SOW DHA.pdf

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Ice Machines Service Maintenance at Naval Medical Center San Diego
Solicitation number
HT941024Q2047
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This document is a Statement of Work (SOW) for a full service maintenance and repair contract for 41 government-owned ice machines at various Navy and Marine Corps facilities in the San Diego, California area. The SOW provides detailed requirements for the contractor to perform preventive maintenance, unscheduled repairs, and technical services to keep the equipment in proper working order according to original equipment manufacturer (OEM) specifications. Key requirements include semi-annual preventive maintenance, responding to repair requests within 2 hours, maintaining an overall equipment uptime rate of 95% or better, and providing qualified technicians. The SOW is incorporated into a combined synopsis/solicitation for a firm-fixed-price commercial services contract with a base year and four option years.

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DHA PWS Template V13 November 16, 2021

Department of Defense Defense Health Agency

Statement of Work

[Full Repair/ Maintenance Service Contract]

DFA-BIOMED

PART 1

1.0 GENERAL INFORMATION

STATEMENT OF WORK

1. Scope: The contractor shall provide all services, labor, parts, materials, and equipment necessary for the service and maintenance for 41 government-owned Ice Machines as listed on Appendix A, "LABEL FOR APPENDIX" at Naval Medical Center San Diego (NMCSD).

Contractor shall service and maintain the equipment within the original equipment manufacturers (OEM) specifications, in accordance with the US, State, and Local laws and regulations, US Navy regulations, and Joint Commission requirements.

2. Definitions: As used throughout this work statement, the following terms shall have the meaning set forth below:

2.1. Service and maintenance: (a) any modification, adjustment, or replacement, to include de-installing and installing, of the equipment that corrects a malfunction and effectively brings the equipment into material conformity with the technical specification for that equipment as designated by the original equipment manufacturer (OEM), (b) a procedure or routine that, when observed in the regular, proper operation of the equipment, avoids the material adverse effect of the applicable nonconformity, (c) any measures performed that assure the continued operation of the equipment or returns the equipment to its designed efficiency and capacity, (d) replacement of a piece of equipment on a one-for-one basis in order to provide a substitute of equal or greater value in lieu of a damaged or defective device for compensation, return, or refund of equipment.

2.2. Contracting Officer (KO): A warranted representative of the federal government who has the express authority to enter, administer, and/or terminate contracts and make related determinations and findings. The KO is the only person authorized to approve changes to any terms, conditions, or requirements of the contract.

2.3. Technical Representative (TR): A Government employee appointed by the KO and responsible for the inspection, evaluation, and acceptance of products and services provided in accordance with the terms and conditions of the contract.

3. Location:

Places of performance shall be:

November 16, 2021

Please see Appendix A for the Ice Machine locations.

Marine Corps Recruit Depot (MCRD) San Diego 35000 Guadalcanal Ave, San Diego, CA 92101

Marine Corps Air Station (MCAS) Miramar Building 2496 Bauer Road, San Diego, CA 92145

Naval Air Station North Island (NASNI) Building 601 McCain Boulevard San Diego, CA 92135

Naval Amphibious Base (NAB) Coronado 3538 Bougainville Road San Diego, CA 92155

Naval Base San Diego (NBSD) Dry Side 2450 Craven Street, San Diego, CA 92136

Naval Training Center (NTC) San Diego 2051 Cushing Road San Diego, CA 92106

Naval Medical Center San Diego (NMCSD) 34800 Bob Wilson Drive San Diego, CA 92134-5000

4. Requirements:

4.1. General Performance Requirements:

4.1.1. The Contractor shall provide equipment maintenance services to include all periodic planned maintenance (flushing, cleaning unit’s exterior, and sanitizing) and unscheduled repairs in accordance with OEM specifications to include de-installation/installation and repairs necessitated by operator error.

4.1.2. Ensure that only fully qualified field engineers and/or technicians who have gone through OEM service schools for the equipment shall be employed in the performance of any and all work performed under this contract. Service personnel shall have sufficient experience to demonstrate proficiency in maintenance of the product. Upon request, Contractor shall provide written assurance of the competency of their personnel as well as a list of credentials for

November 16, 2021 approved field service personnel. The KO and/or TR may authenticate the training requirements and request training certificates or credentials from the service vendors at any time.

