Tyndall_TMMF_Statement_of_Work_13Aug19.pdf

Tyndall Air Force Base (AFB)

Temporary Modular Medical Facility (TMMF)

Statement of Work (SOW)

1. DESCRIPTION OF WORK

Background

Tyndall AFB is located 12 miles east of Panama City, Florida and is home to the 325th Fighter Wing and is home to more than 30 tenant organizations. The base manages the southeastern air combat maneuvering instrumentation range and provides mission‐ready air dominant forces.

The mission of the 325th Medical Group (325 MDG) is to provide both medical and dental services to support the highest degree of readiness for the 325th Fighter Wing. The 325 MDG provides outpatient medical, dental, occupational, mental health services, environmental and preventative healthcare services in support of a combat‐ready wing. The Medical Group's over 300 staff members serve 3,300 uniformed personnel and 19,000 eligible beneficiaries. Using health care optimization in an integrated managed care environment annually supports 68,000 clinic encounters.

This project is intended to provide a temporary modular medical facility to house 325 MDG primary care clinics and administrative spaces.

2. Problem Statement

The Air Force Medical Readiness Agency requires a Contractor to provide a temporary modular medical facility to house primary care and administrative medical services for the 325 MDG. In October 2018, Hurricane Michael damaged the majority of facilities across Tyndall AFB. Several buildings on the medical campus sustained significant damage to the point of loss-of-use of several buildings.

3. Constraints & Objectives

The following outlines known conditions and constraints as well as design expectations and objectives specific to this project. The Contractor must field verify the existing systems for configuration, capacities, size, locations, and condition to determine design intent. Conditions in these locations will not be considered "unforeseen:"

A. Site

a) Parking – 325 MDG contains parking spaces that are in possible violation of Anti‐Terrorism Force Protection (ATFP) minimum standoff distances. Contractor is to verify ATFP impact to parking spaces and re‐locate as required. Ensure current version Unified Facility Criteria (UFC) 4‐ 010‐01 is utilized.

b) Americans with Disabilities Act (ADA) requirements - TMMF entrances shall include proper slope. Adequate patient and staff access to the building must be maintained.

c) Emergency Vehicle Access – Emergency vehicle access shall be maintained to and around the clinic at all times. Emergency vehicle parking and access for Bioenvironmental Engineering, Ambulance Services, and Flight Medicine must be considered as part of the Contractor’s design strategy.

d) Logistics/Loading – For use of the loading dock, located at building 1465, all deliveries shall be coordinated with Facilities Management 48‐hours in advance. The Contractor may not stage, store, or utilize warehouse or dock space for any purpose other than deliveries.

B. Architectural

a) Aesthetics/ Interior Design (Structure Interior Design (SID), Signage, etc.) – All finishes shall meet current design standards and criteria. Ensure all signage provides a way finding solution that clearly direct patients between the two main paths of travel: toward the TMMF area or toward the main clinic. The site and building construction phase temporary signage/wayfinding package shall be coordinated with the MDG and facility during design. A plan shall be accepted prior to the Contractor receiving Notice-to-Proceed for construction.

b) Environmental – The facility has difficulty maintaining acceptable humidity levels. Humidity must be controlled at 50-60% relative humidity for cooling and 40-50% relative humidity for heating, or as approved by the facility manager. The building envelope must be properly sealed to prevent infiltration of outside air.

c) Communication/Electrical/Mechanical Rooms – Communication/IT, electrical and mechanical rooms shall be added and/or reconfigured to meet the demands of the TMMF in accordance with code, criteria and standards. The Contractor shall place these rooms in areas that do not impede patient care or staff efficiencies. (Note: these rooms are NOT necessarily documented on the Program for Design (PFD).) Upgrades/modifications are required in existing communications/electrical/mechanical rooms not specifically highlighted within areas of renovation to support renovated infrastructure as required.

d) Special consideration ‐ All work must meet local hurricane protection standards.

e) For new work or construction, the Contractor must adhere to all updated versions of criteria.

See Attachments:

i) Attachment C - AFMSA Design Guidance

ii) Attachment E - Installation Facility Standards & Plans

iii) Attachment F - Codes & Criteria

C. Furniture, Furnishings, Equipment & Low Voltage Systems (FFE-LVS)

Logistics (transition/moves, procurement, delivery, installation, acceptance/ certification) ‐ Attachment A ‐ Siting & Parking illustrates the staging area available to the Contractor. It shows all parking, pedestrian, circulation, access and logistical considerations the Contractor shall take into account in the development of his price and solutions. These documents shall be used to plan transition/moves, procurement, delivery, installation, and acceptance/certification.

