renovate Building 204 for SPECT CT

James H. Quillen VA Medical Center

Mountain Home, TN

May 24, 2023

Contents

1. General Requirements 2

1.1. Project Scope 2

1.2. General & Safety Requirements 2

1.3. Bid Deduct Alternates 2

1.4. Period of Performance (POP) 3

1.5. Documentation Ownership 3

1.6. Accuracy of Planning Information 4

1.7. Project Management Responsibilities 4

1.8 Electronic/Print Media 9

2. Scope of Services 10

2.1. Requirements 10

2.2. Design Phase 14

2.3. Construction Phase 19

2.4. Closeout 21

3. Appendix A - Proposed Floor Plan

4. Appendix B - Lead Shielding Requirements

5. Appendix C – Division 00 Specifications

6. Appendix D - Division 01 Specifications

7. Appendix E – SECOND FLOOR DUCTWORK PLAN 1999

8. Appendix F – FIRST FLOOR PLUMBING PLAN 1999

1. General Requirements

1.1. Project Scope

Building 204 Room 254 is a suite dedicated to imaging procedures operated by the Nuclear Medicine service of the Medical Center. The scope of this project is for the renovation of rooms within the suite for the installation of a new SPECT

CT.

This project will involve a Design/Build Contractor, henceforth referred to as the

DB Contractor, to provide Architectural, Engineering and Construction services that, at a minimum, include the demolition, design, renovation, and construction services to create a fully functional SPECT CT room meeting all current codes and standards. This will involve select demolition of finishes to accommodate the required safety and service clearances for the CT equipment to be installed. The equipment will be provided and installed by the VA.

The proposed floor plan is included as Appendix A. It is schematic only and does not constitute a final design or limitations to the project scope.

1.2. General & Safety Requirements

1.2.1. The DB Contractor shall ascertain the requirements of the work and shall prepare, for approval by the VA, Construction Documents and other documents setting forth in detail the requirements for the construction of the project and as further described in A/E Design Submissions

Requirements (PG-18-15) Volume C – Minor and NRM Projects

(https://www.cfm.va.gov/til/aeDesSubReq.asp).

1.2.2. See Appendix C for Division 00 Specifications

1.2.3. See Appendix D for Division 01 Specifications

1.2.4. See Appendix E for list of Specifications to be developed by the DB

Contractor. This list may not be inclusive of all required divisions.

1.3. Period of Performance (POP)

1.3.1. Final Project Closeout shall be completed within 345 calendar days after notice to proceed (NTP). The DB Contractor schedule shall allow a minimum of 15 working days for VA review periods after each progress design submission.

1.3.2. POP Schedule:

Milestones Calendar Days

Cumulative Days After NTP

Site Survey & Preconstruction Conference 15 15

Design Development (65%) 35 50

VA Review & Comment Period 20 70

Submittals & Materials Procurement 150 220

Final Progress Design (95%) 20 90

VA Review & Comment Period 20 110

Final Design (100%) 15 125

VA Review & Comment Period 15 140

CD Documents 10 150

Construction 90 310

VA Equipment Install 30 340

As-Built & Closeout 5 345

1.4. Documentation Ownership

All designs, drawings, specifications, notes, and other work developed in the performance of this contract shall be the sole property of the Government and may be used on any other work without additional compensation to the Architect-

Engineer. The Architect-Engineer agrees not to assert any rights and not to establish any claim under the design patent or copyright laws. The Architect-

Engineer, for a period of no less than 3 years after completion of the project, agrees to furnish and provide access to all retained materials (including electronic) upon request of the VA. Unless otherwise provided in this contract, the Architect-Engineer shall have the right to retain copies of all such materials beyond such period.

1.5. Accuracy of Planning Information

1.5.1. The DB Contractor shall visit the project site to investigate the information shown on the Government-Furnished drawings, record (as-built) drawings, and other planning documents provided by VA. This information is the best available, but the Government does not guarantee its accuracy or completeness. The DB Contractor's investigation of field conditions shall be performed in a competent professional manner in accordance with the

Architectural Design Manual PG18-10

(http://www.cfm.va.gov/til/dManual/dmIndex.pdf).

1.5.2. The DB Contractor shall promptly report to the Contracting Officer in writing any discrepancies between this contract and the planning information provided by the Government. The DB Contractor shall make no adjustments to his work due to the discrepancy before the Contracting

Officer has reviewed the matter and forwarded his determination to the DB

Contractor. The DB Contractor's failure to report any such discovered discrepancy or to wait for the Contracting Officer's determination shall be at their risk and expense.

1.6. Project Management Responsibilities

1.6.1. Project Schedule

1.6.1.1. The DB Contractor shall develop and provide a detailed schedule in

Microsoft Project® or other approved scheduling software for completion of all Design Stage activities, tasks, and submissions required herein, leading up to and including the final design development submission(s). After the DB Contractor receives notice to proceed with the Construction Stage work, the DB

Contractor shall provide and maintain a detailed schedule for completion of all Construction Documents Phase activities, tasks, and submissions required herein. The DB Contractor schedules shall itemize all required submission dates and review durations and must conform to the milestones and durations provided in the COR overall schedule and the Submission, Review.

1.6.1.2. The DB Contractor shall provide monthly schedule updates to the

COR, showing progress on and completion of all required Design

Stage services and Construction Stage work. If the schedule updates indicate that previously approved schedules may not be met, COR will give immediate notice and request appropriate recommendations from the DB Contractor.

1.6.2. Project Progress Meetings and Reporting

1.6.2.1. During the Design Phase and the Construction Phase, the DB

Contractor shall host project progress meetings, and/or presentations, with the COR and primary service groups as required to keep all parties apprised of the design progress/status and impending activities. The DB Contractor shall also host special project technical meetings as needed involving project team technical disciplines.

