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APPENDIX A

QUOTE SCHEDULE

MULTI-PHASE DOOR REPLACEMENT PROJECT

PINE RIDGE HOSPBITAL

PINE RIDGE, SD

ALL PRICES TO INCLUDE DEMOLITION, MATERIALS, AND INSTALLATION

DESCRIPTION DOOR

NUMBER

DRAWING

NOTE

DRAWING

NUMBER

SCOPE

SECTION QTY UNIT UNIT

PRICE

EXTENDED

PRICE

Door Leaf 606 08-06 A401 2.F 1 EA Door Leaf 612 08-06 A401 2.F 1 EA

Door Leaf and New Hardware 685 08-08 A401 2.F 1 EA Door Leaf and New self-closing and self-latching hardware 571 08-01 A402 2.F 1 EA hardware 572 08-01 A402 2.F 1 EA

New Automatic Closing and Opening hardware 589 08-21 A402 2.F 1 EA New Automatic Closing and Opening hardware 590 08-21 A402 2.F 1 EA hardware 614 08-02 A402 2.F 1 EA

Door Leaf with Glazed Window 581 08-05 A402 2.F 1 EA Door Leaf and Hardware 626 08-08 A402 2.F 1 EA

New Hardware 523 08-07 A403 2.F 1 EA New Hardware 524 08-07 A403 2.F 1 EA New Hardware 520 08-07 A403 2.F 1 EA

Door Leaf 672 08-03 A403 2.F 1 EA Door Leaf 647 08-06 A403 2.F 1 EA

Exterior Steel Door Leaf and Frame 670 08-09 A403 2.F 1 EA New Steel Double Doors, Frames, and Auto

Opening and Closing Hardware 665 08-17 A403 2.F 1 EA

New Steel Double Doors, Frames, and Auto Opening and Closing Hardware 666 08-17 A403 2.F 1 EA

New Closer and Panic Bar Hardware, Proper Door Install with Gaskets. 531 08-19 A403 2.F 1 EA

Door Leaf 631 08-06 A404 2.F 1 EA Door Leaf 632 08-06 A404 2.F 1 EA

Door Leaf 633 08-06 A404 2.F 1 EA Door Leaf 640 08-08 A404 2.F 1 EA Door Leaf 641 08-10 A404 2.F 1 EA

Lead-Lined Door Leaf and Hardware 67 08-13 A405 2.F 1 EA Door Leaf 87 08-06 A405 2.F 1 EA

Double Door Leaves 225 08-06 A405 2.F 2 EA Double Door Leaves 784 08-12 A405 2.F 2 EA

Door Leaf 111 08-06 A405 2.F 1 EA New Opening and Closing Hardware and Self

Latching Hardware that Coordinates with Control Access

08-15 A405

2.F 1 EA

New Self-Latching Hardware that Coordinates with Auto Openers 226 08-16 A405 2.F 1 EA

New Powered Opening and Closing that Coordinates with New Self-Latching Hardware 196 08-14 A406 2.F 1 EA

Door Leaf and Hardware 27 08-08 A406 2.F 1 EA Door Leaf 263 08-06 A406 2.F 1 EA Door Leaf 265 08-06 A406 2.F 1 EA Door Leaf 785 08-06 A406 2.F 2 EA

Door Leaf and New Self Closing and Self Latching Hardware 772 08-01 A407 2.F 2 EA

Door Leaf 483 08-06 A407 2.F 1 EA Door Leaf 422 08-06 A408 2.F 1 EA Door Leaf 456 08-06 A408 2.F 1 EA Door Leaf 457 08-06 A408 2.F 1 EA

New Powered Opening and Closing that Coordinates with New Self-Latching Hardware 208 08-14 A407 2.F 1 EA

Door Leaf 461 08-06 A409 2.F 1 EA Door Leaf 477 08-06 A409 2.F 1 EA Door Leaf 478 08-06 A409 2.F 1 EA Door Leaf 100 08-06 A410 2.F 1 EA Door Leaf 103 08-06 A410 2.F 1 EA Door Leaf 130 08-06 A410 2.F 1 EA Door Leaf 138 08-06 A410 2.F 1 EA Door Leaf 143 08-06 A410 2.F 1 EA Door Leaf 496 08-06 A410 2.F 1 EA Door Leaf 497 08-06 A410 2.F 1 EA Door Leaf 125 08-06 A410 2.F 1 EA Door Leaf 379 08-06 A410 2.F 1 EA Door Leaf 145 08-06 A411 2.F 1 EA Door Leaf 146 08-06 A411 2.F 1 EA Door Leaf 150 08-06 A411 2.F 1 EA Door leaf 511 08-06 A411 2.F 1 EA

Door Leaf and Hardware 701 08-08 A411 2.F 1 EA Door Leaf 702 08-06 A411 2.F 1 EA Door leaf 240 08-12 A411 2.F 1 EA Door Leaf 163 08-10 A411 2.F 1 EA Door Leaf 148 08-06 A411 2.F 1 EA

New Steel and Glass Door Leafs and New Frames.

New Powered Openers 382 08-17 A412 2.F 1 EA

New Steel and Glass Door Leafs and New Frames.

New Powered Openers 505 08-17 A412 2.F 1 EA

Install Powered Opener and Handicap Button 750 08-18 A412 2.F 1 EA Install New Steel Door, Frame, and Closer. 753 08-20 A413 2.F 1 EA

TOTAL

Grand Total:

In words dollars & cents

I hereby acknowledge receipt of these documents above pertaining to the above referenced bid.

Company Name:

Contact Person:

Address:

City: State: Zip Code:

Phone: Fax: Email:

(Signature) (Date)

