S02_Attachment 01 Final Statement of Work with NARA Language and TMS Training RFO.pdf

636A6-26-102 – Repair Building 2 Condensate Leak

FY 26

Statement of Work (SOW)

VA Central Iowa Health Care System

3600 30th St, Des Moines, IA 50310

PROJECT: Repair Building 2 Condensate Leak

PROJECT NO.: 636A6-26-102

1. GENERAL DESCRIPTION OF WORK

1.1. The Contractor shall furnish all labor, materials, equipment, supervision, and incidentals necessary to remove and replace compromised steam condensate piping segments located in the basement of Building 2 at the VA Central Iowa Health Care System (VACIHCS), restoring reliable condensate return service across the affected areas in accordance with Section 6: General Requirements of the SOW.

1.2. The period of performance is one hundred twenty (120) calendar days from the Notice to Proceed (NTP). This duration includes material lead time, mobilization, phasing, and validation testing in accordance with related VA standards, directives, and specifications.

The on-site phased construction described in Section 5 shall be completed within sixteen

(16) continuous weeks unless modified by the Contracting Officer (CO) and Contracting Officer’s Representative (COR).

2. PROBLEM STATEMENT

2.1. A leak is present in the steam condensate piping routed within trenching beneath linoleum flooring in the basement of Building 2 at VACIHCS (3600 30th St, Des Moines, IA 50310).

3. SCOPE

3.1. Provide construction services to demolish, remove, and replace compromised steam condensate piping segments, including trenching, backfilling, floor restoration, infection control measures, safety controls, validation testing, and commissioning as specified herein and in Section 6: General Requirements references of the SOW.

4. BACKGROUND

4.1. The compromised condensate piping totals approximately two hundred sixty (260) linear feet and traverses the following services within the basement: Sterile Processing Service (SPS), Nutrition and Food Service (NFS), Environmental Management Service (EVS), and Logistics. The piping is installed within trenching beneath linoleum flooring.

4.2. To minimize operational impact, replacement shall be executed in phases as detailed in Section 5. Approximate phase lengths:

• Phase 1: ~50 linear feet

• Phase 2: ~74 linear feet

• Phase 3: ~82 linear feet

• Phase 4: ~48 linear feet

4.3. Phased/active construction is limited to sixteen (16) weeks total: Phase 1 (4 weeks), Phase 2 (three weeks), Phase 3 (three weeks), and Phase 4 (six weeks).

4.4. Activities shall comply with Section 6: General Requirements references of the SOW.

5. PHASING SCHEDULE AND CONTRACT DELIVERABLES

5.1. Initial Schedule Submittal

5.1.1. Within seven (7) calendar days of the NTP, submit a detailed project schedule in PDF via email to the COR covering demolition, installation, testing, and closeout, in accordance with 01 33 23 and 01 00 00.

5.1.2. Materials & Submittals Checklist. Submit a completed Materials & Submittals Checklist (Attachment A) aligned with 01 33 23, identifying all products, shop drawings, samples, certificates, test plans, and schedules required for the work. Indicate lead times and critical path items.

NOTE: Attachment A summarizes submittals that shall be provided to the COR. Any related and applicable submittals referenced within Section 6: General Requirement references shall be provided by the Contractor.

5.2. Phase 1 (Weeks 1–4): Relocation, Containment, Trenching/Replacement, Restoration

5.2.1. Week 1 – Relocation and Contractor Laydown Space Preparation

• Isolate contactor laydown space to be in accordance with applicable construction laydown fencing specifications within Section 6: General Requirement references (01 00 00).

• Relocate medical supplies and equipment from Rooms B009, B009A, B009B, B009C, and B015 to Room B021. The Contractor is responsible for safeguarding station-owned materials/equipment during relocation (01 00 00). The Contractor shall coordinate with the COR to minimize impact to operations.

5.2.2. Week 2 – Infection Control & Containment; Demolition/Trenching

• Install infection control barriers (e.g., STARC modular walls or approved equal) isolating the Phase 1 work area from operational hospital spaces. Contractor shall maintain ADA-compliant walkway widths. Contractor shall maintain negative pressure with HEPA-filtered exhaust vented to exterior openings; verify exhaust placement with COR before demolition. Seal supply air diffusers, return air grilles, and exhaust grilles within construction zones. Provide zip-seal access to any mechanical spaces isolated within the zone for VA maintenance (01 35 26; 01 00 00).