1.6.2.2. After construction begins, the DB Contractor shall conduct a weekly progress meeting(s) and weekly subcontractor meeting(s). A COR representative and/or approved delegate will attend. The DB

Contractor shall also attend construction oversight meetings with representatives from the COR and the project team monthly.

1.6.3. Meeting Agendas, Attendance, Minutes and Correspondence

1.6.3.1. The DB Contractor shall prepare and distribute an agenda for each

DB Contractor hosted project meeting, in advance of the meeting date.

1.6.3.2. DB Contractor representation at all meetings shall include those individuals having knowledge of the agenda topics and authority to make decisions and commit resources.

1.6.3.3. The DB Contractor shall provide minutes of all DB Contractor hosted project meetings and presentations to all attendees identifying new and unresolved old action items and associated responsible parties.

Minutes shall be provided within two (2) calendar days after each meeting.

1.6.3.4. The DB Contractor shall reply to correspondence from the COR, outside agencies, COR contractors and construction subcontractors within three (3) calendar days.

1.6.4. Record Keeping and Design Review Procedures

The DB Contractor is responsible for preparing correspondence and other documentation and maintaining accurate and detailed records of the project’s progress during each Phase, which includes a punch list of design issues or deficiencies identified during the VA design reviews. The list of items identified during the VA design reviews must be corrected, or resolved, by the following review submission including a completion checklist identifying the corrected and/or resolved items.

1.6.5. Design Quality Control

The DB Contractor shall be responsible for the professional quality and technical accuracy of all documents prepared for which includes the following documentation as applicable to the statement of work.

1.6.5.1. Architectural Design Documents setting forth in detail the architectural construction requirements including complete floor plans, infection control plan, reflected ceiling plan, elevations, sections, details, schedules, material and color selection, discipline coordination and fire safety systems.

1.6.5.2. Plumbing Design Documents setting forth in detail the plumbing construction requirements including all plumbing and sanitary engineering.

1.6.5.3. Electrical Design Documents setting forth in detail the electrical construction requirements including all electrical plans, elevations, sections, details, diagrams, and schedules lighting fixtures, switching, power outlets and data system.

1.6.5.4. Cost Estimates setting forth in detail quantities of materials, labor, profit, overhead, insurance, taxes, etc. for each separate technical discipline within the project scope. The DB Contractor shall develop detailed construction cost estimates on form similar to VA Form HO-

18b. All categories of work involved including quantities and unit type cost shall be included.

1.6.5.5. Specifications for all sections of the work utilizing the VA Master

Specifications (PG-18-1), available in the Technical Information

Library (TIL) on VA Website address (http://www.cfm.va.gov/til/), setting forth in detail all requirements for the construction fully coordinated with the drawings and other Construction Documents.

1.6.5.6. Constructability of the project as designed is the sole responsibility of the DB contractor. To ensure that the design can be constructed within schedule and budget and that the sequencing of construction is planned for optimum efficiency, the DB Contractor should assure that:

• The level of design complexity is consistent with the project’s schedule and budget constraints.

• Materials, processes, equipment, and labor are appropriate and available.

• Construction work required is in conformance with standard construction practices, and equipment, products, materials, fixtures, etc. are readily available in the marketplace, to the maximum extent possible.

• Building systems are compatible and viable.

• Drawings and specifications are complete and thoroughly coordinated among disciplines.

• Defects, omissions, inconsistencies, conflicts, and ambiguities in documents are identified.

• Drawings are coordinated for multiple construction phases, if applicable.

• Site and building access, logistics, available storage, and tenant occupancy requirements are accommodated.

• Existing conditions are shown correctly and adequately.

• Construction options and unit prices are logical, thoroughly described, and understandable.

• Construction details are appropriate, complete, thoroughly described, and workable.

• General requirements items are thorough and properly addressed.

• Construction documents and construction phasing provide for continuous use of all building systems (including HVAC, phone, data, fire alarm, security etc.) during all construction.

• Construction duration, phasing, and subcontracting plans are reasonable and logical.

1.7. Electronic/Print Media

1.7.1. Computer Aided Design (CAD) Standards

VA has adopted the U.S. National CAD Standard (NCS)

(http://www.buildingsmartalliance.org/ncs/) available from National

Institute of Building Sciences (NIBS). The U.S. National CAD Standard has been modified by VA as explained in the VA National CAD Standard

Application Guide (https://www.cfm.va.gov/til/projReq.asp). CAD drawings shall be compatible with AutoCAD Version 2022, native format (.DWG). All files (base files, reference files, cell libraries) shall be compatible with the

VA target system. Layering guidelines shall conform to applicable VA and

AIA standards.

1.7.2. Other Electronic Documents

In addition to any hardcopy submission requirements, all design submissions shall also be submitted in an electronic format. All electronic media shall be in a form readable by standard office automation applications.

1.7.3. Plans and Specifications

Provide only electronic submissions of plans and specifications for all design development submissions up to, but not including, the 100% construction submittal. For the 100% construction plans and specifications, two (2) hardcopies will be submitted. All hardcopy prints will be on half-size.

1.7.4. Document File Size Requirements

Single document file sizes, including drawings and reports, shall be limited to 20 MB max. Total per submission file size shall be limited to 76 MB max.

2. Scope of Services

2.1. Requirements

The following requirements are the minimum requirements for successful completion of the project scope. If additional requirements are determined during the design stage of the project to successfully complete the project scope, they will be reviewed during milestone submittals. If any of these requirements are determined to be not executable due to technical constraints, a justification will need to be presented. If any of these requirements cannot be satisfied within budget, a deduct alternative can be presented if it does not reduce the functionality of the intended space.

