SOW_-_Cape_May_Xray_Install.pdf

USCG Cape May Clinic Agfa Healthcare Caffey, Inc.

X-Ray Room DXD 400 High Frequency Radiographic System Suite Design/Build Proposal

June 17, 2019 Page 1 of 6 19435 CapeMay Clinic - Agfa SOW 20190617.doc

Design/Build Construction Proposal For:

Agfa Healthcare – DX-D 400 High Frequency Radiographic System Suite X-Ray Room Renovation

USCG Cape May Medical Clinic 1 Munro Ave Cape May, NJ 08204

Presented For: ` Presented By:

Agfa Healthcare 10 S Academy St.

Greenville, SC 29601

Summary: The summary of work, for the facility modifications portion of this project, includes electrical renovation to allow proper installation and operation of the proposed equipment. The proposed equipment is; One (1) Agfa Healthcare – DX-D 400 High Frequency Digital Radiographic System.

Basis: This scope of work is based on:

A Caffey, Inc. site evaluation conducted at the facility on June 4, 2019.

Agfa Final Equipment Drawings for the proposed equipment (Drawing USCG140331, dated

05/20/2014).

o Note: The Agfa provided equipment drawings indicate 480 volt electrical service for the proposed equipment. This proposal assumes that the drawings will be revised to accommodate the existing 240 volt single phase electrical service.

Location: The proposed renovation will be performed within the existing Radiology Room within the Medical Clinic at USCG, Cape May. A new ceiling mounted structural system will not be required. The proposed equipment is floor mounted.

Unless specifically noted otherwise, labor, material and construction equipment will be furnished to provide the following:

This Scope of Work, as an instrument of service, is the property of Caffey, Inc. and may be used only on the project herein. This Scope shall not be reproduced, copied or used in whole or part without written permission of an authorized representative of Caffey, Inc.

This interpretation should be thoroughly reviewed by all involved parties to ensure that all areas of concern are addressed, as this proposal is only the interpretation of Caffey, Inc.

and considers only the following items. Additional items not specifically included in this proposal may be indirectly provided, but are subject to additional work scope and costs.

USCG Cape May Clinic Agfa Healthcare Caffey, Inc.

X-Ray Room DXD 400 High Frequency Radiographic System Suite Design/Build Proposal

June 17, 2019 Page 2 of 6 19435 CapeMay Clinic - Agfa SOW 20190617.doc

Division 0 – Design, Procurement & Contracting Requirements

0.1 Professional of Record Design & AHJ Review

0.1.1 Professional of Record - Minimal professional design/build construction documents required for plan reviews and work permits as determined necessary for electrical modifications by AHJ’s (Authorities Having Jurisdiction).

Division 1 - General Requirements:

1.1 Maintain on site red line drawings, and provide as-built drawings and O&M Manuals upon completion.

1.2 Full time site superintendent.

1.3 Professional construction management.

1.4 Maintain job site according to OSHA and facility IRCA protocols.

1.5 Provide complete submittal packages for facility approval.

1.6 Schedule disruptive work with facility.

1.7 Safety, pre-construction and progress meetings.

1.8 Publish, coordinate and maintain schedules & Ghantt charts.

1.9 Handling, transport, storage and protection of construction materials and equipment.

1.10 Payment of applicable taxes & permit fees.

1.11 Corporate and facility/project specific insurance.

1.12 Performance & Payment Bonds (if required).

Division 2 - Site Work:

2.1 Erect temporary construction barriers for the proposed renovation.

2.2 Provide HEPA filtered negative air containment of project area including daily ICRA matrix and site cleaning per OSHA, JCAHO, FGI and Facility Standards.

2.3 Note: This proposal assumes that the facility will remove the existing anchors and equipment attachments that are not required for the proposed equipment.

2.4 Note: This proposal assumes that the facility will remove damaged portions of the existing flooring to accommodate the proposed equipment.

2.5 Remove portions of the existing suspended ceiling to accommodate electrical modifications for the proposed equipment.

