36C25525R0013 0002.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

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

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

E. IMPORTANT:

is extended,

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

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

15C. DATE SIGNED

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

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 12-20-2024 657A4-24-105 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth

KS

66048 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth

KS

66048 To all Offerors/Bidders

36C25525R0013 11-08-2024

X X X N/A 657A4-24-105 Site Prep for Flouro and Xray, Poplar Bluff VA Medical Center, Poplar Bluff Missouri.

The above solicitation is hereby amended as follows:

A. To provide answers to bidders questions. (attached) B. To provide an updated SOW. (attached) C. To provide 2018 Asbestos & Lead Inspection Report. (attached) D. To provide physicist reports for both, John J. Pershing VAMC and West Plains CBOC locations. (attached) E. To provide Infection Control Risk Assessment (ICRA) for each location, Poplar Bluff and West Plains. (attached) F. To provide updated specifications and drawings. (attached) All Terms and Conditions of this solicitation remain the same.

657A4-24-105 Site Prep for Flouro and Xray The purpose of this amendment is to provide updated documentation and answers to questions from bidders.

657A4-24-105 - SITE PREP FOR FLUORO & XRAY

QUESTIONS AND ANSWERS FROM SITE VISIT AT JOHN J. PERSHING VAMC AND WEST PLAINS CBOC

(NOVEMBER 19, 2024)

1. Both Attachments- Philips Drawing Set N-MID220312 C (Date Drawn: 8/14/2024) Canon Drawing/Project Set 240028425XRP (Dated: 07-11-24) Appear to be Site Specific, but the Site Layout/Plan on drawing A1 for each set do not seem to match exactly with the existing rooms (2030 and 137). Particularly the control/technician rooms and certain wall sections in Poplar Bluff Room 2030.

Q: Do you expect the Contractor to reconstruct each room to match the drawing sets of each? Control Room for Room 2030 shall stay the same configuration that is currently in place. A1 shows the door in the wrong location. Will be reflected in updated Philips drawings. Room 137 at West Plains shall be built to what is shown on A1 from the Canon Drawing Set.

1. Drawing EL (Philips Room 2030) States:

FR1: 10" (254mm) W x 4" (102mm) D floor raceway flush mounted with removable screw-type cover plate. To connect to "FR2" as needed.

FR2: 10" (254mm) W x 3 1/2" (89mm) D flush mounted floor trough with removable cover plate.

Q: Do you have existing slab details/drawings for Room 2030 to be able to reference? We can provide what original 1948 drawings that exist.

1. Drawing E1 & E2 (Philips Room 2030) Raceway Layouts do not match.

Q: Can you confirm which to follow? Raceway should follow the current existing pathway. There is approx. 80’ of raceway that will need to be upgraded to industry standards. Drawings from Philips will be updated to reflect.

1. Philips Room 2030 Drawing A1 shows only 1 of the 2 windows in that room to be infilled.

Q: Can you confirm this is correct? Windows will not be infilled. Removed from SOW.

5. Drawing A1 on Philips Set N-MID220312 C, shows the available depth of room is 11’-2 1/4”. On drawing SD2 of same set it shows the width/depth of Ceiling Clearance Detail of area B of 13’-4 7/16”. There is an existing patient lift installed in Room 2030. The fixed rails of this system are mounted below ceiling and on interior side of the North and South walls/boundaries of the room.

Q: Do you want contractor to remove the patient lift in the room, since it conflicts with drawing SD2 Ceiling Clearance Area?

Contractor shall remove the patient lift and reinstall. Contractor shall coordinate with Goldman on reinstall and certification. Added to SOW.

6. Please confirm if there is asbestos located in the project area. If so, please provide asbestos report. Asbestos & Lead Report will be uploaded for your review. The tile mastic in room 2030 shows to contain ACM.

7. Please advise if the designated SSHO and Quality Control Manager role can be fulfilled by the site superintendent. No, only the quality control manager can be fulfilled by the site superintendent. The SSHO shall have no other duties. See specifications.

8. Is project tax exempt? No, this was discussed during the pre-proposal conference/site visit. Also was included in the solicitation.

9. Please provide details on the materials, means, and methods of the window infills. Windows will not be infilled. Removed from SOW.

10. Please provide specs for flooring. New flooring shall be commercial/healthcare grade welded sheet vinyl flooring or Luxury Vinyl Tile (LVT). See updated specifications.

11. Please provide specs for ceilings. Ceiling tile must be plastic ASTM E-84 certified. See updated specifications.

12. Please provide specs for paint. See updated specifications.

13. Please provide specs for casework. Casework shall match deliverables of New Urgent Care Clinic. Submittals from that project will be uploaded.

14. Please provide specs for countertops. Countertops shall match deliverables of New Urgent Care Clinic. Submittals from that project will be uploaded.

