Performance Work Statement.docx

PERFORMANCE WORK STATEMENT (PWS)

Inspection, Maintenance & Servicing of Portable Fire Extinguishers

1.0 INTRODUCTION AND OVERVIEW

1.1 Description of product or service: The contractor shall provide all labor, parts, materials, transportation, equipment, and supplies to perform the required inspections, testing, maintenance, and servicing of U.S. Naval Hospital, Guam (hereinafter referred to as the USNH, Guam) portable fire extinguishers.

1.2 Places of Performance. Except for the recharging, 6-year maintenance, 12-year hydrostatic testing, the contractor will perform work required by this PWS in:

Building 50, USNH, Guam;

*Building 6, Branch Medical Clinic, Naval Base, Guam *Building 1, Branch Dental Clinic, Naval Base, Guam;

Building 61, Training Center, USNH, Guam;

Building 7, Hospital Storage, USNH, Guam;

Building 48, Macerator, USNH, Guam;

Building 55, Support Facility, USNH, Guam;

Building 57, Support Facility, USNH, Guam;

Building 45, Support facility, USNH, Guam;

Warehouse 4/6, USNH, Guam;

Building 70, Gymnasium, USNH, Guam;

Building 23, Central Utility Plant, USNH, Guam;

*Services for both Naval Base Guam Branch Clinics (buildings 6 and 1) will transfer to the new Apra Harbor Medical & Dental Clinic, Building 1792, effective from November 2nd, 2022

See the below embedded word documents for quantity of extinguishers per building.

1.3 Period of Performance: 1 August 2022 through 31 July 2023. Along with the base year, the solicitation and resulting contract will include 3 one-year option periods. The exercise of any option will be at the discretion of the government.

1.4 Applicable Documents: The National Fire Protection Association (NFPA) Standard Number 10.

2.0 PERFORMANCE REQUIREMENT SUMMARY (PRS)

The PRS (below table) lists the performance objectives, the PWS paragraph for each objective, and the performance standards the contractor must meet to successfully perform the objectives. The NFPA Standard Number 10 for portable fire extinguishers governs these performance objectives.

Six-Year Maintenance (as needed)

12-Year Hydrostatic Testing (as needed)

Recharge of extinguishers or service calls for 10-pound dry chemical, 20 pound wet chemical, 2.5 and 5 pound fire extinguishers (as needed)

Annual technician certifications

3.0 CONTRACTOR’S RESPONSIBILITIES

Upon contract award, the contractor will conduct a joint on-site visit and walk around of the facilities listed in paragraph 1.2 with the Facility Department representative. The contractor shall record and maintain a list of all extinguishers and any discrepancies. The contractor shall provide a fire extinguisher annual inspection service record once an annual inspection is complete. The contractor will provide any documentation requested by the Contracting Officer within 2 days of the request.

Security Requirements. The contractor is responsible for obtaining the required access to the facilities listed in paragraph through the Naval Base Guam Visitor Control Center.

All refills, tests, repairs, and services performed on the extinguishers must comply with NFPA guidelines and be completed by a certified technician. Hydrostatic testing must be performed by a certified technician and comply with the Department of Transportation requirements. Prospective contractors must include, with their quotations/offer, a valid signed and dated copy of the certification for each technician that will provide the aforementioned services. The prospective contractor shall submit these certifications annually thereafter, before the exercise of any option.

3.1 Task Definition

· Annual on-site inspection (NFPA 10): Fire extinguishers shall be inspected and certified annually. The inspection shall include a check of at least the following items:

a. Location in designated place

b. No obstruction to access or visibility

c. Operating instructions on nameplate legible and facing outward

d. Safety seals and tamper indicators not broken or missing

e. Fullness determined by weighing or “hefting”

f. Examination for obvious physical damage, corrosion, leakage, or clogged nozzle

g. Pressure gauge reading or indicator in the operable range or position

Inspection Record Keeping:

a. Upon completion of Inspection - physical inspection sign tag for certification. Records shall be kept on a tag or label attached to the fire extinguisher, on an inspection checklist maintained on file, or in an electronic method that provides a permanent record.

b. Personnel making inspections shall keep records of all fire extinguishers inspected, including those found to require repairs, testing, replacement, or items/supplies.

