N3319120R4013 Attach 1 - PTS Hematology Skopje.pdf

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572 Skopje, North Macedonia

Version: 002

EUCOM Humanitarian Assistance Program

Design-Build

HEMATOLOGY CLINIC

ADDITIONAL FLOOR

Skopje – North Macedonia

OHASIS MK-HA-2019-00036572

Nov 2019

Version 002

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Contents

1. GENERAL CONTRACT REQUIREMENTS AND DESCRIPTION

1.1. TAXATION

1.2. GENERAL DESCRIPTION

1.3. LEGAL AND TECHNICAL REQUIREMENTS

1.4. CONSTRUCTION PERMIT OR AUTHORIZATION

1.5. GENERAL SCOPE OF WORK – DESIGN/BUILD

2. CONCEPTUAL DESIGN AND STRUCTURE OF CONTRACT

2.1. LAYOUT

2.2. GENERAL SCOPE OF WORKS

2.3. SPECIAL HVAC SYSTEMS FOR ISOLATION AREAS

2.4. HVAC SYSTEMS FOR OTHER AREAS - PREINSTALLATIONS

2.5. ELECTRICAL

2.6. TELEPHONE, INTERNET, COMMUNICATIONS

2.7. FIRE ALARM

2.8. MEDICAL GASES

2.9. WATER AND SEWAGE

2.10. STRUCTURE OF THE CONTRACT

2.11. LOCATION

3. SPECIFIC TECHNICAL REQUIREMENTS AND PROCEDURES

3.1. DESIGN PHASE – GENERAL - LICENSES

3.2. CONSTRUCTION PHASE - SUPERVISION

3.3. CONSTRUCTION PHASE – LAYDOWN AREA

3.4. DEMOLITIONS - GENERAL

3.5. DEMOLITIONS – ASBESTOS ROOF SHEETS

3.6. STRUCTURE AND BASIS OF DESIGN FOR NEW CONSTRUCTION

3.7. NEW FLOOR OVER THE LAST FLOOR OF HEMATOLOGY CLINIC

3.8. INTERIOR PARTITIONS

3.9. WINDOWS

3.10. ELECTRICAL

3.11. BACK-UP POWER - GENERATOR

3.12. BACK-UP POWER – UPS (5 KVA)

3.13. TELEPHONE / INTERNET / COMMUNICATIONS

3.14. FIRE ALARM

3.15. FLOOR FINISHES

3.16. WALL FINISHES

3.17. WALL HANDRAIL (30 LINEAR METERS) – MEDICAL RATED

3.18. CHAIR PROTECTION (12 LINEAR METERS) – MEDICAL RATED

3.19. SINKS

3.20. SEWER / VENT

3.21. WATER AND HOT WATER

3.22. CEILING

3.23. DOORS

3.24. HEATING, VENTILATION AND AIR CONDITIONING (HVAC)

3.25. NURSE ANNUNCIATOR

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.26. CLOSED CIRCUIT TV

3.27. MEDICAL GASES

3.28. SPECIFIC REQUIREMENTS ISOLATION ROOMS

3.29. SPECIFIC REQUIREMENTS INTERIOR BATHROOMS

3.30. SPECIFIC REQUIREMENTS FOR ADMISSION – NURSE STATION

3.31. SPECIFIC REQUIREMENTS FOR STORAGE-CLEAN MATERIAL, STORAGE SOILED. 77

3.32. SPECIFIC REQUIREMENTS FOR DISTRIBUTION-KITCHEN

3.33. SPECIFIC MECHANICAL ROOM

3.34. SPECIFIC REQUIREMENTS FOR ENTRANCE, WAITING ROOM AND HALLWAYS .. 82

3.35. COMMEMORATIVE PLAQUE

3.36. SCAFFOLDING AND WORKING PLATFORMS

4. PROCEDURE:

4.1 PRINCIPLES

4.2 START OF CONSTRUCTION

4.3 GENERAL TECHNICAL REQUIREMENTS

4.4 DESIGN-BUILD STANDARD PROCEDURE

4.5. Construction Schedule (bar chart is authorized)

4.6. Construction/Design Schedule and Contractual Milestones

4.7. Language

4.8. Accident Prevention Plan

4.9. Submittals – Technical Information

4.10. Deliverables

4.11. Pictures

4.12. Quality Control Plan

4.13. Construction Sign

4.14. Payment

4.15. Schedule of Prices

4.16. As-builts

4.17. Occupancy of the Building

4.18. Damages/Impact to Existing Facilities

4.19. Close-Out Procedure

5. GENERAL TECHNICAL SPECIFICATION

5.1. CONSTRUCTION GUIDANCE

5.2. PROHIBITED ITEMS

5.3. RESPONSIBILITY OF NEW MATERIALS

5.4. RESPONSIBILITY AND OWNERSHIP OF REMOVED MATERIALS

5.5. CERTIFICATIONS, LICENSES, PERMITS, FEES, ETC

5.6. SAFETY AND PROTECTION

5.7. COORDINATION

5.8. SPECIAL SITE CONDITIONS

5.9. CLEANING

5.10. SPARE PARTS – MAINTENANCE TOOLS

5.11. SECURITY

5.12. WARRANTY AND ACCEPTANCE

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

1. GENERAL CONTRACT REQUIREMENTS AND DESCRIPTION

1.1. Taxation

This construction contract is exempt from VAT. The contractor is required to coordinate with the US Embassy and with competent North Macedonian authorities in order to obtain the VAT TAX EXEMPTION that applies to this contract. Contractor is required to make all necessary coordination and to allow for time for approval of the VAT Tax Exception.