4.1.3. Test equipment: Test equipment calibration shall be traceable to National Institutes of Standards and Technology (NIST traceable). Any efforts conducted without equipment within the calibration intervals is not performance in accordance with this contract. Upon request by TR, the Contractor and/or service vendors shall provide a copy of the current calibration certification of all test equipment to be used, or which has been used, on NMCSD equipment.

4.1.4. Field Service Reports: Contractor shall furnish a written or electronic vendor supplied Field Service Report (FSR) within 72 hours and send to NMCSD Preventive Medicine Department and the Contract Officer Representative (COR). The NMCSD Preventive Medicine email distribution list is: : is dha.san-diego.san-diego-nmc.list.nmcsd-prevmedenvhealth@health.milThe contractor or their representative shall complete the FSR to include, at a minimum, the following information:

1. Contractor Name

2. Technician's printed name, telephone number, and signature

3. Date and Time of Arrival

4. Serial Number of Equipment

5. Time Expended Repairing/Service: Labor Hours, Rate, Materials

6. Summary of Work Performed and Accepted by End-User, with Government Representative's Printed name and Signature)

Completed Field Service Reports are required prior to acceptance of any invoice. Failure to submit a Field Service Report to the TR can result in delay of payment or rejection of invoice from Government. It is highly recommended that the contractor attaches a copy of the Field Service Report to their Wide Area Workflow Invoice in addition to the required submission to the TR in order to expedite invoicing process.

4.1.5 Contractor shall furnish a written or electronic “NMCSD Ice Machine Back Test Log” report to NMCSD Preventive Medicine Department only after preventative maintenance (PM) or flushing is completed.

4.2. NMCSD Preventive Maintenance Requirements:

4.2.1. Preventive maintenance shall be performed in a manner which will minimize corrective maintenance and will include but is not limited to: cleaning, sanitizing, flushing, adjustment, safety, or system functionality tests, testing requirement to maintain a safe environment of care, electrical safety testing, replacement of water filters as needed and other shelf life components on a scheduled basis (which becomes corrective maintenance if the component fails due to lack of preventive maintenance). Please see attached appendix B for further preventative maintenance instructions.

4.2.2. Make repairs to the extent necessary, as determined by inspection tests or disassembly, or de-installation and reinstallation to ensure a functional system that will efficiently serve its mailto:dha.san-diego.san-diego-nmc.list.nmcsd-prevmedenvhealth@health.mil mailto:dha.san-diego.san-diego-nmc.list.nmcsd-prevmedenvhealth@health.mil

November 16, 2021 intended purpose and the technical specification for that equipment as designated by the original equipment manufacturer.

4.2.3. Installation of system update changes to resolve specific product reliability problems.

Hardware upgrades, defined as those changes that enhance or add product features, Freon removal and repair parts replacement are included.

4.2.4. Preventive Maintenance shall be performed at a minimum of 2 times per year, with these scheduled preventive maintenance actions to be coordinated after contract award.

4.2.5. Preventive Maintenance Completion: Contractor must ensure that 95% or more of all periodic maintenance is performed within 30 days of due date, and that 100% of periodic maintenance is performed within 60 days of the due date.

4.2.6. Equipment in Use: If, for reasons beyond the Contractor’s control, equipment is not made available for maintenance for the entire 30 days before the maintenance due date, and 60 days following due date, the Contractor shall immediately notify the COR.

4.2.7. Equipment Unable to Locate (UTL): If the Contractor is unable to locate an item within the maintenance window specified, the Contractor shall immediately notify the TR. The TR may determine that the property has been disposed of or otherwise inactive or unavailable for use and may adjust the equipment covered under this Statement of Work accordingly.

4.2.8. 100% Preventive Maintenance: Under the circumstances of 4.2.6. and/or 4.2.7., the TR and Contractor shall arrange a means of complying with the requirements for preventive maintenance at no additional cost to the government. Equipment determined missing, lost, or stolen shall be exempt from maintenance.

4.2.9. Uptime Rate: The Contractor shall maintain an overall uptime rate of 95% or better for all equipment covered by this effort. Individual uptime rate for specific equipment, if required, will be as specified on Appendix A.