See Appendix A for Proposed Floor Plan. Construction and design may run concurrently; however, 100% sealed drawings shall be submitted prior to starting any feature of work. The design shall include an Interim Life

Safety and Infection Control Plan.

2.1.1. Demolition

• Existing interior wall finishes will be removed down to the framing.

• Existing floor finishes will be removed down to concrete.

2.1.2. Concrete Flooring

Provide and backfill concrete flooring where existing core holes are abandoned..

2.1.3. Metals

• Provide and install steel studs and framing for new walls.

2.1.4. Wood and Plastic

• Provide and install a new solid surface countertop desk in the control room L354D.

• Provide and install a new sink and base, solid surface counter, and overhead cabinets in the Room L254C.

2.1.5. Doors, Frames, Hardware and Windows

• Provide and install one interior lead shielded windows between the control room L254D and CT room L254C.

• Paint/stain all doors and trims.

• Provide and install new interior lead shielded doors and hardware for the CT room L254C.

2.1.6. Finishes

• Provide and install all new flooring in rooms L254C and L254D.

• Provide and install lead lined drywall as required in room 254.

Reference Appendix B.

• Paint all new walls and trims.

• Provide and install base molding at all new walls.

• Existing ACT ceiling and patient lift are to remain with modifications as necessary for HVAC grilles and diffusers.

• Finishes to match Building 214 in quality and as close as possible in color.

2.1.7. Special Construction

• Support installation of new SPECT CT by equipment manufacturer.

SPECT CT will be provided by the VA.

2.1.8. Fire Suppression

Reconfigure existing sprinkler piping and sprinkler heads as necessary for ceiling modifications.

2.1.9. Plumbing

• Provide and install new in-wall plumbing for sanitary and potable water service.

• Provide and install new water heater.

• Provide and install new sink.

2.1.10. Heating, Ventilation and Air Conditioning

• Provide and install all new supply and exhaust duct work, insulation, grilles, and diffusers as required to support the heat load of the equipment and occupancy. The existing HVAC system will be modified as required to serve all rooms in the project area.

• Provide and install new controls as required.

2.1.11. Provide pre and final Test and Balance reports.Electrical

• Reconfigure light fixtures and switching as required within the project area.Provide power circuit for water heater in room L254C.

• Install IN USE sign at entrance to L254C.

• Provide and install new cabling below floor slab as required for SPECT

CT. VA will provide equipment data. Concrete coring will be required.

2.1.12. Communications

• Provide and install new communication cabling and outlets as required for new SPECT CT.

2.1.13. Fire Detection and Alarming

• Provide and install all new fire initiating devices, signaling devices, conduit and wire, controls, as required, and connect to the existing fire control panel.

2.2. Design Phase

2.2.1. Site Investigation

2.2.1.1. The DB Contractor shall document existing site conditions, studies, surveys, analyses, and reports along with any additional services and/or tests that are required to fully document the project.

2.2.1.2. The DB Contractor must verify and ensure existing space sizing, dimensions, HVAC ductwork and structural locations before proceeding with the design submittals.

2.2.1.3. The DB Contractor shall use information collected from site visits and interviews of the building’s maintenance crew to develop full plans and specifications for the project. Any conflict between the intent of this project and code requirements or specifications shall be brought to the attention of the COR for direction within 14 calendar days of contract being awarded.

2.2.2. Design Narrative

2.2.2.1. All design concepts must indicate space requirements and narratives of the proposed systems.

2.2.2.2. Design narratives must clearly explain the design intent and how it fulfills the requirements of the statement of work.

2.2.2.3. Design narratives must show all calculations for the intended design.

2.2.3. Design Development (DD)

2.2.3.1. DD Analysis and Calculations

Conduct analysis and provide supporting documentation for system selections and optimizations.

2.2.3.2. Construction Work Sequence Planning

In coordination with the COR and the services affected, develop, maintain, and update a construction work sequence plan addressing:

• Construction egress

• Interim Life Safety and Infection Control Plan

• Construction phasing approach.

• Use of any fast tracking to achieve best value for the government.

• Schedules for award of subcontract construction packages, including procurement cycles, submittal approvals, construction delivery, and testing/commissioning.

• Possible labor and/or material shortages.

• Ordering of long-lead delivery materials.

2.2.3.3. Design Guides and Specifications

2.2.3.3.1. The DB Contractor shall use VA Program Guides, Design

Manuals and Master Specifications, available in the

Technical Information Library (TIL) on VA Website address:

(http://www.cfm.va.gov/til/), in preparing the Construction

Documents for the project. However, should the DB

Contractor determine that deviation from such standards and specifications is necessary or beneficial to the Government, he shall promptly submit a request in writing to the

Contracting Officer for permission to make the deviation. The request shall include an explanation of the specific reasons for the desired change and benefits expected.

2.2.3.3.2. All codes referenced in the VA TIL guides, manuals and specifications are to be the current edition of the code as of the date of issuance of the task order.

2.2.3.4. DD (65% Design) Submission

The following deliverables are required, at a minimum, for the 65% submission:

• Drawing set including:

o Floor plans o Sections o Elevations o Mechanical o Electrical o Plumbing o Life Safety o Communications

• Draft specifications.

• Energy Manager report.

• Initial cost estimate.

• TIL Compliance Report.

QC report in coordination between disciplines.

Submission shall be ready for a third-party Fire and Life Safety

Review.

• Report to present to End User and ELT.

• Checklist of corrected/resolved items from previous VA design review.

• Submission review meeting.

2.2.3.5. DD (95% Design) Submission

The following deliverables are required, at a minimum, for the 95% submission:

• Pre-final set of drawings

• Pre-final set of specifications

• Pre-final report for End User and ELT.

• Estimate to include any deducts.

• Final Finish Samples.

• Final QC report.