• Pre-Demolition Verification: Confirm via email with the COR that fire suppression systems and steam/condensate systems within the work zone are isolated or shut down prior to demolition activities (01 00 00).

• Expose and remove compromised steam condensate piping extending across hallway C004/C005. If suspect asbestos-containing material (ACM) is encountered, comply with 02 82 11 Traditional Asbestos Abatement.

5.2.3. Weeks 3–4 – Installation, Restoration, Pre-Turnover

• Installation: Install new steam condensate piping with associated tie ins and accessories related with the Phase 1 work area in accordance with 23 21 13 Hydronic Piping and 33 63 00 Steam Energy Distribution; coordinate submittals and permitting per 01 33 23.

• Restoration: Backfill trenches, provide infill as applicable, and replace flooring to match existing in pattern, color, and material (01 00 00).

• Pre-Turnover Walk-Through: Conduct a walk-through with the COR to confirm operational readiness prior to barrier removal.

5.3. Phase 2 (Weeks 5–7): Containment, Trenching/Replacement, Restoration

5.3.1. Week 5 – Infection Control & Containment; Demolition/Trenching

• Implement infection control/containment measures as in Phase 1 (01 35 26; 01 00 00).

• Trench and remove compromised piping and associated accessories extending from B007, B009A, B009, B009C, terminating at the steam tunnel (02 41 00; 01 00 00).

5.3.2. Weeks 6–7 – Installation, Restoration, Pre-Turnover

• Install new steam condensate piping per 23 21 13 and 33 63 00;

submittals/permitting per 01 33 23. Use the same safeguards as applicable from Phase 1.

• Backfill trenches and restore flooring to match existing (03 30 00; 01 00 00).

• Conduct pre-turnover walk-through with COR.

5.4. Phase 3 (Weeks 8-10): Containment, Trenching/Replacement in Hallway C003, Restoration

5.4.1. Week 8 – Infection Control & Containment; Demolition/Trenching

• Implement infection control/containment measures as in Phase 1 (01 35 26; 01 00 00).

• Trench and remove compromised piping in Hallway C003 from approximately three (3) feet outside the Room B009 entrance, terminating prior to the entrance of Room B030. Maintain safe, accessible entry to Room B030 at all times (02 41 00; 01 00 00).

5.4.2. Weeks 9-10 – Installation, Restoration, Pre-Turnover

• Install new steam condensate piping and connect gravity fed tie-ins (estimated at 3 lines) per 23 21 13 and 33 63 00; submittals/permitting per 01 33 23.

• Backfill trenches and restore flooring to match existing (01 00 00).

• Conduct pre-turnover walk-through with COR.

5.5. Phase 4 (Weeks 11-16): Containment, Trenching/Replacement (Hallway C003 Continuation), Restoration, and Validation Testing

5.5.1. Week 11 – Infection Control & Containment; Demolition/Trenching

• Implement infection control/containment measures as in previous phases (01 35 26; 01 00 00).

• Trench and remove piping in Hallway C003 from the Phase 3 termination point to the entrance of Room B037 (02 41 00).

5.5.2. Weeks 12-13 – Installation, Restoration, Pre-Turnover, Testing

• Install new steam condensate piping per 23 21 13 and 33 63 00;

submittals/permitting per 01 33 23.

• Backfill trenches and restore flooring to match existing (01 00 00).

• Conduct pre-turnover walk-through with COR.

5.5.3. Weeks 14-15 – Installation, Restoration, Pre-Turnover, Testing

• Perform validation testing (pressure/leak tests, flushing, and functional checks) in accordance with 23 21 13 Hydronic Piping, 33 63 00 Steam Energy Distribution, and 01 45 29 Testing Laboratory Services. Provide test reports consistent with 01 45 29.

• Move previously relocated medical supplies from B021 to their original location in B009, B009A, B009B, B009C, and B015.

5.5.4. Week 16 – Project Closeout

• Submit and return project closeout documentation and/or submittals in accordance with Section 6: General Requirement references and applicable VA standards, directives, and policies.

6. GENERAL REQUIREMENTS (APPLICABLE SPECIFICATIONS)

6.1. The Contractor shall comply with all applicable specifications and requirements listed below. Conflicts or clarifications shall be addressed via email between the Contractor and COR with the CO cc’d; direction is issued only by the CO. Each specification will be provided as an attachment to this solicitation.

