RFQ-22-155 EPSS.pdf
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- Solicitation number
- RFQ-22-155
About this file
This is a request for quote from the Great Plains Area Indian Health Service seeking firm fixed-price proposals for the service, inspection, and testing of emergency power supply systems including transfer switches at 14 facilities. Offerors should provide pricing to perform annual and semi-annual maintenance including load bank testing and generator maintenance over a one-year base period and four optional one-year extensions. The work statement outlines inspection and testing requirements. This procurement is set aside for small businesses and has an acceptance period of 60 days. Responses are due by July 26, 2022 and should include the required representations and certifications, past performance, and acknowledgment of any solicitation amendments. The award will be made to the lowest priced technically acceptable offer based on meeting the responsibilities, delivery schedule, and completed bid schedules.
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Great Plains Area Indian Health Service 1
DESCRIPTION/SPECIFICATIONS/WORK STATEMENT
for
SERVICE, INSPECTION, AND TESTING OF EMERGENCY POWER SUPPLY SYSTEMS
INCLUDING TRANSFER SWITCHES
for the
GREAT PLAINS AREA INDIAN HEALTH SERVICE
A.0 INTRODUCTION
A.1 Purpose.
The purpose of the contract is to provide annual and semi-annual service, inspection, and testing of the Emergency Power Supply System (EPSS) located at facilities located throughout the Great Plains Area Indian Health Service. It is vital to have the testing and maintenance required by code to ensure accreditation of our facilities.
A.2 Background.
The code requirements are considered necessary to obtain the minimum level of reliability and performance, particularly where life safety electrical power needs are involved.
A.3 Scope.
Perform an annual and semi-annual service, inspection, and testing of the emergency generators located at the Great Plains Area facilities. Including an annual service, inspection, and testing of the Automatic Transfer Switches (ATS).
A.4 Contract Objectives.
Upon completion of the required services at each facility, the contractor shall submit a report including the attached checklists or documentation of approved equal. A report shall be completed for each individual facility.
A.5 References.
NFPA 70, National Electrical Code®, 2011 edition.
NFPA 99, Standard for Health Care Facilities, 2012 edition.
NFPA 110, Standard for Emergency and Standby Power Systems, 2010 edition.
A.6 Glossary.
Refer to Chapter 3 of NFPA 110, Standard for Emergency and Standby Power Systems, 2010 Edition.
Great Plains Area Indian Health Service 2
B.0 CONTRACTOR TASKS
B.1 Perform annual/3-year maintenance on each Service Unit’s EPSS.
B.1.0 PRE-STARTUP INPECTION
B.1.1 Fuel
B.1.1.1 Check and record the main fuel supply tank level.
B.1.1.2 Check day tank fuel level.
B.1.1.3 Check day tank electrical connections and tighten if necessary.
B.1.1.4 Visually inspect all day tank piping connections.
B.1.1.5 Visually inspect and test day tank pump and float system.
B.1.1.6 Visually inspect condition of flexible hose and connectors.
B.1.1.7 Visually inspect all vents and overflow piping.
B.1.1.8 Obtain fuel sample for quality testing.
B.1.1.8.1 Perform a fuel quality test using appropriate ASTM standards.
B.1.2 Battery System
B.1.2.1 Check and record the battery installation dates.
B.1.2.2 Check and record the battery sizes.
B.1.2.3 Check for loose battery cable connections and tighten if necessary.
B.1.2.4 Visually inspect the cleanliness of the battery cables and clean if necessary.
B.1.2.5 Check the electrolyte level of all batteries where applicable.
B.1.2.6 Check and record the specific gravity of all batteries where applicable.
B.1.2.7 Visually inspect all battery charging equipment.
B.1.2.8 Check and record all battery charger voltages.
B.1.2.9 Check and record all battery charger amperes.
B.1.2.10 Check and record all battery amps.
Great Plains Area Indian Health Service 3
B.1.3 Exhaust System
B.1.3.1 Visually inspect exhaust rain cap.
B.1.3.2 Drain exhaust trap.
B.1.3.3 Visually inspect all exhaust insulation.
B.1.3.4 Visually inspect exhaust system hangers and supports.
B.1.3.5 Visually inspect flexible exhaust section.
B.1.4 Cooling System
B.1.4.1 Visually inspect radiator core for cleanliness.
B.1.4.2 Visually inspect filler cap gasket and sealing surface.
B.1.4.3 Check and record the concentration level of coolant conditioner.
B.1.4.4 Check coolant level.
B.1.4.5 Test and record antifreeze protection level.
B.1.4.6 Visually inspect duct work; clean louvers if necessary.
B.1.5 Electrical Systems
B.1.5.1 Check all engine control panel connections and tighten if necessary.
B.1.5.2 Check all generator control panel connections and tighten if necessary.
B.1.5.3 Test all control panel indicator lights.
B.1.5.4 Check all control panel fuses.
B.1.5.5 Visually inspect the control panel condition.
B.1.5.6 Visually inspect the starter; check all terminal connections and tighten if necessary.
B.1.5.7 Visually inspect wire condition.
B.1.5.8 Test for wire insulation breakdown. (3-year)
B.1.6 Generator
B.1.6.1 Check all generator electrical connections and tighten if necessary.
Great Plains Area Indian Health Service 4
B.1.6 Generator (continued)
B.1.6.2 Visually inspect generator commutator and slip rings and clean if necessary.
B.1.6.3 Visually inspect the generator brushes and clean if necessary.
B.1.6.4 Visually inspect the generator rotor and stator and clean if necessary.
B.1.6.5 Visually inspect the generator bearings.
B.1.6.6 Properly lubricate the generator bearings if necessary.
B.1.7 Structure
B.1.7.1 Visually inspect frame rails.
B.1.7.2 Visually inspect panel and guards.
B.1.7.3 Visually inspect housing.
B.1.8 Engine
B.1.8.1 Check engine oil level.
B.1.8.2 Check engine oil heater.
B.1.8.3 Check all engine electrical connections and tighten if necessary.
B.1.8.4 Visually inspect all engine fuel connections.
B.1.8.5 Visually inspect all engine cooling water connections.
B.1.8.6 Visually inspect all rubber hoses.
B.1.8.7 Check operation of jacket water heater.
B.1.8.8 Visually inspect air cleaner elements.
B.1.8.9 Visually inspect air cleaner seal.
B.1.8.10 Check fan and alternator belt tension.
B.1.8.11 Visually inspect condition of fan and alternator belts.
B.1.8.12 Remove and visually inspect condition of spark plugs.
B.1.8.12.1 Re-install spark plugs after inspection.
B.1.8.13 Visually inspect ignition points and clean if necessary.
Great Plains Area Indian Health Service 5
B.1.8 Engine (continued)
B.1.8.14 Visually inspect distributor.
B.1.8.15 Visually inspect turbo.
B.1.8.16 Check intake valve clearance and adjust if necessary. (3-year)
B.1.8.17 Check exhaust valve clearance and adjust if necessary. (3-year)
B.1.8.18 Check head bolts and re-torque if necessary. (3-year)
B.2.0 STARTUP INSPECTION
B.2.1 Operational Checks
B.2.1.1 Check and record starter voltage during cranking.
