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This scope of work document outlines infrastructure upgrade requirements for four Community Based Outpatient Clinics and one Home Based Primary Care site within the Central Arkansas Veterans Healthcare System. The upgrades are required to support the Veterans Health Administration's new Electronic Health Record Management system and include improvements to communication, electrical, HVAC, and physical security infrastructure.

The contractor will provide design, construction, and testing services to upgrade data cabling to Category 6A, install additional network ports, upgrade electrical panels and implement UPS systems, improve temperature and humidity monitoring in network closets, and enhance security of telecom rooms through electronic access control and CCTV systems. The work must meet specifications for VA construction projects and be completed within 365 calendar days of the notice to proceed. The scope of work, drawings and specifications will be solicited as a 100% service-disabled veteran-owned small business set-aside contract awarded on a firm-fixed price basis by the Department of Veterans Affairs.

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Central Arkansas Veterans Healthcare System 4300 West 7th Street 12/16/2021 Little Rock, AR 72205

CONSTRUCTION SCOPE OF WORK

EHRM INFRASTRUCTURE UPGRADES – CBOC/HBPC – Little Rock, AR

I. PROJECT NO: 598-21-705GB

PROJECT NAME: EHRM - Infrastructure Upgrades - El Dorado CBOC - Little Rock, AR

II. PROJECT NO: 598-21-705PB

PROJECT NAME: EHRM - Infrastructure Upgrades - Pine Bluff CBOC - Little Rock, AR

III. PROJECT NO: 598-21-705AQ

PROJECT NAME: EHRM Infrastructure Upgrades – Searcy CBOC – Little Rock, AR

IV. PROJECT NO: 598-21-705GC

PROJECT NAME: EHRM - Infrastructure Upgrades – Westlake HBPC - Little Rock, AR

1. GENERAL INTENT:

The Contractor shall provide construction services necessary at this Community Based Outpatient

Clinics/ Home Based Primary Care (CBOC/HBPC) site to support the Veterans Health Administration’s

(VHA) change to the new Electronic Health Record Management (EHRM). VHA requests the Contractor provide construction services to include all labor, materials, tools, equipment, transportation, supervision, and other services necessary to upgrade the leased property in accordance with this scope of work.

1.1 General Requirements

1.1.1 The Contractor shall provide design services and a complete design package containing drawings and specifications. The design drawings and specifications shall follow all applicable codes, manuals, standards, and guides, including those listed in Paragraph 4.

1.1.2 The Contractor shall provide construction services for the following infrastructure improvements, as necessary to meet listed requirements:

1.1.2.1 Communication infrastructure including new data outlets, patch panels, upgrades to Cat 6A cable, fiber infrastructure backbone within building.

Little Rock, AR 72205

1.1.2.2 Electrical infrastructure including electrical panel upgrades, normal and emergency power, as applicable, bonding, Uninterruptible Power Supply

(UPS) system and Building Management (BMS) interfaces to manage and monitor UPS.

1.1.2.3 HVAC infrastructure including temperature and humidity upgrades, rack and space sensors, and BMS interfaces to manage and monitor temperature and humidity.

1.1.2.4 Reconfiguration of existing space including demolition, new construction, and finishes.

1.1.2.5 Physical security upgrades including telecommunication room cameras, alarms, and necessary interfaces to existing security system.

1.1.2.6 Identification and appropriate remediation of hazardous materials, as needed for project.

1.2 Design Effort

1.2.1 Contractor shall coordinate a Design Intent Drawings (DID) workshop with their respective design and construction team and VHA to develop, review, and complete final DIDs.

1.2.2 Design shall be completed in accordance with the schedule listed in Paragraph 3.

1.2.3 Contractor shall take meeting minutes and distribute meeting minutes to VA COR/CO within three days of meeting. Meeting minutes shall be submitted by the Lessor and approved by VHA.

1.2.4 Contractor shall provide as-builts 15 days after final inspection approval by COR.

1.3 Clinic Operations

1.3.1 It is the Contractor’s responsibility to provide a work plan allowing for continued operations of the CBOC/HBPC. The VHA COR shall review and approve the work plan.

The work plan may require after hours or weekend work.

1.3.2 Execute work to interfere as little as possible with normal functioning of the

Community Based Outpatient Clinic 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 by Veterans or VHA staff, except as approved by COR.

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

1.3.4 Utilities Services: Where necessary to cut existing pipes, electrical wires, conduits, cables, etc., of utility services, or of fire protection systems or communications systems

(except telephone), they shall be cut and capped at suitable places as directed by

Contractor and approved by VHA COR. All such actions shall be coordinated with the

Contractor and VHA COR. Contractor shall submit a request to interrupt any such services to VHA COR, in writing, 7 days in advance of proposed interruption. Request shall state reason, date, exact time of, and approximate duration of such interruption.