4.2.10. Uptime Calculation: Uptime is calculated on a rolling 6-month basis. Until the Contractor has at least 6 months of performance history with NMCSD, the uptime shall be calculated cumulatively for the entire duration of the contract.

4.3. NMCSD Corrective Maintenance Requirements:

4.3.1. Correct inoperable condition in a timely manner. Contractor shall respond no later than two (2) hours after telephone or email notification from the TR and be on site within 48 hours, Monday-Friday, between the hours of 0800-1530.

4.3.2. Provide only the work necessary to restore the equipment to a properly serviceable/operating condition by adjustments, replacement parts, or minor repairs when it is determined that extensive repairs and parts are not necessary.

November 16, 2021

4.3.3. Equipment improvements/modifications shall be made only upon the TR’s written approval and direction. This includes software updates to the device. All updates/improvements/modifications performed shall be notated on the field service report or equivalent.

4.3.4. Notify the TR immediately upon receipt of OEM safety recall notices or upon receipt of recall notices pertaining to any parts or materials utilized by contractor on the equipment.

4.3.5. Ensure that the original design and functional capabilities shall not be changed, modified, or altered without express written authorization from the TR.

4.3.6. Provide suitable OEM recommended repair equipment/tools required for the satisfactory execution of all repairs made.

4.3.7. Furnish OEM approved lubricants and lubricate wear points within the equipment in accordance with OEM guidelines.

4.3.8. Replacement parts will be as needed coverage by the contractor for the duration of the contract, ie. Water filter, Freon and Oil for the compressor. All replacement parts or supplies utilized shall be new parts. OEM refurbished parts shall ONLY be accepted upon written request from the contractor to the TR and shall only be utilized/installed upon written approval from the TR to the contractor.

4.4. End-User Requirements:

4.4.1. Service shall be performed on all devices included under contract, regardless of the nature of the cause warranting service/maintenance. Contractor shall not refuse any device under this contract submitted for services. Contractor will perform an official inspection of the device, make an estimate for the services/parts required and the time required for the repairs and an official determination of the cause of the issue, and will provide the required parts and labor in order to restore the equipment to function within the OEM specifications.

4.4.2. Services shall be unlimited for the devices under the contract for the term of the agreement. There shall be no cap or limit placed upon the number of repairs/replacements on any individual unit, or on the facility.

4.4.3. Contractor shall perform preventive maintenance on the (41) Command Ice Machine at least 2 times per year, with a minimum of 6 months between preventive maintenance inspections.

Contractor shall perform preventive maintenance as per the preventative maintenance schedule on Appendix A.

4.4.4. Contractor shall keep department personnel informed as to the status/condition of equipment during PM and the repair status/condition when equipment is down or out for repair.

Points of contact for the department are: dha.san-diego.San-Diego-NMC.mbx.nmcsd-contract-administrator@health.mil.

mailto:dha.san-diego.San-Diego-NMC.mbx.nmcsd-contract-administrator@health.mil mailto:dha.san-diego.San-Diego-NMC.mbx.nmcsd-contract-administrator@health.mil

November 16, 2021

CATASTROPHIC DAMAGE CLAUSE

4.4.5. If equipment is received and is irreparably damaged, the department requires a written report as to the extensiveness of the damage and the suspected cause or type of maltreatment necessary to cause such damage (e.g., dropped, crushed mechanically, overloaded, etc.). The field service report may serve in this regard if comprehensive.

4.5. Response Time and Labor:

4.5.1. Contractor shall use commercially reasonable efforts to respond by telephone to any report of a malfunction requiring repair within two (2) hours of notification from the TR, Monday through Friday, 0800-1530, Pacific Time. This consulting service shall be provided to avoid delays in contract service coverage during after-hours and weekend/holiday periods as applicable. Under no circumstances shall the Contractor assume an inquiry, via telephone or any other means, is authorization to provide services not specifically covered by the terms of the contract.

4.5.2. Contractor shall use commercially reasonable efforts to provide on-site support within two

(2) business days from notification by the TR, unless otherwise noted in Section 4.4.