B.2.1.2 Check and record starter amperes during cranking.
B.2.1.3 Check automatic starting system.
B.2.1.4 Check and record battery charger recovery voltage.
B.2.1.5 Check and record battery charger recovery amperes.
B.2.1.6 Check and record fuel pressure at startup.
B.2.1.7 Check and record oil pressure at startup.
B.2.1.8 Check and record oil temperature at startup.
B.2.1.9 Check and record water temperature at startup.
B.2.1.10 Check operation of louvers.
B.2.1.11 Check for unusual noises.
B.2.1.12 Check for unusual vibrations.
B.2.1.13 Check for exhaust, oil, fuel, and coolant leaks.
B.2.1.14 Check for proper operation of water temperature safety.
B.2.1.15 Check for proper operation of oil pressure safety.
B.2.1.16 Check for proper operation of coolant low-level safety.
B.2.1.17 Check for proper operation of overspeed safety.
B.2.1.18 Check for proper operation of emergency stop button.
Great Plains Area Indian Health Service 6
B.2.1 Operational Checks (continued)
B.2.1.19 Check for proper operation of crankcase breather.
B.2.2 Power Source
B.2.2.1 Check and record voltage at startup.
B.2.2.2 Check and record frequency at startup.
B.3.0 GENERATOR RUN INSPECTION (>15 MIN)
B.3.1 Operational Checks
B.3.1.1 Check and record fuel pressure after 15 minutes of run time.
B.3.1.2 Check and record oil pressure after 15 minutes of run time.
B.3.1.3 Check and record oil temperature after 15 minutes of run time.
B.3.1.4 Check and record water temperature after 15 minutes of run time.
B.3.1.5 Observe exhaust gas for clarity after 15 minutes of run time.
B.3.1.6 Check for excessive exhaust backpressure after 15 minutes of run time.
B.3.1.7 Drain day tank water and sediment after 15 minutes of run time.
B.3.2 Power Source
B.3.2.1 Check and record voltage after 15 minutes of run time.
B.3.2.2 Check and record frequency after 15 minutes of run time.
B.4.0 GENERATOR RUN INSPECTION (>30 MIN)
B.4.1 Operational Checks
B.4.1.1 Check and record fuel pressure after 30 minutes of run time.
B.4.1.2 Check and record oil pressure after 30 minutes of run time.
B.4.1.3 Check and record oil temperature after 30 minutes of run time.
B.4.1.4 Check and record water temperature after 30 minutes of run time.
B.4.2 Power Source
B.4.2.1 Check and record voltage after 30 minutes of run time.
Great Plains Area Indian Health Service 7
B.4.2 Power Source (continued)
B.4.2.2 Check and record frequency after 30 minutes of run time.
B.5.0 AFTER RUN INSPECTION
B.5.1 Change primary fuel filters.
B.5.2 Change secondary fuel filters.
B.5.3 Visually inspect air cleaner elements.
B.5.4 Visually inspect air induction system.
B.5.5 Replace water separator element.
B.5.6 Change coolant filters.
B.5.7 Add coolant conditioner if necessary.
B.5.8 Lubricate governor linkage if necessary.
B.5.9 Change engine oil and filters.
B.5.10 Verify generator(s) is in auto.
B.5.11 Check generator circuit breaker position.
B.6.0 TRANSFER SWITCH INSPECTION
B.6.1 Visual Inspection
B.6.1.1 Vacuum dust and dirt from housing.
B.6.1.2 Check terminal connections and tighten if necessary.
B.6.1.3 Visually inspect safety barriers.
B.6.1.4 Visually inspect main contacts.
B.6.1.5 Visually inspect arc chutes.
B.6.1.6 Check operating mechanism.
B.6.1.7 Visually inspect metering/digital display.
B.6.1.8 Visually inspect control boards.
B.6.2 Time Delays
B.6.2.1 Test and record Time Delay Engine Start (TDES).
Great Plains Area Indian Health Service 8
B.6.2 Time Delays (continued)
B.6.2.2 Test and record Time Delay Normal to Emergency (TDNE).
B.6.2.3 Test and record Time Delay Program Transition (TDPT).
B.6.2.4 Test and record Time Delay Emergency to Normal (TDEN).
B.6.2.5 Test and record Time Delay Engine Cool-down (TDEC).
B.6.3 Exercise Clock
B.6.3.1 Record DAY setting.
B.6.3.2 Record WEEK setting.
B.6.3.3 Record START TIME setting.
B.6.3.4 Record DURATION setting.
B.6.3.5 Record TEST settings.
B.6.4 After Operation Checks
B.6.4.1 Place all transfer switches in AUTO.
B.6.4.2 Place Generator(s) in AUTO.
B.7 Perform an annual load bank test on each individual generator
B.7.1 Generators shall be exercised with supplemental loads at not less than 50% of the EPS nameplate kW rating for 30 continuous minutes and at not less than 75% of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 1.5 continuous hours.
B.7.1.1 Check and record the voltage at 15 minute intervals.
B.7.1.2 Check and record the amperes at 15 minute intervals.
B.7.1.3 Check and record the frequency at 15 minute intervals.
B.7.1.4 Check and record the hour meter reading at 15 minute intervals.
B.7.1.5 Check and record the oil pressure at 15 minute intervals.
B.7.1.6 Check and record the water temperature at 15 minute intervals.
B.7.1.7 Check and record the kW readings at 15 minute intervals.
Great Plains Area Indian Health Service 9
B.8 Perform a 4-hour test in conjunction with the annual load bank test every 3-years on each individual generator.
B.8.1 Generators shall be exercised with supplemental loads at not less than 30% of the EPS nameplate kW rating for 3 continuous hours and at not less than 75% of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 4 continuous hours.
B.8.1.1 Check and record the voltage at 15 minute intervals.
B.8.1.2 Check and record the amperes at 15 minute intervals.
B.8.1.3 Check and record the frequency at 15 minute intervals.
B.8.1.4 Check and record the hour meter reading at 15 minute intervals.
B.8.1.5 Check and record the oil pressure at 15 minute intervals.
B.8.1.6 Check and record the water temperature at 15 minute intervals.
B.8.1.7 Check and record the kW readings at 15 minute intervals.
C.0 CONTRACTOR RESPONSIBILITIES
C.1 All work shall be performed by qualified person(s). Personnel shall have skills and knowledge related to the operation, maintenance, repair, and testing of the EPSS equipment and installations and has received safety training to recognize and avoid the hazards involved. Supporting documentation of qualifications shall be submitted with the bid proposal. The contractor shall provide testing personnel who are familiar with the requirements and recommendations of NFPA 70, 99, and 110 along with the operation of generator set systems similar to equipment listed in this document.
C.2 Following Notice to Proceed, the contractor shall submit a proposed schedule to the
Project Officer for approval. The schedule shall include: facility, date. The contractor shall notify the Project Officer immediately concerning any scheduling changes. The contractor shall notify each Facility Manager a minimum of 72 hours prior to performing a service.
