N3319121R4004 Cahul - Attach 1 - PTS.pdf

Design and Construction – Renovation of Maternity Ward ID-34797 Cahul Hospital, Moldova

Version: 002

EUCOM Humanitarian Assistance Program

DESIGN AND CONSTRUCTION

RENOVATION TO

MATERNITY WARD

CAHUL HOSPITAL

Cahul, Moldova

OHASIS MD-HA-2020-00034797

Nov 2020

Design and Construction – Renovation of Maternity Ward ID-34797

Contents

1. TAXATION

2. GENERAL DESCRIPTION OF PROJECT

2.1. LOCATION OF PROJECT

2.2. LEGAL AND TECHNICAL REQUIREMENTS

2.3. GENERAL CONTRACT DESCRIPTION

2.4. GENERAL SCOPE OF WORK – STRUCTURE OF THE CONTRACT

2.5. CONSTRUCTION PERMIT OR AUTHORIZATION – CONSTRUCTION PERMIT

2.6 MEASUREMENTS AND QUANTITIES

3. CLIN0001 - BASE-BID: RECONSTRUCTION OF 2ND FLOOR

3.1. DESIGN PHASE - GENERAL

3.2. NEW LAYOUT

3.3. DEMOLITIONS

3.4. FLOORING

3.5. WALLS

3.6. CEILINGS

3.7. DOORS AND SIGNS

3.8. WINDOWS AND WINDOW BLINDS

3.9. ELECTRICAL

3.10. TELEPHONE / INTERNET / COMMUNICATIONS

3.11. FIRE ALARM

3.12. SINKS

3.13. HEATING SYSTEM

3.14. VENTILATION

3.15. DRAINAGE LINES

3.16. SEWER LINES (OUTSIDE 2ND FLOOR)

3.17. WATER LINES

3.18. WATER HEATERS (Maximum 10 units)

3.19. HEAT PUMPS

3.20. FIRE HOSES

3.21. SPECIFIC REQUIREMENTS FOR SPECIFIC ROOMS

3.21.1. WALL RAILING

3.21.2. HOSPITAL RATED CURTAINS

3.21.3. STAINLESS STEEL KITCHEN FURNITURE IN ROOM 17

3.21.4. LOCKERS, BENCH AND HANGERS

3.21.5. SHOWERS

3.21.6. BIDETS AND TOILETS

3.22. COMMEMORATIVE PLAQUE (2 units)

3.23. Pictures to Describe the Scope of Base-Bid

Design and Construction – Renovation of Maternity Ward ID-34797

4. CLIN0002 – CONTRACT OPTION-1: GENERAL SCOPE OF WORK

4.1. NEW RAMP AND STAIRWAYS

4.2. PROTECTION FROM RAIN AND SNOW – AMBULANCE CANOPY

5. Omissions from the Project Specifications

6. PROCEDURE AND GENERAL CONTRACT REQUIREMENTS AND GUIDELINES

6.1. PRINCIPLES

6.2. PROHIBITED ITEMS

6.3. START OF CONSTRUCTION

6.4. RESPONSIBILITY FOR NEW MATERIALS

6.5. DESIGN

6.6. DESIGN-BUILD PROCEDURE

6.7. CONSTRUCTION/DESIGN SCHEDULE AND CONTRACTUAL MILESTONES

6.8. CONSTRUCTION SCHEDULE (BAR CHART IS AUTHORIZED)

6.9. SAFETY: ACCIDENT PREVENTION PLAN

6.10. COORDINATION

6.11. RESPONSIBILITY AND OWNERSHIP OF REMOVED MATERIALS

6.12. SPECIAL SITE CONDITIONS

6.14. SUBMITTALS – TECHNICAL INFORMATION

6.15. DELIVERABLE

6.16. PICTURES

6.17. CERTIFICATIONS, LICENSES, PERMITS, FEES, ETC

6.18. QUALITY CONTROL PLAN

6.19. CONSTRUCTION SIGN

6.20. PAYMENT

6.21. SCHEDULE OF PRICES

6.22. UTILITIES

6.23. DAMAGES/IMPACT TO EXISTING FACILITIES

6.24. CLEANING

6.25. SPARE PARTS AND MATERIALS

6.26. WARRANTY AND TRAINING

6.27. CLOSE-OUT PROCEDURE

-/-/-/-/-/-/-/- END OF TECHNICAL SPECIFICATION -/-/-/-/-/-/-/-/-

Design and Construction – Renovation of Maternity Ward ID-34797

1. TAXATION

This construction/renovation contract is subject to the Moldovan Government Decision No.

246 of 08.04.2010 on the application of the zero rate of VAT on the supply of goods and services in the country and providing tax and customs exemptions for ongoing projects of technical and investment assistance covered under the international treaties to which the Republic of Moldova is part. As such, the US Government will not pay VAT on any invoices related to this construction contract. The contractor is required to coordinate with the US Embassy and with competent Moldova authorities in order to implement the procedures as required by the Moldovan Government in order to obtain the VAT TAX EXEMPTION that applies to this contract as detailed and specified in the referenced Moldovan regulations.

Contractor shall start the tax exemption within 7 days after award of this contract. Contractor is required to make all necessary coordination and to allow for time for approval of the VAT Tax Exception. A minimum of 3 months and a maximum of 5 months are estimated for processing all required documentation after its submission until the name of the Prime Contractor is published on the official Moldovan Government publication "Monitorul Oficial". The contractor should have the tax exemption process finalized before they start actual construction works and before they contract for any service related with this contract.