This VAT exemption applies to donations from U.S. Government to Macedonian Governmental entities/facilities. It was established by the Ministry of Finance. The contractor is responsible to coordinate with Macedonian Government the VAT exemption. However, for general information, below is a simplified explanation of the process followed for different Humanitarian Assistance project in North Macedonia.

- The US Embassy and the beneficiary need to sign a “Donation Agreement”. This document needs to be written in Macedonian, and it needs to be signed and stamped by the Embassy, as donor, and the representative of the beneficiary. The contractor shall coordinate directly with the US Embassy representative the preparation of this document. However, it is not the contractor’s responsibility to prepare such document.

- The US Embassy representative would submit the donation project application to the

Government of North Macedonia properly signed and stamped by the US Embassy.

Afterwards the Project Registration Office would issue a stamped project certificate. As in the previous step, the contractor shall coordinate with the US Embassy representative the submission of this document. However, it is not the contractor’s responsibility to prepare such document.

- The contractor shall provide all invoices that are exempt from VAT on the form specified by the Ministry of Finance. Application letter needs to accompany the form. Original invoices must be submitted with the VAT exemption form. Copies of all these documents can be obtained from the Ministry of Finance or from the US Embassy representative. Each time the contractor submits an invoice for payment, they can submit it to the Ministry of Finance for VAT refund. In order for the contractor to get the VAT money from the Government of North Macedonia they need to get paid by the U.S. Government for that invoice.

All prices submitted by the bidders, schedule of prices and invoices provided by the successful contractor shall be provided without VAT in United States Dollars (USD).

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

1.2. General Description

The Work included under this contract includes everything necessary to provide a fully operational area above the upper floor of the existing Hematology Clinic building, to be used as an expansion to the existing Hematology Clinic Department, following the requirements described in the conceptual designs included in this document.

Definition: The building has a basement or semi-basement, a ground floor with direct access to the street, a second floor above the ground floor; and this project will provide a new third floor.

THE CONTRACTOR SHALL PROVIDE A COPY OF CONSTRUCTION PERMITS TO BE

PROVIDED BY THE COMPETENT LOCAL AUTHORITIES BEFORE WORK IS AUTHORIZED TO

START. THE CONTRACTOR IS RESPONSIBLE TO PREPARE ALL NECESSARY

DOCUMENTATION IN ORDER TO OBTAIN ALL REQUIRED PERMITS OR AUTHORIZATIONS

FOR THESE NEW CONSTRUCTION WORKS WITHIN A PUBLIC HEALTH CARE FACILITY.

This project does not include providing furniture or other movable equipment, unless explicitly described in this document. This contract does not include elements such as beds, desks, computers, telephones or refrigerators.

1.3. Legal and Technical Requirements

The project execution is based on the following principles:

- Strict compliance with Contracting Regulations of the United States of America, including the requirements of the Department of Defense, the US Navy and Naval Facilities Engineering Command (NAVFAC).

- Strict compliance with North Macedonian Technical, Legal and Administrative requirements, which are applicable for a renovation project, as described in these PTS.

- Compliance with North Macedonian safety regulations, unless the US Safety regulations included in Manual EM385-1-1 are more strict and not in conflict with North Macedonian regulations. In this last case, the US Safety regulations shall apply.

- Compliance with technical requirements described in this document

1.4. Construction Permit or Authorization

Prior to start any field works, the contractor shall obtain the pertinent Construction Permit, which is required by Macedonian regulations.

The contractor is required, as part of this contract, to prepare all documentation, designs, projects, reports, studies, calculations, information, drawings, pay for any applicable fee, and everything that may be necessary as required by Macedonian regulations, in order to obtain this Construction Permit.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

1.5. General Scope of Work – Design/Build

The contractor shall hire the services of architect/engineers licensed in North Macedonia to design all construction works included in the contract. The contractor shall be familiar with the administrative procedures necessary for the competent authorities to be able to receive and accept the different documents, in order to obtain all the necessary permits and authorizations.

The Work included under this contract includes everything necessary to provide a fully operational area above the upper floor of the existing Hematology Clinic building, to be used as an expansion to the existing Hematology Clinic Department, following the requirements described in the conceptual designs included in this document.

All work shall be designed and structured in accordance with Macedonian legal framework related to construction and it shall include every item of construction stipulated as a requirement by the pertinent regulations for a Hematology Clinic especially Hematopoietic Stem Cell Transplant Unit

(HSCT).

