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Correct Medical Gas Deficiencies, Bldgs 1 and 2 - A/E
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VA Connecticut Healthcare System

950 Campbell Ave.

West Haven, CT Medical Gas System Analysis

Buildings No. 1 & 2

Project No. 689-19-002

TABLE OF CONTENTS:

BACKGROUND

SCOPE OF WORK

ADMINISTRATIVE PROCEDURES

MATERIAL TO BE PROVIDED TO THE DESIGN-BUILD ARCHITECT-ENGINEER BY THE VA

DELIVERABLES

DESIGN REVIEWS – SCHEDULES AND REQUIREMENTS

CONSTRUCTION PERIOD SERVICES

APPENDIX A: ENVIRONMENTAL ASSESSMENT SCOPE OF WORK

APPENDIX B: INFECTION PREVENTION MEASURES

APPENDIX C: VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY LANGUAGE FOR INCLUSION INTO CONTRACTS, AS APPROPRIATE

APPENDIX D - Drawing 1: VACHS West Haven Campus Site Map

APPENDIX F: VACT PAINT STANDARDS; PPG DRAW DOWN FORMULAS

APPENDIX E: VISN 1/VACT INTERIOR DESIGN STANDARDS

APPENDIX G: VACT INTERIOR SIGNAGE

BACKGROUND

Building #1 is a multistory hospital building that was originally erected in the late 1940’s and has had many areas renovated from that period to present date. The building is primarily a conventional concrete frame structure with an aluminum skin consisting of a partial sub-sub-ground floor, full sub-ground floor, ground floor, first floor through 9th floor, 10th floor mechanical penthouse and 11th floor elevator machine room. Buildings #1 and #2 are interconnected on the first floor which is at grade level.

Building #2 is a multistory hospital building that was originally erected in the late 1940’s and has had many areas renovated from that period to present date. The building is primarily a conventional concrete frame structure with an aluminum skin consisting of ground floor, first floor through 9th floor and elevator machine room.

There are references to paint, privacy, interior design and signage within this SOW. They are required because the design must include return to the existing condition once MedGas work is complete.

SCOPE OF WORK

The VA shall provide the 2013 van Zelm #2012008.00 report, attached as appendix VZ. This report shall be used as the starting point to verify and document existing conditions as they are today in the VA west haven buildings 1&2. There are 49 deficiencies identified for building 1. There are 34 deficiencies identified for building 2. The A-E shall thoroughly review the entire report and all deficiencies and implement details for corrective action in the final design documents A-E shall summarize and document on plans or in specifications showing that each deficiency was reviewed and included. This can be done in table format. A-E shall be required to perform full site survey pertaining to all listed deficiencies to ensure all corrective actions are covered in design with locations and ensuring they are executable in construction.

Project Objectives and design requirements:

1. Propose a design to repair/replace any broken or unusable/unsafe MedGas equipment. Design covers for MedGas equipment not being used.

2. All patient areas shall be evaluated for proper medical gas shut-offs. MedGas shall be fed through a new installed MGVB if one does not exist or needs replacement.

3. Animal Research Facilities (bldg. 2 8th floor) shall have stand-alone MedGas system not connected to patient care.

4. Each floor shall have a shutoff valve located in an agreed to location.

5. Design a redundant component for the Dental air/Dental vacuum system.

6. Design a new MedGas ROOM inside existing location Bldg #2 ground floor and Bldg #1 SubGround that meets code requirements.

7. Design to completely install a Wireless Master Alarm System which includes code required alarming/annunciators and lights in both existing (Master Panel) locations in the first-floor monitoring room (G2150 bldg. 1) and the boiler plant of building 16. All required medical notifications shall be included/added to these panels with the exclusion of leased bulk Oxygen and Nitrous Oxide. Sufficient repeaters/signal amplifiers shall be installed to provide signal strength in the top 80% of the signal range. Sending panels shall be installed in proximity to medical gas source equipment signal shall terminate in both existing master panels. The master panels are located in Communications room 1-G250 and bldg. 16 Boiler Plant Operators Room.

Design Scope – General: The A-E shall develop and provide a set of drawings and specifications for conceptual, design, development, and final design purposes which meet the previously stated Project Scope and Objectives. The A-E shall also provide equipment arrangement locations. The A-E shall design for LEED Silver Certification where economically feasible. Documentation for application for Certification will not be required.

Design Scope – Site-Civil: The A-E shall provide design of and detailed construction drawings and specifications to meet the Project Scope and Objectives stated in Project Objectives and design/construction requirements section.

