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USVF REQUEST FOR HOST NATION APPROVAL
(USVF Direct Contracting / Labour as 1973 CSA Clause c(2))
| DIO Received 27/09/2017 more information requested. |
| Form 29 Serial Number: LAK0173 |
| Base / Establishment |
| RAF Lakenheath |
| USVF Project Number |
| 66852 |
| Project Title |
| Replace Existing Refrigeration system with new CO2 system |
Construction Cost Limit
| F100 Number (for DIO time charge) |
| LAK18-001 (X5791) |
| Value allocated to DIO: £203.12 |
| USVF Agency Initiating Works |
| DeCA |
| Proposed Designer |
| TBD based on contract acquisition |
| Proposed Contractor |
| TBD based on contract acquisition |
Proposed scope of work
The scope of the work is to remove the entire existing R404A refrigeration system and associated components and install new CO2 (R744) refrigeration system to include new refrigerated display cabinets/cases, evaporators, compressors, condensers, piping, controls and electrical components. Repair existing Air Handler unit serving the Sales Area in-order to maintain humidity and temperatures per DeCA design criteria. Some electrical work may be required in-order to support the new refrigeration system. All work will be conducted in phases in-order to keep the commissary in operation.
| Proposed contracting method |
| DeCA / 48 CONS |
A. Parts 1, 2 and 3 of this form should be completed by the USVF Focal Point for issue to the DIO Focal Point.
B. On receipt the DIO Focal Point should insert estimated costs for any DIO involvement, create a project record for cost recovery and return to the USVF Focal Point to obtain the BCE’s acceptance prior to issue to the DIO Manager for final agreement / approval.
| C. * Definition of DIO USF involvement |
| Assurance – indicates that DIO USF will require evidence that the task has been satisfactorily completed. |
| (consultation between CE/DIO) |
| Yes – indicates that DIO USF will play an active role in completing the tasks and all costs incurred will be recoverable. |
Part 1 – Design Stage
(Completed by CE) Required Yes/No *
(Completed by CE/DIO) Approximate Requirement Date
(Completed by CE for programming resources) Estimated DIO Costs involved
(Completed by DIO) Hours / cost £ Requirement Lead (Either CE, DIO or as stated) Comments
| 1 |
| Compliance with CDM regulations 2015 and appointment of PD / PC if more than 1 contractor is involved. |
| Yes |
| CE/Contractor |
| As this project will exceed 30 days full CDM will be required. An appointment of a BCA will also be required and details passed to DIO. It is important that the current maintainer Phosters is aware of these works, along with the IDL A/Ps. As permits to work may be required on certain areas of these works. So they are aware that these works are going on. |
| 2 |
| Asbestos / Specialist Surveys |
| Yes |
| CE/Contractor |
| Check asbestos records with CEIE prior to commencing of any work. Also as part of the local risk assessment. |
| CE |
| If required to be requested through RAFLO. |
| 4 |
| Local Authority Planning including archaeological compliance. Including DIO Land Management Services. |
| No |
| CE/DIO |
| As replacing existing system no change to the footprint. |
| 5 |
| Archaeological and Heritage |
| No |
| CE/DIO |
| Not appropriate to these works |
| 6 |
| SSSI / EN compliance |
| No |
| CE/DIO |
| Not appropriate to these works |
| 7 |
| Building Regulations compliance |
| No |
| CE/Contractor |
| A BCA will need to be appointed to oversee these works. Form C1 to be submitted to Nelson, Peter Mr (DIO SEE-ENG Bldg Stds2) Peter.Nelson868@mod.gov.uk also copy to DIO and submit C3 on completion as above. |
| 8 |
| MoD Fire Officer approval including NFPA |
| Yes |
| CE/Contractor/ BCA |
| Form 1 to be sent to DSA as email sent Sept 2017. |
Send to DSA-DFSR-USVF-GroupMailbox@mod.uk and copy to DIO. Reading the scope of works for this project there is a line in document
| 9 |
| Independent Structural Certification |
| No |
| CE/Contractor |
| This has been carried out by RS&H and copy received by DIO 23/07/2018 |
| 10 |
| Water supply, boreholes, drainage. EA drainage plans approval |
| No |
| CE/Contractor/DIO |
| Notify DIO if any drains are to be compromised by these works prior to work starting. |
| 11 |
| Post Contract Maintenance strategy |
