Attachment 1 PD VA Bay Pines Mass Evac ICU 06-11-2024.pdf

Purchase Description Medical Evacuation Vehicle & ICU

Veterans Affairs Bay Pines

11 June 2024

Note to Quoter: Quoter shall explicitly and completely identify any and all exceptions taken to the requirements of this specification. Drawings, literature, and any other information submitted with an offer do not constitute a stated or implied exception unless specifically identified in writing as an exception and accepted and implemented by an amendment to the solicitation or modification to a contract. Any exception deemed acceptable by the Government shall only apply to the specific item, requirement, etc. cited, and shall not extend to any other requirement.

Quoter offering other than brand name items identified below, when an “or equal” may be acceptable, shall furnish with their offers all technical data information, product descriptions, etc. to ensure that a determination may be made as to the equality of the product(s) offered (see clause titled Brand “Name or Equal” set forth in Section 52.211- 6 of the Federal Acquisition Regulations.)

The following shall be provided with the quote.

1. Detailed explanation, listed in a separate letter, of any exceptions to the specification, including alternate equipment proposed or a declaration of comprehensive understanding of the requirements with no exceptions taken.

2. The quoter shall submit with the offer preliminary drawings that show the following:

a. Layout views of the quoted vehicle including all equipment locations and basic dimensions verifying compliance with the requirements herein.

b. Exterior front, rear, and side view with overall dimensions.

c. Estimated curb weight and Gross Vehicle Weight Rating (GVWR)

d. Documented evidence of quality assurance procedures or system

1.0 SCOPE

Bay Pines VA Medical Center (BPVAMC) is a complexity level 1a, tertiary care facility with 397 operating beds and is considered one of the most vulnerable VA facilities in the country to Hurricane or Tropical Storm surge.

Originally opened in 1933, the Medical Center is located on 337 acres situated on the Gulf of Mexico approximately eight miles northwest of downtown Saint Petersburg, Fla.

Services provided include inpatient acute care, (general medicine/surgery, psychiatry, and rehabilitation); residential programs (community living center, hospice, palliative care, stress treatment, homeless Veterans, and substance abuse treatment); primary care; extensive specialty care; outpatient surgical services; OEF/OIF/OND program (Polytrauma level III); home and community care; homeless Veteran’s care; women Veterans care; and various ancillary and support services.

This vehicle is to enhance BPVAMC and VISN 8 Network evacuation capabilities for all patients including those requiring BLS and ALS care during evacuations. This vehicle will serve a dual role and be readily available to provide patient care during non-emergency situations such as:

Vaccine Clinics Community Outreach Homeless Standdown

This purchase description is for a custom manufactured vehicle to serve as a medical evacuation vehicle with ICU. The vehicle shall be based on the design solution proposed by the quoter and approved by GSA+VA.

2.0 APPLICABLE DOCUMENTS

2.1 FEDERAL STANDARDS AND CODES

49 CFR, part 38, subpart B – Americans with Disabilities Act (ADA) Code of Federal Regulations Title 49 CFR o 393 (FMCSR) o 571 (FMVSS)

Application for copies of DOT publication should reference the code of Federal Regulations, 49 CFR, and the Federal Register and should be addressed to the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402. They may also be accessed on the Internet through GPO Access at http://www.access.gpo.gov.

Federal Specification for the Star-of-Life Ambulance

KKK-A-1822F

Dated 1 August 2007 Amendment 1 Section 3.11.1.3 Equipment Mounting Devices

Section 3.11.6 Litter Fasteners and Anchorages Section 3.12 Oxygen, Main Supply, and Installation

2.2 NATIONAL FIRE PROTECTION ASSOCIATION (NFPA)

NFPA 70: National Electrical Code® NFPA 1901: Standard for Automotive Fire Apparatus NFPA 17: Dry Chemical Fire Suppression Systems NFPA 701: Standard Methods of Fire Tests for Flame Propagation of Textiles and Films Application for copies of the standard should apply to NFPA, 1 Batterymarch Park, PO Box 9101, Quincy, MA 02269-9101, An International Codes and Standards Organization

2.3 SOCIETY OF AUTOMOTIVE ENGINEERS INC

J163 - Low Tension Wiring and Cable Terminals and Splice Clips J537 - Storage Batteries.

J575 - Tests for Motor Vehicle Lighting Devices & Components.

J578 - Color Specification for Electric Signal Lighting Devices.

J595 - Flashing Warning Lamps for Authorized Emergency, Maintenance, and

Service Vehicles.

J682 - Rear Wheel Splash and Stone Throw Protection.

J994 - Backup Alarms, Performance Test and Application.

J1054 -Warning Lamp, Alternating Flashers.

J1127 -Battery Cable.

J1292 -Automobile, Truck, Truck-Tractor, Trailer, and Motor Coach Wiring.

J3027 – Ambulance Litter Integrity, Retention, and Patient Restraint J3043 – Ambulance Equipment Mount Device or Systems J3102 – Ambulance Patient Compartment Structural Integrity Test to Support SAE

J3027 Compliant Litter Systems

Applications for copies of SAE publications should be addressed to SAE, Inc., 400 Commonwealth Drive, Warrendale, PA 15096

2.4 NATIONAL TRUCK EQUIPMENT ASSOCIATION (NTEA)

Ambulance Manufactures Division (AMD) Standard 003, Oxygen Tank Retention System Static Test.