In order to implement these complex construction works, the contractor is responsible to prepare all necessary and required technical projects, including drawings, calculations, descriptions or work, bill of materials, and memories. The works include all the necessary designs and construction activities to provide the new construction indicated in the conceptual design and as described in this document.

The new construction will take place on the roof on a fully operational Hematology Clinic, which shall remain operational at all times during the performance of works. Consequently, it is absolutely necessary that the bidders visit the construction site before they submit their bids in order to verify existing conditions, which is absolutely necessary to properly quantify the amount of work included in this contract.

The conceptual design includes general layout and functionality of the new areas to be built, with the general finishes described in other sections of this document. This is a design-build contract, and consequently the contractor is required to prepare a full technical project, as required by Macedonian regulations, combining the conceptual designs, with the required finishes and the requirements of the applicable regulations of North Macedonia.

The works include everything necessary to perform the works indicated in the conceptual design and/or in this document. If for example there is a bathroom in the new areas, this bathroom will need water and sewer pipes to go through the floors beneath, which are part of this contract, even if not explicitly described. Those items of work, which are not explicitly described in this document, but which are necessary to provide fully operational facilities shall performed as required by Macedonian regulation as part of this contract and as if this specific work was perfectly and explicitly described in this document. The contractor shall perform all works included in this document and all those works which are not specified in this document, but are necessary in order to execute the construction works necessary to provide the service of a Hematopoietic Stem Cell Transplantation unit.

Note: The contractor is responsible to visit the site in order to measure and quantify the required work, as well as to verify the existing conditions prior to the submission of their proposal.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Area of Hematology building where to provide a third floor (Day Hospital area)

Area of Hematology building where to provide a third floor (Day Hospital area to the right - Isolation Patient to the left)

2. CONCEPTUAL DESIGN AND STRUCTURE OF CONTRACT

All information contained in this paragraph 2 corresponds to the basic elements of the conceptual design and was provided by the experts of the Ministry of Health. This information is expanded with additional requirements provided in paragraph 3.

2.1. Layout

The layout described in the conceptual drawing in the next page shall remain as shown. Minor modifications are permitted, but those should be coordinated and approved by the Beneficiary.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Conceptual Drawing

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Electric panel to be relocated

2.2. General Scope of Works

The scope of works includes designing and building a new floor over the existing Hematology building, to provide a new Hematopoietic Stem Cell Transplant Unit (HSCT), a day hospital for transplanted patients, an area for central preparation of chemotherapy and inpatient department.

A new floor should be provided over the existing construction (existing construction system is reinforced concrete, the contractor is free to choose and design a structure that will be light and easy to install but reinforced concrete is not excluded), with all the installations needed and the existing roof to be demolished and electrical distribution board from the existing A/C unit removed and reinstalled in the same space (see picture below) . The outer elevator is not included in the scope of works, on the existing elevator only works related to the elevator shaft shall be performed.

During the construction works, the contractor’s responsibility is to perform all the works, to secure uninterrupted working conditions for the existing Hematology Clinic.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

2.3. Special Heating, Ventilation and Air Conditioning (HVAC) Systems for Isolation Areas

For isolation areas, the contractor shall acquire the services of specialized engineers or companies to design and install a specialized HVAC system for the isolation areas (colored in green in the conceptual drawing). The contractor shall use the following basis of design:

- The ventilation system should provide 100% ventilation, the complete discharge of polluted air and its replacement with fresh air.

- The HVAC system shall provide positive pressure in the patient isolation boxes and at least 12 to 16 air changes per hour, as well as continuous pressure monitoring.

- HEPA13 filtration with one spare cartridge to be provided to the beneficiary

- The system should be according to EN15241/EN13790.

2.4. Heating, Ventilation and Air Conditioning (HVAC) Systems for other Areas - Preinstallations

For the Day Hospital, Inpatient department the heating should be performed with radiators connected to the existing central heating installations.

Additionally, for the areas outside of the Isolation Area, the contractor shall provide the preinstallation for wall mounted split type heat pump air conditioning units. This includes:

- General electrical installation designed for the additional electric load of heat pumps for all areas outside the Isolation Area

- Electrical connection or receptacle next to the proposed location of the wall mounted unit

- Drainage piping recessed on the wall for the condensate (mainly from wall mounted unit in summer season)

- Wall pipe sleeves to connect the interior and exterior units without the need to perform any masonry works.

It is the intent of the beneficiary to pay for and install these units immediately after the completion of this project, which shall be installed by the beneficiary without the need to perform any masonry works.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

2.5. Electrical

The project includes the complete design and installation of a completely new electrical system for all areas under the scope of work. This is required in order for the contractor to certify that the entire electrical installation of the new areas shall be in strict compliance with Macedonian regulations.

The work includes: - Design of the new electrical system, as well as pertinent set of approvals by a competent Macedonian licensed engineer and subsequently required by the relevant governing body.

The contractor shall utilize the services of a licensed engineer in the country, in order to prepare the drawing and necessary calculations.

The contractor shall execute the works that may be necessary in order for the electrical installation in the other areas of the building not included in the contract to remain fully operational at all times during the performance of works.

