S02_36C26319Q0140.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. DUNS: DUNS+4:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 127

636-19-3-8891-0033

438-19-1-353-0005

36C26319Q0140 12-20-2018

Travis Johnson 605-333-6822 01-03-2019

10:00 AM CST

Department of Veterans Affairs Network Contracting Office 23 (NCO 23) 2501 W. 22nd St.

Sioux Falls SD 57105

X 100

X

541330

$18 Million

N/A

Iowa City VA Health Care System Sioux Falls VA Health Care System

Network Contracting Office 23 (NCO 23) 2501 W. 22nd St.

Sioux Falls SD 57105

Financial Management Services via the Tungsten Network Reference VAAR Clause 852.232-72

877-489-6135

Electrical Conditions Assessments for the Iowa City and Sioux Falls VA Health Care Systems. See both Statement of Works below for Specifications.

This solicitation and resulting Purchase Order are IAW FAR Part 12 and 13. This is a total set-aside for Service Disabled Veteran Owned Small Business(SDVOSB).

Refer to FAR Provisions 52.212-1 and 52.212-2 for offeror submission requirements and evaluation factors.

636-3680162-8891-854100-2543 040055590

438-3690162-353-854200-3223 23NRNR000

636-19-3-8891-0033, 438-19-1-353-0005

X X

X ONE

Travis Johnson

NCO2315L2-5351

36C26319Q0140

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

SIOUX FALLS STATEMENT OF WORK

IOWA CITY STATEMENT OF WORK

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (JAN

2017)

C.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2018) ALTERNATE

II (NOV 2017)

C.3 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.4 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED

SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

C.5 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.6 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2012)

C.7 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 See attached document: 100 percent report consolidated SF D.2 Wage Rates

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017)

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (NOV 2017)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.6 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(JAN 2008)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (JAN 1998)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C263 Travis Johnson

Department of Veterans Affairs Network Contracting Office 23 (NCO 23) 2501 W. 22nd St.

Sioux Falls SD 57105

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon Completion of Each Site

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs Financial Management Services via the Tungsten Network Reference VAAR Clause 852.232-72

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

1.00 JB ________________

Maintenance and testing of the Electrical Power Distribution System at the Sioux Falls VA Health Care System

1.00 JB ________________

Maintenance and testing of the Electrical Power Distribution System at the Iowa City VA Health Care System

GRAND TOTAL ________________

SIOUX FALLS STATEMENT OF WORK

for

Maintenance, Inspection, and Testing of the Electrical Power Distribution System

1. GENERAL INFORMATION

a. Introduction:

i. This Statement of Work (SOW) describes the requirements for the maintenance, inspection, testing, and/or calibration of the Electrical Power Distribution System and all of its components at the Sioux Falls VA Health Care System located at 2501 W 22nd Street, Sioux Falls, South Dakota

57105. These work items are referenced as “Maintenance and Testing” in this document, hereafter.

ii. This SOW describes the requirements for the Qualified Electrical Contract Professionals – known as “Contractor” in this document, hereafter. The Contractor who is contracted by VA Health Care System to perform maintenance and testing of the Electrical Power Distribution System, and all of its components shall meet all requirements stated requirements of this

SOW.

iii. This SOW describes the requirements to establish maintenance and testing reports.

b. Qualifications of Contractor and Contractor Personnel:

i. The Contractor and personnel shall be experienced electrical contractors, having properly trained and licensed permanent staff required to perform the proposed work. Electrical contracting (i.e. the construction, repair, testing, and maintenance of industrial and commercial electrical distribution systems) shall be the primary interest/specialty of the Contractor’s business.

ii. The Contractor and personnel shall be certified by the International Electrical Testing Association (NETA) or equivalent certifying organization as Certified Technicians with each having completed the Occupational Safety & Health Administration (OSHA) approved 10-hour construction safety training.

iii. The Contractor and personnel shall have technical training and demonstrable track records of working experience in maintenance, inspection, and testing of the Electrical Power Distribution Systems and related components in healthcare, industrial, educational, and commercial facilities for a minimum of five continuous years. Electrical components on which the contractors have experience shall include, but not be limited to, switchboards and switchgear (low and medium voltage); low voltage controls; emergency and standby generators; automatic transfer switches, wiring, transformers, meters, and other electrical appurtenances.

iv. The Contractor and personnel shall have safety trainings – either on-the-job or class-room type - in electrical safety outlined in the OSHA Standard 29 Code of Federal Regulations (CFR) 1910 Subpart S – Electrical, and the NFPA 70E – Standard for Electrical Safety in the Workplace. Prior to commencing work, training certification shall be provided to both the POC and Contracting Officer indicating each technician is a Qualified Person as defined by NFPA 70E.

v. The Contractor and personnel shall have ready access to the latest versions of the following references:

1. NFPA 70, National Electrical Code.

2. NFPA 70B, Recommended Practice for Electrical Equipment

Maintenance.

3. NFPA 70E, Standard for Electrical Safety for the Workplace.

4. NFPA 110, Standard for Emergency and Standby Power System.

5. OSHA Standard 29 CFR 1910, Subparts I & S.

6. InterNational Electrical Testing Association, Inc. (NETA) –

Maintenance and Testing Specifications.

7. Institute of Electrical and Electronics Engineers (IEEE) Std 1584-

2002, Guide for Performing Arc-Flash Hazard Calculations.

8. Operating/Maintenance manuals, and specifications of the electrical equipment to be maintained and tested. Some of these documents may be obtained from the VA Health Care System, or the equipment manufacturers.