NTEA AMD Standards may be found on the Internet using the following link:

http://ntea.com/content.aspx?id=1210&terms=ambulance

2.5 OTHER STANDARDS

RP 803-Pre-Service Vehicle Inspection (Published by The Technical and Maintenance Council of the American Trucking Association, 2200 Mill Road, Alexandria, VA 22314)

Florida DOT Statute 316.515 for truck length, height, and width limits.

http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0300- 0399/0316/Sections/0316.515.html

2.3 ORDER OF PRECEDENCE

In the event of a conflict between the text of this purchase description and the references cited above, the most stringent requirements, as determined by the government, takes precedence. Nothing in this purchase description, however, supersedes applicable state and federal safety laws and regulations and the requirements set forth in the vehicle manufacturer’s Bodybuilders and Incomplete Vehicle Manuals.

3.0 REQUIREMENTS

Materials shall be as specified herein. When materials are not specified, the vehicle and all parts there for shall be furnished to provide the intended function, durability, safety, and maintain good long-term appearance. All materials shall be new, shall be suitable for the intended purpose, and shall be free of any characteristics or defects in material and workmanship, which may affect the performance, function, durability, and serviceability of the finished vehicle, or detract from its appearance. The government reserves the right to make the final determination of the suitability of all components and their arrangement on and in the vehicle. The contractor shall not proceed with first production vehicle manufacture until approval to proceed is given by the government.

Quoter shall have documented quality assurance processes to assure compliance with all specification requirements including requirements established by reference, i.e. SAE, FMVSS, etc. Quoter shall submit, with their offer, a copy of their documented processes or procedures.

The quoter (manufacturers) who respond to this solicitation shall have a minimum of five

(5) years of engineering, design, and manufacturing experience in providing similar vehicles with equal or greater complexity to the requirements described herein. Quoter shall provide 24 hour/7days per week access to customer service. Quoter shall provide detailed information describing their customer service access.

The quoter shall ensure that the application and installation of major subcomponents and systems is compliant with subcomponent vendors’ requirements and recommendations.

3.1 COMPLETED VEHICLE COMPONENT SPECIFICATIONS

The components, assemblies, and accessories to be delivered under the contract shall meet or exceed the requirements of this purchase description. All items shall be as represented in the manufacturer's technical data book. Special or mounted equipment shall be as represented in the equipment manufacturer's technical data. No removal, substitution or alternation of the vehicle manufacturer's standard or optional components shall be made.

3.1.1 MATERIALS

Materials used shall be free from defects which would adversely affect the performance or maintainability of individual components or of the overall assembly. Materials not specified herein shall be of the same quality used for the intended purpose in commercial practice. Unless otherwise specified herein, all equipment, material, and articles incorporated in the work covered by this specification are to be new and fabricated using materials produced from recovered materials to the maximum extent practicable without compromising the intended use. The term “recovered materials” means materials which have been collected or recovered from solid waste and reprocessed to become a source of raw materials, as opposed to virgin raw materials.

Unless otherwise specified, none of the above shall be interpreted to mean that the use of used, repaired, or rebuilt products is allowed under this specification.

3.1.2. PROHIBITED MATERIAL

Asbestos materials shall not be used in any form in any part of the vehicle. No item, part, or assembly shall contain radioactive materials in which the specific activity is greater than 0.002 micro curie per gram or activity per item equals or exceeds 0.01 micro curie.

The use of wood products for subfloor, furring, finish panels, etc., is prohibited.

Construction materials shall be reviewed at the verification design review meeting and approved by the government.

3.1.3 DISSIMILAR METALS

The use of dissimilar metals shall be avoided whenever practicable. When it is necessary to combine dissimilar metals, a permanent dielectric medium compatible to both metals shall be used to prevent corrosion caused by galvanic action.

3.1.4 FLAME RESISTANCE

Flame resistance of all materials shall be in accordance with Federal Motor Vehicle Standard Number 302.

3.1.5 MOLD AND FUNGUS PROTECTION

Materials that can support mold or fungus growth shall not be used in any part of the vehicle.

3.1.6 VOLATILE ORGANIC COMPOUNDS

All materials including but not limited to paints, insulation, glues and adhesives shall have low or no VOC emissions rating. For paint, low VOC levels are 150 g/l or less for non-flat finishes and 100 g/l or less for flat finishes. For other materials including but not limited to insulation, glues and adhesives, manufacturer must state material has a rating of low or no VOC. Contractor shall request and receive approval from the Government before using materials or compounds containing toluene and/or styrene.

3.2 GENERAL DESIGN

3.2.1 ACCESSIBILITY

The design of the vehicle including installation of equipment shall permit access for routine servicing and shall permit access for replacement and adjustment of component parts and accessories with minimal disturbance of other components and systems.

3.2.2 RATINGS

The vehicle ratings shall be the manufacturer’s published ratings. Component and chassis ratings shall not be altered to meet the requirements of this purchase description.

3.2.3 RADIO INTERFERENCE SUPPRESSION

The 12-volt electrical system shall be shielded to limit electromagnetic radiation according to SAE J551 or the most current standard.

3.3 WEIGHT AND PAYLOADS

3.3.1 CURB WEIGHT

The curb weight of the vehicle shall include the weight of the completed vehicle, air conditioner, generator, and all other installed and stowed equipment, accessories and attachments specified herein.

3.3.2 GROSS VEHICLE WEIGHT RATING

The Gross Vehicle Weight Rating (GVWR) of the vehicle shall consider the weight of the vehicle and all items required in this product description and the maximum number of patients that this mobile unit is capable of transporting with associated supplies and 3,000 pounds of additional cargo capacity.

The drivers will be required to possess a CDL.

3.3.3 WATER AND AIRTIGHTNESS PROPERITIES

The completed vehicle, including the expandable side section, entrance doors and stowage compartments, shall be adequately sealed to prevent the entrance of water.

