Attachment 1 Statement of Work.pdf

Statement of Work Attachment A

Project Number: 600-23-111 Site Prep for Hemodialysis Install New Skid Base Heat Treatment RO

Water System Tibor Rubin VA Medical Center

Long Beach, CA

I. INTRODUCTION:

A. This requirement is for Site prep for Hemodialysis install new skid base heat treatment RO water System B126, 3rd floor – 9th floor, located at the Tibor Rubin VA Medical Center, Long Beach, CA. This requirement is classified under construction as it calls for the alteration of real property.

B. VALBHS Hemodialysis Unit currently operates a 15 bed Hemodialysis program, 6 days per week and serves 110 patients. This project will replace the existing Reverse Osmosis (RO) system water system with new state of art RO water system located in Bldg. 126 3rd floor. The current RO water system does not meet the hospitals policies and standards for the water quality. The existing pipes are deteriorating due the age of the system. The decayed piping of existing system will be replaced to the greatest extent possible. Dilapidated floors and ceilings will be patched and painted. The HVAC and Electrical will be completely upgraded. The project will renovate around 270-sf. space of existing space on the 3rd floor providing ramp for appropriate equipment servicing after all RO equipment has been installed on the 9th floor with the exception of the water tank that will remain on the 3rd floor. It will also renovate existing space on the 9th floor of around 300sf where the new equipment will be located.

Piping from the 3rd floor will be replaced with new along with the entire RO loop.

A new electrical closet will be built that will house the required transformer and the electrical panels. The RO equipment alarm system will be connected to the nurse station and existing will be completed demoed along with any utilities back to the source.

C. The renovation will occur on a phased approach to minimize patient care impacts. Contractor is to evaluate the phasing plan proposed and submit a detailed phasing plan to the VA for review and approval.

II. CONSTRUCTION DOCUMENT:

A. Contractor shall furnish all labor, equipment, certification, supervision, and materials necessary to perform all operations in connections with this order.

Contractor shall perform work in strict accordance with the General Specifications, Statement of Work, Schedule, and all other supporting documents for this contract to include, but not limited to the documents noted in the Attachments Section of this document.

B. RO equipment shall be B Braun Aquaboss EcoRO II Dia HT Twin-Pass / Double Staged Chemical Disinfection with Aquaboss HotRinse SMART per the construction drawings.

C. Contractor shall include two (2) telecommunication drops using CAT6A cable as part of the project construction contract. Cabling and installation to follow VA Long Beach OIT standard provided “12b_IMS SOP 07-013 Cable Installation Labeling and Testing Ver. 2”. Exact location inside the new RO room on the 9th floor W932D to be determined by COR and VA OIT.

D. General Notes

a. The architectural floor plans, reflected ceiling plans, sections, and elevations illustrate the design intent. The architectural drawings establish and coordinate the finished appearance and location of many, but not all, exposed elements of the work. The structural, mechanical, electrical, plumbing, other drawings, and job specifications are supplementary to architectural working drawings. The work described by the drawings of any one discipline may be affected by the work described on drawings of another discipline or manufacturer installation requirements. Should they disagree in themselves, or with each other, bids shall be based on the most expensive combination of quality and quantity of work indicated. Any discrepancy between these documents shall be immediately brought to the attention of the architect for clarification.

b. The general contractor and all subcontractors are responsible for examining contract documents, field conditions, and confirming that work is buildable as shown before proceeding with construction. It is not intended that the contract documents include each & every sub-system and/or sub-component necessary to fully and properly complete the work sub-systems, sub-components or details required or normally included as trade practice may not be specifically mentioned nor shown. The general contractor is responsible for obtaining clarification from the architect before proceeding with work in question or related work.

c. The architect / engineers shall not have control or charge of and shall not be responsible for construction means, methods, techniques, sequence on procedure, or for safety precautions and programs in connection with the work, all of which shall be the sole responsibility of the general contractor.

d. It is the contractor's responsibility to review and coordinate the work of all subcontractors, trades, and suppliers with all requirements of the contract documents before commencing construction, and to assure that all parties are aware of all requirements, regardless of where the requirements occur in the contract documents, which might affect the work of that party. Contractor shall supply all labor, materials, equipment, tools, and services necessary for the proper execution and completion of all work shown, described, or reasonably implied, but not limited to that explicitly indicated in the contract documents. The contractor shall be responsible for all cutting, fitting, or patching that may be required to complete work or to make its several parts fit together.

e. VA Long Beach permits such as ICRA, ILSM, USIP, Hot Work and Above the Ceiling and Penetration permits are required. Contractor shall fill out and submit required permits in a timely manner.

f. Contractor to ensure that there will be no abandoned utilities associated with removed equipment. This includes RO alarm system located at the nurse station.