PINE RIDGE HOSPBITAL

FEC

F E

C

K

OR-1

D423

OR-2

D426

OR-3 DELIVERY

D421

CENTRAL STERILE

STORAGE

D306

CLEAN WORKROOM

D305

ETO

D307

DECONTAMINATION

D302

ETO

D308

SUBSTERILE

D424

SCRUB

D425

D418 CLEAN STORAGE

D419

SOILED HOLDING

D420

D422

STERILE STORAGE

D428

EQUIP

D416

CLEAN STORAGE

D430

ANES OFC

D431

ANES

D429

S T

R

H

D

CLEAN EQUIP

D400

OFFICE

D145

TOILET

D144

ELEC

C600

C104

BULK COMP/SS/STOR

C204

ULTRASOUND

C514

BREAK ROOM

C506

RAD/DIAG

C510

RAD/FLUOR

C504

RADIOLOGY SUPPLY

C515

C522

C523

E FILE

C524

RECEPTION

C525

RADIOLOGY WAITING

C526

SOILED

D432/D433

GENERAL WAITING

A183

REGISTRATION

A185

EXAM 1

K126

TREATMENT 1

K130

BEHAVIORAL HEALTH

K134

TREATMENT 9

K133

TREATMENT 10

K132

TREATMENT 2

K129

E236

VEST

E239

E240ISOLATION ROOM

E241

E200

1 BED PATIENT

E202

E204

E205

E207

E208

E209

E211

E213

E214

E215

E217

E219

2 BED PATIENT

E220

E221

E223

E225

E226

E227

E229

E230

E232

E234

E235

NURSE STATION

E275

NOUR

E276

DICTION

E277MEDICATION

E279

E280

CLEAN LINEN

E281

E282

TUB/SHWR

E283

E284

E285

LOCKER

D101

TLT

D102

PT TRAIN

D103

CORRIDOR

D104

ISOLATION ROOM

D105

D106

ANTEROOM

D107

D108TLT

D110

D111

D112

D114

D116

D118

D119

D121

D122

D123

D125

D126

D128

D129

D130

EXAM

D131

TUB/SHWR

D132

D133

CLEAN

D134

JAN

D135

MEDICATION

D136

H NUR

D137

D138

GA

D139

D140

D141

D143

WC

D147

LABOR/DEL 1

D402

D404

LABOR

D405

GA

D406

D407

D408

OB/CONTROL

D409

LABOR/DEL 2

D410

D412

D413

LABOR/DEL 3

D415

D448

D449

RECOVERY

D450

PATIENT HOLD

D453

PRE OP

D454

D455

INTERVIEW

D456

OR/CONTROL

D457

D605

LOCKER

D500

D501

D503

D504

D505

D507

D508

D509

D510

WAIT/ICU

D511

SOILED UTILITY

D512

D514

D515

MED SUPPLY

D516

D517

STRETCH

D518

D519

D520

D521

E100

MEN

E305

WOMEN

E306

INPATIENT

PHARMACY

E101

BUFFER

E304A

IT CLOSET

E271

E273

E274

E307

E242

E244

E245

E246TLT

E247

E248 2 BED PATIENT

E251

E250

E252

E254

E256

E257

E258

E260

E261

E262

E264

E266

LOUNGE

E267

E268

E269

E270

E297

E290

E291

E292

E293

E295

E296

ELEV

H403

STAIRS

H405

A308

MECH

A305

CT ROOM

A304

CT VIEWING

A303

MAMMOGRAPHY

A301

A302

H419

MEN LOCKER

D437

STAFF LOUNGE

D444

D439

WOMEN LOCKER

D440

D446

D434

D464A

D464

D465

D460

NURSERY

D200

WORK

D201

NURSE

D202

D203

D461

D146

D148

D462

D463

E303

D603

D601

C500

C501

C502

C511DB 5

C513

C512

C601

DB 3

C517

DB 4

C516

CB 2

C509

CB 1

C505

C508

C520

C518

IP HOLD

C527

A407

K134A

A406

A159

OFC/EXAM

A100

A101

A102

A103

A104

A109

A107

A108

TREATMENT

A110

A111

A112

A113

A114

A115

A116

A117

A118

A119

A120WAITING

A121

NURSE SCREEN &

EDUCATION ROOM

A131

A135

ISOLATION

A137

A138

A139

A141

A142

A143

A136

A151

A152

A153

A157

A161

A162

A163

A164

A165

A166

A167

A168

A169

A170

VITALS

A158

A174

A175

A176

A177

A178

A179CORRIDOR

A182

C301

C300

C302STORAGE

C303

OPEN OFC

C304

C305

C306

C309

VENIPUNCTURE

C400

C401

C402

URINALYSIS

C404

CHEMISTRY

C412

C407

C408

C409

MICRO

C410

C411

HEM/BLOOD

C405

BLOOD BANK

C413

C406

LAB WAITING

C414

A409

A408

A405

ENTRY LOBBY

A403

INFO

A401

A402

WAITING

J202

J203

J204

SOCIAL SERVICES

J305

J302

J303

SHARED OFFICE

J304

FITTING

J402

PROCEDURE

J403

EYE CARE

J404

EYE EXAM

J405

EYE WAITING

J406

J407

J408

VF TEST

J409

J410

PT TREATMENT

J411

J412

J413

PT EXERCISE ROOM

J414

J401

J501

RECEPTION - ENT

J502

CODER

J503

J504CLEAN

J505

AUDIO BOOTH

J506

J507

J508

J509

J510

J511

J601

POD RECEPTION

J602

J603

EXAM/CAST

J604

J605

J606

J607

J608

J609

POD SUPPLY

J610

STAFF TOILET

J611

POD SHARED OFFICE

J612

J613

J614

J615

J701

J702

OB SEC

J703

J704

OB RECEPTION

J705

J707

J708

J709

PATIENT TOILET

J710

OB EXAM

J711

J712

J713

J714

J715

J716

J717

PATIENT TOILET

J718

J719

J720

J721

J722

J723

SUPPLY

J724

SHARED OFFICE

J725

J726

OB/GYN OFFICE

J727

J728

OB DIRECTOR OFFICE

J729

J102

J104

J105

J106

J107

J415

B100

B101

OPER

B102/B103

B104/B105/B106

CLOSED OPER

B107

B108

B109/B110

CLOSED OPER

B111

B112

B113/B114

B115/B116

B117/B118

B120

B121

LAB

B122

ORTHO XRAY

B124

CENTRAL STERILE

B125

B126A

TB

B127

B128

B129

B130

B131

B132

B133

B134

B135

B400

B402

EDF

B406

B407

TEL

B405

B409

B411

LIBRARY

B200

CONFERENCE

B201

B300

B304

B305

B306

B307

B412

B500

VISITING OB

D100

A106

A133

JVN EXAM

A144

A132

PT TLT

A145

A154

TRTMT 3

A140

DIETITIAN OFC

A130

D401

B404IT CLOSET

A121A

PANORAMIC XRAY

B126B

A180

C403CORRIDOR

A404

B410

D600

SCREENING

D513

E272

A105

E243

EXAM 2

K127

A150

A155

A156

E238

E237

NON STERILE

EQUIPMENT

D300

D506

LINK

J101

COMM

J103

D602

A220

TRIAGE

K131

NURSE

K144

K123

TREATMENT 5

K122

TREATMENT 4

K121

TREATMENT 3

K120

TREATMENT 2

K119

TREATMENT 1

K118

TRAUMA

K117

DECON

K116

VESTIBULE

K115

K114

AMBULANCE GARAGE

KM2

TRAUMA

K113

K103

K102

SECURITY

K111

K112

TRIAGE 1

K110

TRIAGE 2

K109

K100

K101

TRIAGE 3

K108

K104

K107

K105

K139B

K139A

ISO TREATMENT 6

K139

BREAKROOM

K106

HSKP

K138

TREATMENT 7

K136

K137

TREATMENT 8

K135

A204

A205

A171

A181

A173

A172

A194

CLEAN LINEN

K141

MED/PYXIS

K125

PYXIS

K140

IT

K124

K142

K143

A307

EXAM 3

K128

D604

Room

H404

J301

WAIT

J300

J206

J207

J205

J201

CORRIDORDR

A-406

A-405

A-410

A-407

A-408

A-409

A-411

26527

87111

145146701

478 477

A-412

A-412

GENERAL NOTES

1. ALL FIRE RATED DOORS MUST COMPLY WITH NFPA 101 AND BE FIRE RATED AND LABLED AS AN ASSEMBLY. SEE DOOR SCHEDULE FOR FIRE RATING REQUIREMENT OF EACH DOOR

2. ALL GLAZING IN FIRE RATED DOORS MUST ALSO BE FIRE RATED AND COMPLY WITH NFPA 101. THE GLAZING MUST BE MARKED/ETCHED.

3. IF REQUIREMENTS OF FIRE RATED ASSEMBLIES ARE IN QUESTION, CONTACT COR FOR CLARIFICATION.

4. SEE NFPA 101 FOR DEFINITION OF SELF-CLOSING AND SELF-LATCHING DOOR ASSEMBLIES.

5. DOOR NUMBERINGS ARE ARBITRARY AND NOT CORRELATED TO ROOM NUMBERS OR FRAME NUMBERS.

DIVISION OF FACILITIES MANAGEMENT

115 4TH AVENUE SE, RM 309

ABERDEEN, SD 57401

(605) 226-7451 FAX (605) 226-7580

SCALE:

PROJECT NUMBER:

DATE:

DRAWN BY:

CHECKED BY:

www.ihs.gov

CONSULTANT COMPANY NAME

ADDRESS

PHONE NUMBER

EMAIL ADDRESS

Consultant Website

TASK ORDER NO:

CONTRACT NO:

Sta m p

GREAT PLAINS AREA INDIAN HEALTH SERVICE

OFFICE OF ENVIRONMENTAL

HEALTH & ENGINEERING

As indicated

/1

/2

:4

A M

MAIN LEVEL

FLOOR PLAN

DOOR

REPLACEMENT

A-101

P

IN

ID

G

O

L

U

I-

N

J

A. KAUL

N. FRANZ

8/4/2025

GP23PR402H10

1/16" = 1'-0"

MAIN FLOOR PLAN

No. Description Date

MAIN LEVEL DOOR SCHEDULE

MARK

FROM

ROOM WIDTH HEIGHT

SELF

CLOSING

LATCHING

FIRE

RATING

(min)