15. Please provide requirements or specs for mini split climate control unit. Mini split shall be equal to or better than existing unit. Existing unit is a 2-ton Mitsubishi model. Also see HVAC requirements on Philips sheet AN. Specifications have been updates as well.

16. Please confirm existing equipment will be removed by VA or VA vendor. Contractor is to coordinate with the vendor for removal of existing radiology equipment within the space. Vendor will be responsible for removing.

17. Please provide as-built drawings if available. Provided what original 1948 drawings that exist.

18. Please provide specs for the lighting fixtures. See update specifications.

19. Note 13 for Room 2030 under scope of work states “radiation protection is already on site and is in good condition” – is this loose material that is available for us to install? Or is this stating the existing conditions have adequate radiation protection already installed? There is no loose material on site. It is understood that existing wall protection is adequate.

20. Solicitation Scope of Work states, “Work shall be phased in a manner that is not disruptive to Medical Center Operations.” Please confirm what phasing plan the VA anticipates for this requirement, as it will materially affect both the cost and duration required. Any work with high noise levels will need to be conducted after hours and coordinated with COR.

21. Description of Work for Room 2030 (Poplar Bluff), item (2) states, “Coordinate with vendor for removal of existing radiology equipment within the space.” Please define this coordination and explicit task to be priced by the contractor.” Contractor is to coordinate with the vendor for removal of existing radiology equipment within the space. Vendor will be responsible for removing. Updated in SOW.

22. Description of Work for Room 2030, item (3) states, “Remove ancillary wall items (i.e. lead apron racks, surface mounted equipment backing) as directed by owner.” Please quantify the type and number required. Vendor and VA will remove some items. Others will be removed by contractor.

23. Description of Work for Room 2030, item (6) states, “Modifications or supplementation to the existing overhead support system are not required.” Please clarify what this is referring to? Contractor was to review at site visit if any modifications to existing overhead support system was required. SOW updated to include “Any modifications or supplementation to the existing overhead support system shall be designed by a structural engineer.”

24. Description of Work for Room 2030, item (10) states, “The existing windows in Room 2030 (Poplar Bluff) will be infilled and finished as directed by the VA.” Please provide details on materials, means and methods for this requirement. Windows will not be infilled. Removed from SOW.

25. Description of Work for Room 2030, item (11) states, “The existing sprinkler locations do not meet industry standards. The contractor shall relocate sprinklers to meet NFPA requirements and VA specifications.” Is the contractor to only price relocating of heads? If so, how many? If new are required does the VA have flow calculations to ensure the system is adequate? Contractor shall have a qualified installer to review fire suppression system and meet NFPA requirements and VA specifications. No flow calculations exist, qualified installer shall verify they are adequate. Updated in SOW.

26. Does the VA have a wet suppression system within this space? If so, does the VA want to change the system type? Yes, we do not want to change the system type.

27. Description of Work for Room 2030, item (14) states, “Provide deliverables for structural notes in Site Prep Documents. Structural evaluation of the existing slab is included. The evaluation will be based on a site visit and as-built structural drawings provided by the facility. It is understood that the existing slab can support the weight of the equipment.” If the slab is sufficient per this note what specific deliverables related to the floor and other structural are required? This note, if accurate, removes responsibility from the contractor for all structural deliverables. If this note is not accurate, what structural calculations, imbed mechanical attachment designs, etc. are required? Contractor shall hire a structural engineer to verify the existing slab can support the weight of the equipment. Please provide documentation showing this. Equipment being replaced is similar in weight. Updated in SOW.

28. Is a vibration study required or is this requirement alleviated per note 14? No vibration study required.

29. Description of Work for Room 2030, item (18) states, “Provide three (3) sets of final construction (non-bid) documents.” Please clarify what this explicit contract requirement includes? It alludes to a complete design build by default, without being forthcoming on the requirements. Don’t Apply. Removed from SOW.

30. Description of Work for Room 2030, item (18) states, “Casework and Countertops shall match deliverables of New Urgent Care Clinic (657- 351), solid surface countertops.” Please provide approved submittals for these specified products requiring matching. Submittals from New Urgent Care Clinic have been uploaded.

31. Under what level is the “Provide Engineering Controls for Infection Control and other associated construction risks (Construction Containment)” to be constructed under? Poplar Bluff & West Plains. IRCA for both locations uploaded.

32. Description of Work for Room 2030, item (21) states, “All Physicist testing and report will be provided by the facility.” Plans state, “radiation requirements not indicated on plans and must be designed by a qualified Physicist.” As the VA has accepted responsibility for this requirement per the SOW, please provide the design level of shielding required for walls, ceilings, and floors based on the radiation created by both the GE and Phillips equipment. Physicist testing and report will be provided by VA.

33. Description of Work for Room 137 (West Plains), item (2) states, “Coordinate with vendor for removal of existing radiology equipment within the space.” Please define this coordination and explicit task to be priced by the contractor.” Contractor is to coordinate with the vendor for removal of existing radiology equipment within the space. Vendor will be responsible for removing. Updated in SOW.