9. VHA Directive [2006-056][1028], Electrical Power Distribution System

vi. The Contractor and personnel shall have and provide all necessary tools, equipment, and personal protective equipment (PPE) to perform the work safely, effectively, and timely. Tools, equipment, and PPE shall comply with the requirements of OSHA Standard 29 CFR 1910, Subpart I, and NFPA 70E. Prior to initiating work, the contractor shall provide documentation to the POC and Contracting Officer that all instruments, test equipment, tools, and PPE have current calibration. Dated calibration labels shall be visible on all instruments, test equipment, tools, and PPE as appropriate.

c. Summary of Work:

i. The Contractor shall provide a proposed project schedule to the POC and

Contracting Officer within 10 working days after contract award. The schedule shall be in the form of a progress chart of suitable scale to indicate the work scheduled for completion by any given date during the work period. The proposed schedule shall be reviewed by the Point of Contact(POC); any requirements for adjusting the schedule (e.g. to minimize disruption to the Sioux Falls VA Health Care System) shall be accepted by the Contractor and shall be incorporated into the progress schedule.

ii. The Contractor shall report deficiencies that are deemed critical or catastrophic immediately to the POC, Contracting Officer, and Chief of Engineering for immediate actions.

iii. Work items, definitions, and references shall comply with the latest edition of the NETA – Maintenance Testing Specifications (MTS) and with the VHA Directive 1028, Electrical Power Distribution System. Below is a list of electrical equipment that shall be maintained and tested:

1. Switchgear and Switchboard Assemblies

2. Transformers, Dry Type, Air-Cooled, Low-voltage, Small

3. Transformers, Dry Type, Air-Cooled, Low-voltage, Large

4. Transformers, Liquid-Filled

5. Metal–Enclosed Busways

6. Switches, Air, Low-Voltage

7. Switches, Air, Medium-Voltage, Metal-Enclosed

8. Switches, Oil, Medium-Voltage

9. Switches, Vacuum, Medium-Voltage

10. Switches, SF6, Medium-Voltage

11. Circuit Breakers, Air, Insulated-Case/ Molded-Case

12. Circuit Breakers, Air, Low-Voltage Power

13. Circuit Breakers, Air, Medium-Voltage

14. Circuit Breakers, Oil, Medium and High-Voltage

15. Circuit Breakers, Vacuum, Medium-Voltage

16. Circuit Breakers, SF6

17. Protective Relays, Mechanical, and Solid State

18. Protective Relays, Microprocessor Based

19. Grounding Systems

20. Ground-fault Protection Systems

21. Motor Control, Motor Starters, Low-Voltage

22. Motor Control, Motor Starters, Medium-Voltage

23. Emergency Systems, Engine Generators

24. Emergency Systems, Automatic Transfer Switches

iv. Infra-Red Scanning/Thermographic Survey shall be performed on electrical equipment.

1. The Contractor shall use an infra-red scanning camera to detect hot spots in the Electrical Power Distribution System. The objective of this work is to detect any loose, broken, or corroded connections in the system. Problem connections shall be replaced with new connectors, and/or tightened with a torque wrench to meet the equipment manufacturers’ specifications.

2. Note that since this work item must be done while the Electrical Power Distribution System is energized, appropriate safety precautions must be taken before, during, and after scanning the system.

v. Arc flash and shock hazards shall be analyzed as per Section 4.b.(4) of VA Directive 1028, Electrical Power Distribution Systems.

vi. System Function Tests.

1. The Contractor shall provide function tests for all equipment listed in this Statement of Work.

vii. Attachments.

1. The previous electrical condition assessment, 2016 Electrical Assessment (dated July 18, 2016), has been attached for reference purposes only. The electrical equipment listed in the 2016 assessment is not all inclusive as items some were omitted from the study. The Contractor should use the 20106 Electrical Assessment to help determine the scope of the new assessment and the level of effort required to meet the standard of this assessment.

The contractor shall ensure that ALL components of the Sioux Falls VA Health Care System Electrical Power Distribution System will be maintained, inspected, tested, and/or calibrated as required by Sections 1.c.iii through 1.c.v.

2. Attached is a one-line informational drawing of the SF VA Health Care System exterior electrical power distribution system. The drawing is not a certified as-built drawing.

3. Also attached are VA Directive 1028, Electrical Power Distribution System and NETA – Maintenance Testing Specifications (MTS).

d. Period of Performance:

i. All Contract requirements shall be completed within 180 calendar days of the Contractor receiving the Notice to Proceed from the Contracting Officer. Within the 180 calendar day period of performance, the government shall be given a 21 day review period to review and comment on the report before submission of the final report by the Contractor to the Contracting officer and POC. The Contractor shall leave sufficient time after the Government’s review period to make corrections to the report and still meet the 180 calendar day period of performance.

e. Reports:

i. A complete written report of the work performed shall be provided to the POC and Contracting Officer. Information shown in the report shall be as following:

1. Company’s name, addresses, telephone, and fax numbers.

2. Names, signatures, and e-mail addresses of Contractors who performed the maintenance and testing.

3. VA contract number, name, and number of VA Contracting

Officer.

4. Dates and times of field work/maintenance & testing.

5. Copies of Contractors’ valid licenses and professional & training certificates.

6. Descriptions and model number of specialized tools and equipment used, such as torque wrenches and/or infra-red scanning cameras.

7. Location, type, name, and nameplate information of electrical equipment to be maintained and tested.

8. Descriptions of work items.

9. Test data.

10. Reference materials such as equipment manufacturer’s specifications, coordination study, etc.

11. Remarks on conditions of electrical equipment. List all deficiencies, if any.

12. Recommended corrective actions, if any.

ii. Submit four hard copies of the complete written report and two DVDs of the electronic version of the report in both PDF and Microsoft Word format to the POC at project completion. Also, e-mail a copy to the POC and Contracting Officer within the time period specified above. All reference materials shall be included in the electronic versions of the report, either through scanning or other means of electronic text import methods.

iii. The contractor shall provide the POC with semi-monthly electronic progress reports. These progress reports are due to the POC by the 1st and 15th of each month throughout the project's duration.

iv. The progress report shall cover all work completed during the preceding period and shall present the work to be accomplished during the subsequent period. Each report shall also identify any problems that arose during the previous reporting period, along with a statement explaining how the problem was resolved. This report shall also identify any problems that have arisen but have not been completely resolved, with an explanation.

2. CONTRACT POST-AWARD MEETING

A. The contractor shall not commence performance on the contract until the Contracting Officer has conducted a post-award kick off meeting, or has advised the contractor that the kick off meeting is waived.

3. PROJECT SCHEDULE

A. For every task, the contractor shall identify in writing all necessary subtasks (if any), associated costs by task, along with associated sub-milestone dates. The contractor's subtask structure shall be reflected in the detailed work plan.