REUSE

EXISTING

HARDWARE

POWER

OPEN

CLOSE NEW LEAF COMMENTS

27 E291 3' - 0" 7' - 0" No Yes No No Yes

67 C518 4' - 0" 7' - 0" No No No No Yes

72 C527 7' - 0" 7' - 0" Yes Yes No Yes No NEW POWERED OPEN CLOSE AND COORDINATING

LATCHING HARDWARE

87 D601 4' - 0" 7' - 0" No Yes Yes No Yes

100 A117 3' - 0" 7' - 0" No No Yes No Yes

103 A117 3' - 0" 7' - 0" No No Yes No Yes

111 D601 3' - 0" 7' - 0" Yes Yes Yes No Yes

125 A409 3' - 0" 7' - 0" No No Yes No Yes

130 A116 4' - 0" 7' - 0" No No Yes No Yes

138 A142 3' - 0" 7' - 0" No No Yes No Yes

143 A142 3' - 0" 7' - 0" No No Yes No Yes

145 A178 3' - 0" 7' - 0" No No Yes No Yes

146 A178 3' - 0" 7' - 0" No No Yes No Yes

148 A179 3' - 0" 7' - 0" No No Yes No Yes

150 A179 3' - 0" 7' - 0" No No Yes No Yes

163 A180 3' - 0" 7' - 0" No No Yes No Yes

196 D521 7' - 0" 7' - 0" Yes Yes 20 No Yes No NEW POWERED OPEN CLOSE AND COORDINATING

208 D146 7' - 0" 7' - 0" Yes 20 Yes No NEW POWERED OPEN AND CLOSE HARDWARE

225 D461 7' - 0" 7' - 0" No No Yes No Yes

226 D462 7' - 0" 7' - 0" No No INSTALL SELF-LATCHING HARDWAR COORDINATE

WITH CLOSERS

240 A220 4' - 0" 7' - 0" Yes Yes 20 No Yes

263 E291 4' - 0" 7' - 0" No Yes Yes No Yes

265 E291 4' - 0" 7' - 0" No Yes Yes No Yes

379 A118 3' - 0" 7' - 0" No No Yes No Yes

382 A402 7' - 0" 7' - 0" Yes Yes No Yes Yes

422 J601 3' - 0" 7' - 0" No No Yes No Yes

456 J501 3' - 0" 7' - 0" No No Yes No Yes

457 J615 3' - 0" 7' - 0" No No Yes No Yes

461 J401 3' - 0" 7' - 0" No No Yes No Yes

477 J102 3' - 0" 7' - 0" No No Yes No Yes

478 J102 3' - 0" 7' - 0" No No Yes No Yes

483 B500 3' - 0" 7' - 0" No Yes Yes No Yes

496 A142 3' - 0" 7' - 0" No No Yes No Yes

497 A180 3' - 0" 7' - 0" No No Yes No Yes

505 A403 7' - 0" 7' - 0" Yes Yes No Yes Yes

511 A179 3' - 0" 7' - 0" No No Yes No Yes

701 A182 3' - 0" 7' - 0" No No No No Yes

702 A182 3' - 0" 7' - 0" No No Yes No Yes

750 J101 3' - 0" 7' - 0" No Yes No INSTALL OPENER AND HANDICAP BUTTON

772 B409 7' - 0" 7' - 0" Yes No 20 No No Yes FIRE RATED VISION PANELS/GLAZING REQUIRED

784 D602 7' - 0" 7' - 0" Yes No 20 Yes No Yes FIRE RATED VISION PANELS/GLAZING REQUIRED

785 E296 7' - 0" 7' - 0" Yes No Yes No Yes

753 6' - 0" 7' - 0" Yes No No Yes

Grand total: 43

A-401

A-402

A-403

COOLING PLANT

F100

ELECTRICAL

F106

HEATING PLANT

F104

GENERATOR

F103

F101

G601

MEDICAL RECORDS

J804

BUSINESS OFFICE

J806

CRAWL SPACE

BIOMED

J803

J802

STAIR

J801

H322

H323

H324

H302

H321

H306

H307

OPEN OFFICE

H325

H602

H603

H605

JANITOR

H326

H105 H106

H107

H101

BEHAVIOR HEALTH

H200 H208

ELEVATOR

H411

ELEV EQUIP

H401

G609

MAINT OFFICE

G109

G110

G201

HOUSEKEEPING

G205

G202

G203

MEN TOILET

G715

WOMEN TOILET

G714

G513

G507

WOMENS SHOWER

G505

G501

G612

G610

G611

G613

WOMENS LOCKER

G503

MENS SHOWER

G509

MENS LOCKER

G510

G411

G414

G410

G409

G405

FRIDGE

G404

G403

FREEZER

G402

F172

G307

F174

G309

G310

MORGUE

G704

FLAMMABLE

G300

G303

MED GAS

G302

G301

G701

G103

MAINT STORAGE

G111

ELECT STORAGE

G112

PLUMBING STORAGE

G113

H202

H203

H206

H205

H204

G606

H301

H316

H315

H318

H314

H313

F203

H312

H320

H319

H606

H604

H309

H305

H207

H410

H103

G713

H201

G615

G600

G602

G603

G605

G604

G413

G412

G707

WASH

G415

G312

G716

G711

G108

G703

F236

MAINT SHOP

G101

G104

H409

H407

G712

G607

G306

WAREHOUSE

G305

G408

G400

KITCHEN

G407

CAFE

G420

G705

G706

MAINT BREAK

G100

J805

WATER SERVICE

F105

H600

MECHANICAL

H406

H303

G419

G421

G204

523 524

A-404

A-403

666665

GENERAL NOTES

1. ALL FIRE RATED DOORS MUST COMPLY WITH NFPA 101 AND BE FIRE RATED AND LABLED AS AN ASSEMBLY. SEE DOOR SCHEDULE FOR FIRE RATING REQUIREMENT OF EACH DOOR

2. ALL GLAZING IN FIRE RATED DOORS MUST ALSO BE FIRE RATED AND COMPLY WITH NFPA 101. THE GLAZING MUST BE MARKED/ETCHED.

3. IF REQUIREMENTS OF FIRE RATED ASSEMBLIES ARE IN QUESTION, CONTACT COR FOR CLARIFICATION.

4. SEE NFPA 101 FOR DEFINITION OF SELF-CLOSING AND SELF-LATCHING DOOR ASSEMBLIES.

5. DOOR NUMBERINGS ARE ARBITRARY AND NOT CORRELATED TO ROOM NUMBERS OR FRAME NUMBERS.

DIVISION OF FACILITIES MANAGEMENT

SCALE:

CONSULTANT COMPANY NAME

ADDRESS

PHONE NUMBER

EMAIL ADDRESS

Consultant Website

Sta m p

GREAT PLAINS AREA INDIAN HEALTH SERVICE

As indicated

LOWER LEVEL

FLOOR PLAN

DOOR

REPLACEMENT

A-102

IN

ID

U

I-

J

LOWER LEVEL FLOOR PLAN

No. Description Date

LOWER LEVEL DOOR SCHEDULE

520 F105 6' - 0" 7' - 0" Yes Yes 90 No No No REUSE LEAFS

523 F105 6' - 0" 7' - 0" Yes Yes No No No REUSE LEAFS

524 F100 6' - 0" 7' - 0" Yes Yes No No No

531 J802 6' - 0" 7' - 0" Yes No No No INSTALL NEW

HARDWARE. INSTALL

GASKET SEALS.

ENSURE DOOR

CLOSES PROPERLY

571 G712 3' - 0" 7' - 0" Yes Yes 20 No No Yes

572 G712 3' - 0" 7' - 0" Yes Yes 20 No No Yes

581 G420 3' - 0" 7' - 0" Yes Yes Yes No Yes

589 G712 5' - 8" 7' - 0" Yes Yes No Yes No REUSE LEAFS, INSTALL NEW

CLOSERS

590 G713 5' - 8" 7' - 0" Yes Yes No Yes No REUSE LEAFS, 606 H325 3' - 0" 7' - 0" No No Yes No Yes

612 H325 4' - 0" 7' - 0" No No Yes No Yes

614 H405 3' - 0" 7' - 0" Yes Yes 45 No No Yes

626 G711 3' - 0" 7' - 0" Yes Yes No No Yes

631 G408 3' - 0" 7' - 0" No No Yes No Yes

632 G408 3' - 0" 7' - 0" No No Yes No Yes

633 G411 3' - 0" 7' - 0" No No Yes No Yes

640 G407 3' - 0" 7' - 0" No No Yes No Yes

641 G407 3' - 0" 7' - 0" No No Yes No Yes

647 G305 3' - 0" 7' - 0" No No Yes No

665 G705 6' - 0" 7' - 0" Yes Yes No Yes Yes

666 G703 6' - 0" 7' - 0" Yes Yes No Yes Yes

670 G305 4' - 0" 7' - 0" Yes Yes Yes No

672 G701 3' - 0" 7' - 0" Yes Yes 45 Yes No Yes

685 H325 3' - 0" 7' - 0" No Yes No No Yes

Grand total: 24

H409 685

606?

H323

H324

H302

H306

H307

H315

H314

H313

H606

08-06

08-08

LAST REVISION DATE:

Consu lta nt In fo ere

DIVISION OF FACILITIES

MANAGEMENT

GREAT PLAINS AREA

INDIAN HEALTH SERVICE

A-401A. KAUL

AREA H LOWER LEVEL

DOORS

PINE RIDGE HOSPITAL

MULTI-PHASE DOOR

REPLACEMENT PROJECT

3/32" = 1'-0"

AREA H LOWER LEVEL

KEYNOTE LEGEND

VALUE TEXT

08-06 PROVIDE AND INSTALL NEW DOOR LEAF OF SAME SIZE AS

EXISTING. DOOR TO BE WOOD CORE WRAPPED IN STAINLESS

STEEL. REUSE EXISTING DOOR HARDWARE.

08-08 PROVIDE AND INSTALL NEW DOOR LEAFS OF SAME SIZE AS

STEEL. PROVIDE AND INSTALL NEW HARDWARE TO MATCH

EXISTING.

