SOW Revised 3.9.23.docx

REVISED STATEMENT OF WORK - 3/9/2023

Job# 583-23-2-663-0082

RFQ: 36C25023Q0260-0002

NOTE: The statement of work is revised as follows: five (5) items are removed from paragraph 4 “Deliverables” as indicated by strikethrough (strikethrough). There are no additions or other changes to the statement of work.

1. Contract Title: Medical Gas Monitoring System Upgrade and Repairs.

2. Background.

The chosen contractor shall provide complete construction services including labor, materials, equipment, and supervision required to complete the “Medical Gas Monitoring System Upgrade and Repairs” project at the Indianapolis VAMC. This project will address upgrading two medical gas/air, oxygen, vacuum (AOV) panels and correct deficiency found during annual testing. This project will include the removal of one old alarm panel, installation of two 30-point master panels (one panel requires an oxygen module for high- and low-pressure signals). The panels must measure gas/air, oxygen, and vacuum pressures. Additionally, several medical gas-related deficiencies are to be corrected as cited in deliverables.

3. Scope.

· Remove and replace the non-functioning panel in the security office which is the area of 24-hour surveillance required by NFPA 99 2021. This panel needs to be upgraded to a 30-point master panel with an additional oxygen module for high- and low-pressure signals. This panel upgrade will utilize all current for alarm terminals.

· The second panel is a new installation 30-point master panel in the chiller plant. This panel will utilize signals from the current emergency room panel and shall be connected via new wiring in existing conduits. Plenum rated cable may be used in locations above accessible ceilings.

· Repair or correct other medical gas-related deficiencies as cited in deliverables.

· Panels must be completed where there is no more than one eight-hour period where alarms are not monitored. (i.e. downtime must be limited to eight hours of no pressure monitoring)

· All labor to be done during normal business hours

· Work to be performed by ASSE 60/30 qualified technicians.

· All repairs to the AOV System will fall under the contractor to make and certify.

· Any additions to the AOV Systems will fall under the contractor to install and certify.

· Provide final detailed report of all work completed to HVAC Supervisor

4. Deliverables

· Replace Police dispatch panel with upgraded 30-point panel and oxygen module. Connect using existing wiring.

· Install new Chiller plant 30-point panel and oxygen module in chiller control room

· Run new connecting wiring from emergency room to the new chiller plant panel

· Connect wiring to panels and verify signals

· installation of new conduit and cables as required.

· Installation of open-air plenum rated cables where cables are located above accessible ceilings.

· All necessary floor and wall penetrations shall be included with fire stop to seal penetrations

· Test and certify both new panels per NFPA 99 2021

· Repair all medical gas deficiencies in the rooms specified below:

Oxygen outlets repairs- Outlets are Puritan- Part #123100 AB011C- outlet leak (removed) AB009- outlet leak (removed) A4012- meter stuck in outlet (removed) A6035- outlet #1 leak A6043- outlet #3 leak C3010- outlet leak Same day surgery room 17- outlet leak Same day surgery room 20- outlet leak C8021- outlet leak

Medical air outlets- Outlets are Puritan- Part #123102 AB011C- outlet leak (removed)

A6124- outlet leak A6126- outlets 3,4,5 leak

Medical Vacuum outlets- Outlets are Puritan- Part #123103 A4009- inlet 4 low flow PACU station 6 inlet no flow C8011- inlet leaks

Zone valves Verify all rooms controlled by and correct labelling for current zone valve labelled A7032-7056, 7060-7076

Correct labeling for zone valves A4068, A4069, A4075, B034, B039. Correct valve labeling using durable plastic wall hung placards.

Area alarm issues Repair A7126 Oxygen Gauge & Alarm Module Not Reading (removed)

Area alarm Correct A-wing OR suite holding area alarm panel (not functioning properly) and pain clinic panel (blank air display).

5. Security Contract personnel will be required to obtain contractor identification badges to be worn on person at all times when at the facility. These will be obtained from the VA Police Service.

6. Place of Performance Performance is at the Richard L. Roudebush VA Medical Center, 1481 W 10th Street, Indianapolis, IN. The work will be in mechanical spaces, patient care areas, OR suites, tank storage rooms.

7. Regulations. All inspections & certifications will be in accordance with NFPA 99, 55 and ASSE standards and guidelines.