It is the contractor's responsibility to properly and adequately follow the requirements of the applicable Moldovan regulations in order implement of a tax free contract environment as it may be applicable for the prime contractor, subcontractors and suppliers. Per existing legislation the Moldovan Government will not register for VAT exemption any of the subcontractors, for any of the projects. The US Government SHALL NOT be responsible to pay any taxes for this contract resulting from a contractor's failure to implement the proper procedures or from not complying with the timelines or from not following any other requirements of the Moldovan regulations which guarantee tax exemption exclusively as detailed and in compliance with their regulations.

Design and Construction – Renovation of Maternity Ward ID-34797

Location of Cahul in Moldova

2. GENERAL DESCRIPTION OF PROJECT

2.1. Location of project

The project is located in the city of Cahul, Moldova. See drawing below for location of Cahul, approximately 180 kilometers south from Chisinau.

Design and Construction – Renovation of Maternity Ward ID-34797

Location of hospital within Cahul

Location of Maternity Ward within hospital in North-East Cahul

Design and Construction – Renovation of Maternity Ward ID-34797

2.2. Legal and Technical Requirements

The project execution is based on the following principles:

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

- Strict compliance with Moldovan technical and legal regulations, with special emphasis on the specific technical regulations regarding the design, renovation and construction of hospital and other Health Care facilities in Moldova, including elevators for people with special needs (wheelchairs).

- Strict compliance with Moldovan Safety regulations, unless the US safety regulations

(USACE EM 385-1-1) is more strict and not in conflict with the Moldovan safety regulations, in which case, the US safety regulations shall be applied.

- Compliance with technical and administrative requirements described in this document.

2.3. General Contract Description

This document is a Performance Technical Specifications (PTS) for a full Design-Build project.

This PTS includes a description of the required finished work.

This is a design-build contract. This means that the contractor is responsible to:

- Make necessary designs as required by this PTS for the different items of work

- Obtain NAVFAC’s acceptance of the designs and the approval of the beneficiary and all pertinent and competent Moldovan authorities, including the Ministry of Health and the Municipality of Cahul.

- Obtain required formal technical approvals from competent and required Moldovan authorities, including the necessary expert review by third party company and/or “technical expertise” as required by Moldovan regulations for the scope of work included in this contract, which shall be paid by the contractor.

- Execute the construction/renovation works

- Obtain the acceptance of NAVFAC and the partial and final approvals by the competent and required Moldovan authorities and third party experts for the executed construction works.

Note: The contract includes third party and/or “technical expertise” review of all items of work which are required by Moldovan regulations. In case the Moldovan regulations do not allow for the contractor to be the client for this independent review, the contractor shall pay for the third party review and assign a different party as the client for this independent company, which could be the Municipality, a representative from the Ministry of Health, or other agency authorized by the Contracting Officer.

Note: The contractor needs to be familiar with the regulations of Moldova, in order to account for the different required permits, reviews and authorizations for renovations of health care facilities.

Design and Construction – Renovation of Maternity Ward ID-34797

RENOVATION OF

THE SECOND

FLOOR

(paragraph 3)

CONSTRUCTION OF

NEW AMBULANCE

SHELTER WITH

RAMPED

ENTRANCE AND

CANOPY

CLIN0001

BASE-BID

CLIN0002

OPTION-1

2.4. General Scope of Work – Structure of the Contract

This contract includes everything necessary to provide fully renovated medical areas in the 2nd floor of the Cahul Maternity Hospital building, with the characteristics and limitations described in this document.

The work is divided into Base-Bid and 1 contract option, which will be awarded (or not) depending upon availability of funds, as well as other factors that the US Government will unilaterally consider.

The contractor shall provide a separate price for the Base-Bid and the contract option, as required by the solicitation documents.

This means that there are two Contract Line Numbers (CLIN). CLIN0001 corresponds to the Base- Bid and CLIN0002 corresponds to Contract Option-1. The minimum part of the contract that will be awarded will be CLIN0001 and the US Government will unilaterally decide on the potential award of the CLIN0002.

In general terms, the works include the following items of work:

- CLIN0001 or Base-Bid: complete renovations, alterations, modifications and improvements to the 2nd floor.

- CLIN0002 or Contract Option-1: Design and construction of new ramped entrance to the hospital.

Design and Construction – Renovation of Maternity Ward ID-34797

2.5. Construction Permit or Authorization – Construction Permit

The contractor shall obtain formal written authorization from the competent Moldovan authority to perform the works included in the scope of work of this project.

The contractor is required, as part of this contract, to prepare all documentation, designs, reports, information, drawings, coordination and approvals by experts or monitoring entities, and everything that may be necessary as required by Moldovan regulations, in order to obtain these Permits or Authorizations. The contractor is responsible to pay for any third party inspection or expertise that may be required by Moldovan regulations for the scope of work of this project. The contractor shall be familiar with these requirements in order to prepare their bids, regarding the obligatory administrative and technical procedures in Moldova for any renovation works in healthcare facilities.

The contract includes third party review of all items of work which are required as per Moldovan regulations. In case the Moldovan regulations do not allow for the contractor to be the client for this independent expert company, the contractor shall pay for the third party review and assign a different party as the client for this independent company, which could be the Contracting Officer Representative or other agency authorized by the Contracting Officer.