• Final Energy Manager report.

• Checklist of corrected/resolved items from previous VA design review.

• Submission review meeting.

2.2.4. Review Submissions

Submit documents for VA review and comment to the Contracting Officer’s

Representative (COR) as specified below. VA review of the DB

Contractor’s work product shall not be construed by either party to relieve the DB Contractor from its professional responsibility to execute drawings, specifications, and other work submissions with due care and in accordance with acceptable professional standards.

1) Design Development (DD) Plans Submission (65%): The DB

Contractor shall submit electronic (pdf) copies of all submitted items for this submission to the COR by the date specified in the POP. This design shall incorporate all applicable codes and standards necessary to complete an independent Fire and Life Safety Code Review in accordance with VHA Directive 7712 Fire Protection Code Reviews of

Delegated Construction Projects.

2) Design Development (DD) Plans Submission (95%): The DB

Contractor shall submit electronic copies of all submitted items for this submission to the COR by the date specified in the POP.

3) 100% Final Construction Drawings (Sealed by Architect and Engineer):

The DB Contractor shall submit two (2) half size drawings, two (2) hard copies of cost estimates, two (2) hard copies of design narrative/analysis, two (2) hard copies of design computations and calculations, two (2) hard copies of bound and edited specifications and electronic (pdf and CAD) copies of all submitted items for this submission to the COR.

4) Certification of A/E Seal: At the final review, the DB Contractor will present the completed set of contract documents. Each Contract

Drawing shall bear the seal and signature of the registered professional architect or engineer responsible for its design. The seal and signature shall be affixed for the final scheduled review stage of each phase of the Construction Documents section. A principal of the

DB Contractor firm under contract to the VA will be required to provide a signed certification that all drawings and calculations have been properly signed and sealed by the appropriate individual for each discipline, in accordance with the rules and regulations of the local

State licensing authority. This certification shall be forwarded to the

Contracting Officer upon the completion of the Contract Documents.

2.3. Construction Phase

2.3.1. Pre-construction Kickoff

The DB Contractor is required to participate in a pre-construction kickoff meeting to review the mobilization plan and preliminary schedule.

2.3.2. Schedule of Values

The DB Contractor shall prepare and submit a schedule of values for the approval by the COR.

2.3.3. Construction Delivery Phase Record Keeping

Refer to the General Requirements section of this SOW for Record

Keeping requirements.

2.3.4. Construction Phase Progress Meetings and Reporting

Refer to the General Requirements section of this SOW for Progress

Meetings and Reporting requirements.

2.3.5. Construction Safety Program

2.3.5.1. Members of the construction execution team are required to attend

VA construction safety training before the start of any construction activities. A two week notice is required to schedule safety training.

Training shall be concurrent with the Design process.

2.3.5.2. The DB Contractor is responsible for all subcontractor’s safety programs in that they adhere to the VA’s safety program requirements.

2.3.5.3. Members of the construction execution team are only allowed to perform work within the designated construction area and any ancillary areas as defined by the construction documentation.

2.3.5.4. It is the DB Contractor’s responsibility to have all required risk assessments completed prior to the start of construction.

2.3.5.5. It is the responsibility of the DB Contractor to acquire and maintain all permits required to complete the construction on schedule.

2.3.5.6. It is the responsibility of the DB Contractor to maintain a clean and safe work environment.

2.3.5.7. It is the responsibility of the DB Contractor to acquire PIV credentials required, in a timely manner, as not to affect the construction schedule. PIV credentials shall be acquired during the

Design process.

2.3.6. Construction Schedules

The DB Contractor shall maintain a schedule in accordance with the requirements in the General Requirements section of this SOW and shall notify the COR of any known or anticipated deviations from the schedule.

2.3.7. Inspections and Testing

2.3.7.1. The DB contractor shall develop a field inspection and testing plan and conduct test in accordance with the construction specifications.

2.3.7.2. Conduct construction safety (OSHA) inspections as required.

2.3.8. Requests for Information (RFI)

2.3.8.1. Each RFI shall include a specific description of the issues requiring clarification, citing the specific related contract documents requiring clarification. RFI’s should only be submitted after performing due diligence to confirm that the contract requirements in question are in fact unclear or otherwise inadequate.

2.3.8.2. Upon receipt of the response to each RFI submitted, coordinate the response with all involved subcontractors to ensure understanding and appropriate action.

2.4. Closeout

2.4.1. Final Inspection

Participate with the COR in conducting inspections and follow-up inspections to administer resolution of the punch-list items.

2.4.2. Punch-Lists

After the COR certification that the work or each designated portion thereof is substantially complete, assist the COR in conducting a final inspection and preparing a punch-list documenting remaining work, along with follow-up inspections to administer resolution of punch-list items.

2.4.3. Operations and Maintenance (O&M) Manuals Submittal

Prepare and submit complete and properly organized O&M manuals and the final construction specifications.

2.4.4. Warranties, Guarantees and Certificates.

Prepare and submit warranties, guarantees, and certificates ensuring that the rights and responsibilities are clearly defined.

2.4.5. Final As-built Drawings and Specifications

The DB contractor shall prepare and submit final approved CAD as-built drawings and electronic (pdf) as-built specifications to the COR within 5 calendar days after project completion.

2.4.6. Personnel Training

It is the DB Contractors responsibility to facilitate the training of operating and maintenance staff of the delivered facility and equipment.

2.4.7. Closeout Inventory

As a condition for the COR certification of substantial completion, provide an inventory list of all items to be turned over to the COR and a spare parts list for all equipment.