2.6 Note: The existing recessed trench to the table base will be used for new equipment cables.

2.7 Note: Reference Divisions 21-26 for MEP demolition.

Division 3 - Concrete:

3.1 Note: This proposal assumes that the facility will repair and level the existing concrete floor within the Exam Room to accommodate removal of the existing equipment and installation/levelness specifications of the proposed equipment.

Division 4 - Masonry: N/A

USCG Cape May Clinic Agfa Healthcare Caffey, Inc.

X-Ray Room DXD 400 High Frequency Radiographic System Suite Design/Build Proposal

June 17, 2019 Page 3 of 6 19435 CapeMay Clinic - Agfa SOW 20190617.doc

Division 5 – Metals:

5.1 Install new wall backing for new equipment cabinets.

Division 6 – Wood & Plastics:

6.1 Modify the facility installed control counter to accommodate the proposed equipment.

Division 7 – Thermal & Moisture Protection:

7.1 Seal all new floor, wall and ceiling penetrations in accordance with NEC, NFPA and facility standards.

7.2 Note: Work with any potential, existing, non-compliant fire walls, smoke walls or other facility barriers is excluded.

Division 8 – Doors & Windows:

8.1 Note: Reference Division 13 for leaded doors and windows.

Division 9 – Finishes:

9.1 Note: Finish repairs will be provided by the facility.

Division 10 – Specialties:

10.1 Note: Wall and corner guards are excluded.

Division 11 – Equipment: N/A

11.1 Note: All radiographic and medical equipment required for the proposed

Radiography Suite shall be provided and installed by Agfa Healthcare or others.

Division 12 – Furnishings: N/A

12.1 Note: New furnishings and protection, removal, repair or replacement of any existing or new furnishings, cabinets, artwork or graphics in the Radiography Suite is the responsibility of the facility or others.

Division 13 – Special Construction:

13.1 Repair existing lead radiation shielding affected by the work.

13.2 Note: The existing Radiography Suite radiation shield is assumed adequate.

Control Window, Door, Wall, Floor and ceiling lead lining modifications, additions or upgrades are excluded. The radiological physicist or safety officer for the proposed equipment is ultimately responsible for determining the required lead lining (Radiation Shield Design) and submitting the design to the State Health Department. The Shield design and approval must be completed prior to finalizing the Radiography Suite design. Should additional radiation shield requirements not described herein apply, additional work and costs will apply. A radiation shield survey should be performed by the physicist during construction or upon project completion. This will ensure the integrity of the radiation shielding prior to use of the proposed new X-Ray equipment.

USCG Cape May Clinic Agfa Healthcare Caffey, Inc.

X-Ray Room DXD 400 High Frequency Radiographic System Suite Design/Build Proposal

June 17, 2019 Page 4 of 6 19435 CapeMay Clinic - Agfa SOW 20190617.doc

Division 14 – Material Handling & Conveying Systems:

14.1 Note: Disassembly, removal, craning/lifting, rigging and removal of existing

Radiography System components to accommodate the proposed renovation is the responsibility of the facility or others.

14.2 Note: Transport, craning/lifting, rigging and installation of the new Radiography System components are assumed the responsibility of Agfa or others and are excluded from this proposal.

Division 21 – Fire Suppression:

21.1 Note: The existing sprinkler piping & heads will remain within the renovation area to accommodate the new proposed equipment.

Division 22 – Plumbing:

22.1 Note: Existing pluming will remain in existing condition and location without modifications or additions in the proposed Exam Room and throughout the project limits. Plumbing work is not included.

22.2 Note: Existing Medical Gas outlets and piping will remain in existing condition and location without modifications or additions in the proposed Exam Room and throughout the project limits. Medical gas work is not included.

Division 23 – Heating, Ventilation, & Air Conditioning (HVAC):

23.1 Note: The existing HVAC supply & return grilles will remain within the renovation area to accommodate the new proposed equipment.

