Statement of Work for Test and Balance Services.pdf

Scope of Work for Test and Balance Services

1. Introduction and Background

The Phoenix Area Indian Health Service (PAIHS), Phoenix Area Office (PAO) Department of Acquisition (DAM), is seeking a Contractor to perform inventory, testing, adjustment, and balance services (TAB) to ensure that the heating, ventilation, and air conditioning (HVAC) systems are operating effectively and efficiently to maintain indoor air quality, occupant comfort, and, where applicable pressure relationships in accordance with ASHRAE 170, 2008.

The Phoenix Area Indian Health Service (PAIHS) Office in Phoenix, Arizona, oversees the delivery of health care to approximately 140,000 Native American users in the four state area of Arizona, Nevada, California, and Utah. Throughout a network of health care facilities, the IHS are a health care partner to over forty tribes. The Phoenix Area Office (PAO) is based in Phoenix, Arizona. Our system of care includes Indian Health Service (IHS) and tribally-operated health care facilities that serve tribal communities as well as three Urban Indian Health programs. These services are comprehensive and range from primary care to tertiary care and specialty services.

2. Objectives

a. Verify that the HVAC system is operating according to the design or use specifications.

b. Ensure that the pressure relationships, airflow rates, temperature, and humidity levels are consistent with the intended requirements and comply with ASHRAE 170, 2008 where applicable.

Space types used as listed in ASHRAE 170, 2008 shall be identified by facility staff or the Contracting Officer’s Representative (COR).

c. Identify and resolve any issues that could lead to suboptimal performance of the criteria listed in section 2.b. above.

d. Provide a report detailing the findings and recommendations for any necessary adjustments or improvements.

3. Scope of Work

The contractor shall –

a. Establish and provide a written schedule of work to be performed in coordination with the facility manager (FM) and contracting officer representative (COR). Phoenix Indian Medical Center (PIMC) is PAIHS priority, contractor shall complete TAB at PIMC first.

b. Conduct on-site inventory, inspection, testing, measurements, and documentation of the HVAC system. Testing, measurement, and documentation shall include pressure relationships, airflows, temperature, and humidity levels. See equipment list included in this scope of work.

c. Identify and resolve any issues related to the HVAC system that may create suboptimal performance of the HVAC. Resolution of said issues shall be determined by the COR and Contracting Officer (KO).

d. Provide inventory documentation to include

1. Manufacturer, model, serial number, and tonnage of each air handling unit

(AHU).

2. Size, quantity, type of filters installed in each AHU

e. Provide detailed reports of the measurement and testing results, including any necessary adjustments or improvements to the HVAC system.

4. Facility information Ft. Yuma Indian Health Center 401 Picacho Rd, Winterhaven, CA 92283 760-572-4100 Facility Manager – Vacant – Contact

COR

Phoenix Indian Medical Center 4212 N 16th St, Phoenix, AZ 85016 602-263-1200 Facility Manager – CDR Douglas Barber 602-263-1539 Douglas.Barber@ihs.gov

Parker Indian Health Clinic 12033 W Agency Ave, Parker, AZ 85344

(928) 669-2137 Facility Manager – Arlin Billy 928-669-2137 Arlin.Billy@ihs.gov

Peach Springs Indian Health Center 943 Hualapai Way, Peach Springs, AZ 86434 928-769-2900 Facility Manager – Arlin Billy 928-669-2137 Arlin.Billy@ihs.gov

Supai Indian Health Clinic Supai, AZ 86435 Facility Manager – Arlin Billy 928-669-2137 Arlin.Billy@ihs.gov

Whiteriver Indian Hospital 200 W Hospital Dr, Whiteriver, AZ 85941 928-338-4911 Facility Manager – Lance Matthews 928-338-4911 Lance.matthews@ihs.gov

Hopi Health Care Center Highway 264 Mile Post 388, Highway 264 Mile Post 388, Polacca, AZ 86042 928-737-6000 Facility Manager – Vacant – Contact

COR

5. Qualifications

The contractor shall –

a. Have documented experience performing TAB services in Healthcare environment for a minimum of 5 years.

b. Possess certification from a recognized industry organization. The National Environmental Balancing Bureau (NEBB) or the Associated Air Balance Council (AABC) certifications are acceptable.

