36C25919Q0250-0001003.doc

STATEMENT OF WORK

A. GENERAL INFORMATION

1. Title of Project: Bldg 1, 5th Flooring (BIOMED)

2. Background: Flooring in Bldg 1, 5th Floor - A Wing needs to be installed at Jack C. Montgomery VA Medical Center.

3. Scope of Work: Flooring in Bldg 1, 5th Floor - A Wing needs to be installed. Request contractor to purchase Wood Floor Planks Stock Number EUC122 Eucalyptus Saligna 7’x48” Material ID # 4000146442 and install approx. 1400 sq ft of flooring. Contractor will supply on materials required to accomplish the flooring install. Leave the Terrazzo Flooring and skim out floor to desired quality. See attached: Floor Plan (Amd0001_Attch1_Flooring Project A Suite_AB 5th Floor_v2) Approximately 1400 Sq ft of flooring material to be installed in rooms and the common hallway for room access:

5A-10 approx. – 138 sqft

5A-12 approx. – 151 sqft

5A-13-1 approx. – 151 sqft

5A-14 approx. – 352 sqft

5A-15 approx. – 151 sqft

5A-16 approx. – 151 sqft

5A-17 approx. – 99 sqft

5A-18-1 approx. – 138 sqft Work can be done during normal working hours. All material and debris must be completely sealed upon removal with as little patient interruption as possible.

4. Performance Period: The performance period shall be no longer than 90 days after Notice to Proceed (NTP) is given to contractor.

B. GOVERNMENT RESPONSIBILITIES

· Work closely with the vendor and provide access to areas to complete work.

C. CONTRACTOR REQUIREMENTS

· Provide qualified, technicians.

D. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS

· Contractors will be required to obtain a contractor badge and wear it while performing work on VAMC property.

E. GENERAL NOTES:

1. All work shall be complete in phases as stated above and on drawing.

2. Work shall not interfere with the operation of the medical center.

3. Contractor shall adhere to all applicable codes.

4. Contractor shall notify and schedule all outages with the COR.

5. All work shall be completed as required per this Scope of Work and drawing.

6. Contractor is to remove all debris, access materials and demolition items completely off job site. Contractor to clean up construction area daily. Construction Safety Officer (CSO) will be inspecting the construction site daily.

7. All dimensions are approximate. Contractor shall verify all field dimensions and exact location, adjustments may be necessary.

8. Contractor to comply with VA, OSHA and NFPA safety rules and regulations and adhere to all applicable codes.

9. No dust is allowed in this area, contractor to coordinate as necessary to prevent any dust. Also, contractor to minimize the noise in all areas.

10. Coordinate all construction activities with the COR prior to beginning work.

11. All work shall be completed during normal working hours.

12. Construct a temporary construction plastic barrier tied and secured with zipper for each phase to isolate construction site. The temporary construction plastic barrier must be neat & clean and professional looking. See drawings for phasing.

13. Contractor to seal doors HVAC vent and all construction barriers before work began.

14. Contractor to provide VA with cleaning specification for the new flooring.

15. Contractor to comply, follow and implement Infection Control Risk Assessment (ICRA) classification and Interim Life Safety Measure (ISLM). Obtain ICRA and ISLM permits that will be issued by the COR. Class III will be utilized for this project. Post both Permits outside of the appropriate construction area. The following is Class III:

Class III Type C: Moderate or High Risk:

For Infection Control: 1) Notify staff in the immediate area. 2) Provide active means to prevent airborne dust from dispersing into air. 3) Water mist work surfaces while cutting. 4) Seal unused doors with duct tape. 5) Block off and seal air vents. 6) Place dust mat at entrance/exit of area. 7) Contain construction waste before transport in tightly covered containers. 8) Upon completion, wipe work surfaces with disinfectant, wet mop and/or vacuum and remove isolation of HVAC system. 9) Provide HEPA filtered negative air machine, step off pad, and 6 mil sheet poly barriers for rooms/areas being worked. 10) Obtain Infection Control concurrence before construction begins. 11) Complete all critical barriers, i.e., sheetrock, plywood, plastic, to seal from non-work area or implement control cube method (cart with plastic covering/sealed connection to work site with vacuuming prior to exit) before construction begins. 12) Isolate HVAC system in area and maintain negative air pressure within work site. 13) Cover transport receptacles or carts. 14) Seal holes, pipes, conduits, and punctures. 15) Personnel required ensuring shoes are not tracking when leaving the work site. 16) Upon completion, do not remove barriers until inspected by Safety and Infection Control and thoroughly cleaned by Environmental Management Service. Remove barrier materials carefully to minimize spreading of dirt and debris.

For Interim Life Safety Measures (ILSM): 1) None required beyond routine general safety precautions. 2) Ensure egress. 3) Ensure access for emergency forces. 4) Ensure operational Life safety systems and prohibit smoking. 5) Notify staff in the immediate area. 6) Control combustible loads. 7) Repair/construction staff immediately available at the site. 8) Compensate for compartmentalization deficiencies. 9) Each single breech of fire barrier immediately replaced. 10) Obtain Hot Work permit from COR when welding.