Modular_Building_Spec.Appendices.pdf

Building Solicitation Package June 21, 2016 Page 1

Indian Health Services – Crow Agency, Montana

CT Scan Modular Building Specifications

Table of contents

General Requirements……………………………………………………………………….. Page 2

Scope of Work……………………………………………………………………………………. Page 3

Prefabricated Modular Building Specifications…………………………………… Page 3

Lead Shielding……………………………………………………………………………………. Page 8

Tie-in Requirements and Final Installation………………………………………… Page 9

Appendices:

Hitachi Scenaria Standard Details

Modular Addition Site Plan

Building Solicitation Package June 21, 2016 Page 2

General Requirements

The following describes general requirements and specifications for a factory finished modular imaging facility to house an Indian Health Services (IHS) purchased CT scanner at Crow/Northern Cheyenne

Hospital located at 10110 South 7650 East PO Box 9 Crow Agency, MT 59022. The modular building shall be delivered and installed per the client’s schedule and in conformance with the technical requirements set forth herein.

Modular Building Manufacturer Qualifications

A minimum of 5 years of experience is required in the design, fabrication, and installation of CT scan modular buildings. Submit a list of at least 5 projects, with clients’ references, demonstrating successful design, fabrication, and installation of CT Scan modular buildings.

Basis of Design

The basis of design for the modular building is the Hitachi Scenaria Advance 128 CT Scanner – Scenaria

Standard Details dated April 3, 2015, using the alternate Floor Plan shown on Page 4 (see appendix), with exceptions as noted herein. IHS will purchase the CT scanner equipment separate from this contract. We request the Building Manufacturer directly coordinate with Hitachi Medial Systems

America, Inc. to ensure the modular building is built to meet all CT scanner construction requirements such as structural supports, built-in utilities, services, dimensional clearances, lead shielding, installation and maintenance access, and other such requirements. Prior to start of construction, submit modular building design plans to Hitachi to ensure the modular building design meets CT scanner equipment requirements. Obtain review and comments from Hitachi with concurrence that the building design plans meet the requirements for the CT Scanner.

Submittals

1. Modular building design showing all required components and design criteria.

a. Modular construction documents (plans, sections, elevations, and details) signed and stamped by a licensed Architect, Professional Electrical Engineer and Professional

Mechanical Engineer. In addition to the wet-stamped documents, include digital

(AutoCad) drawings of the modular building.

b. Structural Calculations, including seismic, signed and stamped by licensed Structural

Engineer.

c. HVAC calculations.

d. Light levels calculations.

2. Design review comments from Hitachi.

3. Lead Shielding Physicist Report.

4. Material and color samples.

5. Warranties, and Operation, and Maintenance Manuals.

Building Solicitation Package June 21, 2016 Page 3

Scope of Work

The modular building manufacturer is responsible for the design, engineering, and construction of the pre-finished modular building, payment of applicable permits and fees (including any shop inspections), quality control, transportation of the modular building from the shop to the site, installing modular building on a prepared foundation system, inspection of the installed modular building, and corrections of any defects or deficiencies.

Codes, Standards, and Guidelines:

The modular building shall meet the latest published editions of applicable federal, state, and local codes and standards and guidelines. At a minimum, the latest editions of the following apply:

National Fire Codes (except NFPA 5000)

Life Safety Code NFPA 101 (2012).

International Building Code.

Guidelines for Design and Construction of Healthcare Facilities (AIA)

Ambulatory Care (CAMAC)

ADA Accessibility Guidelines (ADAAG)

Report 147 by National Council on Radiation Protection and Measures.