KEY PLAN LOWER LEVEL

W

REF

ACTUAL

MEN TOILET

WOMEN TOILET

581626

572 571

BEHAVIOR HEALTH

H200 H208

ELEV EQUIP

WOMENS SHOWER

G612

G610

G611

G613

WOMENS LOCKER

MENS SHOWER

MENS LOCKER

08-02

08-01

08-08 08-05

08-21

A-402A. KAUL

AREA G LOWER LEVEL

AREA G LOWER LEVEL A

08-01 THIS IS A 20 MIN FIRE RATED DOOR. PROVIDE AND INSTALL NEW DOOR LEAFS

OF SAME SIZE AS EXISTING. DOOR TO BE WOOD CORE WRAPPED IN

STAINLESS STEEL. PROVIDE AND INSTALL NEW SELF-CLOSING HARDWARE.

THIS DOOR IS TO HAVE VISION PANEL GLAZING INSET IN DOORS. GLAZING IS

TO BE FIRE RATED COMPLIANT WITH NFPA 101. THIS DOOR REQUIRES AN

ASTRAGEL, RABBET, OR BEVEL WHERE DOORS MEET

08-02 THIS IS A 45 MIN FIRE RATED DOOR. PROVIDE AND INSTALL NEW DOOR LEAFS

STAINLESS STEEL. PROVIDE AND INSTALL NEW SELF-CLOSING AND SELF

LATCHING HARDWARE.

08-05 PROVIDE AND INSTALL NEW DOOR LEAFS OF SAME SIZE AS EXISTING. DOOR

TO BE WOOD CORE WRAPPED IN STAINLESS STEEL WITH GLAZED WINDOW

TO MATCH EXISTING. REUSE EXISTING HARDWARE.

08-08 PROVIDE AND INSTALL NEW DOOR LEAFS OF SAME SIZE AS EXISTING. DOOR

TO BE WOOD CORE WRAPPED IN STAINLESS STEEL. PROVIDE AND INSTALL

NEW HARDWARE TO MATCH EXISTING.

08-21 PROVIDE AND INSTALL NEW CLOSER FOR DOUBLE DOORS THAT FUNCTION

THE SAME AS EXISTING. TIE INTO APPROPRIATE EXISTING CONTROLS AND

ELECTRICAL.

WAREHOUSE

08-09

F174

MORGUE

FLAMMABLE

G300

G303

F236

MAINT SHOP

08-07

08-07

08-03 08-06

08-17

MEDICAL RECORDS

BUSINESS OFFICE

08-19

A-403A. KAUL

AREA G LOWER LEVEL

AREA G LOWER LEVEL B

08-03 THIS IS A 45 MIN FIRE RATED DOOR. PROVIDE AND INSTALL NEW

DOOR LEAFS OF SAME SIZE AS EXISTING. DOOR TO BE WOOD

CORE WRAPPED IN STAINLESS STEEL. REUSE EXISTING

HARDWARE.

08-07 PROVIDE AND INSTALL NEW HARDWARE TO MATCH EXISTING.

STEEL LEAFS CAN BE REUSED IF POSSIBLE.

08-09 PROVIDE AND INSTALL NEW STEEL DOOR AND FRAME OF SAME

SIZE AND TYPE AS EXISTING. REUSE EXISTING LATCHING AND

CLOSING HARDWARE.

08-17 PROVIDE AND INSTALL NEW STEEL AND GLASS DOOR LEAFS OF

SAME SIZE AND TYPE AS EXISTING. PROVIDE AND INSTALL NEW

STEEL DOOR FRAME. PROVIDE AND INSTALL NEW AUTOMATIC

OPENING HARDWARE RATED FOR HIGH WIND LOADS.

08-19 INSTALL NEW CLOSER AND PANIC BAR HARDWARE. INSTALL

GASKETS AND ENSURE DOOR HAS MINIMAL GAPS TO EXTERIOR.

J-WING LOWER LEVEL

FREEZER

F172

G412

WASH

KITCHEN

A-404A. KAUL

KITCHEN DOORS

1" = 10'-0"

KITCHEN DOORS

RAD/DIAG

OR-1

D423

OR-2

D426

SUBSTERILE

D418

ANES OFC

RADIOLOGY SUPPLY

RECOVERY

PATIENT HOLD

D453

MEN LOCKER

WOMEN LOCKER

D440

C511

DB 5

DB 3

DB 4

CB 2

C302

C306 TLT

08-12

08-13

MICRO

CB 1

IP HOLD

08-15

08-16

A-405A. KAUL

AREA C MAIN LEVEL

AREA C/D MAIN LEVEL

08-06 PROVIDE AND INSTALL NEW DOOR LEAF OF SAME SIZE AS EXISTING. DOOR

TO BE WOOD CORE WRAPPED IN STAINLESS STEEL. REUSE EXISTING DOOR

HARDWARE.

08-12 THIS IS A 20 MIN FIRE RATED DOOR. PROVIDE AND INSTALL NEW DOOR LEAFS

STAINLESS STEEL. REUSE EXISTNG HARDWARE. THIS DOOR IS TO HAVE

VISION PANEL GLAZING INSET IN DOORS. GLAZING IS TO BE FIRE RATED

COMPLIANT WITH NFPA 101. THIS DOOR REQUIRES AN ASTRAGEL, RABBET,

OR BEVEL WHERE DOORS MEET.

08-13 THIS DOOR IS TO BE LEAD LINED WITH 1/16" THICK LEAD SHEET. PROVIDE

AND INSTALL NEW DOOR LEAF OF SAME SIZE AS EXISTING. DOOR TO BE

WOOD CORE WRAPPED IN STAINLESS STEEL. PROVIDE AND INSTALL NEW

HARDWARE TO MATCH EXISTING.

08-15 PROVIDE AND INSTALL NEW POWERED CLOSING AND OPENDING HARDWARE.

PROVIDE AND INSTALL SELF LATCHING HARDWARE THAT COORDINATES

WITH OPENING AND CLOSING HARDWARE AS WELL AS EXISTING ACCESS

CONTROL KEYPAD.

08-16 INSTALL SELF-LATCHING HARDWARE THAT COORDINATES WITH POWERED

CLOSERS.

KEY PLAN MAIN FLOOR

INPATIENT

PHARMACY

WAIT/ICU

BUFFER

E304A

E271

E273

E274

E307

E270

E297

E272

08-08

08-14

A-406A. KAUL

AREA E MAIN LEVEL

1" = 10'-0"

AREA E EAST MAIN LEVEL

08-08 PROVIDE AND INSTALL NEW DOOR LEAFS OF SAME SIZE AS

STEEL. PROVIDE AND INSTALL NEW HARDWARE TO MATCH

EXISTING.

08-14 PROVIDE AND INSTALL POWERED CLOSING AND OPENING

HARDWARE. DOOR MUST BE SELF LATCHING AND

COORDINATED WITH THE POWERED OPENING AND CLOSING.

DN

B201

LIBRARY

08-01

08-14

A-407A. KAUL

AREA B MAIN LEVEL

1/8" = 1'-0"

AREA B/C MAIN LEVEL

08-01 THIS IS A 20 MIN FIRE RATED DOOR. PROVIDE AND INSTALL NEW DOOR LEAFS OF SAME SIZE AS

EXISTING. DOOR TO BE WOOD CORE WRAPPED IN STAINLESS STEEL. PROVIDE AND INSTALL

NEW SELF-CLOSING HARDWARE. THIS DOOR IS TO HAVE VISION PANEL GLAZING INSET IN

DOORS. GLAZING IS TO BE FIRE RATED COMPLIANT WITH NFPA 101. THIS DOOR REQUIRES AN

ASTRAGEL, RABBET, OR BEVEL WHERE DOORS MEET

08-06 PROVIDE AND INSTALL NEW DOOR LEAF OF SAME SIZE AS EXISTING. DOOR TO BE WOOD CORE

WRAPPED IN STAINLESS STEEL. REUSE EXISTING DOOR HARDWARE.

08-14 PROVIDE AND INSTALL POWERED CLOSING AND OPENING HARDWARE. DOOR MUST BE SELF

LATCHING AND COORDINATED WITH THE POWERED OPENING AND CLOSING.

J504

AUDIO BOOTH

J509

J510

EXAM/CAST

J607

J608

J609POD SUPPLY

J610

J611

POD SHARED OFFICE

J717

OB/GYN OFFICE

J727

OB DIRECTOR OFFICE

A-408A. KAUL

AREA J MAIN LEVEL

AREA J EAST MAIN LEVEL

FITTING

J402

EYE CARE

RECEPTION - ENT

J502

A-409A. KAUL

AREA J WEST MAIN LEVEL

GENERAL WAITING

A113

ISOLATION

A409

A132

A145

A154

A114

A115

A119

A120

NURSE SCREEN &

EDUCATION ROOM

A408

A106

JVN EXAM

TRTMT 3

A140

DIETITIAN OFC

A130

A155

08-06 08-06

A-410A. KAUL

AREA A MAIN LEVEL

AREA A EAST MAIN LEVEL

A164

A165

A179

150148

701 702

A166

A158

A150 OFFICE

A156

A172

08-06 08-06

08-0608-08

08-10

TREATMENT 8

K135VEST

A220

08-12

A-411A. KAUL

AREA A MAIN LEVEL

AREA A WEST MAIN LEVEL

08-06 PROVIDE AND INSTALL NEW DOOR LEAF OF SAME SIZE AS EXISTING. DOOR TO BE

WOOD CORE WRAPPED IN STAINLESS STEEL. REUSE EXISTING DOOR HARDWARE.

