P01_ SOW_ 523-25-3-7042-0015 - BR CLC phase 1.docx

SOW 523-25-3-7042-0015

STATEMENT OF WORK

523-25-3-7042-0015

Forty-Four (44) Patient Liko-Baxter Ceiling Lift Installations Building 4, CLC – Phase 1 – “C” side 940 Belmont St Brockton MA 02301 VA Boston Healthcare System U.S. Department of Veterans Affairs

STATEMENT OF WORK:

General Description of Work The contractor shall furnish all labor, materials, equipment, rentals, finishes, support services, temporary power, ventilation/negative air, infection prevention control measures, demolition, safety/PPE, supervision, and disposal necessary to install forty (40) Hill-Rom Liko furnished Liko Lift Systems in various rooms of building 4, CLC, “C” side, across Brockton Campus of VA Boston Healthcare System.

The selected contractor shall furnish, deliver, and install forty (40) Liko Lifts Systems to the VA Boston Healthcare System Brockton Campus 940 Belmont St Brockton MA 02301. Loading docks are available and their temporary use shall be coordinated in advance. The timeframe for delivery receipt shall be no later than six (6) weeks following award of contract, with coordination of specific dates mutually agreed upon by the VA Medical Center, Any questions regarding this product or its installation should be directed to:

Gregory Meyer, DPT, SPHMFC POC for Project 774-826-3023 Gregory.Meyer2@va.gov VA Cell 1-617-799-7890

General Requirements Contractor shall bear the cost to employ the manufacturers authorized representatives to install, inspect, weight test, and certify lift systems in the following rooms per manufacturer’s recommendations. It should be noted that there are 40 total ceiling lifts in phase 1, and the bedrooms listed below have a combination of one, two, and 3 beds in the rooms.

All Straight support Rails are to be “white” in color. The exact length and spec of the straight and supporting rails in each room differ slightly and are spelled out in Baxter’s proposal number LQ-623796-16-Rev 7. Each ceiling lift will be attached to the structure of the building above the ceiling with pendants, or to the wall with slim lines, or a combination of both also outlined in the Rev 7 version of the last and signed proposal. The specific support rails, motors, and number of bedrooms each lift will go in are outlined below:

One (1) Bedroom: C137 – LIKO Wall Mounted Patient Lift, Traverse Rail System 550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 3.4 X 3.4m Straight Rails and Four Wall Supports.

One (1) Bedroom: C237 LIKO Ceiling Mounted Patient Lift, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 3.4m X 3.4m Straight Rails and Four Pendant Supports

One (1) Bedrooms: C114, C214 & C220 LIKO Wall Mounted Patient Lift, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 5.6m X 3.0m Straight Rails and Four Wall Supports.

One (1) Bedroom: C120 LIKO Ceiling Mounted Patient Lift, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 4.4m X 3.0m Straight Rails and Four Pendant Supports.

Two (2) Bedrooms: C101, C102, C126, C128, C131, C133, C138, C215 & C238 LIKO Wall Mounted Patient Lifts, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 5.6m X 3.0m Straight Rails and Four Wall Supports.

Two (2) Bedrooms: C127, C132, C201 C202 & C222 LIKO Ceiling Mounted Patient Lift, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 4.4m X 3.0m Straight Rails and Four Pendants.

Two (2) Bedrooms: C116, C119, C216, C219, C226, C228, C231 & C233 LIKO Ceiling & Wall Mounted Lift, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 5.6m X 3.0m Straight Rails, Two Pendant Supports & Two Wall Supports.

Two (2) Bedrooms: C129 & C229 (2 Lift systems per room) * 4 Total Lifts LIKO Ceiling Mounted Patient Lift, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 4.4m X3.0m Straight Rails and All Pendant Supports.

Three (3) Bedrooms: C130 & C230 (2 Lift Systems per room) * 4 Total Lifts LIKO Ceiling Mounted Patient Lift, Traverse Rail System (550 lbs. Capacity) includes: Likorall 250 ES Lift Motor (550 lbs. Max capacity), Wall Charging, 4.4m X3.0m Straight Rails and All Pendant Supports.

Patient of Size Lifts: C115, C117,C118, C122, C217, C218, C227 & C232 LIKO Ceiling Mounted Patient Lifts, Traverse Rail System (800 lbs. Capacity) includes: LIKOGUARD XL Lift Motor (800 lbs. Max capacity), Wall Charging, 4.4m X 3.0m Rails (White), Sling Guard Sling bar 450 w/QR, and Pendant Supports.

SUBMITTALS

14. Ensure that the “Quick Release” Sling Bar is on all units except specified such as with the LikoGuard Bariatric ceiling lift motors.

Installation

C. Use of equipment and tools that transmit vibrations and noises through the building structure, are not permitted in buildings that are occupied, during construction, jointly by patients or medical personnel, and Contractor's personnel, and would require to be performed on other-than-normal business hours and/or weekends.

INSTRUCTION AND PERSONNEL TRAINING

Training shall be provided for the required personnel to educate them on proper operation and maintenance for the lift system equipment. Provide at a minimum, four (4) hours of training, along with electronic and hardcopy of Operations & Maintenance materials, training agenda by a manufacturer authorized representative. Coordinate in advance with VA for a date/time/shift convenient for the VA and end-users including all 3 shifts for nurses since this is a 24 hour care inpatient nursing home.