Other applicable codes, standards and guidelines included in IHS Design Guide Section 2.3.2.

https://www.ihs.gov/des/includes/themes/newihstheme/display_objects/documents/AEDesign

Guide2013.pdf

Prefabricated Modular Building Specifications

Building

1. Minimum Modular Building Size: 14’-0”W x 50’-0”L.

2. Minimum Room Sizes and Accessibility:

a. All spaces within the modular building shall be ADA accessible

b. CT scanner room: 13’-0”W x 20’-6”L x 9’-0”H.

c. Control Area: 7’-0”W x 9’-6”L x 8’-0”H.

d. Accessible Toilet Room/Dressing: 7’-0”W x 8’-0”L x 8’-0”H.

e. Transformer: 7’-0”W x 9’-6”L x 8’-0”H

e. Circulation width as required to accommodate gurney access.

3. Construction Type: Non-Combustible Type II-A (1 Hour Fire Rated).

https://www.ihs.gov/des/includes/themes/newihstheme/display_objects/documents/AEDesignGuide2013.pdf https://www.ihs.gov/des/includes/themes/newihstheme/display_objects/documents/AEDesignGuide2013.pdf

Building Solicitation Package June 21, 2016 Page 4

Design Criteria:

1. The modular building floors, walls and roofs shall be designed to support all dead loads, uniform live loads, and equipment loads as required by the IBC and the equipment manufacturer for the intended occupancy and use of the space. The equipment loads shall be based on the manufacturer’s loading requirements for the Hitachi Scenaria Advance 128 CT Scanner unit.

2. Roofs shall be designed for snow loads, as applicable to the site. As a minimum, the ground snow load used to determine the design snow load shall be 30 lbs/sq ft. The snow importance factor shall be 1.20.

3. Seismic design shall be based on the following criteria:

Site Class = D

Risk Category III

Ss = 0.120g

S1 = 0.043g

SDS = 0.128g

SD1 = 0.069g

IE = 1.25

4. Wind design shall be based on the following criteria:

Exposure Category = C

Risk Category III

V = 120 mph

Walls, Floor, and Roof

1. Floor Construction: Concrete filled metal deck of sufficient strength, stiffness and levelness to support and operate the CT scanner and related equipment, and meet all structural requirements specified by the manufacturer for the Hitachi Scenaria Advance 128 CT Scanner unit. The design of the floor shall consider the long term operation of the unit, meeting all manufacturer’s structural requirements for permanent installation, and shall not consider the installation or intended use as temporary or short term.

2. Wall Construction: Metal Studs sized and spaced to meet IBC and utility requirements including support backing plates as required. Exterior walls shall be 1 Hour fire rated with R-19 insulation.

3. Roof Construction: Metal Joists with self-supporting prefabricated removable roof section for

CT scanner installation and removal.

Finishes

1. General: IHS reserves the right to select colors for all interior and exterior finishes. Submit material color samples and paint samples for IHS approval prior to start of construction.

2. Exterior Finishes

a. Wall Finish: 7/8” Cement Plaster over galvanized metal lath. Joint pattern, texture, and colors complementary to existing building exterior finishes.

b. Flashing: Stainless steel. Color to match existing facility’s flashing.

Building Solicitation Package June 21, 2016 Page 5

c. Roofing: 20-year warranty EPDM single ply roofing system over tapered roof deck insulation (R33 average). Single slope (1/4” per foot minimum), drain away from the existing building. Terminate roof high point with short parapet wall capped with metal coping.

3. Interior Finishes:

a. Floor and Base Finishes: 1/8” thick Heat-welded-seam sheet vinyl flooring with integral cove base throughout, except use epoxy flooring with integral coved base at Toilet

Room.

b. Wall finish: 5/8” Type X gypsum wallboard (GWB). For lead-lined GWB, see Lead

Shielding section below. Paint with epoxy special coating.

c. Toilet Room Wainscot: Plastic laminated wainscot panels 5’-0” minimum AFF.

d. Ceiling: Hospital-grade lay-in acoustical ceiling tile on exposed metal grid suspension system.

e. C.T. Scan Casework: Provide plastic laminated lockable casework. Base cabinet with solid surface counter and backsplash. Provide upper cabinet with sloping plastic laminated tops with closed sides.

f. Toilet Accessories: All toilet accessories shall be stainless steel surface-mounted and accessible including grab bars, toilet tissue dispenser, paper towel dispenser, soap dispenser, and stainless steel framed glass mirror.