34. Description of Work for Room 137 (West Plains), item (8) states, “Provide three (3) sets of final construction (non-bid) documents.” Please clarify what this explicit contract requirement includes? It alludes to a complete design build by default, without being forthcoming on the requirements. Don’t apply. Removed from SOW.

35. Description of Work for Room 137 (West Plains), item (10) states, ““Casework and Countertops shall match deliverables of New Urgent Care Clinic (657- 351), solid surface countertops.” Please provide approved submittals for these specified products requiring matching. Submittals from New Urgent Care Clinic have been uploaded.

36. Under what level is the “Provide Engineering Controls for Infection Control and other associated construction risks (Construction Containment)” to be constructed under? West Plains. IRCA uploaded.

37. Requirements for work at Room 137 (West Plains) & Room 2030 (Poplar Bluff), special construction item (5) state, “The contractor shall verify that site preparations in Room 2030 and Room 137 provide radiation protection that satisfy the requirements.” This requirement can only be fulfilled by a certified physicist which is carried by the VA, and furthermore, requirements must be provided pre-proposal to allow the contractor to price an explicit task criterion. Please clarify and provide this information. Physicist testing and report will be provided by VA.

38. Requirements for work at Room 137 (West Plains) & Room 2030 (Poplar Bluff), special construction item (7) states, “Additional lead shielding is excluded. If additional lead shielding (not specifically noted in this proposal) is required, will it be added to the scope and price via a change order.” This VA note directly conflicts with the preceding note and GE/Phillips requirements? Please clarify? Yes, if additional lead shielding is required it will be added to the scope and price via a change order.

39. Requirements for work at Room 137 (West Plains) & Room 2030 (Poplar Bluff), Fire Suppression item (1) states, “The fire suppression system will need to be reviewed and sprinklers relocated to meet NFPA requirements in Room 2030.” Please provide an explicit contract requirement as “reviewed” is a vague, subjective standard. Contractor shall have a qualified installer to review fire suppression system and meet NFPA requirements.

40. Requirements for work at Room 137 (West Plains) & Room 2030 (Poplar Bluff), Electrical item (2) states, “Electrical raceways are currently a series of connected steel plates. The contractor will replace the entire electrical raceway with an industry standard electrical raceway.” Please clarify where this takes place and the limits of construction for this requirement? This requirement is not something that can be observed under a normal inspection as defied per FAR. Electrical raceway is visible in the existing room that needs replaced. There is 80’ of electrical raceway that needs upgraded to industry standards. New Philips drawings will be uploaded.

41. Requirements for work at Room 137 (West Plains) & Room 2030 (Poplar Bluff), Existing Conditions refers to three (3) separate contracts to be incorporated into the technical requirements. Please clarify what is to be incorporated, how it affects this requirement and all contract documents related to these (3) contracts since the contractor is responsible to review. Disregard statement contracts will not interfere with this project. Updated in the SOW.

42. P09 Phillips drawings place structural alterations on the contractor. The VA has stated acceptance on this item. Which is correct, please confirm? Structural alterations will be on the contractor. Added to SOW.

43. P09 Phillips, Equipment Support Documentation (3) states that all structural must be incorporated into the architectural drawings. As the VA has accepted responsibility for the structural, are architectural stamped drawings required? If so, will the VA be providing these deliverables? The contractor shall hire a structural engineer. The VA does not accept the responsibility for the structural, architectural stamped drawings will be required.

44. P09 Phillips, Equipment Support Documentation (4) states, “requirements for ceiling support apparatus…specifics”. Per note (6) SOW none are required per VA. Please clarify. Philips Equipment Support Documentation will be used for this. Disregard note 6 from the SOW.

45. P09 Phillips, Equipment Support Documentation (7) has specific seismic requirements that would need engineered and fall under the structural requirement covered by the VA. Please confirm neither hospital are located within a seismic zone, and if so please provide the seismic structural design pre-proposal. The seismic zone and design are be coordinated with a structural engineer hired by the contractor to meet VA design requirement. Added to SOW.

46. Has the VA confirmed all requirements per Phillips detail Proxi, structural requirements since they have accepted structural liability? Replacement equipment is similar in weight. Contractor should hire a structural engineer to make sure structural requirements are met.

47. Phillips has specific wall horizontal structural load requirements. Has the VA confirmed the existing wall will meet this load requirement along with engineered anchoring systems? If not, who is responsible for the structural engineering of this task as the VA has accepted responsibility. No, the VA has not confirmed existing wall will meet load requirements. Equipment is like existing, but the contractor shall hire a structural engineer to make sure this meets the load requirement.

48. Phillips does not specify the overhead support structure per plans. The VA stated not modification is required. Who will design the structural supports required to price this task? The contractor shall hire a structural engineer to design the structural supports.

