Final Draft SOW Mobile Deploy Med Units.pdf

United States Department of Health and Human Services (HHS) Assistant Secretary for Preparedness & Response (ASPR)

Office of Resource Management (ORM) Logistics (LOGS)

Mobile Deployable Medical Units Fold-Out Temporary Rigid Shelters (FORTS)

DRAFT STATEMENT OF WORK (SOW)

1. TITLE OF CONTRACT: Fold-Out Temporary Rigid Shelters (FORTS)

2. STATEMENT OF NEED: The HHS/ASPR/ORM/ LOGS currently has a requirement to procure two(2) Fold- Out Rigid Temporary shelter systems (FORTS) that will expand deployable capabilities to protect vulnerable populations in large-scale responses that will serve the as medical clinics for patient isolation, critical care, dialysis and other medical specialty functions

These FORTS will serve as drop-in mobile medical facilities permitting a broad scope of medical capabilities (i.e., isolation, critical care, dialysis) in a sterile environment for emergent needs when local capacity is exhausted or inactive, with capacity to treat a number of indications to high levels of severity. These FORTS would enhance rapid support for the special needs of vulnerable populations, including fragile infants and pediatric patients who may have limited resistance to infectious disease. These FORTS will also provide a team-training module when not in use. During combined operations with the Veteran’s Administration (VA), this equipment will serve as an add–on capability to enhance the VA’s existing deployable portable hospital capabilities.

3. BACKGROUND: HHS/ASPR/ORM/ LOGS provides emergency medical equipment and supplies in support of the National Disaster Medical System (NDMS) which provides care to the victims of public health emergencies and catastrophic events that overwhelm the capacity of state and local emergency medical systems to respond to these disasters. ASPR currently has teams and medical caches located across the nation that are prepared to deploy within hours to respond to an all Hazards environment. These caches require shelter and ancillary support equipment (HVAC, lavatory/latrine services, medical gasses, power distribution, and water supply and evacuation. Purchase of FORTS will provide a rapid deployment capability, with a condensed storage footprint, ease of transport and setup.

The Department of Veteran’s Affairs (DVA) is a partner with ASPR/NDMS under the Federal Response Plan ESF-8 and the DVA has already purchased FORTS systems. As ASPR/NDMS and the DVA respond together during emergencies, All FORTS systems must be compatible and connectable to each other to include the ones the DVA currently have. Furthermore, personnel from each department are cross-trained in setup, use and maintenance of the equipment.

4. OBJECTIVES: The contractor shall perform the mandatory tasks and provide specific deliverables described below within the performance period stated in this Statement of Work (SOW). All water, power, and medical gas equipment must be compatible with and connectable to all FORTS as well as all connectors must be rigid in construction, conform to and mate with FORTS hardware.

FORTS

4.1.1 Provide two (2) Fold-Out Temporary Shelters (FORTS) - The contractor shall provide (2) mobile deployable FORTS that each contain a minimum of 810 sq. ft. and fits on 2 standard 53’ flat-bed and or removable goose nec (RGN) trailers for transport. Each FORT shall have the ability to break down into 3 individual shelters, which can be used independently or combined to create a larger open space FORT. Units are built in a way that allows for even more individual shelters to be added to these FORTS in the future for greater capability.

Individual Shelters are expandable from (19’6” L x 45” W x 8’6” H), to (19’6” L x 17’8” W x 8’6” H) and weigh maximum of 4000 lbs. each. The stowed dimensions of the FORTS shall meet ASPR’s requirement for compact storage not to exceed 975 sf per unit. Shelters shall be able to loaded and unloaded from 53 ft. flatbed with the use of a 5k forklift.

4.1.2 FORTS Construction – FORTS shall be constructed so that each unit is reinforced to withstand movement over the road. This reinforcement shall protect the FORTS to maintain the exterior integrity allowing it to be successful in rapid deployment.

4.1.2.1 Exterior of FORTS – shall consist of “hard” side walls, roof, and floor. The walls, roof, and floor shall fold and unfold in a manner that allows the unit to travel within the legal dimensions over the road. The FORTS once expanded shall consist of connections that will allow the three (3) shelters to seamlessly connect, while providing four (4) patient rooms, three (3) office areas, one (1) dirty anteroom, one (1) clean anteroom, and one (1) restroom.