The vehicle shall be tested for water tightness. The vehicle, including the expandable side section and stowage compartments, shall be airtight during transit to prevent dust from entering the interior.

3.3.4 SHOCK AND VIBRATION

The completed vehicle shall withstand the road conditions specified herein. Chassis components, fasteners and accessories shall show no loosening, damage, or malfunction when loaded with the rated payload.

3.3.5 LUBRICATION

All parts of the vehicle requiring lubrication, whether considered by the manufacturer to be permanently lubricated or not, shall be provided with ready access for lubrication.

Access panels or doors shall be installed as necessary, with hinged access doors used wherever space permits. All parts of the chassis, body and installed equipment that require lubricants shall be capable of being lubricated by one person in not more than two hours, including time to clean lubrication fittings and open and re-close access panels or doors. Any special lubrication equipment or lube gun extensions required to meet these requirements shall be provided with the vehicle and securely stowed in the stowage compartments.

3.4 CHASSIS & BODY

The vehicle shall be built on a 2024 or current model year, front engine stripped chassis, or conventional cab and chassis, meeting the current EPA GHG reduction standards for MY2024 and CARB emission requirements and furnished with the following:

Chassis- front engine Air Conditioning: Driver, heater, defroster Diesel Engine: minimum ratings 370 HP / 1250 FT LBS Front Suspension: multi-leaf with shock absorbers Rear Suspension: air spring with shock absorbers Alternator: Minimum 200 amperes Heater: engine block 750 watts Air Brakes: with four channel ABS Air Compressor: Minimum 18 CFM Air Dryer: heated Fuel Tank: Minimum 100 gallons DEF tank: Minimum 10 gallons Filter: heated fuel water separator Exhaust: Horizontal left side Tires: 11R22.5 16 ply radial Wheels: One piece steel disc with stainless steel insert Steering: Power Battery:12V 1400 CCA Mud Flaps: Anti-sail on the rear axle 12V Power outlet in dash

3.4.1 BODY

The body shall have a flat interior floor. A boundary layer material providing galvanic protection shall be placed between aluminum and steel components. The exterior color shall be white.

The completed vehicle, resting on the landing legs on level ground, and with all specified equipment, shall conform to the dimensions specified in Table I.

TABLE I. Dimensions and clearances

Requirement Value Overall length maximum (less bolt-on accessories) 45 feet Overall height maximum from ground 162 inches (13 feet, 6 inches) Overall width maximum 102 inches

The body shall be attached to the chassis in accordance with the OEM instructions.

Structural members shall be extruded tubing or structural extruded channel or hat sections.

The body framework shall be a welded aluminum design. Wall and roof logistics shall be spaced on maximum 16 inch centers. Insulation shall be a minimum 2” Expanded Polystyrene (EPS). Interior sub wall to be a water/moisture resistant composite panel or approved equal. The exterior skin shall be fiberglass gel-coating sheeting or aluminum.

Floor shall be constructed of aluminum tubing. Insulation shall be a minimum 2” Expanded Polystyrene (EPS). Aluminum sheeting shall be installed on both the underside and interior floor structure.

Fiberglass, aluminum, or other non-hydroscopic composites shall be used as the sub floor, the minimum thickness shall be 1 inch.

Front and rear bumpers shall be provided.

The body exterior front, sides, and rear skin panels shall be aluminum or fiberglass. The roof of the vehicle shall be of one-piece fiberglass or aluminum. The roof shall be crowned to support water run-off. The roof shall be structurally reinforced to support roof mounted air conditioners.

All door openings shall have structural headers and vertical uprights around the perimeter of each opening. Drip moldings (rain gutters) shall be furnished immediately above any entry doors, and all exterior compartments.

A flat level floor, without wheel housings, shall be provided the full length and width of the vehicle’s body.

The body shall include a passenger-side (main) entrance door with window, vertically mounted assist bar and exterior step. The main entrance door dimensions shall be a minimum 32” width x 80” height. The main entrance shall include steps and shall include a stepwell. The steps shall be provided with textured skid surface. Interior stepwell shall be provided at the main entrance door and shall be lighted. The stepwell tread shall be molded non-slip rubber tread material. The treads shall be sealed at the edges. A handrail shall be provided for the steps. Tubing diameter shall be 1-1/4 inches minimum. A grab bar shall also be provided on the inside of the door.

The body shall be equipped with rear load doors, solid- no windows, with vertically mounted assist bars. The door dimensions shall be a minimum 44” width x 74” height.

The doors shall swing 180 degrees and include holds-catches. Removeable steps and a handrail shall be provided for the rear load doors. Rear door latches shall be accessible from ground level on outside. A “rear door open” audible warning tone shall be furnished. A defeat switch shall be provided for the audible alarm. On the exterior of each rear door, a horizontal strip of red retro reflective safety (conspicuity) tape, 4 inches in width, shall be furnished. The tape material shall comply FMVSS 308. On the exterior and interior of each rear door, a horizontal strip of red retro reflective safety (conspicuity) tape, 4 inches in width, shall be furnished. The tape material shall comply

FMVSS 308.

All doors shall comply with DOT-FMVSS. All door hardware shall comply with FMVSS

206 (49 CFR 571.206).

All tread surfaces shall comply with ADA, NFPA, and OSHA requirements.

The body shall include exterior storage compartments, lighted, fully hinged with gas strut supports and a single paddle latch release. The storage compartments shall be used for the generator, shore power, batteries, and miscellaneous.

