P09 SOW - 36C26224Q0368 Critical Area Compliance Testing.docx

STATEMENT OF WORK (SOW)

SERVICE TO PERFORM HVAC SYSTEMS CRITICAL AREA

COMPLIANCE (CAC) TAB CERTIFICATION

NORTHERN ARIZONA VA HEALTHCARE SYSTEM

649-24-1-6076-0021

1. TITLE:

SERVICE to PERFORM HVAC Systems Critical Area Compliance (CAC) TAB Certification.

2. PLACE OF PERFORMANCE:

3. PERIOD OF PERFORMANCE:

Annual – Base Year plus Four (4) Option Years. One (1) year from date of award; this will be the base year. In addition, the Government (VA) shall retain the right to exercise option(s) to extend the contract period for up to four (4) one (1) year option renewals.

4. CONTRACT TYPE:

Firm Fixed Price (FFP).

5. BACKGROUND:

Associated Air Balance Council (AABC) Certified Testing and Balancing contract is needed for semi-annual testing and certification of the CAC of an occupied building.

6. OBJECTIVES / SCOPE:

Contractor shall provide all manner, means, methods, equipment, expertise, incidentals, labor, materials, parts, services, supervision, supplies, tools, transportation, and qualified personnel necessary to perform HVAC systems CAC test, adjust & balance (TAB) certification and document air flow conditions in accordance / compliance with current code(s), directives, regulations, industry guidelines / standards, and this statement of work (SOW) at/for the Northern Arizona VA Healthcare System.

SPECIFIC REQUIREMENTS:

A. Contractor shall perform:

1. All rooms shall be tested, adjusted, balanced, and certified two (2) times annually.

2. CAC testing and AABC certified report include drawings, measured room volume, supply, return, exhaust air flow, pressure gradients and calculated air change rate per VATILEI. Minor adjustments are included in preliminary testing for the following rooms:

a. 3B Isolation Room 360-107

b. 3B Ante Room to 360 – 361-107

c. 3B Isolation Room 364-107

d. 3B Ante Room to 364 – 363-107

e. 3B Clean Storage Room 355-107

f. 3B Soiled Utility Room 342-107

g. ED Isolation Room 120-160

h. ED Decon Room 123-160

i. ED Soiled Utility Room 130-160

j. ED Clean Utility Room 116-160

k. Dental Sterile Clean Supply Room C113-155

l. Dental Soiled Utility Room C111-155

m. 2A Sterile Supply Room 213-107

n. 2A Procedure Room 214-107

o. 2A Procedure Room 219-107

p. 2A Decon Room 220-107

q. 4B Bed 3 Room 445C-107

r. 4B Bed 4 Room 445G-107

s. 5th Floor Soiled Holding Room 508-107

t. 5th Floor Sterile Scope Room 516-107

u. 5th Floor Endoscopy Room 520-107

v. 5th Floor Sterile Clean Room 521-107

w. 5th Floor Endoscopy Room 523-107

x. 5th Floor SPS Sterile Prep Room 527-107

y. 5th Floor SPS Decon Room 528-107

z. MRI Soiled Utility Room 147-107

aa. CLC-1 Clean Supply Room A118-148

ab. CLC-1 Soiled Linen Room A122-148

ac. CLC-2 Clean Supply Room A220-148

ad. CLC-2 Soiled Room A219-148

ae. Labs Main Room 119-164

af. SPS Soiled Transition Room 222A-162

ag. SPS Decon Room 222B-162

ah. SPS Scope Wash Room 222C-162

ai. SPS Clean Scope Staging Room 222D-162

aj. SPS Equipment Wash Room 226-162

ak. SPS Clean Vestibule Room 229-162

al. SPS Sterilization Work Area Room 230-162

4. Provide a controls technician to operate any automated controls and furnish the software and onsite instruction on how to operate the system.

5. Test, adjust, and balance air-handling systems within the design limitations of the equipment being tested.

6. Additional material and labor cost associated with the installation or replacement of drives, belts, motors, dampers, etc. required to make equipment(s) and device(s) meet specifications will be submitted under a $0 dollar CLIN for repairs modification to be provided for base plus option years.

7. Installation of clean filters in the air handler’s equipment are not included.

8. The cleaning of pipe strainers is not included.

9. Field verify field conditions prior to quote submission, lifts included.

10. All work will be provided and/or supervised by independent third-party AABC certified technicians with current AABC certification credentials.

11. Provide COR six (6) copies of certified TAB report within five (5) working days of completion. Documentation shall be provided in both electronic format (pdf) and hard copy format with 3-ring binder.

7. CONTRACTOR QUALIFICATIONS & OTHER RESPONSIBILITIES:

Contractor shall obtain all necessary licenses required to perform this work. Contractor shall take all precautions necessary to protect persons and property from injury or damage during the performance of this contract. Contractor shall be responsible for any injury to himself/herself, his/her employees, or others, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by him/her or his/her employees fault or negligence. Contractor shall maintain personal liability and property damage insurance prescribed by the laws of the Federal Government. The Government reserves the right to accept or reject Contractor’s employee for the rendering of services. Complaints concerning Contract Personnel’s performance or conduct will be dealt with by the Contractor and COR with the final decision being made by the Contracting Officer.

8. SAFETY REQUIREMENTS:

A. All personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering on NAVAHCS shall comply with applicable Federal, State, and VA safety and fire regulations and codes, which are in effect during the performance period of the contract.