The contract requires not only the Construction Permit for the main renovation construction works, but other permits by different agencies, such as the electrical supply, gas, water, telephone or Internet provider that may be required by the scope of work of this contract. The contract includes all necessary coordination with all incumbent Moldovan agencies involved in the design, renovation and construction of Health Care facilities in Moldova. This includes paying for any official fee or tariff that these companies or agencies may have for the connection and for preparation of the necessary reports and technical studies.

No work shall be performed until the contractor sends to the Contracting Office Representative verifiable evidence that they have obtained all the necessary permits for each element of work included in this contract.

2.6 Measurements and Quantities

This contract complies with the US Contracting Regulations, and as such, measurements and quantities of materials and work are not provided, and if any are provided, the contractor shall be responsible to verify on site. The contractor needs to visit the job site in order to perform the necessary measurements and to observe the existing field conditions in order to prepare their cost proposal.

The US Government is not responsible for any mistake in the contractor’s measurements or assumptions of field conditions.

Design and Construction – Renovation of Maternity Ward ID-34797

3. CLIN0001 - BASE-BID: COMPLETE RENOVATION OF 2ND FLOOR

The contract includes in the Base-Bid the complete renovation of the areas of the second floor indicated in the drawing below:

Areas to be completely renovated or reconstructed.

Design and Construction – Renovation of Maternity Ward ID-34797

3.1. Design Phase - General

The works include the complete renovation of everything within the areas to be renovated. This includes new floors, wall surfaces, ceilings, electrical, doors, plumbing, plumbing appliances, heating, ventilation, fire alarm, and everything necessary to provide a perfectly operational facility within a new internal distribution or within a modified internal layout. This is a 100% DESIGN- BUILD contract and the contractor shall provide the corresponding technical projects or designs for each element of work.

The contract includes all necessary items of work in order for the renovated areas to be certified in compliance with latest Moldovan standards and regulations for healthcare facilities, with the additional features and elements described in this document.

The design shall be prepared in compliance with applicable construction codes, urban planning and construction practices in Moldova and in the Municipality of Cahul.

Some general requirements for the design are the following elements:

- General Finishes: Do not use the existing finishes of recently renovated areas in the hospital as model for this contract. The hospital has received several recent renovations.

These renovations shall not be used as a model or example for the work included in this contract. For similar NAVFAC completed projects near Cahul which can be used as examples, the contractor can visit the recently completed projects in Medgedia (Romania).

- Leveling Walls: The use of gypsum boards to level the walls is not authorized. The use of gypsum boards to level the walls and to cover the imperfections is not authorized, but gypsum board can only be authorized for very small areas, not greater than 1 m², and shall be explicitly authorized by the Contracting Officer Representative. The Moldovan Government recently renovated a section of the 3rd floor in Stefan Voda hospital, and the leveling of the walls that was used by the Moldovan Government can be used as examples of proper leveling of the walls.

- New Partitions: New partitions shall be made of masonry units or from double-double gypsum boards, as recommended and designed by the contractor’s architect.

- Electrical Installation: Complete new electrical installation from the electric meter in order to guarantee and certify that the electrical installations in the renovated areas fully comply with Moldovan regulations. This requires new electrical cable from the electric meter to the second floor, independent from the rest of the electrical system of the hospital building.

- Water Pipes: All water pipes in the 2nd floor shall be replaced with new. Connect water to the water meter unless the water piping running from the ground floor to the second floor is already PVC and was recently replaced by the Hospital. For estimating purpose the contractor shall estimate that they need to replace 100% of the water lines within the second floor and 50% of the water lines from the second floor to the water meter. There are available water pipes in the 3rd floor. However, their condition is unknown. For this reason, and to certify the water installation in the 3rd floor, the contractor shall design the water lines connected to the water meter. This requires providing new water lines from the water meter through the floors under the 3rd floor.

Design and Construction – Renovation of Maternity Ward ID-34797

- Provide wall mounted sinks in all rooms. This includes replacing the existing sinks with new ones and installing additional ones in those rooms where there is no water sink. Provide with hot and cold water and single lever stainless steel faucet over minimum of 3 m² of ceramic wall tiles per sink.

- Prepare a new ventilation project for all the areas under the scope of work in order to have a renovated area in compliance with Moldovan ventilation requirements. The poor, or lack of, ventilation in the bathrooms (especially those without windows) is one of the main deficiencies of the areas to be renovated and consequently a separate study and project is required as part of this contract.

- Replace heating pipes and radiators, connected with piping in ground floor and third floor.

All piping connections shall be made outside the areas to be renovated, connecting the piping in the floors beneath and above, and providing new pipes sleeves to cross walls.

- Provide air conditioning by the use of heat pumps (capable of providing heat in the winter) in designated rooms.

- The entire area to be renovated shall be rated and certified for people with disabilities, unless specifically indicated otherwise in this document. The contractor shall provide standard hospital dated wall handrail and protection along all hallways. For example, there shall be no obstruction for a wheelchair to move freely between all renovated areas. This applies to very relevant elements such as bathrooms or door width.

- No renovation works shall be authorized without the corresponding design or sketch, certified by the corresponding and pertinent professional and accepted by the Contracting Officer Representative.

The contractor shall hire the services of a licensed architect to design all works with all items described in this document. For those items of work which do not require a formal Construction Permit or design, the licensed architect shall prepare and submit for acceptance the necessary drawings and/or sketches to formalize and explain to the beneficiary and to the Contracting Officer Representative the works that they are proposing to perform.

All works to be executed as required by Moldovan regulations, with the required foreman licensed in Moldova, and technical supervision licensed in Moldova.