C.3 Failed components and repairs, which are in addition to the replacements required by the NFPA will not be included within the contractor’s responsibilities unless the failure of components is the result of the contractor’s activities. However, the contractor is invited to provide recommendations resulting from contracted service to the Facility Manager and Project Officer. Any repair, service, or part not included within this contract will require a Purchase Order number or Credit Card requisition number from the local Service Unit before the repair, service or part can be performed, installed, or ordered. Invoices without a corresponding Purchase Order number or Credit Card requisition number will not be paid.
Great Plains Area Indian Health Service 10
D.0 GOVERNMENT RESPONSIBILITES
D.1 Each facility shall provide the contactor a “visitor” badge and provide a sign in sheet at the time of arrival at the facility. An IHS employee shall be assigned the duties of monitoring the contractor while in the facility.
E.0 RECORDS/DATA
E.1 Following completion of each site visit, applicable report forms [see attached samples] provided by the Project Officer shall be completed together with a comments and recommendations memo [see attached sample]. A copy of each report shall be provided to the Project Officer for documentation purposes. This documentation shall be provided no later than 2 weeks following the final site visit and shall be in an organized, legible format.
E.2 The contractor shall submit one package, after all sites have been visited, containing one invoice to the Project Officer itemizing the service(s) performed at each site. The invoice shall include the contract number, facility name, type of service performed at each facility, date of invoice submission, and payment amount per facility. The report memos, with attached checklists, shall accompany the invoice.
F.0 DELIVERIES OR PERFORMANCE
F.1 Place of Performance/Hours of Operation
F.1.1 Sites to receive service are Eagle Butte, Ft. Thompson, Kyle, Lower Brule, McLaughlin, Pine Ridge, Rapid City, Rosebud, Sisseton, Wagner, Wanblee, Great Plains Area Youth Regional Treatment Center (YRTC) [South Dakota];
Belcourt, Ft. Yates [North Dakota] Service Units.
F.1.2 Testing and maintenance shall be completed between the hours of 8:00 AM and 5:00 PM, M-F unless otherwise approved by the Project Officer. No testing and maintenance shall be performed on a national holiday unless approved by the Project Officer.
G.0 DELEVERY DATES/PERIOD OF PERFORMANCE
The period of service is to be for one year after contract award unless options to extend the term of the contract for one year intervals for a total of four (4) years are exercised.
Service dates will be as follows:
G.1 Base Year (Date of Award – 12/31/22)
G.1.1 3-Year Generator Maintenance (B.1) shall be completed during the month of May, 2022 at all facilities.
G.1.2 4-Hour Load Bank Test (B.8) shall be completed during the month of October, 2022 at all facilities.
Great Plains Area Indian Health Service 11
G.2 First Option Year (1/1/23 – 12/31/23)
G.2.1 Annual Generator Maintenance (B.1) shall be completed during the month of May, 2023 at all facilities.
G.2.2 Annual Load Bank Test (B.7) shall be completed during the month of October, 2023 at all facilities.
G.3 Second Option Year (1/1/24 – 12/31/24)
G.3.1 Annual Generator Maintenance (B.1) shall be completed during the month of May, 2024 at all facilities.
G.3.2 Annual Load Bank Test (B.7) shall be completed during the month of October, 2024 at all facilities.
G.4 Third Option Year (1/1/25 – 12/31/25)
G.4.1 3-Year Generator Maintenance (B.1) shall be completed during the month of May, 2025 at all facilities.
G.4.2 4-Hour Load Bank Test (B.8) shall be completed during the month of October, 2025 at all facilities.
G.5 Fourth Option Year (1/1/26 – 12/31/26)
G.5.1 Annual Generator Maintenance (B.1) shall be completed during the month of May, 2024 at all facilities.
G.5.2 Annual Load Bank Test (B.7) shall be completed during the month of October, 2024 at all facilities.
Great Plains Area Indian Health Service 12
H.0 TECHNICAL EXHIBITS AND ATTACHMENTS
Generator Information and Location…………………………………………………. 13
Sample Report…………………………………………………………………
Bid Schedule (Base Year)…………………………………………………………….. 15
Bid Schedule (First Option Year)……………………………………………………... 16
Bid Schedule (Second Option Year)…………………………………………………. 17
Bid Schedule (Third Option Year)……………………………………………………. 18
Bid Schedule (Fourth Option Year)…………………………………………………... 19
Vendor Competency Verification……………………………………………………... 20
Emergency Power System Inspection Report…………………………..Attachment A
Load Bank Test Report…………………………………………………….Attachment B
4-Hour Load Bank Test Report…………………………………………...Attachment C
Great Plains Area Indian Health Service 13
GENERATOR INFORMATION AND LOCATION
Generator Manufacturer Engine Model Generator
Size # of
ATS
Belcourt #1 Onan Cummins 300DFCB 300 KW 6 Belcourt #2 Onan Cummins 300DFCB 300 KW
Eagle Butte #1 Cat CatC32 SR4B-GD 1000 KW 5 Eagle Butte #2 Cat CatC32 SR4B-GD 1000 KW Ft. Thompson Onan Komatsu 75.0PVB-15R/30107B 75 KW 1 Ft. Yates #1 Kohler Perkins 100R0ZP81 100 KW 2 Ft. Yates #2 * Kohler 50REZGC 50 KW
Kyle * Onan Ford 70ENL32811E 70 KW 1 Lower Brule MTU John Deere DS00150D6SPAK0574 150 KW 1
McLaughlin #1 * Onan Cummins GGHH-8826847 100 KW 2 McLaughlin #2 * Kohler 50REZGC 50 KW Pine Ridge #1 Onan Cummins 350DFCC 350 KW 4 Pine Ridge #2 Onan Cummins 350DFCC 350 KW Rapid City #1 Onan Onan DGFA-4479799 150 KW 4 Rapid City #2 Onan Cummins DSFAC-5831071 50 KW Rosebud #1 Onan Cummins 500DFYG31397E 500 KW 4 Rosebud #2 Onan Cummins 500DFYG31397E 500 KW Sisseton #1 Onan Cummins DFLC-5744883 1250 KW 6 Sisseton #2 Onan Cummins DFLE-5744884 1500 KW
Wagner Onan Cummins 350DFCC 350 KW 4 Wanblee Onan Cummins DGFA-5765088 150 KW 1 YRTC * Generac 95A03325-S 100 KW 1
* Generator uses propane fuel / natural gas. Modify fuel system maintenance services from NFPA standards accordingly.
Great Plains Area Indian Health Service 14
Sample Report [Contractor Letterhead]
Date:
Facility Manager (Facility Address)
The (annual/3-year) test and inspection for the (facility name) generator(s) was performed on (date) by (technician) according to NFPA 70, 99, and 110 requirements.
The following items were noted:
1. (report any minor items that may require correction by the Service Unit).
The following items were corrected:
1. (report any items corrected on-site that are not included in the check lists).