B. All written deliverables shall be phrased in layperson language. Statistical and other technical terminology shall not be used without providing a glossary of terms.

4. CONFIDENTIALITY AND NONDISCLOSURE

A. The preliminary and final deliverables, and all associated working papers, application source code, and other material deemed relevant by VA which have been generated by the contractor in the performance of the contract, are the exclusive property of the U.S. Government and shall be submitted to the CO at the conclusion of the contract.

B. The CO will be the sole authorized official to release, verbally or in writing, any data, draft deliverables, final deliverables, or any other written or printed materials pertaining to the contract. No information shall be released by the contractor. Any request for information relating to this task order, presented to the contractor, shall be submitted to the CO for response.

C. Press releases, marketing material, or any other printed or electronic documentation related to this project, shall not be publicized.

IOWA CITY STATEMENT OF WORK

1. GENERAL:

a. The Contractor shall have a minimum of five (5) years of specialized continuous experience in testing, inspection, cleaning, adjusting and appraising electrical distribution systems and apparatus to assure their reliable operations.

b. All work performed shall be fully documented by the Contractor. Testing shall be performed in compliance with manufacturers’ recommendations and applicable NEMA, NEC, NFPA, ASTM, ASA, and VA standards. All outages shall be scheduled and approved in writing in at least two weeks in advance. Outages will be scheduled only at night and on weekends.

c. A complete list of distribution system equipment and apparatus to be inspected, cleaned, tested, and adjusted is found in “Attachment B” of this specification.

2. MAINTENANCE AND TESTING REQUIREMENTS:

a. In addition to complying with the general codes referenced in 1. B., the contractor shall pay special attention to compliance with VHA Directive 1028 (see Attachment B) and

NFPA 70B.

b. Switchgear Equipment, Medium Voltage Circuit Breakers, and Protective Relays:

i. Record switchgear, breaker, and device nameplate information and compare with facility’s one-line diagram, when available. Identify and record discrepancies.

ii. Inspect all electrical equipment, including each breaker, and report damaged, or malfunctioning equipment, loose connections or material or any contamination that must be corrected. Clean where appropriate.

iii. Check equipment for level, security to foundation, and operation of doors.

Report any unfavorable environmental conditions such as excessive moisture.

iv. Visually inspect the equipment ground and record the number and size of ground bus and straps, Report deficiencies, and clean where appropriate.

v. Inspect the insulation system on the primary bus and assemblies. Test insulation on each bus, phase-to-phase and phase-to-ground with suitable megohmmeter.

Record values, report deficiencies, and clean where appropriate.

vi. Draw or rack each breaker from its cell. Remove arc chutes, clean, inspect, and adjust all contracts as necessary. Measure and record contact resistance in micro-ohms and clean all insulating surfaces. Megger and record phase-to-phase and phase-to-ground. Lubricate as necessary.

vii. Electrically close and trip each breaker with control switch. Manually close and trip each breaker. Trip each breaker with each of its protective devices. Tighten all connections. Record any discrepancies.

viii. Remove each relay from its case. Clean, inspect, and tighten all connection.

Apply three multiples of relay tap current to each relay to verify manufacturers’ time current characteristics. Test each relay for instantaneous pickup. Test all ground fault relays for proper calibration and operation. Report deficiencies and adjust where appropriate.

c. Primary Disconnects

i. De-energize entire substation, clean all insulating surfaces, and clean and dress all contacts.

ii. Measure contact resistance in micro-ohms, Megger each phase-to-ground.

Record any discrepancies.

iii. Clean and inspect cubicle, tighten all untapped connections, and lubricate as necessary.

d. Transformer

i. Record transformer nameplate information and compare with the facility’s one-line diagram, when available. Record discrepancies.

ii. Inspect transformer and accessories and report damage, loose connections ore material, shipping blocks, or contaminations that must be corrected. Clean where appropriate, inspect for leaks and tighten all untapped connections. Clean insulating surfaces.

iii. Sample all insulating liquids and test dielectric and water content.

e. Low Voltage Circuit Breakers

i. Record switchgear, breaker, and device nameplate information and compare with the facility’s one-line diagram, when available. Record discrepancies. NOTE:

Work includes all service equipment and power distribution panel boards but not branch-circuit panel boards that are used on the various floors in the buildings.

ii. Inspect equipment and each breaker and report damage, loose connections or material, or contamination that must be corrected. Clean where appropriate.

iii. Check equipment for level, security to foundations, and operation of doors.

Report any unfavorable environmental conditions such as excessive moisture or conducting dust that must be corrected. Clean where appropriate.

iv. Visually inspect the equipment ground a record the number and size of ground bus and straps. Report deficiencies.

v. Inspect the insulation system on the primary bus and assemblies. Test insulation on each bus, phase-to-phase and phase-to-ground with suitable megohmmeter.

Record values, report deficiencies and clean where appropriate.

vi. Clean and inspect each breaker. Megger phase-to-phase, phase-to-ground, and measure contact resistance in micro-ohms. Test each series over current trip device for pickup at 200% and 300% of its rating for instantaneous pickup.

Clean and dress all contact surfaces and lubricate as necessary.

f. Generators

i. Record nameplate data including manufacturer, age, and capacity. List fuel type, kW load under load conditions, number of hours of fuel tank capacity, and number of hours of accumulated run time.

ii. Test run the generators in loaded condition. Record the transfer time and evaluated the reliability of the emergency power system.

g. Batteries

i. Provide and replace batteries inside each micro-logic, size ½ AA 3.6 volts – Schneider Electric part number 33593. Approximately 85 batteries.