49. Please provide the delivery route within each hospital for equipment so the contractor may verify feasibility. Full building plans are also required, please provide. All delivery routes shall be coordinated with the COR. All deliveries to Poplar Bluff will be thru the back entrance of the hospital utilizing the service elevator to room 2030. Deliveries at West Plains will be thru the back entrance as well. Any staging or storing materials will take place in the construction lot.

50. Phillips states that all electrical must be separate from any elevators, motorized controller, HVAC units, etc. to avoid interference. Has the VA surveyed the electrical for this design criteria? It is not possible to determine the contract requirement without this information. No impacts are expected.

51. Phillips states that E-Power is required. Does E-Power exist at both locations? If not, is the contractor to price a standalone generator with UPS per requirements? Yes E-Power exist at the Poplar Bluff location where the Philips will be installed. There is no E-Power at West Plains, but the Canon System will be installed there. Do not price a standalone generator with UPS.

52. If E-Power does exist are there any elevators, motorized controllers, HVAC units etc. on the E-Power as this would not meet the requirement of either Phillips or GE. Please clarify? No, we expect no issues with the power quality guidelines from Philips.

53. GE Healthcare P09 Customer Site readiness states, “Contact a radiation physicist to specify containment requirements” Is this requirement by the VA? The VA sow only mentions lead lined walls but does not address floors, ceilings, or radiation levels. Please confirm. GE Healthcare drawings are existing system at West Plains. New system at West Plains is Canon FM Plus Radiographic System. Any additional radiation protection should be specified by the VA provided survey.

54. GE Healthcare P09 Minimum Requirements item (3) list final drawing requirements. Who is responsible for the final drawings? GE Healthcare drawings are existing system at West Plains. New system at West Plains is Canon FM Plus Radiographic System. Contractor will be responsible for providing markups to any approved deviation from site prep information.

55. GE Healthcare P09 Minimum Requirements item (11) list staging requirements. Who is responsible for this? GE Healthcare drawings are existing system at West Plains. New system at West Plains is Canon FM Plus Radiographic System.

56. GE Healthcare P09 Magnetic Interference specifications require an engineered survey to determine acceptability prior to bidding to properly quantify cost impact. However, this is not addressed under any VA generated document. Please clarify. GE Healthcare drawings are existing system at West Plains. New system at West Plains is Canon FM Plus Radiographic System.

57. Are all RFI questions and answers going to be incorporated into the contract award documents? No, they will be posted in Sam.gov with the solicitation.

58. As there are several conflicting requirements between the VA and GE/Phillips SOW and Equipment requirement list, which document is going to take precedence? Conflicting requirements should be addressed with this inquiry prior to award if there are cost implications. This is a vague statement that we cannot address.

59. Will the VA be providing as built building plans for each room and the surrounding rooms to ensure compliance for space requirements? Room will be built to site prep documents.

60. Can a JV utilize past experience from one of its members or does each separate entity comprising the JV need to have experience? If the Offeror is a Joint Venture (JV), relevant project experience should be submitted for projects completed by the Joint Venture entity. If the Joint Venture does not have shared experience, projects shall be submitted for each Joint Venture partner.

61. "It is clear that min 1 and max of 3 project are require for Factor 1, How many will be allowed for Factor 2?" Offerors must submit no less than TWO (2) examples of their successful technical construction experience with projects that involved technical requirements similar to the requirements of this project.

Statement of Work

657A4-24-105 Site Prep for Fluoro & Xray

**The C&A requirements do not apply, and that a Security Accreditation Package is not required. ** Scope of Work The Scope of Work is to facilitate the replacement of the Philips Fluoro & Xray Easy Diagnostic located in Room 2030 at John J. Pershing VA Medical Center and GE Definium 5000 in Room 137 at West Plains VA Clinic.

A pre-bid walkthrough will be held at both sites. Questions may not be asked on site or directed to individuals. All questions shall be in writing submitted to the Contracting Officer by the specified deadline. Questions that do not make the deadline will not be answered. Lack of attendance or omission of questions at the pre-bid walkthrough shall not be subject to modification due to site conditions or details. A Hazardous Materials inspection report is available in pdf format and can be requested at the site visit. The report is inclusive of all known asbestos and lead as of the 2018 report.

The contractor shall provide all services, materials, labor supervision, safety, certification, and expertise for items described in the documents, drawings, and specifications. Work shall be phased in a manner that is not disruptive to Medical Center Operations. The Published Documents are the Basis of Design, and all work shall conform to all requirements set forth within the drawings package referenced, Attachment A.

All bids shall be detailed. Bids shall be broken out by specification division, per room unit cost, and equipment package pricing for detailed analysis.

Project description overview The contractor shall provide Poplar Bluff VA Medical Center and West Plains VA Clinic with the proper skilled labor, equipment, materials, supplies, and supervision for performance of all work indicated or referenced within this Statement of Work.

Scope items to be included in the work are shown by the Description of Work and Technical Requirements within this Scope of Work.