As required by Moldovan regulations, for those elements that are required by Moldovan regulations, the contractor shall hire (and pay for) the services of a “Revision Entity - Expertise” authorized by the Government of Moldova to supervise and approve each phase of the design and the construction, including final commissioning and acceptance of the completed works. This company would report directly to the US Government representative and the beneficiary if required by the Moldovan regulations, but all their services shall be paid by the contractor.

The contractor’s final designs and sketches shall be signed, stamped and certified by a licensed architect in Moldova. The level of detail of the design (extent of specifications, number and size of drawings, calculations, …) shall be sufficient to verify the compliance with the requirements of this contract and as required by the regulations of Moldova and the Municipality of Cahul and the different agencies involved in the process.

Design and Construction – Renovation of Maternity Ward ID-34797

All door openings to be minimum 815 mm

Example of required leveling of the walls. Picture from renovation project in Stefan Voda hospital. The use of gypsum board to level the walls is not authorized.

Design and Construction – Renovation of Maternity Ward ID-34797

Existing layout of the building. This is the design of the building. The contractor is responsible to visit the site to verify actual conditions and layout of the building.

3.2. NEW LAYOUT

The general layout of the area shall be modified following the basis of design specified herein:

Design and Construction – Renovation of Maternity Ward ID-34797

Schematic representation of new required layout. The actual limits and details shall be designed by the contractor’s architect in order to meet the operability of this scheme in coordination with the actual conditions of the building and the actual requirement sof Moldova regulations regarding these type of Health Care facilities.

Design and Construction – Renovation of Maternity Ward ID-34797

The general use of the rooms shall be the following:

Room No.

Name/Use of Room

Specific requirements to be provided in each room Floor** Ceiling***

1 Doctor Room Air conditioning (heat pump) 2 UV lights 1 sink Built-in full bathroom (designated as Room 1*)

HL HRSC

1* Bathroom in Doctor’s Room

1 sink 1 toilet 1 shower

K MSC

2 Patient Room Air conditioning (heat pump) 2 UV lights 1 sink Door 1.2 meter wide free opening

HL HRSC

2* Bathroom in Patient Room

1 sink / 1 toilet / 1 shower / 1 bidet / 1 hand drier Rated for handicapped

K MSC

3 Patient Room Air conditioning (heat pump) 2 UV lights 1 sink Door 1.2 meter wide free opening

HL HRSC

3* Bathroom in Patient Room

1 sink / 1 toilet / 1 shower / 1 bidet / 1 hand drier Rated for handicapped

K MSC

4 Patient Room Air conditioning (heat pump) 2 UV lights 1 sink Door 1.2 meter wide free opening

HL HRSC

4* Bathroom in Patient Room

1 sink / 1 toilet / 1 shower / 1 bidet / 1 hand drier Rated for handicapped

K MSC

5 Patient Room Air conditioning (heat pump) 2 UV lights 1 sink

HL HRSC

5* Bathroom in Patient Room

1 sink / 1 toilet / 1 shower / 1 bidet / 1 hand drier K MSC

6 Patient Room Air conditioning (heat pump) 2 UV lights 1 sink

HL HRSC

6* Bathroom in Patient Room

1 sink / 1 toilet / 1 shower / 1 bidet / 1 hand drier K MSC

7 Treatment Room

Air conditioning (heat pump) 4 UV lights 1 sink Walls: Homogeneous wall vinyl Ceiling rated for operating theater

HL HRSC

8 Nurse Room 1 Sink 1 hand drier

HL HRSC

9 Bathrooms Handicapped rated 1 sink 1 toilet 1 shower 1 hand drier

K MSC

10 Dining Room for staff

Kitchenette countertop (3 meter long) Kitchen furniture (2 m³) Forced exhaust to exterior of building

K PC

Design and Construction – Renovation of Maternity Ward ID-34797

1 sink 1 hand drier

11 Changing Room

Stainless steel wall hangers K PC

12 Storage 1 sink K PC 13 Nurse Room 1 sink

1 hand drier

K HRSC

14 Storage 1 sink K PC 15 Dining Room for Patients Kitchen countertop (3 meter long) 1 sink 1 hand drier Forced exhaust to exterior of building Counter/window connecting with room 17 for serving food

K HRSC

16 Storage 1 sink K PC 17 Food Delivery

Room Stainless steel furniture 3 sinks 1 hand drier

K PC

18 Storage 1 sink K PC 19 Bathroom Non handicapped rated

1 sink 1 toilet 1 hand drier Forced ventilation

K MSC

20 Bathroom Non handicapped rated 1 sink 1 toilet 1 hand drier Forced ventilation

K MSC

21 Reception for Patients

HL HRSC

22 Storage Stainless steel shelved for clean clothing and lining for 20 patients K PC 23 Patient

Examination Room

Divided into 2 smaller rooms with one single entrance from hallway 1 sink 1 hand drier 4 UV lights

HL HRSC

24 Psychologist Room

1 sink 1 hand drier 2 UV lights

HL HRSC

25 Hallways With Hospital rated wall railing and protection 1 ceiling mounted watch 1 door to separate the renovated areas into two compartments Walls with vinyl cover up to 1.5 meters or until the wall railing

HL, but K (in the entrance lobby)