23.2 Note: Final Test and Balance is the responsibility of the facility or others.

Division 25 – Integrated Automation: N/A

Division 26 – Electrical:

26.1 Remove and give to the facility or dispose of all existing electrical not required for the new

Suite.

26.2 Modify, reconfigure or relocate existing electrical panels and circuits to accommodate the new Suite. Note: The existing 240 volt 200 amp main electrical service will be reconfigured to accommodate the required 240 volt 100 amp service for the new equipment.

26.3 Provide and install a new 240 volt single phase main equipment electrical Panel “A” as specified in the referenced equipment drawings.

26.4 Provide and install a new 120 volt single phase main equipment electrical Panel “A1” as specified in the referenced equipment drawings.

26.5 Install new power wiring, conduit, raceway, junction boxes and electrical devices in accordance with the referenced equipment drawings.

26.6 Connect the new equipment to the existing X-Ray in Use lights.

26.7 Note: The existing 120 volt electrical convenience outlets throughout the new

Radiography Suite will remain unchanged.

USCG Cape May Clinic Agfa Healthcare Caffey, Inc.

X-Ray Room DXD 400 High Frequency Radiographic System Suite Design/Build Proposal

June 17, 2019 Page 5 of 6 19435 CapeMay Clinic - Agfa SOW 20190617.doc

26.8 Note: The existing Exam Room Lighting will remain to accommodate the new suspended ceiling plan.

26.9 Note: Work associated with installing UPS, power conditioning or surge suppression equipment is excluded.

26.10 Note: Any new wall tray for equipment cables will be surface mounted.

Division 27 – Communications: N/A

27.1 Note: Existing telephone/data conduits, wiring and boxes within the project limits will be reused.

27.2 Note: Existing IT conduits, wiring and boxes within the project limits will be reused.

Division 28 – Electronic Safety and Security: N/A

Division 31 – Earthwork: N/A

Division 32 – Exterior Improvements: N/A

Division 31 – Utilities: N/A

USCG Cape May Clinic Agfa Healthcare Caffey, Inc.

X-Ray Room DXD 400 High Frequency Radiographic System Suite Design/Build Proposal

June 17, 2019 Page 6 of 6 19435 CapeMay Clinic - Agfa SOW 20190617.doc

EXCLUSIONS: The following is excluded in relation to this proposal.

Asbestos abatement.

Work in a Bio-Hazardous, Radioactive, Toxic, Asbestos or other high risk environment.

Medical Gas Work.

Any work with telephone, intercom or security systems.

Removal or Installation of existing medical equipment.

Work involving emergency power.(Except as existing) Equipment rigging and install to be provided by Agfa Healthcare or others.

Fire Alarm, Nurse Call or Code Blue Programming.

Furnishings, desks, wall decorations or other art work.

New utility distribution power services.

Telecommunications or facility networking Systems.

Union Assistance.

Total System UPS or Power Conditioning Equipment.

Hidden Subsurface Conditions.

QUALIFICATIONS: This Scope of Work is qualified by and subject to the following.

Construction proposal is for Agfa Healthcare equipment only.

Subject to Agfa Healthcare corporate approval.

A clean unrestricted access route to the construction site will be provided.

All work performed during normal working hours.

Removal/relocation of the existing equipment is assumed the responsibility of others.

ANTICIPATED DURATION:

A. Construction Drawings (Electrcial Eng. Only) 2-4 calendar weeks B. Local AHJ Reviews 1-2 calendar weeks C. Remove Existing Facility Items (By Others)* 0.5 calendar week D. Equipment Removal (By Others)* 1 calendar week E. Demolition (By Others)* 2 calendar weeks F. Temporary Barriers / Dust Protection 0.5 calendar week G. Electrical Rough-In Trim Out and Finishes 2 calendar weeks H. Equipment Mechanical Install (By Others)* 1 calendar week I. Equipment Calibration (By Others)* 1 calendar week J. Applications/Go Live (By Others)* 1 calendar week

*Note: These tasks are the responsibility of others and Actual Durations must be verified with the responsible parties.