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This is a statement of work for a construction project to modernize community living center buildings at the Phoenix VA Healthcare System. The project includes renovations to patient rooms, bathrooms, corridors and common areas on the first and second floors. Work will involve replacing flooring, lighting, casework, doors and other finishes. Mechanical systems such as VAV boxes and controls will be fully replaced. Specialized systems for nurse call, code blue, patient entertainment and monitoring will be updated and integrated with existing infrastructure. The solicitation number is 36C26224B0004 to be awarded by the Department of Veterans Affairs Veterans Health Administration VISN 22. The contractor must complete specific areas by April 1st and August 1st 2024 with full completion by December 1st 2024.

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Statement of Work

Modernize CLC Halls and Walls Bldg. 16

644-23-042

Date

July 21, 2023

Carl T. Hayden Medical Center

650 E. Indian School Road

Phoenix, AZ 85012

Statement of Work – Modernize CLC Bldg. 16, 1st and 2nd Floor Medical Center

NOTE: Contractor will not have access to any VA Information Technology (IT) systems or VA sensitive information. Contractor also will not require the need of contractor-owned IT devices.

Purpose

The Phoenix VA Healthcare System (PVAHCS) is seeking to renovate the Community Living Center located within the first and second floor of Building 16.

Statement of Work

1) Statement of Work – This project is expected to improve the Community Living Center located within the L Wing of the first floor and the L & K Wings of the second floor of Building 16 of the medical center. Exclude the K Wing of the first floor (unless specifically annotated to include). Exclude K208, K211, K212, and K232. A graphic of the area and finish selections is provided in the appendix. Bid from contractor should be itemized to include material quantity/cost and labor hours/rate according to the bulleted list below for additives/deductive. Shutdowns to be coordinated with the VA which may include evenings and/or weekends. Veterans will be relocated to live in (24/7) the 1st floor K wing of the CLC in June 2024, therefore scheduling and noise disruptions need to be coordinated and managed by the contractor to minimize impacts to these Veterans. All VA equipment and furniture located within the construction areas will be the responsibility of the contractor to relocate within the hospital and or construction area during construction. Equipment must be protected by the contractor from damage, construction debris, dust, contamination, etc.

Work will include but is not limited to the following general information that will be used for the intention:

Wall Tile/Wall accent tile/grout in all patient/staff restrooms, soiled utility rooms housekeeping closets, shower room, mens locker room Include demolition and replacement of existing wall tile Include tile grout/sealant Daltile Cotto Rectangle 12x24, 5/16" Thick White PF02 Matte Large Format

Wall tile half of wall only; Running Bond 50% Offset; Grout Mapei 5093 Warm Gray; Accent Trim - Daltile Jolly Trim 1/2 x 12 x 1/4 White PF02 Matte - Shape Number P43C9

Epoxy floors in patient/staff restrooms, soiled utility rooms, housekeeping closets, shower room, mens locker room Sterling Fast Flow Seamless Epoxy FF118 Birch – Coefficient of Friction to be selection of VA

Wall tile in corridors Remove and replace with sound dampening sheetrock, paint

Housekeeping closets Include replacing floor wash basins

Ceiling grid and ceiling tile

Remove and replace all ceiling tile and grid Ceiling tiles show stains from rat urine and feces and will require hazardous waste removal Shower Room Tile Spec: AC-2: 2'-0" x 2'-0" ARMSTRONG CEILING TILES

#1721 CLEAN ROOM

General Tile Spec: Calla Square Lay-In 24x24 1" Thickness White #2820BK Grid Spec: Prelude XL 15/16” Suspension System Exclude K232 and hard ceiling rooms

Lighting (Lighting fixtures to match the upgrades on the K Wing 1st Floor)

Replace and update bed lighting fixtures in patient rooms Update overhead lighting in all spaces (corridors, rooms/offices/etc,, bathrooms (except where specifically excluded), hallways, nurses stations, shower rooms

Include over sink light fixtures in restrooms unless specified Include over sink light fixtures in patient rooms

Update/Modernize Doors

Laminate all existing wood interior doors with Formica: RAW CEDAR, 1545 MATTE Finish (exclude metal interior and exterior doors)

Include replacement of door hardware Privacy locks on all patient rooms and patient restrooms (remove deadbolts) Replace kick plates with new stainless steel kick plates Include soundproofing seals on the undersides of the doors

*Include 1st floor K Wing for soundproofing seals only 1st Floor K Wing must be completed by 4/1/2024

Patient Rooms

Replace and update wall panel behind bed in patient rooms selection by VA (2 per room)