Design Scope -Architectural: The A-E shall provide design of and detailed construction drawings and specifications to meet the Project Scope and Objectives stated in Project Objectives and design/construction requirements section.

Design Scope – Structural: The A-E shall provide for structural design, calculations and documentation as required to evaluate the location of structural members to avoid conflicts. In addition, the A-E shall provide PE stamped structural design, calculations and documentation as they pertain to other modifications to the space, roof, or other locations to meet the Project Scope and Objectives stated in Project Objectives and design/construction requirements section.

Design Scope – Mechanical: The A-E shall review all available documents from the facility and perform site visits as required to evaluate the location of all HVAC equipment, controls, and components as required. The A-E shall provide mechanical design, calculations, and documentation to meet the Project Scope and Objectives stated in Project Objectives and design/construction requirements section.

Design Scope – Plumbing: The A-E shall provide design of and detailed construction drawings and specifications for all plumbing work required in Project Objectives and design/construction requirements section.

Design Scope – Electrical: The A-E shall provide design of and detailed construction drawings and specifications for all electrical work required in Project Objectives and design/construction requirements section.

Design Scope – Communications: The A-E shall provide design of and detailed construction drawings and specifications for all communications work

Design Scope – Work Closely: The A-E shall work closely with the VA COR/Project Manager through the conceptual planning and design phases to ensure coordination with various VA staff through detailed phasing plans. The drawings shall contain boldly printed instructions requiring the same level of coordination by the construction contractor and subcontractors

General Requirements: The A-E shall produce designs that comply with the latest editions of all applicable DVA guidelines (e.g. Construction Standards, Master Specifications, Standard Details, Special Design Criteria), NFPA, JC, Federal and State codes pertinent to the Project Objectives and design/construction requirements section.

Hazardous/ Regulated Materials: The A-E shall have all areas to be impacted by design or construction tested for hazardous materials including but not limited to asbestos and lead containing materials and incorporated into the plans and specifications. However, as a baseline and so as to not duplicate efforts, current VA hazardous material surveys shall be first reviewed by the A-E to determine what has already tested positive. This information shall be incorporated into the construction contract documents. However, all other hazardous shall be further sampled and tested.

Safety Plan: The A-E shall specify the applicable standards and method of development for a Quality Control Plan in accordance with 6 PCAC SAFETY REQUIREMENTS 689-19-002. The A-E shall not be responsible for the development, but only for identifying and specifying the appropriate standard forms for Quality Control inspections that will become part of the overall plan.

Quality Control Plan: The A-E shall specify the applicable standards and method of development for a Quality Control Plan in accordance with 8 PCA QUALITY CONTROL PLAN REQUIREMENTS 689-19-002. The A-E shall not be responsible for the development, but only for identifying and specifying the appropriate standard forms for Quality Control inspections that will become part of the overall plan

Utility Shutdowns: The VA has a mandatory requirement to obtain approval for utility shutdowns. The A-E shall provide a list of all utility shutdowns required for this project and identify and define the procedure for each shutdown in a Construction Schedule Gant Chart. This will include, but not be limited to, electrical mechanical and plumbing tie-ins. The A-E shall provide estimated time of each outage and provide a narrative to the impact of the shutdown.

Site Survey: The A-E shall conduct an on-site survey(s) within specific timeframes in order to minimize impact to all patients and staff. An escort shall be provided.

Code Study: The A-E shall conduct a code study to determine code compliance of the proposed design. This shall also include a life safety plan.

ADMINISTRATIVE PROCEDURES

All A-E personnel, their sub-contractors and representatives visiting VA sites will be required to sign in upon arrival and sign out upon leaving in a log book which is kept in the Engineering Design and Development Section in Building 15. Each visiting individual will be required to enter their name, their company’s name, VA project title, date, reason for the visit, and the times of arrival and departure. Additionally, all persons shall be badged. Arrangements for after-normal-working-hour site visits shall be made in advance and during normal working hours.

MATERIAL TO BE PROVIDED TO THE ARCHITECT-ENGINEER BY THE VA

The VA shall provide the A-E with copies of As-Built site plans, master floor plans, elevations, and structural plans in AutoCAD or .pdf format when available. Otherwise, copies of drawings will be hardcopy prints. These drawings will be provided for reference purposes only. The A-E shall be responsible for verifying all such plans for dimensional accuracy and other features and representations critical to the design prior to their use in production of final plans. The VA Engineering Department electronic files copy machines and paper will be made available for use by the A-E for such document production throughout the project.