08-08 PROVIDE AND INSTALL NEW DOOR LEAFS OF SAME SIZE AS EXISTING. DOOR TO BE

WOOD CORE WRAPPED IN STAINLESS STEEL. PROVIDE AND INSTALL NEW

HARDWARE TO MATCH EXISTING.

08-10 PROVIDE AND INSTALL NEW DOOR LEAF OF SAME SIZE AS EXISTING. DOOR TO BE

WOOD CORE WRAPPED IN STAINLESS STEEL. REUSE EXISTING DOOR HARDWARE

INCLUDING KEYPAD LOCK.

08-12 THIS IS A 20 MIN FIRE RATED DOOR. PROVIDE AND INSTALL NEW DOOR LEAFS OF

SAME SIZE AS EXISTING. DOOR TO BE WOOD CORE WRAPPED IN STAINLESS STEEL.

REUSE EXISTNG HARDWARE. THIS DOOR IS TO HAVE VISION PANEL GLAZING INSET

IN DOORS. GLAZING IS TO BE FIRE RATED COMPLIANT WITH NFPA 101. THIS DOOR

REQUIRES AN ASTRAGEL, RABBET, OR BEVEL WHERE DOORS MEET.

08-17

ENTRY LOBBY

B404

B407

LINK

COMM

J202 BEHAVIORAL HEALTH

WAIT

J300

J102

08-18

A-412C. SAWATZKY

MAIN ENTRANCE MAIN

LEVEL

08-17 PROVIDE AND INSTALL NEW STEEL AND GLASS DOOR LEAFS OF SAME SIZE AND

TYPE AS EXISTING. PROVIDE AND INSTALL NEW STEEL DOOR FRAME. PROVIDE AND

INSTALL NEW AUTOMATIC OPENING HARDWARE RATED FOR HIGH WIND LOADS.

08-18 INSTALL AUTOMATIC CLOSER AND LINK TO NEW HADNICAP BUTTON. INSTALL

BUTTON ON WALL NEAR DOOR.

REFACTUAL

MAIN ENTRANCE MAIN LEVEL

08-20

A-413C. SAWATZKY

AREA C PENTHOUSE

ROOF LEVEL

08-20 PROVIDE AND INSTALL NEW STEEL DOOR AND FRAME OF SAME SIZE AND

TYPE AS EXISTING. MATCH EXISTING LATCHING AND CLOSURE HARDWARE

TYPES. DUE TO HIGH WINDSD, THESE DOORS NEED THE STRONGEST

HARDWARE AND SELF CLOSERS POSSIBLE.

ACTUAL1/16" = 1'-0"

AREA C PENTHOUSE

MAIN LEVEL DOOR SCHEDULE

27 E291 3' - 0" 7' - 0" No Yes No No Yes

67 C518 4' - 0" 7' - 0" No No No No Yes

72 C527 7' - 0" 7' - 0" Yes Yes No Yes No NEW POWERED OPEN CLOSE AND COORDINATING

87 D601 4' - 0" 7' - 0" No Yes Yes No Yes

100 A117 3' - 0" 7' - 0" No No Yes No Yes

103 A117 3' - 0" 7' - 0" No No Yes No Yes

111 D601 3' - 0" 7' - 0" Yes Yes Yes No Yes

125 A409 3' - 0" 7' - 0" No No Yes No Yes

130 A116 4' - 0" 7' - 0" No No Yes No Yes

138 A142 3' - 0" 7' - 0" No No Yes No Yes

143 A142 3' - 0" 7' - 0" No No Yes No Yes

145 A178 3' - 0" 7' - 0" No No Yes No Yes

146 A178 3' - 0" 7' - 0" No No Yes No Yes

148 A179 3' - 0" 7' - 0" No No Yes No Yes

150 A179 3' - 0" 7' - 0" No No Yes No Yes

163 A180 3' - 0" 7' - 0" No No Yes No Yes

196 D521 7' - 0" 7' - 0" Yes Yes 20 No Yes No NEW POWERED OPEN CLOSE AND COORDINATING

208 D146 7' - 0" 7' - 0" Yes 20 Yes No NEW POWERED OPEN AND CLOSE HARDWARE

225 D461 7' - 0" 7' - 0" No No Yes No Yes

226 D462 7' - 0" 7' - 0" No No INSTALL SELF-LATCHING HARDWAR COORDINATE

WITH CLOSERS

240 A220 4' - 0" 7' - 0" Yes Yes 20 No Yes

263 E291 4' - 0" 7' - 0" No Yes Yes No Yes

265 E291 4' - 0" 7' - 0" No Yes Yes No Yes

379 A118 3' - 0" 7' - 0" No No Yes No Yes

382 A402 7' - 0" 7' - 0" Yes Yes No Yes Yes

422 J601 3' - 0" 7' - 0" No No Yes No Yes

456 J501 3' - 0" 7' - 0" No No Yes No Yes

457 J615 3' - 0" 7' - 0" No No Yes No Yes

461 J401 3' - 0" 7' - 0" No No Yes No Yes

477 J102 3' - 0" 7' - 0" No No Yes No Yes

478 J102 3' - 0" 7' - 0" No No Yes No Yes

483 B500 3' - 0" 7' - 0" No Yes Yes No Yes

496 A142 3' - 0" 7' - 0" No No Yes No Yes

497 A180 3' - 0" 7' - 0" No No Yes No Yes

505 A403 7' - 0" 7' - 0" Yes Yes No Yes Yes

511 A179 3' - 0" 7' - 0" No No Yes No Yes

701 A182 3' - 0" 7' - 0" No No No No Yes

702 A182 3' - 0" 7' - 0" No No Yes No Yes

750 J101 3' - 0" 7' - 0" No Yes No INSTALL OPENER AND HANDICAP BUTTON

772 B409 7' - 0" 7' - 0" Yes No 20 No No Yes FIRE RATED VISION PANELS/GLAZING REQUIRED

784 D602 7' - 0" 7' - 0" Yes No 20 Yes No Yes FIRE RATED VISION PANELS/GLAZING REQUIRED

785 E296 7' - 0" 7' - 0" Yes No Yes No Yes

753 6' - 0" 7' - 0" Yes No No Yes

Grand total: 43

LOWER LEVEL DOOR SCHEDULE

520 F105 6' - 0" 7' - 0" Yes Yes 90 No No No REUSE LEAFS

523 F105 6' - 0" 7' - 0" Yes Yes No No No REUSE LEAFS

524 F100 6' - 0" 7' - 0" Yes Yes No No No

531 J802 6' - 0" 7' - 0" Yes No No No INSTALL NEW

HARDWARE. INSTALL

GASKET SEALS.

ENSURE DOOR

CLOSES PROPERLY

571 G712 3' - 0" 7' - 0" Yes Yes 20 No No Yes

572 G712 3' - 0" 7' - 0" Yes Yes 20 No No Yes

581 G420 3' - 0" 7' - 0" Yes Yes Yes No Yes

589 G712 5' - 8" 7' - 0" Yes Yes No Yes No REUSE LEAFS, 590 G713 5' - 8" 7' - 0" Yes Yes No Yes No REUSE LEAFS, 606 H325 3' - 0" 7' - 0" No No Yes No Yes

612 H325 4' - 0" 7' - 0" No No Yes No Yes

614 H405 3' - 0" 7' - 0" Yes Yes 45 No No Yes

626 G711 3' - 0" 7' - 0" Yes Yes No No Yes

631 G408 3' - 0" 7' - 0" No No Yes No Yes

632 G408 3' - 0" 7' - 0" No No Yes No Yes

633 G411 3' - 0" 7' - 0" No No Yes No Yes

640 G407 3' - 0" 7' - 0" No No Yes No Yes

641 G407 3' - 0" 7' - 0" No No Yes No Yes

647 G305 3' - 0" 7' - 0" No No Yes No

665 G705 6' - 0" 7' - 0" Yes Yes No Yes Yes

666 G703 6' - 0" 7' - 0" Yes Yes No Yes Yes

670 G305 4' - 0" 7' - 0" Yes Yes Yes No

672 G701 3' - 0" 7' - 0" Yes Yes 45 Yes No Yes

685 H325 3' - 0" 7' - 0" No Yes No No Yes

Grand total: 24

30x42s

A-101 - MAIN LEVEL FLOOR PLAN DOOR REPLACEMENT

A-102 - LOWER LEVEL FLOOR PLAN DOOR REPLACEMENT

11x17s

A-401 - AREA H LOWER LEVEL DOORS

A-402 - AREA G LOWER LEVEL DOORS

A-403 - AREA G LOWER LEVEL DOORS

A-404 - LOWER LEVEL KITCHEN DOORS

A-405 - AREA C MAIN LEVEL DOORS

A-406 - AREA E MAIN LEVEL DOORS

A-407 - AREA B MAIN LEVEL DOORS

A-408 - AREA J MAIN LEVEL DOORS

A-409 - AREA J MAIN LEVEL DOORS

A-410 - AREA A MAIN LEVEL DOORS

A-411 - AREA A MAIN LEVEL DOORS

A-412 - MAIN ENTRANCE MAIN LEVEL

A-413 - AREA C PENTHOUSE ROOF LEVEL

A-601 - DOOR SCHEDULE

Rockwood Manufacturing Company 300 Main St.