The driver side shall include an emergency escape window. The roof shall include an emergency escape hatch that shall comply with FMVSS #217

Tapping plates shall be furnished to provide reinforced attachment of all equipment, systems, cabinets, and equipment mounts. Exact size and configuration of mounting plates and their attachment to body structure for securement of critical components, like patient and oxygen transport systems, shall be determined by a structural engineer for compliance to installation and testing requirements.

The body shall be undercoated for sound deadening, corrosion, and stone damage protection. A commercial, fire resistant, petroleum base or rubberized undercoating, or other material providing equivalent protection, shall be spray applied to the underbody and under chassis sheet metal surfaces except to the drive shafts, drain holes, lubrication points, engine/transmission oil pans, fuel tanks, heavy castings, suspension components, heat shields and areas within 12 inches or less from exhaust system components, as well as other areas specifically excluded by the chassis manufacturer. These areas shall be kept free of undercoating. The chassis frame, underside of the engine compartment hood, or parts that are inaccessible without removing vehicle fuel tank(s) or other major components, shall not require undercoating.

3.4.2 DRIVER/PASSENGER CAB AREA

Driver seat: air suspension, high back, arm rest, slide adjustment with lap and shoulder belt

Passenger seat: non-air ride in cab/chassis configuration only.

Electronics: Backup alarm Running Lights: Daytime Cruise Control: Electronic Sun Visors: Driver and passenger side Heat/Defrost/Air conditioning: minimum capacity 30,000 BTUH Sign: Overall height Instrument Panel: Speedometer, odometer Horn: dual electric Mirrors: remote control with convex and side view camera Windows: driver side power electric with tinted glass Wipers: Intermittent controls Radio: AM-FM, clock, aux input with 2 speakers in cab area Outlet: 12V power Safety Kit: in-cab, fire extinguisher

3.4.3 BACK UP CAMERA

The vehicle shall be furnished with a color backup camera and monitor allowing the driver to view the area to the rear of the vehicle when backing up. The system shall include IR night vision capability, minimum 6-inch monitor, minimum 100 degree rear viewing and one-way audio. The monitor shall be mounted on the instrument panel or dashboard and be easily viewed by the driver. The camera and monitor shall be installed in accordance with all manufacturer installation instructions and recommendations. The camera and camera wiring mounting shall be watertight utilizing gaskets and grommets as required to assure a watertight installation.

3.4.4 DOT LIGHTING SYSTEM

All exterior Federal Motor Vehicle Safety Standard (FMVSS) lighting shall be in accordance with Federal Motor Vehicle Safety Standard (FMVSS) 108 (49 CFR 571.108). All lamps shall be LED type and shall be mounted in recessed locations or guarded to provide protection from operational hazards, except lower rear marker lamps and ABS light. The stop, turn and tail lamps shall be recessed into the rear of the body.

The vehicle shall be furnished with conspicuity markings in accordance with Federal Motor Vehicle Safety Standard (FMVSS) 108 (49 CFR 571.108).

3.4.5 REAR LOADING RAMP

A ramp shall be located at the rear of the vehicle. It shall either be a fold-down type with motorized winch assist or a pull-out type. The ramp shall be a minimum of 16’ long, or length to maintain maximum 30 degree entrance angle, and 60” wide to enable personnel to be on the ramp along with the roller cot or stretcher to assist in the loading and unloading of the patients. The ramp angle when deployed shall be no more than 30 degrees.

The ramp shall be capable of supporting a minimum load of 2000 pounds. Ramp deflection with load applied over an area of 60 x 75 inches, placed at the center of the ramp shall be no more than 1 inch. The ramp shall deploy from the rear of the vehicle and be accessible after the rear doors open. The ramp shall provide an entrance angle of 30 degrees maximum, kneeling of the chassis suspension is allowed in attaining the required angle. Suspension control valves shall be mounted in the cab accessible by the driver.

The ramp material shall have a minimum static coefficient of friction (COF) of 0.70 wet and 0.80 dry. The walking surface width of the deployed ramp shall be a minimum of 60 inches wide and shall have a safety rail attached to both sides. The ramp may require folding and support legs. The ramp angle to the vehicle floor must be a smooth transition and provide no trip hazards. Additional transition plates may be used to provide access to the vehicle. All components of the ramp shall be stowed on the vehicle. The frame behind the rear wheels may be widened but the extension or widening must be structural to support the rear bumper.

A removable handrail shall be provided on both sides of the ramp. The height of the handrail shall be 30 to 34 inches, measured from the standing surface of the ramp to the top surface of the handrails. The handrails shall be constructed of aluminum, stainless steel, or fiberglass tubing. Tubing diameter shall be 1-1/4 inches minimum.

3.4.5.1 WINCH

One (1) winch rated at minimum 3500 pounds shall be provided to assist in loading and unloading patients on wheeled cots via the ramp. Provisions shall be provided that are compatible with the specified wheeled cots.

3.4.6 WHEEL CHOCKS

A set of wheel chocks shall be provided for the rear axles, sized for the tires provided.

The chocks shall be stowed in one of the underbody storage compartments close to the rear of the vehicle. Final size and storage location shall be approved by the Government.

3.5 INTERIOR FINISH

3.5.1 INTERIOR WALL CONSTRUCTION

The interior walls shall be constructed of metal studs, tubing, or extrusions. The walls shall be insulated.

3.5.2 INSULATION

The vehicle body shall be completely insulated. Insulation shall be installed to fill the cavities between the inner walls and body exterior panels, ceiling, and under floor areas. It is acceptable for the insulation to be furnished with hollow chase-ways for electrical conduit. All insulation materials shall not support combustion or sustain flame, mold, rot, support vermin, corrode metals, absorb orders, and shall be essentially odorless. The insulation shall not disintegrate under exposed operational or storage temperatures, or from vibration or settle and leave voids. Fiberglass batt insulation shall not be used.