Specific sections of the VA Master Construction Specifications, Design and Construction procedures, Standard Details and CAD standards, Design Manuals, etc. can be found via the internet for acquisition and editing by the A-E at http://www.cfm.va.gov/TIL/

DELIVERABLES

Meeting Minutes: The A-E shall take minutes of all conferences and other meetings with the VA (including site visits) and shall provide a copy to the Contracting Office for a concurrence signature.

Drawings: The A-E shall deliver to the VA fully developed Drawings on current year AutoCAD and REVIT file using the VA Standard BIM Guidelines. Hard copy drawings shall be plotted at a 1:96 scale minimum. Larger more appropriate scales shall be used for sections and details.

Specifications: The project specifications shall be prepared in Microsoft Word by the A-E from the VA Master Specifications. The general format shall include; Part 1 – General, Part 2 – Products, and Part 3 – Execution. Part 1 shall include the general requirements, identify applicable standards, and identify submittals required for a particular specification. Part 2 shall include descriptions of the salient characteristics of the products. Part 3 shall include a description of the methods used to install items of construction. The A-E shall identify all VA Master Specification sections applicable to the project and edit them accordingly to fit the scope of work. If additional specification sections are needed that are not listed in the VA Master Specs, the A-E is responsible to write and edit an appropriate CSE format specification section. Specifications shall be printed on 8-1/2”x11” bond paper using 12 pt. Times-New Roman font. The A-E shall incorporate into the specifications and its construction site inspection procedures the applicable Infection Control and Dust Control provisions.

Construction Cost Estimates: The A-E shall prepare a Construction Cost Estimate in Microsoft Excel using the CSI 34-division format. The Cost Estimates shall include a copy of the quantity take-offs, breakdown of individual line items that accurately reflect the quantity take-off of the various categories of work involved, unit of measure, quantities, unit cost, 10% overhead, and 10% profit. All cost data shall be taken from the most current version of a recognized industry standard, e.g. Means Estimating Guides. For items that are not in the industry standards, vendor quotes and justification for labor hours shall be provided. Construction Cost Estimates shall be submitted with 65% and 100% design reviews and include a cost breakdown for each alternative.

Submittal Register: The A-E shall develop a list of all submittals required by the specifications in Section 1 of each individual specification. The register shall include specification reference, and item to be reviewed and approved.

Narratives: Written narratives shall be used as part of each design submission. The narrative, or basis of design, should be used to elaborate on and provide an explanation of key design decisions relating to constructability, and in general to communicate all information relevant to the design submission.

Construction Schedule: The A-E shall also establish a preliminary construction schedule indicating the entire length of time estimated for the completion of the construction contract, measured in weeks. The A-E shall provide a commensurate Gant chart for the construction activities to include critical path items. For example, utility shut downs. This schedule shall include pre-construction activities (such as submittals and mobilization), specific construction activities/events, special phasing requirements and final activation of the space.

Phasing: The A-E shall develop a phasing plan taking into consideration minimal disruption to current staff, maintaining emergency egress, storage of construction equipment and materials, security and access, debris removal and maintenance of the clean environment. The specific phasing requirements shall be established by the VA prior to the 35% design submission. The VA will notify the A-E on the availability of the entire work area or if partial areas will be required for the duration of construction.

Reproduction: The A-E shall be responsible for all reproduction during design; however, only materials which are submitted to the VA for design reviews shall be reimbursable. All other reproduction for in-house reviews, consultants, etc. shall not be reimbursed. Note that all bid administration activities will be performed by VHA Program Contracting Activity Central (PCAC).

DESIGN REVIEWS – SCHEDULES AND REQUIREMENTS

The following design submission, schedule is required:

First Submittal/Preliminary Schematic Design Submission 15% 30 calendar days after NOA

First Submittal VA review Comments 15% 45 calendar days after NOA

First Submittal Package Meeting 15% 55 calendar days after NOA

Second Submittal 35%

85 calendar days after NOA

Second Submittal VA review Comments 35% 100 calendar days after NOA

Second Submittal VA Package Meeting 35% 110 calendar days after NOA

Third Submittal 65% 175 calendar days after NOA Third Submittal VA review comments 65% 190 calendar days after NOA Third Submittal VA package meeting 65% 200 calendar days after NOA

Fourth Submittal 95% 225 calendar days after NOA Fourth Submittal VA review comments 95% 240 calendar days after NOA

Fourth Submittal VA package meeting 95% 250 calendar days after NOA

Fifth Submittal 100% 270 calendar days after NOA

Fifth Submittal VA review comments 100% 290 calendar days after NOA Fifth Submittal VA package meeting 100%

310 calendar days after NOA Total Design Period of performance 310 calendar days from NOA The AE shall examine the schedules set forth below and recommend to the VA any improvements in the allocations of time allowed for each phase, the net effect of which would be to either provide more time for phases needing more time or to shorten the entire design schedule.