Replace Wall Lockers selection by VA (2 per room)

Add Roller Shades to Windows *Include 1st floor K Wing

1st Floor K Wing must be completed by 4/1/2024

Paint All hallways, rooms, spaces

Behr Premium Plus Color - Interior, Toasty Gray, Eggshell Door Trim

Door Trim, Color: Peppery MQ2-62, Interior/Exterior, Pro Industrial, Semi- Gloss

Public restroom partitions Exclude K208, K211, K212, K232

Cove Bases

All hallways, rooms, spaces throughout Exclude K232

Roppe Wall Base 114 Lunar Dust Pinnacle 700 Series Vinyl 6" Standard Toe

Flooring Abate VCT flooring Replace flooring with LVT

Armstrong Coalesce 18x18 ST776 Nona Ravenna Include stairwells Exclude K232

Remove existing and update/replace corridor handrails

Install new corridor handrails Inpro 800W Series – American Walnut CLC Entrance 1st Floor (area outlined orange) in drawings – remove/protect/replace existing corridor handrails

Replace and update Wayfinding Signage

Replace and update Room Signage (include biohazard, linen rooms, bathrooms, offices, conference rooms, etc.)

Install New Bathroom Mirrors Throughout Include shower rooms Exclude K208, K211, K212

Congregate Shower Rooms (K123 and K223)

Replace and update Shower Room Wall Tile (see above spec) Epoxy Flooring (see above spec) Install new ADA grab bars

Additional grab bars needed in k123 Replace the corner guards Repair corrosion and studs as needed Add recessed soap holders Replace drain covers with new Replace countertops and sink

Replace in K123 and add to K223 1st Floor Shower Room must be completed by 4/1/2024

Replace and update built in cabinetry/countertops

Breakrooms, hospice lounges

Update 2nd Floor Nurses Station Demolish or refurbish 2nd Floor Nurses Station

Station shall accommodate space and file storage for 8 employees Features: Undercounter lighting, overhead accent lighting, overhead aesthetic accent panels – selections TBD by VA to compliment 1st floor Nurse Station

L119 and L210 – Office Converted to Nurse Station

Modify a section of the wall, as feasible, within each of these offices, to convert to a nurse station with window access to the patients in the corridor

L107/L108

Replace carpet with LVT

L105A Remove wall paneling – sheetrock back

Update K108/K108A

Remove carpeting and replace with LVT Remove wall tile and replace with sheetrock Install frame and door dividing K108 and K108A Located within 1st Floor K Wing - must be completed by 4/1/2024

Update K210/K210A/K205/K205A Physical Therapy and K 214 Occupational

Therapy In addition to the above work – assess feasibility of removing the dividing wall combining this area to make one large room with two new closets that will support the functions of the inpatient physical therapy program

Remove casework/alcove and replace with new build storage closets

Update CLC Entrance and Rec Therapy Room Abate VCT and Tile (Vestibule)/Install Epoxy Based Terrazo to match main hospital entrance Remove/Protect Handrails for Construction/Reinstall Handrails Update/Remove Tile on Corridor Walls – Add Wall Paneling Update Lighting and Ceiling Tiles – Lighting at Staff Entrance by sliding doors to

Match the Accent Lighting at the main hospital entrance This area is the main mode of egress and will require a phased approach to completion

Install Med Gas to Patient Rooms on the 2nd floor Stamped architectural design required Med Gas Mains are in place and extensions are needed off the main to the patient rooms (see Appendix)

Special Systems Description of Work and Services *Include 1st floor K Wing for all of the following Special Systems

1st Floor K Wing must be completed by 4/1/2024 Provide Special Systems Provide a separate coordination meeting to review implementation details when available for all devices Provide solutions that includes capabilities/infrastructure for Special

IT/Communication Systems so that it can be integrated and is compatible with the existing systems

Bed management solution (BMS) in Nurse Station areas

i. BMS locations to be coordinated with the VA.

ii. Provide dedicated outlets at Nurse’s Stations.

iii. Provide pathway and cabling to outlets.

iv. Provide homerun back to the telecommunication closet designated by the VA.

v. Provide power outlets by the communication outlets.

vi. Features:

Hospital Bed Management System or Solution Veterans Health Information Systems and Technology

Architecture (VistA) interface for tracking patient movement Expandable and configurable for Phoenix Tracks patient movement through the system Displays patient and bed occupancy status for all beds in the facility and/or Veterans Integrated Service Networks (VISN) Provides visibility of bed availability within VAMC’s to support emergency management Automates request and assignment of beds Displays and facilitates timely discharge appointments Supports and facilitates efficient flow operations and is a catalyst to process improvement and best practices Provides reports on performance measures associated with bed management and patient flow.