Rockwood, PA 15557 www.rockwoodmfg.com 1 800 458 2424

CUT SHEET

Copyright © 2019-2023, ASSA ABLOY Accessories and Door Controls Group, Inc. All rights reserved. Reproduction in whole or in part without the express written permission of ASSA ABLOY Accessories and Door Controls Group, Inc.

is prohibited. Printed in the U.S.A. KB1150 – 2/23

SPECIFICATIONS:

MATERIAL:

.050" Aluminum, Brass, Bronze, or Stainless Steel

FASTENERS:

#6 x 5/8" Flat Head Sheet Metal Screws; #6 x 5/8" Oval Head Sheet Metal Screws

ORDERING:

Provide drawing specifing size, and square or beveled edge door

87 degrees - pull side of beveled door

90 degrees - push or pull side of square door

93 degrees - push side of beveled door

OPTIONS:

• �Beveling, TORX - security torx screws

• TEK - self-drilling screws

• �Cutouts for hinges, flush bolts, and locks

• UL Listed (screw applied)

AVAILABLE FINISHES:

Powder Coat)

• �BSP (Black Suede Powder

Coat)

Rockwood KB1150 One-Sided Angle Plate Standard Duty .050" Thick

Rockwood Manufacturing Company 300 Main St.

Rockwood, PA 15557 www.rockwoodmfg.com 1 800 458 2424

CUT SHEET

Copyright © 2019-2023, ASSA ABLOY Accessories and Door Controls Group, Inc. All rights reserved. Reproduction in whole or in part without the express written permission of ASSA ABLOY Accessories and Door Controls Group, Inc.

is prohibited. Printed in the U.S.A. KB1152 – 2/23

SPECIFICATIONS:

MATERIAL:

.050" Aluminum, Brass, Bronze, or Stainless Steel

FASTENERS:

#6 x 5/8" Flat Head Sheet Metal Screws; #6 x 5/8" Oval Head Sheet Metal Screws

ORDERING:

Provide drawing specifing size, and square or beveled edge door

Always 90 degree bend

OPTIONS:

• �Beveling, TORX - security torx screws

• TEK - self-drilling screws

AVAILABLE FINISHES:

Powder Coat)

