S02. SOW.pdf

STATEMENT OF WORK (SOW)

as of 2/04/2022

Contract Number: To be determined.

Task Order Number: TBD

IFCAP Tracking Number: 757-22-2-639-0239

Follow-on to Contract and Task

Order Number:

Not Applicable

1. Contracting Officer’s Representative (COR).

Name: Can Van

Section: Engineering

Address: 420 North James Road, Columbus, OH 43219

Phone Number: 614-257-5309

Fax Number: 614-257-5312

E-Mail Address: Can.Van@va.gov

2. Contract Title. OR Flooring Replacement

3. Background.

Due to damage, wear and tear, difficulty to clean, and lack of slip resistance of the existing epoxy flooring in the Surgery department O.R.’s, the Chalmers P. Wylie VA Ambulatory Care Center would like to replace existing flooring. This will create a clean, seamless, slip resistant floor system to support patient care and staff workflow. See below for list of rooms included.

4. Scope.

Labor, materials, and equipment to complete the following: Fill and level over existing flooring and base. Prep floors.

Furnish and install adhesive, heat-welded sheet vinyl Patcraft Holistic 1422V Echo 00120 & Sheer 00535 and integral cove base. See attached Specification 096516 Resilient Sheet Flooring.

Minimize damage to walls. Patch and paint if necessary is the responsibility of the VA.

Installation to be completed by no later than June 30th, 2022.

Areas to be completed are as follows:

2B181 Major O.R.

2B183 O.R.

2B171 Crysto/ O.R.

2B173 O.R.

Installation is to take place at the Chalmers P. Wylie VA Ambulatory Care Center (VAACC) (420 N James Rd, Columbus, OH 43219). If any of the flooring is unacceptable at the time of installation and needs to be replaced it is the contractor’s responsibility to coordinate install with the VAACC’s Contracting Officer’s Representative (COR). The contractor must provide product listed, equal to, or better.

There is access to a loading dock and service elevator.

5. Specific Tasks.

Products Specified:

• Patcraft Holistic 1422V Echo 00120

• Patcraft Holistic 1422V Sheer 00535

• Transition strips as needed, TBD. Must present options to COR for approval.

• Resilient sheet flooring adhesive Shaw Patcraft 4151 UNIVERSAL PERFORMANCE ADHESIVE

• See attached “Salient Characteristics”.

Installation:

Installation method must match the layout shown in the attached drawing. Must be reviewed during required on-site visit.

Installation will take place in the 2nd floor Surgery department rooms after regular business hours. The work must occur between 5:00pm and 11:00 pm on Friday and 8:00 am - 5:00 pm Saturday and Sunday, excluding all Federal Holidays.

The schedule MUST be coordinated in advance with the COR.

The installation schedule will need broken down into multiple phases as determined by the contractor and COR and agreed upon by the COR.

All tools, equipment, and materials must be delivered at the beginning of the installation and completely removed from the work site, following the installation of each phase– the VAACC will not store any items for any reason. The flooring must be inspected for quality, damages, and workmanship issues following each phase of installation and the contractor is expected to replace any damaged flooring at no cost to the VAACC to the satisfaction of the Contracting Officer’s

Representative (COR). The contractor must point out all damages and issues to the COR and propose a plan to replace the damaged flooring. The plan will be in written form and submitted for the COR’s written approval.

6. Performance Monitoring

VA COR, or his/ her designee will be present for installation and will be the point of contact for deliveries and installations. If any issues arise, the COR must be notified. If any issues/damages occur, it is to be noted in writing and submitted the COR. Issues, and damages are to be replaced as needed at no cost to the VAACC, with the written approval of the COR, prior to any replacement action taken by the contractor.

7. Other Pertinent Information or Special Considerations.

VA Responsibilities: Project Areas shall be cleaned and free of activity for agreed upon duration. Parking will be provided for construction vehicle (s).

Contractor shall provide dumpster for construction debris.

a. Identification of Possible Follow-on Work.

If any of the flooring is unacceptable at the time of installation and requires replacement, it is the contractor’s responsibility to coordinate install with the COR, or his/ her designee.

b. Packaging, Packing and Shipping Instructions.

All packaging/waste materials must be removed from site, recycled as much as possible, or disposed of by contractor.

c. Inspection and Acceptance Criteria.

If any of the flooring is unacceptable at the time of installation and requires replacement, it is the contractor’s responsibility to coordinate the install with the COR or his/her designee. The COR, or Interior Designer will sign all necessary paperwork for installation.

8. Place of Performance.

Installation is to take place at the VAACC, 420 N James Rd, Columbus, OH 43219, 2nd Floor Surgery Department.

9. Period of Performance.

Installation to be completed by no later than June 30th, 2022.