Insulation shall be installed under the entire floor in areas between the cross members.

Insulation in under floor areas shall be spray-in-place CFC-free urethane foam. Spray-in-place urethane foam insulation shall conform to ASTM E-84 for Class A fire retardant.

3.5.3 FINISH INTERIOR FLOORING

The interior floor shall be flat, wheel wells shall not penetrate above the finished floor.

The floor shall be insulated against outside heat and cold. The sub floor of the rear body compartment shall be water resistant. Fiberglass, aluminum, or other non-hydroscopic composites shall be used as the sub floor, the minimum thickness shall be 1 inch.

Plywood, particleboard, or equivalent wood materials are not acceptable. Voids or pockets, where water or moisture can become trapped to cause unsanitary conditions, are not acceptable. Voids and pockets shall be filled with sealer or caulking compound.

Flooring shall extend the full length and width of the rear body compartment including space under the cabinets, unless otherwise insulated or prevented by exterior compartment bodies.

A synthetic floor covering shall cover the entire floor area of the vehicle. The floor covering shall be seamless, one piece, no wax type, solid linoleum or vinyl, and permanently applied to the sub floor. The floor material shall cover the entire length and width of the compartment’s working area. The covering of joints (corners, etc.), where the sidewalls and covering meet, shall be sealed and bordered with corrosion resistant cove molding or the covering shall extend at least 3 inches up the sidewalls. Flooring consisting of individual tiles is not acceptable.

The selection of the floor covering shall be reviewed at the verification design review (VDR) meeting and approved by the government.

3.5.4 CEILING AND WALL FINISH

Fiberglass, vinyl, or polypropylene coverings shall be used on the walls and ceiling. Wall and ceiling coverings shall be Class A fire retardant.

Finished ceiling height, in the main body area, shall be a minimum of 82 inches.

All interior surfaces and materials shall be capable of being cleaned and disinfected without degradation of the materials or surfaces. All interior materials shall comply to FMVSS 302 Flammability of Interior Materials. The interior of the body shall be free of all sharp projections. Cracks, crevasses, and non-radiused corners shall not be acceptable. All hangers or supports for equipment and devices shall be mounted as flush as possible with the surrounding surface. Interior body lining and cabinetry materials, excluding the cab compartment, shall be selected to minimize dead weight.

The finish of the rear compartment, including interiors of storage cabinets, shall be:

1. impervious to soap, water, and disinfectants.

2. mildew resistant.

3. fire resistant.

4. easily cleaned/disinfected (carpeting, cloth, and fabrics are not acceptable).

The selection of interior finishes shall be reviewed at the verification design review meeting and approved by the government.

3.5.5 UPHOLSTERY FINISHES

All padding and upholstery shall be fire retardant. The upholstery shall be non-absorbent, washable, and impervious to disinfectants. Each seated position shall be equipped with integrated three-point safety restraint system.

3.5.6 INTERIOR SURFACES

The interior of the body shall be free of all sharp projections. All hangers or supports for equipment and devices shall be mounted as flush as possible with the surrounding surface. Interior body lining and cabinetry materials, excluding the cab compartment, shall be selected to minimize dead weight.

The finish of the entire patient compartment, including interiors of storage cabinets, shall be:

1. resistant to soap, water, and disinfectants.

2. mildew resistant.

3. fire resistant.

4. easily cleaned/disinfected (carpeting, cloth, and fabrics are not acceptable).

3.6 INTERIOR LAYOUT

This section describes the interior area layout. The quoter is responsible for the final detailed layout of the vehicle interior and the final design shall be approved by the Government at the VDR meeting.

3.6.1

STRETCHER PROVISIONS AND SUPPORT SYSTEM ENGINEERING DESIGN AND

TEST CRITERIA

The stretcher lift and support systems shall meet the following requirements:

The oxygen cylinder mounting bracket(s) shall pass the test requirements. The tank brackets shall retain and capture all necessary mounting hardware necessary for attaching the brackets.

Installed Oxygen cylinder, and cardiac monitor, and fire extinguisher mounting devices shall meet the performance requirements of SAE J3043 and withstand a vertical force per AMD 28.

Tapping plates welded to structural roof/wall/floor members shall be used for attachment points.

The loads on the stretcher support system (including, but not limited to, floor and ceiling attachment points, and side brackets) shall assume supporting two standard stretchers at 350 pounds each for a total load carrying capacity of 700 pounds.

All compressed gas cylinder(s) shall be mounted with a J3043 compliant.

restraining device(s).

Storage for the main oxygen cylinders, shall be accessible for replacement from an outside position.

The oxygen compartment(s), shall be provided with at least a 9 sq.

in. of open vent to dissipate/vent leaking oxygen to the outside of the vehicle.

The Oxygen cylinder compartment(s), shall not be utilized for storage of any other equipment

Note: Specified tests are destructive and require test samples.

Criteria of Certifications/Validations:

Testing and validations required above shall be performed and certified by:

1. A Nationally recognized testing laboratory, recognized by OSHA under Appendix A to 29 CFR 1910.7.

OR:

2. An ISO/IEC 17025 accredited laboratory by an accreditation body that is recognized by the National Cooperation for Laboratory Accreditation (NACLA) or is a signatory to the International Laboratory Accreditation Cooperation (ILAC) Mutual Recognition Arrangement (MRA). The scope of accreditation shall include AMD STMs 005-025, 28 and the annex.

For reference, Calspan and CAPE Testing are two qualified testing facilities.

