Attachment_1_-_Cross-Connection_Survey_SOW.DOCX

Cross-Connection Survey for Minot AFB, ND Statement of Work 8 August 2018

1. INTRODUCTION

The Contractor shall accomplish activities necessary to support the Minot AFB Cross-Connection Control and Backflow Prevention Program. The primary goal of this task order is to assist the base in complying with Air Force Instruction 32-1067, Civil Engineering Water and Fuel Systems (4 February 2015), requirement to conduct a cross-connection survey every five (5) years. Specific objectives are as follows:

1. Conduct a cross-connection control survey of all water-using facilities listed on Attachment 3 – Bldg listing Pricing Sheet. Even though the building listing is believed to be accurate, additional inspection locations may be required that are not listed. For example, backflow prevention devices added since the last survey was completed must be included in the survey.

2. Develop a cross-connection control survey report that includes findings from the survey and prioritized recommendations for program improvement along with associated cost estimates.

2. TASK REQUIREMENTS

The Contractor shall furnish the personnel, equipment, materials, and other requirements necessary for, or incidental to the performance of work associated with this task order as noted in the tasks below.

Task 2.1: Pre-Performance Meeting A Pre-Performance meeting/teleconference shall be performed with the Minot AFB Backflow Program Manager and Contracting to discuss the work, and associated requirements to be accomplished under this task order (TO). The purpose of the meeting will be for the Contractor to become familiar with the project expectations and requirements, and to begin preliminary planning and data gathering. Other issues affecting installation operations and actions will be included in the discussions. At a minimum, the following will be discussed:

· Points of contact and lines of communication

· Information/data available

· Applicable installation policies and requirements

· Applicable installation procedures for site access and coordination

· Various compliance plans, programs, and policy

During the teleconference, the Contractor shall present their Work Plan. The work plan shall address project organization, personnel, and project management; technical approach; coordination procedures and activity and deliverables schedule; quality assurance and quality control procedures, and activities that will contribute to the successful execution of this contract.

Also under Task 1, the Contractor shall request necessary documents from the base and conduct a comprehensive review of that data prior to the site survey. This data may include:

· GIS maps and engineering drawings of the installation potable water system (including associated irrigation and building footprints)

· Existing backflow prevention device (BPD) records, specifications and other documents that may be of value in defining the cross-connection and backflow prevention issues

· Real property listing of all base buildings (excluding housing)

· Previous cross-connection survey results can be made available by the government. Previous survey results shall be used as a guide only, not as a confirmation of existing base-wide conditions.

· Appendix A (see page 4) lists approximate distances from each Missile Alert Facility (MAF) to Minot Air Force Base and the approximate distances between each MAF.

Minot AFB points of contact will be provided following contract award.

Task 2.2: Cross-Connection Control Survey

The Contractor shall inspect each building suspected of having a connection to the potable water system including a 100-foot radius surrounding the outside of each building surveyed. The survey team shall consist of at least one person trained and experienced in cross-connection survey methodology. The Contractor shall assume that 303 buildings with water will be assessed during the cross-connection control survey and that military family housing will be excluded from the effort. The Contractor shall survey Minot AFB main base facilities and all 15 Missile Alert facilities. The Contractor shall note that the Missile Alert facilities are geographically separated from the main base location. Additional identification information shall be provided as applicable for the contractor to gain access to the Missile Alert facilities.

The Contractor shall identify all water uses and examine all visibly exposed water piping and point of use devices internal and external to the facility. All potential cross-connections between the potable and non-potable water uses or sewers shall be documented. Each cross-connection shall be located, catalogued, and tagged. The Contractor shall identify, catalog, and evaluate all existing protections, including air gaps, vacuum breaks, and other BPDs. Information shall include location, type, manufacturer, model number, serial number, device size and date installed, if applicable. The Contractor shall include a color photograph of each cross-connection and device where installed. The Contractor shall not inventory devices integral to food service equipment and medical equipment.

The Base Bioenvironmental Engineer and Backflow Program Manager shall be notified of all high hazards when identified in order that any serious health threat can be corrected immediately.

Every Missile Alert Facility (MAF) Alpha - Oscar will have a cross-connection survey. Alpha, Echo and Fox have testable devices. Bravo, Delta, Lima, Mike, and November have non-testable devices. Charlie, Golf, Hotel, India, Juliet, and Kilo have no backflows, they utilize Dual Checks.

Task 2.3: Cross-Connection Survey Database and Report Under Task 3, the Contractor shall produce a Cross-Connection Survey Report in draft version. This report shall include identification of all actual and potential cross-connections, the hazard classification of each, and recommended corrective actions along with approximate costs to implement each recommendation. This report will include a section outlining the justification for recommended corrective actions. The Contractor shall include a narrative description of the building, identify where BPDs are installed, and determine where BPDs or corrective actions are needed. For each potential cross-connection identified that requires corrective action, the Contractor shall rank in descending order, from most hazardous to least hazardous, to allow prioritization of corrective action to be accomplished. The Contractor shall identify approximate costs for each corrective action, considering material, labor, and equipment. Contractor shall provide surveyor/tester/equipment qualifications and/or certifications. The Contractor shall incorporate edits based on draft report review comments and submit the final report to the government. The final report shall include data and reports in electronic format. Approved formats shall be on an AF Form 848, Inventory of Cross-Connection Control and Backflow Prevention Devices, a computerized maintenance management system (CMMS), or state submittal forms.

5 CONS shall receive original copies of all transmittal letters. The number of copies to be mailed directly to Minot AFB via overnight service by the contractor is as follows:

445 Peace Keeper Place Minot AFB, ND 58705

*Electronic drawings shall be submitted in AutoCAD and Adobe (pdf) format while reports and other data shall be submitted in the appropriate Microsoft Office software format and Adobe (pdf) documents.

3. REFERENCES AND CODES

The Contractor shall perform activities in conformance with instructions given in Air Force Instruction (AFI) 32-1067, North Dakota State Plumbing Board, Uniform Plumbing Code (UPC) 2015 Section 603.0 Cross-Connection Control, and the Manual of Cross-Connection Control by the University of Souther California, 9th edition.

4. CONTRACTOR QUALIFICATIONS

The survey team shall consist of at least on eperson trained and experienced in cross-connection survey methodology. At least on eperson on the team shall possess one or more of the following credentials:

a) Successful completion of Cross-connection Control Tester Certification Course approved by the state of North Dakota.

APPENDIX-A