SOW and Attachments Mixing Valves 3 31 21.pdf

Page 1 of 3 3/31/2021

MARCH 2020 INSTALLATION OF HOT WATER MIXING VALVES SOW

DEPARTMENT OF VETERANS AFFAIRS

Northport VA Medical Center

79 Middleville Road, Northport NY 11768

Statement of Work for

Installation of Hot Water Mixing Valves

Project Number: 632-21-116

The work shall be governed by

This Statement of Work, Attachment 1: “Equipment Schedule”

Attachment 2: “Equipment Location and Installation Schedule”

Attachment 3: “Building Floor Plans”

Attachment 4: “Project Specifications”

Work Tasks:

Task 1: Furnish all labor and materials to replace existing hot and cold water stop valves in sink and pedal sink water supply pipes at designated sinks. Most of this task shall be performed during evenings or weekends and will require shutting off the hot and cold water supply following lockout-and-tagout procedures in coordination with VA COR and Plumbing Shop. A total of 243 hot and 243 cold water stop valves shall be replaced.

Task 2: Furnish all labor and materials to install hot Water Temperature Limiting Devices at designated sinks. A total of 373 hot Water Temperature Limiting Devices shall be installed.

Task 3: Furnish all labor and materials to remove existing pedal valves and faucets and install Motion-Activated Gooseneck Faucets at designated sinks. A total of 86 pedal valve hardware and fixtures shall be replaced with Motion-Activated Gooseneck Faucets. Replacement of sinks is not part of this Scope.

Task 4: Furnish all labor and materials to remove and replace existing Pressure and Temperature controlling shower control valves in designated showers. A total of 12 shower control valves shall be replaced.

Page 2 of 3 3/31/2021

Task 5: After completion of the installation and initial testing of all new fixtures and devices installed, VAMC will increases the hot water loop temperature in the building to approximately 145° F. After the temperature is increased, test the operation of each of the new and existing temperature limiting devices to limit hot water temperature at the outlets to a maximum of 110° F. The desired hot water outlet temperature range is 105 to 110° F. This task shall be completed within 5 days after completion of work in the building, and within 1 day of the increase in temperature of the hot water supply to the building. Testing procedures are included in the specifications for Temperature Limiting Devices and Shower Pressure/Temperature Controllers.

A total of 409 water outlets shall be tested.

Task 6: After all installation and testing has been performed and accepted by the COR, bump pads shall be installed on the pipe and temperature limiting devices below all sinks. Bump pads shall be installed at 409 sinks.

Task 7: Perform an annual retest and readjustment of temperature limiting devices within 12 months of Task 5 completion date. A total of 409 water outlets shall be tested.

Task Sequence:

The work is broken into Tasks for ease of description. For some work locations at sinks, Tasks 1 and 2 will be able to be completed at the same time, i.e., during one location installation event.

Other locations will require completion of Task 1, then completion of task 2 during a subsequent installation visit.

Performance Period:

All Submittals must be approved by VA prior to beginning work. Work will begin after issuance of Notice to Proceed (NTP). The contractor shall submit the schedule of values for approval by the VA ten days after NTP. Contractor has 30 calendar days NTP to submit all products to be used during the project. Tasks 1 through 6 have a project completion time after all submittals have been approved is 180 days. The total project duration from NTP will be 210 days. Task 7 will have a completion date of within 575 days. VA anticipates that the Contractor will utilize more than one work crew to perform the work in the required time frame.

Place of Performance:

Department of Veterans Affairs VA Medical Center Northport NY 79 Middleville Rd.

Northport, NY 11768

Page 3 of 3 3/31/2021

Additional Notes:

The term “Mixing Valve” where used occasionally in this Statement of Work and associated documents is used generically, and is intended to mean a Water Temperature Limiting Device, a Lavatory Faucet (Sensor Control, Gooseneck Spout), or a Shower Bath Fixture (Type T/P Combination Valve) as described in the Specifications.

The Contractor shall coordinate valve installation locations and schedule with the VA contracting officer’s representative (COR) a minimum of 3 days in advance of the planned work. Scheduling of rooms to be worked in each week will be dependent upon the expected impact on patients, visitors, staff, and critical patient care areas. Scheduling of patient-occupied rooms and outpatient-utilized rooms will require coordination with medical staff. The VA COR will coordinate with medical staff.

The contractor shall prepare a spreadsheet showing details of each location’s requirements and status in detail and maintain the spreadsheet as a running status summary of the work. An electronic version of Attachment 2: “Equipment Location and Installation Schedule” will be provided to be used for this purpose.

No wall penetrations are anticipated to be required to be made during the performance of this contract. If any wall penetrations are anticipated to be required, the Contractor shall notify the COR in advance. The Contractor shall comply with all VA Fire Department (VAFD) penetration requirements including obtaining permits as required through fire rated assemblies (including floor slabs) as described in specification 22 07 11, section 3.1 (M)(1) and (2).

Contractor to provide 1 Year Warranty on parts & labor upon acceptance of the completed project.

Contractor to provide all close out documentation 30 days prior to completion of project.

Upon acceptance of closeout documentation by the VA contractor can apply for final payments.

Note that this contract does not involve VA sensitive information or data.

The Contractor shall first make a request in writing (email) requesting any interruption of any service two weeks in advance. Request for interruption of any utility services must approved by the COR.

Contractor shall be responsible to plan and coordinate all work with the COR who will coordinate and provide access. Contractor is responsible for safety, record keeping, security monitoring, and inspection of area. Contractor shall maintain Certified Payroll and Daily Logs.

Contractor shall provide the COR with a list of contractor staff participating in the work and shall submit in writing an ID request with company name, address, telephone number, name of each individual contractor employee and position title, SS# (by fax or encrypted email), home address, copy of OSHA 10-hour construction training certificate.

See Specification section 01 00 00 for a complete list of required documents.

ATTACHMENT 1

EQUIPMENT

SCHEDULE

VAMC Northport

INSTALLATION OF HOT WATER MIXING

VALVES

Project: 632-21-121

March 2021

NORTHPORT VAMC

INSTALLATION OF HOT WATER MIXING VALVES

PROJECT NO. 632-21-116 MARCH 2021

INCHES INCHES

Sinks and Pedal Sinks

Hot and Cold Water Angle Stop Valve

FPT X Compression Tamper-Proof

22 05 23

1/2" FPT X 3/8

Compression

Fitting

1/2" FPT X

3/8

Compression Fitting

Sinks and Pedal Sinks

Stainless Steel Braided Hose -

Fluidmaster - 3/8" Comp. X 1/2" F.I.P.