6. Submittals

a. Documentation of work performed in healthcare environment for the past 5 years

b. Documentation of professional certification.

mailto:Douglas.Barber@ihs.gov https://www.google.com/search?q=parker+indian+health+center&sca_esv=584283699&sxsrf=AM9HkKkFZLf-3feDX7XWi6pSaoqm4XNqtA%3A1700574537019&ei=SbVcZeZXoLLk2g_9xJvIBg&gs_ssp=eJzj4tLP1TcwSTe2KCsyYLRSNaiwMEgxtDA2TDYzN7VINU82tzKoMDcwMTZKSU41SwLShmkGXtIFiUXZqUUKmXkpmYl5ChmpiTklGQrJqXklqUUAdV0X_A&oq=Parker+&gs_lp=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&sclient=gws-wiz-serp mailto:Arlin.Billy@ihs.gov mailto:Lance.matthews@ihs.gov

7. Deliverables

a. The test and balance services will be conducted over a period of one contract year starting from the date of Notice to Proceed.

b. Schedule for service unit visits (PIMC shall be scheduled as first contractor visit) within 15 days of Contractor’s Notice to Proceed

c. Complete AHU and filter inventory documentation for each service unit

d. Comprehensive report of the testing results, including any adjustments or improvements to the HVAC system made during TAB services and those recommended by the contractor for improved performance within 30 days of completion of each TAB

e. Any necessary documentation and certifications, such as air balance reports, pressure differential reports, and indoor air quality test results within 30 days of completion of each TAB

f. Recommendations for any necessary follow-up testing and maintenance within 30 days of completion of each TAB

8. Performance Requirements

Performance elements to be monitored by PAIHS

a. Submission of deliverables on or before deadline established with COR

b. Complete work shall comply with current NFPA 110, NFPA 99, ASHRAE 170, 2008, and manufacturer requirement.

c. Complete work on schedule and without callbacks

d. Submission of TAB report to FM or delegated representative, and to the COR in pdf format with associated invoice

e. Prior to the last work day of the month submit a completed PAIHS invoice form including:

f. IHS contract number, IHS work order numbers being billed, date of service, completed testing forms, lodging, and parts attachments for work orders completed within the previous month

9. Contact Information

COR –

CDR Christian Guess

602-364-5071

Christian.guess@ihs.gov

Technical Point of Contact –

Heather Zunino

602-364-5091

Heather.zunino@ihs.gov mailto:Christian.guess@ihs.gov mailto:Heather.zunino@ihs.gov

