SOW_MEDICAL GAS REPAIR NNMC.pdf

STATEMENT OF WORK

FOR

MEDICAL GAS DEFICIENCY REPAIR

AT

NORTHERN NAVAJO MEDICAL CENTER

SHIPROCK, NEW MEXICO

MAY 13, 2020

SHIPROCK SERVICE UNIT

1. Introduction:

1.1. The Northern Navajo Medical Center (NNMC) requires professional services and expertise to perform the following:

• Repair Medical Gas Deficiencies

• Repair the Master Panels located at the ER and Maintenance Department. Rewire and identify all circuits with alarm location.

2. PROJECT BACKGROUND

2.1. Northern Navajo Medical Center is located on US Highway 491 North in Shiprock, NM.

3. PROJECT DESCRIPTION:

3.1. For the project, the contractor shall prepare a proposal, and upon award, shall perform the service.

3.2. The project includes the following work, Job Will be perform with the following per N.F.P.A.

99c, AIA and CGA Compliance :

• ER Bay 5 GC188A Medical Air outlet leaking. ER, Trauma, X-Ray, Ultrasound Does not comply with NFPA 99C. Pediatric GA175 Calibration Needed.

• Internal Medicine Clinic GD171 Visual Alarm not functioning, audible alarm not functioning, service required & pressure switches piped on wrong side of zone valves.

GD171 replace gauge.

• LC179 small leak without regulator.

• LC178 leaks without regulator.

• LC132 Vacuum inlets leaks, Nitrogen leaks.

• LC1332 Vacuum inlets Leaks.LC128 vacuum inlet leaks.

• LC129A Vacuum Leak.

• LC129A Vacuum coupling from hose drop damaged replace.

• LC129A Vacuum drops immediately repair inlet.

• LC153 Does not comply with NFPA 99c & in need of calibration.

• LC158 Does not comply with NFPA99C.

• LD156 Nursery Bay 10 medical air leaks.

• LD156, 157 & 159 service required.

• LD163 Vacuum regulator will not un-latch.

• LD162 Vacuum regulator will not un-latch.

• LD163 need calibration. LD109 oxygen leaks without flowmeter.

• LA194 need calibration.

• LA199 missing completion body.

• GB238 does not comply with NFPA.

• GB246 Does not comply with NFPA99C.

• GB254 Does not comply with NFPA99C.

• GB249 Vacuum leaks without regulator, Dental Air water indicated when tested (will need to check the medical compressor). GB250 vacuum leaks without regulator.

• GB258 vacuum failed Pod C. LB128 Oxygen Small leak, LB130 Medical Air Moisture Indicated. LB130 Vacuum Gauge is exercised.

• Repair the Master Panels located at the ER and Maintenance department. Rewire and identify all circuits with alarm location. Master Alarm Panel Medical Air dew point, carbon Monoxide high, high Temp. Shutdown, Lag Pump in use, Line pressure Low, Line Pressure High. Oxygen: Reserve Low Reserve Failure Pressure, Line Pressure Low, line Pressure High.

Nitrous Oxide: Line Pressure Low, Reserve in Use.

• Dental Vacuum Source Evaluation: #2 Offline Recommend Light Service.

• Clinical Vacuum Source Evaluation: Land required signals at Master Alarm Panels.

• Medical Air Source Evaluation: Comp 2 Offline; Land required signals at Master Alarm

Panels Service System.

• Manifold Evaluation Source Gas Nitrogen-NF: Apply Valve Tag Land required signals at

Master Alarm Panels. Manifold Evaluation Source Gas NITROUS OXIDE_USP: Apply Valve Tag, High Switch wired to low contact land required signals at Master Alarm Panels.

• Drawing will be on site when contract awarded.

4. CRITERIA:

• All work will be accomplished in a professional manner in respect to patient privacy & will not affect patient safety or comfort. At no time will there be any outage of medical gas system.

• Individuals trained shall perform all work; Certified and license with ASSE Series 6000 standard include health care facilities within the scope of NFPA 99 Health care Facilities Code.

• Report will include any & all corrected deficiencies noted along with recommended corrective actions. Correction report will be required one week after completing work.

• Contractor will furnish all equipment, tools and any other items to complete the job.

• Provide all personal protective equipment required by the contractor’s

• Personnel for safe execution of their duties.

5. GENERAL REQUIREMENTS:

5.1. Contractor shall develop a set plan and accurate timeline to present to project representative prior to the project start date.

5.2. A report and walk through of the completion will be necessary after completion of project.

5.3. Work area should be well kept and free of trash and debris after work days.

5.4. The contractor shall perform work between the hours of 8:00am and 4:30pm Monday through

Friday excluding Federal Holidays. Alternate hours discussed and agreed upon with facility. The contractor shall furnish a schedule of the dates agreed upon to the project officer and the facility manager at least two weeks in advance.

5.5. Any foreseen or unplanned costs, workhours or changes that will effect or incur extra costs to NNMC, needs to be brought to the attention of the NNMC project representative before proceeding with this matter.

5.6. Contractor will report to security office for temporary badges, report to COR before and after project.

5.7. Document will be sign by COR and written report.

5.8. The contractor is responsible for any damages to government property caused by the contractor’s employees or contractor’s equipment.

6. SPECIAL REQUIREMENTS

6.1. Proper repair of medical gas deficiencies.

6.2. Site Visit will be scheduled, TBD.

7. ATTACHMENTS

7.1. Pictures of panels.

8. Period of Performance

8.1. Date of award.

9. Contact information:

9.1. Christopher Begay, Maintenance Supervisor, 505-368-6152

9.2. Jonah Shorty, COR, 505-368-6158

7.1