3. APPENDIX A – Proposed Floor Plan

DN DN UP

DN

EQUIP RM

L225F

ELEVATOR

S-18

ELEVATOR

S-17

CLERK

L217

INTERP RM

L206

SCRUB

STATION

L223

HAND WASH

L225K

CONTROL RM

L223

CORRIDOR

C2-2

CORRIDOR

C2-6

CORRIDOR

C2-1

CORRIDOR

C2-3

CORRIDOR

C2-5

CORRIDOR

C2-13

HALL

L217

WAITING

L202

STAIR 1

EKG

L203

RECEPTION

L201

ECHO LAB

HALL

L204

ECHO

L207

FELLOWS

L208

STRESS LAB

L209

TOILET

L209A

TOILET

L206

TOILET

L206A

AV

STORAGE

L232

ELECTRICAL

L226

STORAGE

L230HAC

L264

ELECTRICAL

L252

STORAGE

L233

MECH

MECH

MECH

PHYSICANS

OFFICE

L210

PHYSICANS

OFFICE

L211

PHYSICANS

OFFICE

L212

CLOSET

L212A

CLOSET

L213A

CHIEF OF CARDIOLOGY

L213

L214

WORK RM

L215

LOCKER

BREAK RM

L215A

EXAM RM D

L218D

EXAM RM C

L218C

EXAM RM B

L218B

EXAM RM A

L218A

CADIOVASCULAR

WORK RM

L219

STAIR 2

CLINICAL STAFF

OFFICE

L216B

NURSE

PRACT

OFFICE

L216A

NURSE

PRACT

L216

CATH LAB

HOLDING

L221

EQUIP RM

L225F

REST RM

L225G

HOLDING

L225E

CLEAN UTILITY

L225A

EQUIP CLOSET

L225B

PROCEDURE RM

L225

CCVFD

L225A

CHANGING

L222

VFD

L231

EQUIP

STORAGE

L223

BREAK RM

L224

MECH

CORRIDOR

C2-12

CORRIDOR

C2-11

CORRIDOR

C2-10

TOILET

L255TOILET

L253

EXAM RM

L263

CHIEF COMMON

VIEW/CONF

L262

MECHRECPT/SEC

L260

HOT

LAB

L256

L267

WAITING

L261

STORAGE

SUPPLY

L257

STF P

OFFICE

L265

RADIO P

OFFICE

L266

STAIR 3

CONTROL RM.

L254B

BREAK RM

L260A

PROCEDURE

L254

CARDIOLOGY

WAITING ROOM

L233

EKG

L217A

INTAKE

L217B

PHYSICANS

OFFICE

L212A

WORK

ROOM

ROOF

STORAGE

L225B

CONFERENCE ROOM

L229

V O

A V

O A

L281a L282a L283a L284a

L2 a

L294a L296a

L2 a L2 a

L2 a

L289a

L2

Aa

L290Aa

L290a

L2 a

L2 a

L2

Aa

L296a

A541

A541

A541

CLEAN

L281 SOIL

L282

PAT TLT

L283

AMM

L284

PASS

C2-15

TRANSFER

L294

CONTROL

L295

ULTRASOUND 1

L285

ULTRASOUND 2

L286

ULTRASOUND 3

L287

ELEC

L207A

TECHS

L288

HOLD

L290

RAD OFF

L289

TELECOM

L290A

EQUIP

L291

CLO

L296A

MRI

L296

DRESS

L292

SCREEN

L293

SUB-WAIT

L280

C 2-a

L290b

CONTROL RM

8.59.29.710.2 7.7 7.2 6.3 5.2 4.5 3.9

UU

10.7

TT

SS

RR

PP

NN

MM

LL

JJ

HH

GG

FF

EE

DD

L254A

PROCEDURE

L258

PROCEDURE

CONTROL RM.

PROCEDURE

CHAIR

VFD

L231

MECH

CORRIDOR

C2-11

CORRIDOR

C2-10

TOILET

L255TOILET

L253

MECHRECPT/SEC

L260

HOT

LAB

L256

WAITING

L261

STORAGE

SUPPLY

L257

CONTROL RM.

L254B

BREAK RM

L260A

PROCEDURE

L254

L254A

PROCEDURE

L258

PROCEDURE

CONTROL RM.

L254D

L254C

PROCEDURE

CHAIR

1 1

Location:

Site:

Drawn:

Project Title:

Checked: Approved:

Project No.

Drawing No.

Date

Building:

Scale:

JAMES H. QUILLEN

MOUNTAIN HOME VAMC

Drawing Title:

Revisions DateApprovals Date

621-23-101

RENOVATE B204 FOR SPECT CT

MOUNTAIN HOME

Floor:

JCT

G-001

2.16.2022

CONCEPT PLAN

AS

NOTED

1/16" = 1'

B7 PROJECT LOCATION

3/8" = 1'

F2 ARCHITECTURAL PLAN

KEY NOTES

INSTALL NEW LEAD LINED WALL

INSTALL NEW ELECTRICAL & DATA AS REQUIRED

INSTALL LEAD LINED WINDOW

INSTALL LEAD LINED DOUBLE DOOR WITH OPERATORS AND HAND WAVE

ACTUATORS

PATCH/REPAIR EXISTING SLAB AS NEEDED

PATCH OR REPLACE FLOOR FINISH

INSTALL ADDITIONAL DUCTWORK & DIFFUSERS AS NECESSARY TO

PROVIDE SUPPLY & EXHAUST IN L254, L254C & L245D. EXISTING CEILING

AND PATIENT LIFT TO REMAIN.

RECONFIGURE LIGHT FIXTURES & SWITCHING AS NECESSARY FOR L254,

L254C & L254D

PREP & PAINT NEW & EXISTING WALLS IN L254, L254C & L254D

INSTALL WALL PROTECTION

INSTALL "IN USE" SIGN

INSTALL NEW CASEWORK AND SINK WITH OVERHEAD CABINETS

INSTALL NEW CASEWORK

CORE HOLES THROUGH FLOOR AND INSTALL CABLE TROUGH ABOVE FIRST

FLOOR CEILING. CT VENDOR WILL PROVIDE SIZE AND LOCATIONS.

