Attachment 1 Statement of Work SICU Flooring.pdf

Attachment 1 Statement of Work SICU Flooring Page 1 of 8

Statement of Work (SOW)

SICU Flooring Overlay

598-22-156

Central Arkansas Veterans Healthcare System

John L. McClellan VA Medical Center

4800 W. 7th Street, Little Rock, Arkansas 72205

The Contractor shall furnish all management, supervision, labor, equipment, tools, and related services, in accordance with the SOW, drawings, and specifications to overlay approximately 5,231 square feet of new Government furnished welded seam floor coverings with integral cove base to hospital specifications in the Surgical Intensive Care Unit at John L.

McClellan (JLM) VA Medical Center, 4800 W. 7th Street, Little Rock, AR 72205. Flooring shall meet the current standards in accordance with the Surgical and Endovascular Services Design Guide. Electronic (.pdf) copies of drawings and specifications to this work will be furnished by VA upon Contractor’s written request to the Contracting Officer (CO). Hard copies of SOW, Drawings, and Specifications must be the Contractor’s responsibility and expense.

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1. General

a. Any provision or partial provision of the Contract drawings, specifications, documents or requirements that is not consistent with this SOW will be null and void only to the extent of the inconsistency. All other provisions or partial provisions of the Contract drawings, specifications, documents, or requirements must remain in full force and effect.

b. Safety must be the Contractor’s highest priority.

c. CAVHS facility must continue to operate during the Period of Performance of this contract including, but not limited to, the mechanical, electrical, and fire alarm systems.

d. Contractor’s work must be conducted in a manner and at times which would present the least amount of disruption to the CAVHS facility.

e. Contractor must submit to the Contracting Officer (CO) and Contracting Officer

Representative (COR) a Project Schedule (including Phasing Control Plan if applicable) that incorporates requirements set forth in this SOW, Drawings, and Specifications and meets the requirements of the CAVHS no later than 10 calendar days after Notice to Proceed (NTP) for COR written approval. The Project Schedule must contain provisions including but not limited to, staging equipment and materials ahead of closing the affected patient care areas and working extended hours to meet the requirement.

f. Prior to the start of job site activities, the Contractor and COR must conduct a site survey to identify and review specific work and differing site conditions.

g. Period of Performance: Thirty (30) Calendar days.

h. CAVHS utilities and work areas may not be immediately available, and the Contractor must be flexible in the project schedule without additional cost to the Government.

i. Contractor materials, equipment, tools, supplies, and parts must not be left unattended within the work area. When working in common areas, there must be a minimum of 2 contractor employees present to ensure that building materials, equipment, tools, and supplies are not accessible to patients or others.

j. Warranty: Contractor must guarantee workmanship for a period of one (1) year after COR written acceptance of work. Contractor must furnish a minimum one (1) -year parts and labor warranty on equipment, components, and materials furnished plus any manufacturer’s warranty(s) and specification required warranty(s) greater than one year.

k. Emergency Service: Contractor emergency service must be available 24 hours per day.

Contractor must respond on-site to emergency service calls within two (2) hours of notification. Contractor must have the issue(s) corrected or a plan in place (awaiting parts) within four (4) hours of arrival at job site. Any temporary repairs must have prior written approval by the Chief, Engineering Service or their designated representative.

2. Scope of Work:

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a. The Contractor must furnish all management, supervision, labor, equipment, tools, and related services, in accordance with the SOW, drawings, and specifications to overlay approximately 5,231 square feet of existing floor covering in the JLM SICU with government furnished welded seam flooring with a 6-inch integral base. The work will consist of but not limited to:

i. Install and secure government furnished welded seam sheet flooring to include integral cove base to hospital specifications. (Overlay existing floor covering) NOTE: Adhesive and weld rod provided with flooring.

1. Rooms

a. 2C118, 2C119, 2C120, 2C121, 2C122, 2C123, 2C124, 2C125, 2C126, 2C127, 2C128, 2C129, 2C130, 2C131, 2C132, 2C133, 2C134, 2C135, 2C136.

ii. Contractor to provide and install transitions where necessary.

1. Transitions shall be made of durable aluminum alloy material, matt surface, high strength, lightweight & strong load bearing, stable & durable. (Thresholds shall be no higher than ½” above the floor.

