Dialysis MedGas Issues SOW -Final.pdf

Hampton VA Medical Center

SCOPE OF WORK

Dialysis Building 113A MedGas System

General:

The Hampton Veteran’s Affairs Medical Center requires the Dialysis clinic’s Medical Gas System to be updated to meet current NFPA requirements. Work shall be turnkey and comply with VA guidelines and specifications, specifically PG-18-1 Master Construction specifications, section 22 63 00, Gas Systems for Laboratory and Healthcare systems.

Specifications can be found at https://www.cfm.va.gov/til/index.asp Work shall also meet all applicable codes and standards, including NFPA 99 and OSHA. Work is located at Hampton VA Medical Center Dialysis building, 113A.

Scope of Work:

Contractor shall perform / provide the following:

• Labor and materials to install a new zone box for medical gas and medical vacuum recessed into the wall cavity in hallway adjacent to room AG15F. New zone box shall be positioned for handicapped accessibility as to facilitate shutoff of systems in the event of an emergency. Approximate location shown in figure 1.

• Make modifications to the existing MedGas system, medical vacuum piping, valves, and fittings to accommodate new zone box and ensure entire MedGas system is compliant with NFPA-99:

o Remove gauges located in the ceiling space and plug gauge ports, not to exceed 8 gauges.

o Ensure all piping and valves are supported by code compliant means, for newly installed piping o Provide and install piping labels that are code complaint for gas type, letter color, background color and letter size.

• Use NFPA-99 compliant clean pipe, fittings, medical gas zone box with valve and piping rated for oxygen service.

• Provide labor and materials to fix any damage done to ceiling grid, wall surfaces and flooring surfaces during performance of work; patch and paint the entire affected wall to match surrounding.

• Use code compliant purge gas when brazing is required.

• Return area to original state of cleanliness upon completion.

• Conduct all required inspection, quality assurance, and medical gas certification requirements.

• Coordinate and complete NFPA 99 compliant verification upon completion and all documentation shall be provided to the Project COR. Full payment will not be approved until all documentation is received and reviewed.

• All materials and installation work shall have a standard warranty period of one year from the date of installation.

https://www.cfm.va.gov/til/index.asp

Figure 1

Contractor shall be responsible for providing all tools, equipment, lift equipment and/or PPE to complete the work which include but are not limited to:

• Man-lift or scaffolds.

• Welding machines or torches.

• Pipe threading equipment.

• Carts for transporting materials or scrap.

• Dumpster for material scrap.

• PPE for welding, hearing and visual protection.

• Negative pressure machines.

• Barrier material, (visqueen, zip-walls, caution tape, etc.).

• Matching interior paint and painting supplies, (if necessary).

• Temporary construction items such as dust walls, safety barriers, etc. Obtain approval from VA staff prior to the installation of such temporary construction.

• Any required Test and Measurement equipment, (copy of current calibration certificate “per device” will be provided to the Project COR).

Period of Performance:

Contractor shall begin MedGas work on a Thursday at 12 PM, and complete MedGas work by the following Sunday at 4 PM. All other related work with this SOW shall be completed after hours (after hours are 6PM - 5AM). The Contractor shall report to the Project COR when onsite at the Hampton Campus. Total period of performance shall be one week (7 calendar days).

All individuals that enter any VA patient care building(s) are required to be pre-screened for COVID-19 and required to wear a face mask; to include Veterans, employees, visitors, volunteers, and contractors. Contractors entering buildings are required to wear a face mask. Contractors working outside within six (6) feet of one another, or any individual, shall also be required to wear a face mask.

Upon detection of any safety discrepancies, the Contracting Officer shall notify the Contractor of any safety issues and the action necessary to correct these issues. Such notice, when served on the Contractor or his representative at the work site shall be deemed sufficient for the corrective actions to be taken. If the Contractor fails or refuses to comply promptly, the Contracting Officer may issue an order stopping all or part of the work and hold the Contractor in default.

Attachment 1:

As-Built documentation of Building 113A.