HRSC

26 Doctor’s Room Air conditioning (heat pump) 2 UV lights 1 sink Built-in full bathroom (designated as Room 1*)

HL HRSC

26* Bathroom in Doctor’s Room

1 sink 1 toilet 1 shower

K MSC

27 Doctor’s Room Air conditioning (heat pump) 2 UV lights 1 sink Built-in full bathroom (designated as Room 1*)

HL HRSC

27* Bathroom in 1 sink K MSC

Design and Construction – Renovation of Maternity Ward ID-34797

Doctor’s Room 1 toilet 1 shower

28 Doctor’s Room Air conditioning (heat pump) 2 UV lights 1 sink Built-in full bathroom (designated as Room 1*)

HL HRSC

28* Bathroom in Doctor’s Room

1 sink 1 toilet 1 shower

K MSC

29 Patient Room Air conditioning (heat pump) 2 UV lights 1 sink

HL HRSC

29* Bathroom in Patient Room

1 sink / 1 toilet / 1 shower / 1 bidet / 1 hand drier K MSC

30 Patient Room Air conditioning (heat pump) 2 UV lights 1 sink

HL HRSC

30* Bathroom in Patient Room

1 sink / 1 toilet / 1 shower / 1 bidet / 1 hand drier K MSC

31 Surgical Room Air conditioning (heat pump) ‘2 stainless steel sinks ‘4 UV lights Walls: Homogeneous wall vinyl Ceiling rated for operating theater

HL HRSC

** “HL” is for homogeneous linoleum. “K” is for porcelain stoneware ceramic *** “HRSC” is for hospital rated suspended ceiling. “MSC” is for “metal suspended ceiling”. “PC” is plastered painted ceiling.

In order to provide the required distribution for the 31 different spaces, the contractor shall have to demolish existing partition walls and build new ones. It is required to use double-double partition wall for the new partition required. The contractor shall perform their design to minimize the demolition of existing walls and to minimize the construction of new partition walls. In the next page there is an initial conceptual idea of walls required to be built and walls required to be demolished.

However, the architect hired by the contractor shall be responsible to prepare the necessary design, clearly specifying which walls need to be demolished and which ones need to be built, in order to comply with the operational requirements of this contract.

Design and Construction – Renovation of Maternity Ward ID-34797

Schematic representation of walls to be demolished (in red) and walls to be built (in blue). However, the contractor’s architect shall prepare the final design specifying which walls need to be demolished and which ones need to be built. It is the intent of this contract to minimize the demolition and construction of walls. However, once the project is finished, there shall be no visual evidence of which walls were existing and which walls are new. All walls shall be provided with same finishes without any visual difference between existing and new walls.

Design and Construction – Renovation of Maternity Ward ID-34797

Definition of double double gypsum board wall construction

Definition of double-double gypsum board wall construction. Each side of the wall made of two independent plaques of gypsum board

In 3 patient rooms: Dimension B to be minimum 1.20 meters

Minimum 15 mm thickness

Minimum 18 mm thickness

Design and Construction – Renovation of Maternity Ward ID-34797

3.3. DEMOLITIONS

The works include the complete demolition of everything within the areas to be renovated, including floor surfaces, partitions as necessary for the new layout, wall paint, wall tiles and wall plaster as necessary to provide new leveled walls, doors, electrical installation, plumbing and plumbing fixtures, heating and ventilation systems or ceiling covers. It is estimated that most of the utility shaft partition walls will need to be demolished for the new required layout.

All utility connections shall be made outside the areas to be renovated. In most cases these shall be made in the ground floor and the 3rd floor, although other connections shall be made in the basement or in other floors, as required by the scope of work.

For example, the heating shall be connected in the floors above and below.

For example, the electrical installation shall be connected with main panelboard of the building, immediately after the electric meter.

3.4. FLOORING

All floors shall be provided at new perfectly leveled surfaces. The contractor shall remove existing flooring surfaces and their supporting substrate prior to installation of the new floor cover. It is not allowed to install the new floor surfaces over the existing floor surface.

Once the project is completed, all floors in the second floor shall be exactly at the same elevation, to allow for easy movement of wheelchairs, stretchers, beds and other movable equipment on wheels. This means for example that the doors cannot be provided with a bottom threshold or bottom frame.

There shall be 2 types of floors: Homogeneous linoleum/vinyl (2 mm thickness), and stoneware porcelain ceramic.

All colors and models of flooring to be selected by the Hospital Director, in coordination with the finished colors of the floors in other sections of the hospital. Transition between different types of flooring shall be done with the product recommended by the manufacturer of the homogeneous linoleum.

Design and Construction – Renovation of Maternity Ward ID-34797

Flooring: Stoneware Porcelain Ceramic Flooring:

Provide homogeneous stoneware porcelain tiles for the bathroom, kitchenette, dining room and other areas indicated in this document. Include matching wall base board from the same model as the tiles where ceramic wall tiles is not required. For estimating purposes, the contractor shall install combination of 2 colors of tiles per room.

Porcelain stoneware is a ceramic with a compact, hard, colored and non-porous body. The word “stoneware”, which can also be referred as “grès” means that the ceramic body of the tile is extremely vitrified, that is to say compact, hence the exceptional great resistance. The result is a lean clay body, little refractory, fired in a kiln (at 1200-1400 C°) until it reaches a non-porous vitrification and a complete water-proofing.

Porcelain floor tiles are made by materials featuring the lowest water absorption levels. This feature (that is also one of the two parameters on which the EN ISO standards classification is based) also results in the highest level of bending strength, that is to say, the maximum tension that the material, subject to an increasing bending action, can bear before breaking.