3/8"

Compression Fitting

3/8" Compression

Fitting

Sinks and Pedal Sinks

Water Temperature Limiting Device

22 05 23

Pedal Sinks

Lavatory Faucet Sensor Control

Gooseneck Spout Faucet

22 40 00

Sinks and Pedal Sinks

Bump Pads 22 40 00

Pedal Sink Sensor Operated

Gooseneck Faucet 22 40 00

Sink Pipe Guards Bump Pads 22 40 00

Showers Pressure/Temperature

Limiting Device 22 40 23

Showers Ball Valve 22 05 23

Various Locations as Needed

Copper Pipe Fittings 22 11 00

ATTACHMENT 1: EQUIPMENT SCHEDULE

LOCATION

SYSTEM

AND/OR

SERVICE

REMARKS

COLD WATER HOT WATER

As Specified in Attachment 2:

"Equipment Location and Installation Schedule"

SPECIFICATION

SECTION

DESCRIPTION

ATTACHMENT 2

LOCATION AND

INSTALLATION

SCHEDULE

Replace Cold and Hot Water

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

1 200 Basement Hallway Public B0-33 Sink 1 Yes No No No Yes Yes

2 200 Basement Hallway Public B0-33 Sink 2 Yes No No No Yes Yes

3 200 Basement Hallway Public B0-33 Sink 3 Yes No No No Yes Yes

4 200 Basement Hallway Public B0-35 Sink 1 Yes No No No Yes Yes

5 200 Basement Hallway Public B0-35 Sink 2 Yes No No No Yes Yes

6 200 Basement Hallway Public B0-35 Sink 3 Yes No No No Yes Yes

7 200 Basement Public Area Public B0-37 Sink 1 Yes Yes No No No Yes

8 200 Basement Public Area Public B0-37 Sink 2 Yes Yes No No No Yes

9 200 Basement Public Area Public B0-38C Sink 1 Yes Yes No No No Yes

10 200 Basement Public Area Public B0-38C Sink 2 Yes Yes No No No Yes

11 200 Basement Audiology Patient C0-1A Sink 1 Yes Yes No No No Yes

12 200 Basement Audiology Patient C0-1B Sink 1 Yes Yes No No No Yes

13 200 Basement Audiology Patient C0-1C Pedal Sink 1 Yes Yes Yes No No Yes

14 200 Basement Audiology Patient C0-1F Pedal Sink 1 Yes Yes Yes No No Yes

15 200 Basement Audiology Patient C0-5 Pedal Sink 1 Yes Yes Yes No No Yes

16 200 Basement Audiology Patient C0-6 Pedal Sink 1 Yes Yes Yes No No Yes

17 200 Basement Audiology Patient C0-8 Pedal Sink 1 Yes Yes Yes No No Yes

18 200 Basement Audiology Patient C0-9 Pedal Sink 1 Yes Yes Yes No No Yes

19 200 Basement Audiology Patient C0-9A Pedal Sink 1 Yes Yes Yes No No Yes

20 200 Basement Audiology Patient C0-9B Pedal Sink 1 Yes Yes Yes No No Yes

21 200 Basement Audiology Patient C0-11 Pedal Sink 1 Yes Yes Yes No No Yes

22 200 Basement Audiology Patient C0-11 Pedal Sink 2 Yes Yes Yes No No Yes

23 200 Basement Dental Suite Patient C0-12A Pedal Sink 1 Yes Yes Yes No No Yes

24 200 Basement Dental Suite Patient C0-12A Pedal Sink 2 Yes Yes Yes No No Yes

25 200 Basement Dental Suite Patient C0-12B Pedal Sink 1 Yes Yes Yes No No Yes

26 200 Basement Dental Suite Patient C0-12B Pedal Sink 2 Yes Yes Yes No No Yes

27 200 Basement Dental Suite Patient C0-12C Pedal Sink 1 Yes Yes Yes No No Yes

Devices and Equipment to be Installed or Tested

VAMC Northport Project No. 632-21-116

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

Page 1 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

28 200 Basement Dental Suite Patient C0-12C Pedal Sink 2 Yes Yes Yes No No Yes

29 200 Basement Dental Suite Patient C0-12D Pedal Sink 1 Yes Yes Yes No No Yes

30 200 Basement Dental Suite Patient C0-12D Pedal Sink 2 Yes Yes Yes No No Yes

31 200 Basement Dental Suite Patient C0-12E Pedal Sink 1 Yes Yes Yes No No Yes

32 200 Basement Dental Suite Patient C0-12E Pedal Sink 2 Yes Yes Yes No No Yes

33 200 Basement Dental Suite Patient C0-12F Pedal Sink 1 Yes Yes Yes No No Yes

34 200 Basement Dental Suite Patient C0-12F Pedal Sink 2 Yes Yes Yes No No Yes

35 200 Basement Dental Suite Patient C0-13 Pedal Sink 1 Yes Yes Yes No No Yes

36 201 Basement Dental Suite Patient C0-13 Pedal Sink 1 Yes Yes Yes No No Yes

37 200 Basement Dental Suite Patient C0-14 Pedal Sink 1 Yes Yes Yes No No Yes

38 201 Basement Dental Suite Patient C0-15 Pedal Sink 1 Yes Yes Yes No No Yes

39 200 Basement Dental Suite Patient C0-16A Pedal Sink 1 Yes Yes Yes No No Yes

40 200 Basement Dental Suite Patient C0-16A Pedal Sink 2 Yes Yes Yes No No Yes

41 200 Basement Dental Suite Patient C0-16B Pedal Sink 1 Yes Yes Yes No No Yes

42 200 Basement Dental Suite Patient C0-16B Pedal Sink 2 Yes Yes Yes No No Yes

43 200 Basement Dental Suite Patient C0-16C Pedal Sink 1 Yes Yes Yes No No Yes

44 200 Basement Dental Suite Patient C0-16C Pedal Sink 2 Yes Yes Yes No No Yes

45 200 Basement Dental Suite Patient C0-16D Pedal Sink 1 Yes Yes Yes No No Yes

46 200 Basement Dental Suite Patient C0-16D Pedal Sink 2 Yes Yes Yes No No Yes

47 200 Basement Dental Suite Patient C0-16E Pedal Sink 1 Yes Yes Yes No No Yes

48 200 Basement Dental Suite Patient C0-16E Pedal Sink 2 Yes Yes Yes No No Yes

49 200 Basement Dental Suite Patient C0-16F Pedal Sink 1 Yes Yes Yes No No Yes

50 200 Basement Dental Suite Patient C0-16F Pedal Sink 2 Yes Yes Yes No No Yes

51 200 Basement PM&RS Patient C0-29 Sink 1 Yes Yes No No No Yes

