36C26118Q0104-00003001.pdf

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. NUMBER3. 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 CODE

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

BY

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)

1 18

00003 12-01-2017 640-18-1-5051-0019

612MCP

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System 5342 Dudley Blvd, Bldg 209 McClellan CA 95652-2609

612MCP

Department of Veterans Affairs Department of Veterans Affairs VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan CA 95652-1012

To all Offerors/Bidders 36C26118Q0104

12-01-2017X

X X

The purpose of this amendment is to provide the following:

1) Responses to additional questions received

2) Provide a drawing addressing section 5.1(D)(14) of the Statement of Work

3) Provide Infection Control Risk Assessment

4) Revised Statement of Work for section 5.1(D)(14)

The quote due date remains unchanged.

Michael P. Hodahkwen Contracting Officer

12/01/2017

Fire Damper Inspections for the VA Palo Alto Health Care System

Questions and Answers 36C26118Q0104

Amend #3

1. Will the facilities provide staff to shutdown HVAC's and place fire alarm system in testing mode?

Yes, Engineering will facilitate the shutdowns as requested and scheduled.

2. Will the last damper test of facilities be provided for review?

The last test will be provided as requested.

3. Will Fire protection drawing and Mech drawing be provided?

Drawings will be provided if available, the campus facilities vary in age and in some cases, may have incomplete drawings.

4. Can you provided the number of combination fire/smoke dampers at each facility?

See SOW section 5.5.

5. Is it the intent of the contact to replace all fusible links or ones that need to be replaced due to damage?

See SOW section 5.1(D)(2).

6. Can you provide the Infection Control Policy for review?

The Infection Control Risk Assessment has been attached to this amendment.

7. Would removing one ceiling tile require Infection Control Policy (ICRA) measures? If so, what measure?

Dependent on room location and use.

8. If the facilities are unable to identify the HVAC unit to shut down for fusible dampers or electrical breaker for combination dampers is 15 minutes wait time reasonable per contact? if not what would be considered reasonable?

Reasonable accommodation to outages will be executable, a wait time of 15 minutes to disable/de-energize for testing purposes is reasonable in most applications but special circumstances can apply dependent on the space usage.

9. Is it possible to work week-ends?

Yes, with advanced planning/scheduling.

10. The set aside of $10,000.00 in the contact is for any repairs/labor over $40.00 approve by COTR correct?

Yes.

11. Would it be possible to include a photo of the existing fire damper in building 4, 2nd floor, c wing Room 238? Is the damper in a rated shaft/chase? If the code allows can it be decommissioned? Is it blocked by other duct work? conduit? out of reach? med gas?

Measurements of damper? fusible link? actuator?

Please refer to the attached drawing showing the approximate location for the reference made in section 5.1(D)(14). This section of the SOW has been updated removing reference to a site visit. The work related to this section of the SOW would not require a site visit for a vendor to be able to submit a quote.

12. Approximately how many sheets of drawings from the building included for AutoCAD?

Limited drawings are available for each building upon request.

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Health Care System Memorandum 138-12-29 September 14, 2012

Infection Control Risk Assessment Matrix Attachment B

Please complete this form and attach the Scope of Work document with this form.

Infection Control contact is Laura Markman RN (x64168).

Project #: _____________________

Project Title: ___________________________________________________________

COTR (print): ________________________________________ Ext: _____________

Part I (Engineering to complete):

Using the following table, identify the type of construction project activity (Types A-D):

Type A Inspection and Non-invasive Activities Includes, but is not limited to:

Removal of ceiling tiles for visual inspection limited to 1 tile per 50 square feet;

Painting but not sanding; and Wall covering, electrical trim work, minor plumbing and other activities which do not generate dust or require cutting of walls or access to ceilings other than for visual inspection.

Type B Small scale, short duration activities which create minimal dust Includes, but is not limited to:

Installation of telephone and computer cabling;

Access to chase spaces; and Cutting of walls or ceiling where dust migration can be controlled.

