Attachment D - Equipment and Test Matrix - REV19.docx

ATTACHMENT D | EQUIPMENT AND TEST MATRIX

Electrical Distribution System Inspection, Testing, Maintenance, Calibration, and Infrared Scanning. Atlanta VA Health Care System (Station 508). Revision 19, August 25, 2026. This matrix defines the required level of work by equipment class and applies to the equipment listed in Attachments A, B, and C. Where a class is not present at a site, its row does not apply. Test methods follow ANSI/NETA MTS in the edition adopted by the VA and the authority having jurisdiction as of the solicitation date, and the manufacturers' instructions. This attachment governs test method only to the extent it is consistent with the Statement of Work; it does not add an asset, add a quantity, or expand the base scope (Statement of Work, Section 3.1).

Individual breakers and protective relays. The equipment schedules (Attachments A, B, and C) do not list individual low-voltage power circuit breakers, electronic trip units, or protective relays as base assets, and testing of such individual devices is not part of the base firm-fixed-price work. Where field verification identifies such devices, their testing is ordered in advance by the Contracting Officer under the separately ordered unit-price CLIN 0004 at the firm unit rates in the price schedule. Nothing in this matrix requires injection testing, trip-unit testing, or relay calibration of branch devices within a scheduled assembly as part of the base work.

Outage Requirement De-energized electrical tests require an outage. Outages are requested and approved through the Atlanta VA Health Care System Utility Outage Request process. The Contractor shall submit the current Utility Outage Request form to Engineering Service at least 15 working days before the requested outage date. Outages are approved at the discretion of the Chief Engineer or other authorized VA authority. The COR coordinates outage scheduling and site access; the COR does not approve scope or price, does not authorize additional work, and does not unilaterally grant outages. The VA retains final control over the timing of outages that affect patient care. Work is expected to require multiple outage windows at each site. Where a required outage cannot be obtained within the period of performance, the energized and infrared portion is performed and the de-energized testing is entered in the deferred-testing register and rescheduled; the affected item is not accepted as complete until the required testing is performed or the Contracting Officer dispositions the requirement (Statement of Work, Sections 12.0, 12.1, and 14.0).

Reporting Requirements

1. Record for each device: identification and nameplate data, location, test methods and instruments used (with model numbers), test data with as-found and as-left values and settings, pass or fail result, and deficiencies with recommended corrective action.

1. Infrared findings: load condition, paired thermal and visible-light images, asset identification, severity classification, probable cause, and recommended corrective action.

1. Submit per-segment Engineering Service Reports and a consolidated final report as stated in the Statement of Work, and apply a test label to each serviced device.

Key Exclusions

1. Engine-generator maintenance, including NFPA 110 generator operational testing, engine maintenance, fuel-system work, and generator preventive maintenance. Only the listed generator output and main breakers and transfer switches are in scope.

1. Internal UPS service; fire-pump flow testing, pump performance testing, and mechanical fire-pump service.

1. Repair, replacement, rewiring, breaker upgrades, and reconditioning of deficient equipment.

1. Any arc-flash incident-energy study, short-circuit study, coordination study, one-line development, or arc-flash labeling.

1. Utility-owned equipment. Only VA-owned or VA-maintained equipment listed in Attachments A, B, and C is included. The medium-voltage main distribution transformer at Trinka-Davis Veterans Village Clinic is treated as VA-owned or VA-maintained equipment and is included in the base scope notwithstanding this exclusion (Statement of Work, Sections 10.4 and 27.0).