Interruptions may have to be scheduled outside of normal CBOC/HBPC operational hours.

1.3.5 The Contractor shall take all measures and provide all material necessary for protecting existing equipment and property in affected areas of construction against dust and debris, so that equipment and affected areas to be used in CBOC/HBPC operations will not be hindered. Contractor shall permit access to Department of Veterans Affairs personnel and patients through other construction areas which serve as routes of access to such affected areas and equipment. These routes whether access or egress shall be isolated from the construction area by temporary partitions and have walking surfaces, lighting etc. to facilitate patient and staff access. Coordinate alteration work in areas occupied by Department of Veterans Affairs so that CBOC/HBPC operations will continue during the construction period.

1.4 Testing

1.4.1 The Contractor shall provide a written testing plan in accordance with specifications and Building Industry Consulting Service International (BICSI) standards. The plan will provide a schedule and a written sequence of what will be tested, how and what the expected outcome will be. This document will be submitted for approval prior to commencing testing. The Contractor shall document testing results and submit to VHA.

1.4.2 Lessor will coordinate final tests with VHA COR and conduct final tests in his/her presence. Lessor shall furnish all labor, materials, equipment, instruments, and forms, to conduct and record such tests.

1.5 Safety During Construction

1.5.1 The Contractor shall designate a minimum of one Site Safety and Health Officer (SSHO) at each project site that will be identified as the SSHO to administer the Contractor’s safety program.

1.5.2 The designated SSHO must meet the requirements of all applicable OSHA standards and be capable (through training, experience, and qualifications) of ensuring that the requirements of 29 CFR 1926.16 and other appropriate Federal, State and local requirements are met for the project. As a minimum the SSHO must have completed

Little Rock, AR 72205 the OSHA 30-hour Construction Safety class and have five (5) years of construction industry safety experience or three (3) years if he/she possesses a Certified Safety

Professional (CSP) or certified Construction Safety and Health Technician (CSHT) certification or have a safety and health degree from an accredited university or college.

1.6 Infection Control

1.6.1 An Accident Hazard Analysis associated with infection control will be performed by the

Contractor and VHA COR in accordance with FGI Guidelines (i.e. Infection Control Risk

Assessment (ICRA)). The ICRA procedure found on the American Society for Healthcare

Engineering (ASHE) website will be utilized. Construction Matrix (ashe.org)

1.6.2 The approved ICRA shall be reviewed and approved by the VHA COR and posted at the work site.

1.6.3 The Contractor shall implement all measures required by the ICRA.

2. STATEMENT OF WORK:

2.1 The Contractor shall ensure all below requirements from the VA Office of Electronic

Healthcare Modernization Site Infrastructure and End User Device Requirements are met.

2.2 Local Area Network (LAN)

2.2.1 Reference: Infrastructure Standard for Telecommunications Spaces, Version 3.1, https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf.

2.2.2 Horizontal cabling shall be Category 6 (Cat6) or higher (American National Standards

Institute (ANSI)/Technology Industries Association (TIA)-1179 Healthcare Facility

Telecommunications Infrastructure). If existing horizontal cabling is not minimally Cat6, Contractor shall upgrade to Category 6A (Cat 6A).

2.2.3 Telecommunications outlets/connectors and the horizontal cross-connects (patch panels) shall be of equal or greater Category to connected horizontal cable.

2.2.4 Installation shall be compliant with the BICSI standards (ANSI/NECA/BICSI 568, Standard for Installing Commercial Building Telecommunications Cabling and ANSI/TIA-

1179-A Healthcare Facility Telecommunications Infrastructure for new installations).

2.2.4.1 New cable installations additionally shall be compliant with TIA 568.2-D, TIA

TSB-184-A, and NFPA-70 Section 725.144 to prevent PoE heat accumulation.

Provide certification reports to the COR.

https://www.ashe.org/sites/default/files/ashe/assessment_icra.pdf https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf

Little Rock, AR 72205

2.2.4.2 Alternatively, new UTP cabling shall carry a UL listed "LP" (Limited Power) rating.

2.2.4.3 Cat6A cable shall be terminated to a CAT6A RJ-45 patch panel in IT closet and CAT6A RJ-45 jack at wall plate and labeled at both ends.

2.2.4.4 Use a cable analyzer to determine cable length (max cable length 90M/295 linear feet) and certify that cable meets or exceeds TIA-EIA-568-C.2.

2.2.4.5 Cables shall be installed in continuous lengths from origin to destination, no splices with a 1’ service loop.

2.2.5 All patch cables shall be Category 6A for copper, OM4 for multi-mode fiber or OS2 level for single mode fiber.

2.2.6 Cable management shall be implemented for all patch cables in accordance with the latest version of Infrastructure Standard for Telecommunications Spaces, Version, ensuring proper bend radius, bundling, airflow, support and labeling.