4.5.3. Work required in the performance of this contract shall be performed between the hours of 0800 and 1530, Pacific Time. All compensation for labor from the hours of 0800 to 1530 Pacific Time is provided for in this contract and included in the contract price. Contractor may be permitted to arrange for the performance outside of these hours via coordination with the TR.

4.5.4. Any work that would require overtime must be approved, in writing, in advance by the

KO.

5. Travel and Related Expenses: N/A

6. Shipment: The contractor shall not exceed two (5) business days for shipment of all equipment coming from and/or going to NMCSD minus exceptions or conditions as previously noted in this Statement of Work. All shipping expenses/costs are provided for in this contract and included in the contract price.

7. Liability:

7.1. The contractor shall not be liable for any loss, damage, or delay due to any cause beyond their reasonable control, including but not limited to fire, explosion, theft, flood, riot, civil commotion, war, malicious acts of mischief, or other circumstances outside of human control.

7.2. NMCSD Employees will not perform maintenance or attempt repairs to equipment covered under this contract while such equipment is under the purview of this contract without express, written concurrence from contractor.

8. Utilities, Facilities, and Equipment Access:

8.1. The contractor may use Government utilities (e.g., electrical power, compressed air, water) that are available and required for any service performed under this contract while at Government facilities. The facilities engineer however must approve of any contractor equipment which would connect to these utilities in order to ensure compatibility with NMCSD utilities.

8.2. Any outages required in order to perform services must be approved by NMCSD Facilities Management prior to initiation of work and shall be performed per Facilities' instruction.

Contractor may request Facilities assistance in performing these outages if required.

8.3. Ensure that all use, storage, transport of any materials regulated by OSHA as "hazardous", required for the performance of this contract, is in in compliance with all federal, state, and local regulations. Contractor shall have available SDS's for any such materials on-site.

8.4. The Contractor shall protect all facilities from damage caused by the Contractor and shall repair, at no additional cost to the Government, all damages caused by the Contractor's activities.

During performance of services, Contractor shall keep the site safe, neat, clean and orderly.

Contractor shall be responsible for all means, methods, techniques, sequences, and procedures of the services.

8.5. Access to Equipment: Contractor shall be provided reasonable access to all equipment that is to be serviced and utility outlets required to do the service. The contractor shall be free to start/stop all primary equipment incidentals to the operation of the maintained equipment after permission is received from on-duty personnel responsible for such equipment.

9. Security and Safety Requirements:

9.1. The Contractor is required to submit/complete Naval Base San Diego access requirements for access to NMCSD and outlying clinics. Contractor shall contact Naval Base San Diego Security Department at 619-556-1653/5336 or at https://www.cnic.navy.mil/regions/cnrsw/installations/navbasesandiego/om/forceprotection/pass anddecal.html in order to obtain the necessary clearances to perform this contract. All costs for completing the requirements for access are the responsibility of the contractor.

While waiting for authorized access, contractor shall, at a minimum, contact the TR not later than 1400 on the day prior to a scheduled visit to submit the required information to complete the NMCSD Temporary Security Pass. In case of emergent repairs or service, the contractor shall wait at the NMCSD Main Gate for escort from NMCSD staff.

9.2. Identification, Parking, and Smoking Regulations at NMCSD: Field service personnel shall wear visible photo identification at all times while on the premises of NMCSD. It is the responsibility of the field service personnel to park in the appropriate designated parking areas.

Information on parking is available from NMCSD Security personnel. Smoking is prohibited inside any buildings of NMCSD and is restricted to designated smoking locations only.

Possession of weapons, alcohol, or pharmaceuticals that are not over the counter and not https://www.cnic.navy.mil/regions/cnrsw/installations/navbasesandiego/om/forceprotection/passanddecal.html https://www.cnic.navy.mil/regions/cnrsw/installations/navbasesandiego/om/forceprotection/passanddecal.html

November 16, 2021 prescribed to the individual/family is prohibited on the premises. Enclosed containers, including tool kits, are subject to search. Violations of regulations may result in citation answerable in the United States (Federal) District Court. Violation of any policy which results in lost time for Contractor or his sub-contractors is the sole responsibility of the Contractor, and shall not be charged to the government. Contractor employees shall demonstrate appropriate behavior and dress at all times.