The following items will need to be corrected/replaced/repaired in the near future:
1. (report any items that need to be corrected outside of the scope of this contract).
Recommendations for upgrades:
1. (provide recommendations for upgrades or replacements that will benefit the Service Unit).
Sincerely, [Contractor Representative]
Cc: [Project Officer, AAO, DFM]
Great Plains Area Indian Health Service 15
BID SCHEDULE
for
SERVICE, INSPECTION, AND TESTING OF EMERGENCY POWER SUPPLY
SYSTEMS INCLUDING TRANSFER SWITCHES
Base Year (Date of Award - 12/31/22)
Location Description Qty Unit Unit
Price Total Price
Belcourt, ND 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Eagle Butte, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Ft. Thompson, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
Ft. Yates, ND 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Kyle, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
Lower Brule, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
McLaughlin, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Pine Ridge, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Rapid City, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Rosebud, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Sisseton, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Wagner, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
Wanblee, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
YRTC
(Mobridge, SD)
3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
Total Bid:
Bidders are required to respond to all items in the bid schedule or the bid will be considered non-responsive. Total prices must include testing equipment, labor, overhead, profit, delivery, mobilization and demobilization, and all applicable taxes and fees (federal, state, local, and Tribal), for all generator sets at IHS Service Unit locations listed in the work statement.
Great Plains Area Indian Health Service 16 for
SERVICE, INSPECTION, AND TESTING OF EMERGENCY POWER SUPPLY SYSTEMS
INCLUDING TRANSFER SWITCHES
First Option Year (1/1/23 - 12/31/23)
Total Price
Belcourt, ND Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Eagle Butte, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Ft. Thompson, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Ft. Yates, ND Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Kyle, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Lower Brule, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
McLaughlin, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Pine Ridge, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Rapid City, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Rosebud, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Sisseton, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Wagner, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Wanblee, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
YRTC
(Mobridge, SD)
Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each overhead, profit, delivery, mobilization and demobilization, and all applicable taxes and
Great Plains Area Indian Health Service 17 for
SERVICE, INSPECTION, AND TESTING OF EMERGENCY POWER SUPPLY
SYSTEMS INCLUDING TRANSFER SWITCHES
Second Option Year (1/1/24 - 12/31/24)
Total Price
Belcourt, ND Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Eagle Butte, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Ft. Thompson, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Ft. Yates, ND Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Kyle, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Lower Brule, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
McLaughlin, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Pine Ridge, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Rapid City, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Rosebud, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Sisseton, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Wagner, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Wanblee, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
YRTC
(Mobridge, SD) overhead, profit, delivery, mobilization and demobilization, and all applicable taxes and
Great Plains Area Indian Health Service 18 for
SERVICE, INSPECTION, AND TESTING OF EMERGENCY POWER SUPPLY
SYSTEMS INCLUDING TRANSFER SWITCHES
Third Option Year (1/1/25 - 12/31/25)
Total Price
Belcourt, ND 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Eagle Butte, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Ft. Thompson, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
Ft. Yates, ND 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Kyle, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
Lower Brule, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
McLaughlin, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Pine Ridge, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Rapid City, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Rosebud, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Sisseton, SD 3-Year Generator Maintenance 2 Each 4-Hour Load Bank Test 2 Each
Wagner, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
Wanblee, SD 3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each
YRTC
(Mobridge, SD)
3-Year Generator Maintenance 1 Each 4-Hour Load Bank Test 1 Each overhead, profit, delivery, mobilization and demobilization, and all applicable taxes and
Great Plains Area Indian Health Service 19 for
SERVICE, INSPECTION, AND TESTING OF EMERGENCY POWER SUPPLY
SYSTEMS INCLUDING TRANSFER SWITCHES