2. Transitions

a. 2C118 to Corridor C226

b. 2C118 to 2C141

c. 2C118 to 2C140

d. 2C118 to 2C139

e. 2C118 to 2C138

f. 2C118 to 2C137

g. 2C118 to Corridor C224

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3. DRAWINGS INDEX:

a. Contractor must verify dimensions, locations, measurements, and quantities. Contractor must notify COR of verification and differing site conditions.

b. List of Drawing Sheets

i. 08 SICU.pdf

4. Contractor Access and Activities

a. Property Access Work Hours:

i. Regular Business Hours: Work must be scheduled during normal business hours, 0730 to 1600 hours, Monday through Friday (excluding the following Federal holidays - New Year’s Day, Martin Luther King Day, Presidents Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, and Christmas Day). Except with written approval by COR or CO.

ii. Outside Regular Business Hours: Work that must be scheduled outside the Regular Business Hours to avoid or minimize interference with Medical Center (MC) operations or for Contractor’s convivence must have written approval by COR or CO.

iii. Designated Hours: Contractor must plan contract work activity that interferes with Medical Center (MC) operations and must not commence without prior COR written approval.

b. Parking: Contractor on-site parking is limited to availability of designated Contractor parking. Contractor must have prior COR written approval of on-site Contractor parking.

c. Vehicles and Construction Equipment: Contractors’ key(s) to unattended vehicle(s) and construction equipment must be removed and vehicle(s) locked.

5. Additional Requirements

a. Special Consideration: All contractors and visitors are required to adhere to Universal

Masking Guidance which requires people to wear a cloth face covering or facemask over their mouth and nose while in any building of Central Arkansas Veterans Healthcare System (CAVHS). Daily healthcare screening is required before entrance to VA facilities due to COVID-19. No one with a cold or flu like symptoms will be allowed on VA property. In the event that symptoms occur while on site, the contractor will notify the COR immediately. The individual(s) maybe required to be COVID tested and quarantine until released by Infection Control to return to site.

b. Contractor employees who work in or travel to VHA locations must comply with the following:

i. Documentation requirements:

1. If fully vaccinated, shall show proof of vaccination.

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a. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS- 319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2. If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test.

3. Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4. Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

ii. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

1. Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

iii. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

6. INFORMATION SYSTEMS OFFICER, INFORMATION PROTECTION

a. The contractor will not have access to VA Desktop computers and nor will they have access to online resources belonging to the government while conducting services. If removal of equipment from the VA is required, any memory storage devices, such as hard drives, solid state drives and non-volatile memory units will remain in VA control and will not be removed from VA custody.

7. PRIVACY OFFICER

https://www.va.gov/covid19screen/ https://www.va.gov/covid19screen/

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a. The contractor will not have access to protected Patient Health Information (PHI) and nor will they have the capability of accessing patient information during the services provided to the VA and if removal of equipment from the VA is required, any memory storage devices, such as hard drives, solid state drives and non-volatile memory units will remain in VA control and will not be removed from VA custody. All research data available for Contractor analyses is de- identified.

8. RECORDS MANAGER

a. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

b. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

c. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

d. Central Arkansas Veterans Healthcare system and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of Central Arkansas Veterans Healthcare system or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to Central Arkansas Veterans Healthcare system. The agency must report promptly to NARA in accordance with 36 CFR 1230.

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e. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records, or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government's behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to Central Arkansas Veterans Healthcare system control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand-carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

f. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and Central Arkansas Veterans Healthcare system guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

g. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with Central Arkansas Veterans Healthcare system policy.

h. The Contractor shall not create or maintain any records containing any non-public Central Arkansas Veterans Healthcare system information that are not specifically tied to or authorized by the contract.

i. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

j. The Central Arkansas Veterans Healthcare system owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which Central Arkansas Veterans Healthcare system shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

k. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take Central Arkansas Veterans Healthcare system provided records management training. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

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9. ACCEPTANCE

a. Pre-Final Inspection: The Government will perform the Pre-Final Inspection to verify that the facility is complete and ready to be occupied. A Government Pre-Final Punch List may be developed as a result of this inspection. Ensure that all items on this list have been corrected before notifying the Government, so that a Final Acceptance Inspection with the customer can be scheduled. Correct any items noted on the Pre-Final Inspection in a timely manner. These inspections and any deficiency corrections required by this paragraph need to be accomplished within the time slated for completion of the entire work or any increment of the work if the project is divided into increments by separate construction completion dates.

b. Final Acceptance Inspection: The Contractor’s QC Inspection personnel, plus the superintendent or other primary management person, and the Contracting Officer’s Authorized designee is required to be in attendance at the Final Acceptance Inspection.

Additional Government personnel can also be in attendance. The Final Acceptance Inspection will be formally scheduled by the Contracting Officer’s or Authorized designee based upon results of the Pre-Final Inspection. Notify the Contracting Officer through the COR office at least 14 days prior to the Final Acceptance Inspection and include the Contractor’s assurance that all specific items previously identified to the Contractor as being unacceptable, along with all remaining work performed under the contract, will be complete and acceptable by the date schedule for the Final Acceptance Inspection.

Failure of the Contractor to have all contract work acceptably complete for this inspection will be cause for the Contracting Officer to bill the Contractor for the Government’s additional inspection cost in accordance with FAR Clause 52.246-12 titled “Inspection of Construction.”

END OF STATEMENT OF WORK

iii. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

END OF STATEMENT OF WORK