E. Asbestos

a. Report provided by the VA has specific locations and materials noted but if the same material is found to be present in other areas in the building, it is required to be treated as asbestos.

b. Reports indicate the following buildings have drywall that contain hazardous materials:

• Bldg. 126: asbestos is present in the drywall joint compound.

Locations: throughout walls / ceilings.

c. The joint compound is associated with the drywall and cannot be separated nor can be visibly seen where the joint compound is on drywall. For this fact, the drywall and associated joint compound need to be treated as asbestos containing unless the contractor can visibly see where the joint compound is located, and the penetrations will be made in locations where this is observed.

d. Reports indicate Bldg. 126 has flooring (tile, mastic) that contain asbestos.

e. Reports indicate that Bldg. 126 has friable asbestos in the drywall joint compound.

f. Per hazmat report provided by the VA the ceiling plenum spaces are uncontaminated and normal access and entry may be performed with basic personal protective measures (dust mask or n95 respirators, and appropriate eye protection). If suspect contamination is discovered, work should not proceed until the area is verified to be cleared for access by qualified personnel.

F. Drilling / Coring

a. Prior to drilling or coring existing concrete, contractor shall locate existing reinforcement to maintain adequate clearance from and avoid damage to existing reinforcement. Contractor shall use non-destructive testing (NDT) to locate reinforcement. Wherever feasible, contractor shall use ground penetrating radar (GPR) or means other than x-ray.

Where x-ray is required, contractor shall provide written request at least three (3) weeks prior to event; work may be required to be performed outside normal work hours and shall be documented on the three (3) week look ahead schedule.

III. ATTACHMENTS

Attachment # Document Title Document Date

Number of Pages

1 SPECIFICATIONS 100%

January 3, 2024 1311

2 DESIGN NARRATIVE 100%

Site Prep for Hemodialysis Long Beach, California

January 3, 2024

3 DRAWINGS FINAL CONSTRUCTION

DOCUMENTS January 3, 2024 62

4 VA LONG BEACH STANDARDS Multiple Multiple

5 VA LONG BEACH PERMITS (See Part XV of this document) Multiple Multiple

6 FACILITY SPECIFIC REQUIREMENTS

(See Part XV of this document) Multiple Multiple

IV. SPECIFICATIONS:

A. The VA Master Construction Specifications contain work procedures and material requirements designed to meet regulatory compliance requirements. Whenever possible, the Master Construction Specifications shall be used as the basis for project designs.

B. A complete list of these specifications can be viewed at the following website:

http://www.cfm.va.gov. Specifications which address EOSH requirements include, but are not limited to, the following:

1. SECTION 01 00 00 – General Requirements

2. SECTION 01 33 23 - Shop Drawings, Product Data, and Samples

3. SECTION 01 35 26 – Safety Requirements

4. SECTION 01 57 19 – Temporary Environmental Controls

5. SECTION 01 74 19 – Construction Waste Management http://www.cfm.va.gov/

6. SECTION 02 82 11 – Traditional Asbestos Abatement

7. SECTION 02 82 13.13 – Glovebag Asbestos Abatement

8. SECTION 02 82 13.19 – Asbestos Floor Tile and Mastic Abatement

V. CONFORMANCE STANDARDS:

A. All design and construction accomplished pursuant to this contract shall comply with the latest edition of the following documents unless the contractor is directed otherwise by the Contracting Officer. Any exceptions shall be approved in writing by the Contracting Officer prior to construction startup.

1. VA Master Construction Specifications – VA Technical Information Library link: https://www.cfm.va.gov/til/spec.asp#01

2. VA Construction Standards

3. VA Seismic Design Handbook

4. VA Space Planning Criteria

5. VA Design Manuals

6. VA CADD Standards

7. NFPA 101, Life Safety Code

8. NFPA 70, National Electric Code

9. NFPA 99, Health Care Facilities

10. NFPA 12, Installation of Sprinkler Systems

11. Accessibility Standards (ADAAG, ABAAS, Barrier Free Design Guide)

12. AIA Guidelines for Construction and Equipment of Hospital and Medical

Facilities

13. International Building Codes

14. State and Local codes and guidelines (as applicable)

VI. HOURS OF COVERAGE:

A. All work is expected to be performed per what’s specified in the drawings unless requested or approved by the COR or his/her designee. Work in all of the patient areas to be afterhours which includes nights and weekends. See drawings for details.