9.3. Contractor Check-In/Check-Out: Contractor is required to report to the TR at NMCSD prior to and upon completion of any services or repair work performed.

9.4. General Safety Requirements: The Contractor shall exercise safety precautions as the TR may determine to be reasonably necessary to protect the lives and health of occupants of buildings in which work is being performed. NMCSD will notify the Contractor of any non-compliance with the foregoing conditions and the action(s) to be taken. Service vendors shall, after receipt of such notice, immediately correct the conditions to which attention has been directed. If field service engineer refuses to comply promptly, the TR may issue an order stopping all or any part of the work. Under such circumstances, the KO can hold the service vendor in contract default. Nothing in this section will be construed so as to limit the Contractor or his sub-contractor’s responsibilities to comply with any existing law, nor to switch jurisdictions.

9.5. Government Right of Refusal: NMCSD reserves the right to reject any of the contractor's personnel and refuse them permission to enter the premises or work on NMCSD equipment. This right may be exercised at any time. The reasons for rejections may include: lack of training and experience, but may also include but not be limited to: behavior, attire, security concerns, immigration status.

10. Compliance with Applicable Laws: Contractor shall be knowledgeable of and comply with all applicable Federal, State, and local laws, regulations, and requirements regarding the conduct of his business. The Contractors personnel shall comply with the DoD Information Assurance Policies applicable. Contractors are required to maintain a Drug Free Workplace, as well as to require any sub-contractor to do the same. Contract shall require wage determinations and comply with applicable Federal and State worker's compensation and occupational disease statutes.

11. Modifications to Contract: Only the KO has the authority to obligate the government, and then only in writing. No modification or instruction from any party shall be construed to authorize the Contractor to take any action for which they expect compensation without written authorization from the KO.

12. Invoicing: All invoicing shall be done in accordance with this statement of work and in accordance with contract. Failure to do so may delay or interfere with payment for services rendered.

13. NMCSD Points of Contact: For all matters concerning performance of this contract, the primary point of contact shall be:

Material Management Department Building One, Ground Floor Naval Medical Center San Diego 34800 Bob Wilson Drive San Diego, CA 92134

TEL: 619-532-8010

Fax: 619-532-8013

Email: usn.nmcsd-contractadministrator@mail.mil

For administrative matters, the contractor may contact the contracting officer as designated in blocks 7.a, 7.b, 8, and 9 as found on the Standard Form 1449 issued for the contract, or may contact:

Material Management Department Naval Medical Center San Diego 34800 Bob Wilson Drive San Diego, CA 92134

TEL: 619-532-8010

FAX: 619-532-5596

APPENDIX A:

Units being covered and PM Schedule:

NMCSD – Bldg 1

Room # / Oth Loc Manufacturer/Mod el Serial No. Semi-

Annual Check

Next Semi- Annual Due

1C-12E3 /

NURSE'S

STATION, ER

FOLLET

SYMPHONY

PLUS

(50FB425A)

J89706 Jul Jan

1G-32 / GALLEY,

SERVING LINE

HOSHISAKI L05339A Aug Feb

1G-32 /

CAFETERIA

SERVING LINE

HOSHISAKI LO5338A Jun Dec

1G-32E1 / GALLEY

BEVERAGE TANK

ROOM

MANITOWOC

(SD14028-261)

110609438 Jun Dec

1G-32E1 / GALLEY

BEVERAGE TANK

MANITOW

OC

1101297684 Jun Dec

November 16, 2021

ROOM (ID14028-

261)

1P-P17.4 /

PSYCHIATRIC

NURSING

NUTRITION (1

WEST)

FOLLET

SYMPHONY

PLUS

(50B400A)

C72469 Aug Feb

1Q-Q17.4 / MED PREP

ROOM, PSYCH (1

NORTH)

FOLLET

SYMPHONY

PLUS

(110FB425A)

L26329 Mar Sep

2Q-Q17.6 /

NUTRITION ROOM,

PICU (2 NORTH)

FOLLET

SYMPHONY

PLUS

(50FB400A)

B78268 Jun Dec

2R-R17.4 / GENERAL

AREA PEDIATRICS (2

EAST)