· Recharging: All rechargeable-type fire extinguishers shall be recharged after any use or as indicated by inspection or when performing maintenance.

a. The contractor shall pick up and deliver all extinguishers requiring recharging

b. After recharging, a leak test shall be performed on stored-pressure and self-expelling types of fire extinguishers.

c. Each fire extinguisher shall have a tag or label securely attached that indicates the month and year recharging was performed and that identifies the person performing the service.

· 6-Year Maintenance (as Needed):

a. Every 6 years, stored-pressure fire extinguishers that require a 12-year hydrostatic test shall be emptied and subjected to the applicable maintenance procedures. The removal of the agent shall only be done using a listed halon closed recovery system. When the applicable maintenance procedures are performed during a periodic recharging or hydrostatic testing, the 6-year requirement shall begin from that date

b. The contractor shall include on the label the month and year the test was performed, the name of the person who performed the test, and their company.

· 12-Year Hydrostatic Testing (as needed):

c. Hydrostatic testing shall be performed by persons trained in pressure testing procedures and safeguards and who have suitable testing equipment, facilities, and appropriate servicing manual(s) available.

d. The contractor shall ensure that every hydrostatic test includes both an internal and external visual examination of the cylinder.

e. Hydrostatic testing shall be conducted using water or some other non-compressible fluid as the test medium. Air or other gases shall not be used as the sole medium for pressure testing. All air shall be vented prior to hydrostatic testing to prevent violent and dangerous failure of the cylinder

f. The contractor shall maintain a permanent record for each cylinder tested.

g. The contractor shall include on the label the month and year the test was performed, the name of the person who performed the test, and their company.

3.2 Deliverable products and services

· Items and supplies to include safety seals, hoses, and tags, are to be replaced or repaired within 48 hours of a reported discrepancy.

· If any extinguisher is removed for service, the contractor will provide a loaner replacement suitable for the type of hazard being protected and shall be of equal rating.

4.0 DELIVERABLES

Upon validation by the USNH, Guam Naval Hospital Fire Marshall USNH, Guam Safety Representative that all fire extinguishers have been inspected, the contractor shall forward a copy of the annual inspection and record to the Contracting officer.

4.1 Quality Control. The contractor shall submit their quality control plan to the Contracting Officer no later than the 5th day after contract award. The quality control plan must document how their performance will meet the requirements of the contract

4.2 Annual Maintenance Review/Performance Assessment. The U.S. Naval Hospital Safety Department head will escort the contractor during the annual maintenance review checking to make sure all standards of the PWS were met. This review will be conducted from 8:00AM through 2:00PM, Monday through Friday.

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NH GUAM FIRE EXTINGUISHER LISTING.docx

BLDG 50 - FIRST FLOOR

Serial number

Location

DEPT

AP875975

1V01 (Left of entrance - inside)

BIOMED

BD532592

1ZA16 (mechanical rm, beside entrance door)

DZSP

BZ220786

1ZA17 (mechanical rm, beside entrance door)

DZSP

BD532599

1ZA18 (electrical rm, beside entrance door)

DZSP

BZ220759

1Y04 (HAZMAT STORAGE, beside entrance door)

DZSP

BZ220758

1Y01 (ACID STORAGE, beside entrance door)

DZSP

AL-469273

1G14/ELEVATOR FAM MED

DZSP

BZ220749

1Y18/BACK ELEVATOR

DZSP

BZ220683

1N05 (in lobby, outside triage rm)

ER

BZ220767

ACROSS 1N14 (admin hallway)

ER

BZ220763

1L15 (across from cast room)

ER

BZ220773

1MC3 (HALLWAY BY ELEVATOR)

ER

F-75296485

MERCY 1

ER

G-09853538

MERCY 1

ER

G-09897547

MERCY 2 (outside compartment)

ER

G-09851039

MERCY 2 (inside near steps)

ER

G-09920548

MERCY 3 (outside compartment)

ER

G-09854034

MERCY 3 (inside near steps)

ER

BD532588

1HS3 (NEXT TO STAIR 3 DOOR)

FAMILY MED

BZ220673

ACROSS 1H35 (NEXT TO STAFF RR)

FAMILY MED

AP875978

1GC3 (R side of entrance/front desk)

FAMILY MED

BZ220792

1GC1 (L side of entrance/front desk)