Description of Work for Room 2030 (Poplar Bluff)

1. Coordinate with and assist with site preparations for the replacement of the Philips Fluoro & Xray Easy Diagnost with the new replacement as shown in the attached: Philips ProxiDiagnost N90

2. Coordinate with vendor for removal of existing radiology equipment within the space.

3. Remove ancillary wall items (i.e., lead apron racks, surface mounted equipment backing) as directed by owner.

a. The mini-split climate control unit in Room 2030 (Poplar Bluff) will be replaced. Contractor will provide a new unit that meets the HVAC Guidelines and remount with industry standard mounting brackets.

4. Electrical raceways will be replaced to meet industry standard for the new medical equipment system.

5. Thermostat controls will be updated (see Heat, Ventilation, and Air Conditioning)

6. Modifications or supplementation to the existing overhead support system are not required.

7. Replace entire acoustical ceiling with a new acoustical ceiling that meets height requirements of the new Philips Fluoro & Xray Diagnost. Ceiling tile must be plastic ASTM E-84 certified.

8. Lighting will be renovated with industry standard lighting that meets specifications and dimmer controls to be installed inside Room 2030 as directed by the VA.

9. Evaluate wall(s)

a. Evaluate MEP systems.

b. Review shielding requirements and provide lead shielding as required for the Philips Fluoro & Xray Easy Diagnost.

10. The existing sprinkler locations do not meet industry standards. The contractor shall relocate sprinklers to meet NFPA requirements and VA specifications.

11. The existing door entering room 2030 will need to be changed to swing to the right. Currently the door swings to the left which obstructs clearance to get patients in the room. Door system will need to meet VA specifications and provide adequate radiation protection.

12. Acknowledge all disclaimers and complete all site planning checklists; furnish to VA and Phillips.

13. Provide deliverables for structural notes in Site Prep Documents. Structural evaluation of the existing slab is included. The evaluation will be based on a site visit and as-built structural drawings provided by the facility. It is understood that the existing slab can support the weight of the equipment.

14. Provide Mechanical and Electrical systems as required by Philips Site Prep Documents and VA Site Requirements

15. Provide Architectural finishes as required for a clean and ready to use clinical space.

a. Paint shall be coordinated with shielding requirements for any special applications.

b. Provide Commercial/Healthcare Grade Welded Sheet Vinyl flooring or Luxury Vinyl Tile (LVT)

c. Records show the tile mastic contains ACM, Asbestos testing and abatement are required at John J. Pershing VA Medical Center Room 2030

16. Casework and Countertops shall match deliverables of New Urgent Care Clinic (657-351), solid surface countertops.

17. Provide Engineering Controls for Infection Control and other associated construction risks (Construction Containment)

18. Should there be a miscoordination between VA and Vendor Requirements, the VA will review and address all issues with the Equipment Manufacturer for Site Specific conformance.

19. All Physicist testing and report will be provided by the facility.

Description of Work for Room 137 (West Plains)

1. Coordinate with and assist Siemens Healthcare for required site preparations for the replacement of the GE Definium 5000 as shown in the attached: GE Definium 5000 SRD

2. Coordinate with vendor for removal of existing radiology equipment within the space

3. Patch walls as necessary.

4. Patch floors and remove all existing anchor bolts to provide a finish that meets industry standards.

5. Replace any damaged acoustical ceiling tiles.

6. Provide Mechanical and Electrical systems as required by Siemens Healthineers Documents and VA Site Requirements

7. Provide Architectural finishes as required for a clean and ready to use clinical space.

a. Paint shall be coordinated with shielding requirements for any special applications.

8. Provide three (3) sets of final construction (non-bid) documents.

9. Evaluate wall(s)

a. Evaluate MEP systems.

b. Review shielding requirements and provide lead shielding as required for the GE Definium 5000.

10. Casework and Countertops shall match deliverables of New Urgent Care Clinic (657-351), solid surface countertops.

11. Provide Engineering Controls for Infection Control and other associated construction risks. (Construction Containment)

12. Should there be a miscoordination between VA and Siemens Healthineers Requirements, the VA will review and address all issues with the Equipment Manufacturer for Site Specific conformance.

13. All Physicist testing and report will be provided by the facility.

Requirements for work at Room 137 (West Plains) & Room 2030 (Poplar Bluff)

The SSHO - QA/QC - Superintendent shall be fulfilled by individual(s) with minimum 5 years’ experience in Healthcare Mechanical/Electrical System installations. These duties shall have OSHA 30 Hour Certification, minimum. All other workers shall have OSHA 10 Hour Certification. The SSHO shall have a job specific hard hat sticker for each employee to always display on site.

The contractor shall reduce facility impact and plan accordingly. The contractor shall give 14 calendar days of notice for interruption of any service/utility. The contractor shall phase, and plan work accordingly, including but not limited to performing work outside of normal operating hours, weekends, holidays, and shift work. The Contractor shall provide Engineering and Safety Services a highly detailed Gantt Chart indicating workflow and impact in a “two weeks look ahead” format. Work progress shall be discussed weekly at the Monday Construction Safety Meeting. All Permits and ICRA information will be discussed in this format.