3.6.2 STRETCHER PATIENT TRANSPORT AREA

The patient transport area shall consist of the following:

The area shall contain three stretcher sections on each side of the vehicle, for a total six

(6) sections. Each stretcher section shall accommodate a minimum of two (2) stretchers for a total of twelve (12) stretcher carriers with six (6) wheeled cots or three (3) stretchers for a total of eighteen (18) when the wheeled cot is not being used. The contractor shall design a system to isolate the base of the stretcher carriers from transmitted NVH from the engine through the body /frame attachment points. All points of the system shall be isolated to prevent rattles when the vehicle is in motion and no stretchers are in use.

The stretcher (litter) mounting shall include Ferno INTRAXX, or equal wall track and Ferno Litter Arm part number 0480036, 26G rated at 352 pounds, or equal. The salient characteristics shall include a load limit of at least 350 pounds, test rating up to 26g, adjustable mounting positions, folding stretcher arms, extruded aluminum tracks, simple to adjust and of a modular design. There shall be a minimum of six horizontally mounted wall tracks positions per side and shall run the entire length of both sides of body where possible. Each track piece shall be joined with splice keys and all ends shall include caps. Exact locations to be defined during VDR.

The wheeled cot mounting shall include the Stryker Performance-LOAD manual cot fastener Model Number 6392, or equal. The salient characteristics shall include meeting crash safety recommendation for SAE-J3027, guides loading and unloading for improved operator efficiency, designed to conform to the Federal Specifications for Star-of-Life Ambulance KKK-A-1822, power washable and easily removable for maximum decontamination, includes a head end dock and foot end latch, and includes a positive action foot end release, and be compatible with the Stryker Performance-PRO XT Model number 6086 wheeled cot.

Option: The VA intends to use the wheeled cot to raise patients to the maximum height possible then transfer to the stretcher at wall brackets positions. The VA does not intend to raise patients above this height but would entertain mechanical or other options to safely raise patients above the maximum height of the wheeled cot.

A means to collect and drain bodily fluids shall be provided for each stretcher. This may include, but is not limited to, a sloped pan with drain hose. The drain hose shall not interfere with the patent in the position immediately below the collection device.

Each stretcher section shall include provisions for use of one (1) roller cot for a total of six (6) cots. Mounting provisions for the cots specified in this section shall be provided, installed, and tested.

Six (6) privacy curtains shall be provided, one (1) for each stretcher section. The curtains shall be track mounted and hang from ceiling to within 6 inches of the floor to close off each stretcher carrier position. The curtains shall be disposable type.

Two (2) full width privacy curtains shall be provided, one (1) behind the driver seat and One (1) behind center attendee workstation area. The curtains shall be track mounted and hang from ceiling to within 6 inches of the floor. The curtains shall be disposable type.

Two (2) full length rows of flanged type cargo floor track shall be provided with end caps for securement of equipment as needed. Twenty (20) stainless single stud fittings with round ring shall be provided loose. Exact location and centering of track shall be defined during the VDR meeting.

Two (2) (NEMA 5-15R) hospital grade white duplex outlets 120VAC (four outlets), 15-amp duplex electrical receptacles shall be at each stretcher position. Oxygen outlets shall be separated from the electrical outlets by a minimum of 12 inches.

Six (6) ceiling mounted IV hooks shall be mounted at the forward position of each stretcher section.

The body shall include four (4) single foldaway attendee seats. The seats may be floor or wall mounted they shall be able to fold flat against the wall. The seats shall have mid-high back, arm rest, side grab handle, and seat belts. Exact locations of seats shall be defined during the VDR meeting.

All seats, belts, and their mounting provisions shall conform to applicable DOT-FMVSS Standards. Seating positions in the rear compartment shall be provided with a minimum vertical overhead clearance of 43 inches.

Two (2) ceiling mounted central rails shall be provided with a sliding hand strap system along the centerline of body in the rear area.

Four (4) portable suction systems, Laerdal Suction Unit (LSU) or equal, shall be provided and installed. The features of the suction system shall include a one hand grip design, disposable, reusable and suction bag canisters with easy conversion between each, HEPA rated bacterial filter with filter efficiency of 99.97% down to 0.3μm, reusable aerosol filter which filters down to 0.3μm, a vacuum bag regulator dial, LED display for day and night use, a devise diagnostics program, include a rechargeable battery and 12VDC power cord for connection to vehicle, with noise levels at 80 mmHg of 48 dBA and 500+ mmHg of 56 dBA, and shall not include latex.

Mounting provisions for oxygen monitors (VA-GFE) shall be provided. A medical grade refrigerator, Summit model CT66LBI, or equal, with minimum 5 cubic feet shall be provided and installed.

One (1) attendee workstation area shall be provided. The workstation shall include aluminum overhead cabinets, aluminum base cabinets with six (6) drawers, and a stainless-steel countertop.

The vendor shall provide the Stryker Performance-PRO XT Model number 6086, or equal, wheeled cots. The x-frame cot shall have a 700-pound capacity, include a retractable head section providing 360-degree mobility in any height position, have a three-position adjustable load height with textured heat and foot end lift and grip design and have duplicate foot end controls.

The vendor shall provide the Ferno 9 Series, or equal, stretchers. The stretchers shall be designed specifically for low-profile applications and feature a multi-position, locking backrest and include 4” wheels at the head end and stationary posts at the foot end.

The stretcher shall include FAA approved heavy-duty vinyl coating, the ability to fold in the middle and have a head raising capability and be 62.7”-73.6” long.

