Statement of Work.docx

VA Pacific Islands Health Care System Domestic Water Booster Pump Installation American Samoa CBOC Project: 459-26-007

STATEMENT OF WORK

1. GENERAL SCOPE

a. The Contractor shall provide all labor, materials, equipment, supervision, and incidentals necessary to furnish and install a complete domestic water booster pump system at the American Samoa Community Based Outpatient Clinic (CBOC), part of the VA Pacific Islands Health Care System (VAPIHCS), to improve domestic water pressure throughout the facility. The American Samoa CBOC is a single-story outpatient clinic of approximately 14,000 square feet served by a 2-1/2-inch domestic water service line. Existing measured static water pressure inside the building is approximately 30 PSI, which has resulted in occupant complaints and insufficient pressure to reliably support flush valve plumbing fixtures and future laboratory equipment.

b. The booster pump system shall be designed and installed in accordance with the requirements of the VA Technical Information Library (TIL), including the VA Plumbing Design Manual PG-18-10 and applicable VA Master Construction Specifications, and shall be capable of maintaining a minimum of 40 PSI flowing pressure at the most remote flush valve fixture, with system discharge pressure exceeding 60 PSI, while supporting an estimated peak domestic water demand of approximately 80 gallons per minute (GPM).

2. STATEMENT OF WORK

a. The Contractor shall provide a complete, turnkey domestic water booster pump system, including design, equipment, installation, integration, testing, and commissioning.

b. Provide and install a duplex booster pump system with VFDs and automatic lead/lag sequencing. Install system in Room 120 with housekeeping pad, vibration isolation, and anchoring. Modify existing 2-1/2” domestic water service piping including valves, gauges, and relief valve.

c. Provide electrical power, disconnect, and wiring from existing panels. Provide point of connection with the capability to integrate system into BAS via BACnet with monitoring points including pressure, pump status, run hours, VFD speed, kW, flow, and alarms.

d. Replace Pressure Regulating Valves with same or equal.

e. Coordinate shutdowns with COR and staff onsite. Perform startup, testing, commissioning, and providing documentation.

f. Provide project schedule within 10 days of Notice to Proceed (NTP).

i. Provide an overall schedule for the project.

ii. Three weeks look ahead.

g. Maintain site safety, supervision, and restoration.

h. Provide coordination drawings if applicable.

i. Provide training O&M manuals, as-builts, and warranties.

j. Upon completion of the project, the contractor shall flush all the plumbing fixtures within the building to ensure no fixture is air lock and all debris has been removed.

k. Period of Performance is 120 days.

3. WORK SHALL INCLUDE

a. The project will include all labor, material, equipment and supervision to perform the required construction work on this project as shown in the drawings and specifications. Refer to the attached drawings and specs.

b. The Contractor shall be responsible for obtaining and coordinating the services of all third-party Contractors performing other services on site and other entities as part of the contract to ensure the expected quality, timely delivery, and documented final product.

c. Working hours for this project are from Friday at 5 pm to Sunday. No work shall be performed during normal hours of operation at VA sites from 7:00 AM to 5:00 PM Monday through Friday and this includes holidays. Water needs to be available during normal hours of operations.

4. DESIGN CRITERIA

a. Comply with VA Plumbing Design Manual, VA Master Specs (22 05 11, 22 05 23, 22 05 29, 22 11 23, 22 11 00), IPC, and local codes.

5. SUBMITTALS

a. Provide shop drawings, pump curves, equipment data, electrical diagrams, controls, BAS points, and certifications.

6. ADDITIONAL REQUIREMENTS

a. Housekeeping - Accumulation of trash, paper, wood shavings, sawdust, excelsior, boxes and other packing materials will be cleaned up as often as necessary and at the end of each workday.

b. False Alarms – Fire Department response fees for false alarms caused by the contractor will be paid by the contractor. To avoid this, dust covers for smoke detectors and alarms are required to be used while construction work is ongoing. These covers shall be removed at the end of the construction work shift to keep them operational.

c. Fire Watch - Provide fire watches for impairment more than 4 hours in a 24-hour period. Request interruptions in accordance with Article, OPERATIONS AND STORAGE AREAS, and coordinate with COR and facility safety officer. All existing or temporary fire protection systems (fire alarms, sprinklers) located in construction areas shall be tested as coordinated with the medical center. Parameters for the testing and results of any tests performed shall be recorded by the medical center and copies provided to the COR.

d. Smoking is strictly prohibited in all facilities, near flammable liquids and highly combustible materials. Smoking is only authorized in designated smoking areas.

e. Security – Contractors will always wear security badge in plain sight above the waist. Contractors found without a badge will be immediately removed from VA property by VA Police.

f. Parking – Contractor vehicles shall park at the designated area that is identified by the VA staff at the American Samoa CBOC. Coordinate parking with the Facilities Operations Specialist at the American Samoa CBOC.