The Contractor should provide a new connection to the main electrical substation for the new floor.

This substation is located outside the Hematology building, approximately at 150 meters from the closest perimeter wall of the building.

Electrical protection: All circuits shall be protected against short circuits and indirect contacts with differential protection of maximum allowed current of 30 mA

Illumination: Provide LED technology lighting in all areas under the scope of work. Minimum power for each individual lighting fixture shall be 8 watts. Lighting fixtures shall be recessed within the new suspended ceiling.

In each room, the design shall include the number and location of specific LED lighting fixtures, to show that they meet the minimum lighting levels required by standard EN 12464-1. These designs are normally done by the manufacturer of the proposed lighting fixtures. For the final inspection and adoption, the contractor shall provide the services of a certified third-party inspection company with a lighting meter to test the illumination levels. This test shall be done in the presence of a beneficiary representative.

Provide the necessary special appliances as required by Macedonian regulations, such as emergency lights, exit signs, etc.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

2.6. Telephone, Internet, Communications

The contractor shall install an operational communication system within the new floor, wall and ceiling surfaces. The contractor is responsible for providing all necessary installations in order to provide a perfectly operational signal to the wall outlets from the nearest available point (or points) of connection with the service provider. This includes conduits, cables, cabinets, boxes, switches and everything else that may be necessary in compliance with Macedonian regulations and the particular technical requirements of the service provider (telephone and Internet). The contractor is in charge of payment concerning any official connection fee that may be applicable.

The Contractor shall install an operational nurse call system in the inpatient department and in the isolation.

In the Hematopoietic Stem Cell Transplant Unit (HSCT) isolations, all patient rooms should have a video monitoring system connected to the nurse working room for visual monitoring of the patients.

2.7. Fire Alarm

Provide Fire Alarm system as required by Macedonian Regulations for this type of public facility, along with the required utilities, such as smoke detectors, pull stations, horns and strobe lights. All cables and boxes shall be recessed within the walls if allowed by Macedonian regulations. The main fire alarm panel to be recessed on one of the hallway walls, near the main entrance on the ground floor.

2.8. Medical gases

The contractor shall design and install a system for central oxygen supply in all patient rooms. The contractor shall hire the services of a company authorized by the Ministry of Health of North Macedonia to perform the design, installation, testing, commissioning and acceptance of the medical gas system. The contractor shall submit for acceptance the credentials for such company before they can start works with the medical gas system. No payment for the medical gases system shall be authorized until the contractor provides the final certificate from the authorized testing company certifying that all works were performed in accordance with pertinent and applicable regulations.

2.9. Water and Sewage

All patient rooms should have private toilet, the sewage connections should be made to the closest available point in the building, if necessary, the installations could be positioned on the façade but proper protection and visual coverings should be installed.

It is necessary to build toilets for patients and medical staff that will be used in the day hospital and inpatient department and a separate one for the HSCT unit in the isolation that will serve as sanitary filter for patients and staff.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

If Contract Option-2 is awarded, this roof shall be demolished and replaced with one approximately 3 meters higher. This will require replacing this window with a much smaller one to be outside of the area covered by the new room under the roof and to move the exterior unit of the A/C to another location.

2.10. Structure of the Contract

The contract is divided into 3 separate sections, which correspond to different areas. The number of sections to be included into the construction contract will be unilaterally decided by the US Government.

CLIN0001 – Base-Bid of construction contract. This portion of the contract includes the design and full technical project for all works described in this document and the construction of the Day Hospital and Isolation Rooms. This corresponds to the areas highlighted in red and green in the sketch included in the previous page.

If only CLIN0001 is awarded, the contractor shall prepare the design, technical project and construction permit for the areas in the scope of work, being compatible with future construction by others of the areas not in the scope of work

If only CLIN0001 is awarded, the Day Hospital and Isolation Rooms shall be perfectly operational, including their connections with the floor beneath. If for example, Macedonian regulations require that there shall be 2 means of egress for safety reasons, the contractor shall also include a connection with the stairway to be placed under the Inpatient Department areas. Despite the amount of work or areas to be included in the contract, all executed works shall be certified and fully operational as per Macedonian regulations. Any completed construction works shall not be considered fully acceptable until the pertinent Act of Acceptance is provided by the pertinent authorities from North Macedonia.

CLIN0002 – Contract Option-1. This portion of the contract includes all the necessary design and construction works to provide fully operational Inpatient Department and Central Preparation of the Chemotherapy. This corresponds to the areas highlighted in purple and yellow in the sketch included in the previous page.

