SOW PSNS4200-43.pdf

PSNS&IMF 4200/43 (2-16) Page 1 of 5

STATEMENT OF WORK–SERVICE CONTRACT WORKSHEET PSNS&IMFINST 4200.14

CHECK ALL THAT APPLY:

HIGH RISK (Justify in No. 12 below)

SUBSAFE Fly By Wire DSS SOC

WORK IS WITHIN: ENGINEERING SPACE PROPULSION PLANT SYSTEM

(Review NAVSEAINST 9210.4B for applicability)

JML No.: 5167-8700 & 51678701

NAVCOMPT 2276 No.: (Request for Contractual Procurement (RCP) required for services over $2,500 or services with terms and conditions.)

Ship/Activity: Code 134

Title: Purchase and replacement of four laboratory fume hoods.

Place of Performance: PSNS Bremerton, BLDG 59

Period of Performance: TBD

Estimated Cost: $99,520

Source of Estimate: Vendor quote

REFERENCES: PSNS provides required dimensions to vendor. OEM vendor of fume hoods has original drawings/schematics from original install 20+ years ago.

1. BACKGROUND: The laboratory division is replacing fume hoods from Laboratory Design Construction, Inc that require installation.

Describe current (baseline) condition: Existing fume hoods were installed by vendor (Laboratory Design Construction, Inc) 20+ years ago, and are and past expected service life.

2. SCOPE: Need to purchase replacement fume hoods, including demo/removal of 4 current fume hoods and installation of 4 replacement fume hoods. Also, includes field testing by vendor to verify functionality of new fume hoods.

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3. DELIVERABLE ITEMS: List deliverable products and schedules; test reports, time sheets, Government furnished property (GFP), etc. to be provided to the Government representative and/or contracting officer upon task completion.

4. CONTRACTOR FURNISHED MATERIAL: See JML(s) for an estimated list of prices for the following items:

The contractor shall provide services for

• Demo and removal of four current fume hoods.

• Installation of four replacement, including functionality checks and SEFA testing for the four new fume hoods, sizes/specifications below:

Fume Hood 1:

• 6 ft BMC Airfoil Bypass Fume Hood with:

o (1) Air, (1) Gas, (1) Light Switch, (1) Blower Switch, (2) 115V Electrical Duplexes, (2) 220V Single Electrical Outlets, (1) 3” Dia Port @ Right Side, (1) Sash Stop and (1) digital Airflow Monitor/Alarm o (1) 6 ft Epoxy Resin Work Surface – NO Cup Sink (color: black) o (1) 36” Acid storage cabinet w/vent kit (vented to fume hood) o (1) 36” Base storage cabinet w/vent kit (vented to fume hood)

Fume Hood 2:

• 8 ft BMC Airfoil Bypass Fume Hood with:

o (1) Cold Water Gooseneck, (1) Air, (1) Gas, (1) Light Switch, (1) Blower Switch, (2) 115V Electrical Duplexes, (2) 220V Single Electrical Outlets, (1) Sash Stop and (1) Digital Airflow Monitor/Alarm o (1) 8 ft epoxy resin work surface – with cup sink (color: black) o (1) 48” Flammable storage cabinet w/self-closing doors (NO venting) o (1) 48” Acid storage cabinet w/vent kit (vented to fume hood)

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Fume Hood 3:

• 6 ft BMC Airfoil Bypass Fume Hood with:

o (1) Air, (1) Gas, (1) Light Switch, (1) Blower Switch, (2) 115V Electrical Duplexes, (1) Sash Stop and (1) Digital Airflow Monitor/Alarm, Combination Sash, and Custom 8” Dia Duct Collar at Custom Location o (1) 6 ft epoxy resin work surface – NO cup sink (color: black) o (1) 36” Acid storage cabinet w/vent kit (vented to fume hood) o (1) 36” Flammable storage cabinet w/self-closing doors (NO

Fume Hood 4:

• 8 ft BMC Airfoil Bypass Fume Hood with:

o (1) Air, (1) Gas, (1) Light Switch, (1) Blower Switch, (2) 115V Electrical Duplexes, (1) Sash Stop and (1) Digital Airflow Monitor/Alarm o (1) 8 ft Epoxy Resin Work Surface – NO cup sink (color: black) o (2) 48” Flammable Storage Cabinets w/Self-Closing Doors (NO

5. GOVERNMENT-FURNISHED PROPERTY:

5.1 Original acquisition value of material:

5.2 Location of GFP:

5.3 Manufacturer, model number, and type. Include serial number(s):

5.4 Government provided or contractor pickup:

6. QUALITY ASSURANCE REQUIREMENTS:

PSNS & IMF –or- Contractor is responsible for quality assurance.

The newly installed equipment must be in good working order.

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7. SECURITY REQUIREMENTS: Contractor personnel must be a US citizen, with proof of citizenship document, and will require access to PSNS&IMF controlled industrial area (Green, Yellow, or Red security badge).

Originator determines if a Department Of Defense Contract Security Classification Specification (DD254) is required.

8. TRAVEL REQUIREMENTS: PSNS&IMF, Bldg 59, 1400 Farragut Ave, Bremerton, WA 98314

Is carrier onboard delivery (COD) required? (i.e., when the contractor is transported to a vessel underway.)

9. GOVERNMENT REPRESENTATIVE: Lizzle Almonte, 1400 Farragut Ave, Bremerton, WA 98314; 360-476-4276; fax 360-476-5587;

anna.g.almonteblake.civ@us.navy.mil

10. OTHER CONSIDERATIONS:

10.1 Estimated Work Hours: 40

10.2 All technical clarifications will be coordinated through the Government representative.

10.3 Environmental and safety concerns: Contractor personnel

will be limited to Bldg 59, laboratory.

10.4 Laydown and utilities requirements: Fume Hoods have

electric power, water, and natural gas. Contractor may need to coordinate with NAVFAC for utility isolation (power, water, natural gas) during demo/install.

12. JUSTIFICATION FOR HIGH-RISK FLAG: -NA-

Date:

Code 413 Statement of Work review

Date:

Cognizant technical code review

Date: _____ Cognizant APS/PLM or WIM Review

PSNS&IMF 4200/43 (2-16) Page 5 of 5

Notes:

1. Code 413 reviews SOW for contractual adequacy.

2. Cognizant technical code reviews SOW for technical adequacy.

3. Cognizant APS/PLM or WIM reviews SOW to ensure project requirements are adequately described.