g. Tuberculosis (TB) – Contractor is responsible for ensuring that if contracted construction worker(s) have been determined to be at risk for transmission of TB based upon the TB pre-construction risk assessment. The contractor must provide written certification, within 24 hours upon request, to the COR that all contract employees assigned to the work site have had a pre-placement tuberculin screening within 90 days prior to assignment to the work site and been found to be free of active TB. Refer to the contract documents for this requirement.

h. OSHA 10 & 30 -Hour Training Course – All construction workers are required to have the OSHA 10-hour Construction Safety training certification. The construction safety manager and/or superintendent shall have the 30-hour Construction Safety course certification. Proof of certification shall always be on site.

i. Infection Control (IC) and Safety– All contractors, construction workers and COR’s must attend the Infection Prevention training every fiscal year. All construction workers shall have a current IC training sticker attached to their badges. If this requirement is not met, workers will be removed from construction site. Refer to construction documents for additional information.

j. Construction signs and copy of IC permit (attached) shall be always posted on the project site. AllIC and dust control measures shall be always implemented.

k. Renovation and construction work within an active hospital requires special considerations be made and properly accounted for by the Contractors. An Infection Control Risk Assessment (ICRA) will need to be completed, with considerations from the Sheet Metal and Air Conditioning National Association (SMACNA) indoor air quality guidelines for occupied buildings. ICRA Category C and Low Risk (A, Level II) are currently anticipated to be the type of construction activities encountered. In addition, the patients likely to be encountered fall within the low, medium and high-risk group.

l. All fire and smoke wall penetrations shall be fireproofed according to corresponding wall rating. These shall be through a sleeve and sealed with fire barrier compound to be approved by VA.

m. All construction and installation work shall comply with VA specifications for material and workmanship, NEC, NFPA and all applicable city, county, state, and federal regulations and codes and OSHA standards. Refer construction drawings and specs for requirements.

n. All incidental work associated with the installation and construction works in the exterior and interior of the building shall be included in the base bid.

o. Conduct work as to interfere as least as possible with facility operations. All coordination for utilities shutdown shall be coordinated at least 72 hours prior to event with COR. For major utility system shutdowns, coordination shall be done at least 2 weeks in advance.

7. JOBSITE CLEANLINESS

a. Contractor will be responsible for the removal and disposal of all trash/debris connected with uncrating and assembling all items installed under this contract.

b. Final Acceptance by the Government will not occur until all installed items have been wiped cleaned and debris/dust connected with installation is removed from the VA site.

c. Recyclable cardboard products shall be disposed of in accordance with applicable statutes, in respective containers. The contractor is responsible for providing trash containers at an off-site facility.

d. The contractor is responsible for destructive slicing of upholstery items and removal of existing worn furnishings assuring proper disposal off-site.

e. Packing materials will not be stored in the buildings for any period exceeding 24 hours.

f. The Contractor shall ensure its personnel eat, drink, or smoke only in designated areas.

g. Personal trash (food wrappers, drink containers, etc.,) shall be removed from the site daily by the Contractor.

8. WARRANTY ITEMS

a. The warranty for an item is to start on the date of acceptance of the products/services by the Government VA COR.

b. The Contractor agrees to furnish, without cost to the Government, replacement of all parts and material which are found to be defective during the warranty period. The cost of installation and travel of replacement material and parts shall be borne by the Contractor.

NARA Records Management Language for Contracts (May 2017):

https://www.archives.gov/records-mgmt/handbook/records-mgmt-language.html

RECORDS MANAGEMENT OBLIGATIONS

A. Applicability

This clause applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists.

B. Definitions “Federal Record” as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal agency under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them.

The term Federal record:

1. includes [Agency] records.

2. does not include personal materials.

3. applies to records created, received, or maintained by Contractors pursuant to their [Agency] contract.

4. may include deliverables and documentation associated with deliverables.

C. Requirements

The following standard Items relate to records generated in executing this contract and should be included in a typical contract where records could possibly be created, maintained or dispositioned:

ADD THE FOLLOWING 11 ITEMS TO THE STATEMENT OF WORK (SOW):

1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4. [FACILITY] and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of [FACILITY] or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701.

In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to [FACILITY]. The agency must report promptly to NARA in accordance with 36 CFR 1230.

5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to [FACILITY] control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

6. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and [FACILITY] guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with [FACILITY] policy.

8. The Contractor shall not create or maintain any records containing any non-public [FACILITY] information that are not specifically tied to or authorized by the contract.

9. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

10. The [FACILITY] owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which [FACILITY] shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

11. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

[Note: To the extent an agency requires contractors to complete records management training, the agency must provide the training to the contractor.]

D. Flowdown of requirements to Subcontractors

1. The Contractor shall incorporate the substance of this clause, its terms and requirements including this paragraph, in all subcontracts under this [contract vehicle], and require written subcontractor acknowledgment of same.

2. Violation by a subcontractor of any provision set forth in this clause will be attributed to the Contractor.