204 2nd

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4. APPENDIX B – LEAD SHIELDING REQUIREMENTS

MHVA Medical Center Nuclear Medicine Department

SPECT CT-2 Shielding Design

Lead Barrier

Lead Door

Lead Equivalent Glass Viewing Window

Distance ID - Barrier Measurement (feet) Distance ID - Barrier Measurement (inches)

1 – Wall 1 7.3 7 – Wall 2b 17.1

2 – Wall 1 8.1 8 – Wall 3a 15.5

3 – Wall 2a 10.9 9 - Window 15.0

4 – Wall 2a 9.6 10 – Wall 3b 15.6

5 – Wall 2a 11.8 11 - Wall 4 6.6

6 - Doors 13.0 12 – Wall 1 8.0

Cardiology

Lounge

Controlled Area SPECT Room

2nd Floor - Outside

WALL-1

WALL-2a

WALL-2b

WALL-3a

WALL-3b

Viewing Window

Entrance Doors

WALL-4

Conversions:

0.8 mm – 1.1 mm = 1/32 inch

152.83 mm = 6 inches

96.12 mm = 3.5 Inches

Shielding Design Recommendation:

Shielding design goals referencing NCRP 147 "Structural Shielding Design for Medical X-ray Imaging Facilities" Model NT/Pd

(P = 0.02 mGy/week in an uncontrolled areas, 0.1 mGy/week for controlled areas) requires lead thicknesses 1/64 inch to 1/32 inch. This excludes floor and ceiling concrete thicknesses. For the Nuclear Medicine department at MHVA, the department is on a terminal second floor requiring no shielding.

The shielding of the floor of this department should be verified as 6 inches of standard density concrete to meet shielding design requirements.

Areas labeled wall 1, wall 2a, wall 2b, wall 3a, wall 3b, and doors on the submitted room diagram will require the 1/32 inch lead shielding with a minimum of 7 feet in height. The area labeled viewing window on the room diagram requires lead equivalent glass meeting a minimum thickness of 1/64 inch of lead.

All calculations and recommendations by:

John Kevin Mullins, M.H.P., DABMP

Certified Medical Health Physicist

Date: January 20, 2023

5. APPENDIX C – DIVISION 00 SPECIFICATIONS

James H. Quillen VA Medical Center, Project 621-22-145

Renovate B204 Room 254 for SPECT CT

02-08-22

MEDICAL CENTER REQUIREMENTS

00 10 11-1

Section 00 10 11

INDEX

Item Title Page

1. General Intention (Contact info)

2. Medical Center Orientation

3. Statement Of Work

4. Clearances, Badges, Parking Permits, and Keys

5. Supervision / Superintendent / Communications

6. Use Of Government-Owned Material And Equipment

7. Government Furnished Property

8. Contractor's Trailers

9. Road Closures

10. Delivery of Materials

11. Storage Area / Access Roads / & Docks

12. Utilities / Outages

13. Environmental Protection

14. Smoking Policy

15. Contract Worker's Safety Information

16. Patient Care Areas

17. General Construction Site Safety

18. Accident Prevention

19. Access to Construction Areas

20. Interim Life Safety Measures (ILSM)

21. Fire Prevention

22. Fire Watch

02-08-22

00 10 11-2

23. Infection Control Orientation for Construction Workers

24. Airborne Dust Control During Construction

25. Interstitial Work Protocol

26. Housekeeping

27. Trenching/Excavations

28. Hazardous Materials

29. Hazardous Spills

30. Lead Based Paint (LBP)

31. Contact with Asbestos Containing Materials (ACM)

32. Lock-Out / Tag-Out Energy Control Procedures

33. Hot Work Permits

34. Permit Required Confined Spaces

35. Fluorescent (PCB and/or Mercury Containing) Fixtures

36. Safety / Intermediate Inspections

37. REQUIREMENTS FOR INSTALLATION OF TELECOM/DATA DROPS

38. Attachment List

02-08-22

00 10 11-1

SECTION 00 10 11

JAMES H. QUILLEN VA MEDICAL CENTER REQUIREMENTS

GENERAL INFORMATION

SECURITY / SAFETY

RULES / REGULATIONS

POLICIES, PERMITS, & PROCEDURES

1. GENERAL INTENTION (CONTACT INFO).

A. This specification section pertains to station policy for construction projects performed at the James H. Quillen VA Medical Center at

Mountain Home (Johnson City), Tennessee 37684. Safety and health concerns are taken seriously at this facility. Both our staff and yours are expected to strictly adhere to the regulations and requirements as specified herein. This is exceedingly important, since we must be primarily concerned for the safety of our patients. In this regard, OSHA Standards may protect worker safety and health, but they have minimal benefit for protecting the safety and health of our patients, due primarily to their differing medical conditions. Review this information as orientation with your personnel performing work on site. Where the requirements as outlined in this and section 01 00 00 are differing, the more stringent shall apply.

B. The Contracting Officer's Representative COR is responsible for the inspection of the work called for in the contract and specifications.

The Contracting Officer’s Representative will be James Tucker. This COR can be reached at 423-926-1171, ext. 7798. In the event the Contractor cannot reach the COR, he may contact the Alternate COR, Jacolby Darr, at 423-926-1171, ext. 7697. Inspections made by the COR are for the sole benefit of the Government and do not relieve the Contractor of any quality control responsibility.

C. The Safety Manager is responsible for safety inspections of all contract operations. The Safety Manager will be Shane Allen. The

Safety Manager can be reached at 423-926-1171, ext. 7334.