2.2.7 1 GbE connectivity to desktops, and other End User Devices.

2.2.8 End-to-End latency from the user desktop to Cerner Data Center of equal to or less than 90ms for Citrix connection.

2.2.9 Provide additional data drops and network ports in Telecommunication Rooms (TR) to support required network printers and medical devices per Cerner Current State

Review (CSR). If the CSR is not provided as an attachment to this document, an additional Lease Amendment may be required.

2.2.10 Copper structured cabling shall be certified as meeting or exceeding TIA-EIA-568.1-D

(max fixed cable length 90M/295 linear feet) independent of media type.

2.2.11 Contractors shall provide service with a minimum of 10 GbE fiber or better.

2.2.12 Network Infrastructure devices supported by UPS and/or Emergency Power / Backup

Generator as described below in 2.5.

2.3 Power

2.3.1 UPS Functional Requirements: This Scope of Work includes UPS requirements for OIT equipment only. All OIT equipment in the Telecommunications Room shall be connected to the UPS.

2.3.1.1 All UPS units supporting Information Technology infrastructure shall be functional and maintain a 10-minute run-time.

2.3.1.2 UPS shall be managed and report the following information to a management system.

2.3.1.2.1 Overload

2.3.1.2.2 Battery Temperature High

2.3.1.2.3 Battery Charge Low

2.3.1.2.4 Battery Failure

2.3.1.2.5 Critical Condition (fan failure, low output voltage, etc)

2.3.1.3 UPS shall support both monitoring and remote management to include full compliance with RFC-1628 – UPS Management Information Base Support for Simple Network Management Protocol (SNMP) v3.0, BaCnet and

Modbus protocols.

2.3.1.4 UPS shall be connected to a monitoring system by Ethernet (wired or wireless) or serial interface (RS-232 or RS-485).

2.3.1.5 All units within one (1) year of end of life by facility Go-Live shall be replaced with new units.

2.3.1.5.1 End of Life for stand-alone units assumed to be six (6) years from date placed into service.

2.3.1.5.2 End of Life for UPS batteries assumed to be three (3) years from date replaced.

2.3.1.6 Most Community Based Outpatient Clinics and other leased spaces are defined as Life Safety Protected for Physical Security and Resiliency design.

2.3.2 Upstream bonding requirements to the Secondary Bonding Busbar or Primary Bonding

Busbar must use two lugs. Bonding for telecommunications equipment must be performed per manufacturer's specifications. All grounding shall comply with

ANSI/NECA/BICSI 607-C, Generic Telecommunications Bonding and Grounding (Earthing) for Customer Premises, November 2015.

2.4 Heating, Ventilation, and Air Conditioning (HVAC) Design Requirements

2.4.1 Reference: U.S. Department of Veterans Affairs Office of Construction & Facilities

Management HVAC Design Manual, dated May 1, 2019, https://www.cfm.va.gov/til/dManual/dmHVAC.pdf.

2.4.2 Telecommunications Rooms, Class B space temperature range 41°F to 95°F, relative humidity: 8 to 80% noncondensing.

https://www.cfm.va.gov/til/dManual/dmHVAC.pdf https://www.cfm.va.gov/til/dManual/dmHVAC.pdf

Little Rock, AR 72205

2.4.2.1 Temperature and humidity shall be monitored in proximity to the OIT equipment rack. Place sensors either on populated rack or within 6 feet of rack.

2.4.2.2 Temperature and humidity shall be connected to a monitoring system by

Ethernet (wired or wireless) or serial interface (RS-232 or RS-485).

2.4.2.3 In areas where there are environmental issues (e.g., steam pipes, lack of ventilation, etc.), the use of thermal curtains and additional vents will be considered as a temporary alternative, not permanent resolution. Any existing temporary alternatives, such as thermal curtains and door vents, shall be corrected with an approved, engineered solution.

2.5 Physical Security Design Requirements

2.5.1 Reference: Telecommunications and Special Telecommunications Systems Design

Manual, https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf.

2.5.2 Provide an electronic Security Management System (SMS) with a Physical Access

Control System (PACS).

2.5.3 Doors shall include a mechanical spring loaded “deadlocking feature” (not separate

“deadbolt” lock), PACS associate electronic Personal Identity Verification (PIV) card access device with keypad, electric strike and digital Closed Caption Television (CCTV) color camera routed to and directly controlled by the facility SMS.

2.5.4 Telecommunication Room security system shall be connected to a UPS or emergency backup power system.

2.5.5 Facility programmable door controller shall be fully functional in a standalone status if connection to the SMS is lost. Once the connection is restored, the local door control system shall update the SMS, regarding all operations that occurred after the connection was interrupted. Then, the SMS shall update the local door control units to current operational function.