Type C Work that generates a moderate-to-high-level of dust or requires demolition or removal of any fixed building components or assemblies Includes, but is not limited to:

Sanding of walls for painting or wall covering;

Removal of floor coverings, ceiling tiles and casework;

New wall construction;

Minor duct work or electrical work above ceilings;

Major cabling activities; and Any activity which cannot be completed within a single work shift.

Type D Major demolition and construction projects Includes, but is not limited to:

Activities which require consecutive work shifts;

Requires heavy demolition or removal of a complete cabling system; and New construction.

Type (circle one): A B C D

Part II (Engineering to complete):

Please answer the following questions (circle yes or no):

1. Is disruption of essential services (e.g., ventilation, water) to patients/employees anticipated?

Yes No Comments: ______________________________________________________

2. Is relocation of patients to alternate units required or being considered?

3. Will the removal of debris pass through patient care areas?

Part III (Infection Control to complete):

Using the following table, identify the patient risk groups that will be affected:

Low Risk

Medium Risk

High Risk

Highest Risk

Office areas - Cardiology

- Echocardiography

- Endoscopy

- Nuclear medicine

- Physical therapy

- Radiology/MRI

- Respiratory therapy

- CCU

- Emergency room

- Labor and delivery

- Laboratories

- Newborn nursery

- Outpatient surgery

- Pediatrics

- Pharmacy

- Post anesthesia

- Any area caring for immunocompromised patients

- Burn unit

- Cardiac cath lab

- Central sterile supply

- Intensive care units

- Medical unit

- Negative pressure isolation rooms

- Oncology

- ORs

Risk Level (circle one): Low Medium High Highest

Part IV (Infection Control to complete):

Using the following table, identify the Precaution Class (I, II, III, or IV) or level of infection control activities required for the planned construction project. Match the construction type (A,B,C,D) with the risk level (low, medium, high, highest).

Patient Risk Group Type A Type B Type C Type D

LOW risk I II II III/IV MEDIUM risk I II III IV HIGH risk I II III/IV IV HIGHEST risk II III/IV III/IV IV

Source: Virginia Kennedy, St. Luke’s Episcopal Hospital, Houston/ icanPREVENT.com

Precaution Class (circle one): I II III IV

Precaution Classes (Levels of Required Infection Control Activities)

All precautions in the determined class must be followed:

Class Precautions/procedures that are required for each class I During work:

1. Execute work using methods to minimize raising dust from construction operations.

2. Immediately replace a ceiling tile displaced for visual inspection.

3. Minimize traffic (decrease exposure of patients to construction).

4. If disruption of water supply is necessary, schedule interruptions during low activity.

After work: General clean up as needed

II During work:

1. All Class I activities listed above

2. Provide active means to prevent airborne dust from dispersing into the atmosphere.

3. Water mist work surfaces to control dust while cutting.

4. Seal unused doors with duct tape.

5. Block off and seal air vents.

6. Provide and use walk-off mats at work areas. Replace used mats with new mats in accordance with manufacturer’s recommendations and when dirty.

7. Contain construction waste before transport in tightly covered containers. For removal of construction waste, follow pre-determined route.

8. Seal off isolate heating, ventilation and air conditioning (HVAC) system in areas where work is being performed.

After work:

1. Clean and wipe work surfaces with hospital-approved disinfectant.

2. Wet mop and/or vacuum with HEPA-filtered vacuum before leaving the work area.

3. Remove isolation of HVAC system from work area.

III During work:

1. All Class I and II activities listed above

2. Complete all critical barriers (i.e., sheetrock, plywood, plastic, or implement the control cube method [cart with plastic covering and sealed connection to work site with HEPA vacuum for cleaning prior to exit]) to seal the area before construction begins.

3. Maintain negative air pressure within the work site utilizing HEPA-equipped air filtration units.

4. Cover transport receptacles or carts. Tape covering unless the cart has a solid lid.

1. Do NOT remove barriers from work area until completed project is inspected by the Safety Office and Infection Control and the area has been thoroughly cleaned by Environmental Management.