The contractor is permitted to demolish/remove abandoned infrastructure (empty conduits, abandoned piping, etc.) as necessary to facilitate work in coordination with the COR. No infrastructure shall be abandoned in place.

All new work shall be neat, co-located, and organized. Coordinate MEP work with maintenance access, existing systems and new work. All work shall be parallel and perpendicular to building components and structures.

Submittals shall be managed electronically by an exchange site such as Procore, Newforma, or equal provided by the contractor. Final review shall be from the station COR. Once the COR has approved the submittal, it has been released for construction. Material installed without written approval are subject to correction at no cost to the Government. The COR has 10 calendar days for review. Upon project completion, all approved submittals shall be electronically submitted to the Government on a CD and PDF format as well as any other material specific information such as maintenance documents and training. Also, upon completion, the contractor shall furnish redlines to the Government. Final As-Built Documentation shall be submitted electronically (PFD and CAD) and on velum/mylar for record. As-Builts shall deliver an accurate and field verified riser diagram.

The contractor shall provide training, as required by specification, to VA maintenance and operation staff. The contractor shall provide a preventative maintenance document to the VA that indicates manufacturer recommendations for all items within the scope of work. System commissioning and acceptance shall occur prior to any training. Commissioning and/or Certification of components and functional testing shall be completed thoroughly and witnessed by the COR.

Any deviations in required work items from the Construction Documents and this SoW shall come in the form of an RFI through the electronic submittal software. The A/E shall provide the first response and the VA shall provide the Final Response. The Contracting Officer is the only entity that can approve changes that impact the Scope of Work and Contract Cost. Any contractual changes will come in writing from the CO. Materials and workmanship are subject to the VAAR and FAR. If workmanship standards are not met, retainage may be held at a rate of 10% of each formal pay application.

All NEC/NFPA and other applicable healthcare facility codes referred to in specification or VHA Publications such as VHA Directive 1028 and Electrical Design Manual are applicable to this project and will be strictly enforced. Seismic requirements published on the VA TIL and RP 8 are applicable. Any deviations or work that is non-conformant to standards, regulations, or specification shall be removed and corrected at no cost to the Government. The VA adopts the most current versions of the NFPA and other applicable publications. The arc flash and coordination study shall be performed (stamped) and field adjusted by a Professional Electrical Engineer and technician. Installation of electrical systems shall be performed by licensed or journeymen electrician; provide documentation via submittal.

Demolition management plans for recycled items shall be submitted to the COR. Items with scrap value such as engine generators, transfer switches, copper conductors, and other valued items shall have scrap tickets submitted to the COR. The Government has first right of refusal on all items. If the Government retains any items, it will be clearly indicated with a red tag, stating the VA shall retain the piece of equipment. The contractor is responsible to move retained items into storage on site and protect during demolition and transportation.

Due to limited parking, small campus size, and multiple construction projects, the contractor shall limit the number of contractor vehicles on site to (2) plus (1) pull behind trailer.

Coordinate with COR on all final connections and equipment mounting. This is required for an approved and complete submittal.

The contractor shall provide a 1-year warranty on all items within the Scope of this Project, subject to latent defects.

The contractor shall provide the Poplar Bluff VA Medical Center with the proper skilled labor, equipment, materials, supplies, and supervision for performance of all work indicated or referenced within this Statement of Work and by the corresponding Construction Documents (plans, specifications, VA TIL publications and other provided documents) for a 100% functional and certified product upon completion.

Metals

1. Provide and install surface mounted Unistrut for equipment backing.

2. Seismic anchoring is excluded.

3. Structural metals other than those specifically stated in this proposal are excluded.

Wood and Plastics

1. Furnish and install a new plastic laminate control counter and shelf in the control area.

2. It is understood that the storage cabinets in the x-ray room are adequate and will remain as is.

3. Modifications to existing (if any) or additional millwork is excluded.

Thermal and Moisture Protection

1. Install fire caulk at all wall and floor penetrations associated with our work. We have not included any sealing of existing penetrations.

Doors, Frames, Hardware and Windows

1. The existing door entering room 2030 will need to be changed to swing to the right.

Currently the door swings to the left which obstructs clearance to get patients into the room. Door system (Door and Frame) will need to meet VA specifications, provide adequate radiation protection, and match existing doors.

2. Existing exterior windows in Room 2030 (Poplar Bluff) will be infilled to provide a smooth wall surface. The existing radiators beneath the existing windows have already been demolished.