Fourth Option Year (1/1/26 - 12/31/26)
Total Price
Belcourt, ND Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Eagle Butte, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Ft. Thompson, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Ft. Yates, ND Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Kyle, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Lower Brule, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
McLaughlin, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Pine Ridge, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Rapid City, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Rosebud, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Sisseton, SD Annual Generator Maintenance 2 Each Annual Load Bank Test 2 Each
Wagner, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
Wanblee, SD Annual Generator Maintenance 1 Each Annual Load Bank Test 1 Each
YRTC
(Mobridge, SD) overhead, profit, delivery, mobilization and demobilization, and all applicable taxes and
Great Plains Area Indian Health Service 20
VENDOR COMPETENCY VERIFICATION
Company Name: Contact:
Address: Phone:
Fax:
Equipment under Contract:
1.
2.
3.
4.
Number of Years in Business: Service Personnel:
Response Time (Hours) Phone: On-Site:
Primary Service Technician:
Secondary Service Technician:
Availability of:
Diagnostic Software: Y N N/A Service Manuals: Y N N/A Loaner Equipment: Y N N/A Service Hotline: Y N N/A
Proof of Liability Insurance:
Initial
Proof of Service Representative Competency Attached:
Initial
Signature ______________________________ Date _________________ Company Representative
Report of Inspection, Testing & Maintenance of Emergency and Standby Power Systems
Cover Sheet Rev: __________
Type of Inspection/Testing/Maintenance: Load Bank Annual 3-Year
Inspecting Firm:
Street Address:
City: State: Zip:
Phone: Fax:
Inspector Name:
Name of Property:
Street Address:
City: State: Zip:
Phone: Fax:
Designated Representative:
Gen #1 Manufacturer: Gen Model:
Gen Spec: Gen S/N: Gen CPL:
Engine Model: Engine S/N:
Fuel Type: Gasoline Diesel LPG CNG Rated KW: Rated KVA: Hour Meter:
Gen #2 Manufacturer: Gen Model:
Gen Spec: Gen S/N: Gen CPL:
Engine Model: Engine S/N:
Fuel Type: Gasoline Diesel LPG CNG Rated KW: Rated KVA: Hour Meter:
ATS #1 Model: Spec: S/N:
ATS #2 Model: Spec: S/N:
ATS #3 Model: Spec: S/N:
ATS #4 Model: Spec: S/N:
ATS #5 Model: Spec: S/N:
ATS #6 Model: Spec: S/N:
COMMENTS:
INSPECTOR’S SIGNATURE: DATE:
21.9
Emergency Power System Inspection Report Annual 3-Year
INSPECTOR’S SIGNATURE: DATE:
Page 1 of 7 Rev:__________
Name of Property: Date:
GEN #1 Model: S/N:
GEN #2 Model: S/N:
GENERATOR INSPECTION
1.0 PRE-STARTUP INSPECTION
RESULTS / COMMENTS
GEN #1 GEN #2
1.1 FUEL PASS N/A FAIL PASS N/A FAIL
1.1.1 RECORD MAIN FUEL SUPPLY TANK LEVEL: % %
1.1.2 CHECK DAY TANK FUEL LEVEL
1.1.3 INSPECT DAY TANK ELECTRICAL CONNECTIONS
1.1.4 INSPECT DAY TANK PIPING CONNECTIONS
1.1.5 TEST DAY TANK PUMP AND FLOAT SYSTEM
1.1.6 INSPECT FLEXIBLE FUEL HOSE AND CONNECTORS
1.1.7 INSPECT TANK VENTS AND OVERFLOW PIPING
1.1.8 OBTAIN FUEL SAMPLE FOR QUALITY TEST FUEL SAMPLE OBTAINED? YES NO N/A YES NO N/A
COMMENTS:
1.2 BATTERY SYSTEM RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
1.2.1 RECORD BATTERY(S) INSTALL DATE:
1.2.2 RECORD BATTERY(S) SIZE:
1.2.3 VERIFY TERMINAL CONNECTIONS ARE TIGHT
1.2.4 INSPECT BATTERY TERMINALS FOR CORROSION
1.2.5 CHECK BATTERY ELECTROLYTE LEVEL
TEST AND RECORD BATTERY #1 SPECIFIC GRAVITY:
1.2. TEST AND RECORD BATTERY #2 SPECIFIC GRAVITY:
1.2. INSPECT BATTERY CHARGING EQUIPMENT
1.2. TEST AND RECORD BATTERY CHARGER VOLTAGE: V V
1.2. TEST AND RECORD BATTERY CHARGER AMPERES: A A
1.2.1 TEST AND RECORD BATTERY #1 AMPS: A A
TEST AND RECORD BATTERY #2 AMPS: A A
COMMENTS:
1.3 EXHAUST SYSTEM RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
1.3.1 INSPECT EXHAUST RAIN CAP
1.3.2 DRAIN EXHAUST TRAP
1.3.3 INSPECT EXHAUST INSULATION
1.3.4 INSPECT EXHAUST SYSTEM HANGERS AND SUPPORTS
1.3.5 INSPECT FLEXIBLE EXHAUST SECTION
COMMENTS:
INSPECTOR’S SIGNATURE: DATE:
Page 2 of 7 Rev:__________
Name of Property: Date:
GEN #1 Model: S/N:
GEN #2 Model: S/N:
GENERATOR INSPECTION
1.4 COOLING SYSTEM RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
1.4.1 INSPECT RADIATOR CORE FOR CLEANLINESS
1.4.2 CHECK FILLER CAP GASKET AND SEALING SURFACE
1.4.3 TEST CONCENTRATION OF COOLANT CONDITIONER:
1.4.4 CHECK COOLANT LEVEL
1.4.5 TEST ANTIFREEZE PROTECTION LEVEL: °F °F
1.4.6 INSPECT DUCT WORK, CLEAN LOUVERS
COMMENTS:
1.5 ELECTRICAL SYSTEMS RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
1.5.1 INSPECT ENGINE CONTROL PANEL CONNECTIONS
1.5.2 INSPECT GENERATOR CONTROL PANEL CONNECTIONS
1.5.3 TEST CONTROL PANEL INDICATOR LIGHTS
1.5.4 CHECK CONTROL PANEL FUSES
1.5.5 INSPECT CONDITION OF CONTROL PANEL
1.5.6 INSPECT STARTER AND TERMINALS
1.5.7 INSPECT WIRE CONDITION
1.5.8 TEST WIRE INSULATION BREAKDOWN (3-YEAR)
COMMENTS:
1.6 GENERATOR RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
1.6.1 INSPECT GENERATOR ELECTRICAL CONNECTIONS
1.6.2 INSPECT GENERATOR COMMUTATOR AND SLIP RINGS
1.6.3 INSPECT GENERATOR BRUSHES
1.6.4 INSPECT GENERATOR ROTOR AND STATOR
1.6.5 INSPECT GENERATOR BEARING(S)
1.6.6 LUBRICATE GENERATOR BEARING(S) IF NECESSARY BEARING(S) LUBRICATED? YES NO N/A YES NO N/A
COMMENTS:
1.7 STRUCTURE RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
1.7.1 INSPECT FRAME RAILS
1.7.2 INSPECT PANEL AND GUARDS
1.7.3 INSPECT HOUSING
INSPECTOR’S SIGNATURE: DATE:
Page 3 of 7 Rev:__________
Name of Property: Date:
GEN #1 Model: S/N:
GEN #2 Model: S/N:
GENERATOR INSPECTION
1.8 ENGINE RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
1.8.1 CHECK ENGINE OIL LEVEL
1.8.2 CHECK ENGINE OIL HEATER
1.8.3 INSPECT ENGINE ELECTRICAL CONNECTIONS
1.8.4 INSPECT ENGINE FUEL CONNECTIONS
1.8.5 INSPECT ENGINE COOLING WATER CONNECTIONS
1.8.6 INSPECT ALL RUBBER HOSES
1.8.7 CHECK JACKET WATER HEATER
1.8.8 INSPECT AIR CLEANER ELEMENTS
1.8.9 INSPECT AIR CLEANER SEAL
1.8.10 CHECK FAN AND ALTERNATOR BELT TENSION
1.8.11 INSPECT CONDITION OF FAN AND ALTERNATOR BELT
1.8.12 CHECK SPARK PLUGS
1.8.13 CHECK IGNITION POINTS
1.8.14 CHECK DISTRIBUTOR
1.8.15 CHECK TURBO
1.8.16 CHECK INTAKE VALVE CLEARANCE (3-YEAR) INTAKE VALVE LASH SPECS: “ - “ “ - “
CYLINDER #1 INTAKE VALVE LASH: “ “
CYLINDER #2 INTAKE VALVE LASH: “ “
CYLINDER #3 INTAKE VALVE LASH: “ “
CYLINDER #4 INTAKE VALVE LASH: “ “
CYLINDER #5 INTAKE VALVE LASH: “ “
CYLINDER #6 INTAKE VALVE LASH: “ “
CYLINDER #7 INTAKE VALVE LASH: “ “
CYLINDER #8 INTAKE VALVE LASH: “ “
CYLINDER #9 INTAKE VALVE LASH: “ “
CYLINDER #10 INTAKE VALVE LASH: “ “
CYLINDER #11 INTAKE VALVE LASH: “ “
CYLINDER #12 INTAKE VALVE LASH: “ “
1.8.17 CHECK EXHAUST VALVE CLEARANCE (3-YEAR) EXHAUST VALVE LASH SPECS: “ - “ “ - “
CYLINDER #1 EXHAUST VALVE LASH: “ “
CYLINDER #2 EXHAUST VALVE LASH: “ “
CYLINDER #3 EXHAUST VALVE LASH: “ “
CYLINDER #4 EXHAUST VALVE LASH: “ “
CYLINDER #5 EXHAUST VALVE LASH: “ “
CYLINDER #6 EXHAUST VALVE LASH: “ “
CYLINDER #7 EXHAUST VALVE LASH: “ “
CYLINDER #8 EXHAUST VALVE LASH: “ “
CYLINDER #9 EXHAUST VALVE LASH: “ “
CYLINDER #10 EXHAUST VALVE LASH: “ “
CYLINDER #11 EXHAUST VALVE LASH: “ “
CYLINDER #12 EXHAUST VALVE LASH: “ “
1.8.18 RE-TORQUE HEAD BOLTS (3-YEAR) HEAD BOLT TORQUE SPECS: ft. lbs. ft. lbs.
INSPECTOR’S SIGNATURE: DATE:
Page 4 of 7 Rev:__________
Name of Property: Date:
GEN #1 Model: S/N:
GEN #2 Model: S/N:
GENERATOR INSPECTION
2.0 STARTUP INSPECTION
RESULTS / COMMENTS
GEN #1 GEN #2
2.1 OPERATIONAL CHECKS PASS N/A FAIL PASS N/A FAIL
2.1.1 RECORD STARTER VOLTAGE DURING CRANKING: V V
2.1.2 RECORD STARTER AMPERES DURING CRANKING: A A
2.1.3 CHECK AUTOMATIC STARTING SYSTEM
2.1.4 RECORD BATTERY CHARGER RECOVERY VOLTAGE: V V
2.1.5 RECORD BATTERY CHARGER RECOVERY AMPERES: A A
2.1.6 RECORD FUEL PRESSURE AT STARTUP: PSI PSI
2.1.7 RECORD OIL PRESSURE AT STARTUP: PSI PSI
2.1.8 RECORD OIL TEMPERATURE AT STARTUP: °F °F
2.1.9 RECORD WATER TEMPERATURE AT STARTUP: °F °F
2.1.10 CHECK OPERATION OF LOUVERS
2.1.11 CHECK FOR UNUSUAL NOISES
2.1.12 CHECK FOR UNUSUAL VIBRATIONS
2.1.13 CHECK FOR EXHAUST, OIL, FUEL AND COOLANT LEAKS
2.1.14 TEST OPERATION OF WATER TEMP SAFETY
2.1.15 TEST OPERATION OF OIL PRESSURE SAFETY
2.1.16 TEST OPERATION OF COOLANT LOW-LEVEL SAFETY
2.1.17 TEST OPERATION OF OVERSPEED SAFETY
2.1.18 TEST OPERATION OF EMERGENCY STOP BUTTON
2.1.19 CHECK OPERATION OF CRANKCASE BREATHER
COMMENTS:
2.2 POWER SOURCE RESULTS / COMMENTS GEN #1 GEN #2
2.2.1 RECORD VOTAGE AT STARTUP A-B: V V
RECORD VOTAGE AT STARTUP B-C: V V
RECORD VOTAGE AT STARTUP C-A: V V
RECORD VOTAGE AT STARTUP A-N: V V
RECORD VOTAGE AT STARTUP B-N: V V
RECORD VOTAGE AT STARTUP C-N: V V
2.2. RECORD FREQUENCY AT STARTUP A: HZ HZ
RECORD FREQUENCY AT STARTUP B: HZ HZ
RECORD FREQUENCY AT STARTUP C: HZ HZ
INSPECTOR’S SIGNATURE: DATE:
Page 5 of 7 Rev:__________
Name of Property: Date:
GEN #1 Model: S/N:
GEN #2 Model: S/N:
GENERATOR INSPECTION
3.0 GENERATOR RUN INSPECTION (>15 MIN)
RESULTS / COMMENTS
GEN #1 GEN #2
3.1 OPERATIONAL CHECKS PASS N/A FAIL PASS N/A FAIL
3.1.1 RECORD FUEL PRESSURE AFTER 15 MINUTES: PSI PSI
3.1.2 RECORD OIL PRESSURE AFTER 15 MINUTES: PSI PSI
3.1.3 RECORD OIL TEMPERATURE AFTER 15 MINUTES: °F °F
3.1.4 RECORD WATER TEMPERATURE AFTER 15 MINUTES: °F °F
3.1.5 OBSERVE EXHAUST GAS FOR CLARITY
3.1.6 CHECK FOR EXCESSIVE EXHAUST BACKPRESSURE
3.1.7 DRAIN DAY TANK WATER AND SEDIMENT WATER & SEDIMENT DRAINED? YES NO N/A YES NO N/A
COMMENTS:
3.2 POWER SOURCE RESULTS / COMMENTS GEN #1 GEN #2
3.2.1 RECORD VOTAGE AFTER 15 MINUTES A-B: V V
RECORD VOTAGE AFTER 15 MINUTES B-C: V V
RECORD VOTAGE AFTER 15 MINUTES C-A: V V
RECORD VOTAGE AFTER 15 MINUTES A-N: V V
RECORD VOTAGE AFTER 15 MINUTES B-N: V V
RECORD VOTAGE AFTER 15 MINUTES C-N: V V
3.2. RECORD FREQUENCY AFTER 15 MINUTES A: HZ HZ
RECORD FREQUENCY AFTER 15 MINUTES B: HZ HZ
RECORD FREQUENCY AFTER 15 MINUTES C: HZ HZ
COMMENTS:
4.0 GENERATOR RUN INSPECTION (>30 MIN)
RESULTS / COMMENTS GEN #1 GEN #2 4.1 OPERATIONAL CHECKS
4.1.1 RECORD FUEL PRESSURE AFTER 30 MINUTES: PSI PSI
4.1.2 RECORD OIL PRESSURE AFTER 30 MINUTES: PSI PSI
4.1.3 RECORD OIL TEMPERATURE AFTER 30 MINUTES: °F °F
4.1.4 RECORD WATER TEMPERATURE AFTER 30 MINUTES: °F °F
COMMENTS:
4.2 POWER SOURCE RESULTS / COMMENTS GEN #1 GEN #2
4.2.1 RECORD VOTAGE AFTER 30 MINUTES A-B: V V
RECORD VOTAGE AFTER 30 MINUTES B-C: V V
RECORD VOTAGE AFTER 30 MINUTES C-A: V V
RECORD VOTAGE AFTER 30 MINUTES A-N: V V
RECORD VOTAGE AFTER 30 MINUTES B-N: V V
RECORD VOTAGE AFTER 30 MINUTES C-N: V V
4.2. RECORD FREQUENCY AFTER 30 MINUTES A: HZ HZ
RECORD FREQUENCY AFTER 30 MINUTES B: HZ HZ
RECORD FREQUENCY AFTER 30 MINUTES C: HZ HZ
INSPECTOR’S SIGNATURE: DATE:
Page 6 of 7 Rev:__________
Name of Property: Date:
GEN #1 Model: S/N:
GEN #2 Model: S/N:
GENERATOR INSPECTION
5.0 AFTER RUN INSPECTION RESULTS / COMMENTS
GEN #1 GEN #2
PASS N/A FAIL PASS N/A FAIL
5.1 CHANGE PRIMARY FUEL FILTERS PRIMARY FILTERS CHANGED? YES NO N/A YES NO N/A
5.2 CHANGE SECONDARY FUEL FILTERS SECONDARY FILTERS CHANGED? YES NO N/A YES NO N/A
5.3 INSPECT AIR CLEANER ELEMENTS
5.4 INSPECT AIR INDUCTION SYSTEM
5.5 REPLACE WATER SEPARATOR ELEMENT WATER SEPARATOR ELEMENT REPLACED? YES NO N/A YES NO N/A
5.6 CHANGE COOLANT FILTERS COOLANT FILTERS CHANGED? YES NO N/A YES NO N/A
5.7 ADD COOLANT CONDITIONER COOLANT CONDITIONER ADDED? YES NO N/A YES NO N/A
5.8 LUBRICATE GOVERNOR LINKAGE GOVERNOR LINKAGE LUBRICATED? YES NO N/A YES NO N/A
5.9 CHANGE ENGINE OIL AND FILTERS ENGINE OIL AND FILTERS CHANGED? YES NO N/A YES NO N/A
5.10 VERIFTY GENERATOR IS IN AUTO IS GENERATOR IN AUTO? YES NO N/A YES NO N/A
5.11 GENERATOR CB POSITION: OPEN CLOSED OPEN CLOSED
INSPECTOR’S SIGNATURE: DATE:
Page 7 of 7 Rev:__________
Name of Property: Date:
ATS #1 Model: S/N:
ATS #2 Model: S/N:
ATS #3 Model: S/N:
ATS #4 Model: S/N:
ATS #5 Model: S/N:
ATS #6 Model: S/N:
TRANSFER SWITCH INSPECTION
6.0 TRANSFER SWITCH INSPECTION
N/A
ATS #1 ATS #2 ATS #3 ATS #4 ATS #5 ATS #6
6.1 VISUAL INSPECTION PA
SS
FA
IL
PA
6.1.1 VACUUM DUST AND DIRT FROM HOUSING
6.1.2 CHECK TERMINCAL CONNECTIONS
6.1.3 INSPECT SAFETY BARRIERS
6.1.4 INSPECT MAIN CONTACTS
6.1.5 INSPECT ARC CHUTES
6.1.6 INSPECT OPERATING MECHANISM
6.1.7 INSPECT METERING/DIGITAL DISPLAY
6.1.8 INSPECT CONTROL BOARDS
COMMENTS:
6.2 TIME DELAYS N/A ATS #1 ATS #2 ATS #3 ATS #4 ATS #5 ATS #6
6.2.1 TIME DELAY ENGINE START (TDES): SEC SEC SEC SEC SEC SEC
6.2.2 TIME DEALY NORMAL TO EMERGENCY (TDNE): SEC SEC SEC SEC SEC SEC
6.2.3 TIME DELAY PROGRAM TRANSITION (TDPT): SEC SEC SEC SEC SEC SEC
6.2.4 TIME DELAY EMERGENCY TO NORMAL (TDEN): MIN MIN MIN MIN MIN MIN
6.2.5 TIME DELAY ENGINE COOL-DOWN (TDEC): MIN MIN MIN MIN MIN MIN
COMMENTS:
6.3 EXERCISE CLOCK N/A ATS #1 ATS #2 ATS #3 ATS #4 ATS #5 ATS #6
6.3.1 DAY
6.3.2 WEEK
6.3.3 START TIME
6.3.4 DURATION
6.3.5 TEST: WITH / WITHOUT LOAD
COMMENTS:
6.4 AFTER OPERATION CHECKS N/A
ATS #1 ATS #2 ATS #3 ATS #4 ATS #5 ATS #6
6.4.1 SWITCH IN AUTO
6.4.2 PANEL LOCK / PROGRAM KEYSWITCH
Cover Sheet Rev: __________
Type of Inspection/Testing/Maintenance: Load Bank Annual 3-Year
Inspecting Firm:
Street Address:
City: State: Zip:
Phone: Fax:
Inspector Name:
Name of Property:
Street Address:
City: State: Zip:
Phone: Fax:
Designated Representative:
Gen #1 Manufacturer: Gen Model:
Gen Spec: Gen S/N: Gen CPL:
Engine Model: Engine S/N:
Fuel Type: Gasoline Diesel LPG CNG Rated KW: Rated KVA: Hour Meter:
Gen #2 Manufacturer: Gen Model:
Gen Spec: Gen S/N: Gen CPL:
Engine Model: Engine S/N:
Fuel Type: Gasoline Diesel LPG CNG Rated KW: Rated KVA: Hour Meter:
ATS #1 Model: Spec: S/N:
ATS #2 Model: Spec: S/N:
ATS #3 Model: Spec: S/N:
ATS #4 Model: Spec: S/N:
ATS #5 Model: Spec: S/N:
ATS #6 Model: Spec: S/N:
COMMENTS:
Attachment C Rev: __________
LOAD BANK TEST REPORT
Facility: Date:
Generator ID#: Model #:
NAMEPLATE DATA
KW: KVA: PF:
VOLTS: AMPS: HZ:
Generator shall be exercised with supplemental loads at not less than 50% of the EPS nameplate kW rating for 30 continuous minutes and at not less than 75% of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 1.5 continuous hours.
Load Rate 50%: (kW) = 50% of Nameplate Data
Load Rate 75%: (kW) = 75% of Nameplate Data
TIME
VOLTS AMPS
HZ HOURS
OIL
PRESS
WATER
TEMP KWA-B B-C C-A A B C
Technician: Signature:
(Print)
Gen #1
Attachment C Rev: __________
LOAD BANK TEST REPORT
Facility: Date:
Generator ID#: Model #:
NAMEPLATE DATA
KW: KVA: PF:
VOLTS: AMPS: HZ:
Generator shall be exercised with supplemental loads at not less than 50% of the EPS nameplate kW rating for 30 continuous minutes and at not less than 75% of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 1.5 continuous hours.
Load Rate 50%: (kW) = 50% of Nameplate Data
Load Rate 75%: (kW) = 75% of Nameplate Data
TIME
VOLTS AMPS
HZ HOURS
OIL
PRESS
WATER
TEMP KWA-B B-C C-A A B C
Technician: Signature:
(Print)
Gen #2
Cover Sheet Rev: __________
Type of Inspection/Testing/Maintenance: Load Bank Annual 3-Year
Inspecting Firm:
Street Address:
City: State: Zip:
Phone: Fax:
Inspector Name:
Name of Property:
Street Address:
City: State: Zip:
Phone: Fax:
Designated Representative:
Gen #1 Manufacturer: Gen Model:
Gen Spec: Gen S/N: Gen CPL:
Engine Model: Engine S/N:
Fuel Type: Gasoline Diesel LPG CNG Rated KW: Rated KVA: Hour Meter:
Gen #2 Manufacturer: Gen Model:
Gen Spec: Gen S/N: Gen CPL:
Engine Model: Engine S/N:
Fuel Type: Gasoline Diesel LPG CNG Rated KW: Rated KVA: Hour Meter:
ATS #1 Model: Spec: S/N:
ATS #2 Model: Spec: S/N:
ATS #3 Model: Spec: S/N:
ATS #4 Model: Spec: S/N:
ATS #5 Model: Spec: S/N:
ATS #6 Model: Spec: S/N:
COMMENTS:
Attachment D Rev: __________
4-HOUR LOAD BANK TEST REPORT
Facility: Date:
Generator ID#: Model #:
NAMEPLATE DATA
KW: KVA: PF:
VOLTS: AMPS: HZ:
Generator shall be exercised with supplemental loads at not less than 30% of the EPS nameplate kW rating for 3 continuous hours and at not less than 75% of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 4 continuous hours.