2. Remove barrier material carefully to minimize spreading of dirt and debris associated with construction.

3. Vacuum work area with HEPA-filtered vacuums.

4. Wet mop area with hospital-approved disinfectant.

5. Remove isolation of HVAC system in area where work is being performed.

Class Activity IV During work:

1. All Class I, II, and III activities listed above

2. Relocate patients away from construction areas.

3. Isolate HVAC system in area where work is being done to prevent contamination of the duct system.

4. Seal holes, pipes, conduits, and punctures appropriately.

5. Construct anteroom and require all construction personnel to pass through this room so they can be vacuumed using a HEPA vacuum cleaner before leaving the work site or they can wear cloth or paper coveralls that are removed each time they leave the work site.

6. All personnel entering work site are required to wear shoe covers, which must be changed each time the worker exits the work area.

7. Provide and use adhesive walk-off mats within the anteroom. Replace used mats with new mats in accordance with manufacturer’s recommendations and when dirty.

8. Contain construction waste before transport in tightly covered clean (wiped clean with wet cloth) containers. For removal of construction waste, follow pre-determined route.

9. Construction/work area should be periodically inspected by Safety Office and Infection Control as appropriate

1. Do NOT remove barriers from work area until completed project is inspected by the Safety Office and Infection Control and the area has been thoroughly cleaned by Environmental Management.

2. Remove barrier material carefully to minimize spreading of dirt and debris associated with construction.

3. Contain construction waste before transport in tightly covered containers.

4. Vacuum work area with HEPA-filtered vacuums.

5. Wet mop area with hospital-approved disinfectant.

6. Remove isolation of HVAC system in area where work was performed.

Additional Risk Assessment:

Is work being conducted in area where exposure to active TB is possible? Yes / No.

If yes, contractor must provide documentation that construction workers have been screened for active TB within 90 days of work commencing. Anyone screening positive must show proof of being on treatment.

Additional Comments:

Part V: Persons completing the Infection Control Risk Assessment:

Print name (Engineering or OFPD) Signature Date

Print name (Infection Control) Signature Date

Statement of Work Fire/Smoke Dampers Inspection and Maintenance

VA Palo Alto Health Care System

Section 1: General Information

1.1 General: This is a non-personal services contract to provide Fire/Smoke Damper inspection and maintenance for the VA Palo Alto Health Care System (VAPAHCS). The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.2 Period of Performance:

Base Year: January 1, 2018 to December 31, 2018 Option Year #1: January 1, 2019 to December 31, 2019

1.3 Place of Performance: Services are required at the following locations. The points of contact (POC) for each location are listed. All work must be coordinated with the Contracting Officer’s Representative.

Palo Alto Campus 3801 Miranda Ave.

Palo Alto, CA 94304 POC: Craig Robbins

(650) 493-5000 x63434

Santa Clara County

Menlo Park Campus 795 Willow Road.

Menlo Park, CA 94025 POC: Anthony St. John

(650) 493-5000 x27324

San Mateo County

Livermore Campus 4951 Arroyo Road Livermore, CA 94550 POC: Josh Davis

(650) 493-5000 x35148

Alameda County

Monterey Clinic 3401 Engineer Lane Seaside, CA 93955 POC: Craig Robbins

(650) 493-5000 x63434

Monterey County

Mountain View Center 1776 Old Middlefield Way Mountain View, CA 94043 POC: Anthony St. John

(650) 493-5000 x27324

Santa Clara County

1.4 Hours of Operation: All repairs shall be performed during business hours of 8:00 AM to 4:30 PM Monday through Friday, except Federal Holidays. Contractor may work outside normal business hours by arrangement with the COR if such services are provided without additional charge to the government.

1.4.1 Observed Federal Holidays

January 1 New Year’s Day Third Monday in January Martin Luther King Jr.’s Birthday Third Monday in February President’s Day Last Monday in May Memorial Day July 4 Independence Day First Monday in September Labor Day Second Monday in October Columbus Day November 11 Veteran’s Day Fourth Thursday in November Thanksgiving Day December Christmas Day

1.5 Type of Contract: The award will be firm fixed price contract.

1.6 Invoicing: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

More information on the VA Financial Services Center is available at http://www.fsc.va.gov/einvoice.asp.