First Submittal As-built Schematic Design Submission (15%)

For this submission, the A-E shall produce a clean and up to date physical schematic that defines the existing conditions and shows a preliminary concept or concepts of the new design. At this submittal the A-E shall deliver to the VA (see section ‘V’ Deliverables for further detail);

Narrative : Provide a written narrative with a summary of the meetings with the VA Design Team as well as a presentation, discussion and recommendation of the design alternatives which have been explored and evaluated. Key decisions/choices which were made by the VA Design Team prior to the Schematic Design submission should be documented. The design narrative shall also identify each and all required systems, utilities (including electric power requirement calculations) and major (built-in) equipment with a brief description of its type, location, use and extent. The A-E shall address constructability issues and their impact on project construction cost.

Drawings: Identify and verify existing underground utilities and their locations that will be impacted and propose solutions to re-route utilities or avoid underground utility conflicts. Identify and verify as-built conditions in walls and overhead spaces in those areas that will be impacted and propose solutions to re-route existing utilities or avoid utility conflicts.

Review existing environmental reports covering the project area. Identify existing asbestos, lead based paint, and other environmental hazards locations that will be impacted and identify locations that require further testing.

Two C size drawings and electronic version of CAD/REVIT work completed to date.

One electronic PDF submission of concept(s).

Second Submittal Schematic Design Submission (35%)

For this submission, the A-E shall produce a detailed final schematic which includes schematic floor plans, calculations of all parameters as necessary to prove feasibility of the design, summaries of all interviews with prospective users and the signoff of all users on the schematic design of their areas and functional features At this submittal the A-E shall deliver to the VA (see section ‘V’ Deliverables for further detail);

All material required for schematic design as indicated in the attached A-E Submission Instructions.

Narrative:

The A-E shall provide a written narrative with a concise and complete record of the design process including all key design decisions and the background and reasons for the intent of these design decisions. The narrative shall include all records of the meetings with the VA Design Team as well as a presentation, discussion and recommendation of various design alternatives which have been explored and evaluated. Key decisions/choices which were made by the VA Design Team should be documented. The design narrative shall also identify each and all required systems, utilities, and major (built-in equipment) with a brief description of its type, locations, use and extent. The A-E shall address constructability issues and their impacts on project construction cost and schedule. Engineering Calculations shall be included as an appendix.

Two C size Drawings and one electronic PDF of CAD work completed to date as indicated in the attached A-E Submission Instructions.

One electronic PDF index of all VA Master Specifications which are anticipated to be used for this project.

A complete cost estimate with as detailed a breakdown as possible for this stage of design. Separate cost estimate figures shall be given for any design alternatives being presented for consideration as part of the schematic design.

A completed VA infection control risk assessment addressing all areas.

A completed A-E Review Checklist for all applicable disciplines.

Third Submittal Design Development Submission (65%)

This submission is set up to review first detailed plans. At this submittal the A-E shall deliver to the VA (see section Deliverables for further detail);

All material required for Design Development as indicated in the attached A-E Submission Instructions.

A written narrative that should build upon the Schematic narrative and should continue to document key decisions and be used to further describe and explain important aspects of design, especially those which may not yet appear in the form of a drawing. As part of the Design Development narrative, include an outline of work yet to be completed and included on the drawings as part of the Construction Documents submission (details, elevations, schedules, etc.). Further develop constructability issues and their impact on project construction cost and schedule.

One E1 size and two C size Drawings and an electronic PDF of CAD work completed to date as indicated in the attached A-E Submission Instructions.

One electronic PDF proposed-Specification sections based on criteria established at the initial design meeting as required for supplementing the construction drawings. As a minimum the A-E shall provide a list of all proposed specifications and specifications for the following sections; General Conditions, Submittals, Demolition, and all major structural, mechanical, plumbing, and electrical components and hardware.

An accurate and detailed cost estimate which will show that the scope and the design of the project are within the project budget.

Preliminary Construction Duration Estimates, Preliminary Phasing Requirements and Engineering Calculations which support the documentation.

A completed VA infection control risk assessment form addressing all areas.

A completed A-E Review Checklist for all applicable disciplines.

Fourth Submittal Construction Documents Submission (95%)

This submission is set up to further review detailed plan and specifications. At this submittal the A-E shall deliver to the VA (see section Deliverables for further detail);

All material required for Construction Documents as indicated in the attached A-E Submission Instructions.

A written narrative that should represent a concise and complete record of the design process including all key design decisions and the background, reasons for and intent of these design decisions. Continue to use the narrative to communicate any other important information and to provide support to other submission documents.