FOLLET

SYMPHONY

PLUS

(50FB400A)

B68963 Aug Feb

3D-18E1 /

COMPONENT

PROCESSING LAB

MANITOWO

C

(QD0802A)

020823094 Jun Dec

3G-31G3 / FAU

NOURISHMENT

CENTER

FOLLET

SYMPHONY

PLUS

(50FB400A)

D09268- 31910

Jul Jan

3H-35F1 / NICU

BREAST MILK /

FORMULA

FOLLET

SYMPHONY

PLUS

(50FB400A)

B69443- 04905

Aug Feb

3P-P17.5 / LABOR

AND DELIVERY (3

WEST)

FOLLET

SYMPHONY

PLUS

(50FB425A)

K07388 Oct Apr

3Q-Q17.5 /

OBSTRETICS

NOURISHMENT (3

NORTH)

FOLLET

SYMPHONY PLUS

90513200137

May Nov

3R-R17.5 /

OBSTRETICS

NOURISHMENT (3

EAST)

FOLLET

SYMPHONY

PLUS

(110FB425A)

E63640 Jun Dec

4E-25H5 / PACU

NUTRITION

ROOM

FOLLET

SYMPHONY

PLUS

(50FB400A)

L79317 Aug Feb

4F-29E1 / ICU MED RM FOLLET

SYMPHONY

PLUS

(50FB400A)

B81116 May Nov

November 16, 2021

4G-32E4 / ICU MED

ROOM

FOLLET

SYMPHONY

PLUS

(50FB400A)

B81623 Jun Dec

4P-P17.5 /

NOURISHMENT RM

(4 WEST)

FOLLET

SYMPHONY

PLUS

(110FB425A)

K43420 May Nov

4Q-Q17.5 /

NOURISHMENT RM (4

NORTH)

SCOTSMA

N

TOUCHFRE

E

(MDT5N40A-1H)

80913200144

Jun Dec

4R-R17.5 /

NOURISHMENT RM

(4 EAST)

FOLLET

SYMPHONY

PLUS

(110FB425A)

L15614 Dec Jun

5P-P17.5 /

NOURISHMENT RM

(5 WEST)

SCOTSMAN

TOUCHFREE

(LF110425A)

M89321- 31322

Aug Feb

5Q-Q17.5 /

NOURISHMENT RM (5

NORTH)

FOLLET

SYMPHONY

PLUS

(50FB425A)

L15615 Oct Apr

5R-R17.5 /

NOURISHMENT CTR,

WARD (5 EAST)

FOLLET

SYMPHONY

PLUS

(50FB400A)

M23980 May Nov

GF-29F1 / CID LOUNGE FOLLET

SYMPHONY

PLUS

(50FB400A)

C01484 Jul Jan

GG-34D1 / CID BSL-2

LAB

SCOTSMAN

TOUCHFRE

E

(MDT3F12

A)

10071320015

May Nov

NMCSD – Bldg 2

Serial No. Semi-

Annual Check

Next Semi- Annual Due

1J-3O1 / BLOOD

BANK

ICE-O-MATIC

(ICE0805FA2)

80512800121

Aug Feb

NMCSD – Bldg 3

Serial No. Semi-

Annual Check

Next Semi- Annual Due

1M-21R1 / PHYSICAL

THERAPY

SCOTSMAN

(UF424A- 1A)

19071320010

Jun Dec

4L-13S1 / MINORY

SURGERY

RECOVERY ROOM

FOLLET

SYMPHONY

PLUS

(50FB400A)

C14884 Mar Sep

C5 PHYSICAL

THERAPHY

MANITOWAC

M09973812020

MCRD San Diego el Serial No. Semi-

Annual Check

Next Semi- Annual Due

M-24 / PHYSICAL

THERAPY

SCOTSMAN

(NSE654A8-1B)

661684-118 Aug Feb

D161 / ACA SCOTSMAN

(B530P)

100613200132

Aug Feb

SMART CLINIC SCOTSMAN

(B530P)

11050200101

SMIP POOL SCOTSMAN (B530P)

17081320012900

2ND FLOOR SCOTSMAN (B530P)