Vendor e-Invoice Set-Up Information:

Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

• Tungsten e-Invoice Setup Information: 1-877-489-6135

• Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

• FSC e-Invoice Contact Information: 1-877-353-9791

• FSC e-invoice email: vafsccshd@va.gov

1.6.1 Payments: Government only paid for services rendered. Government will not pay on any uncompleted or undelivered work, services, or goods.

http://www.tungsten-network.com/US/en/veterans-affairs/ http://www.fsc.va.gov/einvoice.asp mailto:VA.Registration@Tungsten-Network.com mailto:vafsccshd@va.gov

Section 2: Definitions & Acronyms

2.1 Definitions:

Contractor. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

Subcontractor. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

Work Day. The number of hours per day the Contractor provides services in accordance with the contract.

Work Week. Monday through Friday, unless specified otherwise.

2.2 Acronyms:

COR Contracting Officer Representative EPA Environment Protection Agency FACP Fire Alarm Control Panel NFPA National Fire Protection Association NICET National Institute for Certification in Engineering Technologies OEM Original Equipment Manufacturer OSHA Occupational Safety and Health Administration PM Preventative Maintenance PMI Preventative Maintenance Inspection POC Point of Contact PPE Personal Protective Equipment SOW Statement of Work VA Veterans Affairs VAPAHCS Veterans Affairs Palo Alto Health Care System

Section 3: Government Furnished Property, Equipment, and Services

This Statement of Work (SOW) does not have any government furnish equipment. Contractor shall not use any government own equipment, material, supplies, or tools. Contractor shall furnish all requirements. The government reserves option to terminate the contract in the event that contractor uses government equipment or supplies without written approval from the Contracting Officer and COR.

Section 4: Contractor Furnished Items and Services

The Contractor shall provide all equipment, supplies, management, supervision, personnel, and transportation necessary to assure that all services are in accordance with the contract and all applicable laws and regulations. The contractor shall ensure all work meets performance standards specified in this Statement of Work (SOW) and referenced documents to include all notes, explanatory material, and appendixes.

4.1 Contractors Qualifications:

A. Contractor shall be qualifying for task as per federal, state, and local authorities. Contractor shall submit in the technical package all certifications and licenses. Contractor shall have 5 years’ experience in fire protection inspection and maintenance. The Government reserves the right to request and review licenses and certification during the contract period.

4.2 Qualify Personnel:

A. Contractor’s employees shall be a qualified with federal, state, and local authorities and have a minimum five years of experience in the field specified within this scope of work. The Government reserves the right to request and review licenses and certification during the contract period.

B. If electrical work is required contractor shall provide a certified electrician.

a. Provide a valid state certification.

C. Contractor shall provide OSHA trained personnel:

a. Senior technician and/or superintendent on site shall have a 30-hour OSHA card.

b. Technicians working on site shall have a 10-hour OSHA card.

D. Technicians shall have a valid NICET Level III or equivalency minimum to perform inspections, maintenance, and repairs on fire dampers, fire/smoke dampers, and fire roll up doors.

Section 5: Specific Tasks

5.1 Preventative maintenance and Inspection

A. The contractor shall provide all tools, materials, equipment, supervision, personnel, and transportation necessary to assure that all services are in accordance within contract and all applicable codes, law, and regulations. The contractor shall ensure all work meets performance standards specified in this SOW and referenced documents to include all notes, explanatory material, and appendixes.

B. Contractor shall provide one designated point of contract to the government’s designated representative.

C. Contractor shall provide one year warranty on all components, equipment, and labor.

D. Maintenance and Inspection of the fire and fire/smoke fire dampers.

1) Conduct annual testing and certification of fire and fire/smoke dampers as per manufacture recommendations and adhere to section 5.3 Performance Standards. See Section 5.5 for the inventory list.