3.6.2.1 CABINETRY

One (1) attendee workstation area shall be provided on the driver side. The workstation shall include overhead cabinets, base cabinets with six (6) drawers, and countertop.

The cabinets shall be of aluminum box pan or reinforced extruded construction. No particle or fiberboard materials are to be used in cabinet construction. The cabinets shall include adjustable shelves. The shelves shall have smooth edges or edge guarding to prevent chaffing of wires and cables. All cabinets shall be lockable for security and to prevent opening while the vehicle is in motion.

Drawers shall be all aluminum construction and be fully integrated into the cabinet.

Drawers shall feature full width extruded pull handles and integrated self-latching mechanisms, and most unlock and open using one hand at any location on the pull handle width. Drawer slides shall be steel, double carriage ball bearing full extension slides capable of withstanding a minimum of 200 pounds loading per drawer. Slides shall disconnect allowing drawer removal.

All fasteners shall be zinc plated, stainless steel, or aluminum.

Latches shall be cast zinc with polyester powder coat finish. Hinges shall be continuous extruded all aluminum. Shelf brackets shall be aluminum or zinc-plated steel.

All sheet components shall be coated with baked on polyester powder coat, after forming and fabrication. Extrusions shall be clear anodized finish. Door hinges shall be secured to frame with self-locking nut and bolt hardware that allow the owner to re-align and replace without drilling or fabrication work. Frames shall be pre-punched with all required assembly and mounting slotted holes. No field drilling or cutting shall be required to facilitate cabinet assembly.

Countertops shall be aluminum or stainless steel.

Finish color of cabinetry shall be determined at VDR meeting.

3.6.2.2 INTERIOR NOISE LEVEL

The interior noise level shall be measured along the centerline of the body at a height of 3 feet, no reading shall exceed 75 dB (A), with the generator operating at full load, and all air conditioner on and set to coldest setting. The truck engine is not required to be running. Testing shall be witnessed by the government.

3.6.3 SPECIAL EQUIPMENT

All special equipment that is not permanently attached to the floor or wall, shall be furnished with a means to secure them from moving while roading the vehicle. All special equipment shall be installed in accordance with manufacturer’s instructions. The exact installed location of the special equipment will be determined at a post award meeting and approved by the government.

The storage area behind the driver shall hold the following equipment:

Disposable glove dispensers- disposable glove dispensers for small, medium, and large gloves

Two clothing hooks Two sharps containers Medical waste disposal container Electrical Panel IT equipment rack

3.6.4 OXYGEN MAIN SUPPLY AND INSTALLATION

The medical oxygen system shall meet all referenced codes and standards for oxygen in use during transit.

The vehicle shall have a piped medical oxygen capable of storing an equivalent capacity of eight H-size oxygen bottles. The installed medical oxygen outlet system shall be leak tested to 200 PSI. After the successful completion of tests, the system shall be capped then tagged with date and signature of person and firm performing the tests.

Individual metered oxygen ports shall be installed, quantity and location shall be determined during the verification design review meeting. Each patient location shall have adjustable metered oxygen supply of at least up to 15 LPM at each patient location.

All lines for oxygen may be routed in surface mounted raceways.

The main oxygen an air supply shall be from compressed gas cylinder(s) that the consignee will provide and install at the time the vehicle is placed in service. A cylinder changing wrench shall be furnished, chained, and clipped within the oxygen/air cylinder compartment.

The cylinder controls shall be accessible from the inside the vehicle. A device shall be visible inside the vehicle that indicates cylinder pressure. The use of remote high-pressure lines and gauges are not allowed. The oxygen cylinder(s) shall be accessible for changing from the exterior of the body.

The contractor shall install all other components and accessories required for the piped oxygen system which shall include as a minimum:

A pressure regulator Low pressure, electrically conductive, hose approved for medical oxygen Oxygen piping concealed and not exposed to the elements, securely supported to prevent damage, and be readily accessible for inspection and replacement.

Oxygen piped to a self-sealing duplex oxygen outlet station for the primary patient with a minimum flow rate of 100 LPM at the outlet.

Outlets shall be adequately marked and identified Oxygen outlet connection Ohio style model # Z-OX12100-N; Diss O2 By-pass

12v electric #Z-OX30001-N shall be supplied.

A master alarm A zone valve box visible and easily accessible from inside of the mobile unit.

3.6.4.1 OXYGEN PRESSURE REGULATOR.

The medical, oxygen pressure reducing, and regulating valve with inlet filter at each cylinder shall have line relief valve set at 200 psi maximum, and a gauge or digital monitor with a minimum range of 0 to 2,500 psi with the gauge or display scale graduated in not more than 100 PSI increments. The regulator shall be easy to connect and preset, with a locking adjustment, at 50 +/- 5 psi line pressure, permitting a minimum 100 LPM flow rate at a bottle pressure of 150 psi.

3.6.4.2 EXTERIOR OXYGEN TANK STOWAGE COMPARTMENT(S)

Oxygen cylinders shall be accessible from outside the vehicle for loading and unloading.

The oxygen cylinder compartment(s) shall be vented to atmosphere. A fire alarm system shall be installed to warn the crew of a fire in the oxygen compartment(s). The alarm shall be powered by the 12v system and provide a warning in the driver area and the crew workspace in the patient area. The alarm shall include an audible warning and a red flashing LED lamp labeled “oxygen fire alarm”.

Cylinder storage shall meet all applicable codes for oxygen in use during transit.

Potential storage systems include Zico 3030PM26 Quic-Release Slide-Out and Flip down Slide Mechanism with Front Locking Mechanism and Zico 3030PM2 H-Size Cylinder Bracket or Zico 3030PM10 Quic-Release Oxygen Tank System Model OR-

OTS-U.