2.5.6 The PACS and SMS shall be fully compliant with VA’s PII, PIV "Smart" ID Card and at a minimum, FIPS 201-1 and NRTL (i.e. UL) listed and labeled.

3. PERIOD OF PERFORMANCE:

3.1 Work timelines and completion progress shall be communicated to the COR for tracking purposes.

https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf

Little Rock, AR 72205

3.2 Work shall be completed in accordance with milestones in the following paragraph (project schedule table).

3.3 Work shall meet project milestones as outlined here.

Award Day 0

Initial meeting with Gov’t Day 10

Schematic Design due to VA Day 25

AE meeting (Schematic Design) Day 32

35% Design due to VA Day 57

AE meeting (35%) Day 64

95% Design due to VA Day 79

AE meeting (95%) Day 86

100% Design due to VA Day 101

AE meeting (100%) Day 108

Final CD submission due to VA Day 118

Gov’t approves CD Day 125

Construction Complete Day 365

4. MANUALS, STANDARDS AND DESIGN GUIDES: The work will be completed in compliance with the following manuals, standards, and design guides. Where there appear to be contradictions, VA shall make a final determination on applicability of manuals, standards, and design guides:

4.1 VA OEHRM Site Infrastructure and End User Device (EUD) Requirements Version

2.0. (Attachment 1)

4.2 Infrastructure Standards for Telecommunications Spaces Version 3.1 (dated July 1, 2021)

4.3 Telecommunications and Special Telecommunications System Design Manual (dated February

2016)

4.4 HVAC Design Manual (dated November 1, 2017 with Rev dated March 1, 2020)

4.5 VA Division 27 – Communications Specifications

5. SPECIFICATIONS:

DIVISION 01 - GENERAL REQUIREMENTS

01 00 00 General Requirements

01 32 16.15 Project Schedule

01 33 23 Shop Drawings, Product Data, and Samples

01 35 26 Safety Requirements

01 42 19 – Reference Standards

01 45 00 - Quality Control

01 45 29 – Testing Laboratory Services

01 57 19 - Temporary Environmental Controls

01 74 19 Construction Waste Management

01 81 13 – Sustainable Construction Requirements https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf https://www.cfm.va.gov/til/dManual/dmHVAC.pdf https://www.cfm.va.gov/til/dManual/dmHVAC.pdf https://www.cfm.va.gov/TIL/spec.asp#27 https://www.cfm.va.gov/TIL/spec.asp#27 https://www.cfm.va.gov/TIL/spec.asp#27 https://www.cfm.va.gov/TIL/spec.asp#27 https://www.cfm.va.gov/TIL/spec.asp#27

01 91 00 - General Commissioning Requirements

DIVISION 02 – EXISTING CONDITIONS

02 41 00 Demolition

DIVISION 07 – THERMAL AND MOISTURE PROTECTION

07 84 00 Firestopping

DIVISION 26 – ELECTRICAL

26 05 11 Requirements for Electrical Installations

26 05 19 Low-Voltage Electrical Power Conductors and Cables

26 05 26 Grounding and Bonding for Electrical Systems

26 05 33 Raceway and Boxes for Electrical Systems

26 27 26 Wiring Devices

DIVISION 27 – COMMUNICATIONS

27 05 11 Requirements for Communications Installations

27 05 33 Raceways and Boxes for Communications Systems

27 15 00 Communications Structured Cabling

6. SUBMITTALS:

6.1 In addition to submittals required by specifications, the contractor shall submit the following submittals for review:

6.1.1 Product data and sample of cable.

6.1.2 As-built drawings for all data locations and labels. The Contractor shall provide the central drawing set to the Owner at the end of the project. The marked-up drawing set will accurately depict the as-built status of the system including termination locations, cable routing, and all administration labeling for the cabling system. In addition, a narrative will be provided that describes any areas of difficulty encountered during the installation that could potentially cause problems to the telecommunications system.

6.1.3 As-built drawings for new power locations. Include one line diagram depicting which circuits feed new outlets and panel schedules for panels feeding new outlet locations.

6.1.4 Certification report. All testing documents shall reflect the appropriate labeling scheme.

6.1.5 Warranties of installation and cabling system. The Contractor shall provide a system warranty covering the installed cabling system against defects in workmanship, components, and performance, and covering follow-on support after project completion.

7. PROJECT COMPLETION:

7.1 The contract shall not be closed by the Contracting Officer until after the station’s go-live date in

Little Rock, AR 72205 the event that additional data drop and power outlet locations are identified by Cerner and the

Change Leadership Team.

7.2 If additional data drop and power outlet locations are identified, a modification shall be negotiated for the additional work.

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