2) All fusible links shall be replaced with proper temperature ratings.

3) Contractor shall coordinate and submit schedule to COR for review and approval.

4) Contractor shall inspect and repair every fire and combination fire/smoke dampers. In the situation that a fire and/or combination fire/smoke damper is inaccessible; the contractor shall provide a separate summary report of the inaccessible damper. The Inaccessibility report shall contain a narrative of justification to the inaccessibility and an estimate to make the damper accessible to which the COR or COR’s representative will review for acceptance.

5) In the case of accepted inaccessibility reporting the COR will review the estimate and may submit to the contracting officer a request for a contract modification to cover the cost for correcting the damper access on a case-by-case basis.

6) The VAPAHCS shall not incur additional labor charges or service call fees for the repair of deficiencies noted on the inspections and within terms of this scope.

7) If the repairs for malfunction are under $40 per damper, it will be covered under this contract terms. The contractor must build the potential costs of repairs for the malfunctioning damper into their fixed rate. If the repair of a malfunctioning damper is estimated to exceed $40, it will be covered under the repair line item in the price schedule. The contractor will provide an estimate of all the repairs / replacements to the COR for review and approval.

8) It is anticipated that 10% of the performance year fire and combination fire/smoke dampers will fail inspection and require replacement. The costs for replacements will fall under the replacement line item in the price schedule.

9) In no case, shall the costs for additional parts be billed under this contract.

10) All repair parts shall be new and carry the manufacturer’s warranty. Contractor shall provide a one year warranty on all repairs.

11) Contractor shall provide reports and documentation on inspections. Contract shall submit samples of reports and documentation to record inspection on their Technical Package.

12) Contractor shall provide service report of inspections and repairs.

13) Contractor shall immediately inform of deficiencies to the COR.

14) The contractor shall renovate one existing fire damper that is currently inaccessible located in building 4, 2nd floor, C wing, room 238. The contractor shall access the damper location, render it into a fixed open position, repair the opening the contractor created to access the damper, install one new fire damper at a close & accessible location designed to damper the same section of ductwork. Drawings of the location are available but are limited in information.

E. Contractor shall provide labeling of all dampers and label drawing in AutoCAD. Contractor shall meet with COR and engineering department to discuss and agree on labeling system.

1) Contractor shall provide all labor and material to label all dampers.

2) Contractor shall provide all labor in marking, maintaining, and upgrading AutoCAD drawings with damper locations and labels/Identification.

F. Contractor shall provide a service report or maintenance report on all dampers worked on.

1) All deficiencies shall be submitted with individual service/maintenance reports with the following information:

i. Date

ii. Name of technician

iii. Location

iv. Map

v. Description of discrepancy

vi. Code violation

vii. Recommendation for repairs

2) All photographic records of inspections shall be date and time stamped. Open, Closed, pre-repair, post repair photographs shall be included within submitted reports and records.

G. Contractor shall provide a quote within two days of deficiency being identified.

1) Quote shall provide the following:

i. Location

ii. Date of violation

iii. Code violation

iv. All Parts and prices

v. Cost of Labor and hours

2) Repairs shall be completed within 10 calendar days from the VA’s acceptance of the contractor’s estimate for the repair costs.

H. Contractor shall provide electronic and one hard copy reports and documentation no later than 5 calendar days after completion of inspection of a building.

1) Contractor shall provide reports at the request of the government for the duration of the contract to include option year at no addition cost to the government.

I. Contractor shall submit to the VA all electronic files and pictures in a text format that can be used to import into other systems.

5.2 Safety:

A. The contractor and subcontract personnel shall wear, at all times appropriate personal protective equipment (PPE) to include but not be limited to: hard hat, safety glasses, reflective vest, and safety shoes.

B. No shorts or tank tops shall be permitted.

C. Contractor shall adhere to OSHA 10 CFR 1910 and 1926.

D. Contractor shall be responsible to use appropriate PPE when required by the OSHA and

VAPAHCS.