6.1.1. PG 18-1 Master Construction Specifications, 01 00 00 General Requirements

6.1.2. PG 18-1 Master Construction Specifications, 01 33 23 Shop Drawings, Product Data, and Samples

6.1.3. PG 18-1 Master Construction Specifications, 01 35 26 Safety Requirements

6.1.4. PG 18-1 Master Construction Specifications, 01 42 19 Reference Standards

6.1.5. PG 18-1 Master Construction Specifications, 01 45 29 Testing Laboratory Services

6.1.6. PG 18-1 Master Construction Specifications, 01 74 19 Construction Waste Management

6.1.7. PG 18-1 Master Construction Specifications, 02 41 00 Demolition

6.1.8. PG 18-1 Master Construction Specifications, 02 82 11 Traditional Asbestos Abatement

6.1.9. PG 18-1 Master Construction Specifications, 02 82 13.19 Asbestos Floor Tile and Mastic Abatement

6.1.10. PG 18-1 Master Construction Specifications, 03 30 00 Cast-In-Place Concrete

6.1.11. PG 18-1 Master Construction Specifications, 22 05 11 Common Work Results for Plumbing

6.1.12. PG 18-1 Master Construction Specifications, 23 05 10 Common Work Results for Boiler Plant and Steam Generation

6.1.13. PG 18-1 Master Construction Specifications, 23 21 13 Hydronic Piping

6.1.14. PG 18-1 Master Construction Specifications, 23 22 13 Steam and Condensate Heating Piping

6.1.15. PG 18-1 Master Construction Specifications, 33 63 00 Steam Energy Distribution

6.2. Within five (5) calendar days of NTP, coordinate dumpster placement and approved access/egress routes for Contractor and subcontractor personnel via email with the COR (01 00 00).

6.3. Contractor and subcontractor employees shall conduct themselves professionally at all times while on VA CIHCS property; the Contractor shall ensure compliance with facility rules for behavior and conduct (01 00 00).

6.4. Employees’ clothing and shoes shall be clean before entering VA CIHCS and upon leaving the work site. Closed-toe shoes, long pants, and shirts covering shoulders and upper arms are required (01 35 26; 01 00 00).

6.5. Physical or verbal misconduct may result in removal from VA CIHCS property and/or arrest by VA Police. The Contractor shall not be entitled to compensation for delays or costs resulting from employee misconduct and may be held responsible for Government costs incurred (01 00 00).

6.6. Tobacco use is prohibited on all VA property (01 00 00).

6.7. The Contractor is responsible for all demolition, removal, and legal disposal of materials. Do not allow debris to accumulate on site. See 01 74 19 for requirements regarding segregation, tracking, recycling, and disposal.

6.8. The VA will not be responsible for storage of equipment, materials, or tools (01 00 00).

Contact the project COR for details on the potential for an approved laydown area within the first three (3) calendar days following the Notice to Proceed.

6.9. The Contractor shall assess working conditions and include in the bid any specialty equipment, training, additional time, personnel, or safety equipment necessary to perform the work safely and in compliance with applicable local, state, and federal regulations (01 00 00; 01 35 26).

6.10. Within five (5) calendar days of NTP, attend a kickoff meeting. Discuss the ILSM and ICRA plans; post approved plans at the job site (01 35 26). Provide lead times, phasing plan, and schedule aligned with Section 5. Submit the formal schedule within seven (7) calendar days after the kickoff for COR approval (01 00 00; 01 33 23). If the schedule changes, notify the COR via email within two (2) working days.

6.11. Five (5) calendar days prior to starting work in each phase area, notify the COR via email (01 00 00).

6.12. Competent Person (CP) Designation

• In accordance with 29 CFR 1926.20(b)(2), RFO 52.236-6, and 01 35 26, designate in writing an OSHA-certified Competent Person (CP) with continuous oversight whenever Contractor or subcontractor personnel are on site. Include name, contact information, qualifications, proof of OSHA 30-hour Construction Safety training within the past five (5) years, and authority to implement corrective actions. The CP shall be present on site whenever work occurs. The CO/COR may reject a CP who does not meet 01 35 26 requirements.