• �BSP (Black Suede Powder

Rockwood KB1152 Bottom Angle Plate Standard Duty .050" Thick

APP_C_Door_Plating_Example

APP_C_Door_Plating_Example_2

APP_C_Door_Plating_Example_3

APP_C_Door_Plating_Example_4

UP

DNUP

D423D426

D421

D306

D305

D302

D417/D418 D419

D420

D422

D430

D429

D427

D400

D145

D144

C600

C504

C522

C523

C524

C525

C526

A185

K126

K130

K133

K132

K129

E236

E239

E240

E241

E213

E214

E215

E217

E219

E220

E221

E223

E225

E226

E227

E229

E230

E232

E234

E235

E275

E276

E277

E279E280

E281

E282

E283 E284 E285

D101

D102

D103

D104

D105

D106

D107

D108

D110

D111

D112

D114

D116

D118

D119

D121

D122

D123

D125

D126

D128

D129 D130

D131

D132 D133 D134 D135

D136

D137

D138

D139

D140

D141D143

D402

D404

D405

D406

D407

8 D409

D410

D412D413

D415

D453D454

D455 D456 D457

D500

D501

D503

D504

D505D507D508

D509

D510

D512

D514 D515 D516

D517

D518

D519

D520

D521

E271 E307

E242

E244

E245

E246 E247

E248

E251

E250 E252

E254

E256

E257

E258

E260

E261

E262

E264

E266

E268

E269

E270E297

E290

E292

E293

E295

E296

H402

E302

A308 A305

A304

A301

A302

A303

D460

D200

D201

D202

D203

D146

D148

D463

C500C501

C511

C601

C508

C520

A407

K134A

A113 A114 A115

A119A120

A164A165A166

A179

C401

C305

C306

C400C401

C402

C404

C412

C411

C405

C413

C414

A409A408

A401

A402

J203

J204

J305

J302 J303

J304 J402

J403

J405

J406

J407

J409J410

J411J412

J413 J414

J401

J502 J503

J505

J507

J508

J509 J510

J602

J607 J608

J609

J610J611

J701

J702

J703 J704

J705

J707 J708

J709

J710

J711

J712

J713 J714

J716

J717 J718

J720

J722

J724

J725J726J727

J426

J107

J428

B100

B101

B102

B105

B107

B108

B109

B111

B112

B114

B115

B118

B120

B121

B122

B124 B125A

B126A

B

B128B129

B130

B131

B132

B133

B134

B135

B400B402

B406

B407 B408

B405

B300

B304

B305

B307

B412

D100

A132A145A154

A140 A130

D401

B404

D600

B136

B126B

D513

C403

E243

K127

A150

A155A156

E238

E237

D506

F202

A193

K135

K136

K137

KC1

A307

K131

K128

K144

K140

K125

K141

K123K122

K124

K121

K142

K139B K139A

K139

K106 K105K104

K107

K108 K109

K143

K100

K101

K110

K111

K112

K118 K119 K120

K117

K116

K115

K114

KM2

K113

K103

K102

D604

K138

J301

J208

J209

J205

J201

F201 F200

A190A192 A184

KM1

KC3

KC2

J706

B103

B104

B106

B110

B113B117

B116

20 20

90 EXIT

EXIT

X I

20 20

NEW CONSTRUCTION

EXISTING CONSTRUCTION

NEW CONSTRUCTION

EXISTING CONSTRUCTION

Q

C201

C200 C602

C216

C217

C215

C214

C203

C209

C210C211

C212

C207

C206

C100

C204

C603

C208

E102

E100

E103E104

E105 E

B125B

OPEN TO FLOOR BELOW

F205

ZONE 2A

HEALTH CARE

COMPLETE SPRINKLER PROTECTION

8,866 SQ FT

ZONE 2A

8,866 SQ FT

ZONE 2K

12,738 SQ FT

ZONE 2E

EXISTING HEALTH CARE

13,567 SQ FT

ZONE 2D

12,597 SQ FT

ZONE 2G

5,080 SQ FT

ZONE 2C

20,368 SQ FT

ZONE 2F

EXISTING INDUSTRIAL

4,722 SQ FT

ZONE 2J

EXISTING BUSINESS

17,614 SQ FT

ZONE 2B

5,759 SQ FT

F100

F106F104

F103

F101

G601

J803

J801

H323 H324 H302

H306H307

H326

H105

H107

H208

H405 H412

H401

G205

G203

G612G610 G611 G613

G401

G307

G308

G300G303

G111 G112 G113

H202H203H206 H205 H204 G606

H301

H316 H315 H314 H313 H311

H319 H606

H207

G713

H201

G600

G602G603G605 G604

G413 G412

G700

H409

H407

G607

G406

G420

G706

G100

F105

H406

G421

G204

H200

H104

G304

90 90

45 45

G708

ZONE 1H

12,324 SQ FT

ZONE 1G

10,167 SQ FT

ZONE 1E

9,450 SQ FT

ZONE 1F

EXISTING INDUSTRIAL

4,604 SQ FT

ZONE 1J

EXISTING BUSINESS

17,594 SQ FT

LIFE SAFETY LEGEND

2-HR. FIRE BARRIER

1-HR. FIRE BARRIER

1/2-HR. FIRE BARRIER

SMOKE PARTITION

1/2-HR. SMOKE BARRIER

SUITE / CORRIDOR SEPARATION

EXIT ENCLOSURE

SHAFT

HAZARDOUS AREA

SUITE

EGRESS CORRIDOR

SPACES OPEN TO CORRIDOR

20 MIN. FIRE RATED DOOR/

1-3/4 IN. THICK SOLID-BONDED CORE WOOD DOOR

45 MIN. FIRE RATED DOOR

90 MIN. FIRE RATED DOOR

SELF-CLOSING or AUTOMATIC CLOSING DOOR

NFPA 101, 2012 EDITION 8.3

NFPA 101, 2012 EDITION 8.4

NFPA 101, 2012 EDITION 8.5

NFPA 101, 2012 EDITION 19.2.5.7.1.2 / 19.3.6.2

NFPA 101, 2012 EDITION 7.1.3.2.1

NFPA 101, 2012 EDITION 8.6.4

NFPA 101, 2012 EDITION 3.3.21.4

NFPA 101, 2012 EDITION 3.3.272

NFPA 101, 2012 EDITION 19/39.3.6

NFPA 101, 2012 EDITION 19.3.6.1

NFPA 101, 2012 EDITION 8.3.4.2 / 7.3.4.3

NFPA 101, 2012 EDITION 8.3.4.2 / 8.3.4.3

NFPA 101, 2012 EDITION 8.3.4.2

NFPA 101, 2012 EDITION 7.2.1.8

Pent E

Stairs

J902

Stairs

BUILDING INFORMATION

HOSPITAL CENTRAL PLANT OUTPATIENT CLINIC EMERGENCY DEPT

CONSTRUCTION TYPE

CONSTRUCTED

SPRINKLERED

BEDS

TYPE II (111) TYPE II (000) TYPE II (0000

1993 1993 2008 2019

YES YES YES YES

45 NA NA NA

ROOF BELOW

F300

F301

F302

LIFE SAFETY

DRAWN SCALE DATE DRAWING NO.

:3

As indicated LS.01

PINE RIDGE, SD

7/15/2024KB

UPPER LEVEL

SUITE LEGEND

ID AREA TYPE REFERENCE

2 2697 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

5 2904 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

6 660 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

7 5090 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

8 3666 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

A 8866 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 19.2.5.7.3

B 4641 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 10.2.5.7.3

C 3499 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

D 8877 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 19.2.5.7.3

E 926 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 19.2.5.7.4

F 760 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

G 5004 SF SLEEPING SUITE NFPA 101, 2012 EDITION 19.2.5.7.2

H 4314 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

K 9880 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 18.2.5.7.3

L 787 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 18.2.5.7.3

M 2615 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

N 2771 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 18.2.5.7.3

P 1678 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 19.2.5.7.4

Q 2952 SF PATIENT CARE NON-SLEEPING NFPA 101, 2012 EDITION 19.2.5.7.3

S 1067 SF NON-PATIENT-CARE NFPA 101, 2012 EDITION 18.2.5.7.4

HAZARDOUS ROOM LEGEND

ROOM

NUMBER AREA OCCUPANCY/USAGE PROTECTION REFERENCE

A190 193 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

PARTITION

NFPA 101, 2012 EDITION 19.3.2

B126A 76 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D133 68 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D417/D418 139 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D420 69 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D428 199 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D429 31 SF MEDICAL GAS STORAGE 1-HR. FIRE BARRIER 45-MIN.

RATED DOORS

NFPA 99, 2012 EDITION 5.1.3.3.2

D432/D433 161 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D449 40 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D456 50 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

D512 76 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

E282 73 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

E283 78 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

E284 95 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

F103 547 SF LEVEL 1 GENERATOR

ROOM

2-HR. FIRE BARRIER 90-MIN.

NFPA 110, 2010 EDITION 7.2

G201 118 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

G202 436 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

G300 87 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

G301 30 SF MEDICAL GAS STORAGE 1-HR. FIRE BARRIER 45-MIN.

G302 29 SF MEDICAL GAS STORAGE 1-HR. FIRE BARRIER 45-MIN.

H302 181 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

H324 50 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

H406 538 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

H606 77 SF EXISTING HEALTH CARE SPRINKLERS & SMOKE

J603 73 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

TO 8.7.1.(2)

J707 176 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

J721 73 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

J724 72 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

J803 1492 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

J804 1456 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

J805 1456 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

J806 1789 SF EXISTING BUSINESS SPRINKLERS NFPA 201, 2012 EDITION 39.3.2.1

K112 54 SF NEW HEALTHCARE NON-RATED SMOKE RESISTANT

NFPA 101, 2012 EDITION 18.3.2

KM2 649 SF NEW HEALTHCARE NON-RATED SMOKE RESISTANT

NFPA 101, 2012 EDITION 18.3.2

0 40 60 8020

GRAPHIC SCALE

HAZARDOUS SUITE LEGEND

ID AREA OCCUPANCY/USAGE PROTECTION REFERENCE

2 2697 SF

EXISTING HEALTH CARE SPRINKLERS & SMOKE

5 2904 SF

6 660 SF

7 5090 SF

8 3666 SF

AREA C - PENTHOUSE

AREA E - PENTHOUSE

AREA J - PENTHOUSE

AREA F - CENTRAL PLANT SECOND

MEZZANINE LEVEL

Sheets

LS.01 - LIFE SAFETY

STATEMENT OF WORK

MULTI-PHASE DOOR REPLACEMENT 2025

GPA IDIQ CONTRACT SCHEDULE B – Pine Ridge, SD

Pine Ridge Hospital

Pine Ridge, SD

August 2025

Statement of Work Page 2 Multi-Phase Door Replacement 2025

Table of Contents

1. Project Description

2. Scope of Work (SOW):

3. Period of Performance

4. Submittals

5. Schedule/Meetings

6. Miscellaneous

7. Payments to the Contractor

8. IHS Personnel

9. Invoice Format

10. Closeout Documents

Appendix A – Quote Schedule

Appendix B – Construction Drawings

Appendix C – Example Armor Plating

Statement of Work Page 3

STATEMENT OF WORK

Multi-phase Door Replacement 2025 Pine Ridge Hospital

Pine Ridge, SD

1. Project Description A. Title: Multi-phase Door Replacement 2025

B. Location: This project is at the Pine Ridge Hospital, in Pine Ridge, SD.

C. Period of Performance: 270 calendar days from Notice to Proceed.

D. Description: The project defined within this Scope of Work is to replace/upgrade 67 doors and/or door components throughout the hospital. Most of the door and door frames from the original hospital construction are worn and/or damaged. Many of the high traffic doors will be upgraded to stainless steel wrapping to prevent excessive wear. Contractor shall install products following all manufacturers’ specifications. All doors replaced must follow NFPA 101 life safety code on doors and door openings and follow the facilities Life Safety Map. For reference, the Facility Life Safety Map can be seen in Appendix D.

E. Background: The existing doors in the Pine Ridge hospital divide rooms and corridors used for all functions that occur within a hospital. Daily operations including moving patients, housekeeping carts and heavy medical equipment with high frequency reduce the lifespan of the doors.

F. Related Documents

1. This SOW and any other standard government or IHS documents are included and considered a part of this contract.

2. IHS Architecture and Engineering Design Manual – 2019

3. FGI 2018 – Healthcare Facility Design Guide

4. NFPA 101 Life Safety Code – 2012

5. NFPA 80

6. NFPA 70 National Electric Code (NEC)

7. ASHRAE 170

8. ASHRAE Fundamentals Handbook 2017

9. NFPA 99 Healthcare Facilities Codebook, 2012

G. Common Acronyms or Definitions

1. IHS – Indian Health Service

2. CMS – Centers for Medicare & Medicaid Services

3. PR – Pine Ridge

4. BAS – Building Automation System

Statement of Work Page 4

5. Metasys – Name of the existing BAS

6. CO – Contracting Officer

7. COR – Contracting Officer’s Representative

8. PM – Project Manager

9. IGCE – Independent Government Cost Estimate

10. BIM – Building Information Model

11. RFI – Request for Information

2. Scope of Work (SOW): The scope of this project includes all demo, new installation, and clean up for installation of the products described below. All electrical installation shall be done by an electrician licensed in the state of South Dakota. The location of all doors to be worked on are outlined in Appendix B construction drawings. The change to each door and requirements of each door are indicated with notes within Appendix B. Only one door at a time is to be worked on to minimize any disruptions to the hospital at each location. No work is to be started until all components of each door assembly are onsite and ready to be installed. All doors must follow NFPA 101 Life Safety code for self-closing, self-latching (positive latching) and fire rating requirements as well as all other door requirements. If the contractor is unsure of the requirements of doors/hardware, contact the COR for clarification.

The contractor shall provide all engineering, design, material, labor, equipment and supervision required to accomplish the following:

A. Demolition: Each existing door and door hardware to be replaced as indicated in Appendix B shall be removed and returned to the facility. Upon the facility’s discretion, the demolished doors and hardware may be disposed of properly.

B. Warranty: Provide a 1-year labor and material warranty at no additional cost to the government which provides for the repair of all work and equipment that was provided under this scope of work.