Finishes

1. Construct a new control wing wall as per the plans.

2. Patch demolition scars.

3. Paint the walls in the x-ray room with 2 coats of latex paint.

4. Paint 2 hollow metal door frames and 1 hollow metal window frame.

5. Paint all exposed electrical duct in the x-ray room (color to match walls).

6. All door finishes are to remain as is.

8. The existing terrazzo base in Room 2030 (Poplar Bluff) will remain as is.

9. The existing windowsills in the x-ray room will remain as is in Room 137 (West Plains).

Specialties

1. Furnish and install plastic Unistrut caps in the existing Unistrut after the new equipment rails are installed.

2. It is understood that all existing wall protection in the x-ray rom is adequate and will remain as is. We have not included any new wall protection.

Special Construction

1. Furnish and install a new 1/16” lead lined patient view window frame.

2. Reinstall the existing leaded equivalency patient view window.

3. Furnish and install 1/16” lead lining on the new control wall.

4. We have included patching of the existing x-ray room walls with 1/16” lead-lined sheetrock, as required in the areas directly affected by our scope of work.

5. This proposal is based on the understanding the remaining existing doors, door frames, walls or viewing window(s) currently have adequate radiation protection. The contractor shall verify that site preparations in Room 2030 and Room 137 provide radiation protection that satisfy the requirements.

6. Physicist testing, analysis or report is excluded. The owner should complete a Physicist report to ensure the existing radiation protection is adequate.

7. Additional lead shielding is excluded. If additional lead shielding (not specifically noted in this proposal) is required, it will be added to the scope and price via a change order.

Fire Suppression

1. The fire suppression system will need to be reviewed and sprinklers relocated to meet NFPA requirements in Room 2030.

Heat, Ventilating, and Air Conditioning

1. Utilize the existing HVAC as is in Room 137 (West Plains). The Contractor will replace the Mini Split in Room 2030 (Poplar Bluff).

2. Modifications, additions, servicing, repairs, rebalancing or warranty of existing HVAC systems except for those specifically stated in this proposal are excluded.

3. Work associated with existing energy management controls is included in Room 2030 (Poplar Bluff). Two existing Pneumatic thermostats shall be replaced with a DDC programmable controller.

Electrical

1. The contractor will ensure the electrical infrastructure in Room 2030 (Poplar Bluff) and Room 137 (West Plains) is prepared for the installation of the new Xray & Fluoro.

2. Electrical raceways are currently a series of connected steel plates. The contractor will replace the entire electrical raceway with an industry standard electrical raceway.

Communications

1. The existing: voice/data outlets in the x-ray room and throughout the construction area; nurse call/code blue system; and, paging system, will remain as is.

2. Xray In-Use sign shall be added to Room 2030 (Poplar Bluff) and will match existing sign from room 2060.

Electronic Safety and Security

1. Work associated with security or alarm systems is excluded.

Technical Requirements

1. Provide administrative requirements including insurance, bonding (if required), Schedule, Infection control risk assessment permit, all required safety documentation, participate in construction progress meetings, submittals, close-out documentation, warranty, as-built drawings, and all other documentation specified.

2. Contractor to coordinate with surrounding ongoing hospital operations relative to the need to cease construction due to critical procedures, etc.

3. Contractor must attend a Pre-Construction meeting with the Contracting Officer, Contracting Officers Representative, the A/E, the Integrated Project Team (IPT Team), and Department Heads of those hospital operations adjacent to the area of construction.

4. Contractor to furnish a comprehensive construction schedule in Microsoft Project or similar within two (2) weeks of award.

Investigate areas of work to be performed and report to the contracting officer’s representative (COR) if existing conditions that do not align with the construction documents after accessing previously undisturbed areas.

Any deviation from the contract documents will only be allowed with the approval of the contracting officers representative in writing.

5. The contractor is to perform all work associated within the project Construction Documents

Existing Conditions

The Contractor is expected to be familiar with the existing conditions and the work to be performed. The Contractor shall verify all areas requiring work as stated in the Technical Requirement portion of this Statement of Work prior to the commencement of work. The items listed below as current conditions.

657A4-20-700 EHRM Infrastructure Upgrades – Poplar Bluff, MO 657A4-17-101Correct Legionella 657A4-19-103 Recertify & Evaluate for Correction of Medical Gas

Submittals, Inspection, and Acceptance

All submittals for each item must be approved prior to purchase and/or installation.

a. Project Safety Plan

b. Demolition Debris management plan

c. All Submittals/Samples required by Project Specifications including but not limited to:

Description of each product Submittal Drawings and/or Manufacture’s literature/data as required by the specifications.

Samples as required by the specifications.

Test reports as required by the specifications.

Material Certificates of compliance Contractor certification Recycled Content of sustainable materials specified.

Photographs of existing conditions Field Inspection Installer qualifications Additional submittals may be required at the request of the Contracting Officer or COR.

The COR will approve/disapprove Contractor’s submittals. Any submittal that is disapproved shall be addressed by the Contractor in a timely manner but no less than five (5) days. If more time is needed to address disapproved submittals, the Contractor may ask, in writing for additional time from the COR.

