S02 Exhibit S - 2023 Life Safety System Testing Matrix Dashboard FOR CBOC.xlsx

XLSX spreadsheet 29 KB Posted May 9, 2023

Attached to: Mt Vernon CBOC
Solicitation number: 36C24W23R0018
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20

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S02 EXHIBIT P - GSA 527 CONTRACTORS QUALIFICATIONS AND FINANCIAL INFORMATION.pdf	PDF	May 9, 2023
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S02 Exhibit A - Global Lease Template L100 (Oct. 2022) - Mount Vernon, WA CBOC - To Agency for Review (1-24-2023).pdf	PDF	May 9, 2023
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S02 - Global Request for Lease Proposal (RLP) R100 (Oct. 2022) - Mt. Vernon WA CBOC - Final for Agency Review (5-4-2023).pdf	PDF	May 9, 2023
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S02 EXHIBIT R - VA HANDBOOK H-18-8 Seismic Design Requirements for Leases - Seismic Safety.pdf	PDF	May 9, 2023
S02 Exhibit F - GSA Form 1364 Proposal to Lease Space (Jan. 2023).pdf	PDF	May 9, 2023
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S02 EXHIBIT O - PAST PERFORMANCE QUESTIONNAIRE.pdf	PDF	May 9, 2023
S02 Exhibit L - Commission Agreement - Mt. Vernon, WA CBOC.pdf	PDF	May 9, 2023

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FY-2023-EC.02.03.05

FY-2023		Elements of Performance for EC.02.03.05					Updated:	10/6/22
EP #	Description	Frequency (VHA)						NFPA Reference
				Jan-Mar	Apr-Jun	Jul-Sept	Oct-Dec
EP1	Supervisory Signals (Including Tamper Switches)	Annual	Due:					NFPA 72, 2022 Ed,

			Completed:
EP2	Water Flow Devices	Semiannually	Due:	NFPA 72, 2022 Ed,

			Completed:
EP3	Duct, Heat, Smoke Detectors, Pull Boxes, Electromechanical Rel. Dev	Annually	Due:	NFPA 72, 2022 Ed,

			Completed:
EP4	Notification Appliances (Visual and Audio)	Annually	Due:	NFPA 72, 2022 Ed,

			Completed:
EP5	Emergency Services Notification Transmission Equipment	Annually	Due:	NFPA 72, 2022 Ed,

			Completed:
EP10	Sprinkler Systems Main Drain Test on All Risers	Annually (lead-in to bldg, quarterly)	Due:	NFPA 25, 2023 Ed:

			Completed:
EP9	Fire Department Connection Inspected	Quarterly	Due:	NFPA 25, 2023 Ed:

Completed:

EP15

Portable Fire Extinguishers Inspected

Monthly

Due:

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

NFPA 10, 2023 Ed:

			Completed:
EP16	Portable Fire Extinguishers Maintained. Every 12 months, the hospital performs maintenance on portable fire extingusihers.	Annually	Due:	NFPA 10, 2023 Ed:

			Completed:
EP25	Inspection and Testing of Door Assemblies by Qualified Person	Annually	Due:		NFPA 80, 2022 Ed: NFPA 101, 2022 Ed.
			Completed:
EP27	Elevators with Fire Fighters' Emergency Operations	Monthly	Due:		NFPA 101, 2022 Ed:
			Completed:
The Joint Commission acceptable intervals:				Color Code Legend
-Every 36 months/3 years = 36 months from last event, plus or minus 45 days				These are the hard deadlines for dates, beyond which we will be in violation.
-Annually/every 12 months/once a year = 1 year from last event, plus or minus 30 days				These hard deadlines will be based on testing that has not been completed.
-Every 6 months = 6 months from last event, plus or minus 20 days				These tests are current
-Quarterly/every quarter = every three months, plus or minus 10 days
-Monthly/30-day intervals/every month = 12 times a year, once per month

These items should be covered under Fire Alarm Contract peformed by______Name of Vendor__________

FY23-EC.02.05.07

FY-2023

Elements of Performance for EC.02.05.07

Updated:

10/6/22

EP #

Description

Frequency (VHA)

NFPA Reference/TJC

Jan

Apr-Jun

Jul-Sept

Oct-Dec

EP1

Emergency Lighting Equipment

Monthly

Due:

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

NFPA 101, 2022 Ed,

			Completed:
EP2	Functional Tests-Battery Powered lights	Annually	Due:	NFPA 99, 2021 Ed.

	Completed:
The Joint Commission acceptable intervals:
-Every 36 months/3 years = 36 months from last event, plus or minus 45 days		These are the hard deadlines for dates, beyond which we will be in violation.
-Annually/every 12 months/once a year = 1 year from last event, plus or minus 30 days		These hard deadlines will be based on testing that has not been completed.
-Every 6 months = 6 months from last event, plus or minus 20 days		These tests are current
-Quarterly/every quarter = every three months, plus or minus 10 days
-Monthly/30-day intervals/every month = 12 times a year, once per month

These items are covered under Fire Alarm Contract peformed by______Name of Vendor__________

EC.02.03.03

FY-2023

Elements of Performance for EC.02.03.03

Updated:

10/6/22

EP #

Description

Frequency (VHA)

NFPA Reference/TJC

Jan

Apr-Jun

Jul-Sept

Oct-Dec

EP2

Hospital conducts fire drills

Annually

Due:

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

EC.02.03.03 EP 2

Completed:

The Joint Commission acceptable intervals:
-Every 36 months/3 years = 36 months from last event, plus or minus 45 days		These are the hard deadlines for dates, beyond which we will be in violation.
-Annually/every 12 months/once a year = 1 year from last event, plus or minus 30 days		These hard deadlines will be based on testing that has not been completed.
-Every 6 months = 6 months from last event, plus or minus 20 days		These tests are current
-Quarterly/every quarter = every three months, plus or minus 10 days
-Monthly/30-day intervals/every month = 12 times a year, once per month
	These items are covered under Fire Alarm Contract peformed by______Name of Vendor__________

File details come from the government source that posted it. Updated May 9, 2023.