| Yes |
| CE/Contractor |
| Full maintenance schedules to be advised to the maintainer and a copy passed to DIO. |
| 12 |
| Authorising Engineer / Person Involvement. Chargeable service by IDL. |
| Yes |
| CE/Contractor/ IDL |
| Skilled person electrical and mechanical A/C will be required for these works and if not in possession of these the must be obtained through IDL. They must be added to the base Skilled person’s register. The type and quantities of gas to be recorded on the F-Gas register held by IDL. For removal and charging up the new system. Please note as this is a new installation under the PSSR 2000 regulations a new written scheme will be required. A hard copy must be passed to DIO. |
| 13 |
| Pre-construction H&S Information |
| Yes |
| CE/Contractor |
| Copy to be submitted to DIO prior to work commencing. |
| 14 |
| Energy Performance Certificates / SAP Calculation method. |
Building Regs Part L No
| CE |
| Copies to be passed to DIO if appropriate. |
Part 2 – Construction Stage
(Completed by CE) Required Yes/No *
(Completed by CE/DIO) Approximate Requirement Date
(Completed by CE for programming resources) Estimated DIO Costs involved
(Completed by DIO)
Hours / cost £ Requirement Lead
(Either CE, DIO or N/A) Comments
| 15 |
| CDM Construction Phase H&S plan |
| Yes |
| CE/Contractor |
| As this project, will exceed 30 days full CDM will be required. An appointment of a BCA will also be required and details passed to DIO. |
| 16 |
| Contractor’s security clearance |
| Yes |
| CE |
| Requestor to be responsible for the contractor’s security clearance |
| 17 |
| HSE notification using HSE Form F10 |
| No |
| CE/Contractor |
| As Lines 1 & 15 |
| CE/Contractor |
| Full compliance with JSP 375 and other relevant safety standards is required, at all times! |
| 19 |
| Authorising Engineer / Person Involvement Skilled Person Certification. Chargeable service by IDL. |
| Yes |
| CE/Contractor/lDL |
| As Line 12 |
| 20 |
| Hazardous Waste Regulations compliance |
| Yes |
| CE/Contractor |
| Full documentation of F Gas removal and disposal is required. Any waste transfer notes. Copies to be sent to DIO. |
| 21 |
| MoD Fire Certification using Form DIO USF 15 |
| Yes |
| 22 |
| Issue of H&S file and O&M documentation. |
| Yes |
| CE/Contractor/DIO |
| Full handover of H&S / O&M documentation to be given to the maintainer. A full list of asset changes will be required by DIO. The maintainer is to be given a full handover and training on completion. |
| 23 |
| Building Regulations compliance |
| No |
| CE/Contractor |
| As this project, will exceed 30 days full CDM will be required. An appointment of a BCA will also be required and details passed to DIO |
Part 3 – Post Construction Stage
(Completed by CE) Required Yes/No *
(Completed by CE/DIO) Approximate Requirement Date
(Completed by CE for programming resources) Estimated DIO Costs involved
(Completed by DIO)
Hours / cost £ Requirement Lead (Either CE, DIO or N/A) Comments
| 24 |
| Asset register and statutory test certificates. |
Required F-Gas certification provision.
Yes
| CE/Contractor |
| Full list of removals and additions will be required on completion. A complete set of test certificates for the installation must be provided to DIO. |
| 25 |
| Management of Warranty items |
| Yes |
| CE/Contractor |
| To be the responsibility of the requestor. |
| 26 |
| DIO Attendance at Meetings, Work Groups, F29 Management |
| Yes |
| £203.12 |
| DIO |
| To carry out review and the processing of the Form 29 |
To be described in comments
TOTAL ESTIMATED COST AND ESTIMATED PROJECT COMPLETION
£203.12
Part 4 – Authorisation
| USVF Focal Point - (Eg. CEO or CEP Flight Chief). |
| Name: |
Mr Ross Jack Signature:
Date:
| DIO Focal Point - (Eg. Senior Project Manager or Ops Manager) |
| Name: |
Mrs Claire Bushnell
Signature:
Date:
| Base Civil Engineer - (or Regional Civil Engineer if scope is applicable) Agreement to scope and DIO costs. |
| Name: |
Mr Walter Graves
| DIO Area Manager – (or SDTFM USF RM if scope is applicable) |
| Name: |
Mr Gary Syer
Please note the Form 29 will only be valid for a 2 year period from the date of approval by the Senior Signatory above. After 2 year’s a review must be conducted to extend the period if required at the discretion of DIO. This may incur additional costs.