11051320010255

MCAS Miramar Room # / Oth Loc Manufacturer/Mo d el Serial No. Last Semi-

Annual Check

Next Semi- Annual Due

1113 / ACUTE CARE

AREA

SCOTSMAN

(MDT3F-12A-

14)

121013200112

Apr Oct

PHYSICAL THERAPHY SCOTTMAN

CU1526SA

130513200109

Naval Air Station North Island el Serial No. Last Semi-

Annual Check

Next Semi- Annual

November 16, 2021

Due

247 / SCOTSMAN

(CU1526SA-

1A)

120313200129

May Nov

Naval Base San Diego Dry Side

Room # / Oth Loc Manufacturer/Model Serial No. Last

Semi- Annual Check

Next Semi- Annual Due

155 / PHSYICAL

THERAPY,

SMART

CLINIC

SCOTSMA

N

(EF450A32

8)

910126001138

Jun Dec

175 /

PHYSICAL

THERAPY

ICE O

MATIC

110412800115

Aug Feb

NTC San Diego

Serial No. Last Semi-

Annual Check

Next Semi- Annual Due

B145 / PHYSICAL

THERAPY,

STORAGE RM

MANITOWOC

(QF0406A)

110760970 Apr Oct

Naval Amphibious Base Coronado

Serial No. Last Semi-

Annual Check

Next Semi- Annual Due

171B / PHYSICAL

THERAPY

ICE-O-

MATIC(EF250A32S

111112800104

Sep Mar

APPENDIX B:

Special instructions for units covered.

ICEMAKER-SAN-SA

******SEMI ANNUAL******

PREVENTIVE MAINTENANCE PROCEDURE

THIS MAINTENANCE GUIDE APPLIES TO ICE MAKERS, INCLUDING STORAGE AND

DISPENSER TYPES.

SPECIAL INSTRUCTIONS:

****SANITIZE ON A SEMI-ANNUAL BASIS****

1. DISCONNECT POWER TO ICEMAKER.

2. REMOVE ANY ICEMAKER PANELS REQUIRED TO GAIN ACCESS TO WATER

RESERVOIR AND ELECTRICAL CONTROL BOX.

3. TURN COMPRESSOR SWITCH ON ELECTRICAL BOX OF ICEMAKER OF TO OFF

POSITION.

4. REMOVE WATER RESERVOIR COVER AND BLOCK UP RESERVOIR FLOAT OR

CLOSE WATER SUPPLY VALVE.

5. DRAIN WATER FROM RESERVOIR BY RELEASING EVAPORATOR DRAIN LINE

FROM FLOAT RESERVOIR BRACKET AND REMOVING PLUG FROM DRAIN LINE.

6. FOLLOWING MANUFACTURER'S INSTRUCTIONS, PREPARE ONE GALLON (3.8L)

OF FOLLETT SAFECLEAN ICE MACHINE CLEANER (ONE 7 OZ PACKET) OR

EQUIVALENT.\

*SOLUTION TEMPERATURE MUST BE AT LEAST 120 F (48.9 C).*

WARNING:

November 16, 2021

MOST ICE MACHINE CLEANERS CONTAIN CRITIC OR PHOSPHORIC ACID THAT

CAN CAUSE SKIN IRRITATION. READ CAUTIO NLABEL ON PRODUCT AND

FOLLOW INSTRUCTIONS CARFEULLY.

7. PLUG DRAIN HOSE, REPLACE DRAIN LINE IN RESERVOIR BRACKET AND POUR

PART OF CLEANING SOLUTION INTO RESERVOIR, FILLING IT ALMOST TO

OVERFLOWING.

8. REMOVE STAINLESS STEEL COMPRESSION NOZZLE AND DRAIN LINES.

SUBMERGE IN A CUP OF CLEANING SOLUTION WHILE CLEANING REST OF

SYSTEM. (FLAKE ICEMAKERS

HAVE NO COMPRESSION NOZZLE AND DRAIN LINES).

CAUTION: TO AVOID POTENTIAL PITTING, DO NOT SOAK FROM RESERVOIR OR

EVAPORATOR.

9. RESTORE POWER TO ICEMAKER (GEARMOTOR WILL RUN; COMPRESSOR AND

FALL WILL NOT).