3. REPORTS:

a. Provide two copies of data, testing, and inspection results to the Maintenance and Operations (M&O) Engineer of all devices tested as required by the scope. Report shall be securely bound and in an 8 ½ x 11 format. Provide one electronic copy (CD) of the report as either a PDF file or Word document.

b. At a minimum, the report shall include the following:

i. Summary of project

ii. Description of equipment tested

iii. Description of tests

iv. Test Data

v. Analysis and recommendations

c. Test data records shall include the following minimum requirements:

i. Identification of the testing organization

ii. Equipment identification

iii. Humidity, temperature and other conditions that may affect the results of the tests/calibrations

iv. Date of inspections, tests, maintenance and/or calibrations

v. Identification of the testing technician

vi. Indication of inspections, tests, maintenance and/or calibration to be performed and recorded

vii. Indication of expected results when calibrations are to be performed

viii. Indication of “as-found” and “as-left” results, as applicable

ix. Sufficient spaces to allow all results and comments to be indicated

4. ELECTRICAL GROUNDING SYSTEM TESTING CRITERIA

a. Grounding Testing Procedures

i. This section describes grounding system testing procedures.

ii. These tests should be performed when the site ground system can be safely disconnected from the power company neutral wire.

b. Overview

i. Testing will be performed using one of the three methods which are described as follows:

1. Three-Point / Fall of Potential Testing

This method is the most widely accepted. However, performing the test may require access to areas that may be beyond the site property lines. When testing a grounding electrode system consisting of a multi-bonded/ multi-grounding electrode system, the distance required for testing is directly related to the effective diagonal distance of the buried grounding electrode system.

2. Clamp-on Ohmmeter

This method shall be used when access to necessary space needed for the Three-point/Fall of Potential test is not available. However, the clamp-on Ohmmeter test can only be performed after AC utilities have been connected to the site and various feed conductors are accessible.

3. Combined Soil Resistivity Testing with Clamp-on Ohmmeter Testing

This method shall only be used in special cases where three-point/fall of potential testing or clamp-on ohmmeter testing cannot directly provide a suitable evaluation. The data obtained from soil resistivity testing and clamp-on ohmmeter testing is then used by an engineering firm specializing in grounding electrode system design to make determinations regarding the grounding electrode system.

c. Limitations to Performance Testing

i. The following conditions must be met in order to perform grounding electrode system testing:

1. Three-point/fall of potential testing is possible only if the following conditions can be met:

A. Sufficient land area must be available to perform a three point/ fall-of-potential test. The reference probe may likely need to be inserted into soil that is beyond the site property line. Testing using a clamp-on ohmmeter may be an option in these cases.

B. The grounding electrode system must be able to be isolated from the power company grounded conductor (may be a neutral wire).

2. Clamp-on Ohmmeter testing is possible only if the following conditions can be et:

A. Site must be supplied with commercial power company-provided power.

B. Neutral wire must be present as part of the power company service.

C. Neutral wire must be part of an extensive power company grounding system. In systems such as 3-phase delta service, the neutral wire may not be part of the extensive power company grounding system.

D. The grounding electrode system must be connected to the power company grounded conductor (may be a neutral wire).

E. For sites using a multi-bonded/multi-grounding electrode system, a point on neutral wire for meter to clamp onto must be available before its first bond to the site.

F. For single grounding electrode system, the grounding electrode conductor must be accessible for meter to clamp onto at a point between the grounding electrode and any other connection (such as the Telephone Company grounding or metallic pipe).

3. Combined Soil Resistivity/Clamp-on Ohmmeter testing is possible only if the following conditions can be met:

A. System must be such that gathering of individual grounding electrode system component values with a clamp-on-ohmmeter can be available.

B. A soil resistivity profile for the site has been performed.

b. If these conditions cannot be met, an added supplemental grounding electrode system can be installed. This supplemental grounding electrode system could be installed and tested prior to its connection to the existing system. This supplemental system should be installed in such a manner as to allow an easy disconnect point for future testing.

d. Three Point / Fall of Potential Test Procedure

The three point/fall of potential test is the most widely accepted and recommended test method. This procedure is described in detail in ANSI/IEEE STD 81.2.

In the three point/fall of potential test, two test rods are driven into the soil. These rods are placed in a straight line from an electrode in the grounding electrode system to be tested (referred to here as connection 'X'). One of the test rods (referred to here as rod 'Z') is placed at a known distance from the 'X' connection. The other test rod (referred to here as rod 'Y') is placed at various distances between the 'x' connection and rod 'Z', a potential difference (voltage drop) will exist between the 'x' connection and rod Y. The fall of potential tester measures the voltage drop between the 'X' connection and rod 'Y', and converts the measurement to a resistance reading using Ohm's Law (R=E/I). In this manner, the resistance at any point between 'x' connection and rod 'z' can be measured. The multiple readings obtained during this test are entered and plotted as data points on a graph. From the graph, the resistance of the grounding electrode system can be determined.

This test requires disconnection of the site grounding electrode system from the power company grounded conductor, and the disconnection of all other grounds that may be connected to the site grounding system, such as telecommunications system grounds. This is required in order to allow testing that is limited only to the site grounding electrode system. Attempting to perform measurements while the site remains connected to the extensive ground/neutral system of the power company and telecommunications utilities artificially enhances the grounding electrode system reading, resulting in measurement error.

e. Clamp-On Ohmmeter Testing Procedure

The clamp-on ohmmeter test can be performed on both single grounding electrode and multi-grounding electrode systems. However, the test can only be accurately performed on a site supplied by commercial power.

NOTE: if the electrical service provided by the power company does not contain a neutral wire that is bonded to the extensive power company ground system (such as a three-phase delta service), the clamp-on ohmmeter will not give an accurate reading. In these cases, this is because the neutral wire is locally derived at the transformer and is not part of the extensive power company grounding system;

therefore, it cannot provide an effective low resistance return path.

The clamp-on ohmmeter works on the basis of injecting a known voltage into the grounding electrode system in order to create a current flow whose value is a function of the grounding electrode system resistance. The test current flows from the grounding electrode system through the earth, returning to the grounding electrode system via the power company's multi-grounded neutral wire. The meter then measures this current and converts the measurement to a resistance reading using Ohm's Law (R=E/I). As such, the meter displays a resistance of the grounding electrode system in ohms. Since the power company's grounding system is so extensive, the meter considers it to be of negligible value and disregards its effect on the reading.

This test requires disconnection of the site utility power. This is required in order to allow testing that is limited only to site grounding system. Attempting to perform measurements while the site remains connected to the utility's extensive grounding/neutral system artificially enhances ground readings that result in measurement error.

f. Combined Soil Resistivity Testing with Clamp-On Ohmmeter

Providing site soil resistivity readings along with clamp-on ohmmeter readings is at times the only method available for grounding electrode system resistance verification.

