P01 - Original Statement of Work.pdf

STATEMENT OF WORK

TITLE: Dallas VAMC Restroom Restoration

1.0 PURPOSE

Service Contract to correct the condition and appearance of the restroom floors throughout the Dallas VA Medical Center located at 4500 South Lancaster Road, Dallas, TX 75216.

2.0 CONTRACT SUBMITTAL AND CODE REQUIRMENTS

2.1 This project includes but is not limited to the following work elements;

• All labor, equipment, materials, and incidentals shall be furnished by the contractor. No alterations, additions or deletions shall be made unless prior written approval is given by the Contracting Officer (CO).

• The contractor shall thoroughly review the request for constructability and advise of possible problem areas prior to submitting a price/cost proposal.

• Under no circumstances is the contractor to begin any work on the project until a bonafide Notice to Proceed is issued through the Contracting Office.

• All work must be in accordance with the most current Healthcare and VA Specifications and SaniGLAZE International procedures unless expressed written permission is received from the Contracting Officer stating otherwise.

2.2 The contractor shall provide a supervisor for the full duration of the project and he/she must be on site at all times while work is being performed. Contractor shall provide Quality Assurance (QA) person and shall inspect, test and perform duties consistent with contractor submitted quality assurance program.

Contractor’s QA shall provide daily reports to the government project manager on a weekly basis; this report shall show in detail the subcontractor’s work performance on that day. Report shall include any findings by the QA on that particular day. The contractor(s) QA and superintendent cannot be the same person, unless CO has specified otherwise.

Contractor shall submit all products used, to include Safety Data Sheets (MSDS) to the EMS POC before all items are brought or installed on projects.

3.0 DESCRIPTION OF WORK

3.1 This project will consist of the following elements but is not limited to these:

• Pre-restoration work necessary before commencement of restoration process steps. Examples include removal of floor coatings/caulking/polyurethane, removal and replacement of partitions or work area impediments, and grout sawing in cases where grout depth is insufficient to achieve permanent bonding of glazing compound.

• It is the contractor’s responsibility to define and capture all work required to give the government a complete correction of the condition and appearance of the Medical Center floors.

• Contractor will clean, sanitize and prep the floors, followed by the SaniGLAZE restoration process that will protect the tile and grout from contamination.

4.0 PROJECT SCOPE

List of all the restrooms is provided on 8.0 below

4.1 Contractor will utilize solutions and equipment to emulsify and extract contaminants and odors from the tile and grout.

4.2 Contractor will apply a nonporous polymer coating on all grout that will permanently bond to the existing grout lines. In cases where grout depth is insufficient to achieve permanent bonding of glazing compound, grout sawing may be required.

4.3 Contractor will prepare the entire surface to apply a chemical resistant coating that will shield the floor from future contaminants.

4.4 Although this contract is for a one-time restoration project, the government may possibly amend the contract to include maintenance.

4.5 Contractor will provide training to selected VA Housekeeping staff on maintaining floors between periodic maintenance programs.

5.0 DELIVERABLES

5.1 The reports shall contain at a minimum the following information:

1. Maintenance Schedule to include timeline correct current condition

2. Maintenance Schedule for a periodic EverGLAZE maintenance program

3. Start/finish dates

4. Contractor individuals performing service

5. Work being performed

6. Training: Provide what training was conducted, who conducted training, who received training

7. Problems encountered: Identify any problems, issues or delays and recommendations to their resolution, any corrective actions that were taken to resolve problems

8. Signature Block: Certifying that above work has been completed. Include signature space for the client and the contractor.

6.0 VA FURNISHED MATERIAL(S)

1. The VA will provide water and electrical for the duration of the project at the site. This will come from existing building.

7.0 VA POINTS OF CONTACT (POC)

The EMS POC; Uche, Eugene C., Office phone number: 214-274-4680 Email address: eugene.uche@va.gov

8.0

LIST OF RESTROOMS

Item

# Building/Restroom Square

Foot

CLC 102 Rest Room 228

CLC 139 Rest Room 290

B A 100 Rest Room 290

BA 101 Rest Room 290

3A- 100 Rest Room 325

3B-161, Rest Room 54

3B-163, Rest Room , 54

3B-301, Rest Room 49

3B-335, Rest Room 42

3B-328, Rest Room , 35

3B-449A, Rest Room , 35

3B-420, Rest Room , 102

3B-421, Rest Room , 102

3B-419, Rest Room , 42

3B-706, Rest Room , 117

3B-704, Rest Room 117

3B-601, Rest Room , 63

2C-405, Rest Room , 42

2C-102, Rest Room , 55

2C-103, Rest Room , 55

2C-210, Rest Room , 153

2C-211, Rest Room , 153

5A-206, Rest Room , 60

5A-208, Rest Room , 60

5A-214, Rest Room , 92

5A-216, Rest Room , 152

5A-296, Rest Room , 192

5A-106A, Rest Room , 150

5A-105, Rest Room , 112

5B-255, Rest Room , 230

5B-253, Rest Room , 230

5B-271A, Rest Room , 142

5B-271B, Rest Room , 168

5B-671, Rest Room , 68

5B-673, Rest Room , 68

5B-402, Locker Room , 690

5B-400, Locker Room , 416

5B-501, Rest Room , 150

5B-502, Rest Room , 70

4C-205A, Rest Room , 30

4C-305, Rest Room , 42

4C-304, Rest Room , 42

3C-147, Rest Room , 42

3A-222A, Rest Room , 120

3A-222B, Rest Room , 196

362, Rest Room , 91

379, Rest Room , 64

307, Rest Room , 32

332, Rest Room , 56

327, Rest Room , 252

3C-324A, Rest Room , 112

3C-323A, Rest Room , 112

3C-402, Rest Room , 110

3C-403, Rest Room , 110

3C-468, Rest Room , 110

3C-147, Rest Room , 42

3C-110, Rest Room , 117

3C-111, Rest Room , 110

3A-210, Rest Room , 77

9C-224, Rest Room , 55

8C- 229, Rest Room , 25

8C- 227, Rest Room , 25

8C- 223, Rest Room , 25

5C-206, Rest Room , 30

5B-603, Rest Room , 30

5B-601, Rest Room , 130

5B-100, Rest Room , 64

5A-100, Rest Room , 64

1A 168 Rest Room , 112

1B 178 Rest Room , 117

2C 210 Rest Room , 120

2C 405 Rest Room, 144

BC 152 Rest Room, 174

BD 106 Rest Room, 56

BB 113 Rest Room, 72

BB 114 Rest Room, 72

BC 162 Rest Room, 32

3C 223 A Rest Room, 112

3C 324A Rest Room, 112

3C 403 Rest Room, 82

3C 402Rest Room, 100

3C 468 Rest Room, 110

SCI 1B-101 Rest Room, 342

SCI 1B- 102 Rest Room, 255

SCI 1C- 129A Rest Room, 42

SCI 1C-154E Rest Room, 56

532 Rest Room, 100

576 Rest Room, 54

557 Locker Room, 286

457 Rest Room, 286

473 Rest Room, 64

VHA Supplemental Contract Requirements for Combatting COVID-19

1. Contractor employees who work in or travel to VHA locations must comply with the following:

a. Documentation requirements:

1) If fully vaccinated, contractors shall show proof of vaccination.

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated, contractors shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test that includes an affiliated telehealth service.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

a. Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

4. For indefinite delivery contracts: Contractor agrees to comply with VHA

Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced.

End of Statement of Work https://www.va.gov/covid19screen/ https://www.va.gov/covid19screen/