CLIN0003 – Contract Option 2. This portion of the contract includes the design and construction to provide a new technical room in coordination with the rest of new construction. The existing enclosure shall be demolished, provided with same walls and windows as the rest of the Isolation areas, and the roof of the mechanical room and the Isolation areas shall be the common for all areas. From the street there shall be no visual different in the façade and roof of the mechanical room and the isolation and patient boxes, although the interior shall be completely different. shall be the same as the roof at the same height as the If this Contract Option-2 is executed or awarded, it will be the contractor’s responsibility to replace a window with a smaller one on the façade of the Clinic of Transfusilogogy (adjacent building)

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

CLIN0002

CONTRACT OPTION-1

CLIN0-0001

BASE-BID

CLIN0003

CONTRACT OPTION-2

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Location of the Hematology Clinic within Skopje

2.11. Location

The project is located in the city of Skopje, within the Mother Teresa Clinical Center, where indicated in the maps and pictures below

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Location of Hematology Clinic. In yellow: approximate location of substation where the contractor shall connect electricity for new areas.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Overlapping satellite image with conceptual design

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

THIS IS A DESIGN-BUILD PROJECT

3. Specific Technical Requirements and Procedures

This is a design-build contract. This means that this document describes the scope of work and some of the technical requirements for the works included in this contract. The contractor shall prepare all necessary design projects and documents as required per Macedonian regulations and obtain the necessary acceptance by the Contracting Officer and formal approval by the competent Macedonian authorities before they can start work. This includes obtaining the formal Construction Permit by the competent Macedonian authorities which is required for the new construction works included in this document.

All work shall be designed and built in accordance with this Request for Proposal (RFP) and in compliance with Macedonian Codes, and it shall include every item of construction necessary and required by the pertinent regulations for a public Hematology Clinic facility. Design and construction shall strictly comply with applicable Macedonian construction codes.

THE CONTRACTOR SHALL PROVIDE A COPY OF CONSTRUCTION PERMITS OR AUTHORIZATIONS TO

BE PROVIDED BY THE CORRESPONDING LOCAL AUTHORITIES BEFORE WORK CAN START.

CONTRACTOR WILL COORDINATE WITH LOCAL AUTHORITIES AND WILL PROVIDE AND PROCESS ALL

REQUIRED DOCUMENTATION IN ORDER TO OBTAIN THE CONSTRUCTION PERMIT WHICH IS

REQUIRED FOR ALL WORKS INCLUDED IN THIS PROJECT.

THE FORMAT IN WHICH TO SUBMIT THE DESIGN PACKAGE, DEFINITION OF THE ASSIGNER OF THE PROJECT, DETAILS OF DRAWINGS, CERTIFICATES FOR THE DESIGNERS, SIGNATURES, AND OTHER

BUREAUCRATIC PROCESSES SHALL BE AS REQUIRED BY THE MACEDONIAN AUTHORITIES WITH

JURISDICTION OVER CONSTRUCTION OF HEALTH CARE FACILITIES IN SKOPJE. IT IS THE

CONTRACTOR’S RESPONSIBILITY TO BE FAMILIAR WITH THE PROCEDURES WHICH ARE

NECESSARY IN ORDER TO OBTAIN THE CONSTRUCTION PERMIT AS WELL AS FOR THE NECESSARY

AUTHORIZATIONS.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.1. DESIGN PHASE – GENERAL - LICENSES

Immediately after award, the contractor shall initiate the design phase, as outlined in this document, and as required by Macedonian regulations.

The design shall be prepared in compliance with applicable Macedonian construction codes, with Macedonian Ministry of Health requirements, with applicable Urban Planning in Skopje and construction practices in North Macedonia.

The contractor shall hire the services of an architect licensed in Macedonian to design all works included in this document. The contractor shall be familiar with the Administrative procedures which are necessary in order for the competent authorities to be able to receive and accept the different documents to obtain the necessary and required Construction Permit and authorizations. The contractor’s final designs shall be signed, stamped and certified by the corresponding licensed architects or engineers in North Macedonia, as required by Macedonian regulations.

Contractor shall show proof that they have all required licenses to perform design and construction works in North Macedonia. All design documents shall be approved by the competent Municipal or Central Government before its construction is authorized to start. The level of detail of the design (extent of specifications, number and size of drawings, number of separate designs, calculations, …) shall be sufficient to verify the compliance with the requirements of this contract and as required by the regulations of North Macedonia in general and Ministry of Health in particular.

The contractor shall perform all works included in the conceptual design and all those works which are not specified in the conceptual design, but which are necessary in order to perform the works specified in the conceptual design.

The company that prepares the full technical project, shall also monitor the construction and certify that all works are performed as required by their design. All costs for design and supervision shall be paid by the contractor.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.2. CONSTRUCTION PHASE - SUPERVISION

Prior to beginning of works, the contractor, in coordination with the Ministry of Health, shall appoint a third party independent construction monitoring agency, licensed in North Macedonia to perform these functions.

The contractor shall pay for the services of this independent agency if allowed by Macedonian regulations. In case the regulations do not allow the independent monitoring agency to work directly for the contractor, the beneficiary will hire these services, which shall be paid by the contractor.

The works shall take place in an extraordinarily busy place, with great number of people in the vicinity and hectic traffic and no possibility to park around the building.