52 200 Basement PM&RS Patient C0-30 Pedal Sink 1 Yes Yes Yes No No Yes

53 201 Basement PM&RS Patient C0-31 Sink 1 Yes Yes No No No Yes

54 200 Basement PM&RS Patient C0-32 Sink 1 Yes Yes No No No Yes

55 200 Basement PM&RS Patient C0-35 Sink 1 Yes Yes No No No Yes

Page 2 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

56 200 Basement PM&RS Patient C0-35A Whirlpool 1 No Yes No No No No

57 200 Basement PM&RS Patient C0-35A Pedal Sink 1 Yes Yes Yes No No Yes

58 200 Basement PM&RS Patient C0-35C Pedal Sink 1 Yes Yes Yes No No Yes

59 200 Basement PM&RS Patient C0-35C Whirlpool 1 No Yes No No No No

60 200 Basement PM&RS Patient C0-35D Sink 1 Yes Yes No No No Yes

61 200 Basement PM&RS Patient C0-35D Shower 1 No No No Yes No No

62 200 Basement PM&RS Patient C0-38 Pedal Sink 1 Yes Yes Yes No No Yes

63 200 Basement PM&RS Patient C0-40 Pedal Sink 1 Yes Yes Yes No No Yes

64 200 Basement PM&RS Patient C0-41 Pedal Sink 1 Yes Yes Yes No No Yes

65 200 Basement PM&RS Patient C0-44 Sink 1 Yes Yes No No No Yes

66 200 Basement PM&RS Patient C0-45 Sink 1 Yes Yes No No No Yes

67 200 Basement Neurology Patient C0-50B Sink 1 Yes Yes No No No Yes

68 200 Basement Histology Patient C0-53 Sink 1 Yes Yes No No No Yes

69 200 Basement D0-C10 Sink 1 Yes Yes No No No Yes

70 200 Basement MRI Patient D0-11 Sink 1 Yes Yes No No No Yes

71 200 Basement MRI Patient D0-12 Sink 1 Yes Yes No No No Yes

72 200 Basement MRI Patient D0-19 Pedal Sink 1 Yes Yes Yes No No Yes

73 200 Basement MRI Patient D0-20 Pedal Sink 1 Yes Yes Yes No No Yes

74 200 Basement MRI Patient D0-25 Sink 1 Yes Yes No No No Yes

75 200 Basement MRI Patient D0-28 Sink 1 Yes Yes No No No Yes

76 200 Basement MRI Patient D0-34 Sink 1 Yes Yes No No No Yes

77 200 Basement MRI Patient D0-36 Pedal Sink 1 Yes Yes Yes No No Yes

78 200 Basement MRI Patient D0-37 Pedal Sink 1 Yes Yes Yes No No Yes

79 200 Basement MRI Patient D0-40 Sink 1 Yes Yes No No No Yes

80 200 Basement MRI Patient D0-42 Sink 1 Yes Yes No No No Yes

81 200 Basement MRI Patient D0-46 Sink 1 Yes Yes No No No Yes

82 200 Basement MRI Patient D0-47 Pedal Sink 1 Yes Yes Yes No No Yes

83 200 Basement Radiology Patient E0-2 Pedal Sink 1 Yes Yes Yes No No Yes

Page 3 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

84 200 Basement Radiology Patient E0-2A Sink 1 Yes Yes No No No Yes

85 200 Basement Radiology Patient E0-3 Pedal Sink 1 Yes Yes Yes No No Yes

86 200 Basement Radiology Patient E0-3A Sink 1 Yes Yes No No No Yes

87 201 Basement Radiology Patient E0-5 Sink 1 Yes Yes No No No Yes

88 200 Basement Radiology Patient E0-5A Sink 1 Yes Yes No No No Yes

89 200 Basement Radiology Patient E0-6 Pedal Sink 1 Yes Yes Yes No No Yes

90 200 Basement Radiology Patient E0-8 Pedal Sink 1 Yes Yes Yes No No Yes

91 200 Basement Radiology Patient E0-9 Pedal Sink 1 Yes Yes Yes No No Yes

92 200 Basement Radiology Patient E0-10 Pedal Sink 1 Yes Yes Yes No No Yes

93 200 Basement Radiology Patient E0-11 Sink 1 Yes Yes No No No Yes

94 200 Basement Radiology Patient E0-12 Sink 1 Yes Yes No No No Yes

95 200 Basement Radiology Patient E0-13 Pedal Sink 1 Yes Yes Yes No No Yes

96 200 Basement Radiology Patient E0-14 Pedal Sink 1 Yes Yes Yes No No Yes

97 200 Basement Radiology Patient E0-28 Sink 1 Yes Yes No No No Yes

98 200 Basement Radiology Patient E0-33A Sink 1 Yes Yes No No No Yes

99 200 Basement Radiology Patient E0-33B Sink 1 Yes Yes No No No Yes

100 200 Basement Radiology Patient E0-35 Sink 1 Yes Yes No No No Yes

101 200 Basement Radiology Patient E0-37A Sink 1 Yes Yes No No No Yes

102 200 Basement Radiology Patient E0-42 Sink 1 Yes Yes No No No Yes

103 200 1 Cardiology A1-16 Pedal Sink 1 Yes Yes Yes No No Yes

104 200 1 Cardiology Patient A1-17 Sink 1 Yes Yes No No No Yes

105 200 1 Cardiology Patient A1-17A Sink 1 Yes Yes No No No Yes

106 200 1 Cardiology Patient A1-18 Sink 1 Yes Yes No No No Yes

107 200 1 Cardiology Patient A1-18 Sink 2 Yes Yes No No No Yes

108 200 1 Cardiology Patient A1-19 Sink 1 Yes Yes No No No Yes

109 200 1 Cardiology Patient A1-19 Sink 2 Yes Yes No No No Yes

110 200 1 Cardiology Patient A1-20 Sink 1 Yes Yes No No No Yes

111 200 1 Cardiology Patient A1-21 Sink Yes Yes No No No Yes

Page 4 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

112 200 1 PAT_ASU Urology Patient A1-23 Sink 1 Yes Yes No No No Yes

113 200 1 PAT_ASU Urology Patient A1-24 Sink 1 Yes Yes No No No Yes

114 200 1 O.R. Staff A1-39A Sink 1 Yes Yes No No No Yes

115 200 1 O.R. Patient A1-45 Pedal Sink 1 Yes Yes Yes No No Yes

116 200 1 O.R. Patient A1-45B Sink 1 Yes Yes No No No Yes

117 200 1 O.R. Patient A1-45C Sink 1 Yes Yes No No No Yes

118 200 1 O.R. Patient A1-45D Sink 1 Yes Yes No No No Yes

119 200 1 O.R. Patient A1-68 Sink 1 Yes Yes No No No Yes

120 200 1 O.R. Patient A1-69 Sink 1 Yes Yes No No No Yes

121 200 1 O.R. Patient A1-70 Sink 1 Yes Yes No No No Yes