D. The Chief, Police Section is responsible for security at this facility.

The Police Chief will be Ralph Hopson and can be reached at 423-926-

1171, ext. 7197.

02-08-22

00 10 11-2

2. MEDICAL CENTER ORIENTATION.

A. After contract award, a Pre-Construction Conference will be scheduled by the Contracting Officer. All issues of the contract and these requirements will be discussed (See Pre-Construction Conference

Checklist, Attachment 00 10 11-A).

B. At the end of the conference the Contractor shall submit the following to the COR:

(1) A copy of the Contractor’s Environmental Safety and Health

Program Plan; a copy of the Contractor’s AHA (Activity Hazard

Analysis) plan, developed for detailing this project’s site-specific

ES&H Plan, including actual drawings depicting all required ES&H issues, etc.

(2) Request for Contractor Identification (I.D.) Badges, for all

Contractor/Sub-contractor employees, Attachment 00 10 11-B.

(3) Initial 90 day schedule submitted in Microsoft Project and PDF format. The COR is responsible for accepting the schedule before commencing project. The 90 day schedule will identify the submission date of the full project schedule. The contractor is responsible for updating the schedule on a weekly basis. Projects with durations less than six months shall have a full project schedule submitted at the pre-construction conference unless otherwise approved by the

COR.

(4) Identify the Contractor's Superintendent and Contractor's

Competent Person(s).

(5) All contractor employees working on site shall attend the James

H. Quillen site specific safety and infection control class prior to working on site. Coordinate with COR.

(6) OSHA Training Records for all such employees (30 hour for the

Superintendent, 10 hour for all other) shall be provided 24hours in advance of the Site Specific training.

00 10 11-3

(7) VA Form 3 Records for all such employees shall be provided a minimum of 7 calendar days in advance of the site specific training

3. STATEMENT OF WORK.

A. SCOPE. For Reference Only. Refer to the project’s full Scope of Work for details. This project consists of furnishing all supervision, labor, materials, equipment, and transportation. It also consists of performing all work in strict accordance with the applicable contract specifications and drawings that form the parts thereof.

B. PRINCIPAL FEATURES. The principal features of this project are listed in the applicable specifications and drawings and in no way limit the responsibilities of the Contractor in performing all the work that is required to provide a complete job.

Period of Performance –Contractor will have 345 days after NTP to complete

C. LOCATION. James H. Quillen VA Medical Center, Mountain Home (Johnson

City), Tennessee 37684.

D. DRAWINGS – GENERAL. The contract drawings indicate the extent and location of construction work. If any departure from the contract drawings are deemed necessary by the Contractor, the details of such departure and the reasons therefore shall be submitted to the

Contracting Officer for approval as soon as practical. No such departures shall be made without the proper written permission of the

Contracting Officer. The Contractor is responsible for all information and requirements in drawings and specifications.

E. VERIFICATION OF DIMENSIONS. The Contractor shall visit the job site to thoroughly familiarize himself with all the details of the work and working conditions. The Contractor shall also verify all dimensions in the field and shall advise the Contracting Officer of any discrepancy before performing any work. The Contractor shall be specifically responsible for the coordination and proper relation of his work to the building, structure, phasing, and insure the safety of employees and workmen.

F. TERMINOLOGY.

00 10 11-4

(1) Work area - An area in which construction work is conducted to complete a contract.

(2) When “furnish”, “provide”, “install”, or similar term is used in the contract, it shall mean a complete installation, ready for use.

(3) “Approved equal” or “equal” shall mean as approved by the

Contracting Officer only. The Contracting Officer shall be the sole judge as to whether or not a substitute item is equal and any item that the Contractor wants to substitute for any item specified shall be submitted to the Contracting Officer for approval.

G. WORK HOURS. The Contractor shall perform work during hours required by the phasing requirements of this contract. The Contractor may be required to schedule some aspects of the work, after hours, meaning from 5:00 pm until 1:00 am, whether indicated on the contract documents by specific phasing or not. Some after hours work such as systems affecting Hospital operations cannot start until after 7:30 pm in the evening. This is required to assure un-interruption of Hospital operations, potential effect to patients, employees, and visitors. If

Phasing requires after hours work, the Contractor shall submit an After

Working Hours Activity Security Request, Attachment 00 10 11-C, at least 48 hours in advance, for approval by the COR. The Contractor shall be required to verify this before bidding.

4. CLEARANCES, BADGES, PARKING PERMITS, AND KEYS.

A. SECURITY CLEARANCE. This Medical Center reserves the right to initiate certain Homeland Security clearance requirements for Contractors, Subcontractors, and other outside vendors, as required. These requirements are subject to change without notice depending on the current threat level implemented by the Government. If security clearances are known to be required, the COR will advise the Contractor at the pre-construction conference. The procedure to obtain security clearance may be dependent on the threat level and will be communicated to the Contractor by the Contracting Officer and/or COR as necessary.

B. I.D. BADGES. All Contractor personnel who enter Medical Center property for this project shall obtain I.D. badges. Contractor personnel shall include employees, Subcontractors, Subcontractor

00 10 11-5 employees, suppliers, and delivery personnel entering the Medical

Center. This does not apply to suppliers and delivery personnel making deliveries to the VA warehouse loading dock only. Contractor personnel who enter the Medical Center on an intermittent, one day at a time basis shall obtain a Temporary Contractor badge. All others shall obtain a photo I.D. badge. Badges shall be worn above the belt at all times while on Medical Center property.