This test can be performed in the energized state where the grounding connections are accessible. Once the external grounding electrode system has been verified, the internal system can then be tested.

This test will verify only the conductivity to the main ground buss of the commercial power system. This test will not confirm the status to the exterior grounding electrode system or fall of potential.

The internal system should be visually inspected and made free of defects prior to testing. Never disconnect any part of the grounding system while in operation. Once visual inspection has been made, a digital low resistance measurement will be made between all bolted/compressed connections and between bolted/compressed connections to enclosures. All bolted connections should be torque to NETA specifications, then retested with a digital low resistance meter. These readings should be documented in a format so that connectivity and conductivity of the grounding electrode system can be demonstrated.

External grounding electrode system test procedures are performed in the de-energized state.

Internal grounding electrode system test procedures can be performed in the de-energized or energized state.

g. Recommended Changes to VHA Directive 1028

The current VHA Directive 1028 grounding testing requirement is, "Inspect and tighten ground connections. Test ground resistance for the entire facility grounding system."

It is suggested that the following criteria be added to VHA Directive 1028:

i. Perform visual inspection for bonding conductor and equipment grounding conductor condition, continuity, and termination. Correct any defects.

ii. Perform soil resistivity tests in several locations (if fall-of-potential test method is to be used).

iii. After visual inspection and correction of defects is complete, use a digital low resistance meter to measure resistance between all bolted/compressed connections and between bolted/compressed connections to enclosures.

All bolted connections will be torqued to NETA specifications, then retested. These readings shall be documented in a format so that connectivity and conductivity can be calculated as to the effectiveness of the grounding electrode system through-out the systems.

iv. Ground resistance tests shall be performed using fall-of-potential method or calibrated clamp-on ground resistance tester.

ATTACHMENT B

Location Breakers Brand CAT # Micrologic #

BLDG #1, (BW02

Shaft)

B06‐5 Main SqD ‐ Powerpact PGA36100

ET 1.0I

BLDG #1, USS9

(BW116)

#2 ‐ USS 9 Main SqD ‐ MasterPact WA4JJR64B3SXXXXXXAV 6.0P

#3 ‐ Normal ‐ ATS 1 ‐ X‐RAY ‐

BW116 (X220H)

SqD ‐ MasterPact WA4ATR64A3SXXXXXXA 6.0P

#4 ‐ Normal ‐ ATS 1 ‐ EQ ‐

BW116 (ADP1H)

SqD ‐ MasterPact WA4ATR64C3SXXXXXXA 6.0P

#5 ‐ Normal ‐ ATS 1 ‐ ELV ‐

BW116 (EDP1H)

SqD ‐ MasterPact WA4ASR64A3SXXXXXXA 6.0P

#6 ‐ Normal ‐ ATS 1 ‐ LS ‐

BW116 (LDP1H)

SqD ‐ MasterPact WA4ASR64A3SXXXXXXA 6.0P

#7 ‐ Normal ‐ ATS 1 ‐ CB ‐

BW116 (CDP1H)

SqD ‐ MasterPact WA4ASR64A3SXXXXXXA 6.0P

#8 ‐ 64 Slice CT SqD ‐ MasterPact WA4ASR64B3SXXXXXXA 6.0P

#9 ‐ N300H SqD ‐ MasterPact WA4ASR64A3SXXXXXXA 6.0P

#10 ‐ NB33H SqD ‐ MasterPact WA4ATR64A3SXXXXXXA 6.0P

#11 ‐ N400H SqD ‐ MasterPact WA4PPR64A3SXXXXXXA 6.0P

#12 ‐ MCC‐1108H SqD ‐ MasterPact WA4PPR64A3SXXXXXXA 6.0P

#13 ‐ NB30H SqD ‐ MasterPact WA4ASR64B3SXXXXXXA 6.0P

#14 ‐ N120H SqD ‐ MasterPact WA4PPR64A3SXXXXXXA 6.0P

#15 ‐ N320H SqD ‐ MasterPact WA4ATR64A3SXXXXXXA 6.0P

#16 ‐ NX220H SqD ‐ MasterPact WA4ASR64B3SXXXXXXA 6.0P

#17 ‐ N220H SqD ‐ MasterPact WA4ASR64B3SXXXXXXA 6.0P

#18 ‐ NDP3H SqD ‐ MasterPact WA4AAR64A3SXXXXXXA 6.0P

#19 ‐ Normal ‐ ATS 1 ‐ EQXOR

‐ 3W103D (A310H)

SqD ‐ MasterPact WA4ASR64B3SXXXXXXA 6.0P

#22 ‐ PNL PMDP SqD ‐ MasterPact WA4AAR64A3SXXXXXXA 6.0P

BLDG #1, GDPH

(BW116)

#1 Emergency ‐ ATS 1 ‐ CB ‐

BW116 (CDP1H)

SqD ‐ Powerpact PGA36040U63AE1W 5.0P

#2 Emergency ‐ ATS 1 ‐ EQ ‐

BW116 (ADP1H)

SqD ‐ Powerpact PGA36080U63BE1W 5.0P

#3 Emergency ‐ ATS 1 ‐ ELV ‐

BW116 (EDP1H)

SqD ‐ Powerpact PGA36080U63AE1W 5.0P

#4 Emergency ‐ ATS 1 ‐ LS ‐

BW116 (LDP1H)

SqD ‐ Powerpact PGA36025U63AE1W 5.0P

#5 Emergency ‐ ATS 1 ‐ X‐RAY

‐ BW116 (X220H)

SqD ‐ Powerpact PGA36080U63BE1W 5.0P

#6 Emergency ‐ ATS 1 ‐ 5MCC

‐ 5S16 (5MCC)

SqD ‐ Powerpact PGA36040U63AE1W 5.0P

BLDG #1 (BW200)

PMDP ‐ NB34H SqD ‐ Powerpact JGA36250U53XEHLY 5.2E

PMDP ‐ N130L/R SqD ‐ Powerpact HGA36150U53XEH 5.2E

BLDG #1 (3W103B)