6.13. Job Hazard Analyses (JHAs)

• Prior to beginning work in any phase and before any new task that introduces additional hazards, develop and submit JHAs in compliance with 01 35 26. Each JHA shall include task steps, identified hazards (e.g., hot condensate, trenching, silica, noise, energized systems), required controls (engineering/administrative/PPE), emergency procedures (steam isolation, utility control, fire watch, access restrictions, evacuation), and responsible parties. Review JHAs with all workers prior to task start and update as conditions change.

6.14. Safety Data Sheets (SDS)

• Maintain current SDS for all chemicals and materials brought onto VA CIHCS property in accordance with 01 35 26, 29 CFR 1910.1200 (HazCom), and 01 00 00. Submit SDS to the COR before materials arrive on site; maintain accessible hard copy and digital SDS on site; train workers on hazards and PPE; include SDS in closeout where applicable.

Unapproved chemicals shall not be used.

6.15. Permits and Notifications

• Obtain all required permits and notifications in accordance with 01 41 00 Regulatory Requirements, including but not limited to hot work permits, confined space entry authorizations, utility shutdown notices, demolition notifications, asbestos disturbance notifications (if applicable), and environmental/waste-handling permits per 01 74 19. Issue required notifications (steam shutdown, fire suppression impairment, egress modification, utility isolation) to the COR no fewer than five (5) calendar days before work begins in each phase. No demolition, utility isolation, or barrier removal may occur without written COR approval.

6.16. Infection Control Risk Assessment (ICRA) Plan

• Prepare and submit an ICRA Plan per 01 35 26. Identify barrier systems (e.g., STARC or approved equal), pressure differentials, negative-air requirements, HEPA filtration specifications and exhaust routing to exterior, sealing of supply/return/exhaust grilles, worker entry/exit paths, equipment staging, waste removal routes, daily housekeeping standards, dust-control procedures, ADA-compliant egress, and methods for maintaining separation from SPS, NFS, EMS, and Logistics operations. Post the approved ICRA plan at the construction site at all times.

6.17. Interim Life Safety Measures (ILSM) Plan

• Develop and implement an ILSM Plan in accordance with 01 35 26. Address temporary obstructions/modifications of exit pathways, fire watch procedures during impairment of fire suppression or alarm systems, signage/lighting/visibility requirements for temporary exits, protection of rated barriers and penetrations, procedures for hot work, alarms, sprinkler impairment, emergency access, and inspection/documentation frequency.

Review the plan at the kickoff meeting and obtain COR approval prior to barrier installation or construction activities.

7. SAFETY

7.1. Prior to commencing work, provide proof that an OSHA-certified “Competent Person (CP)” per 29 CFR 1926.20(b)(2) will supervise all work and maintain a continual on-site presence whenever Contractor or subcontractors are present. Per RFO 52.236-6, maintain a competent superintendent satisfactory to the CO with authority to act for the Contractor (01 35 26).

7.2. The CP shall have completed OSHA 30-hour Construction Safety training within the past five (5) years; all other construction workers shall have at least OSHA 10-hour training (01 35 26).

8. PHASING SCHEDULE CHANGES

8.1. Deviations from the agreed phasing schedule require prior email approval from both the CO and COR (01 33 23; 01 00 00).

9. SCHEDULES

9.1. Submit the project schedule within seven (7) calendar days of NTP (PDF via email to COR), with sufficient detail for tracking demolition, installation, validation testing, and closeout, per 01 33 23.

9.2. Primary work hours are 7:00 a.m. to 3:30 p.m. Central Time (CT). Work outside normal hours shall be clearly identified in the schedule and approved by the COR prior to commencement (01 00 00).

9.3. Include a closeout milestone for the PE-stamped redline record document (see Section 13.4) in the project schedule to ensure timely preparation at project completion (01 33 23).

10. PROJECT REPORTING

10.1. Use Submittal Exchange (preferred) or a functionally equivalent platform that does not require the Government to purchase software for submittals and document sharing (01 33 23).

10.1.1. Provide a weekly report covering the prior week’s activities to the COR no later than 10:00 a.m. CT each Monday. At a minimum, include:

• Safety/environmental incidents (01 35 26).

• Construction schedule update:

– Calendar schedule showing planned vs. actual progress.

– Discussion of deviations from the approved schedule.

– Remedies or planned actions to rectify deviations.

– Forecast of concerns or obstacles that may impact schedule/phasing.

– Work planned for the current week.

(Reference 01 33 23 and 01 00 00.)