Prior to start works, the contractor shall submit for approval a specific Safety plan for the approval of the Ministry of Labor (or competent agency of the Government of North Macedonia)

3.3. CONSTRUCTION PHASE – LAYDOWN AREA

Prior to beginning of works, the beneficiary shall provide a laydown area immediately adjacent to the Hematology Clinic. This area shall be sufficient to park 5 vehicles and to provide the necessary construction trailers and storage areas. This area shall be properly fenced.

3.4. DEMOLITIONS - GENERAL

The contractor is responsible to demolish everything interfering with their work, without affecting the normal operations of the existing Hematology Clinic, which are working days from 07:00 to 18:00. For that reason, all activities performing high levels of noise or vibration shall be performed after normal working hours or during holidays and weekends, as coordinated with the Clinic Director. The contractor shall estimate that they will need to work after normal working hours to minimize inconveniences to the existing Clinic.

The contractor is responsible to inspect the site and verify all existing conditions prior to the submission of their bid.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical scaffolding stairways as the one that the contractor shall need to provide for the beneficiary to remove the asbestos containing materials from the roof

Same as to the left.

3.5. DEMOLITIONS – ASBESTOS ROOF SHEETS

This US Government contract does not include any asbestos handling, abatement, removal or disposal. Any asbestos containing materials shall be removed by the beneficiary. If any asbestos containing materials are found, the contractor shall notify the Contracting Officer Representative and the beneficiary with a minimum of 45 days advance notice of when these materials would need to be removed. It is estimated that the roof cover is made up of corrugated asbestos containing roof sheets.

Although the contractor is not responsible to remove the asbestos containing materials, they are responsible to provide safe access to the roof areas in which the asbestos containing materials are found. For this reason, the contractor shall need to provide a certified scaffolding safe access to the roof areas from the exterior of the building. This safe access shall be made with the use of a scaffolding stairway system. The contractor shall prepare a safe scaffolding access for the beneficiary, similar to the ones shown in the pictures below. All scaffolding systems to be used in this project shall be European rated and certified as described in the pertinent paragraph, and the beneficiary’s access to the roof shall not be an exception.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.6. STRUCTURE AND BASIS OF DESIGN FOR NEW CONSTRUCTION

The Clinic of Hematology has certified that the existing building is suitable for a new floor, as required by this contract. The Expert Opinion on the subject is included in the following paragraph:

“Based on your request with number 09-531/1 from 27.03.2019 (archived on 02.04.2019 at the administrative office at the Civil Engineering Faculty UКІМ -Skopje with the number 12-03/296-1), performed visual inspection and revision of available design documentation, it can be concluded that there are fitting conditions for construction of an additional story at the existing building of the РНІ Clinic for hematology -Skopje. The structure of the building, which has basement, ground floor and one story, is а reinforced concrete spatial frame structure. It is composed of columns, beams, and ribs panels. In order to define the most optimal method of construction, as well as precise estimation of the needed funds, it is necessary to develop an appropriate Preliminary design that will take into account parameters related to the existing structure, as well as the requirements connected to the new story”

The type of structure shall be determined by the contractor’s design team. Any type of structure is authorized with the following basis of design:

- It is not allowed to use wood for any structural member. This includes the roof deck, which shall be accessible to be used as storage.

- Metal or reinforced concrete structural members, or any combination of both, are technically acceptable solution

- Flooring: The existing roof deck was not designed to be used as a floor of an operational hospital building. The contractor shall reinforce as necessary the existing roof flooring in order to provide a new flat surface in which to install the new flooring surfaces. Similar solution as for the new roof deck is acceptable.

- The structure shall be compatible with exterior plaster or exposed brick finishes enclosure.

The use of prefabricated metal panels, or sandwich panels, for the exterior enclosure is not authorized. It is standard procedure in North Macedonia to use metal structure and thermally insulated metal panels as enclosure. This typical and standard technical solution is not authorized by this contract. Only thermally insulated enclosures with finished brick or plastered walls are acceptable, as the ones described in the pictures of this paragraph

- Thermally insulated enclosure, including exterior walls and roof. Minimum 10 cm of wool rock, or equivalent thermal insulation with other approved thermal insulation material.

- Roof deck to be walkable and accessible for storage or for installation of equipment involved in the operation of the new floor (i.e. HVAC equipment, water heaters, expansion tanks,…).

The access to this area under the roof shall be designed by the contractor, from inside or from outside the building.

- Roof: Thermally insulated over metal structure, fully accessible and with 1 dormer for natural light. Provide also with electric light.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical required metal structure for new roof over solid concrete floor to be used for storage

Definition of dormer. 1 is required.

- Roof: New pitched roof, provided with gutters and downspouts throughout the perimeter of the building.

- Height: From finished floor elevation of 3rd floor to the exposed suspended ceiling there shall be minimum 2.80 meters. This means that the height of the new construction shall be approximatel7 3.0 meters.

