Attachment 1 - Statement of Work - Elevator Inspection Services.docx

Scope of Work for Elevator Inspection Services for Cheyenne VAMC

1. Purpose

A. The elevator inspection contractor shall provide bi-annual inspections of all elevators on the Cheyenne VAMC campus. Contract shall be for one year, renewable each consecutive year for four (4) years thereafter dependent on quality of services.

2. General Requirements

A. Contract Information/Scope

a. The contractor shall provide all personnel, equipment, tools, materials, vehicles, supervision, certifications, and other services to provide elevator inspection services. The contractor shall perform to the standards in accordance with this scope of work.

b. Provide elevator inspection and other designated equipment in accordance with the ASME-A17.1 and NFPA Life Safety and Fire Code, and any applicable state codes.

c. Elevator inspections shall include a five (5) year load test on or before 4/07/2027.

d. Refer to Elevator Information section of this document for additional information.

B. Inspection Report Information

a. The inspection report shall include but not be limited to:

· Building Name

· Building Address

· Building Owner

· Contractor Contact Information

· Elevator Inspection

· Speed

· Rated Load

· Manufacturer

· Serial / Sales #

· Date of Installation

· Powered by

· Machine Type

· Type of Safety Location

· Guide Rails

· Buffers

· Type of Governor

· Governor Speed Test

· Periodic Test & Acceptance / Governors and Safeties (Required every 12 months)

· Full Load Maintenance Test & Acceptance (Required every 3/5 years)

· Car Speed for Governor / Safety Test (if applicable)

· Car Speeds (if applicable)

· Roped Hydraulic Elevator / Lift Test & Acceptance (if applicable)

· Number of Stops

· Car Door Pressure

· Opening Front

· Opening Rear (if applicable)

· Door Operation

· Fire Service Tested

· Identify Components not Inspected

C. Deliverables

a. All eleven (11) elevators shall be inspected bi-annually for a total of twenty-two (22) each year. Contractor shall provide a comprehensive report for each elevator inspection. Inspection report shall be received by COR within 45 days of inspection.

b. Provide one (1) printed and bound copy of the inspection report.

c. Provide one (1) electronic file of the inspection report in PDF/Excel/Word.

3. Elevator Information

4. Quality Assurance

5. Security Requirements

A. THE CONTRACTOR SHALL COMPLY WITH AGENCY PERSONAL IDENTITY VERIFICATION PROCEDURES IDENTIFIED IN THE CONTRACT THAT IMPLEMENT HOMELAND SECURITY PRESIDENTIAL DIRECTIVE-12 (HSPD-12), OFFICE OF MANAGEMENT AND BUDGET (OMB) GUIDANCE M-05-24, AND FEDERAL INFORMATION PROCESSING STANDARDS PUBLICATION

(FIPS PUB) NUMBER 201.

6. Place of Performance

A. Cheyenne VA Medical Center 2360 E. Pershing Blvd, Cheyenne, WY 82001

7. Period of Performance

A. A base year with four (4), one-year option periods.

B. Contractor is expected to conform to agency normal operation hours on Monday through Friday from 8:00am – 4:30pm (MST) excluding federal holidays, unless otherwise noted. Work hours subject to approval of COR. Work outside of normal operation hours will require coordination with the COR. Provide a minimum of 48 hours advanced notice to the COR for work outside of normal operation hours.

C. Work requiring shutdown, interruption, infection control, or potential interruption of power to critical areas of the Medical Center will require extensive coordination and planning with the COR and will require at least two weeks’ notice to the COR. Major shutdowns may have to occur on weekends.

8. Escort and Security Police Check In:

A. All contractor personnel working onsite at the VA facility shall check in and out with VA Police dispatch located in the main hospital building (Room B1-84). Access to work areas and performance monitoring will be provided by VA CORs. In all cases, the COR and Supervisory Facilities Manager shall be notified of any changes which may affect the response time of vital equipment.

9. Contract Administration Data:

Federal Legal Holidays: The following Federal legal holidays are observed by this facility:

10. Attachments:

A. Elevator Locations_20240524 image1.jpg