11. SITE INVESTIGATION

11.1. The VA will hold a pre-bid meeting with access to work areas and explanation of scope requirements. Attendance is strongly encouraged but not mandatory. No questions will be answered during the meeting. All questions must be submitted as RFIs through the CO. Only written RFI responses issued by the CO constitute official direction (01 00 00).

Additional walk-throughs outside of the pre-bid meeting will not be allowed.

12. SECURITY

12.1. Contractor personnel shall obtain badges prior to work and wear them at all times while on VA premises. The General Contractor is responsible for obtaining, accounting for, and returning all badges issued to employees, subcontractors, and visitors.

Lost/misplaced/unreturned badges may incur charges (01 00 00).

13. CONSTRUCTION DRAWINGS AND SPECIFICATIONS

13.1. Provide the Government two (2) complete electronic sets of as-built/record drawings to the COR within fifteen (15) calendar days after each completed phase and again after final acceptance. Any deviation from the original plan must be approved prior to change and reflected in record documents (01 00 00).

13.2. Include all testing documentation and reports in the closeout package per 01 45 29 and related Section 6: General Requirement references.

13.3. Redline Document (Post-Construction PE-Stamped). After all construction activities have been completed and prior to final acceptance, provide a PE-stamped redline markup comparing the final installed conditions with the original Government-provided Statement of Work. The redline shall clearly identify deviations, clarifications, or execution-level adjustments made during construction. Submit the redline at project closeout with the as-built/record drawings.

14. RECYCLING REQUIREMENT

14.1. Remove and recycle all recyclable materials; minimize landfill waste. Provide a recycling report listing the type and weight of materials recycled. Removal of all recyclables and landfill waste is the Contractor’s responsibility, per 01 74 19 Construction Waste Management.

15. RECORDS MANAGEMENT LANGUAGE FOR CONTRACTS REQUIRED

The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract:

15.1. Citations to pertinent laws, codes, and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

15.2. Contractor shall treat all deliverables under the contract as the property of the U.S.

Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

15.3. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

15.4. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

15.5. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

15.6. The Government Agency owns the rights to all data/records produced as part of this contract.

15.7. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

15.8. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

15.9. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

15.10. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.

16 TMS (Course Number 20939) and Instructions

16.1 VA Identity and Access Management System (IAM)

16.2 Contractor will be required to comply with any training requirements as necessary.

Currently, course number TMS 20939 - VA Privacy Training for Personnel without Access to VA Computer Systems or Direct Access to or the Use of VA Sensitive Information is required.

Employees will be required to sign stating that the training has been completed.

17. ATTACHMENTS

17.1 Attachment A – Materials and Submittals Checklist

17.2. Attachment B — Professional Engineer (PE) Stamp Cover Sheet Template https://ssologon.iam.va.gov/centrallogin/Default.aspx?appname=core&URL=https://ssologon.iam.va.gov/centrallogin/core/redirect.aspx&TYPE=33619969&REALMOID=06-345d7582-c96e-4888-9e5f-6e86468bf060&GUID=&SMAUTHREASON=0&METHOD=GET&SMAGENTNAME=-SM-JDZx1AxYAhQguyl0rfvd%2f5f46jynE%2bEoBtr6BQQU4NWuWIwCZNPIPHj210fDMxqs&TARGET=-SM-HTTPS%3a%2f%2flogon%2eiam%2eva%2egov%2faffwebservices%2fredirectjsp%2fredirect%2ejsp%3fSPID%3dhttps%3a%2f%2fwww%2esuccessfactors%2ecom%2fVAHCM03%26SMPORTALURL%3dhttps-%3A-%2F-%2Flogon%2eiam%2eva%2egov-%2Faffwebservices-%2Fpublic-%2Fsaml2sso%26SAMLTRANSACTIONID%3d2111fae1--fa76d561--5861d3d4--a80fd7a0--e52da720--ac

Attachment A: Materials and Submittals Checklist

A. Administrative / Planning (01 33 23, 01 00 00, 01 35 26)

• Project Schedule (baseline + phasing; include closeout redline milestone) — 01 33 23

• ICRA Plan — barrier type, air changes, negative pressure, HEPA exhaust routing — 01 35 26

• ILSM Plan — egress, fire watch, compartmentation, signage — 01 35 26

• Site Logistics Plan — dumpster location; access/egress routes — 01 00 00

• Work Hours Plan — normal/outside-hours tasks requiring COR approval — 01 00 00

• Utility Shutdown Plan — isolation procedures for steam/condensate; fire suppression