Amongst the most significant features of stoneware porcelain ceramic is also the high abrasion resistance, which means the resistance of the surface against the action related to the movement of bodies, surface or materials in contact with it.

Impact strength and stress resistance Wear resistance Scratching resistance Resistance to frost Resistance to chemicals Stain resistance

The new porcelain stoneware ceramic tiles shall be high quality, provided with the following technical features:

- Water Absorption: Tested by ISO 10545 - 3 ≤ 0,5%

- Deep abrasion resistance: Tested by ISO 10545 – 6: Max 175 mm3

- Frost resistance: Tested by ISO 10545 – 12: Tiles must not produce noticeable alteration to surface

- Chemical resistance: Tested by ISO 10545 – 13: Tiles must not produce noticeable signs of chemical attack

- Friction coefficient (slipperiness): Tested by ASTM C 1028 ≥ 0,60

- Size: Minimum 40x40 cm

All floors shall be perfectly leveled at the same elevation. In rooms with floor drains, all floors shall be sloped towards the new floor drain to be provided as part of this contract. Tile installation shall be done following manufacturer’s instructions and recommendations.

The new porcelain stoneware ceramic tiles shall be minimum 40x40 centimeters.

Design and Construction – Renovation of Maternity Ward ID-34797

Typical stoneware ceramic base boards. Use same model as for the floor tiles

Typical large format porcelain stoneware ceramic - tiles in large format. Typical porcelain stoneware tiles - combination of two colors

Homogeneous characteristic of the porcelain stoneware in comparison with standard ceramic tile (not acceptable in this project)

Typical stoneware ceramic base boards. Use same model as for the floor tiles

Design and Construction – Renovation of Maternity Ward ID-34797

Flooring: Homogeneous Linoleum (or vinyl) for medical use:

Provide new 2 mm thickness homogeneous linoleum/vinyl for all areas indicated in this document.

For estimating purposes the contractor shall estimate that they will need to provide combination of 3 colors per room. Flooring material to be installed by specialized experienced workers, over self-leveling grout to be perfectly leveled, and to be accepted by manufacturer representative.

The surfaces to which apply the homogeneous linoleum shall be perfectly leveled, and provided with high quality solid homogeneous linoleum (2 mm thickness of wear thickness). Linoleum material shall have the minimum technical characteristics listed below:

- Officially rated in manufacturer’s catalog as certified for use in medical and laboratory facilities.

- Description (EN 649): Homogeneous single layered vinyl flooring

- Reaction to fire: Bfl-s1

- Electrical behavior - body voltage (EN 1815) – kV: < 2

- Thermal resistance (EN 12667) - m² K/W: Approx. 0.01

- Thermal conductivity: As needed.

- Bacteria resistance (EN ISO 846 Part C): Does not favor growth

- Total thickness (EN 428): 2 mm

- Wear layer thickness (EN 429): 2 mm

- Total weight (EN 430): >2.95 kg/m2

- Abrasion group - volume loss (EN 660 – 2) – Group: T

- Abrasion group - volume loss (EN 660 – 2) – mm3: ≤ 2.0

- Classification - industrial (EN 685) – Class: 43

Install following manufacturer’s instructions for a perfectly leveled finished surface. Installed over self-leveling layer, using welded joints, and installed over the lower portion of the walls, as indicated in the model shown in one of the pictures included in this paragraph. The material used for the floor shall be extended up to 10 cm along the walls, without any joints separating the floor and the wall portions. Linoleum shall be provided in rolls and not in tiles.

Definition of homogeneous linoleum: The linoleum or single layered vinyl flooring shall have a minimum thickness of the wear layer of 2 millimeters and a total thickness of 2 millimeters. This means that all the material of the linoleum flooring is wear layer. A linoleum flooring with less than 2 millimeters of wear surface and made up of several layers is not acceptable.

Required finishes for the homogeneous vinyl flooring, including lowest 10 cm of wall

Design and Construction – Renovation of Maternity Ward ID-34797

Typical surface of the required homogeneous linoleum

Typical required floor finishes

Only homogeneous vinyl flooring is authorized. Heterogeneous surfaces are not authorized.

Design and Construction – Renovation of Maternity Ward ID-34797

3.5. WALLS

All walls in the areas to be renovated shall be repaired and provided with new finishes with the following rule or basis of design:

- Where there are ceramic floor tiles, the contractor shall provide ceramic wall tiles from floor to 1.8 meters

- In. rooms 31 and 7, there shall be vinyl wall cover from floor to ceiling.

- In all the hallway spaces, the contractor shall provide homogeneous vinyl from the floor up to 1.5 meters high and the rest of the wall shall be plastered and painted.

- In the other rooms, the contractor shall provide plastered and paint finish.

The contractor shall perfectly level all the walls using cement base mortar. The use of gypsum boards to level the walls is not authorized, but gypsum board (double-double) is only authorized for the new wall partitions. Additionally, the walls will be damaged by the installation of recessed utilities, such as electrical or water lines. The use of gypsum board covering for the walls IS NOT authorized.

It is estimated that the contractor shall remove all paint and a relevant portion of the plaster on all walls to remain before applying the leveling plaster in which to apply the required finish layer (paint, tiles or homogeneous linoleum)

Homogeneous vinyl/linoleum wall covering (1.5 meter high or entire wall)

All work to be done in compliance with medical standards for hospitals. To be provided in rooms 7 and 31 from the floor to the ceiling and along all hallways up to 1.5 meter or the upped edge to be covered by the special hospital rated railing and wall protection.