(1) Photo I.D. Badge. The Contractor shall provide to the

Contracting Officer, or COR, a completed Contractor I.D. Badge and

Parking Permit Request, Attachment 00 10 11-B, for each photo I.D.

badge required. The parking section of this form does not have to be completed if a parking permit is not required. The Contracting

Officer, or COR, will provide the completed form to the VA Police

Service, and will advise the Contractor of procedures for obtaining the Photo I.D. badge. Photo I.D. badges will have expiration dates assigned by the Contracting Officer and shall be returned to the VA

Police Service upon expiration, or when Contractor personnel have completed work under this project prior to their expiration, whichever is sooner.

(2) Temporary Contractor Badge. Temporary Contractor badges will be available at location as directed by the COR. Contractors shall sign for Temporary Contractor badges. Temporary Contractor badges shall be returned each day upon signing out. Temporary Contractor badges will not be issued to Contractors who have been issued a picture ID badge.

(3) The Contractor shall return all I.D. badges to the VA Police

Service or final payment will be delayed.

(4) Failure to comply with these requirements shall result in the immediate removal of Contractor personnel from this Medical Center.

Any such Contractor personnel removed for failure to comply will not be permitted re-entry to work on this project until approved by the

Contracting Officer.

C. PARKING PERMITS / TRAFFIC REGULATIONS.

(1) The Contractor will be assigned a parking area during the pre-construction conference. All Contractor personnel shall use only this area for parking while on Medical Center property. The

Contractor shall not park on grassy areas, unless approved by the

00 10 11-6

COR, and the Contractor agrees to restore areas back to VA standards.

(2) All Contractor personnel who park vehicles on Medical Center property for this project shall obtain VA issued parking permits from the VA Police Service. This does not apply to suppliers and delivery personnel making deliveries to the VA warehouse loading dock only. At any time parking permits are required, the following procedure shall be followed:

(a) The Contractor shall provide to the Contracting Officer, or

COR, a completed Contractor I.D. Badge and Parking Permit

Request, Attachment 00 10 11-B, for each parking permit required.

The photo I.D. section of this form does not have to be completed if a photo I.D. is not required.

(b) The Contracting Officer, or COR, will provide the completed form to the VA Police Service, and will advise the Contractor of procedures for obtaining the Parking Permit.

(3) The Contractor shall return all parking permits to the VA Police

Service or final payment will be delayed.

(4) Drivers should be particularly concerned with pedestrian traffic.

Yield to pedestrians in crosswalks.

(5) Posted speed limits and all other traffic controls are to be observed by operators at all times.

(6) Seat belt use is mandatory on the station.

(7) Federal police officers maintain a 24-hour patrol.

(8) Failure to comply with these requirements will result in the immediate removal of Contractor personnel from this Medical Center.

Any such Contractor personnel removed for failure to comply will not be permitted re-entry to work on this project until approved by the

Contracting Officer.

00 10 11-7

D. KEYS.

(1) Only a limited number of keys will be issued to the Contractor.

Contractor shall request and submit a "Contractor Key Request", Attachment 00 10 11-D, for any required keys for any Engineering

Service areas from the COR. The COR will advise the Contractor of the procedure to obtain the keys.

(2) The keys shall be returned at the end of final inspection and/or punch list completion, or final payment will be delayed. If the

Contractor loses a key, all areas that are keyed to that key will be re-keyed by the VA at the Contractor's expense.

(3) The Contractor shall ensure all doors leading to and from construction areas are either monitored or locked to prevent access to the areas from unauthorized persons.

5. SUPERVISION / SUPERINTENDENT / COMMUNICATIONS.

A. At all times during the performance of this contract, the Contractor's

Superintendent shall be available by cellular phone. At the beginning of the contract, and prior to beginning any construction, the

Contractor shall supply the COR with the telephone number for the

Superintendent.

B. The superintendent shall be English speaking, and an English-speaking foreman shall be physically located on the construction site at all times work is being performed on site.

C. The foreman, superintendent and/or other Contractor designee will be the Contractor's Competent Person(s) as identified by OSHA. The

Contractor's Competent Person(s) shall meet OSHA training guidelines and shall be capable of making decisions and acting on behalf of the

Contractor. A Contractor Competent Person shall be on the job site at all times work is being performed. If the Contractor Competent Person is absent from the job site for an extended period of time, the VA

Contracting Officer may send all Contractor/Subcontractor employees off the job.

00 10 11-8

6. USE OF GOVERNMENT-OWNED MATERIAL AND EQUIPMENT.

Use of Government-owned material and equipment is prohibited.

7. GOVERNMENT FURNISHED PROPERTY.

A. The Government-furnished property, if any, listed in the contract will be used only for the performance of this contract unless otherwise authorized by the Contracting Officer.

B. The Contractor shall, at all times, take any and all steps necessary for maintenance and preservation of all Government-furnished property.

C. The Contractor shall comply with all reasonable requests of the

Contracting Officer to enclose, or specially protect, Government-furnished property.

8. CONTRACTOR'S TRAILERS.

Contractor's trailers shall be located at the area assigned. All utility connections to the trailer shall be installed at the

Contractor's expense. The Contractor shall remove any trailers upon completion of the contract, unless approved by the COR to leave in place.

9. ROAD CLOSURES.

A. For any work requiring closure of a road or parking lot, the Contractor shall complete the Permit for Road Closure, Attachment 00 10 11-E, at least fourteen (14) days in advance, for approval by the COR and the

Safety Unit.

B. Permits will be issued for no longer than one (1) week. Work lasting longer than one (1) week will be authorized by multiple permits.

00 10 11-9

C. The Contractor shall supply and install any required road barricades and signage. The Contractor shall completely remove any road barricades and signage at the end of the permit.

10. DELIVERY OF MATERIALS.

Deliveries of materials and equipment shall be made at times when the

Contractor and/or the Subcontractor are available to accept. The VA will not be responsible for accepting, receiving or storing

Contractor's and/or Subcontractor's delivered materials.