One E1 size and two C size Drawings and an electronic PDF of CAD work completed to date as indicated in the attached A-E Submission Instructions.

One electronic PDF Specification sections based on criteria established at the initial design meeting as confirmed and/or amended at the 65% review meeting. The 100% submission shall include all Specifications that are required for the construction package. The Specifications shall be free of writer’s notes and any editing comments. All information that is not required for this project shall be removed from each individual specification section.

One E1 size color hard copy and an electronic version of design floor pattern and layout.

A complete take-off cost estimate based on the Construction Documents submission.

Fully developed Construction Duration Estimates, Phasing Requirements and Engineering Calculations which support the documentation set out in this paragraph G.

A completed VA infection control risk assessment form addressing all areas.

A completed A-E Review Checklist for all applicable.

A complete and submittal log form.

A complete preliminary construction schedule.

Final Construction Duration Estimates, Final Phasing Requirements and all Final Engineering Calculations which support the documentation set out in this paragraph I, all of which shall be complete in every respect. The final Engineering Calculations shall have been reviewed, signed, and sealed by the A-E’s designated Engineer

Fifth Submittal 100% The A-E shall deliver to the VA the following Final Contract Documents:

One electronic PDF (unless otherwise noted) version each of;

Final Contract Drawings in AutoCAD (to include PDF versions of each sheet), Final Stamped and Signed Contract Drawings, Specifications, Construction Cost Estimate, Construction Duration Estimate, Gant Chart, Phasing Requirements, and

Engineering Calculations.

CONSTRUCTION PERIOD SERVICES

General: The Contracting Officer reserves the right to terminate any construction period services, without payment for services not completed, if such services are not needed or are not being adequately completed.

Response to RFI’s: The A-E shall be responsible for evaluating RFI’s to determine if a change will be required. The A-E shall then provide recommendations to the Contracting Officer. Within 48 hours, the A-E shall provide in writing the information, clarification or revision material needed to properly answer the RFI and to resolve the issue. The A-E shall include a cost/credit estimate for RFI’s which result in a change to contract cost.

Submittal Review: Contractor submittals will be sent to the A-E for their review. The A-E will be required to review contractor submittals for adherence to contract requirements and then forward their recommendation of approval/disapproval to the VA contracting officer within 7 calendar days. The COR shall take final action of approval/disapproval on each submittal and shall prepare and send a formal return of submittal to the contractor.

Site Visits: Day to day construction administration will be performed by the COR. The A-E shall make bi-weekly site visits during construction to inspect work installed by the contractor, to resolve issues, review the status of in-progress as-built drawings and for other reasons deemed necessary.

Commissioning: The A-E shall plan to be the VA’s Commissioning Agent. With this the A-E shall prepare a commissioning plan based on VA criteria and apply, review, and document the contractor’s performance of it and notify the VA of status and performance.

Photographic Documentation: The A-E shall be required to prepare photographic documentation in accordance with VA master specification 01 00 00, “Photographic Documentation” during the period of construction.

Record drawings: The A-E shall be required to prepare a set of Record Drawings at the completion of construction. They shall be completed within 30 days after receipt of the redlined prints. Record drawings shall meet VA requirements including current BIM requirements.

END OF STATEMENT OF WORK

APPENDIX A

ENVIRONMENTAL ASSESSMENT – SCOPE OF WORK

Section I

1.1 GENERAL:

A. This Scope of Work (SOW) is applicable to renovation, remodeling, or general projects that may contain asbestos, lead, mold, and other potentially hazardous or regulated substances in which the Contractor Professional Industrial Hygienist (CPIH) is hired by the A-E. The VA will also hire a third-party VA Industrial Hygienist (VPIH) to perform oversight during abatement and in this document, the term A-E may also refer to as a contractor.

B. These special instructions cover the A-E and CPIH services for the Design Development and the Construction Documents stages of the VA process and the construction period services of a project. The CPIH hired by the A-E is not only required to have the experience and expertise of all aspects of hazard analysis and abatement but also have experience working as a member of a A-E design team.

C.

The assessment and inspection portion of the services shall be completed by CPIH personnel who are licensed by the State of Connecticut Department of Public Health as asbestos inspectors for those performing asbestos inspection or assessment. CPIH personnel who perform lead paint inspection or assessment shall be licensed by the State of Connecticut Department of Public Health as a Lead Inspector or Lead Risk Assessor. CPIH personnel who perform microbial inspection or assessment shall show proof of expertise through experience and training in microbial and mold remediation inspection and assessment techniques.

D.