10. AFTER 15 MINUTES, TURN POWER OFF; DRAIN SOLUTION FROM RESERVOIR

AND EVAPORATOR.

11. FILL RESERVOIR ALMOST TO OVERFLOWING WITH CLEAN, 120 F (48.9 C)

WATER, AND DRAIN. REPEAT THREE TIMES.

12. FOLLOWING MANUFACTURER'S INSTRUCTIONS, PREPARE 1 GALLON (3.8L) OF

200PPM 5.25% SODIUM HYOCHLORITE SOLUTION (MIX 1 OZ HOUSEHOLD BLEACH

TO 2 GALLONS WATER) OR EQUIVALENT. SOLUTION TEMPERATURE MUST BE AT

LEAST 120 F (48.9C).

13. RINSE COMRPESSION NOZZLE IN CLEAN WATER AND SUBMERGE IN A CUP ON

SANITIZING SOLUTION WHILE FOLLOWING STEPS 14-19.

14. CONNECT ICE TRANSPORT TUBE DIRECTLY ONTO EVAPORATOR OUTLET

PORT WITHOUT COMPRESSION NOZZLE.

NOTE: IF BIN WILL NOT BE CLEANED AT THIS TIME, PLACE A LARGE PAN IN BIN

STORAGE AREA TO CATCH ICE OR CONNECT A SEPARATE ICE TRANSPORT TUBE

TO

EVAPORATOR AND DIVERT ICE INTO SEPARATE CONTAINER.

15. FILLER RESERVOIR ALMOST TO OVERFLOWING WITH SANITIZING SOLUTION.

16. RESTORE POWER TO ICEMAKER (GEARMOTOR WILL RUN; COMPRESSOR AND

FAN WILL NOT).

17. AFTER 10 MINUTES, TURN COMPRESSOR SWITCH TO ON POSITION.

18. AS UNIT STARTS TO MAKE ICE, CONTINUE TO POUR SANITIZING SOLUTION

INTO RESERVOIR, MAINTAINING LEVEL JUST BELOW RESERVOIR OVERFLOW.

19. CONTINUE TO MAKE ICE WITH SANITIZING SOLUTION FROM EVAPORATOR.

20. TURN POWER TO ICEMAKER OFF.

21. DISCONNECT TRANSPORT TUBE FROM EVAPORATOR OUTLET PORT. RINSE

COMPRESSION NOZZLE IN CLEAN WATER AND REINSTALL ON EVAPORATOR

OUTLET. RECONNECT

TRANSPORT TUBE TO COMPRESSION NOZZLE.

22. DRAIN ANY REMAINING SANITIZING SOLUTION FROM EVAPORATOR.

23. FILL RESERVOIR ALMOST TO OVERFLOWING WITH CLEAN, 120 F (48.9 C)

WATER, AND DRAIN. REPEAT THREE TIMES.

November 16, 2021

24. UNLOCK FLOAT (OR OPEN WATER SUPPLY VALVE) AND REPLACE RESERVOIR

COVER; RESTORE POWER TO ICEMAKER AND ENSURE COMPRESSOR SWITCH IS

IN 'ON' POSITION.

MAKE ICE FOR AT LEAST 15 MINUTES TO FLUSH ANY REMAINING SOLUTION

FROM SYSTEM (REMOTE ICEMAKERS WITH LONG ICE TRANSPORT HOSES MAY

TAKE LONGER TO FLUSH OUT). DISCARD THIS AND ALL ICE MADE DUDRING

SANITIZING.

25. INSPECT EVAPORATOR DRAIN PAN AND DRAIN LINE AND REMOVE ANY

ACCUMULATED SCALE BUILD UP.

26. REPLACE ANY PANELS REMOVED PRIOR TO CLEANING.

27. REMOVE AND REPLACE FILTER

28. NOTIFY PREVENTIVE MEDICINE TO INSPECT MACHINE (YES / NO).

29. ONCE RECEIVED POSITIVE RESULTS BACK, PROCEED TO FOLLOW UP.

30. REMOVE SIGN AND RETURN TO SERVICE.

File details come from the government source that posted it. Updated .