Equipment List

Service

Unit Manufacturer Model Serial

PIMC 4400F41898 39THHCAA—3-LGU-AA

PIMC 39MW21D020KX611XHS 1711U16354

PIMC WF-RB16 82853

PIMC 4BN-78.75-PF-MB-FF-PF-SX-CW 1564AHU2

PIMC C8254-FCH-L 1010-5217-4

PIMC 4BN-33.3-AS-PF-EC-FF-PF-HF-SX-CW-HW-DX 1465-AHU3

PIMC 4BN 80.75-AS-PF-MB-FF-SX-CW 1564-AHU5

PIMC 4BN-84-PF-EC-FF-PF-HW-CW-AS 1564-AHU6

PIMC 4BN-13.5-AS-PM-MB-FF-PF-JX-CW 1564AHU1

FYHCC

CLIMATE

MASTER TSV024CEN30WLKS V11911972

FYHCC

CLIMATE

MASTER TSV024CEN30WLKS V11911973

FYHCC

CLIMATE

MASTER TRE060DFP3ASABS V12014185

FYHCC

CLIMATE

MASTER TMW120BFS12N0NS V11015573

FYHCC

CLIMATE

MASTER TMW120BFS12N0NS V11015572

HHCC CARRIER 24ABC648A310 4313E12244

HHCC DAIKIN AWS310DCPEVNN-ER10 STNU141200026

HHCC TRANE MCCA014BJJ0BACA000000B0 K98J89898

HHCC TRANE MCCA030CAJ0BAC0A000000 K98J90253

HHCC TRANE MCCA025JBE0BAB00M0 K98J90336

HHCC TRANE MCCA050CAJPBAC0A000000 K98J92504

HHCC TRANE MCCA025CAJ0BAC0A000000 K98J90372

HHCC TRANE MCCA035CAJ0BAC0A000000 K98j92470

HHCC TRANE MCCA040BJ0BACA00000000 K98J93297

HHCC TRANE MCCA025CAJ0BAC0A000000 K98J90452

WIHS CARRIER 39EF39 781472727

WIHS CARRIER 39EB39 775073081

WIHS CARRIER 39EF15 781275603

WIHS CARRIER 39EF39 781175602

WIHS CARRIER 39EB39 775073078

WIHS CARRIER 39EB26 780273077

WIHS CARRIER 39EB15 775173075

WIHS CARRIER 39EF15

WIHS CARRIER 39EF21 781375598

WIHS TRANE 4TTA3060D4000CA 1418MF74F

WIHS TRANE 4TTA4060A4000AA 17411PPY5F

WIHS TRANE 4TTA4060A4000AA 17246UHT5F

WIHS TRANE 4TTA4060A4000AA 17364MP55F

WIHS TRANE 4TTA4060A4000AA 17246UJ45F

WIHS TRANE WSC048H4R0A24 210511274L

WIHS YORK ZJ061E09B4B6CCA6A1 N1E8786166

WIHS YORK J04XPC00P4AZZ10007C N1G0177998

WIHS YORK J07XPC00P4AZZ40007A N1H0201810

WIHS YORK J04XPC00P4AZZ10007C N1G01770

WIHS YORK BP090C00B4AAC4A N0D7607246

PIHC DAIKIN AWV014AJJNAC-ER10 STNU160800145

PIHC YORK AP400 CGJM05971D

PIHC YORK AP500 CGJM05965D

PIHC YORK AP700 CGJM05963D

PEACH RUUD UKKA-A042JK08E 1R5634ADAAF370112327

PEACH 25HCD330A300 1914E06485

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF370112512

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF190208230

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF100213972

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF190208528

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF050214479

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF190208527

PEACH RHEEM URKA-A024JK04E 1R6301ADAAF060111628

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF180219260

PEACH RHEEM RKKA-A060JK10E 1R5642ADAAF190208529

PEACH RHEEM RKKA-A060JK10E

NS BRYANT 113ANA036-A 0307E09551

NS BRYANT 113ANA048-A 3606E12008

NS BRYANT 113ANA060-B 0207E12755

NS BRYANT 113ANA060-B 0207E12782

NS BRYANT 113ANA060-B 0207E12746

NS BRYANT 113ANA060-B 0207E12757

NS BRYANT 113ANA068-B 0207E12760

NS BRYANT 113ANA069-B 0207E12752

NS BRYANT 113ANA069-B 0207E12769

NS BRYANT 113ANA069-B 0207E12738

NS 53ENF024000BAAA 0906X64160

NS BRYANT 113ANA060-B 0207E12752

NS BRYANT 113ANA060-B 3606E12018

NS BRYANT 113ANA060-B 0207E12756

NS BRYANT 113ANA060-B 0207E12764

DV TRANE YHC102E4RLA005G0A 103611297L

DV TRANE YHC060E3RLA0SA001 101610172L

DV TRANE YHC036E4RLA001 101610479L

DV TRANE YHC092E4RLA001 101610204L

DV TRANE YHC092E4RLA0AA001 103611257L

DV TRANE YHC048E3RLA05A001 101511617L

DV TRANE YHC036E3RLA0RA001 101610122L

DV TRANE YHC036E3RLA005G 101610130L

DV TRANE YHC092E4RLA0AA001 10311271L