The design documents shall be produced using VA Master Specifications by the CPIH with personnel who are licensed by the State of Connecticut Department of Public Health as an Asbestos Project Designer, Lead Project Planner/Designer, have expertise, experience, and training in microbial and mold remediation techniques, and are reviewed and approved by a Certified Industrial Hygienist (CIH) accredited by the American Board of Industrial Hygiene (ABIH).

E. A-E shall be responsible for providing all design documents related to demolition, phasing and other related documents for the project, (as determined by VA if proposed abatement impacts the specific construction project). The CPIH working for the A-E shall design and produce all hazard analysis and abatement contract documents and fully coordinate these drawings with A-E contract documents. Work requirements are listed in SECTION 2.2 for the CPIH.

F.

The A-E will employ an independent industrial hygienist consultant and/or use its own qualified personnel to perform various services on behalf of the VA. The CPIH will perform the necessary monitoring, inspection, testing, and other support services to ensure that VA patients, employees, and visitors will not be adversely affected by abatement work, and that abatement work proceeds in accordance with specifications, that the abated areas or abated buildings have been successfully decontaminated. The work of the CPIH consultant in no way relieves the Contractor from their responsibility to perform the work in accordance with contract/specification requirements, to perform continuous inspection, monitoring and testing for the safety of their employees, and to perform other such services as specified. The cost of the CPIH and their services will be borne by the VA except for any repeat of final inspection and testing during monitoring services that may be required due to unsatisfactory initial results, as specified. The CPIH during asbestos abatement oversight shall be licensed by the State of Connecticut Department of Public Health as an Asbestos Project Monitor with project oversight by a Certified Industrial Hygienist (CIH) accredited by the American Board of Industrial Hygiene (ABIH).

Section 2

2.1 Project Scope of Work (SOW)

The CPIH shall perform an environmental assessment of the proposed work areas, and areas adjacent to, directly above and below work areas that will be impacted by the project and any other areas not indicated in this section determined by the A-E that may be impacted during the project. Areas that could be impacted by this project should be carefully inspected including walls, floors, shafts and above ceiling and the precise location and quantity of all hazardous materials including but not limited to asbestos, lead, polychlorinated biphenyls, and mold should be provided. The CPIH will have access to all the historical records available for the areas impacted by the project before the beginning of the inspection.

2.2 CPIH Services Scope of Work:

1. All areas that may be impacted by this project (as described in General A-E Scope Of Work section) shall require environmental assessment for the presence of asbestos-containing materials, lead-based paint, silica, and other environmental hazards (e.g. PCB, mercury, refrigerant, polychlorinated biphenyls, etc.).

In addition, any areas located adjacent to, above, and below these rooms will require assessment if planned project activities impact these areas. This determination of these additional locations should be made prior to initiating field portion of the environmental assessment.

CPIH Services will include:

2. Asbestos Inspection:

a. A State of Connecticut licensed Asbestos Inspector will conduct an asbestos inspection in each impacted area to meet the requirements of EPA NESHAP/AHERA inspection and State of Connecticut regulations.

b. The inspector will collect bulk samples of suspect materials using approved EPA protocol for analysis by polarized light microscopy (PLM) method in a NVLAP accredited laboratory.

c. The inspector will check above ceiling spaces, including the existing HVAC system and all access hatches leading to above ceiling equipment for presence of suspect asbestos-containing materials and/or debris that might have become dislodged from above equipment.

d. The inspector may be required to perform selective demolition to expose concealed potential asbestos containing materials in the following areas, if impacted by the project: below existing flooring, inside wall cavities and chases, and inside ceiling chases.

3. Lead Inspection:

a. A state licensed Lead Inspector/Risk Assessor will test suspect surfaces and building components that may be impacted by the project for lead-based paint or lead-containing materials.

b. An X-ray Fluorescence Analyzer (XRF) will be used to identify the presence of lead or lead-based paint on/in building components prior to project activities.

c. Representative composite TCLP (Toxicity Characteristic Leaching Procedure) lead sample(s) may be collected as necessary to determine if demolition debris is either classified as hazardous waste or solid waste, depending on lead content and/or leachable lead content.

d. Ceiling spaces shall be included in the scope for inspection for the presence of lead-based paint or lead-containing components.

4. Mold Assessment: An inspector shall conduct a visual assessment of existing conditions for any visible mold and water damaged building materials in each area that will be impacted by this project.

5. Other Hazardous or Regulated Materials Assessment: During above inspections, also record any other hazardous or regulated materials noticed in the impacted areas and their conditions, such as mercury-containing equipment or items, refrigerant in any AHU, PCB-containing materials or equipment or items, etc.