B. Noise decibels exceeding 85 decibels (dBA) are restricted to the following hours 0530- 0930 for operations in the hospital buildings per OSHA 1910.95, unless otherwise approved by VA COR.

C. Before commencement of work, the Contractor shall confer with the VA COR and Contracting Office to agree on a sequence of procedures; means of access to premises and building. All work performed, to include delivery of https://www.cfm.va.gov/til/spec.asp#01 materials and equipment, shall be made with minimal interference to Government operations and personnel.

D. Federal Holidays observed by Veterans Health Administration are:

1. Federal Holidays are as follows:

New Years' Day Labor Day Martin Luther King Day Columbus Day Washington’s Birthday Veterans Day Memorial Day Thanksgiving Day Juneteenth Christmas Day Independence Day

2. For actual dates observed, see the following link:

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/

VII. IDENTIFICATION, PARKING, NO SMOKING, & VA REGULATIONS:

A. The Contractor's personnel shall wear visible identification issued by VAHCS

Police Section at all times while on the premises of VAHCS. Temporary badges can only be used for one day. Contractors on site longer than one day will require the contractor to go through the formal badging process, which can take up to 4-6 weeks. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. VAHCS shall not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

Smoking is strictly prohibited anywhere on the Veterans Affairs Health Care Facilities, to include main facility, and any other buildings at or on the premises. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

B. Laydown Area: Contractor’s laydown area will be assigned at once C. TB testing and screening shall be performed for all Contractor personnel visiting the VALB site, if required per ICRA assessment. Testing and screening shall have been accomplished a maximum of 90-days prior to issuance of NTP date. Submit TB testing and screening records for VALBHS Infection Control approval.

D. COVID-19 testing and screening: At the present time, the following are the screening procedures. Note that this is an evolving situation and actual requirements may vary. Screening requirements shall be followed. Verify with COR for latest guidelines.

i. Administrative and Low Risk Patient Areas: Daily screening at defined entry/exit points.

ii. High risk patient areas: In addition to the requirements of Administrative and Low Risk Patient Areas, additional PPE may be required.

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/

iii. Highest Risk Patient Areas: In addition to the requirements of High- Risk Patient Areas, documentation showing all contractor employees or subcontractor employees have tested negative for COVID-19 48 hours prior to start of work. Documentation of negative retesting is required every 7 days.

A. Currently only Building 150 & Building 128 meets this requirement.

iv. All areas: Surgical or N95 masks are required at all times. Proof of vaccination is required.

VIII. INFORMATION SECURITY:

A. In accordance with Appendix A, Handbook 6500.6 Checklist blocks 7, the

C&A requirements do not apply to this requirement, and Security Accreditation Package is not required. The nature of this requirement is technical; however, there is no information to be protected. (Edit as necessary)

IX. POINTS OF CONTACT AND PHYSICAL LOCATION:

A. Access to worksite shall be coordinated through:

1. Point of Contact – COR Name o: (562) 826-8000 ext. 14605 m: (562) 503-7112

2. LONG BEACH VA HEALTH CARE SYSTEM (LBVAHCS):

5901 East 7th Street, Long Beach, CA 90822

X. PERIOD OF PERFORMANCE:

A. Commencement of work shall begin within 10 days after receipt of written

Notice to Proceed (NTP) and should last no longer than a duration 180 Calendar Days after date NTP is issued.

XI. SUBMITTALS:

A. All submittals shall meet the requirements set forth by the specifications VA

TIL.

B. Contractor shall submit all required material/shop drawing submittals to the

Contracting Officer within 10 calendar days of award, or as agreed to by the Contracting Officer for approval. No materials shall be installed prior to approval.

C. All material submittals and shop drawings shall contain, and have the Project Title, Project Number, and Contract number clearly indicated.

D. Material submittals and shop drawings shall be checked and signed by the Contractors Quality Control Manager prior to submission to the Government.

E. Submittals shall be legible and shall include all technical data needed to verify that the item meets requirements of listed specifications, and applicable codes.

F. Contractors shall utilize Material Approval Submittal for use as cover sheet when submitting to Government for approval. Forms shall be provided to contractor at post-award, pre-construction conference.

G. Contractors is to ensure that all submittals shall comply with contract requirements and that all material issued for approval complies with contract requirement. Any request to change requirement per the contract such as a different material that doesn’t meet contract requirement shall follow proper RFI process for evaluation.

