P09- MedicalGas_SOW_FY23-final 1-25-23.docx

Performance Work Statement for Preventative Maintenance of Medical Gas, Vacuum and Control Air Source Equipment

1) Introduction and Scope of Work

a) Contractor will be required to furnish all labor, instruments, supervision, and materials to perform preventative maintenance on the following Medical Gas, Vacuum and Control Air Source Equipment; Services required for One full Base Year Period and four consecutive one-year options at the discretion of the Government.

i) System 1:

(1) Medical Scroll Air System: Model MSJ0506

(a) Powerex Model: SLAE05E; SN: JM4279

(b) Powerex Model: SLAE05E; SN: JM4281

(c) Powerex Model: SLAE05E; SN: JM4262

(d) Powerex Model: SLAE05E; SN: JM4282

(e) Powerex Model: SLAE05E; SN: JM4246

(f) Powerex Model: SLAE05E; SN: JM4184

(g) Powerex Model: SLAE05E; SN: JM4259

(h) Powerex Model: SLAE05E; SN: JM4249

(i) Powerex Model: SLAE05E; SN: JM4194

(j) Powerex Model: SLAE05E; SN: JM4256

(i) Minimum Quarterly Service Requirements;

1. Check system for air leaks around fittings, connection and gaskets.

2. Check for loose connections; tighten nuts and cap screws as required.

3. Pull rings on all pressure relief valves to ensure proper operation.

4. Check v-belt tension and pulley alignment.

5. Inspect check valve for leakage.

6. Check and record voltage and amperage draw.

7. Check auto drains for proper operation and replace as needed.

(k) Parker Domnick Hunter Dryer: Model DME050RX: SN 10DME051073

(l) Parker Domnick Hunter Dryer: Model DME050RX: SN 10DME03574

(m) Zander Filter: Model G9XPDF

(n) Zander Filter: Model G9XPDH

(o) Zander Filter: Model G09ACH

(p) Zander Filter: Model G9XPDF

(q) Zander Filter: Model G9ZPDH

(r) Zander Filter: Model G09ACH

(i) Minimum Quarterly Service Requirements;

1. Check unit for normal operation.

2. Blow out and clean muffler.

3. Change filter elements every 6 months or at customer’s request.

4. Valves and desiccant to be replaced every 3 years.

(s) Enmet CO Monitor: Model CLFEH501-12; SN: 3001211

(i) Minimum Quarterly Service Requirements;

1. Calibrate

(t) Powerex Dewpoint Monitor: Model PDPM1001AJ: SN: 0502

1. Inspect and record readings

ii) System 2:

(1) Dental Scroll Air System: Model SPL4565296;

(a) Powerex Model: SLAE05E: SN: JM0773

(b) Powerex Model: SLAE05E: SN: JM0760

(c) Powerex Model: SLAE05E; SN: JM0770

(d) Powerex Model: SLAE05E; SN: JM0734

(e) Powerex Model: SLAE05E; SN: JM0759

(f) Powerex Model: SLAE05E; SN: JM0755

(i) Minimum Quarterly Service Requirements;

1. Check system for air leaks around fittings, connection and gaskets.

2. Check for loose connections; tighten nuts and cap screws as required.

3. Pull rings on all pressure relief valves to ensure proper operation.

4. Check v-belt tension and pulley alignment.

5. Inspect check valve for leakage.

6. Check and record voltage and amperage draw.

7. Check auto drains for proper operation and replace as needed.

(2) Powerex Desiccant Dryer: Model PDM 11002 AJ; SN: 0014

(3) Powerex Desiccant Dryer: Model PDM 11002 AJ; SN: 0015

(4) Wilkerson Filter: Model A-28-06-BL

(5) Wilkerson Filter: Model A-28-04-CH

(6) Wilkerson Filter: Model A-28-06-BL

(7) Wilkerson Filter: Model A-28-04-CH

(i) Minimum Quarterly Service Requirements;