122 200 1 O.R. Patient A1-71 Sink 1 Yes Yes No No No Yes

123 200 1 Radiology Patient A1-73 Pedal Sink 1 Yes Yes Yes No No Yes

124 200 1 Radiology Patient A1-73 Pedal Sink 2 Yes Yes Yes No No Yes

125 200 1 Radiology Patient A1-75 Sink 1 Yes Yes No No No Yes

126 200 1 Radiology Patient A1-77A Sink 1 Yes Yes No No No Yes

127 200 1 Radiology Patient A1-78 Sink 1 Yes Yes No No No Yes

128 200 1 Radiology Patient A1-79 Sink 1 Yes Yes No No No Yes

129 200 1 Radiology Patient A1-80 Sink 1 Yes Yes No No No Yes

130 200 1 Radiology Patient A1-81 Sink 1 Yes Yes No No No Yes

131 200 1 Radiology Patient A1-87 Sink 1 Yes Yes No No No Yes

132 200 1 Radiology Patient A1-88 Sink 1 Yes Yes No No No Yes

133 200 1 Radiology Patient A1-89 Sink 1 Yes Yes No No No Yes

134 200 1 Radiology Patient A1-90 Sink 1 Yes Yes No No No Yes

135 200 1 Radiology Patient A1-92 Sink 1 Yes Yes No No No Yes

136 200 1 Radiology Patient A1-93 Sink 1 Yes Yes No No No Yes

137 200 1 Radiology Patient A1-94 Sink 1 Yes Yes No No No Yes

138 200 1 Radiology Patient A1-97 Sink 1 Yes Yes No No No Yes

139 200 1 Radiology Patient A1-99 Sink 1 Yes Yes No No No Yes

Page 5 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

140 200 1 Radiology Patient A1-105 Sink 1 Yes Yes No No No Yes

141 200 1 Cardiology B1-8 Sink 1 Yes Yes No No No Yes

142 200 1 Cardiology B1-9A Sink 1 Yes Yes No No No Yes

143 200 1 Cardiology B1-13 Sink Yes Yes No No No Yes

144 200 1 Cardiology B1-13E Pedal Sink 1 Yes Yes Yes No No Yes

145 200 1 Cardiology B1-13F Pedal Sink 1 Yes Yes Yes No No Yes

146 200 1 Cardiology B1-13G Pedal Sink 1 Yes Yes Yes No No Yes

147 200 1 Cardiology B1-13H Pedal Sink 1 Yes Yes Yes No No Yes

148 200 1 Cardiology B1-13I Pedal Sink 1 Yes Yes Yes No No Yes

149 200 1 Cardiology B1-13J Pedal Sink 1 Yes Yes Yes No No Yes

150 200 1 Cardiology B1-21 Sink 1 Yes Yes No No No Yes

Page 6 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

151 200 2 Unit 21 Patient A2-2C Sink 1 No Yes No No Yes Yes

152 200 2 Unit 21 Patient A2-7 Sink 1 No Yes No No No No

153 200 2 Unit 21 Patient A2-7 Shower 1 No No No No Yes No

154 200 2 Unit 21 Patient A2-8 Sink No Yes No No No No

155 200 2 Unit 21 Patient A2-9 Sink 1 No Yes No No No No

156 200 2 Unit 21 Patient A2-10 Sink 1 No Yes No No No No

157 200 2 Unit 21 Patient A2-10 Shower 1 No No No No Yes No

158 200 2 Unit 21 patient A2-13 Sink 1 No Yes No No No No

159 200 2 Unit 21 patient A2-14 Sink 1 No Yes No No No No

160 200 2 Unit 21 patient A2-14 Shower 1 No No No No Yes No

161 200 2 Unit 21 Patient A2-18 Shower 1 No No No No Yes No

162 200 2 Unit 21 Patient A2-18 Sink 1 No Yes No No No No

163 200 2 Unit 21 Patient A2-19 Sink 1 No Yes No No No No

164 200 2 Unit 21 Patient A2-20 Sink 1 No Yes No No No No

165 200 2 Unit 21 Patient A2-20 Shower 1 No No No No Yes No

166 200 2 Unit 21 Patient A2-25 Sink 1 No Yes No No No No

167 200 2 Unit 21 Patient A2-25 Shower 1 No No No No Yes No

168 200 2 Unit 21 Staff A2-26 Sink 1 No Yes No No No No

169 200 2 Unit 21 Staff A2-26A Sink 1 No Yes No No No No

170 200 2 Unit 21 Staff A2-29A Sink 1 No Yes No No No No

171 200 2 Unit 21 Staff A2-29A Shower 1 No No No No Yes No

172 200 2 Unit 21 Staff A2-30A Sink 1 No Yes No No No No

173 200 2 Unit 21 Staff A2-30A Shower 1 No No No No Yes No

174 200 2 Unit 21 Patient A2-35 Sink 1 No Yes No No No No

175 200 2 Unit 21 Patient A2-36 Sink 1 No Yes No No No No

176 200 2 Unit 21 A2-36 Shower 1 No No No No Yes No

177 200 2 Unit 21 Staff A2-44 Sink 1 No Yes No No No No

178 200 2 Unit 21 patient A2-46 Sink 1 No Yes No No No No

Page 7 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

179 200 2 Unit 21 Staff A2-49 Sink 1 No Yes No No No No

180 200 2 Unit 21 Patient A2-50 Washer 1 No Yes No No No No

181 200 2 Unit 21 Patient A2-50 Sink 1 No No No No Yes No

182 200 2 Unit 21 Patient A2-51 Sink 1 No Yes No No No No

183 200 2 Unit 21 Patient A2-52 Sink 1 No Yes No No No No

184 200 2 Unit 21 Patient A2-52 Bed Pan Sink 1 No Yes No No No No

185 200 2 Unit 21 Patient A2-54 Sink 1 No Yes No No No No

186 200 2 Unit 21 Patient A2-54 Shower 1 No No No No Yes No

187 200 2 Unit 22 patient A2-59 Sink 1 Yes Yes No No No No

188 200 2 Unit 22 patient A2-60 Sink 1 Yes Yes No No No No

189 200 2 Unit 22 patient A2-61 Sink 1 Yes Yes No No No No

190 200 2 Unit 22 patient A2-61 Shower 1 No No No No Yes No

191 200 2 Unit 22 patient A2-64 Sink 1 Yes Yes No No No No

192 200 2 Unit 22 patient A2-65 Sink 1 Yes Yes No No No No

193 200 2 Unit 22 patient A2-65 Shower 1 No No No No Yes No

194 200 2 Unit 22 patient A2-68 Sink 1 Yes Yes No No No No

195 200 2 Unit 22 patient A2-68 Sink 2 Yes Yes No No No No

196 200 2 Unit 22 patient A2-69 Sink 1 Yes Yes No No No No

197 200 2 Unit 22 patient A2-69 Shower 1 No No No No Yes No

198 200 2 Unit 22 patient A2-71 Sink 1 Yes Yes No No No No

199 200 2 Unit 22 patient A2-71 Shower 1 No No No No Yes No