XII. COMMENCEMENT, COMPLETION, AND PAYMENT FOR WORK:

A. The Contractor shall be required to commence work required at the time specified on the Notice to Proceed (NTP), execute the work, and complete the entire work not later than the completion time specified on the NTP. The time stated for completion shall include final cleanup of the premises. At the government’s option, it may choose to specify a two-stage performance period. For example, separating material lead-time from construction days can considerably decrease the length of time occupied buildings are inconvenienced by construction.

B. Before commencement of work, the Contractor shall confer with the VA COR and Contracting Officer (CO) to agree on a sequence of procedures; means of access to premises and building; space for storage of materials and equipment; delivery of materials and use of approaches; use of corridors, stairways, elevators, and similar means of communications; location of partitions, eating spaces, and restrooms for the Contractor employees; and the like. Delivery of materials and equipment shall be made with minimal interference to Government operations and personnel.

C. The Contractor shall be paid monthly upon submission of proper invoices for work completed. If the performance period exceeds 30 days and a progress schedule (approved by the Government) has been submitted, partial payment(s) may be authorized. Final payment shall be withheld until all discrepancies are corrected and as-built drawings are approved by the Government.

D. The contractor shall attend no less than monthly progress meetings with the COR and/or Contracting Officer to discuss at a minimum; progression of work, projected progress versus actual progress, action items due from the contractor, action items due from the government, and any other significant issues that require attention. The contractor also shall document the meeting minutes and forward a signed copy to the COR for concurrence of the documentation. Copies of all minutes shall be forwarded to the Contracting Officer. In the event of any discrepancies the Contracting Officer shall be notified immediately for clarification. Contractor shall use the Meeting Minutes form provided for use at the post-award, pre-construction conference.

XIII. MODIFICATIONS:

A. Modifications for this project shall be submitted to the assigned COR who shall then submit a formal request to the Contracting Officer. New work is not allowed to commence prior to Contracting Officer’s signed and written approval via fully executed Standard Form (SF) 30 modification.

XIV. ACRONYMS:

A. ABAAS - Architectural Barriers Act Accessibility Standard B. ADAAG - Americans with Disabilities Act Accessibility Guidelines.

C. AIA - American Institute of Architects' AIA D. CAC - Certified Asbestos Consultant E. CADD - Computer Aided Design and Drawing F. CO - Contracting Officer. The Federal employee who is warranted by the

Government to enter into contracts on behalf of the Government and is the only person authorized to make changes to those contracts

G. COR - Contracting Officer's Representative. Individual designated by the CO to place orders, furnish technical guidance, advice, certify invoices, and provide general supervision of the work performed under the executed contract

H. EOSH - Environmental and Occupational Safety and Health I. EPA - Environmental Protection Agency J. FSE - Field Service Engineer K. HIPAA - Health Insurance Portability and Accountability Act of 1996 L. ICRA - Infection Control Risk Assessment M. ILSM - Interim Life Safety Measures N. ISO - International Standards Organization O. LBVAHCS - Long Beach VA Health Care System P. NFPA - National Fire Protection Association Q. NTP - Notice to Proceed R. OEM - Original Equipment Manufacturer S. OSHA - Occupational Safety and Health Administration T. SF - Standard Form U. SME - Subject Matter Expert V. SOW – Statement of Work

W. TIL – Technical Information Library X. VA – Veteran Affairs Y. VAHCS – Veteran Affairs Health Care System Z. VHA - Veterans Health Administration

XV. PERMITS

A. ILSM Checklist Permit B. ILSM Map of Construction Areas C. (AHA) Activity Hazard Analysis D. Safety, Lockout – Tagout of Equipment – Electric Shop (30-day notice required) E. Electric Work Permit (30-day notice required) F. Contractor Laydown Areas G. Laydown Areas Request H. VA Electric Shop Electrical Work Permit (30-day notice required) I. VALBMC – Above the Ceiling & Penetration Permit J. ILSM & Hot Work Permit K. Utility and Service Impact Permit (Shutdown Permit, 21-day notice required) L. VALBHS Utility and Service Impact Process M. VA Long Beach ACM Survey Report

XVI. FACILITY SPECIFIC REQUIREMENTS

A. Sole Source – Door Hardware B. Sole Source - Edwards EST3 Life Safety System C. Sole Source - METASYS DDC Control System D. Sole Source - HIRSCH Security Access Control System E. Sole Source - Rauland Responder F. Sole Source – B Braun (All of the RO Equipment) G. IT IMS SOP 07-13 - Cable Installation and Labeling Version 2