1. Check unit for normal operation.

2. Blow out and clean muffler.

3. Change filter elements every 6 months or at customer’s request.

4. Valves and desiccant to be replaced every 3 years.

(8) Enmet CO Monitor: Model CO-GUARD

(i) Minimum Quarterly Service Requirements;

1. Calibrate

(9) Powerex Dewpoint Monitor: Model PDPM1001AJ, SN: 0418

(i) Minimum Quarterly Service Requirements;

1. Inspect and record readings

iii) System 3:

(1) Medical Vacuum System Model: CVPQ150, SN: 5093558-256

(a) Model: MI 1502BV06: SN: 11006476

(b) Model: MI 1502BV06: SN: 11006472

(c) Model: MI 1502BV06: SN: 110069240

(d) Model: MI 1502BV06: SN: 110069241

1. Check inlet air filter, replace as necessary.

2. Check system for oil leaks as well as leaks around fittings, connection and gaskets.

3. Lubricate bearings as required.

4. Drain and replace gear box oil every 3000 hours.

5. Check and record the following operating parameters: motor amperage, line voltage, overload device set points, vacuum switch set points, motor alternation, operating temperature, lag pump engagement/operation, local alarms (if equipped), exhaust back pressure (if applicable), and run timer (if equipped).

iv) System 4:

(1) Laboratory Scroll Air System: Model: MTSD050345

(a) Powerex Model: SLAE05E: SN: JM4106

(b) Powerex Model: SLAE05E: SN: JL4046

(i) Minimum Quarterly Service Requirements;

1. Check system for air leaks around fittings, connection and gaskets.

2. Check for loose connections; tighten nuts and cap screws as required.

3. Pull rings on all pressure relief valves to ensure proper operation.

4. Check v-belt tension and pulley alignment.

5. Inspect check valve for leakage.

6. Check and record voltage and amperage draw.

7. Check auto drains for proper operation and replace as needed.

(2) Powerex Desiccant Dryer: Model PDM 11001AJ: SN: 0065

(3) Powerex Desiccant Dryer: Model PDM 11001AJ: SN: 0066

(4) Wilkerson Filter: Model A-28-06-BL

(5) Wilkerson Filter: Model A-28-04-CH

(6) Wilkerson Filter: Model A-28-06-BL

(7) Wilkerson Filter: Model A-28-04-CH

(i) Minimum Quarterly Service Requirements;

1. Check unit for normal operation.

2. Blow out and clean muffler.

3. Change filter elements every 6 months or at customer’s request.

4. Valves and desiccant to be replaced every 3 years.

(8) Enmet CO Monitor: Model CO-GUARD

(i) Minimum Quarterly Service Requirements;

1. Calibrate

(9) Powerex Dewpoint Monitor: Model PDPM1001AJ , SN:0412

1. Inspect and record readings.

v) System 5:

(1) Instrument control Air System:

(a) Sullair Compressor Model LS-10-25: SN: 003-121957

(b) Sullair Compressor Model LS-10-25: SN: 003-126399

(i) Minimum Quarterly Service Requirements;

1. Visually inspect for oil and air leaks.

2. Blow out cooler.

3. Blow out motor.

4. Wipe down machine.

5. Check voltage.

6. Check amps load/unload.

7. Check oil level.

8. Check air filter, replace as needed.

(ii) Minimum Annual Service Requirements;

1. Quarterly service plus:

2. Change oil.

3. Change oil filter.

4. Change separator.

5. Inspect drive coupling.

6. Inspect electrical for loose connections.

(2) Great Lakes Dryer: Model ERF 125A-116: SN: 37206

(3) Great Lakes Dryer: Model: SN: 41500

(i) Minimum Quarterly Service Requirements;

1. Visual inspection of unit.

2. Blow out cooler.

3. Check fan operation.

4. Check bypass valve position.

5. Wipe down unit.

(ii) Minimum Annual Service Requirements;