NDP3H ‐ Main SqD ‐ Powerpact PGA36120U33CLV 5.0

NDP3H ‐ ATS 1 ‐ EQOR ‐

3W103D

SqD ‐ Powerpact PGA36080U33B 5.0

NDP3H ‐ ATS 1 ‐ CBOR ‐

3W103D

SqD ‐ Powerpact PGA36060U33C 5.0

NDP3H ‐ TN410 SqD ‐ Powerpact JGA36250U31X 3.2

NDP3H ‐ N410H SqD ‐ Powerpact HGA36100U31X 3.2

NDP3H ‐ SPARE SqD ‐ Powerpact JGA36250U31XLY 3.2

BLDG #1 (3W103D)

CDP3H ‐ Main SqD ‐ Powerpact LGA36400U31X 3.3

CDP3H ‐ C410H SqD ‐ Powerpact HGA36100U31X 3.2

CDP3H ‐ TCDP3 SqD ‐ Powerpact JGA36250U31XLY 3.2

CDP3H ‐ SPARE SqD ‐ Powerpact JGA36250U31XLY 3.2

CDP3 ‐ Main SqD ‐ Powerpact LGA36400U31X 3.3

CDP3 ‐ COR1A SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR1B SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR2A SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR2B SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR3A SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR3B SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR4A SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR4B SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR5A SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR5B SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR6A SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ COR6B SqD ‐ Powerpact HDA36100U31X 3.2

CDP3 ‐ C402L & R SqD ‐ Powerpact JDA36250U31XLY 3.2

CDP3 ‐ C401 SqD ‐ Powerpact JDA36250U31XLY 3.2

ADP3H ‐ Main SqD ‐ Powerpact PGA36080U31BLV 3.0

A310H ‐ Main SqD ‐ Powerpact LGM36400U31X 3.3

BLDG #1 GDPH‐OR

(3W103D)

#2 Emergency ‐ ATS 1 ‐ CBOR ‐

3W103D

SqD ‐ Powerpact PGA36060U63CE1 5.0P

#3 Emergency ‐ ATS 1 ‐ EQOR ‐

3W103D

SqD ‐ Powerpact PGA36080U63BE1W 5.0P

#4 Emergency ‐ ATS 1 ‐ EQXOR

‐ 3W103D

SqD ‐ Powerpact PGA36040U63AE1W 5.0P

BLDG #1 (2W152) X220H ‐ CATH PANEL SqD ‐ Powerpact LGA36400U33X 3.3S

BLDG #1 (4W61A) 4BDH ‐ Main SqD ‐ Powerpact MGA36600LV ET 1.0

BLDG #1 (12th)

1200 ‐ Main SqD ‐ Powerpact MJA36800LV ET 1.0

1200H Main SqD ‐ Powerpact RKA36120LV ET 1.0I

1200H ‐ T1200 SqD ‐ Powerpact MJA36350 ET 1.0

ATS ‐ ELEVATOR SqD ‐ Powerpact MJA36400 ET 1.0

BLDG #2 (130A)

USS2A ‐ Main SqD ‐ Powerpact RKF36100U44A 6.0A

201H‐2 SqD ‐ Powerpact PKA36025U31A 3.0

101H‐2 SqD ‐ Powerpact PKA36025U31A 3.0

XFMR T300 SqD ‐ Powerpact PKA36040U31A 3.0

102H‐2 SqD ‐ Powerpact PKA36040U31B 3.0

ELEVATOR SqD ‐ Powerpact PKA36025U31A 3.0

SPARE SqD ‐ Powerpact PKA36025U31A 3.0

EWH‐1 SqD ‐ Powerpact PKA36025U31A 3.0

101DP‐2 ‐ Main SqD ‐ Powerpact RGA36100CU31ALV 3.0

BLDG #7 (AGNUS) Chiller Generator Breaker SqD ‐ Powerpact RGR36250CU44AABSK 6.0A

BLDG #11

#1 ‐ Main SqD ‐ Masterpact WA5JGR64A3SXXXXXXA 6.0A (ERMS)

#4 ‐ Chiller #3 SqD ‐ Masterpact WA5EER64A3SXXXXXXA 6.0A

#5 ‐ 7‐1‐3 SqD ‐ Masterpact WA5EAR64A3SXXXXXXA 6.0A

#6 ‐ MDPH‐50 SqD ‐ Masterpact WA5EAR64A3SXXXXXXA 6.0A

BLDG #16 (ESP)

(MEZZ)

GDP‐OR SqD ‐ Masterpact WA4ECR63A3FXXXXXXA 5.0P

SUB MAIN SqD ‐ Masterpact WA4EBR44A3SXXXXXXA 5.0P

ATS 16 ‐ BOILER SqD ‐ Masterpact WA4AAR44A3SXXXXXXA 5.0P

GDPH SqD ‐ Masterpact WA4AAR44A3SXXXXXXA 5.0P

ESS SWITCH GEAR SqD ‐ Masterpact WA4AAR44A3SXXXXXXA 5.0P

BLDG #16 (MEZ) MDP SqD ‐ Powerpact MJP36500 ET 1.0

BLDG #41 (DOTTY)

RESEARCH GENERATOR

(KOHLER 400)

SqD X‐6304‐117 none

BLDG #43

Normal Main SqD ‐ MasterPact WA4EAR44A3SXXXXXXA 6.0A

Normal ‐ ATS 43 ‐ CB SqD ‐ MasterPact WA4ASR44A3SXXXXXXA 6.0A

Normal ‐ ATS 43 ‐ EQ SqD ‐ MasterPact WA4ASR44A3SXXXXXXA 6.0A

Normal ‐ ATS 43 ‐ LS SqD ‐ MasterPact WA4PWR44A3SXXXXXXA 6.0A

Normal ‐ ATS 1 ‐ BIO ‐ SB12A SqD ‐ MasterPact WA4AAR44A3SXXXXXXA 6.0A

Emergency Main SqD ‐ MasterPact WA4EAR44A3SXXXXXXA 6.0A

Emergency ‐ ATS 43 ‐ CB SqD ‐ MasterPact WA4ASR44A3SXXXXXXA 6.0A

Emergency ‐ ATS 43 ‐ EQ SqD ‐ MasterPact WA4ASR44A3SXXXXXXA 6.0A

Emergency ‐ ATS 43 ‐ LS SqD ‐ MasterPact WA4PWR44A3SXXXXXXA 6.0A

Emergency ‐ ATS 1 ‐ BIO ‐

SB12A

SqD ‐ MasterPact WA4AAR44A3SXXXXXXA 6.0A

BLDG #44

N2 ‐ South Main ‐ Coralville

(Left)