6. CPIH Project Monitoring: During any asbestos abatement activities, provide CPIH monitoring services as specified in VA Master Specifications.

7. Written Reports:

a. A written report will be generated to summarize work activities and detail the findings of each inspection.

b. The asbestos inspection report will include quantities and locations of asbestos-containing materials identified, sample location diagrams, photographs of each homogenous area and any damaged materials as documentation of present conditions, sample log and results, as well as the completed laboratory analysis.

c. The lead inspection report will include locations and components of lead-based paint, a sample location diagram, sample log and results, as well as any laboratory analysis.

d. Two (2) hard copies and one electronic copy of the final report shall be provided, with electronic copy in PDF format. All data tables must be provided in Microsoft Excel format. All sample locations must be identified on a print and marked in the field.

8. Abatement Specifications:

a. A State licensed Project Designer will review all inspection results and visit the site if regulated or hazardous materials have been identified in the impacted area.

b. Develop a written specification in accordance with the VA Master Spec for abatement of all asbestos-containing materials to be impacted by the renovation work and lead compliance during abatement and renovation for each area that requires asbestos and/or lead abatement.

c. The specification shall include the quantity and location of asbestos-containing materials to be removed and CAD drawings shown containment locations.

d. The materials for constructing the containments shall be outlined as well as methods of asbestos removal and disposal requirements, engineering controls during abatement.

e. Regulatory requirements specific to the site and final clearance criteria shall be detailed.

f. The specification will also provide appropriate guidance related to the lead compliance and disposal of lead-contaminated demolition debris, and other regulated or hazardous materials identified in the project impacted areas.

9. Final payment for design services will not be made until all project documents are received during the design phase and final payment will not be made until project close-out documentation including, but not limited to, CPIH site logs, monitoring results, and waste manifests is received after the completion of VPIH construction period services.

END OF APPENDIX

APPENDIX B

INFECTION PREVENTION MEASURES

A. Implement the requirements of VA Medical Center’s Infection Control Risk Assessment (ICRA) team. ICRA Group may monitor dust, in the vicinity of the construction work, and require the Contractor to take corrective action immediately if the safe levels are exceeded.

B. Establish and maintain a dust control program as part of the contractor’s infection preventive measures in accordance with the guidelines provided by ICRA Group as specified here. Prior to start of work, prepare a plan detailing project-specific dust protection measures, including periodic status reports, and submit to COR and Facility ICRA team for review for compliance with contract requirements in accordance with Section 01340, SAMPLES AND SHOP DRAWINGS.

1. All personnel involved in the construction or renovation activity shall be educated and trained in infection prevention measures established by the medical center.

C. Medical Center Infection Control personnel shall monitor for airborne disease (e.g. aspergillosis) as appropriate during construction. A baseline of conditions may be established by the medical center prior to the start of work and periodically during the construction stage to determine impact of construction activities on indoor air quality. In addition:

1. The COR and VAMC Infection Control personnel shall review pressure differential monitoring documentation to verify that pressure differentials in the construction zone and in the patient-care rooms are appropriate for their settings. The requirement for negative air pressure in the construction zone shall depend on the location and type of activity. Upon notification, the contractor shall implement corrective measures to restore proper pressure differentials as needed.

2. In case of any problem, the medical center, along with assistance from the contractor, shall conduct an environmental assessment to find and eliminate the source.

D. In general, following preventive measures shall be adopted during construction to keep down dust and prevent mold.

1. Dampen debris to keep down dust and provide temporary construction partitions in existing structures where directed by COR. Blank off ducts and diffusers to prevent circulation of dust into occupied areas during construction.

2. Analyze each site during design to determine the effects of blocking HVAC ducts and their impact on existing air handling systems that must remain operational before initiating a dust control program. The method of capping ducts shall be dust tight and withstand airflow.

3. Construct anteroom to maintain negative airflow from clean area through anteroom and into work area where required.

4. High risk patient care areas may require additional measures like air locks, special signage, smoke and negative pressure alarms.

5. Identify these areas clearly on the drawings and work with Medical Center personnel to achieve desired level of isolation suited to the scope of risk involved.