Real-time status of all the available beds and the bed occupied, to plan for the efficient use of beds Provides access to Large Screen Displays for the BMS Ward

Whiteboard Software Responsible thru DVA OIT

Nurse Call / Code Blue systems updated to current standards.

Background: The existing system is currently 10-20 years old.

Provide new Nurse Call system that can be integrated and is compatible with the existing systems. The existing system is WestCom. Coordinate with VA for integration.

Features:

Dome Light Patient stations Patient 37 pin bed interface at headwall Pillow Speaker Master station nurse consoles o configuration of master stations o programmed to meet the workflow needs

Staff terminals / Workflow station o programming of the station for cleaning and staff workflows o common programming for emergency call functions.

Code Green Call Button

Emergency call stations: installed in showers and patient toilets.

o two-way communications o water resistant

Duty stations: installed in break rooms Three button emergency call buttons: in every room that regular sees patients for inpatient functions Interfacing with existing communication system: Vocera see Nurse Call Code Blue spec 27 52 XX o Wireless Staff Telephone integration with Nurse Call system.

Background: Existing system is Vocera and currently does not integrate with the existing nurse call system. Systems must be able to integrate and must be compatible.

Features:

Portable 2-way communications Wearable badge Text and Voice Integrates with outside telephone Integrates with WIFI Communicate to individuals or groups Created groups can be by Ward / Patient / Code teams Integrates with nurse call Integrates with the Intercom system Two software updates per year System UPS backed up Vocera model Model B3000n System is on its own VLAN Uses Hospital network WIFI Mobile SD 1 Connects to Access point for IT using Cat6A which are provided by IT Connects to TR room o Patient Entertainment System

Add new Patient Entertainment System IPTV with virtual server capabilities that can integrate and is compatible with the existing system.

The current system is GetWell. The existing system does not support

IPTV.

Features:

Connect to patient TV Connect to nurse call pillow speakers Displays patient treatment info Enable service request from patient Display supported cable channels Access to health info from VISTA \ CERNER (My HealtheVet)

Software updates thru smart TV Entertainment media controlled by provider Interface can control TV, controls, equipment and cabling Interface with Meal ordering Interface with bed management Patient communication o meal preferences are communicated to Food Service through the TV/monitor o Survey responses o food and nutrition food service questionnaire thru monitor inquires about food quality, such as "Cold food is served cold enough." The Veteran may choose, "Strongly agree."

or "Agree."

o Veteran questionnaire responses are emailed to the Phoenix VA Administrative Dietician

Fall avoidance prompts Discharge readiness prompts; responses sent to nurse integrates with the bed management function once admitted and assigned a room Able to view the mandatory health videos before full access to the system. bypassed if needed.

Control of lighting and environmental controls Customized software application tiles on screen Clear data – TV off or time out every TBD hours (defined by VA).

Commercial use: options of Broadcast TV – digital, high def, tv;

Streaming – one2one relationship; patient login Care team – points to MicroSoft product for staff info Emergency messaging Integrate medical records to bed side (cannot input data) (nurse uses WOW, etc.)

Integrated into VA network (server on site, both physical and virtual) SW update plan to be provided Operation plan - messaging and surveys by VA site maintenance plan - engineering full access to manage and troubleshoot system Subscription fee per unit / time period to be provided Warranty plan to be provided

Remote Patient Observation

i. Background: VA will provide a mobile unit that can be moved within the area for use. Current existing system is AvaSure.

ii. Provide dedicated power outlets and data ports. Exact locations to be coordinate with VA.

iii. Features:

1. Cannot record

2. routed exclusively to medical staff tasked with providing care

3. Integrated capability to talk/listen to a specific patient area

4. High quality camera, positioned for full view of patient

5. Camera able to rotate and adjust for viewing wide angles

6. Separate camera located in patient room, monitor at nurse station

7. Configurable view selection per monitor

8. Provided by VA

Power fail phone system.

i. Background: Existing system is PBX based with red phone that is hard wired in.

ii. Features:

1. Operates on power failure

2. Power restoration does not interrupt in-progress calls

3. User can make or receive calls

Clinical Information System (CPRS/VISTA) update capability via workstation.

i. Background: CPRS (Computerized Patient Records System).

VISTA (Veteran’s Health Information System and Technology Architecture). Contains PII and PHA.

ii. Coordinate power outlets and data port drops with VA so that it is attached to the existing network.