Doors and Windows:

1. Exterior Door: 48”w x 84”h 45-minute fire rated metal door on hollow metal frame. For lead-lined doors, see Lead Shielding section below. Paint to match other doors and frames within the facility.

2. Interior Toilet Room Door: 36”w x 84”h Metal Door on hollow metal frame. Paint to match other doors and frames within the facility.

3. Door Hardware: All stainless steel accessible hardware. Hardware keying shall match existing facility keying and system.

4. Control Window: 48”wx36”h Lead Glass window. See Lead Shielding section below.

Mechanical:

Wall-mounted unit with supply and return diffusers and standard filtration system. System shall be sized for finished modular building (including all equipment heating and cooling loads) including fresh air system. Also provide a wall mounted digital thermostat to control all HVAC functions as required.

All equipment shall meet the HVAC requirements of the Hitachi Scenaria Standard Details. Minimum

HVAC design conditions are listed on Page 5 of 13 of the Hitachi Scenaria Standard Details (see appendix). The DDC system shall be designed and installed to fully communicate with the existing campus DDC system. Full monitoring capabilities shall be provided (temperature relative humidity, occupancy schedule) and integrated into the existing DDC system. The existing DDC system is

Automated Logic.

Building Solicitation Package June 21, 2016 Page 6

Plumbing Fixtures:

a) Sink in casework: ADA accessible 18 gauge stainless steel sink with deck mounted, battery operated sensor faucet with gooseneck spout and user adjustable temperature mixer.

b) Wall hung lavatory: ADA accessible vitreous china lavatory with deck mounted, battery operated sensor faucet with gooseneck spout and user adjustable temperature mixer.

c) Wall hung water closet: ADA accessible vitreous china water closet with floor mounted carrier, battery operated sensor flush valve, open front seat, less cover.

d) Water piping: All domestic water piping, valves, faucets, fittings and fixtures shall be lead-free.

Copper Tubing: ASTM B88, Type L, hard drawn, with cast or wrought copper fittings and lead-free solder joints.

e) Drain, waste and vent piping: Cast iron pipe and fittings, CISPI 301, hubless, with neoprene gaskets and stainless steel clamps. Joints for hubless pipe and fittings shall conform to CISPI 310 and gaskets shall conform to ASTM C-564. Contractor may use ASTM B306 Type DWV copper tubing with wrought or cast copper solder type fittings.

Electrical:

The modular building shall have complete built in electrical power and lights, empty conduits and junction boxes for data telecommunication, VoIP phone, public address and nurse call meeting IHS health care facility and CT equipment manufacturer requirements. The data telecommunication, VoIP phone, public address and nurse call wiring and devices will be provided and installed by others.

a. The electrical system shall be hospital-grade. Two 480 volt, 3 phase, 4 wires service connections. One service connection shall be for the specified CT equipment with an integrated uninterrupted power supply (UPS). The other service connection shall be for the building HVAC, power, lighting and miscellaneous requirements. Provide step down transformer for 120 volt building load. The step down transformer will be installed inside the modular building. Provide single point power connection for each of the two power service connections.

b. Light fixtures shall be LED and 277 volt. Provide all the interior and exterior light fixtures, with minimum/maximum illumination at floor/ground levels, as follows:

1. At least two (2) lumens/SF, switched half/half, with Occupancy Sensors, throughout entrance hallway with high/low illumination not to exceed 2:1;

2. At least five (5) lumens/SF with separate switch and Occupancy Sensor for lighting in equipment/storage alcoves (if any) with high/low illumination not to exceed 2:1, and with Occupancy Sensor screened so as to avoid being set off by occupants in adjacent room(s)/hallway;