E. Safety plan shall be submitted to the COR within 15 days of awarded contract.

F. Contractor shall submit Safety Data Sheet for all chemical used at the VAPAHCS. Chemicals must be approved by COR or Safety Services. Safety Data Sheet shall be kept at work site at all times.

G. Contractor shall comply with Environment Protection Agency standards. No dumping of water or chemical in the storm drains. Contaminates shall be removed from VAPAHCS property and shall be disposed of per all Federal, State, and Local EPA regulation and standards at no additional cost to the government.

1) Any penalties incurred due to unlawful disposal of hazardous material or EPA, State, or Local regulation and standards shall be the responsibility of the Contractor.

5.3 Performance Standards:

A. Contractor shall adhere to the performance standards listed below. Contractor shall adhere to all references in the performance standard to include all notes, explanatory material, and appendixes.

The most current edition will be used on all references listed below.

1) OSHA Standard 29 CFR 1910

2) OSHA Standard 29 CFR 1926

3) NFPA 70, National Electrical Code

4) NFPA 70E, Standards for Electrical Safety in the Work Place

5) NFPA 72, Nation Fire Alarm and Signaling Code

6) NPFA 80, Standards for Fire Doors and Other Openings

7) NFPA 90, Standard for the Installation of Air-conditioning and Ventilating Systems

8) NFPA 90B, Standard for the Installation of Warm Air Heating and Air-Conditioning Systems

9) NFPA 92, Standards for Smoke Control Systems

10) NPFA 99, Health Care Facilities Code

5.4 Documentation Requirements

A. The Contractor shall provide reports to the COR and Compliance Office.

B. Each report shall include a separate document for each item inspected. The report shall state the following

1) Building/Damper Identification

2) Damper Type (contractor to verify)

3) Damper Manufacturer

4) Test results

C. Submit one hard copy of the completed written report and one CD Rom of the electronic version of the report in Microsoft (i.e. Excel, Word.) format to the Engineering Compliance Office within seven (7) calendar days of completion of inspection and testing.

5.5 Building and Number of Dampers

Base Year: November 1, 2017 to October 31, 2018

Campus Building # of Dampers Date of Last Inspection

Palo Alto

4 17 4/26/2012 6 87 3/7/2013 9 2 New 50 1 2/26/2013 54 1 6/10/2014

101 36 6/9/2014 105 14 1/30/2014 500 106 New 520 48 4/16/2012 530 3 New

MB1 71 4/27/2012

MB2 72 5/2/2012

MB3 43 5/11/2012

MB4 42 5/16/2012

Menlo Park

321 292 4/17/2013 329 3 4/6/2012 331 29 4/3/2012 334 81 2/15/2013 347 21 2/5/2013 348 3 4/4/2012 349 9 4/4/2012 350 10 4/5/2012 351 10 4/5/2012 352 11 4/6/2012

T365 51 1/17/2013 400 3 New

Livermore 64 11 3/12/2012 88 6 2/26/2013

Mountain View HR 5 New Total 1088

Option Year #1: November 1, 2018 to October 31, 2019

Campus Building # of Dampers Date of Last Inspection

Palo Alto

5 50 6/5/2014 7 9 6/10/2014

100 149 6/4/2014 102 6 6/10/2014

Menlo Park

324 18 5/28/2014 360 45 5/16/2014 410 3 New 413 3 New

Livermore 62 62 5/5/2014 90 27 5/12/2014

Monterey M.5 44 6/12/2014 Total 416

5.6 Security Requirements

A. The Certification and Accreditation requirements do not apply and a Security Accreditation Package is not required for this work.

B. Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, VA directives and handbooks as VA personnel regarding information security under VA Handbook 6500.6, Contract Security, Appendix C.

Section 6: Attachments

Attachment 1 Wage Determinations

WD 15-5641 (rev 4) Santa Clara WD 15-5637 (rev 6) San Mateo WD 15-5623 (rev 4) Alameda WD 15-5633 (rev 3) Monterey