FAMILY MED

AP875976

1P11

GALLEY

BZ220689

NEAR ENTRANCE OF MESS DECKS

GALLEY

BZ220793

L SIDE BEFORE GALLEY CASHIER ENTRANCE

GALLEY

AD632760(K) 20 LBS

NEAR SALAD BAR

GALLEY

BZ220751

DIET TECH PREP AREA/HAND WASH STATION

GALLEY

AC421343(K) 20 LBS

NEAR DIET TECH COFFEE MACHINE

GALLEY

AD632767 (K) 20 LBS

L SIDE OF FRIDGE GALLEY

GALLEY

BZ220661

DISHWASHING AREA

GALLEY

AC799094 (K) 20 LBS

RIGHT SIDE OF RT FRIDGE GALLEY

GALLEY

BZ220666

1MC2 (ER BACK ENTRANCE NEAR GALLEY)

GALLEY/HALLWAY

AP875977

1E02A (R side, front desk/reception)

INTERNAL MED

BZ220785

1F11 (R side, patient education rm)

INTERNAL MED

AP875974

1R10 (HALLWAY - ACROSS FMD)

LAB

BZ220690

1T01 (BY OFFICERS OFFICE SPACE)

LAB

BZ220770

1TC2 (BY HISTOLOGY)

LAB

BZ220739

1S04 (BY CHEMISTRY ANALYZER)

LAB

BZ220766

1Y14 (EXIT NEAR LOADING DOCK)

MMD

MR931998

1Z01 (STAFF LOUNGE ENTRANCE)

MMD

BZ270756

1Y02 RECEIVING (NEAR RESTROOM)

MMD

BD532609

1X21 (ACROSS MAIL ROOM)

MMD

A99322816 2.5 LBS

RECEIVING (FORKLIFT)

MMD

BZ220696

1Y05 (MED GAS STORAGE RM)

MMD

BZ220676

1ZA05A (hallway)

MORGUE (PAD)

BD532580

1D35 (next to ultrasound room)

OBGYN

BD532583

1C12 (waiting room)

OBGYN

BD532607

1JC1 (hallway)

OMD

AP875973

1AC5 (hallway) across exam rm 2 (1A09)

ORTHO

BD532604

between rooms 1K23 & 1K25

PATIENT ADMIN

DO7345919

1J04 (atrium)

DHCB (TRICARE)

BD532601

ATRIUM (next to water fountain, nearest ER )

PEDIATRICS

BZ220788

1D16 (next to providers office)

PEDIATRICS

BZ220787

left of immunizations

PHARMACY

BZ220740

across from subway

PHARMACY

BZ220670

across pharmacy lounge

PHARMACY

BD532595

1B12 (next to restroom)

PHYS THERAPY

AB935384 5 LBS

1P01 (across MRI) NON-MAGNETIC

RADIOLOGY

AB935385 5 LBS

1O10 (dressing room) NON-MAGNETIC

RADIOLOGY

AB935459 5 LBS

1R20 - (nuclear med) NON-MAGNETIC

RADIOLOGY

AB935458 5 LBS

1O11 (QA) NON-MAGNETIC

RADIOLOGY

AB935392 5 LBS

1Q03 (ultrasound) NON-MAGNETIC

RADIOLOGY

BZ220777

1QC1 (Front Desk/Atrium)

RADIOLOGY

F-97220581

SPARE (5lbs)

FIRE MARSHAL

F-75295624

SPARE (5lbs)

FIRE MARSHAL

Z-237576

SPARE (5lbs)

FIRE MARSHAL

617875

SPARE (5lbs)

FIRE MARSHAL

G-08847384

SPARE (2.5lbs)

FIRE MARSHAL

BLDG 50 - SECOND FLOOR

Serial number

Location

DEPT

BZ220662

Hallway; next to2V32/Biohazard Room

APU

BZ220794

Hallway; next to 2ZA18/Anesthesia work room

APU

27038

Hallway; front of 2V35/Main OR DH

APU

BZ220754

2SC2; APU/PACU Waiting Area

APU

BD532612

Hallway; next to 2V03/Anesthesia DH

APU

BZ220776

2F21 (right side of staff lounge)

AUDIOLOGY/ENT

BZ220747

2F02 (to the R of exam room #2)

AUDIOLOGY/ENT

BD532596

HALLWAY NEAR SUSHI PLACE

CHAPEL SERVICES

BD532605

2K01 (OUTISDE BILLING OFFICE DOOR ON THE LEFT)

CHAPEL SERVICES

BZ220782

2AC3 (NEXT TO VENDING MACHINE)

DENTAL

BZ220783

L of 2B25 (male locker room)

DENTAL/ORAL SURG

BZ220711

2H40 (R side, procedure room)

DERMATOLOGY

BD532593

btwn 2F34 & 2F35 (provider's offices)

GENERAL SURG

BZ220665

2Q08 (HM station)

ICU

BZ220760

2O21 (RN station)

ICU

BZ220715

2PC3 (ICU-ER entry)

ICU (HALL)

BZ220762

2W05 (NEAR SOILED UTILITY RM)

MBU

BZ220645

2X07

MBU

BZ220691

2Z14

MBU

BZ220748

2X01(NURSERY)

MBU

BZ220743

2P14 (NEXT TO COMM RM; ACROSS TRIAGE #1)

MBU

BZ220757

2R05 (NEXT TO LACTATION RM)

MBU (HALL)

BZ220750

2R06 (NEXT TO CASE MGMT OFFICE)

MBU (HALL)

BZ220672

NEXT TO 2K21 (Child Psychologist Room)

MENTAL HEALTH

BZ220753

2JC4 (waiting room)

MENTAL HEALTH

BZ220746

near 2VC5

MAIN OR

BZ220772

near 2Z-A04

MAIN OR

BZ220741

FRONT CHECK OUT (2U06)

MAIN OR

BL836471

near 2T10

MAIN OR

BZ220778

near 2T04

MAIN OR

BZ220693

between 2Z03 & 2Z07

MAIN OR

BZ220761

2L04

MSU

BZ220779

2M10

MSU

BZ220768

2N18

MSU

BZ220744

2PC5

MSU (HALL)

BZ220694

across 2D22 (Nurse's office)

OCC HEALTH

BZ220765

2CC2 (next to OPTOM/OPHTAL front desk/main entrance)

OPHTHAL/OPTOM

BZ532627

Main hallway, next to staff restroom across 2D12

OPTOMETRY

BZ220791

2H16 (across double doors in clinic)

UROLOGY

BZ220774

2GC3 (outside clinic; inbetween UROLOGY & GEN SURG)

UROLOGY

BLDG 50 - 3RD FLOOR

Serial number

Location

DEPT

BZ220667

3A04 (entrance to CMD SUITE)

CMD SUITE

BD532611

btwn 3A05 (copy rm) & 3A07 (CMC office)

CMD SUITE

BD532615

3M01(ROOF ACCESS)

DZSP

BD532610

3M01(North Penthouse, AHU 2-1)

DZSP

BD532597

3MC1 (North Penthouse, Beside Door Exit to Stair #5)

DZSP

BD532617

3M01(North Penthouse, Mezzanine, stairs)

DZSP

BZ220755

3M01 (North Penthouse, AHU 1-10)

DZSP

BD532587

3M01 (North Penthouse, AHU 3-1)

DZSP

BD532616

3MS5 (Exit to Stair 5, 3rd deck landing)

DZSP

BD532606

3U01 (South Penthouse, AHU 2-4)

DZSP

BZ220780

3U01 (South Penthouse, AHU 1-5)

DZSP

BD532602

3UC1 (South Penthouse, AHU 1-11)

DZSP

BD220781

3U01(South Penthouse, AHU 2-11)

DZSP

BD532613

3U01 (South Penthouse, AHU 2-10)

DZSP

D-07345920

3UC1 (South Penthouse, AHU 2-8)

DZSP

BD532586

next to 3G07 (server room)

HRD

BZ220671

btwn rm 3E10 & 3E12

HRD

BZ220771

in hallway btwn 3E03 (XO board room) & 3E05 (PAO office)

HRD

BZ220775

across from 3C14 (CMD SUITE LOUNGE)

HRD

BZ220669

outside 3G14 (LCPO office)

IMD

BZ220745 *6 YR

3G07 (server room)

IMD

BZ220790

3J08 (entrance to QM office - R side)

QM

BD532589

3J06 (near printing room)

STAFF ED

BD532584

3I03 (entrance to SEAT)

STAFF ED

BLDG 61

Serial number

Location

DEPT

SN335507

SECOND FLOOR

PREV MED

BD532591

OUTSIDE KITCHEN

PREV MED

KZ335511

MAIN ENTRANCE

PREV MED

SV915145

PODIUM 1

PREV MED

RW761896

PODIUM 2

PREV MED

KZ335505

CHIEF'S MESS

SEAT

WAREHOUSE 4

Serial number

Location

DEPT

RW762731

WAREHOUSE 4

MORGUE (PAD)

SN291003

MMD SUPPLY/CBRNE ROLL UP DOOR

DZSP

SN335538

BACK EXIT DOOR

DZSP

WAREHOUSE 6

Serial number

Location

DEPT

SH038804

WAREHOUSE 6

MMD

PA480337

WAREHOUSE 6

MMD

AL469287

WAREHOUSE 6 (BTWN A9 & A11)

MMD

KZ335512

WAREHOUSE 6 (BTWN A3 & A4)

MMD

KZ335543

WAREHOUSE 6 (BTWN C1 & C2)

MMD

E63632357 2.5 LBS

WAREHOUSE 6 (FORKLIFT)

MMD

SUPPORT BLDGS

Serial number

Location

DEPT

K-065880

LOX (BLDG 45, beside entrance door)

DZSP

RW761911

FIRE PUMP (BLDG 45)

DZSP

BZ220645

WATER SOFTENER(NEAR CANOPY)

DZSP

SN915189

WATERSOFTENER (ER - BLDG 57)

DZSP

BZ220679

MACERATOR (BLDG 48)

DZSP

BD532582

BLDG 7 (OUTSIDE)

DZSP

WE273869

BLDG 7 (Left of entrance - inside)

DZSP

B65164511

GYM (front entrance) BLDG 70

PRT

KM00578957

GYM (back exit, near locker rooms) BLDG 70

PRT

CUP

Serial number

Location

DEPT

PX109471

SWITCH GEAR RM #109, NORTHSIDE ENTRANCE

DZSP

MR932000

RM 101, CHILLER #1, BESIDE ENTRANCE DOOR

DZSP

XU971659

RM 108 (GENERATOR RM, NORTH WALL) BESIDE DOUBLE DOOR

DZSP

E64061289

RM 108 (GENERATOR RM, SOUTH WALL) BESIDE GENERATOR

DZSP

AV986618

RM 108, GENERATOR RM ENTRANCE

DZSP

Z942657

RM 107 (BOILER/HEATING RM) BACK EXIT DOUBLE DOOR

DZSP

Z942656

RM 107 (BOILER.HEATING RM) BESIDE FRONT ROLL UP DOOR

DZSP

WT298409

RM 107 (TUNNEL)

DZSP

RW761923

RM 104 (PWR SWITCH BOARD) BESIDE BACK EXIT DOUBLE DOOR

DZSP

RW761924

RM 105 (EMERGENCY PWR) BESIDE BACK EXIT DOUBLE DOOR

DZSP

Z942648

RM 101, CHILLER RM, NEXT TO CR NEXT TO PANEL BOX

DZSP

YE823754

SWITCH GEAR RM #109, BACK EXIT DOOR

DZSP

BRANCH MEDICAL CLINIC

Serial number

Location

DEPT

SN26975

M108 (outside xray)

BMC

SN27232

Outside Rm 104 & 105

BMC

SN27017

WAITING RM 128

BMC

SN27005

outside M124

BMC

SN061237

outside M119

BMC

SN761894

GENERATOR

DZSP

SN26993

btwn RM 225 & 226 (hall)

IH

SN27025

btwn RM 220& 221 (hall)

IH

SN27079

RM 217 (office)

IH

SN397464

M208

PREV MED

KZ291012

M201

PREV MED

BRANCH DENTAL CLINIC

Serial number

Location

DEPT

SH038787

BLDG 3 EXTERIOR

BDC

BZ220764

100D

BDC

WE274109

1A

BDC

SN520886

GENERATOR

DZSP

SV915134

BDC

WE273931

BDC

LW128093

BDC

WE274110

110A

BDC

WE274117

BDC

SN739613

001 COMPRESSOR

BDC

NM074688

BLDG 2

BDC

RP426982

BLDG 2

BDC

LW128097

BLDG 3

BDC

NA061198

BLDG 3

BDC

2.5 LBS

5 LBS

5 LBS (NON-METALLIC TYPE)

10 LBS

20 LBS (K TYPE)

TOTAL FIRE EXTINGUISHERS