The COR will accomplish inspection and acceptance of the work on behalf of the Contracting Officer. Any work that is to be covered shall be inspected by the COR prior to covering. All work must be accepted by the COR on behave of the Contracting Officer. Any work that is found to be unacceptable by the COR shall be removed, replaced, or redone.

Safety/Infection Control/Security The Contractor is wholly responsible for work site safety. The Contractor shall implement a safety program that protects the lives and health of personnel inside and immediately surrounding the work area, prevents damage to property, and avoids normal work or patient flow interruptions. To accomplish this end, the Contractor shall provide an OSHA certified Competent Person to be always onsite while work is being performed, erect appropriate safety barricades, signs, signal lights, etc. as well as comply with the requirements of all Federal, State, and Local safety laws, rules, and regulations. The Contractor must submit copies of certifications for safety training of the Competent Person stationed onsite to the COR before work begins.

All Infection Control procedures and requirements shall be followed. Equipment required may include, but not be limited to: tact mats, negative pressure air machines with HEPA filtering, 90vacuuming debris, etc. The Contractor shall follow the requirements of the Infection Control Risk Assessment.

Privacy & safety training shall be completed by all contractor personnel prior to the commencement of work.

The Contractor is responsible for meeting with VA Police at the John J. Pershing VAMC to acquire the proper badges for personnel prior to starting work. The Contractor is required to assure that all personnel have their issued badges on their person before entering the facility, and to safeguard the badges from possible theft or damage. Work to be performed after normal working hours, will require notification with the VA Police prior to beginning work.

Test and Performance The Contractor shall notify the Contracting Officer’s Representative one (1) week in advance of any performance, inspection, or acceptance tests that are to be conducted. The tests shall be performed in the presence of the Contracting Officer’s Representative.

Schedule of Work The Contractor shall discuss work hours with the Contraction Officer’s Representative prior to the commencement of work. Normal working hours shall be from 8:00 am to 4:30 pm. The Contractor and Contraction Officer’s Representative will agree on the hours of operations for this scope of work. The Contractor is responsible for notifying VA Police of the time, location, and work to be performed before every off-hour engagement.

Period of Performance This contract is expected to start upon Notice to Proceed and be completed within 120 Calendar Days of issuance of Notice to Proceed (NTP).

Liability of Contractor Any damage to government property caused by the Contractor shall be repaired or replaced by the Contractor at no cost to the government.

The Contractor shall not disconnect any service or utilities without prior approval of the COR. No less than a two (2) weeks’ notice shall be given to the COR if interruption is needed. The government will not be held liable for any costs incurred due to time constraints needed for service or utility interruptions.

Labor Laws The Davis-Bacon Act applies to this project.

Site Cleanup and Restoration The Contractor shall remove waste generated every day from the worksite. Waste shall be deposited in an appropriate dumpster provided by the Contractor and located in an area approved by the COR and removed from the grounds every week or when full. The Contractor is responsible for the procurement of waste services, and no government leased or owned dumpster shall be used to dispose of construction waste.

All recyclable materials shall be recycled at appropriate facilities. Invoices or receipts related to the recycling of construction waste shall be sent to the Contracting Officer’s Representative.

Any material in good condition that can be reused elsewhere in the facility shall be stored in an appropriate location for later use to reduce overall maintenance costs of the government. The Contracting Officer’s Representative shall denote such location, if required.

Upon completion of work, the Contractor is responsible for any punch list items accrued during the final walkthrough by the Contracting Officer’s Representative. This contract will not be fulfilled until all items are addressed in a timely manner, inspected by the Contracting Officer’s Representative, and have his approval.

Execution The Contractor will perform all work and provide the labor and equipment needed to meet this Statement of Work and the following Construction Documents. The government shall not loan or provide any labor or equipment. The government is not responsible for costs incurred due to mismanagement of labor or lack of proper equipment.

Location All work associated with this project is to be completed in Building 1, on the main campus of the John J. Pershing VA Medical Center, 1500 North Westwood Blvd, Poplar Bluff, MO 63901, and West Plains VA Clinic, 1801 E State Rte. K, West Plains, MO 65775.

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See attached document: 657A4-24-105-2018 Final Asbestos Survey Combined_Reduced File Size.

See attached document: 657A4-24-105-2024-12-10_SD Report_RF_Room 2030_JJP VAMC_FH22194_JSM_DLD.

See attached document: 657-24-105-2024-12-10 SD Report Rad 137_JJP VAMC Community Base Clinic F1029209 JSM DLD.

See attached document: 657A4-24-105 ICRA Poplar Bluff.

See attached document: 657A4-24-105 ICRA West Plains.

See attached document: 657A4-24-105 Updated Specifications FluoroXray.

See attached document: P09-Philips ProxiDiagnost N90 R11.

See attached document: 657A4-24-105-Drawing-West Plains Floor Plan.

See attached document: 657A4-24-105-Drawings-West Plains…