200 200 2 Unit 22 patient A2-72 Sink 1 Yes Yes No No No No

201 200 2 Unit 22 patient A2-72 Sink 2 Yes Yes No No No No

202 200 2 Unit 22 patient A2-75 Sink 1 Yes Yes No No No No

203 200 2 Unit 22 patient A2-75 Shower 1 No No No No Yes No

204 200 2 Unit 22 patient A2-77 Sink 1 Yes Yes No No No No

205 200 2 Unit 22 patient A2-77 Sink 2 Yes Yes No No No No

206 200 2 Unit 22 patient A2-79 Sink 1 Yes Yes No No No No

Page 8 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

207 200 2 Unit 22 patient A2-79 Shower 1 No No No No Yes No

208 200 2 Unit 22 patient A2-81 Sink 1 Yes Yes No No No No

209 200 2 Unit 22 patient A2-81 Sink 2 Yes Yes No No No No

210 200 2 Unit 22 patient A2-82 Sink 1 Yes Yes No No No No

211 200 2 Unit 22 patient A2-82 Shower 1 No No No No Yes No

212 200 2 Unit 22 Staff A2-85A Sink 1 Yes Yes No No No No

213 200 2 Unit 22 patient A2-86 Sink 1 Yes Yes No No No No

214 200 2 Unit 22 patient A2-86 Sink 2 Yes Yes No No No No

215 200 2 Unit 22 A2-87 Sink 1 Yes Yes No No No No

216 200 2 Unit 22 A2-87 Shower 1 No No No No Yes No

217 200 2 Unit 22 Staff A2-89 Sink 1 Yes Yes No No No No

218 200 2 Unit 22 A2-89A Sink 1 Yes Yes No No No No

219 200 2 Unit 22 A2-89A Shower 1 No No No No Yes No

220 200 2 Unit 22 Staff A2-95 Sink 1 Yes Yes No No No No

221 200 2 Unit 22 Staff A2-97 Sink 1 Yes Yes No No No No

222 200 2 Unit 22 Staff A2-97 Bed Pan Sink 1 No Yes No No No No

223 200 2 Unit 22 patient A2-98 Sink 1 Yes Yes No No No No

224 200 2 Unit 22 Staff A2-99 Sink 1 Yes Yes No No No No

225 200 2 Unit 22 patient A2-100 Sink 1 Yes Yes No No No No

226 200 2 Unit 22 patient A2-101 Sink 1 Yes Yes No No No No

227 200 2 Unit 22 patient A2-101 Washer 1 No Washer No No Yes No

228 200 2 Unit 22 patient A2-103 Sink 1 Yes Yes No No No No

229 200 2 Unit 23/24 Public B2-3 Sink 2 Yes Yes No No No No

230 200 2 Unit 23/24 Public B2-5 Sink 3 Yes Yes No No No No

231 200 2 Unit 23 Patient B2-6A Sink 1 No Yes No No No No

232 200 2 Unit 23 Patient B2-7 Sink 1 No Yes No No No No

233 200 2 Unit 23 Patient B2-8 Sink 1 No Yes No No No No

234 200 2 Unit 23 Patient B2-9 Sink 1 No Yes No No No No

Page 9 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

235 200 2 Unit 23 Patient B2-10 Pedal Sink 1 No Yes Yes No No No

236 200 2 Unit 23 Patient B2-10A Shower 1 No No No No Yes No

237 200 2 Unit 23 Patient B2-10A Bathtub 1 No No No No Yes No

238 200 2 Unit 23 Patient B2-11 Sink 1 No Yes No No No No

239 200 2 Unit 23 Staff B2-12A Sink 1 No Yes No No No No

240 200 2 Unit 23 Staff B2-12A Shower 1 No No No No Yes No

241 200 2 Unit 23 Staff B2-12B Pedal Sink 1 No Yes Yes No No No

242 200 2 Unit 23 Staff B2-14 Sink 1 No Yes No No No No

243 200 2 Unit 23 Staff B2-14 Pedal Sink 1 No Yes Yes No No No

244 200 2 Unit 23 Staff B2-15A Pedal Sink 1 No Yes Yes No No No

245 200 2 Unit 23 Staff B2-15B Sink 1 No Yes No No No No

246 200 2 Unit 23 Staff B2-15B Shower 1 No No No Yes Yes No

247 200 2 Unit 23 Staff B2-17A Sink 1 No Yes No No No No

248 200 2 Unit 23 Staff B2-18 Pedal Sink 1 No Yes Yes No No No

249 200 2 Unit 23 Staff B2-18D Sink 1 No Yes No No No No

250 200 2 Unit 23 Staff B2-18D Shower 1 No No No No Yes No

251 200 2 Unit 23 patient B2-18 Shower 1 No No No No Yes No

252 200 2 Unit 23 patient B2-19 Shower 2 No No No No Yes No

253 200 2 Unit 23 Staff B2-19A Sink 1 No Yes No No No No

254 200 2 Unit 23 Staff B2-21 Sink 1 No Yes No No No No

255 200 2 Unit 23 Staff B2-22 Sink 1 No Yes No No No No

256 200 2 Unit 23 Staff B2-24 Sink 1 No Yes No No No No

257 200 2 Unit 23 Staff B2-25 Sink 1 No Yes No No No No

258 200 2 Unit 23 Staff B2-25 Sink 1 No Yes No No No No

259 200 2 Unit 23 Staff B2-27 Sink 1 No Yes No No No No

260 200 2 Unit 23 Staff B2-28 Sink 1 No Yes No No No No

261 200 2 Unit 23 Staff B2-29 Pedal Sink 1 No Yes Yes No No No

262 200 2 Unit 23 Staff B2-30 Sink 1 No Yes No No No No

Page 10 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

263 200 2 Unit 23 Staff B2-33A Sink 2 No Yes No No No No

264 200 2 Unit 23 patient B2-34 Sink 1 No Yes No No No No

265 200 2 Unit 23 patient B2-34A Sink 1 No Yes No No No No

266 200 2 Unit 23 patient B2-35 Sink 1 No Yes No No No No

267 200 2 Unit 23 patient B2-38 Sink 1 No Yes No No No No

268 200 2 Unit 23 patient B2-40A Sink 1 No Yes No No No No

269 200 2 Unit 23 patient B2-41 Sink 1 No Yes No No No No

270 200 2 Unit 23 patient B2-42 Sink 1 No Yes No No No No

271 200 2 Unit 23 patient B2-43 Sink 1 No Yes No No No No

272 200 2 Unit 23 Staff B2-44 Sink 1 No Yes No No No No

273 200 2 Unit 23 patient B2-45 Sink 1 No Yes No No No No

274 200 2 Unit 23 Staff B2-46 Sink 1 No Yes No No No No

275 200 2 Unit 23 Staff B2-47 Sink 1 No Yes No No No No

276 200 2 Unit 23 Staff B2-48 Sink 1 No Yes No No No No

277 200 2 Unit 23 Staff B2-49 Sink 1 No Yes No No No No

278 200 2 Unit 23 Staff B2-50 Pedal Sink 1 No Yes Yes No No No