SqD ‐ MasterPact WA4FFR74A3CFFFXXCA 6.0H

N3 ‐ SB02H SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N4 ‐ SPARE SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N5 ‐ 1000A BUS SqD ‐ MasterPact WA4EER74A3SXXXXXXA 6.0H

N6 ‐ TB05‐3 SqD ‐ MasterPact WA4AAR74A3SXXXXXXA 6.0H

N7 ‐ 301‐1H SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N8 ‐ PNL 505H SqD ‐ MasterPact WA4AAR74A3SXXXXXXA 6.0H

N9 ‐ B05‐2H SqD ‐ MasterPact WA4AAR74A3SXXXXXXA 6.0H

N10 ‐ 11MCC SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N11 ‐ PNL 108H SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N12 ‐ SPARE SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N13 ‐ PNL 1200H SqD ‐ MasterPact WA4EER74A3SXXXXXXA 6.0H

N14 ‐ Normal ‐ ATS 1 ‐ 5MCC SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N15 ‐ BLDG #1 EMG SWBD SqD ‐ MasterPact WA4EAR74B3SXXXXXXA 6.0H

N16 ‐ TIE BREAKER SqD ‐ MasterPact WA4FFR74A3CFFFXXCA 6.0H

N17 ‐ SPARE SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N18 ‐ SPARE SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N19 ‐ SPARE SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N20 ‐ B05‐1H SqD ‐ MasterPact WA4EER74A3SXXXXXXA 6.0H

N21 ‐ SPARE SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N22 ‐ SPARE SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N23 ‐ B06‐1H SqD ‐ MasterPact WA4EER74B3SXXXXXXA 6.0H

N24 ‐ T1000 SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N25 ‐ 600A BUSS SqD ‐ MasterPact WA4EAR74A3SXXXXXXA 6.0H

N26 ‐ North Main ‐ Iowa City

(Right)

SqD ‐ MasterPact WA4FFR74A3CFFFXXCA 6.0H

BLDG #45

(MARLEY)

EMERGENCY GENERATOR

MAIN BREAKER

SqD ‐ PowerPact 244‐9920 5.0P

BLDG #50 MDPH‐50 SqD ‐ PowerPact PJA36080U33ALV 5.0

Location ATS's Brand Cat. Number Size (A)

BLDG #1 (SB12A) ATS 1 ‐ BIO ‐ SB12A ASCO 7000 J7ACTBB30260N5XC 260

BLDG #1 (BW116)

ATS 1 ‐ X‐RAY ‐ BW116

(X220H)

ASCO 7000 J7ACTBB30600N5XC

ATS 1 ‐ EQ ‐ BW116 (ADP1H) ASCO 7000 J7ACTBB30600N5XC 600

ATS 1 ‐ ELV ‐ BW116 (EDP1H) ASCO 7000 J7ACTBB30400N5XC 400

ATS 1 ‐ LS ‐ BW116 (LDP1H) ASCO 7000 J7ACTBB30260N5XC 260

ATS 1 ‐ CB ‐ BW116 (CDP1H) ASCO 7000 J7ACTBB30400N5XC 400

BLDG #1 (3W103D)

ATS 1 ‐ CBOR ‐ 3W103D ASCO 7000 J7ACTBB30400N5XC 400

ATS 1 ‐ EQOR ‐ 3W103D ASCO 7000 J7ACTBB30600N5XC 600

ATS 1 ‐ EQXOR ‐ 3W103D ASCO 7000 J7ADTBB30400N5XC 400

BLDG #1 (5S16) ATS 1 ‐ 5MCC ‐ 5S16 (5MCC) Zenith ZTSH40EC‐5 400

BLDG #1 (12th) ATS 1 ‐ ELV ‐ (12TH) Zenith ZTSH40EC‐5 400

BLDG #7 (Chiller

Plant)

ATS ‐ Chiller ASCO 7000 F7ACTBC34000N5XM

BLDG #16 (Boiler

Plant)

ATS 16 ‐ BOILER ASCO 7000 F7ACTBC3600N5XC

BLDG #40

ATS‐4 KOHLER MODEL K KCT ‐ AMWA ‐ 0400S 400

ATS‐3 KOHLER MODEL K KCT ‐ AMWA ‐ 0230S 230

BLDG #41

ATS‐2‐41 KOHLER MODEL K KCT ‐ AMWA ‐ 0230S 230

ATS‐1‐41 KOHLER MODEL K KCT ‐ AMWA ‐ 0400S 400

BLDG #42

ATS‐E ASCO 7000 D07ATSC30100N50C 100

ATS‐X ASCO 7000 J07ATSC30400N50C 400

BLDG #43

(Courtyard)

ATS 43 ‐ CB ASCO 7000 J7ACTBB30400N5XC 400

ATS 43 ‐ EQ ASCO 7000 J7ACTBB30400N5XC 400

ATS 43 ‐ LS ASCO 7000 J7ACTBB30150N5XC 150

Location Main Feeder Breakers Brand CAT # Schweitzer #

BLDG #7 MEZZ

2U ‐ BLDG #16 Boiler Plant SqD V5D7133Y000 SEL‐351A

2L ‐ Spare SqD V5D7133Y000 SEL‐351A

3U ‐ BLDG #1 ‐ T4 South

Transformer

SqD V5D7133Y000

SEL‐351A

3L ‐ Spare SqD V5D7133Y000 SEL‐351A

4L ‐ Iowa City Main SqD V5D7133Y000 SEL‐351

6L ‐ BLDG #11 ‐ T8 ‐ Chiller #3 SqD V5D7133Y000 SEL‐351A

7L ‐ Left Tie (NC) SqD V5D7133Y000 SEL‐351A

8L ‐ Bertha Generator

(2000KW)