Typical required metal structure for new thermally insulated roof over solid concrete floor to be used for storage

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Potential Construction of metal structure over roof deck

Typical required roof metal structure

Typical required concrete panels for roof deck over metallic structure, in case this technical solution is chosen. Same or similar technical alternative would be acceptable for the existing roof deck to become new flooring deck of the new areas

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical acceptable façade solution

Typical acceptable façade solution

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Metal roofing over the mechanical room to be removed as part of Contract Option-2. AC and window to be modified as needed. Existing asbestos corrugated sheets to be removed by the beneficiary using the safe access to be provided by the contractor

All wooden elements to be removed.

All gutters and downspouts to be new, connected with the new pitched roof to be provided under this contract.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.7. IMPLICATIONS OF THE NEW FLOOR OVER THE LAST FLOOR OF THE

OPERATIONAL HEMATOLOGY CLINIC

The construction of a new third floor over the second floor of an existing hospital building has very relevant connotations and items of work which need to be considered by the contractor.

In summary, the basis of design includes everything necessary to provide a perfectly operational and certified new third floor. However, this work will affect the existing second floor which is currently certified and fully operational, as well as the rest of the building and buildings in the Mother Teresa Hospital complex.

The contractor’s work includes everything necessary to provide a new operational and certified floor while at the same time not affecting the operation or certificate of the other areas of the hospital or other buildings in the area.

For example:

- Ventilation ducts: The ventilation ducts from the building end up in the area under the roof.

These ventilation ducts shall be rerouted, extended or modified as needed as part of this contract.

- Electrical cables: There are electrical cables resting on the existing roof flooring and on the façade that will need to be rerouted.

- HVAC: The HVAC for the most critical areas of the hospital will be affected by the construction of the Isolation Areas/Boxes. This HVAC equipment will need to be altered or modified as necessary to maintain its operation while building the scope of work of this contract.

- Piping: There are piping from water and heating systems on the roof flooring, which will need to be modified or rerouted as necessary to maintain the operations of the second floor.

Any potential outage to the operational areas of the hospital shall be notified to the beneficiary and the Contracting Officer Representative with at least 15 calendar days advance notice.

No work shall be started on the roof without the written consent from the Hospital Director. Some of the areas under the construction areas are used for patients with extremely delicate and vulnerable health conditions which could be affected by the construction activities. Extreme coordination with Hospital Director is required for any construction activity which could affect the conditions of the second floor of the building.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Cables to be changed, modified, removed or rerouted, as per the contractor’s design, in order not to affect the operation of the areas and buildings around the construction site. Ventilation opening to be modified and rerouted as per the contractor’s design

Piping with thermal insulation to be changed, modified, replaced or removed in order to allow the construction of the new floor without affecting the operation of other areas not included in the scope of work of the contract.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical flooring of existing roof to become the floor of the new third floor. After the beneficiary removes all remains of any asbestos containing materials, the contractor shall completely remove the wood and provide a new solid flat surface in which to install the new floor finishes. The contractor shall estimate that they will need to provide a new light weight leveling layer over new reinforced concrete slab over new metal structure.

Typical ventilation ducts from most critical areas of second floor. Piping to be modified, rerouted, removed of replaced with new in coordination with the new floor of the third level. Asbestos to be removed by others.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.8. INTERIOR PARTITIONS

The contractor’s design team can choose between:

- Masonry partition of double-double gypsum board, with rock wool fill of minimum 50 mm thickness, and minimum total gypsum cover (including both layers) of 30 mm per face of partition.

- Plastered masonry wall, using perforated ceramic bricks, providing a total thickness after plater of minimum 10 cm.

The design for the internal partitions shall be closely coordinated with the required internal installations as all shall be recessed within the new walls. This includes: heating, electrical, water, vent, drainage, refrigerant and condensate pipes and conduits.

Typical acceptable double-double gypsum board interior partition wall

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical acceptable partition walls with ceramic bricks and channels for electrical conduits

Typical masonry wall with ceramic bricks to be plastered

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical internal sill required for all windows

Typical required PVC window profile with double glazing, as required by this contract. Use minimum 6 chambered profiles with galvanized metal

3.9. WINDOWS

The contractor shall provide new windows as required by their design and as outlined in the conceptual design. If Contract Option-2 is awarded, the mechanical room shall have the same enclosure and windows as the areas under the Base-Bid and Contract Option-1.

All windows shall be basically similar, with the main difference that windows in the Isolation areas shall be lockable and with reflective glazing, so that the patients cannot open the windows and to keep the environment more sterile without the need to use curtains.

Windows shall be PVC framed and shall comply with Macedonian and European regulations for medical facilities.

Basis of design:

- PVC framed windows.

- 6 chamber with profile thickness of minimum 80 mm

- Have minimum 3 sealing tires

- PVC wall thickness to be minimum 3mm, reinforced with galvanized steel with minimum thickness of 1.5mm or equivalent

- Heat transfer coefficient of the glass and frame shall be minimum U≤1,5W / m²K

- Sound insulation - up to 45 dB

- Thermal insulation glass double glazing using 6-12-6 mm or equivalent with a U-value of at least 1.0 W/m²K

- Wind resistance (in accordance with EN 12210)

- Water resistance (according to EN 12208)

- Air permeability (in accordance with EN 12207)

- Air permeability (volume of infiltrated air at a pressure of 50

- The windows shall comply with Macedonian and

European regulations for medical facilities.