1. Quarterly service plus:

2. Check refrigeration charge.

vi) System 6:

(1) Boiler Plant Instrument Control Air System:

(a) Champion Air Compressor: SN: R15110176

(b) Champion Air Compressor: SN: R15110177

(i) Minimum Quarterly Service Requirements;

1. Visually inspect for oil and air leaks.

2. Wipe down machine.

3. Check voltage.

4. Check amps load/unload.

5. Change oil.

6. Check air filter, replace as needed.

7. Check belt tension.

8. Check pulley alignment.

9. Check electrical for loose connections.

10. Check tank auto drain

(2) Kaeser Dryer: Model HTRD25: SN: 1000002743042

(i) Minimum Quarterly Service Requirements;

1. Visual inspection of unit.

2. Blow out cooler.

3. Check fan operation.

4. Check bypass valve position.

5. Wipe down unit.

(ii) Minimum Annual Service Requirements;

1. Quarterly service plus:

2. Install service kit.

vii) System 7:

(1) Sullair Medical Back-up Vacuum System

(a) Sullair Model VS-12-20A: SN: 200606270033

(i) Minimum Quarterly Service Requirements;

1. Visually inspect for oil and air leaks.

2. Blow out motor.

3. Wipe down machine.

4. Check voltage.

5. Check amps load/unload.

6. Check oil level.

7. Check air filter, replace as needed.

(ii) Minimum Annual Service Requirements;

1. Quarterly service plus:

2. Change oil.

3. Change oil filter.

4. Change separator.

5. Inspect drive coupling.

6. Inspect electrical for loose connections.

viii) System 8:

(1) Laboratory Vacuum System

(a) Rietschle Vacuum Pump: Model VCE2502: SN: 2815514

(b) Rietschle Vacuum Pump: Model VCE2502: SN: 1477782

(i) Minimum Quarterly Service Requirements;

1. Visually inspect and check for oil leaks.

2. Blow out dust from unit.

3. Wipe down unit.

4. Check oil level.

5. Check voltage.

6. Check full load amps.

(ii) Minimum Annual Service Requirements;

1. Quarterly service plus:

2. Change oil

3. Change exhaust filter

4. Change oil filter (if applicable)

5. Inspect drive coupling

6. Check electrical for loose connections

ix) System 9

(1) Dental Vacuum System

(a) Ramvac : Model Bison 9: SN:BN0612127

(b) Ramvac : Model Bison 9: SN:BN0612126

(c) Ramvac : Model Bison 9: SN:BN0612128

(d) Ramvac : Model Bison 9: SN:BN0612125

(i) Minimum Quarterly Service Requirements;

1. Check Air Filters every 1000 hours. Replace every 2000 hours or as necessary.

2. Check Drip Rate.

3. Change Oil and check oil filter every 2000 hours.

4. Check V-Belt

x) System 10

(1) NO2 and N2 Manifold Systems

(a) MedPlus NO2 Manifold: SN:

(b) MedPlus N2 Manifold: SN:

(i) Minimum Semiannual Service Requirements;

1. Check manifolds header bars and pigtails for gas leakage.

2. Exercise all internal valves.

3. Check the following operating parameters:

a. Primary system pressure,

b. Delivery pressure.

4. Test and verify proper change over from online supply to standby supply and return to original supply.

5. Check relief valves for leaks.

6. Alternate final line pressure regulator.

xi) System 11

(1) Laundry Plant Air System

(a) Kaeser Air Compressor: Model: ASD-25: SN: 1117

(b) Kaeser Air Compressor: Model: ASD-25: SN: 1348

(i) Minimum Quarterly Service Requirements;

1. Visually inspect for oil and air leaks.

2. Wipe down machine.

3. Check voltage.

4. Check amps load/unload.

5. Change oil.

6. Check air filter, replace as needed.

7. Check belt tension.

8. Check pulley alignment.

9. Check electrical for loose connections.

10. Check tank auto drain

(c) Kaeser Air Dryer: Model: TC-36: SN: 1645

(d) Kaeser Air Dryer: Model: TC-36: SN: 1497

(i) Minimum Quarterly Service Requirements;