C. Electrical: The contractor shall follow manufacturer’s instructions on power requirements and installation for each powered door to be replaced as indicated in Drawings. The powered/automatic mechanisms must follow NFPA 101 Life Safety Code and be UL listed hardware.

D. Finishes: The contractor shall ensure that the finish of replaced door frames match existing. If an exterior door is to be replaced, the exterior frame must have its silicone caulking replaced. The caulking must be paintable so the facility can paint to match new facility-wide painting scheme. All walls damaged through door/frame replacements must be repaired to match surrounding finishes.

E. Specialties: Doors to be replaced that have an existing keypad entry shall retain that keypad entry.

Doors with a self-latching requirement must have hardware that automatically latches the door in the closed position. See NFPA 101 on self-latching (positive latching). All doors must be solid-core bonded wood doors. Where fire rating is required, NFPA 101 requirements for fire rated doors must be followed including its reference to NFPA 80. All stainless-steel armor kickplates must be UL listed. If a fire rate door requires kickplate, ensure whole door assembly is fire rated and labeled, including glazing.

F. Openings: The attached Drawing (see Appendix B) gives location and door requirement of each door to be replaced, modified, or upgraded in this project. All doors involved in this project are to be replaced with a like dimensioned door. The contractor is to field verify dimensions of all doors. Each door that has

Statement of Work Page 5 a 1 ¾” wood core is to be replaced with a 1 ¾” wood core door wrapped in stainless steel unless otherwise noted. The contractor shall field verify all door dimensions and other details on all doors involved in this project and present it in their bid schedule of doors. The stainless-steel plating shall be installed at the factory and shall cover 3 sides of the door. If field installing armor-plating, verify with COR that the assembly will be UL listed. See Appendix C for an example of the armor plating. This appendix is only an example as an equivalent plating can be submitted. The doors installed in this project must be UL listed and labeled properly if fire rating is required. All doors must follow NFPA 101 standards for doors.

G. Clean Up: Jobsite shall be cleaned daily and must comply with the Infection Control & Safety Officer’s requirements given with the ICRA and PRCA. The construction areas involved shall be free of any debris, rubbish and leftover material scraps upon completion of the project. Trash receptacles used for the collection of debris and their removal from the project site shall be provided by the contractor. The site will be inspected by the engineer prior to final payment to ensure the sites return to their original condition prior to construction.

H. Site Restoration: The construction site shall be free of any materials, debris and/or rubbish. The contractor will be responsible for the removal of this debris and must restore the site to its original condition as approved by the project engineer. Photos are to be taken before construction begins for documentation of the site’s original condition by the contractor.

I. Addition Facility Requirements: Contractor shall comply with the requirements of the hospital’s Facility Manager, Infection Control Officer and Safety Officer. These requirements will be laid out during the pre-construction meeting and will include providing a separate negatively pressurized workspace, vented to return ducts, or exhausted to the exterior. Other permits and requirements will be given after the pre-construction meeting and the ICRA and PRCA assessments are completed.

CLIN OPTION: CLIN line items will be broken down by construction drawing page, see Appendix B. All door replacements/repairs on each page will be bid on separately and submitted as a CLIN line item, e.g., Drawing sheet A401 for Appendix B has 3 distinct doors for replacement or repair that will be lumped into one CLIN line item. This will give the following Table that lists how the CLIN numbers will line up with the work presented in this SOW. Appendix A, quote schedule, may also be useful in identifying which doors belong to each CLIN line.

CONSTRUCTION DRAWING PAGE CLIN NUMBER

A401 1

A402 2

A403 3

A404 4

A405 5

A406 6

A407 7

A408 8

A409 9

A410 10

A411 11

Statement of Work Page 6

A412 12

A413 13

3. Period of Performance.

A. Time of the Essence: All time limits for Milestones, if any, Substantial Completion, and completion and readiness for final payment as stated in the Contract Documents are of the essence of the Contract.

B. The Work will be substantially completed within One Hundred and Twenty (270) calendar days after the date when the Contract Times commence to run.

4. Submittals A. Submittals or shop drawings shall be submitted for the following items and shall be delivered electronically to the COR or designated PM for final approval before ordering any new material or equipment.

1. All door materials and dimensions, hardware, and door frames.

2. Electrical components of powered doors.

3. Any other pertinent materials or information.

4. Schedule of all doors to be replaced with associated hardware and mechanisms.

5. Stainless-Steel wrap and method of attachment

6. Door window glazing

5. Schedule/Meetings A. The general contractor shall submit a detailed schedule to the COR for approval within (14) calendar days of the award.

B. Pre-Construction Meeting: One Pre-Construction meeting shall be conducted prior to the start of the construction of the contract.

C. Progress Meetings: Progress meetings shall be conducted at regular intervals as merited by the progress of the work.

D. Substantial Completion: One substantial completion meeting shall be held following notification of the COR by the General Contractor that the project is Substantially Complete.

E. Final Completion: One final completion meeting shall be held following determination that the project is complete.

6. Miscellaneous A. Occupancy of Government Facilities. The contractor shall be responsible for properly informing the COR of any condition which would jeopardize the building or its contents, such as loss of heat, air conditioning, danger of pipes freezing, loss of electrical power, water, sewer or loss of building security.

B. Correspondence. All correspondence shall be addressed to the COR. Each letter, document, etc., shall contain the following information:

Sawatzky, Corey (IHS/ABR/OEH)

This must be from an old template

Statement of Work Page 7

1. Date

2. Project Numbers, Contract Number, Delivery Order Number and Service Unit Name/Location.

3. Name of those who were sent copies.

C. Superintendent. The prime contractor shall have an onsite superintendent for this project while any and all work is being performed unless prior approval is granted from the COR.

D. Tribal Requirements.

1. The Contractor and all subcontractors engaging in work on the Pine Ridge Indian Reservation will be required to comply with the Indian preference and Indian preference program requirements administered by the Oglala Sioux Tribe Tribal Employment Rights Office (TERO).

2. Before commencing work, contractors and sub-contractors are required to submit an acceptable “Compliance Agreement” to the TERO office. Copies of this form can be obtained from the TERO office. Typical requirements of TERO include a fee of 4% on the total contract price, and submission of weekly certified payroll reports to TERO.

3. Additionally, the rules and regulations of the TERO Ordinance require that no person who is not a local Indian shall be employed by a covered employer until a work permit has been obtained for them from TERO. The annual work permit fee for each employee is $250.00.

4. Contractors are strongly encouraged to contact the TERO office at (605) 867-5167 for an explanation of tribal requirements. Other fees may apply.

E. Construction Materials and Storage

1. All materials shall be stored and handled according to the manufacturers’ recommendations.

2. All materials shall be submitted to the COR prior to ordering, for approval by the project engineer.

3. The contractor(s) shall be present and on site to receive all construction material, equipment, or products. IHS staff will not be present, responsible, nor receive, or provide any type of offloading equipment for construction materials, products, or equipment. It is solely the contractor(s) responsibility to properly receive any and all construction equipment, products, and materials on site.

4. The contractor(s) shall provide their own means of storing any and all construction materials, products, or equipment required for installation. IHS staff will not be responsible or provide any means of storing construction material, products, or equipment before or during construction.

All material, products, or equipment remain the contractor(s) property until the project has been deemed substantially completed by all parties.

F. Hours Of Operation

1. The project shall start after award and receipt of the Notice to Proceed

2. The work hours shall be 8:00am – 5:00pm, Monday – Friday. Weekends and after-hours work may be available upon request.

Sawatzky, Corey (IHS/ABR/OEH)

I am pretty sure we remove these from all scopes a while back.

Statement of Work Page 8

7. Payments to the Contractor

1. The Government will pay the Contractor a fixed price, as indicated below, which will constitute full compensation for all Contractor professional and incidental services, travel expenses, and materials necessary to furnish complete project as required and specified in this SOW.

2. Progress payments will be paid following acceptance by the Government of that schedule item and a properly submitted and approved invoice.

8. IHS Personnel Contracting Officer’s Representative (COR)

Austin Kaul will be designated as the Contracting Officer’s Representative (COR) for this Order. His address and telephone are:

Austin Kaul General Engineer, DFM Great Plains Area Indian Health Service 3200 Canyon Lake Dr., Suite #1 Rapid City, SD 57701 Office: 605-719-4033 austin.kaul@ihs.gov

Any change in COR designation will be documented by the Contracting Officer in writing.

Facility Manager (FM)

Chance Knutson is the Facility Manager for the Pine Ridge Service Unit. His contact information is:

Chance Knutson Facility Manager Pine Ridge Service Unit Office #: 605-867-3042 Cell #: 605-454-6767 Chance.knutson@ihs.gov

9. Invoice Format

Invoice Processing Platform (IPP) The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum, Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing, directing Federal agencies to adopt electronic…