TESTING

Conduct performance test, in the presence of the VA Engineering Manager, Safe Patient Handling Coordinator, independent third-party Inspector of Record (IOR),VA Equipment Mechanic, and a manufacturer's field representative, to show that the patient lift system equipment and control devices operate properly and in accordance with design, specification, and code requirements.

INSPECTION

A. Inspection of installed ceiling mounted patient lift systems shall be conducted in accordance with the manufacturer’s installation checklist and the facilities installation checklist (Patient Safety Alert AL14-07) prior to use for patient movement. Contractor to provide the necessary equipment/weights for weight testing.

CONTRACTOR REQUIREMENTS

E. Contractors and Installers need to ensure that their SAM registration is up to date prior to commencing any work at any of the campuses at VA Boston Healthcare System.

E. Safety & Health Plan:

a. Provide a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees. The Contractor’s written safety program goals, objectives, and accident experience goals for this contract should be provided for this specific project scope.

b. The names of Competent and/or Qualified Person(s) and proof of competency/qualification to meet specific OSHA Competent/Qualified Person(s) requirements must be provided. Provide 10-hour OSHA certificates for all employees.

c. Provide Activity Hazard Analysis, AHAs are also known as Job Hazard Analyses, Job Safety Analyses, and activity Safety Analyses. Before beginning each work activity, the Contractor(s) performing that work activity shall prepare an AHA (Example electronic AHA forms can be found on the US Army Corps of Engineers web site)

d. Infection Control is critical in all medical center facilities. Interior construction activities causing disturbance of existing dust, or creating new dust, must be conducted within ventilation-controlled areas that minimize the flow of airborne particles into patient areas. Contractor is responsible for furnishing and installing all necessary infection control equipment, product and materials. Fire retardant polystyrene 6-mil thickness meeting local fire codes, dust proof/fire-rated barriers, HEPA equipped negative air machines, exhaust hoses, adhesive walk-off mats, hospital approved disinfectant and portable ceiling access modules.

e. The Installers/contractors need to ensure they provide a full list with first and last names of who will be performing work at VA Boston Healthcare system each day as they will be required to get BINAX tested for COVID-19. (if pandemic and masking rules are still in effect of the time of work to begin) They will also be required to always wear a face mask during while inside any of the buildings.

E. Pre-Construction Risk Assessment

a. Prior to scheduling and/or starting any work, the contractor shall meet with the VA COR, VA Engineering Manager, VA Safety Specialist, VA Infection Control Practitioner, VA GEMS Manager and VA Patient Safety representative to complete a Pre-Construction Risk Assessment for Infection Control, Life Safety, Patient Safety and GEMS determinations.

F. Security Procedures:

a. General Contractor’s employees shall not enter the project site without appropriate PIV badge. They may also be subject to inspection of their personal effects when entering or leaving the project site. Coordinate in advance to receive VA issued PIV badges prior to coming on site.

b. No photography of VA premises is allowed without written permission of the Contracting Officer.

c. VA reserves the right to close or shut down the project site and order General Contractor’s employees off the premises in the event of a national emergency. The General Contractor may return to the site only with the written approval of the Contracting Officer.

d. Parking is restricted to contractor designated parking lots and spots. Coordinate with VA Police.

Any Questions regarding this purchase should be directed to our subject matter expert, requestor & point of contact:

Gregory Meyer, DPT, SPHM Program Manager Gregory.meyer2@va.gov 774-826-3023(O) or 1-617-799-7890 (C) Alternate SPH&M contact:

Lori Ludovina, LPN, SPH&M Equipment Specialist Lori.Ludovina@va.gov 1-508 -565-9713 (C)

Any Questions regarding the specific engineering details of this job should be directed to our subject matter experts:

Andre Doyon, Project Engineer: Andre.doyon@va.gov Peter Lopes, supervisory engineer: Peter.Lopes@va.gov

The contractor shall perform all work under this contract in strict accordance with all Federal, State and local safety codes to eliminate the possibility of damage or injury to patients, personnel and equipment or building structures.

PERIOD OF PERFORMANCE

Vendor is on notice that time is of the essence in the performance of this contract. The timeframe for delivery receipt shall be no later than six (6) weeks following the award of contract, with coordination of specific dates mutually agreed upon by the VA Medical Center Brockton CLC nursing staff and the Baxter ceiling lift installer may need to be during more than one mobilization pending how quickly the materials get shipped out to the Brockton VAMC and depending on whether or not patients have begun to move into the bedrooms already or not.

PAYMENT SCHEDULE

The contractor will bill on completion, inspection and acceptance of the work.

NON-PERSONAL SERVICES STATEMENT

Contractor employees performing services under this order will be controlled, directed and supervised at all times by management personnel of the contractor. Contractor management will ensure that employees properly comply with the performance work standards outlined in the SOW. Contractor employees will perform their duties independent of, and with occasional supervision of VA COR. The tasks, duties, and responsibilities set forth in the SOW may not be interpreted or implemented in any manner that results in any contractor creating or modifying Federal policy, Obligating the appropriate funds for the United States Government, overseeing the work of Federal employees, providing direct personal services to any Federal employee, or otherwise violating contracting regulations.

Records Management Language for Statement of Work (SOW):

The following standard items relate to records generated in executing the contract and should be included in a typical procurement contract:

1. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

2. Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

3. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

4. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

5. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

6. The Government Agency owns the rights to all data/records produced as part of this contract.

7. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

8. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

9. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

10. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.