4.1.3 Leveling of FORTS - shall have a mechanism in place that allows the unit to be leveled on surfaces that consist of hard stand (blacktop, concrete) as well as grass, dirt, and gravel areas. The FORTS shall be constructed so that a maximum of three (3) unskilled laborers can deploy/redeploy within 60 minutes. FORTS shall be designed to function as brick and mortar buildings on the ground, not as vehicles or trailers.

4.1.4 Entry Ways – Each FORT shall have one (1) door for direct patient entry, and this door shall have an ADA compliant entry ramp. The staff shall use the door from the clean anteroom.

Patient areas shall be monitored for air pressure and when the pre-determined correct pressure is reached, a green button next to the door can be pushed and entry into the patient area is granted. Staff exits through the dirty anteroom. The doors into the structure and doorways into the patient rooms shall be Americans with Disabilities Act (ADA) compliant. All door thresholds shall be designed to allow a wheelchair to maneuver without difficulty.

4.1.5 HVAC - Each FORT shall be equipped with Heating, Ventilation and Air Conditioning (HVAC) that is attached to the unit and has the duct work installed inside the FORTS allowing sufficient air flow to cool and heat the unit’s interior. Ductwork has integrated UV-C banks, and HEPA filtration. Each FORT shall be able to maintain a constant interior temperature of 68o-70o Fahrenheit, when outdoor temperatures are ranging from -25o to 120o Fahrenheit.

4.1.6 Power – Each FORT shall be wired for 120/240 volt electric, 125-amp single phase convertible load center. There shall be at least one (1), 100-amp break for permanent power connections for shore power/generator. The four (4) patients’ rooms shall have a minimum of two (2), 110v dual outlet located in the room. The three (3) office areas shall have two (2), 110v dual outlets each located in the walls.

4.1.6.1 Power Connections – The FORTS shall have external electrical connections that will allow the unit to be connected to shore power and generator power.

4.1.6.2 Generators – A 150kW generator that can power the equipment and each FORT to the above specifications shall be provided by the contractor. This generator shall operate on diesel fuel. There shall be a backup 150kW generator for redundancy with an automatic transfer switch to mitigate any power loss.

4.1.7 Tie Down System - The FORTS shall be constructed so that it can be secured during heavy winds. The FORTS shall be designed to sustain wind speeds up to 125 mph. The tie downs straps shall be provided by the contractor.

4.1.8 Outside Appearance - The outside of the unit shall be white in color and branded with the HHS/ASPR Logos on all four (4) sides of the structure. The design will need to be approved by HHS/ASPR prior to being placed on the FORTS.

4.1.9 Interior Rooms – there shall be four (4) patient rooms, three (3) office stations, one (1) restroom, one (1) dirty anteroom, and one (1) clean anteroom located inside the FORTS.

Interior patient rooms shall have a curtain wall that reinforces HIPAA standards and allows patients and providers to have private patient-provider conversations. The office areas shall allow personnel to be checked in by Medical Support Assistants (MSAs).

4.1.9.1 Interior Walls - The interior walls of the FORTS shall be made of a solid material that will allow them to be cleaned and disinfected without causing any damage to the finish. Walls shall have an STC rating of at least 51 for sound attenuation. Each patient room wall shall have Integrated Medical Headwalls with quick connections for O2, air, suction, electrical outlets and lights.

4.1.9.2 Flooring - The flooring inside of the FORTS shall be of a membrane material that will allow the floors to be damp mopped without causing water damage. The floor shall consist of a texture that prevents slippage under dry and wet conditions.

4.1.9.3 Data Ports –The Data Ports for each FORT shall be equipped with a minimum of one (1) data port connection in each patient room. The office areas will be equipped with a minimum of one (1) data port each. All data jack connections shall be tested to CAT 6A standards.

4.1.9.4 Restroom – The restrooms for each FORT shall be compliant with Americans with Disabilities Act (ADA) and allow rooms for a wheelchair.

The restrooms shall also contain:

4.1.9.4.1 Touchless Sink-Self-Contained- one (1) per restroom with quick connections to be plumbed directly to the holding tanks in the utility distribution trailer.

