36C26219Q0701-001.docx

STATEMENT OF WORK

I. TITLE:

Procure Auto Flushing Stations

II. BACKGROUND INFORMATION:

In accordance with VHA Directive 1061, regular flushing of hot and cold-water outlets is required to prevent stagnation.

III. OBJECTIVES:

The purpose of this contract is to have a supplier provide auto flushing stations and dual check valves per the scope listed below:

· #9766HC-MB Auto flush Station (Kupferle Eclipse)-1 FIP Outlet- 33 EA.

· ¾” Kupferle BRS dual check valve- 66 EA

· See attached design specification

IV. PERIOD OF PERFORMANCE:

30 Days

V. PLACE OF PERFORMANCE:

VA Loma Linda 11201 Benton St Loma Linda, CA 92357

VI. LICENSING REQUIREMENTS:

a. Offeror must possess a 30-hour Occupational Safety and Health Administration (OSHA) safety card.

VII. SPECIFIC REQUIREMENTS:

a. Schedule with Contracting Officer Representative (COR) or Designee five (5) business days in advance prior to start of work.

b. Prior to start of job, all personnel shall have a valid Loma Linda PIV badge

c. Prior to working, ALL energy sources (electrical, water, etc.) shall be locked and tagged out, and upon completion of work, will be re-energized and verified.

d. Prior to work each day, workers or a designated lead or supervisor are/is to check in with the Graphics Control in the plant.

e. Contractor shall conform to the following standards, policies, regulations, governing agency, and any other local, state, or Federal guidelines that are not listed here

i. OSHA Regulations, www.osha.gov

ii. NFPA, www.nfpa.org