279 200 2 Unit 23 Staff B2-51 Sink 1 No Yes No No No No

280 200 2 Unit 23 Staff B2-53 Sink 1 No Yes No No No No

281 200 2 Unit 23 Staff B2-54 Sink 1 No Yes No No No No

282 200 2 Unit 23 Staff B2-55 Sink 1 No Yes No No No No

283 200 2 Unit 23 Staff B2-56 Sink 1 No Yes No No No No

284 200 2 Unit 23 Staff B2-57 Sink 1 No Yes No No No No

285 200 2 Unit 23 Staff B2-60 Sink 1 No Yes No No No No

286 200 2 Unit 23 Staff B2-60 Bathtub 1 No No No No Yes No

287 200 2 Unit 23 Staff B2-63 Sink 1 No Yes No No No No

288 200 2 Unit 23 Staff B2-65 Pedal Sink 1 No Yes Yes No No No

289 200 2 Unit 23 Staff B2-66 Sink 1 No Yes No No No No

290 200 3 Unit 31 Staff A3-2B Pedal Sink 1 No Yes Yes No No Yes

Page 11 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

291 200 3 Unit 31 Staff A3-C3B Sink 1 No Yes No No No Yes

292 200 3 Unit 31 Staff A3-4 Pedal Sink 1 No Yes Yes No No Yes

293 200 3 Unit 31 Staff A3-4 Pedal Sink 1 No Yes Yes No No Yes

294 200 3 Unit 31 Staff A3-C4F Sink 1 No Yes No No No Yes

295 200 3 Unit 31 Staff A3-7 Sink 1 No Yes No No No Yes

296 200 3 Unit 31 Staff A3-8 Sink 1 No Yes No No No Yes

297 200 3 Unit 31 Staff A3-9 Sink 1 No Yes No No No Yes

298 200 3 Unit 31 Staff A3-10 Sink 1 No Yes No No No Yes

299 200 3 Unit 31 Staff A3-11 Sink 1 No Yes No No No Yes

300 200 3 Unit 31 Staff A3-12 Sink 1 No Yes No No No Yes

301 200 3 Unit 31 Staff A3-13 Sink 1 No Yes No No No Yes

302 200 3 Unit 31 Staff A3-15 Sink 1 No Yes No No No Yes

303 200 3 Unit 31 Staff A3-16 Sink 1 No Yes No No No Yes

304 200 3 Unit 31 Staff A3-16A Sink 1 No Yes No No No Yes

305 200 3 Unit 31 Staff A3-17B Sink 1 No Yes No No No Yes

306 200 3 Unit 31 Staff A3-18 Sink 2 No Yes No No No Yes

307 200 3 Unit 31 Staff A3-18C Sink 1 No Yes No No No Yes

308 200 3 Unit 31 Staff A3-18D Sink 1 No Yes No No No Yes

309 200 3 Unit 31 Patient A3-18E Sink 1 No Yes No No No Yes

310 200 3 Unit 31 A3-20 Sink 1 No Yes No No No Yes

311 200 3 Unit 31 Staff A3-21 Sink 1 No Yes No No No Yes

312 200 3 Unit 31 Staff A3-22 Sink 1 No Yes No No No Yes

313 200 3 Unit 31 Staff A3-23 Sink 1 No Yes No No No Yes

314 200 3 Unit 31 Staff A3-25 Sink 1 No Yes No No No Yes

315 200 3 Unit 31 Staff A3-27A Sink 1 No Yes No No No Yes

316 200 3 Unit 31 A3-27B Sink 1 No Yes No No No Yes

317 200 3 Unit 31 A3-28 Sink 1 No Yes No No No Yes

318 200 3 A3-29 Sink 1 Yes Yes No No No Yes

Page 12 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

319 200 3 Unit 32 Staff A3-35 Sink 1 Yes Yes No No No Yes

320 200 3 Unit 32 Staff A3-36 Sink 1 Yes Yes No No No Yes

321 200 3 Unit 32 Staff A3-37 Sink 1 Yes Yes No No No Yes

322 200 3 Unit 32 Staff A3-38 Sink 1 Yes Yes No No No Yes

323 200 3 Unit 32 Staff A3-39 Sink 1 Yes Yes No No No Yes

324 200 3 Unit 32 Staff A3-39A Shower 1 No Yes No Yes No No

325 200 3 Unit 32 Staff A3-41B Sink 1 Yes Yes No No No Yes

326 200 3 Unit 32 Staff A3-42 Sink 1 Yes Yes No No No Yes

327 200 3 Unit 32 Staff A3-43 Pedal Sink 1 Yes Yes Yes No No Yes

328 200 3 Unit 32 Staff A3-44 Sink 1 Yes Yes No No No Yes

329 200 3 Unit 32 Staff A3-45 Sink 1 Yes Yes No No No Yes

330 200 3 Unit 32 Staff A3-46 Sink 1 Yes Yes No No No Yes

331 200 3 Unit 32 Staff A3-48 Pedal Sink 1 Yes Yes Yes No No Yes

332 200 3 Unit 32 Staff A3-49 Sink 1 Yes Yes No No No Yes

333 200 3 Unit 32 Staff A3-50 Pedal Sink 1 Yes Yes Yes No No Yes

334 200 3 Unit 32 Staff A3-50 Pedal Sink 2 Yes Yes Yes No No Yes

335 200 3 Unit 32 Staff A3-50 Pedal Sink 3 Yes Yes Yes No No Yes

336 200 3 Unit 32 Staff A3-50 Pedal Sink 4 Yes Yes Yes No No Yes

337 200 3 Staff A3-51 Sink 1 Yes Yes No No No Yes

338 200 3 Unit 34 Public B3-2 Sink 1 Yes Yes No No No Yes

339 200 3 Unit 34 Public B3-2 Sink 2 Yes Yes No No No Yes

340 200 3 Unit 34 Public B3-4 Sink 1 Yes Yes No No No Yes

341 200 3 Unit 34 Public B3-4 Sink 2 Yes Yes No No No Yes

342 200 3 Unit 34 Staff B3-5 Sink 1 Yes Yes No No No Yes

343 200 3 Unit 34 Staff B3-6 Sink 1 Yes Yes No No No Yes

344 200 3 Unit 34 Staff B3-7 Sink 1 Yes Yes No No No Yes

345 200 3 Unit 34 Staff B3-8 Sink 1 Yes Yes No No No Yes

346 200 3 Unit 34 Staff B3-9 Sink 1 Yes Yes No No No Yes

Page 13 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

347 200 3 Unit 34 Staff B3-9A Shower 1 No Yes No Yes No No

348 200 3 Unit 34 Staff B3-10 Sink 1 Yes Yes No No No Yes

349 200 3 Unit 34 Staff B3-11 Sink 1 Yes Yes No No No Yes

350 200 3 Unit 34 Staff B3-12 Sink 1 Yes Yes No No No Yes

351 200 3 Unit 34 Staff B3-13 Sink 1 Yes Yes No No No Yes

352 200 3 Unit 34 Staff B3-14 Sink 1 Yes Yes No No No Yes

353 200 3 Unit 34 B3-14A Sink 1 Yes Yes No No No Yes

354 200 3 Unit 34 B3-14A Shower 1 No Yes No Yes No No

355 200 3 Unit 34 B3-17 Sink 1 Yes Yes No No No Yes

356 200 3 Unit 34 B3-18 Shower 1 No Yes No Yes No No

357 200 3 Unit 34 B3-18 Shower 2 No Yes No Yes No No

358 200 3 Unit 34 B3-19 Sink 1 Yes Yes No No No Yes