Material: Homogeneous vinyl product

General features: Impervious surface with PU-Shield, hygienic and watertight, manufactured from watertight and extremely hardwearing high-quality vinyl. The homogeneous construction makes it durable against mechanical damage and allows easy repair. Rated by manufacturer for use in healthcare environments.

Technical properties:

Officially certified by the manufacturer for use in medical facilities Light fastness (EN ISO 105-B02) – Level ≥ 6 Reaction to fire: Bs2-d0 Reaction to fire: 1 Clean room test: A Bacteria resistance (EN ISO 846 Part C): Does not favour growth Thickness: 1.3 mm to 2 mm

Installation:

From 10 cm where the floor material finishes in the bottom of the walls, up to 1.5 meters or up to the ceiling. The rest of the wall surface shall be finished with plaster and washable hospital rated paint as specified in the next paragraph.

Design and Construction – Renovation of Maternity Ward ID-34797

Plaster and Paint

Where the wall surfaces shall be plastered and paint, the contractor shall use the necessary leveling layers (required among other reasons for covering all the utilities under the wall surfaces) and provide a minimum of 3 coats of paint.

The contractor shall use an antibacterial and antifungal paint, certified by the manufacturer for use in medical facilities. Use lime based paint (limewash – whitewash) or any other officially certified by the manufacturer to be used in medical facilities requiring antifungal and antibacterial features.

Ceramic Wall Tiles

Where the floor tiles are porcelain stoneware, and surrounding all wall mounted sinks, the contractor shall provide ceramic tile covering (designed for walls) with water resistant joints, glued onto the surface of the wall. Provide with stainless steel or aluminum corner guards embedded in the wall tiles at all corners. Provide colors, to be selected by beneficiary among ample selection to be provided by the contractor, but in coordination with the colors used in the Surgery Department.

Size of ceramic tiles shall be minimum 20x30 cm. Bigger tiles are authorized. Smaller tiles are not authorized.

Properties: I class (best quality) tiles, suitable for use in hospitals, thickness according to

ISO10545-2

Typical wall tile installation with metal corner protection (from NAVFAC project in N. Macedonia)

Design and Construction – Renovation of Maternity Ward ID-34797

Typical installation of homogeneous vinyl layer on lowest portion of the walls. This particular technical specifications document requires that this layer shall be extended up to 1.5 meters from the finished floor surface. Picture from NAVFAC project in N. Macedonia.

Typical metal corner protection for all tiled corners.

Typical ceramic tiles for hospitals

Design and Construction – Renovation of Maternity Ward ID-34797

Pictures from NAVFAC project in Ukraine: Above: vinyl on lowest section of wall. Below; Vinyl covering of the entire wall from floor to ceiling.

Design and Construction – Renovation of Maternity Ward ID-34797

3.6. CEILINGS

All ceiling surfaces shall be new.

The contractor shall estimate that there shall be 4 types of ceilings, as specified in the specific requirements for each new room or space:

- Hospital rated acoustic suspended ceiling

- Metal suspended ceiling

- Plastered and painted surface (using antifungal and antibacterial paint)

- Aseptic and rated for operating theaters in rooms 7 and 31

The contract includes in general terms for all the ceilings in the areas under the scope of work:

- Removal of any suspended ceiling surfaces (metal, gypsum,…) until the ceiling deck is exposed.

- Cleaning the exposed deck structure

- Painting all ceiling deck structure areas to be covered under the new suspended ceiling with antifungal and antibacterial certified paint.

- Installing the new required suspended ceiling (if applicable)

The use of gypsum board covering for the ceilings IS NOT authorized.

All ceiling surfaces, exposed and not exposed, shall be painted with the special paint described for the wall finishes, to be rated and certified to be used in healthcare facilities.

Definition of Acoustical Drop or Suspended ceiling.

Typical acoustical suspended ceiling

Design and Construction – Renovation of Maternity Ward ID-34797

Example of recently completed NAVFAC project in Romania using very similar performance based technical specifications for the floors, walls and ceiling. All requirements are similar, with the exception that our project requires wall railing for walking aid.

Typical metal tiles for suspended ceiling

Design and Construction – Renovation of Maternity Ward ID-34797

3.7. DOORS AND SIGNS

The contractor shall provide the doors wider than they currently are.

- Minimum 0.815 m for all doors

- Minimum of 1.20 m for 3 patient wards.

This requires demolishing the utility shafts to make them smaller, so that the door openings can be made wider.

There shall be 4 type of doors:

- 3 entrance doors

- All pedestrian doors connecting with the hallway: All doors connecting with the hallway shall have the same finishes and quality, although they shall have different width.

- All doors for the utility shafts shall have the same finishes, although lower quality than the pedestrian doors.

- All other remaining doors: The contractor shall use PVC doors similar to the ones recently installed in the hospital building (for example the ones for the internal bathrooms of the patient’s and doctor’s rooms) but without bottom threshold of bottom frame.

3 New main entrance doors:

There shall be three new entrance doors: 2 doors shall be facing the entrance lobby (currently only one door opening exists facing the lobby) and another one will be installed along the hallway, approximately at the separation between rooms 15 and 16.

- Doors shall be manual swing doors

- Do not use any wood for the frames, supports, anchors or leaves.

- Double leaves system (2 leaves)

- Door to be certified to be used in medical areas

- Provided with non-transparent glazing of minimum 8 mm thickness (not to see the details through the glass, but to see the silhouette or shape of the person when it is near the door, to avoid accidents)

- Provided with card reader access locking device, in coordination with hospital access policy.