B. Contractor shall perform work in strict accordance with existing relevant, accredited standards and codes to minimize the possibility of injury to personnel, or damage to Government equipment. Every effort shall be made to safeguard human life and property.

C. Contractor shall comply with all applicable Federal, State, and local requirements regarding workers’ health and safety. The requirements include, but are not limited to, those found in Federal and State Occupational Safety and Health Act (OSHA) statutes and regulations, such as applicable provisions of Title 29, Code of Federal Regulations (CFR), Parts 1910 and 1926, NFPA 70E, Article 130.7 29 CFR 1910.132(d)(1)(iii), 29CFR1910.137.

D. Contractor shall provide all necessary tools, and Personal Protective Equipment (PPE) to perform the work safely, effectively, and timely.

E. The following references, codes, standards, and criteria shall be utilized to the extent applicable. The contractor should have personal copies of these documents for use during the contract. The contractor shall make the COR aware of any conflicts between these documents and VA Handbooks, as applicable to this contract, and obtain a decision.

1 VA HVAC Design Manual 2 ASHRAE Standard 170 3 Joint Commission Standards EC 02.05.01 for Manage Risk with Utility Systems – Element of Performance (EP) 15 – Critical Care Ventilation Systems 4 NFPA 99 – Health Care Facilities 5 NFPA 101 – Life Safety Code

9. NOTIFICATION:

10. PERFORMANCE MONITORING, INSPECTION AND ACCEPTANCE:

Routine inspections to include acceptance / certification work was completed in accordance with the SOW will be performed by VA POC and Facilities Management Service Personnel. The VA POC can perform inspection of the work performed without the Contractor presence and determine whether or not work performed is within standards expressed in this scope of work. It is the VA’s prerogative to hire an independent qualified third party to check the validity of the work conducted.

11. CHANGES:

A. The awarded Contractor is advised that only the Contracting Officer, acting within the scope of the contract has the authority to make changes which affect the contract in terms of quality, quantity, price or delivery.

B. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority and no adjustment shall be made in the contract terms or price to cover any increase in costs incurred as a result thereof.

12. SECURITY REQUIREMENTS:

N/A. Contractor WILL NOT have access to patient records, data, or VA computer systems.

13. GOVERNMENT FURNISHED EQUIPMENT (GFE) / GOVERNMENT FURNISHED INFORMATION (GFI):

N/A. NO GFE or GFI will be provided to or used by the Contractor.

14. RISK CONTROL:

Submission of VA “Infection Control Risk Assessment” (ICRA) permit(s) NOT REQUIRED. Medical services / support services at the designated locations will remain operational during the execution of this work. Contractor shall take all precautions to minimize disruption to daily routine tasks performed in those services. Patient care shall remain a top concern for the Contractor and their employees while performing contracted work.

15. IDENTIFICATION, PARKING, SMOKING, AND VA REGULATIONS:

A. Contractor’s shall ALWAYS wear visible identification issued by VA Police during the entire time they are on the VA Healthcare System campus. It is the responsibility of the Contractor to park only in appropriately designated parking areas.

B. Parking information is available from the VA Police & Security Service Office. The VA shall not validate, invalidate, or make reimbursement for parking violations of the Contractor’s personnel under any circumstances.

C. SMOKING IS STRICTLY PROHIBITED on the grounds of any VHA facility and throughout the VA Healthcare System campuses. Per VHA Directive 1085 dated March 5, 2019, it is VHA policy that all VHA health care facilities, including hospitals, community clinics, administrative offices and Vet Centers, will be smoke-free for patients, visitors, contractors, volunteers, and vendors effective October 1, 2019.

THERE WILL NO LONGER BE DESIGNATED SMOKING AREAS.

D. Possession of weapons is prohibited while on the ANY VA Healthcare System campus. Enclosed containers, including tool kits, shall be subject to search / seizure.

E. Violations of VA regulations may result in citation answerable in the United States Federal District Court, not at/in the local district, municipal, or state court.

16. POINT OF CONTACT (POC):

NORTHERN ARIZONA VA HEALTHCARE SYSTEM POC:

Name:

Department:

Address:

Phone:

Email:

17. NORMAL WORKING HOURS:

Contractor shall perform required services between 7:30AM through 4:00PM, Monday through Friday with exceptions to National Federal Holidays.

18. OVERTIME AND NATIONAL FEDERAL HOLIDAYS:

Any overtime or holiday pay that may be entitled to the Contractor’s employees shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the Government. When one of the holidays fall on a Sunday, the following Monday will be observed as a National Federal Holiday. When one of the holidays fall on a Saturday, the preceding Friday will be observed as a National Federal Holiday.

Contractor is not required to provide service on U.S. Holidays nor shall the Contractor be paid for these days. National Federal Holiday schedule:

19. INFORMATION SECURITY:

In accordance with Appendix A, Handbook 6500.6 Checklist blocks 7, the C&A requirements DO NOT apply to this requirement, and a Security Accreditation Package IS NOT required. The nature of this requirement is technical; however, there is no information to be protected.

20. INVOICE AND PAYMENT:

A. Vendor will be paid monthly upon submission of a proper invoice for work completed and accepted. Final payment will be withheld until all noted discrepancies are corrected and as-build drawings are approved by the Government (VA). VA-FSC processes / pays all associated transactions for / on VA orders. To successfully submit an invoice to VAFSC please review “How to Create an Invoice” within the how to guides. All invoices submitted to the VA-FSC should mirror your current submission of invoice, with the below items required. The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements.