Revised SOW Emergency OR Dept Flooring Replacement Project 9-27-2022.doc

Claremore Indian Hospital Indian Health Service US PHS Indian Hospital 101 South Moore Avenue Claremore, Oklahoma 74017

SCOPE OF WORK

Emergency OR Flooring Repair September 27, 2022 I. Objective:

The objective of this emergency service is to repair the floor and replace flooring material in multiple locations in the OR department at the US PHS Indian Hospital located in Claremore, Oklahoma. The hospital is a 110,000+ ft2 hospital building that consists of outpatient services such as OB/GYN, Behavioral Health, Pediatrics, Medical/Urgent Clinics, Contract Health, Dental, WIC, Pharmacy, Diabetes Education, and Public Health, as well as in-patient services that includes ER, OB, in-patient, OR, and ICU.

II. Background:

The OR floor was originally constructed with concrete subbase with a black terrazzo floor finish. Sometime in the 1990’s the terrazzo floor finish in OR suites A, B, and OR interior hallway was covered by commercial-grade homogeneous sheet vinyl flooring with heat-welded seams. Multiple repairs have been performed since then to replace broken concrete flooring, reseal heat-welded seams, and ripped sheet vinyl flooring in both OR suites. The same issues are still occurring and currently OR suites A & B floor in the middle of the room where the surgery table is placed has ripped heated-welded seams and tears in the floor that have allowed liquids to penetrate and disintegrate the subfloor underneath (self-leveling product?) and create uneven floor surfaces. Other flooring issues are present with multiple rips and tears in both of these rooms and in the OR hallway, as well as sections of flooring in the OR suites that are showing ruts from gurney traffic and additional subbase issues. The existing sheet vinyl flooring company is no longer in business and the product line has been dropped from the business that acquired the holdings. This requires all of the existing sheet vinyl flooring to be replaced ( III. Scope: Reference “Attachment A Existing OR Floor Conditions and Layout” and “Attachment B. OR Floor Plan” for all work A. General:

1. The contractor shall be responsible for all aspects of verifying the layout and site conditions of the existing OR Department flooring where homogeneous sheet vinyl flooring is located. Any photos and/or sketches are for reference use only. If any clarification or additional information is required, the IHS Contracting Officer shall be notified with a written Request for Information (RFI).

2. Contractor shall provide all labor, materials, supplies, tools and equipment, transportation, supervision and all other necessary items for repairing/replacing the flooring in the OR department.

3. The Claremore Indian Hospital is a tobacco free campus. No smoking is permitted on the campus grounds.

4. Contractor shall use healthcare-grade commercial sheet vinyl flooring recommended for use in operating rooms with integral cove base for replacing all flooring in the OR department.

5. The Contractor shall provide their own Personal Protective Equipment (PPE), LOTO equipment, infection control barriers, vehicles barriers, and any other safety related supplies, materials, and equipment.

6. Per PCRA and ICRA before any demolition work is to be performed, Contractor shall install infection control barriers, negative air equipment with particulate monitor with exhausted air ducting installed from the OR areas to the outside. Temporary tubing shall be installed above the ceiling, thru existing walls and ceilings, and out the west courtyard door. Floor protection shall be installed to protect existing flooring from contractor traffic. Follow all other requirements as listed.

7. The Contractor shall be responsible for furnishing to the Government an access roster with the names of all employees performing work on the project and shall be responsible for ensuring the access roster is current throughout the contract performance period.

8. Signing in/out and scheduling of contractors and sub-contractors shall be coordinated with the COR or his designee in his absence in order to maintain efficient use of traffic-flow, parking, access to building and locked areas.

9. The Contractor shall, at all times on the hospital campus including storage areas and work sites, keep the work area and public access areas free from accumulations of waste materials. The Contractor shall remove from the work and premises any rubbish, tools, equipment, and materials that are not the property of the Government. Upon completing the work, the Contractor shall leave the work area in a clean, neat, and orderly condition satisfactory according to IHS Facilities Management.

10. Work performed shall minimize interruptions to the hospital by performing work after normal business hours or weekends, and/or other times as approved by the COR/Facility Manager.

11. Contractor shall abide by all following codes concerning work performed on-site:

a. International Building Code

b. NFPA 99 Healthcare Facilities

c. NFPA 101 Life Safety Code 2012 edition – Healthcare Occupancy Chapters and referenced chapters

d. OSHA and EPA regulations

e. Americans Disability Act (ADA) & Architectural Barriers Act for Federal facilities

12. Contractor shall abide by all manufacturer’s installation requirements for material and products used.

B. Government-Provided Items

1. Contractor shall use the hospital’s dumpster for this project as necessary unless dumpster is full; otherwise remove all debris from the facility.

2. The hospital has available modular 1-hour fire rated infection control/construction barrier panels for contractors to use in some areas of the OR interior hallway.

C. Phasing

Repairs to OR flooring shall be performed in phases as one OR suite shall be available at all times for surgery use. At minimum, there will be two phases to perform work in each OR. OR interior hallway repairs are performed at the same time in the area split between OR A room 564 and OR B room 556. Any other phasing shall be coordinated with the Facility Manager and OR department.

D. Floor Repairs

1. OR B room 556 – 387 ft2:

a. Flooring finish - Contractor shall remove all sheet vinyl flooring material, flashing, and 4” integral cove base in the room.

b. Concrete – remove all self-leveling material. Remove any broken concrete or terrazzo finish with concrete as needed in order to prep the floor for a smooth hard finish to install new sheet vinyl.

c. Prep floor and walls for installation of sheet vinyl flooring with heat welded seams and integral cove base. Install concrete-based self-leveling material as needed to provide a smooth and level floor.

d. Install healthcare-grade homogeneous sheet vinyl flooring for operating rooms with appropriate flooring adhesive, heat welded seams, and 4” integral cove base.

e. Provide and install transition strips at doorways where new flooring meets different flooring types.

2. OR A room 564:

a. Flooring finish - Contractor shall remove sheet vinyl flooring material, flashing, and 4” integral cove base in the room

b. Concrete – remove all self-leveling material. Remove any broken concrete or terrazzo finish with concrete as needed in order to prep the floor for a smooth hard finish to install new sheet vinyl. The hole in the middle of the floor that has been a past problem shall have a pinned concrete repair to ensure the patch doesn’t punch thru the floor from normal use. Saw cut concrete as needed to provide an edge to install rebar or other method of pinning the patch to the existing concrete floor.

c. Prep floor and walls for installation of sheet vinyl flooring with heat welded seams and integral cove base. Install self-leveling material as needed to provide a smooth and level floor.

d. Install homogeneous sheet vinyl flooring for operating rooms with appropriate flooring adhesive, heat welded seams, and integral cove base.

e. Provide and install transition strips at doorways where new flooring meets different flooring types.

3. OR Interior hallway 551 – 644 ft2:

a. Flooring finish - Contractor shall remove all sheet vinyl flooring material, flashing, and 4” integral cove base in the room.

b. Concrete – remove all self-leveling material. Remove any broken concrete or terrazzo finish with concrete as needed in order to prep the floor for a smooth hard finish to install new sheet vinyl. Patch concrete slab-to-concrete on tray pan over subfloor mateline as needed to ensure a proper finish for prepping floor to install sheet vinyl.

c. Prep floor and walls for installation of sheet vinyl flooring with heat welded seams and integral cove base. Install concrete-based self-leveling material as needed to provide a smooth and level floor.

d. Install healthcare-grade homogeneous sheet vinyl flooring for operating rooms with appropriate flooring adhesive, heat welded seams, and 4” integral cove base.

e. Provide and install transition strips at doorways where new flooring meets different flooring types.

IV. General Requirements A. Contractor Work Hours:

Monday through Friday, normal business hours of 7:45 am to 4:30 pm, after normal business hours as needed up to 10 pm, and weekends from 6:00 am to 7:00 pm. Work identified in this scope of work shall be accomplished while the hospital is occupied and operational. Coordination and scheduling of work is shall be coordinated with the IHS Project Officer/COR. Work performed shall be planned to minimize the impact to services to the hospital by working after-hours and weekends when needed. Demolition to occur after surgeries are performed or in the evening (surgery schedule is light on some days).

B. Safety Requirements:

1. Contractor shall abide by all Safety, Security and Infection Control Policies and Procedures of the Claremore Indian Hospital.

2. Before any construction or services are to be performed within an IHS healthcare facility, The Contractor is 100% responsible for implementing and maintaining all Safety and Infection Control Measures during performance of their contract. Initial and periodic inspection will be conducted by the IHS COR, Safety Officer, and Infection Control Officer and any deficiencies shall be immediately corrected by Contractor. The implementing of all Safety and Infection Control Measures is the sole responsibility of the Contractor to ensure these measures meet OSHA & NFPA Codes and ASHRE & The Joint Commission Standards.

3. All trades shall comply with all typical laws and standards. The contractor shall review procedures with respect to Life Safety and Infection Control measures prior to beginning inspection job. An infection control for construction video shall be made available to the contractor to view prior to starting inspection to comply with infection control procedures during hospital construction.

a. Video on "Infection Control during Construction".

b. OSHA standard 1926.28 Personal Protective Equipment (PPE).

c. ILSM (Interim Life Safety Measure) Policy.

d. CDC Guideline for Environmental Infection Control in Health Care Facilities 2003, updated July 2019. https://www.cdc.gov/infectioncontrol/pdf/guidelines/environmental-guidelines-P.pdf

e. Pre-Construction Risk Assessment (PCRA) per type of project of activity per matrix of precautions for construction and renovation per “Pre-Construction Risk Assessment” Policy.

f. Contractor shall read and agree to all the health safety regulations needed for this job.

g. Infection Control Risk Assessment (ICRA) per type of project of activity per matrix of precautions for construction and renovation-Type 1-5 per "Infection Prevention & Control Plan” policy.

C. Quality of Workmanship:

Contractor shall perform high quality trade & craft workmanship. All work shall conform to, and comply with, the latest edition & version of ALL applicable codes including, but not limited to, OSHA, NFPA, IBC, FGI Guidelines for Design and Construction of Health Care Facilities 2014 edition, and The Joint Commission Codes, Standards and Guidelines for Hospitals (CAMH) latest update.

D. Materials:

1. All supplies, materials, and ground fill shall be new and of a type of quality that conforms to applicable healthcare specifications and standards. All supplies and materials to be used in the performance of work described herein are subject to the approval of the IHS COR.

2. Healthcare-grade, commercial homogeneous sheet vinyl flooring use in the OR department shall be Tarkett Johnsonnite Melodia or Aria sheet vinyl recommended for operating rooms. Color selected shall be similar to existing and shall be selected by the Facility Manager, and is subject to lead times/product availability before ordering.

3. It is recommended to use high-strength 4,000 psi minimum fast-setting concrete mix in applications where quick repairs are required to return areas to operational status, otherwise use concrete mix rated at 3,500 psi minimum.

1. Substitutions or deviations not approved by the COR shall risk rejection. Work shall not commence until all submittals are approved.

2. A Request for Information (RFI) document shall be required on this project for anything not understood by the contractor.

3. All chemicals and materials used with SDS information shall be turned in BEFORE use to the Facility Manager/COR for approval. Low-odor or zero VOC products shall be used when available.

E. Period of Performance:

90 calendar days after Notice To Proceed (NTP) F. Deliverables:

1. Concrete flooring is properly repaired and installed.

Yes No

2. Finished flooring is properly installed.

3. Downtime for ORs is kept to a minimum.

4. All materials used are approved by the Facility Manager.

Yes