4.1.9.4.2 Automatic Soap Dispenser

4.1.9.4.3 Automatic Toilet System

4.1.9.4.4 Toilet Paper Dispenser

4.1.9.4.5 Touchless Hand Dryer (wall mounted)

4.1.9.4.6 Touchless Shower System

4.1.9.5 Patient Room Furniture – The four (4) patient rooms shall be equipped with the following:

4.1.9.5.1 ICU Bed – One (1) per room

4.1.9.5.2 Exam Light – One (1) per room

4.1.9.5.3 ICU Medical Cart – One (1) per room

4.1.9.5.4 Touchless Surgical Sinks – One (1) per room

4.1.9.5.5 Patient Tray – One (1) per room

4.1.9.5.6 Integrated Medical Cabinetry- One (1) set per room

4.1.9.6 Office Area Furniture – The three (3) office stations shall be equipped with the following:

4.1.9.6.1 Modular Desk – One (1) modular desk per station

4.1.9.6.2 Stationary Office Chair – One 1) office chair per station

4.1.9.7 Water Source

4.1.9.7.1 Each FORT shall have a minimum storage capability of one-hundred

(100) gallons of potable water.

4.1.9.7.2 Each FORT shall have a minimum storage capability of one-hundred-fifty (150) gallons of black water.

4.1.9.7.3 Clean out valves shall be easily accessed without interfering with the shelter.

4.1.9.7.4 A mechanism that shall provide potable water to the sinks and toilets.

4.1.9.7.5 A hot water heater shall be able to produce hot water for all sinks and shower.

4.1.9.8 Integrated Air Pressure Sensors with alarms for monitoring negative and positive pressure shall be provided.

4.1.10 Utility Distribution Trailer - The utility distribution trailer shall contain the following items within the frame for each FORT and shall be provided by the contractor:

4.1.10.1 Medical Gas Generation

4.1.10.1.1 20 LPM Oxygen Generation System @ 95% with accumulator tank

4.1.10.1.2 All service hoses, connections to connect to each FORT

4.1.10.2 Potable Water/Wastewater Tanks

4.1.10.2.1 Minimum 100 gallon fresh water tank with pump

4.1.10.2.2 Hot water heater that can provide hot water on demand or a minimum of 75 gallons with pump and gauge

4.1.10.2.3 Minimum of 150-gallon wastewater tank with pump out port

4.1.10.2.4 All Hoses, connections, and valves required to empty

4.1.10.3 Power Distribution

4.1.10.3.1 All Hoses, connections, and valves required to empty

4.1.10.4 Automatic Transfer Switch

4.1.10.5 HVAC Systems with HEPA required for producing negative pressure isolation system environment.

4.1.10.6 Control Panel - Full control panel shall monitor all functions of equipment on board the trailer

4.1.11 Fire Extinguishers - Fire extinguishers shall be mounted inside each of the FORTSs according to the applicable laws and statues.

4.1.12 Entry Ramps - An Entry ramp that conforms to the ADA guidelines shall be provided for each of the FORTSs Patient delivery area. These ramps shall have handrails that are easily mounted on both sides of the ramp and are continuous. Entry ramps shall allow easy access to the shelter by patients and providers.

5. DELIVERY - The contractor shall be required to deliver the FORTSs to the location listed below upon completion. The FORTSs shall be delivered to the destination by approximately March 1, 2021. Dates are subject to change based on manufacturing.

ASPR MSC Facility 6701 English Muffin Way Frederick, MD 21703 (POC) Robert Bishop (202-360-5849)

6. WARRANTY – The contractor shall provide a minimum warranty of one (1) year on the structure of the FORTS. The contractor shall provide the warranty information for equipment manufactured by the contractor so that the manufacturer warranty can be put in place.

7. TRAINING – Upon delivery of the FORTS, the contractor shall provide the appropriate initial training to HHS staff on the proper way to load and unload the FORTSs, setting up and taking them down, and the operational equipment inside the FORTS.

Additionally, training shall cover the care and maintenance of the shelter, trailer, and associated equipment. The location and time of the training shall be coordinated with the Project Manager/Contracting Officer’s Representative (PM/COR).

8. WRITTEN DOCUMENTATION – The contractor shall provide a comprehensive owner’s manual and a minimum of one (1) laminated quick operational guide for each unit.

9. PREVENTATIVE MAINTENANCE – The contractor shall provide bi-annual preventative maintenance on-site at ASPR facilities within CONUS. This maintenance shall include full setup and testing of all FORTS components. Additionally, during the bi-annual maintenance visits the contractor shall provide additional follow-on refresher and new personnel training. Quotes shall provide pricing for one base year with optional pricing for four additional years for preventative maintenance and training.