3. At least five (5) lumens/SF with single switch and Occupancy Sensor but w/o dimmer in the toilet/dressing room;

4. At least five (5) lumens/SF on dimmer/switch in Control Room with high/low illumination not to exceed 1.5:1.

Building Solicitation Package June 21, 2016 Page 7

5. At least five (5) lumens/SF on dimmers/switched half/half in Scan Room with high/low illumination not to exceed 1.5:1; Scan Room lighting must also be controllable/dimmable from the Control Room;

6. At least five (5) lumens/SF within five (5) feet of the exterior of the building, with high/low illumination not to exceed 4:1, along the long wall to be facing the existing building (right‐hand side, facing into main doorway), with weather‐protected 3-way switching located at least one (1) foot but not more than three (3) feet from the ends of the wall, , approximately 40 inches above grade, with switched power leg to lighting fixtures passing through a surface-accessible, weather-protected junction box, with at least twelve (12) inches of slack wire, located approximately 60 inches above grade near the midpoint of the wall;

7. At least one (1) lumen/SF within 10 feet of the exterior of the building, along the long wall and the short wall to be facing away from the existing building (left-hand side and far side, facing into main doorway), controlled by integral photo-sensors, with high/low illumination not to exceed 4:1; no exterior lighting on side of building with main entrance doorway.

c. Provide power receptacles, safety receptacles, ground fault current interrupter (GFCI) receptacles, and/or other special purpose receptacles, as specified by IHS and/or CT equipment manufacturer (see Hitachi Electrical and Wireway Notes Sheet 6 and 7), including, but not limited to, the following:

1. Power receptacles shall be duplex or quadruple NEMA 5-20R unless otherwise specified by IHS and/or CT equipment manufacturer;

2. Convenience power receptacles shall be located within the building such that no location within the building is more than 12 feet from a convenience power receptacle; but do not locate a non-GFCI receptacle within three (3) feet of a sink;

3. Provide conduits and junction boxes for telecommunication outlets as specified by

IHS and CT equipment manufacturer (see Hitachi Electrical and Wireway Notes

Sheet 6 and 7) ;

4. One (1) GFCI convenience power receptacle next to scan room sink;

5. One (1) GFCI convenience power receptacle in the toilet/dressing room;

6. One (1) quadruple convenience power receptacle in any equipment/storage area(s);

7. Four (4) GFCI convenience power receptacles, in weather protected while-in-use enclosures, on the exterior of the building, one (1) each on each side of the building, near the midpoint of the wall.

d. Data telecommunication and VoIP phone exterior connection will be by multimode fiber-optic line. Provide single point of connection for each of the fiber-optic line, public address and nurse call systems.

1. Telecommunication wiring and devices will be CAT 6.

2. Telecommunication outlets will have 4 ports.

Building Solicitation Package June 21, 2016 Page 8

3. Provide a box inside the modular building for multimode fiber –optic line termination. Fiber-optic line and equipment will be provided by other.

e. For Nurse Call System, provide four (4) surface-accessible junction boxes: in (1) scan room, (2) control room, (3) toilet room, all at 60 inches a.f.f. at about the midpoint of the wall in each room coincident with the common long wall of the modular building, and (4) on the exterior of that same common wall, at about 60 inches above grade, weather-protected, within three (3) feet of the end of that long wall closest to the main entrance door to the building; and provide a one (1) inch conduit within the long wall to connect all of these four boxes, without wiring; wiring and devices to be provided by others.

Fire Alarm:

Provide all equipment, materials, tools, labor, engineering, drawings, and accessories, necessary for complete manual and automatic fire alarm system in compliance with applicable Codes and NFPA 72.

System manufacturer to be the same as that provided in the adjacent hospital. Provide manual fire alarm boxes at exits. Provide smoke detection in all areas. Provide audible alarm devices throughout to meet the requirements of NFPA 72. Provide visual notification appliances (strobe) in common areas. All wiring to be in conduit. Provide all wiring to a single location for future connection to the hospital fire alarm system.