1. Visual inspection of unit.

2. Blow out cooler.

3. Check fan operation.

4. Check bypass valve position.

5. Wipe down unit.

2) Qualifying determination shall be based on quality and quantity of work illustrated and outlined in the contractor’s proposal. The contractor shall fully and completely provide, within the proposal, maintenance details for each system within this scope of work.

a) Shall provide no less the five (5) references, indicative of scope and magnitude of the performance work statement.

b) References shall fully articulate type of systems maintained, locations, dates and a point of contact.

3) Requirements

a) Provide quarterly preventative maintenance for all systems identified in this statement of work and in accordance with the manufactures requirements and recommendations. Provide a complete detailed service report for each component within each system illustrating maintenance completed and system overall condition. All data sheets shall be presented to the COR or his designee upon the completion of each service.

i) The contractor shall provide, during each visit, needed OEM parts and factory required materials including all lubricants, belts and filters.

b) The contractor shall have experience with medical air systems repair, maintenance and service.

c) The contractor shall respond to an emergency call with-in two hours of notification, during normal business hours 8am – 4pm Monday thru Friday and with-in four hours of notification after hours and weekends. Must provide contact numbers.

d) The contractor shall be a Master Powerex Distributor and a factory authorized service center for South Florida and provide documentation.

e) All technicians shall be NFPA 99 certified with a minimum five years repair, maintenance and service.

f) All PM maintenance work shall be conducted Monday thru Friday between the hours of 7am and 3pm only.

g) Only genuine O.E.M. parts shall be used in all repairs and services.

4) Special Instructions

a) Contractor shall visit the work site and verify all existing conditions and include all such implications in his/her proposal.

b) All work shall be in strict accordance with all applicable codes and requirements to include but, not limited to; OSHA, ANSI, NEC, NFPA99, ASTM, ASME, EPA, VA STANDARDS and all other related codes and standards.

c) After hours and weekend work are at the discretion of the contractor and will not be a cause for a change in contract terms, all overtime / weekend work shall be coordinated with the COR and is not a guarantee for approval.

d) Government holidays shall be a no workday for the contractor unless previously arranged with the COR or VA technical representative. .

e) The VA will provide NO tools, equipment or labor except as specifically note within this statement of work.

f) The VA will NOT receive, unload, load or transport contractor materials. All deliveries shall be arranged and approved through the COR and exclude weekends and holidays. Secure storage at the work site is NOT available.

g) All hot work, if needed, shall require a “burn permit”. Prior to any hot work commencing, this includes all open flame i.e. soldering, brazing and welding, a 24 hour prior notice is required.

h) All work shall be coordinated with the CO or VA technical representative. All contractor, sub-contractor and workers are subject to all VA rules and regulations of the VA Medical Center.

5) Delivery

a) The contracting period will consist of a base year with (4) four option years at the discretion of the Government. All work will be accomplished on a quarterly basis with scheduling being accomplished through the COR or his designee. Contractor should make arrangements for visits one week in advance. Work hours will be from 7:00 A.M. - 3:00 P.M. Monday through Friday, with no access on weekends and government approved holidays. Service personnel will have access to the equipment being serviced within a reasonable time. The keys to the Air Compressor room are with the plant Operator 24 hours a day. Contractor must meet all current VAMC West Palm Beach Covid requirements while performing services.

6) Progress and Compliance

a) The contractor shall make recommendations for changes and improvements, which may be pertinent to meet this scope of work, only to the extent indicated on this agreement. No additional services will be made without the prior approval of the contracting officer.

b) The Plumbing Shop Supervisor or his designee shall sign all service reports /invoices. All service reports/invoices must include the contract purchase order number.

c) All procedures shall be completed according to the above Scope of Work Requirements.