Load Rate 30%: (kW) = 30% of Nameplate Data
Load Rate 75%: (kW) = 75% of Nameplate Data
TIME
VOLTS AMPS
HZ HOURS
OIL
PRESS
WATER
TEMP KW A-B B-C C-A A B C
Technician: Signature:
(Print)
Gen #1
Attachment D Rev: __________
4-HOUR LOAD BANK TEST REPORT
Facility: Date:
Generator ID#: Model #:
NAMEPLATE DATA
KW: KVA: PF:
VOLTS: AMPS: HZ:
Generator shall be exercised with supplemental loads at not less than 30% of the EPS nameplate kW rating for 3 continuous hours and at not less than 75% of the EPS nameplate kW rating for 1 continuous hour for a total test duration of not less than 4 continuous hours.
Load Rate 30%: (kW) = 30% of Nameplate Data
Load Rate 75%: (kW) = 75% of Nameplate Data
TIME
VOLTS AMPS
HZ HOURS
OIL
PRESS
WATER
TEMP KW A-B B-C C-A A B C
Technician: Signature:
(Print)
Gen #2
CONTRACTORS PERFORMANCE CONDITIONS & RESPONSIBLITIES:
1. Contractor is responsible for reporting all taxes from wages earned under this contract to the appropriate State and Federal Agencies, provided the awardee is an individual.
2. Contractor is responsible for his/her own reliable transportation in the performance of the contract.
3. Contractor is responsible for Fringe Benefits and other benefits such as health, retirement, etc. for his/her employees, if other than self.
4. Contractor is responsible for maintaining satisfactory standards of competence, conduct, appearance and integrity. The quality of work performance of the contractor shall be subject to review.
5. Contractor is responsible for notifying the designated supervisor/director if he/she will be late, ill or unable to work for other reasons.
6. Contractor earns no leave and is compensated only for hours actually worked at the agreed compensatory rate.
7. Contractor is responsible for signing-in and signing-out of immediate work area, utilizing in-house system of accountability.
PROVISIONS AND CLAUSES INCORPORATED BY REFERENCE
52.252-1 -- Solicitation Provisions Incorporated by Reference (Feb 1998)
This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): https://www.acquisition.gov/far.
(End of Provision)
52.252-2 -- Clauses Incorporated by Reference (Feb 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://www.acquisition.gov/far.
(End of Clause)
I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Provisions and Clauses Incorporated by Reference
FAR
CITATION
PROVISION/CLAUSE TITLE PROVISION/
CLAUSE DATE
52.202-1 Definitions June 2020 52.203-3 Gratuities April 1984 52.203-7 Anti-Kickback Procedures June 2020 52.203-12 Limitation on Payments to Influence Certain Federal Transactions June 2020 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper May 2011 52.204-7 System for Award Management October 2018 52.204-9 Personal Identity Verification of Contractor Personnel January 2011 52.204-13 System for Award Management Maintenance October 2018 52.204-16 Commercial and Government Entity Code Reporting August 2020 52.204-17 Ownership or Control of Offeror August 2020 52.204-18 Commercial and Government Entity Code Maintenance August 2020 52.204-19 Incorporation by Reference of Representations and Certifications December 2014 52.212-1 Instructions to Offerors – Commercial Items November 2021 52.212-4 Contract Terms and Conditions – Commercial Items November 2021 52.217-8 Option to Extend Services November 1999 52.224-1 Privacy Act Notification April 1984 52.224-2 Privacy Act April 1984 52.225-13 Restrictions on Certain Foreign Purchases February 2021 52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities or
Transactions Relating to Iran – Representations and Certifications June 2020
52.232-39 Unenforceability of Unauthorized Obligations June 2013 52.232-40 Providing Accelerated Payments to Small Business Subcontractors December 2013 52.237-7 Indemnification and Medical Liability Insurance January 1997 52.247-34 F.o.b. – Destination November 1991 52.253-1 Computer Generated Forms January 1991 https://www.acquisition.gov/far https://www.acquisition.gov/far
PROVISIONS AND CLAUSES IN FULL TEXT
II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Provisions and Clauses in Full Text
FAR
CITATION
PROVISION/CLAUSE TITLE PROVISION/
CLAUSE DATE
52.204-21 Basic Safeguarding of Covered Contractor Information Systems November 2021
52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services and Equipment
November 2021
52.209-5 Certification Regarding Responsibility Matters August 2020
52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law
February 2016
52.212-3 Offeror Representations and Certifications -- Commercial Items May 2022 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive
Orders -- Commercial Items May 2022
52.223-99 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors. October 2021 52.232-19 Availability of Funds for the Next Fiscal Year April 1984
52.204-21 Basic Safeguarding of Covered Contractor Information Systems.
As prescribed in 4.1903 , insert the following clause:
BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (NOV 2021)
(a) Definitions. As used in this clause—
Covered contractor information system means an information system that is owned or operated by a contractor that processes, stores, or transmits Federal contract information.
Federal contract information means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public websites) or simple transactional information, such as necessary to process payments.
Information means any communication or representation of knowledge such as facts, data, or opinions, in any medium or form, including textual, numerical, graphic, cartographic, narrative, or audiovisual (Committee on National Security Systems Instruction
(CNSSI) 4009).
Information system means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information (44 U.S.C. 3502).
Safeguarding means measures or controls that are prescribed to protect information systems.
(b) Safeguarding requirements and procedures.
(1) The Contractor shall apply the following basic safeguarding requirements and procedures to protect covered contractor information systems. Requirements and procedures for basic safeguarding of covered contractor information systems shall include, at a minimum, the following security controls:
https://www.acquisition.gov/far/part-4#FAR_4_1903 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3
(i) Limit information system access to authorized users, processes acting on behalf of authorized users, or devices (including other information systems).
(ii) Limit information system access to the types of transactions and functions that authorized users are permitted to execute.
(iii) Verify and control/limit connections to and use of external information systems.
(iv) Control information posted or processed on publicly accessible information systems.
(v) Identify information system users, processes acting on behalf of users, or devices.
(vi) Authenticate (or verify) the identities of those users, processes, or devices, as a prerequisite to allowing access to organizational information systems.
(vii) Sanitize or destroy information system media containing Federal Contract Information before disposal or release for reuse.
(viii) Limit physical access to organizational information systems, equipment, and the respective operating environments to authorized individuals.
(ix) Escort visitors and monitor visitor activity; maintain audit logs of physical access; and control and manage physical access devices.
(x) Monitor, control, and protect organizational communications (i.e., information transmitted or received by organizational information systems) at the external boundaries and key internal boundaries of the information systems.
(xi) Implement subnetworks for publicly accessible system components that are physically or logically separated from internal networks.
(xii) Identify, report, and correct information and information system…
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