— 01 00 00

• Badging Roster & Training Matrix — OSHA 10/30 documentation — 01 35 26

• Safety Plan — CP designation, JHAs, SDS — 01 35 26

• Permits/Notifications — hot work; confined space; demolition; asbestos (if applicable)

B. Piping System — Product Data & Shop Drawings (23 21 13, 33 63 00)

• Condensate Pipe — material, schedule, size range, compliance — 23 21 13

• Fittings & Joints — type (welded/soldered/mechanical), pressure ratings — 23 21 13

• Unions/Couplings — service rating, materials — 23 21 13

• Valves — isolation/check/balance; trims; pressure/temperature ratings — 23 21 13

• Strainers — mesh size; blow-down provision — 23 21 13

• Supports/Hangers/Anchors — spacing; load calcs; seismic details — 23 21 13

• Guides/Expansion Provisions — thermal movement details — 23 21 13; 33 63 00

• Insulation & Jacketing — type/thickness; vapor barrier (condensate service) — 23 21

• Piping Layout Shop Drawings — plan/profile; elevations; hanger points; expansion;

penetrations — 01 33 23; 23 21 13

• Penetrations/Firestopping — UL systems; submittals — 01 00 00

C. Demolition & Temporary Works (02 41 00, 02 82 11, 01 35 26)

• Demolition Plan — trenching method; selective demo limits — 02 41 00

• Asbestos Protocol (if present) — abatement plan; chain-of-custody — 02 82 11

• Temporary Barriers — STARC or approved equal product data — 01 35 26

• Negative Air Machines — HEPA rating; airflow capacity; filtration stages — 01 35 26

• Sealants/Tapes — grille seals; dust control — 01 35 26

D. Restoration (03 30 00, 01 00 00)

• Backfill Materials — type; compaction requirements — 03 30 00; 01 00 00

• Concrete Infill — mix design; placement/finishing — 03 30 00

• Flooring Replacement — product data; samples matching existing pattern/color/material; transitions — 01 00 00

E. Testing & QA/QC (01 45 29, 23 21 13, 33 63 00)

• Piping Test Plan — methods (hydrostatic/pneumatic as applicable); pressures;

durations — 23 21 13; 33 63 00

• Instrumentation — calibration certificates — 01 45 29

• Flush & Clean Procedures — methods; acceptance criteria — 23 21 13

• Functional Checks — steam traps operation; drainage return — 33 63 00

• Test Reports — formatted per 01 45 29; include in closeout

F. Waste & Closeout (01 74 19)

• Construction Waste Management Plan — segregation/recycling methods — 01 74 19

• Recycling Report — type and weight of materials recycled — 01 74 19

• As-built/Record Drawings — electronic sets after each phase and final — 01 00 00;

• Final PE-stamped Redline Record — per Section 13.4 — 01 33 23

Attachment B: Professional Engineer (PE) Stamp Cover Sheet Template

PROJECT: VA Central Iowa Health Care System — Repair Building 2 Condensate Leak

PROJECT NO.: 636A6-26-102

LOCATION: 3600 30th St, Des Moines, IA 50310

DOCUMENT: Redline Comparison — Original Government SOW vs. Final Executed Conditions

REDLINE DATE: [MM/DD/YYYY]

PREPARED BY: [Contractor/Engineer Firm Name]

REVIEWED BY (PE): [Full Name], [Discipline], PE

PE LICENSE NO.: [State of Iowa License #]

LICENSE STATE: Iowa

PE CONTACT: [Email] | [Phone]

Statement of Professional Review:

I, the undersigned, a duly licensed Professional Engineer in the State of Iowa, have reviewed the attached redline comparison of the Statement of Work for technical accuracy and conformance to applicable codes, standards, and specifications identified in Section 6 of the SOW (including but not limited to 01 00 00, 01 33 23, 01 35 26, 01 41 00, 02 41 00, 23 21 13, and 33 63 00). Based on my review, I concur that the final executed conditions are technically aligned with the original scope and comply with the referenced requirements to the best of my professional knowledge.

Scope of Review Limitations:

This concurrence pertains to the SOW technical content; detailed engineering calculations, product selections, and shop drawings are subject to separate review/approval processes per 01 33 23 and 01 41 00.

PE Signature: Date:

[Affix PE Stamp per Iowa Board Requirements]