Per NFPA 99 Section 5.1.3.2.11, Cylinders in use and in storage shall be prevented from reaching temperatures in excess of 52°C (125°F).

3.7 HANDIWASH SYSTEM

The vehicle shall be equipped with a Handiwash, or equal, mobile handwash unit. The salient characteristics of the handwashing unit shall include a fold-down basin, a minimum capacity of 2.2 gallons, 12v or 24v dc powered, a heavy-duty heater element, includes a water level indicator and is thermostatically controlled. The drain tube will be covered and feed to a 10-gallon holding tank mounted below the floor. The holding tank drain shall be accessible through one of the storage compartments. The following shall be mounted near the handiwash unit:

One liquid antibacterial soap dispenser mounted to the wall One bi-fold paper towel dispenser Trash container

3.9 SMOKE DETECTORS

120 VAC with 10 year lithium battery backup combination smoke and CO detectors shall be furnished and installed. One in each section of the body, final location shall be approved by the government. The units shall be tied together to sound the alarm in all areas.

3.10 FIRE EXTINGUISHER / SAFETY TRIANGLES/FLASHLIGHTS

Two (2) 20-pound ABC-CO2 extinguishers shall be furnished and mounted in the body, location to be determined at the VDR meeting. A set of DOT approved flares (6), three reflective safety triangles and four orange safety cones shall be provided and shall be shipped loose with the vehicle.

Five (5) Streamlight PolyStinger, or equal LED flashlights with a five (5) unit charging bank shall be installed in an overhead cabinet. The flashlight salient characteristics shall include High, Medium, Low and Strobe settings, both a head and tail mounted switch, minimum 480 lumens, 3 hour run time on high, black in color, and a minimum beam distance of 300 meters.

3.11 HVAC SYSTEM

3.11.1 AIR CONDITIONER

Four (4) roof mounted HVAC units shall be provided. The unit shall provide a minimum of 15,000 BTU with integral electric heating. The units shall be installed on the roof of the body. The units shall be wired on a dedicated 120 VAC, 1 Phase, 60 HZ circuits with an appropriately rated circuit breaker at panel, as required by the manufacturer.

Drains from the unit shall be able to be hooked to a hose to direct drain water.

Heating/cooling shall be controlled through thermostats. The thermostats shall provide the following features: on/off, fan/ air conditioning, heating. The thermostats shall be located such that it can only be accessed by the staff and shall be installed in accordance with the manufacturers’ instructions. Thermostats shall be mounted in a government approved location.

3.11.2 ROOF VENTILATOR

One combination roof ventilator/escape hatch shall be provided in the roof. The ventilator/hatch shall comply with the requirements of FMVSS 217. The ventilator/escape hatch shall cover an opening area no less than 425 square inches and shall be capable of being positioned as a scoop with either the leading or trailing edge open or with all four edges raised simultaneously.

3.12 DC ELECTRICAL SYSTEM

An electrical load analysis shall be performed on the DC circuits. The analysis shall indicate the total current draw on each circuit. The total current draw of each circuit shall not exceed 80 percent of the current protection for that circuit. The load analysis shall be made available to the government for quality assurance purposes. The 12-volt electrical system shall include the following: wiring, main distribution panel board, battery conditioner, batteries, battery isolator, power converter, branch circuits, and lighting as specified herein. The batteries associated shall be charged by shore power or when the generator is running.

3.15.1 WIRING

All 12-volt wiring shall be in accordance with the applicable portion of SAE J1292. All 12-volt wiring mounted to the chassis or outside the body shall be stranded and have SXL type insulation. All conductors shall be stranded copper. All 12-volt wire shall be routed in flexible loom or conduit. Wiring terminals used in all 12-volt wiring shall grip the wire insulation as well as the conductor. All fasteners, conduit, conduit fittings, shall not exhibit electrolysis with adjacent materials. All exterior lighting shall be wired within the body to the exterior lights. Wire shall be accessible for replacement without removing any component of the vehicle. Wire shall be capable of being replaced and serviced through the conduit and junction boxes. Grommets or electrical bulkhead fittings shall be employed for any wire passing through structural member(s). All 12-volt wire shall be color-coded as specified in SAE J560. The 12 VDC panel shall include a digital voltmeter and low voltage alarm, which activates at 12.5 volts.

Wire and circuit breaker size shall be as follows:

Wire size (minimum) Circuit breaker (maximum) 18 AWG 5 amperes 16 AWG 10 amperes 14 AWG 15 amperes 12 AWG 20 amperes 10 AWG 30 amperes

8 AWG 50 amperes

3.15.2 LIGHTING INTERIOR

A minimum of twelve (12) 12-volt LED dome lights shall be provided and shall be located throughout the areas in the ceiling of the body. A switch shall be provided on the interior wall near the rear entrance door to control the interior dome lights in each room. The switches shall be flush or surface mounted, white in color, and shall have a brushed stainless steel cover plate. The switch shall be labeled “12-VOLT INTERIOR LIGHTS”. A light intensity of 50 foot-candles minimum shall be required, measured at 30 inches above the floor or work-space level. Final location and number of lights provided shall be approved by the Government.

3.15.3 LIGHTING EXTERIOR

12VDC courtesy lights shall be located under the entry doors to illuminate the stairs.

Lights shall be controlled by a switch inside the entrance doors.

3.15.4 LIGHTING FLOOD EXTERIOR

Six (6) weatherproof LED type flood lights shall be installed on the body exterior. The flood lights shall be mounted as follows: two (2) on the driver side the vehicle; two (2) on the passenger…