Fire Suppression:

Provide all equipment, materials, tools, labor, engineering, drawings, and accessories, necessary for complete fire protection systems in compliance with applicable codes and NFPA 13. Piping to be black steel, schedule 10 and 40. Sprinklers to be recessed pendent type in finished areas, chrome with white escutcheons. Sprinklers to be brass uprights in unfinished areas. All sprinklers to be quick response with

5.6 k-factor. System piping to be sized for pipe schedule system for Ordinary Hazard classification per

NFPA 13. Piping to be routed to utility chase and stubbed for future connection to existing hospital’s fire sprinkler system.

Lead Shielding

Lead shielding shall be provided as recommended by a Licensed, or State Certified, Physicist and documented in the Lead Shielding Report. As a minimum, any walls, doors, and glazing in direct line of sight to the CT scanner shall have lead shielding. Provide a lead shielding physicist report, prepared by a

Licensed or Certified Physicist, to fully address and comply with the Hitachi Scenaria Radiation Safety

Data shown on the Scenaria Standard Details. Lead shielding physicist report submittal approval by IHS is required prior to acceptance of modular building design. The following lead thicknesses are provided only to establish a scope baseline to be confirmed or updated by the results of the lead shielding physicist report.

Building Solicitation Package June 21, 2016 Page 9

1. Walls: 1/16” thick minimum lead shielding behind gypsum wallboard finish 7’-0” AFF minimum.

2. Doors: 1/16” thick minimum lead shielding concealed within door construction.

3. Door Frames: 1/16” thick minimum lead shielded concealed within hollow metal frames with ½” minimum overlap with door leaf and lead shielded GWB.

4. Glazing: Lead glass with 1/16” minimum equivalent lead shielding.

5. Glazing frames: 1/16” thick minimum lead shielding concealed within frames with ½” minimum overlap with lead glass and lead shielded GWB.

Note: There will not be a door separating the Control Area from the CT scanner room. Therefore, lead shielding shall continue uninterrupted beyond the CT Scanner room along the walls and door(s) that are in direct line of sight to the CT scanner. Where a wall is partially in direct line of sight to the CT Scanner, lead shielding shall continue uninterrupted along the entire length of such wall.

Tie In Requirements and Final Installation

Modular building shall have built-in within the floor, walls, and above ceiling, all structural supports and utilities to serve all components of the Hitachi Scenaria CT System. This includes, but is not limited to, scanner, gantry table, operator’s console, imaging processing equipment, transformer, and ceiling mounted injector as shown on the Scenaria Standard Details Dated April 3, 2015 (see appendix).

Confirm the latest scanner equipment requirements and suite layout with the CT scanner manufacturer to ensure all construction, utility infrastructure, and space requirements are being met in the modular building design and engineering and that all required utilities have been incorporated in the design and construction of the modular building.

1. Removable Roof Access: The roof of the modular building shall be designed to allow a portion of the roof to be removed for lowering the CT scanner into place. When the CT scanner has been lowered into place, the modular building manufacturer is responsible for re-installing, re-flashing, and sealing the removable portion of the roof to create a continuous watertight roofing membrane throughout.

2. Utilities Point of Connection: The modular building manufacturer is responsible for providing all utilities within the modular building (domestic water, fire sprinkler system, sanitary sewer, electrical, etc.) up to the point of connection and capping all end points. Locate point of connection for all utilities between the modular building and the main building. To facilitate utility routing, the toilet room, control area, and casework sink should be located along the side of the modular facing the North side of the main building. Coordinate utility points of connection with the site work design team (see appendix).

Building Solicitation Package June 21, 2016 Page 10

Transportation

The modular building manufacturer shall secure and pay for all transportation costs and permits for delivery of the modular building within the client’s approved schedule. Coordinate delivery schedule with site preparation schedule to prevent any delays. Keep IHS informed of expected delivery date. IHS will not be responsible for any costs incurred by modular building manufacturer’s failure to coordinate delivery schedule with IHS.

1. Delivery Address: Deliver modular building to the north side of the Crow/Northern Cheyenne

Hospital, adjacent to radiology department at 10110 South 7650 East PO Box 9 Crow Agency, Montana 59022.