Telemetry at each patient area and monitoring at Nurse station, Alcove, and Telemetry monitoring center.

i. Provide power outlets and data port drops, locations to be coordinated with the VA.

ii. Features:

1. Bedside Monitoring

2. Continuous monitoring during transport or ward walks

3. Seamless patient monitoring

4. Storage and review capabilities

5. Remote viewing

Hand hygiene monitoring system

i. Current existing system is GoJo

ii. Features:

1. Dispenser

2. Receiver

3. Counter

Pneumatic Tube System

i. Transport of samples and medicines

ii. Background: Existing system is provided by Swisslog

iii. Features

1. Secure transactions

2. 6" carriers

3. Remote monitoring

4. Alert messaging

5. Connected to existing system

Wander Guard

i. Supports Alzheimer and dementia patients

ii. Features:

1. Controls door lock

2. displays status at the nurse station or the iPad

3. Activates alarm on status changes

Mechanical Repair

*Include 1st floor K Wing 1st Floor K Wing must be completed by 3/1/2024 Total replacement of 105 VAV boxes of the CLC Building to include all floors (1st& 2nd Flrs) 98 returns, 155 supply registers, 69 exhausts Replace all temperature controls with DDC type to include:

-VAV Controller -Reheat Control Valve -Reheat Coil w/ hose kit -Discharge Air Sensors -Adjustable DDC Thermostats for local end user control -Installation of global controller (Niagara Jace) and communication bus to a to integrate new controls to existing BAS system -Installation of 24VAC circuits for newly installed DDC system

- Means of disconnect at each VAV box -Isolation valves that would isolate each wing

Replacement of reheat piping from the local header to individual VAV Circuits. Dielectric fittings to inhibit corrosion of dissimilar metals.

Installation of new ball valves to enable isolation of each VAV reheat circuits.

Assess install or replace fire dampeners accessibility as needed Test and Balance to include commissioning of all newly installed DDC controls to include air leak rate of the high-pressure duct. Mechanical should be responsible for repairing all identified leaks above an acceptable rate.

Appendix

Specifications Reinstall Ceiling Grid Prelude XL 15/16” Suspension System Reinstall Ceiling Tile Calla Square Lay-In 24x24 1" Thickness White #2820BK

Reinstall Ceiling Tile Shower Room AC-2: 2'-0" x 2'-0" ARMSTRONG CEILING TILES #1721 CLEAN ROOM

Mechanical Repairs K Wing Only - VAV’s Government Furnished Equipment Paint Corridor Sheetrock Behr Premium Plus Color - Toasty Gray

Bathroom mirrors Patient and Staff

Bathroom/Housekeeping Closets/Soiled

Utility/Shower Room/Locker Room Wall Tile

Daltile Cotto Rectangle 12x24, 5/16" Thick White PF02 Matte Large Format Wall tile half of wall only; Running Bond 50% Offset; Grout

Mapei 5093 Warm Gray; Accent Trim - Daltile Jolly Trim 1/2 x 12 x 1/4 White PF02 Matte - Shape Number P43C9

Epoxy Patient and Staff Bathroom/Housekeeping Closet/Locker Room and Shower Room Flooring Sterling Fast Flow Seamless Epoxy FF118 Birch Install Over Sink Light

Fixtures in Patient Room and Patient Restroom To Match K Wing 1st Floor

Install New Flooring Armstrong Coalesce 18x18 ST776 Nona Ravenna

Install New Cove Bases Roppe Wall Base 114 Lunar Dust Pinnacle 700 Series Vinyl 6" Standard

Toe Install New Handrails in

Corridors InPro 800W American Walnut Paint Behr Premium Plus Color - Interior, Toasty Gray, Eggshell

Door Frame Painting Door Trim, Color: Peppery MQ2-62, Interior/Exterior, Pro Industrial, Semi-Gloss

Renovate Nurses Station

Wall - Inpro Laminate Trestle Nut 5E032; Flooring Armstrong Natralis 70016 Pacific; Counter Wilsonart Solid Surface Full Slab 30" x 144"

Bluestone 9074EA Bed Panels TBD

Roller Shade TBD Room Lockers TBD

Laminate Existing Doors Formica: RAW CEDAR, 1545 MATTE Finish Door Hardware Schlage

Nurse Call Code Blue Update WestComm Patient Entertainment GetWell

Shower Room Countertop/Sink TBD

Scheduled Completions K Wing 1st Floor (If Specified) As Specified and NLT April 1, 2024

L Wing 1st Floor NLT August 1, 2024 CLC Entrance/Rec Therapy NLT December 1, 2024 CLC 2nd Floor K & L Wing NLT December 1, 2024

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