S02_Attachment 1_PWS_Backflow Testing.docx

PERFORMANCE WORK STATEMENT

Central Western Mass VAMC Backflow Prevention Device Testing

1. GENERAL:

The Edward P. Boland VAMC is required to test backflow preventer devices annually; and by a Certified Backflow Preventer Device Tester (310 CMR 22.22 (13)a). Provide professional services to include all labor, transportation, materials, apparatus, tools, equipment and permits necessary to test and repair all backflow prevention devices at Central Western Massachusetts VAMC (421 N Main St, Leeds, MA 01053) and 6 Cherry St, Northampton, MA 01053. A contract shall be awarded for a base year (12 months) with (4) potential annual option years to be exercised at the discretion of the Contracting Officer.

2. PROJECT SCOPE OF WORK

a. All tests will be performed by a certified backflow tester. With each device that is tested the tester will prepare a paper copy of the test report to be left with the site point of contact. Example test form in Attachment A. Each report shall include the device location, serial number, tester’s name, signature, test date, and test results.

b. This requirement shall include a repair line.

c. Any operational issues that cannot be immediately repaired and retested, shall be communicated to the facility POC, a repair and retesting plan shall be communicated within 24 hours, including a quote for the repairs. Regulations require the repair and re-test of defective devices be completed within seven calender days of the failed test.

d. In the event of a backflow failure, the VA will reach out for a test and repair plan. The Contractor will respond within 24 hours to provide a service date. If repairs are required, the Contractor will provide a repair quote within 24 hours. Following a repair the Contractor will provide a test report (e.g., attachment A).

e. Work will be in accordance with applicable VHA, OSHA, EPA, and Mass DEP standards and regulations.

f. See the list of backflow prevention devices to be tested below and it’s respective location, size, model and serial number. The VA reserves the right to add additional backflow test locations throughtout the life of this requirement at an additional cost.

Upper (01)-S/N:UJ-0330 Lower (02)-S/N:UJ-0324

Upper (01)-S/N: UJ-0320 Lower (02)- S/N: UJ-0260

Upper (01)-S/N: UJ-0256 Lower (02)- S/N: UJ-0254

Upper (01)- S/N: UJ-0258 Lower (02)- S/N: UJ-0294

Upper (01)- S/N: UJ-0302 Lower (02)- S/N: UJ-0296

S/N: UJ-0290

Upper (01) S/N: UJ-1255 Lower (02)- S/N: UJ-1261

Upper (01) S/N: UJ-0298 Lower (02)-S/N:UJ-0300

Upper (01)- S/N:163551 Lower (02)- S/N:163555

Upper (01)- S/N: UJ-0322 Lower (02)- S/N: UJ-0252

Upper (01) - S/N:163557 Lower (02)- S/N:163620

Upper (01) - S/N: UJ-0326 Lower (02)- S/N: UJ-0292

S/N:210691

S/N: UJ-2128

S/N:163552

S/N: UJ-2184

S/N: UJ-0328

S/N:210686RP

S/N:163558

S/N:26619

16-1 S/N: UL-2149

16-2 S/N: UL-2109

S/N:169139

S/N:26606

S/N:163545

Upper (01)- S/N: UJ-2180 Lower (02)- S/N: UJ-2128

S/N:163556

Upper (01)- S/N:26609 Lower (02)- S/N:26594

3. SUBMITTALS

a. At the time of bidding, the Contractor will submit to VACWM of all materials to be used, including MSDS sheets. Credentials of all technicians performing the testing and repair will be provided to VACWM POC 2 weeks prior to initiation of testing and repair.

4. CODE REQUIREMENTS

a. All work will be done in accordance with OSHA requirements. In the event the VA POC identify issues with safety, the work will be stopped until the issues are addressed.

5. Work Location and Restrictions:

a. Testing will be coordinated 7 calendar days in advance of the planned work. Any required shutdowns will be planned at least 72 hours in advance of the planned work.

b. All work will be done between the hours of 7:00AM to 3:30PM EST Monday through Friday, or weekends, holidays excepted, unless other times are arranged in advance and approved in writing by the POC and no additional charges are accrued.

c. When the Contractor’s work interferes with hospital functions, such as when work produces excessive noise, odors, dust, utility service interruptions, or other interferences with normal hospital operations that cannot be contained within the area of work, the Contractor will schedule said work at other than normal hours and as directed by the facility POC at no additional cost to the Government.

6. ARRIVAL (CHECK-IN/CHECK-OUT) REQUIRMENTS:

a. The certified tester shall report to the facility POC to check-in/check-out. This check-in/check-out is mandatory.

b. At the time of departure, provide all test reports to the facility POC.

c. Work sites shall be left in the same manner of cleanliness and order in which they were found.

7. IDENTIFICATION, PARKING, SMOKING AND VA REGULATIONS:

a. The Contractor shall wear visible identification at all times while on the premises of the VAMC.

b. It is the responsibility of the Contractor to park in the appropriate designated parking areas. The VAMC will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

c. The Department of Veterans Affairs is a smoke free environment and smoking is not permitted at the facility.

d. All Contractor personnel are subject to inspection of personal effects when entering or leaving the project site and shall have state ID and an appropriate form of commercial identification.

e. Possession of illicit drugs, alcohol, and weapons are prohibited. Enclosed containers, including tool kits, shall be subject to search.

f. Proper PPE shall be worn, as necessary to the task being performed and/or the area, where work is being conducted.

g. COVID-19 Precautions:

1. Surgical Masks are required to be worn while in buildings. See internal VA COR for precaution updates prior to arrival on station.

2. COVID-19 precautions can potentially change at any time; Contractors shall be required to follow all current COVID-19 regulations.