359 200 3 Unit 34 B3-20 Sink 1 Yes Yes No No No Yes

360 200 3 Unit 34 B3-21 Sink 1 Yes Yes No No No Yes

361 200 3 Unit 34 B3-23 Sink 1 Yes Yes No No No Yes

362 200 3 Unit 34 B3-24 Sink 1 Yes Yes No No No Yes

363 200 3 Unit 34 B3-27 Sink 1 Yes Yes No No No Yes

364 200 3 Unit 34 Staff B3-29 Sink 1 Yes Yes No No No Yes

365 200 3 Unit 34 Staff B3-40 Sink 1 Yes Yes No No No Yes

366 200 3 Unit 34 Staff B3-40A Sink 1 Yes Yes No No No Yes

367 200 3 Unit 34 Staff B3-43 Sink 1 Yes Yes No No No Yes

368 200 3 Unit 34 Staff B3-44 Sink 1 Yes Yes No No No Yes

369 200 3 Unit 34 Staff B3-44A Shower 1 No Yes No Yes No No

370 200 3 Unit 34 Staff B3-45 Sink 1 Yes Yes No No No Yes

371 200 3 Unit 34 Staff B3-46 Sink 1 Yes Yes No No No Yes

372 200 3 Unit 34 Staff B3-47 Sink 1 Yes Yes No No No Yes

373 200 3 Unit 34 Staff B3-48 Pedal Sink 1 Yes Yes Yes No No Yes

374 200 3 Unit 34 Staff B3-49 Sink 1 Yes Yes No No No Yes

Page 14 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

375 200 3 Unit 34 Staff B3-51 Sink 1 Yes Yes No No No Yes

376 200 3 Unit 34 Staff B3-52 Sink 1 Yes Yes No No No Yes

377 200 3 Unit 34 B3-53 Shower 1 No Yes No Yes No No

378 200 3 Unit 34 B3-53 Shower 2 No Yes No Yes No No

379 200 3 Unit 34 Staff B3-54 Sink 1 Yes Yes No No No Yes

380 200 3 Unit 34 Staff B3-55 Sink 1 Yes Yes No No No Yes

381 200 3 Unit 34 Staff B3-56 Sink 1 Yes Yes No No No Yes

382 200 3 Unit 34 Staff B3-58 Sink 1 Yes Yes No No No Yes

383 200 3 Unit 34 Staff B3-59 Sink 1 Yes Yes No No No Yes

384 200 3 Unit 34 Staff B3-61 Sink 1 Yes Yes No No No Yes

385 200 3 Unit 34 Staff B3-62 Sink 1 Yes Yes No No No Yes

386 200 3 Unit 34 Staff B3-63 Sink 1 Yes Yes No No No Yes

387 200 3 Unit 34 Staff B3-64 Sink 1 Yes Yes No No No Yes

388 200 4 Unit 42 A4-69 Sink 1 Yes Yes No No No Yes

389 200 4 Unit 43 B4-2 Sink 1 No Yes No No No Yes

390 200 4 Unit 43 B4-2 Sink 2 No Yes No No No Yes

391 200 4 Unit 43 B4-4 Sink 1 No Yes No No No Yes

392 200 4 Unit 43 B4-4 Sink 2 No Yes No No No Yes

393 200 4 Unit 43 B4-C4A Pedal Sink 1 No Yes Yes No No Yes

394 200 4 Unit 43 B4-5A Sink 1 No Yes No No No Yes

395 200 4 Unit 43 B4-7A Sink 1 No Yes No No No Yes

396 200 4 Unit 43 B4-9A Sink 1 No Yes No No No Yes

397 200 4 Unit 43 B4-10A Sink 1 No Yes No No No Yes

398 200 4 Unit 43 B4-12A Sink 1 No Yes No No No Yes

399 200 4 Unit 43 B4-16A Sink 1 No Yes No No No Yes

400 200 4 Unit 43 B4-20A Sink 1 No Yes No No No Yes

401 200 4 Unit 43 B4-21B Sink 1 No Yes No No No Yes

402 200 4 Unit 43 B4-23A Sink 1 No Yes No No No Yes

Page 15 of 16 4/1/2021

Stop Valves

Install Temperature Limiting Device and

Hoses

Replace Pedal Sink Fixture and Pedals with

Motion-Activated Gooseneck Faucet

Replace Shower Water P/T Control

Valve

Test Existing Temp. Limiting

Device

Install Bump Pads Under Sink

Devices and Equipment to be Installed or Tested

Attachment 2 - Equipment Location and Installation Schedule

Building Number

Floor Number

Unit or Service or Area Use

Room Use:

Patient, Staff, Public, Resident

Room Number

Outlet Number

Fixture Type Number at Location

403 200 4 Unit 43 B4-23A Shower 1 No Yes No Yes No No

404 200 4 Unit 43 B4-24A Sink 1 No Yes No No No Yes

405 200 4 Unit 43 B4-24A Shower 1 No Yes No Yes No No

406 200 4 Unit 43 B4-28A Sink 1 No Yes No No No Yes

407 200 4 Unit 43 B4-29A Sink 1 No Yes No No No Yes

408 200 4 Unit 43 B4-32A Sink 1 No Yes No No No Yes

409 200 4 Unit 43 B4-33 Sink 1 No Yes No No No Yes

Page 16 of 16 4/1/2021

ATTACHMENT 3

BUILDING

FLOOR PLANS

ATTACHMENT 4

SPECIFICATIONS

NORTHPORT VAMC INSTALLATION OF HOT WATER MIXING VALVES

PROJECT 632-21-116 MARCH 2021

00 01 10-1

TABLE OF CONTENTS

Section 00 01 10

SECTION NO. DIVISION AND SECTION TITLES

DIVISION 01 - GENERAL REQUIREMENTS

01 00 00 General Requirements 01 32 16.15 Project Schedules (Small Projects – Design/Bid/Build 01 33 23 Shop Drawings, Product Data, and Samples 01 35 26 Safety Requirements 01 42 19 Reference Standards 01 74 19 Construction Waste Management

DIVISION 22 – PLUMBING

22 05 11 Common Work Results for Plumbing 22 05 23 General-Duty Valves for Plumbing Piping 22 11 00 Facility Water Distribution 22 40 00 Plumbing Fixtures

Northport VAMC Installation of Hot Water Mixing Valves

Project 632-21-116 March 2021 i

SECTION 01 00 00

GENERAL REQUIREMENTS

TABLE OF CONTENTS

1.1 SAFETY REQUIREMENTS

1.2 GENERAL INTENTION

1.3 STATEMENT OF BID ITEM(S)

1.4 SPECIFICATIONS AND DRAWINGS FOR CONTRACTOR(NOT USED)

1.5 CONSTRUCTION SECURITY REQUIREMENTS

1.6 OPERATIONS AND STORAGE AREAS

1.8 DISPOSAL AND RETENTION

1.9 PROTECTION OF EXISTING VEGETATION, STRUCTURES, EQUIPMENT,

UTILITIES, AND IMPROVEMENTS

1.10 RESTORATION

1.11 PHYSICAL DATA(NOT USED)

1.12 PROFESSIONAL SURVEYING SERVICES(NOT USED)

1.13 LAYOUT OF WORK(NOT USED)

1.14 AS-BUILT DRAWINGS

1.15 WARRANTY MANAGEMENT

1.16 USE OF ROADWAYS

1.17 'S FIELD OFFICE(NOT USED)

