SOW Attachment 07 - Engineering Deviation Request Template.docx

48 KB Posted

Attached to
C1DA--AE-NRM-687-26-100 Modernize Physical and Electronic Security Systems
Solicitation number
36C26026Q0039
Issued by

About this file

Written by GovTribe AI ·

This document is an Engineering Deviation Request Template from the Department of Veterans Affairs, specifically designed for submitting code or design deviation requests to the Office of Healthcare Engineering (19HEFE). The template provides a structured format for professionals to request three types of deviations: waiver, equivalency, or abeyance, requiring detailed documentation including project specifics, location, potential risks, and implications of the deviation. The template mandates requestors to identify potential risks if the deviation is not approved or is implemented, and requires signatures from the requester and potentially additional leadership depending on the scope and impact of the proposed deviation.

The template is part of a larger Sources Sought announcement (Solicitation Number: 36C26026Q0039) for a project to modernize physical and electronic security systems at the Jonathan M. Wainwright Memorial VA Medical Center in Walla Walla, WA. This market research effort is specifically targeting small business firms to gather information about their capabilities and qualifications for a potential Architect-Engineer (A-E) contract. The Sources Sought notice emphasizes that it is not a formal solicitation and responses will be used solely for market research purposes to help shape the future acquisition strategy.

View the file

Other files

File Type Posted
SOW Attachment 08 - STN 687 PG-18-15 Volume C A-E Submission Instructions.pdf PDF
SOW Attachment 06 - Fiber Optic Distribution Site Plan.pdf PDF
SOW Attachment 04 - Seasonal Influenza with Vaccines.pdf PDF
SOW Attachment 05 - VAWW Campus Map.pdf PDF
SOW Attachment 03 - 01 32 1601 A-E CPM Schedules.pdf PDF
Sources Sought Questionnaire 687-26-100.docx DOCX document
36C26026Q0039.docx DOCX document
SOW Attachment 02 - Sensitive Infrastructure Data Classification Memo.pdf PDF
SOW Attachment 01 - Required Div 01 Spec Sections.pdf PDF
AE SOW 687-26-100.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Department ofMemorandum

Veterans Affairs

Date:
Click or tap here to enter text.
From:
Click or tap here to enter text.
Subj:
Code/Design Deviation Request

Project Number / Project Name

To:
Office of Healthcare Engineering (19HEFE)
Category of Request
Choose an item.
Source of Requirement, e.g. Directive, Design Guide, or Specifications; including section
Click or tap here to enter text.
Summary of Requirement

Type of Deviation Requested: ☒ Waiver ☐ Equivalency ☐ Abeyance

Summary of and Justification for Request (Include project details, location of request, other implications. Identify risks associated with this deviation including if the deviation is not approved AND if the deviation is fully implemented.)

Click or tap here to enter text.

List of Attachments and Supporting Documents (e.g., specifications, drawings, etc.)

Click or tap here to enter text.
By signing this memorandum, the requestor(s) agree to adhere to all monitoring/mitigation strategies identified by the facility as well as additional conditions imposed by OHE if this or a modified deviation is approved. The requestor(s) understand that the Deviation Review Committee may request Medical Center or Network Director signature approval based on the impacts and risks associated with this request.
Signed (Request)
Signed (if requested)

Name Title (Chief Engineer)

Date
Name

Title Date https://dvagov.sharepoint.com/sites/VHA10NA5E/waiver/Pages/Waiver%20Requests.aspx

File details come from the government source that posted it. Updated .