SqD V5D7133Y000

SEL‐300G

9L ‐ Right Tie (NO) SqD V5D7133Y000 SEL‐351A

12L ‐ Coralville Main SqD V5D7133Y000 SEL‐351

13U ‐ BLDG #20, 40, 41, 42 SqD V5D7133Y000 SEL‐351A

13L ‐ Spare SqD V5D7133Y000 SEL‐351A

14U ‐ BLDG #2 SqD V5D7133Y000 SEL‐351A

14L ‐ BLDG #1 ‐ T3 North

Transformer

SqD V5D7133Y000

SEL‐351A

15U ‐ T1 ‐ Chiller #4/5 SqD V5D7133Y000 SEL‐351A

15L ‐ Spare SqD V5D7133Y000 SEL‐351A

16U ‐ Space ‐ No Breaker

SEL‐351

16L ‐ T7 Clinical Addition SqD V5D7133Y000 SEL‐351A

MEZZ Breaker

Location Transformers 13.8 ‐ 480 Brand CAT # KVA

15U T1 (BLDG# 7), Chiller #4, #5, (4000A Bolt Lock)

WESTINGHOUSE

14U T2 (BLDG #2), USS2A SqD TX02558001 750

14L T3 (BLDG #44, Right), (North

Courtyard XFMR)

SqD F5EE14722L

3U T4 (BLDG #44, Left), (South

Courtyard XFMR)

SqD F5EE14722K

2U T5 (BLDG #16), Boiler Plant WESTINGHOUSE A37E533GTP 300

16L T7 (BLDG #1), CA ‐ USS9 SqD F5EE147T27 1500

6L T8 (BLDG #11) (Under BLDG

#7 MEZ)

SqD F5EE1487DP

13U T9 (BLDG #41), Research SqD F5EE0165SN 1000

ATTACHMENT C

Department of Veterans Affairs VHA DIRECTIVE 1028

Veterans Health Administration Transmittal Sheet Washington, DC 20420 July 25, 2014

ELECTRICAL POWER DISTRIBUTION SYSTEMS

1. REASON FOR ISSUE: This Veterans Health Administration (VHA) Directive establishes policy regarding the installation, operation, testing, and maintenance of Electrical Power Distribution Systems at VA medical facilities.

2. SUMMARY OF MAJOR CHANGES References and responsibilities have been updated.

3. RELATED ISSUES: VHA Handbook 7701.01.

4. RESPONSIBLE OFFICE: The Office of Capital Asset Management, Engineering and Support (OCAMES) (10NA5), Senior Electrical Engineer, is responsible for the content of this Directive. Questions may be referred to 402-599-2104.

5. RESCISSIONS: VHA Directive 2006-056, Electrical Power Distribution System, dated October 16, 2006, is rescinded.

6. RECERTIFICATION: This VHA Directive is scheduled for recertification on or before the last working day of July 2019.

Carolyn M. Clancy, MD

Interim Under Secretary for Health

DISTRIBUTION: Emailed to the VHA Publications Distribution List 07/28/2014.

July 25, 2014 VHA DIRECTIVE 1028

ELECTRICAL POWER DISTRIBUTION SYSTEMS

1. PURPOSE: This Veterans Health Administration (VHA) Directive provides policy regarding the installation, operation, testing, and maintenance of Electrical Power Distribution Systems at VA medical facilities. AUTHORITY: 29 U.S.C. 655.

2. BACKGROUND:

a. VHA and The Joint Commission have adopted the National Fire Protection Association (NFPA) codes and standards including the National Electrical Code (NFPA 70), Recommended Practice for Electrical Equipment Maintenance (NFPA 70B), Standard for Electrical Safety in the Workplace (NFPA 70E), Health Care Facilities Code (NFPA 99), Life Safety Code (NFPA

101) and Standard for Emergency and Standby Power Systems (NFPA 110) as the basis for the requirements of the design, installation, operation, testing, and maintenance of the Electrical Power Distribution System at VHA facilities.

b. The Joint Commission’s Environment of Care (EC) standards require written Utility Management Plans. The Utility Management Plan must ensure reliability, control risks, reduce failures, and train users and operators of the Electrical Power Distribution System.

c. Occupational Safety and Health Requirements (OSHA) Part 1910 Subpart J, The control of hazardous energy (lockout/tagout) (1910.147); Occupational Safety and Health Requirements Part 1910 Subpart S , Electrical (1910.301-1910.399); and Safety and Health Regulations for Construction Part 1926 Subpart K, Electrical (1926.400-1926.449) apply.

d. Working on energized electrical equipment is inherently dangerous to patients, staff, visitors, and VHA property. Such actions, if unplanned or poorly executed, can result in disruption of operations, injuries, loss of life and/or loss of property.

3. POLICY: It is VHA policy that the Electrical Power Distribution System must operate in a safe, reliable, and efficient manner, recognizing its importance and potential danger; and in compliance with The Joint Commission, OSHA, and NFPA electrical standards.

4. RESPONSIBILITIES:

a. Veterans Integrated Service Network Director. The Veteran Integrated Service Network (VISN) Director is responsible for ensuring that:

(1) The installation, operation, testing, and maintenance of Electrical Power Distribution Systems meet or exceed The Joint Commission, NFPA, and other applicable requirements;

(2) That all work on this system complies with OSHA and NFPA standards; and

(3) Appropriate resources are provided to each medical facility in order to ensure compliance. To ensure each subordinate VA medical facility is in compliance with this Directive, the VISN Director must:

July 25, 2014 VHA DIRECTIVE 1028

(a) Delegate review and interpretation of electrical power system documentation, including tracking of status reports regarding the installation, operation, testing, and maintenance of Electrical Power Distribution Systems within the Network to a qualified member of the VISN staff.

(b) Conduct a status verification survey annually on or before May 1st using the survey tool found on the VHA Center for Engineering and Occupational Safety and Health (CEOSH) website at:

(http://vaww.ceosh.med.va.gov/OnlineSurveys/Scripts/ezs.exe?DATABASE=ElectDirComp& ACTION=START ). NOTE: This is an internal Web site and is not available to the public.

b. Medical Facility Director.

(1) The medical facility Director is accountable to the VISN Director for ensuring that the installation, operation, testing, and maintenance of Electrical Power Distribution Systems meets or exceeds The Joint Commission, NFPA, and other…