- Aluminum body and aluminum frames. Door leaves installed over frame by the manufacturer.

- Without bottom threshold or bottom frame, as all other new doors.

Design and Construction – Renovation of Maternity Ward ID-34797

Door connecting with the hallway (pedestrian) (31 units):

The contractor shall provide and install high quality hospital rated and certified doors, with the required width for the intended use. These doors shall be provided with the following features:

- CE certificate for hospital use

- All doors to be provided with same finishes / esthetics

- Door leaf: Solid hardwood (minimum 16 kg/m²) or GRP (glass reinforced polyester)

- Door Frame: Metal. All doors to be installed over metal frame. The use of wood frames or trims is not authorized.

- Without bottom thresholds. The floors shall be continuing from one room to the adjacent one, to allow for movement of equipment on wheels and for ventilation.

- Doors and frames to be provided by the same manufacturer and shall be standard catalog product for medical or healthcare use.

- Heavy duty stainless steel hinges, stainless steel knob and lockset. Minimum 3 hinges per door.

- Door stops

- Stainless steel kick plate and protection against impacts by wheelchairs (Armor Plate or kick plate or mop plate together with the stretcher plate)

- Provide 5 doors with a see though glazing with minimum 8 mm thickness. Dimension of the see-through window to be coordinated with the Hospital Director.

Door connecting with the hallway (utility shafts):

There are several doors to access the utility shafts from the hallway and from other areas included in the scope of work of the contract. All these doors shall be removed and the access to the utility shafts to be redesigned by the contractor. For estimating purposes, the contractor shall estimate:

- Access doors with similar width as the existing ones

- The similar esthetics as the new hallway pedestrian doors

- Without see through window and without kick plates

- With bottom frame, similar to a window.

- With bottom frame at least 40 cm from the finished floor elevation.

All other doors: Doors inside the rooms, or connecting between rooms, not connected with hallway or entrance lobby. The contractor shall use PVC doors similar to the ones recently installed by the hospital Administration in other areas renovated within the last 5 years.

Design and Construction – Renovation of Maternity Ward ID-34797

Schemtic representation of the major changes to the hallway pedestrians’s entrance doors and the access doors to the utility shafts.

Design and Construction – Renovation of Maternity Ward ID-34797

Typical hospital rated door on metal frame

Typical hospital rated door

Typical required entrance doors (3 units required). Use non transparent glazing unless otherwise specified by Director of hospital. Do not use any wood for the installation of the new doors.

Typical door along the hallway with professional door sign on metal frame

Design and Construction – Renovation of Maternity Ward ID-34797

Definition for the different type of door protection

Each different room shall be provided with a professional room sign, similar to any of the ones shown below

Typical professional room sign

Design and Construction – Renovation of Maternity Ward ID-34797

Typical window blind

Typical window blind

3.8. WINDOWS AND WINDOW BLINDS

The beneficiary has recently replaced the windows of all the areas under the scope of work and consequently their replacement is not part of this contract. This contract includes:

- Removing the existing windows and their sills and reinstalling them over the new wall surfaces.

- Providing internal window blinds for 80% of the windows in the areas under the scope of work. Window blinds shall be vertical panel type, manually adjustable, as the ones shown in the pictures below. Window blinds to be certified to be used in medical facilities. Coordinate color, model and where to install with Director of Hospital.

Design and Construction – Renovation of Maternity Ward ID-34797

3.9. ELECTRICAL

The project includes the complete design and installation of a new electrical system starting at bus bar immediately after the electrical meter in the basement. 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 Moldovan regulations.

The work includes:

- Complete removal of existing electrical installation, including all cables from the electric meter.

None of the existing electrical installation shall be reutilized.

- Connect a new feeder or circuit immediate after the electric meter, with the necessary electrical protections and provide a new electric panel for all areas under the scope of work of this project. This new main panel to be recessed within a wall or in one of the utility shafts, similarly to the rest of the electrical installation.

- Design of the new electrical system and pertinent and required approvals by competent Moldovan licensed engineer and authorities. The contractor shall use the services of a licensed engineer in Moldova to prepare the drawing and calculations. Copy of the designs shall be provided to the Contracting Officer Representative. All electrical cables shall be installed under 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 areas to be renovated. 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 to be affected by the complete replacement of the electrical installation of areas of the second floor. 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. For example, if there is a wall receptacle in the staircase, connected to an electric panel located in the areas to be renovated of the second floor. This construction contract includes the removal of such electric panel, and therefore the electrical receptacle will lose power. Then, this contract also includes the connection of the electrical circuits supplying power to such receptacles to a new circuit breaker to be installed in one of the new electrical panels to be installed recessed within the walls of the renovated areas. Anything in the building that currently has electric power, shall remain with electric power after the completion of this project.

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

- Provide new electrical grounding systems as required by Moldovan regulations. Provide copy of the grounding resistance tests to the Contracting Officer Representative.

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

- Receptacles and special outlets: The contractor shall provide the same number of receptacles as there are in the areas to be renovated, plus 50 additional electrical receptacles in the areas to be renovated, to be installed as recommended by the contractor’s design team in coordination with the Hospital Director.

Design and Construction – Renovation of Maternity Ward ID-34797

- Illumination: Provide LED technology lighting. 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 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.

Models: All models shall be selected by the contractor’s designer, to…