- Operational panels/leaves of the new windows shall open both horizontally and vertically.

- 50% of window area to open vertically and horizontally

- Provide removable mosquito screens in all operational panels of all the windows

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Window leaf opening horizontally and vertically

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.10. ELECTRICAL

The project includes the complete design and installation of a fully certified electrical system for all the new areas to be built under the scope of work of this contract, starting in the existing substation. This is required in order for the contractor to certify that the entire electrical installation of the renovated areas shall be in strict compliance with Macedonian regulations and to guarantee that this project will not affect the electrical capacity of the existing Hematology Clinic building.

All electrical works and accessories shall be recessed within the walls, floors and ceilings. This includes conduits, boxes, panels, switches and all components of the electrical installation.

The work includes:

- Electrical connection: The contractor shall coordinate with the Electric Utility Company the connection from the substation to the new construction areas. For estimating purposes the contractor shall estimate that they will need to provide a completely new and independent electric meter for these areas. In order to make this connection, the contractor shall follow the Electric Code of North Macedonia as well as all technical and bureaucratic requirements of the Electric Utility Company. The works include:

o Providing a new metering cabinet where indicated by the Electric Utility Company.

New meter to be provided with the necessary electrical protection and grounding. All technical requirements of the Electric Utility Company are technical requirements of this contract.

o Providing underground electric feeder in PVC conduit o Provide two similar conduits from the transformer to the renovated areas, one for the new feeder and the other one for spare.

o Provide the necessary manholes or handholes, for adequate pulling of the cables and for their maintenance and inspection.

o From the façade of the building to the new construction areas, provide the two new steel conduits, installed and sized, as required by Macedonian regulations.

- Design the new electrical system and pertinent and required approvals by competent

Macedonian licensed engineer and authorities. The contractor shall use the services of a licensed engineer in North Macedonia to prepare the drawing and calculations. Copy of the designs shall be provided to the Contracting Officer Representative. All electrical cables shall be installed in conduit and the conduits shall be recessed on the walls and over the new ceilings surfaces, so that no electrical conduit is visible within the new areas to be built. All electrical appliances (boxes, panels, lighting fixtures, receptacles, switches) shall be recessed within the walls.

- The contractor shall execute the works that may be necessary in order for the electrical installation in the other areas of the building not included in the contract to remain fully operational. Any electrical system or installation which is currently powered, but which could be affected by the renovation works, shall continue to have electrical power after the renovation works. Anything in the building that currently has electric power, shall remain with electric power after the completion of this project.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

- All electrical equipment shall be CE certified (European Community certified)

- Provide new electrical grounding systems as required by Macedonian regulations. Provide copy of the grounding resistance tests to the Contracting Officer Representative. The contractor shall not connect to the existing grounding system of the building.

- Electrical protection: All circuits shall be protected against short circuits and against indirect contacts with differential protection of maximum allowed current 30 mA.

- Receptacles: The contractor shall provide 150 electrical receptacles to be distributed throughout the new areas.

- Special receptacles: 20 additional red colored receptacles connected with the new required

UPS

- Illumination: Provide LED technology lighting in all areas under the scope of work. The contractor shall include LED technology lighting in their project. Minimum power for each individual lighting fixture shall be 8 watts. Lighting fixtures shall be recessed within the new suspended ceiling.

The number and location of the lighting fixtures depend on the model to be selected. The contractor shall provide a lighting design for the renovated areas, showing the illumination design pattern for each room in compliance with EN 12464-1. In each room, the design shall include the number and location of specific LED lighting fixtures, to show that they meet the minimum lighting levels required by standard EN 12464-1. These designs are normally done by the manufacturer of the proposed lighting fixtures. For the final inspection and acceptance the contractor shall provide the services of a certified third party inspection company with a lighting meter to test the illumination levels. This test shall be done in presence of the beneficiary representative.

- UV lights: Provide ultraviolet disinfection lights as required by the contractor’s design in those rooms requiring disinfection. The contractor shall estimate the installation of 20 UV lighting fixtures.

- Provide the necessary special appliances as required by Macedonian regulations, such as emergency lights, exit signs, etc

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical required electrical panel to be recessed on the walls

All electrical mechanisms to be recessed in the new walls. Provide wide switches as shown.

Professional 3D lighting design

Standard lighting design.

Recessed LED lighting fixtures, from a recently completed NAVFAC project in Ukraine

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical required illumination levels for each type of facility

Typical conduit to be recessed on the walls

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Point of connection

Typical required exterior works, providing one spare conduit from substation to the new areas.

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

Typical cable tray in case the contractor wants to use the space above the suspended ceiling for the internal electrical distribution

Typical hospital rated UV lighting fixture

Design and Build – HEMATOLOGY CLINIC – ADDITIONAL FLOOR MK-HA-2019-00036572

3.11. BACK-UP POWER - GENERATOR

The project includes in the basis of design an independent electrical connection from the Electric Utility Company.