6. Do not perform dust- producing tasks within occupied areas without the approval of the COR. For construction in any areas that will remain jointly occupied by the medical Center and Contractor’s workers, the Contractor shall:

a. Provide dust proof fire-rated temporary drywall construction barriers to separate construction from the operational areas of the hospital in order to contain dirt debris and dust. Barriers shall be sealed and made presentable on hospital occupied side. Install a self-closing rated door in a metal frame, commensurate with the partition, to allow worker access. Maintain negative air at all times. A fire-retardant polystyrene, 6-mil thick or greater plastic barrier meeting local fire codes may be used where dust control is the only hazard, and an agreement is reached with the COR and Medical Center.

b. HEPA filtration is required where the exhaust dust may reenter the breathing zone. Contractor shall verify that construction exhaust to exterior is not reintroduced to the medical center through intake vents, or building openings. Install HEPA (High Efficiency Particulate Accumulator) filter vacuum system rated at 95% capture of 0.3 microns including pollen, mold spores and dust particles. Insure continuous negative air pressures occurring within the work area. HEPA filters should have ASHRAE 85 or other pre-filter to extend the useful life of the HEPA. Provide both primary and secondary filtrations units. Exhaust hoses shall be heavy duty, flexible steel reinforced and exhausted so that dust is not reintroduced to the medical center.

c. Adhesive Walk-off/Carpet Walk-off Mats, minimum 24” x 36”, shall be used at all Interior transitions from the construction area to occupied medical center area. These mats shall be changed as often as required to maintain clean work areas directly outside construction area at all times.

d. Vacuum and wet mop all transition areas from construction to the occupied medical center at the end of each workday. Vacuum shall utilize HEPA filtration. Maintain surrounding area frequently. Remove debris as they are created. Transport these outside the construction area in containers with tightly fitting lids.

e. The contractor shall not haul debris through patient-care areas without prior approval of the Resident Engineer and the Medical Center. When, approved, debris shall be hauled in enclosed dust proof containers or wrapped in plastic and sealed with duct tape. No sharp objects should be allowed to cut through the plastic. Wipe down the exterior of the containers with a damp rag to remove dust. All equipment, tools, material, etc. transported through occupied areas shall be made free from dust and moisture by vacuuming and wipe down.

f. Using a HEPA vacuum, clean inside the barrier and vacuum ceiling tile prior to replacement. Any ceiling access panels opened for investigation beyond sealed areas shall be sealed immediately when unattended.

g. There shall be no standing water during construction. This includes water in equipment drip pans and open containers within the construction areas. All accidental spills must be cleaned up and dried within 12 hours. Remove and dispose of porous materials that remain damp for more than 72 hours.

h. At completion, remove construction barriers and ceiling protection carefully, outside of normal work hours. Vacuum and clean all surfaces free of dust after the removal.

E. Final Cleanup:

1. Upon completion of project, or as work progresses, remove all construction debris from above ceiling, vertical shafts and utility chases that have been part of the construction.

2. Perform HEPA vacuum cleaning of all surfaces in the construction area. This includes walls, ceilings, cabinets, furniture (built-in or free standing), partitions, flooring, etc.

1. All new air ducts shall be cleaned prior to final inspection. On small projects developed at Medical Center, Engineering Officer may tag items to be removed and stored, instead of noting such items on drawings or in specifications.

END OF APPENDIX

APPENDIX C

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY LANGUAGE FOR INCLUSION INTO CONTRACTS, AS APPROPRIATE

1. GENERAL

Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS

a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

b. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S> defense industry contractor personnel safeguard the classified information in their possession while performing work on contracts, programs, bid, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Secretary Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.

d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.

e. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor’s employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

3. VA INFORMATION CUSTODIAL LANGUAGE

a. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor’s rights to use data as described in Rights in Data – General, FAR 52.227-14(d) (1).

b. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor’s information systems or media storage systems in order to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that VA’s information is returned to the VA or destroyed in accordance with VA’s sanitization requirements. VA reserves the right to conduct on-site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.

c. Prior to terminator or completion of this contract, contractor/subcontractor must not destroy information received from VA, or gathered/created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1 Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

d. The contractor/subcontractor must receive, gather, store, back up, maintain, use, dispose of VA information only in compliance with the terms of the contract and applicable Federal and VA information confidentiality and security laws, regulations and policies. If Federal or VA information confidentiality and security laws, regulations and policies become applicable to the VA information or information systems after execution of the contract, or if NIST issues or updates applicable FIPS or Special Publications (SP) after execution of this contract, the parties agree to negotiate in good faith to implement the information confidentiality and security laws, regulations and policies in this contract.

e. The contractor/subcontractor shall not make copies of VA information except as authorized and necessary to perform the terms of the agreement or to preserve electronic information stored on contractor/subcontractor electronic storage media for restoration in case any electronic equipment or data used by the contractor/subcontractor needs to be restored to an operating state. If copies are made for restoration purposes, after the restoration is complete, the copies must be appropriately destroyed.

f. If VA determines that the contractor has violated any of the information confidentiality, privacy, and security provisions of the…

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