Installation

The Modular Building Manufacturer shall be responsible for final and complete installation, ready for occupancy. All installation costs shall be included in the building manufacturer’s bid. The modular building manufacturer shall have a qualified Contractor/Representative of their firm responsible for final installation of the building over a prepared foundation. Foundation work will be done as part of under a separate site work contract. After lowering modular building in place, the modular building manufacturer shall connect modular building to the site foundation. Modular building manufacturer shall inspect installed modular building and shall correct any damaged items or correct any deficiencies or defects at no extra cost to the government.

Done Date to be completed

FACILITIES:

HMSA must have 24 hour access to facility

Chairs and a restroom must be available in the work area

Convenient storage area is available for miscellaneous equipment

A dumpster will be available for disposal of packing debris

Delivery path is accessible and free of obstructions (minimum clearance ?”)

Area for parking delivery truck and off loading identified and arrangements made to keep it clear for delivery date

All of these items have been checked and are complete.

All of these items have been checked and exceptions with completion dates noted.

Customer has completed all applicable Federal, State and Local registrations and met all applicable requirements to allow for the delivery, installation and service of the equipment in conformance with those regulations.

Date__________ HMSA FSE Signature_______________________________ Name printed__________________________

Date___________ Contractor/Customer Signature________________________ Name printed__________________________

E-Mail to #InstallChecklistGroup@HITACHIMED.COM

SCENARIA PRE-DELIVERY/INSTALLATION SITE CHECKLIST (REV 10/8/12) DM# 98489 v1 Pg. 2 of 2

SCENARIA PRE-DELIVERY/INSTALLATION SITE CHECKLIST

The following checklist notes items that must be completed prior to the delivery and installation of the SCENARIA CT system. “Per site drawing” on this checklist refers to the HMSA final site specific drawing provided to the customer and their contractor. It is the customer’s/contractor’s responsibility to provide masonite or other protective covering for the floors to prevent damage during the delivery and placement of the equipment. THIS CHECKLIST MUST BE COMPLETED AND

RETURNED TO HMSA TWINSBURG PRIOR TO DELIVERY

Done Date to be completed

GENERAL CONSTRUCTION:

All room dimensions verified against the final HMSA site drawing and Site Planning notified of any discrepancies

Scan room ceiling height is 8’-0” or greater

Counter for Operator Workstation installed in control room if applicable

All other casework and sink installed and complete

Scan and Control room construction complete

All rooms free of dust and debris

Protective floor covering (masonite or equal) in place or available for delivery

ELECTRICAL:

Disconnect installed at Image Processor location and ready to be energized: 480V, 150A, 3 phase, 4 wire

Emergency stop buttons (Shunt trip) installed and functional

“X-Ray On” warning lights installed at scan room doors and location in scan room visible from anywhere in room

Door interlock switches (optional) installed

Wiring for “X-Ray On” and door interlocks w/ 12’ pigtails run to junction box @ Image Processor per site drawing

Wall mounted wireway with 2 equal compartments and removable cover per site drawing (divider open @ vertical transition)

On-floor/ in-floor wireway with 2 equal compartments and removable cover per site drawing

Standard service outlets (120V) throughout suite (minimum 1 per wall) and required outlets (120V) per site drawing

Telephone in control room for Technician and Service Engineer use

Network (DICOM) drops located per site drawing

Lights with adjustable brightness levels installed and functional in scan and control rooms

Electrician scheduled for the morning after delivery to connect power and provide wireway access openings per installer

ENVIRONMENTAL:

HVAC system with separate thermostatic zones for scan and control rooms operational

SCENARIA PRE-DELIVERY/INSTALLATION SITE CHECKLIST (REV 10/8/12) DM# 98489 v1 Pg. 1 of 2

DE

PA

R T M E N T O F

HE

ALTH &

HUM

A N S E R V

ICES

USA

K F Davis Engineering, Inc.

530 La Gonda way, Suite e, Danville, ca. 94526

WWW.KFDE.COM

(925) 743-8884