GUIDANCE - DIO REQUIREMENTS AND EXPECTATIONS
| 1 |
| Compliance with CDM and appointment of PD / PC if more than 1 contractor used |
| DIO requires a copy of the HSE F10, signed by the USVF representative, for the design stage for notifiable works. For non-notifiable works written confirmation is required that the scheme complies with the CDM regulations |
| 2 |
| Asbestos / Specialist Surveys |
| DIO will provide support in obtaining any specialist / asbestos surveys and provide estimated costs if requested. |
| 3 |
| RAFCC Siting Board |
| DIO requires a copy of the Board Result. |
| 4 |
| Local Authority Planning including archaeological compliance |
| DIO will provide support and apply for the LPA Planning Consent and provide estimated costs if requested. CE to produce all required documents. |
| 5 |
| Archaeological survey |
| DIO will provide liaison with local authority archaeology unit and necessary funds. CE shall allow time in the programme for archaeological works |
| SSSI / EN compliance |
| DIO will provide support in applying for relevant approvals and provide estimated cost if requested. |
| 7 |
| Building Regulations compliance |
| DIO expects all works to comply with the Building Regulations and all designs and construction works are to be certified by an approved third party Building Control Adviser employed by the designer. Copies of design proposals and certificates are to be issued to the DIO BCO. Forms DIO USF 67 and 68 shall be used. All construction works are to be inspected by the DIO BCO prior to occupation. |
| 8 |
| MoD Fire Officer approval including NFPA |
| DIO expects all works to comply with UK and USVF fire standards. All design and construction work will be inspected and approved by the MoD Fire Adviser. DIO will provide estimated costs if requested |
| 9 |
| Independent Structural Certification |
| DIO expects all works to comply with relevant UK regulations and all structural designs are to be certified by an approved third party organisation. Form DIO USF 2518 and 2519 shall be used. |
| 10 |
| EA drainage plans approval |
| DIO will provide support in obtaining relevant approvals and provide estimated costs if requested. |
| 11 |
| Post Contract Maintenance strategy |
| DIO will provide support in agreeing a suitable maintenance strategy using Form DIO USF 148. |
| 12 |
| Authorising Engineer / Person involvement |
| DIO will provide support in providing estimated costs for requester funding. |
| 13 |
| Pre-construction H&S Information |
| DIO requires written confirmation that all Pre-construction H&S Information is in place prior to contract award. |
| 14 |
| Energy Performance Certificates / SAP Calculation Method |
| DIO requires written Energy Performance Certificates / SAP Calculation Method as Building Regs Part L |
| 15 |
| CDM Construction H&S plan |
| DIO requires written confirmation that a suitable safety plan is in place prior to construction commencing. |
| 16 |
| Contractor’s security clearance |
| Those requesting the works shall sponsor and arrange the security clearance through the local pass office. |
| 17 |
| HSE notification using From F10 |
| DIO requires a copy of the F10 for the construction stage for notifiable works. |
| 18 |
| JSP375 compliance |
| DIO will provide support to ensure compliance with JSP 375. |
| 19 |
| AE / AP Involvement. Skilled Person Certificate |
| DIO can provide estimated costs from DIO’s contractor. All costs to be funded by requester |
| 20 |
| Hazardous Waste Regulations compliance |
| DIO requires written confirmation that the construction phase complies with the Hazardous Waste Regulations. |
| 21 |
| MoD Fire Certification using Form DIO USF 15 |
| DIO expects all works to comply with UK and USVF fire standards. All construction works are to be inspected by the MoD Fire Adviser prior to occupation. |
| 22 |
| Issue of H&S file and O&M documentation |
| DIO expects a signed copy of the Form DIO USF 141 Schedule of Documents. |
| 23 |
| Building Regs Compliance |
| DIO will require full stage certification from a nominated BCO |
| 24 |
| Asset register and statutory test certificates |
Required F-Gas certification provision DIO to be provided with all statutory test certificates
Form DIO SDTFM USF 29 (01/18) 3 of 6