1.18 TEMPORARY USE OF MECHANICAL AND ELECTRICAL EQUIPMENT(NOT USED)

1.19 TEMPORARY USE OF EXISTING ELEVATORS

1.20 TEMPORARY USE OF NEW ELEVATORS(NOT USED)

1.21 TEMPORARY TOILETS(NOT USED)

1.22 AVAILABILITY AND USE OF UTILITY SERVICES(NOT USED)

1.23 NEW TELEPHONE EQUIPMENT(NOT USED)

1.24 TESTS

1.25 INSTRUCTIONS

Project 632-21-116 March 2021 ii

1.26 GOVERNMENT-FURNISHED PROPERTY(NOT USED)

1.27 RELOCATED EQUIPMENT ITEMS (NOT USED)

1.28 STORAGE SPACE FOR DEPARTMENT OF VETERANS AFFAIRS EQUIPMENT(NOT

USED)

1.29 CONSTRUCTION SIGN(NOT USED)

1.30 SAFETY SIGN(NOT USED)

1.31 PHOTOGRAPHIC DOCUMENTATION(NOT USED)

1.32 FINAL ELEVATION Digital Images(NOT USED)

1.33 HISTORIC PRESERVATION(NOT USED)

1.34 VA TRIRIGA CPMS(NOT USED)

Project 632-21-116 December 2020

01 00 00 -1

SECTION 01 00 00

GENERAL REQUIREMENTS

1.1 SAFETY REQUIREMENTS

Refer to section 01 35 26, SAFETY REQUIREMENTS for safety and infection control requirements.

1.2 GENERAL INTENTION

A. Contractor shall completely prepare site for building operations, including removal of existing valves, and furnish labor and materials and perform work for installation of hot water mixing valves in multiple locations, as required by drawings and specifications.

B. Visits to the site by Bidders may be made only by appointment with the

Medical Center Engineering Officer.

E. All employees of general contractor and subcontractors shall comply with VA security management program and obtain permission of the VA police, be identified by project and employer, and restricted from unauthorized access.

1.3 STATEMENT OF BID ITEM(S)

A. ITEM I, GENERAL CONSTRUCTION: Not Applicable.

ITEM II, Electrical Work: Not Applicable.

ITEM III, Mechanical Work: Work includes all labor, material, equipment, and supervision to perform the required Mechanical construction work on this project including the replacement of angle stop valves, installation and testing of hot water mixing valves and associated hoses and fittings. Documentation of the work.

1.4 SPECIFICATIONS AND DRAWINGS FOR CONTRACTOR (NOT USED)

1.5 CONSTRUCTION SECURITY REQUIREMENTS

A. Security Plan:

1. The security plan defines both physical and administrative security procedures that will remain effective for the entire duration of the project.

01 00 00 -2

2. The General Contractor is responsible for assuring that all sub-contractors working on the project and their employees also comply with these regulations.

B. Security Procedures:

1. General Contractor’s employees shall not enter the project site without appropriate badge. They may also be subject to inspection of their personal effects when entering or leaving the project site.

2. Before starting work the General Contractor shall give one week’s notice to the Contracting Officer so that security arrangements can be provided for the employees. This notice is separate from any notices required for utility shutdown described later in this section.

3. No photography of VA premises is allowed without written permission of the Contracting Officer.

4. VA reserves the right to close or shut down the project site and order General Contractor’s employees off the premises in the event of a national emergency. The General Contractor may return to the site only with the written approval of the Contracting Officer.

C. Guards: (NOT USED)

D. Key Control: (NOT USED)

E. Document Control:

1. Before starting any work, the General Contractor/Sub Contractors shall submit an electronic security memorandum describing the approach to following goals and maintaining confidentiality of

“sensitive information”.

2. The General Contractor is responsible for safekeeping of all drawings, project manual and other project information. This information shall be shared only with those with a specific need to accomplish the project.

3. Certain documents, sketches, videos or photographs and drawings may be marked “Law Enforcement Sensitive” or “Sensitive Unclassified”.

01 00 00 -3

Secure such information in separate containers and limit the access to only those who will need it for the project. Return the information to the Contracting Officer upon request.

4. These security documents shall not be removed or transmitted from the project site without the written approval of Contracting

Officer.

5. 6. Notify Contracting Officer and Site Security Officer immediately when there is a loss or compromise of “sensitive information”.

7. All electronic information shall be stored in specified location following VA standards and procedures using an Engineering Document

Management Software (EDMS).

a. Security, access and maintenance of all project drawings, both scanned and electronic shall be performed and tracked through the

EDMS system.

b. “Sensitive information” including drawings and other documents may be attached to e-mail provided all VA encryption procedures are followed.

F. Motor Vehicle Restrictions

1. Vehicle authorization request shall be required for any vehicle entering the site and such request shall be submitted 24 hours before the date and time of access. Access shall be restricted to picking up and dropping off materials and supplies.

2. A limited number of (2 to 5) permits shall be issued for General

Contractor and its employees for parking in designated areas only.

1.6 OPERATIONS AND STORAGE AREAS

A. The Contractor shall confine all operations (including storage of materials) on Government premises to areas authorized or approved by the Contracting Officer. The Contractor shall hold and save the

Government, its officers and agents, free and harmless from liability of any nature occasioned by the Contractor's performance.

01 00 00 -4

B. Temporary buildings (e.g., storage sheds, shops, offices) and utilities may be erected by the Contractor only with the approval of the

Contracting Officer and shall be built with labor and materials furnished by the Contractor without expense to the Government. The temporary buildings and utilities shall remain the property of the

Contractor and shall be removed by the Contractor at its expense upon completion of the work. With the written consent of the Contracting

Officer, the buildings and utilities may be abandoned and need not be removed.

C. The Contractor shall, under regulations prescribed by the Contracting

Officer, use only established roadways, or use temporary roadways constructed by the Contractor when and as authorized by the Contracting

Officer. When materials are transported in prosecuting the work, vehicles shall not be loaded beyond the loading capacity recommended by the manufacturer of the vehicle or prescribed by any Federal, State, or local law or regulation. When it is necessary to cross curbs or sidewalks, the Contractor shall protect them from damage. The

Contractor shall repair or pay for the repair of any damaged curbs, sidewalks, or roads.

D. Working space and space available for storing materials shall be as determined by the COR.

E. Workers are subject to rules of Medical Center applicable to their conduct.

F. Execute work so as to interfere as little as possible with normal functioning of the Medical Center as a whole, including operations of utility services, fire protection systems and any existing equipment, and with work being done by others. Use of equipment and tools that transmit vibrations and noises through the building structure, are not permitted in buildings that are occupied, during construction, jointly by patients or medical personnel, and Contractor's personnel, except as permitted by the COR.

1. Do not store materials and equipment in other than assigned areas.

01 00 00 -5

2. Schedule delivery of materials and equipment to immediate construction working areas within buildings in use by Department of

Veterans Affairs in quantities sufficient for not more than two work days. Provide unobstructed access to the Medical Center areas required to remain in operation.

3. Where access by Medical Center personnel to vacated portions of…