D. Infrastructure & Engineering Systems

a) Utilities – See Attachment B - Utility Plans for existing utility conditions. Utility meters are remotely monitored by AFMRA SG8P HFD HQ office, TX. Any new utility meters shall comply with Attachment C ‐ AFMSA Design Guide.

b) Low Voltage Systems - See Attachment D - DHA LAN WLAN Guidance.

c) Mechanical - Provide Heating Ventilation and Air Conditioning (HVAC) necessary to meet 68- 75°F with 40-60% relative humidity range.

d) Electrical - Follow guidelines & criteria set forth in UFC 4-510-01.

4. PERFORMANCE PERIOD AND TIME CONSTRAINTS

Due to the expedited nature of the requirement for a TMMF to house primary care and administrative medical services, the performance period is flexible and up to the Contractor. However, the "open-for-business" date is set at 14-Oct-19. It includes all design, construction, commissioning, transitions, and acceptance. Note: any solution provided by the Contractor must not negatively impact on-going healthcare. The 325 MDG must remain operational 24 hours a day, 7 days a week.

Nearby facilities are not available for swing space. No empty space is currently available.

5. FURNITURE, FURNISHINGS, EQUIPMENT & LOW VOLTAGE SYSTEMS

A. GENERAL REQUIREMENTS

1. General. The Contractor is responsible for providing a TMMF to house primary care and administrative services specific to the 325 MDG at Tyndall AFB, FL. The Contractor is also responsible for all incidental services related to this effort.

2. Transition. The Contractor is not responsible for physically transitioning personnel or FFE.

a) Schedules. Develop a schedule with the Facility Manager (FM) indicating acceptable dates of actual move installs and open for business.

b) Other Support. The Contractor is responsible for storage, delivery, installation labor, testing, certification, cleanup/cleaning, and acceptance.

c) Furniture/Equipment Wiring. The Contractor shall be responsible to install systems furniture power and communications wiring to preinstalled power and IT source(s) within the room;

configure all necessary electrical and communications wiring for systems furniture to accomplish the same. A licensed electrician shall perform all electrical work in accordance the National Electric Code (NEC), manufacturer's recommendations and installation standards.

d) Temporary Signage. The Contractor shall provide adequate temporary signage and shall update the signage if needed. Signage shall locate all departments and at least one public toilet room.

3. Phasing. The Contractor is responsible for coordinating and providing, utilities, power and communications wiring necessary to make ALL furniture, furnishings, medical equipment, and low voltage systems (regardless of Category Code) complete and usable for all interim and final moves, to include departments or portions of departments designated as “move only”. [Note: This aspect of the work is accounted against “Design-Construction”]. The scope of this effort includes, but is not limited to:

Utilities. The Contractor shall also provide HVAC, plumbing, structural/architectural, IT communications required to support the newly constructed or existing TMMF. All new connections must meet current codes and criteria. This scope includes: Modification of new/existing branch electrical system to support equipment installation and to provide adequate power receptacles for personnel workstations. Modification of existing data/telephone system to support equipment re-installation and to provide adequate service for personnel workstations, including completion of telephone cabling terminations in telephone and communications closets and installation/relocations of accessories.

Communications wiring requirements shall be the responsibility of the Contractor unless otherwise directed.

6. CLOSEOUT AND WARRANTY

A. GENERAL REQUIREMENTS

1. Punch-Out Inspection. Near the end of new work or construction, or any increment of the new work or construction established by a time stated in the Task Order the Contractor Quality Control (CQC) Manager and the CQC staff shall conduct an inspection of the work. A punch list of items that do not conform to the Final Corrected Submittal and subsequent modifications shall be prepared and included in the CQC documentation. The list of deficiencies shall include the estimated date by which the deficiencies will be corrected. The CQC System Manager or staff shall make a second inspection to ascertain that all deficiencies have been corrected. Once this is accomplished, the Contractor shall notify the Government that the facility is ready for the Government Pre-Final inspection.

2. Pre-Final Inspection. The Government will perform the Pre-Final inspection on newly constructed work to verify that the facility is complete and ready to be occupied. A Government Pre-Final Punch List may be developed as a result of this inspection. The Contractor's CQC System Manager shall ensure that all items on this list have been corrected before notifying the Government, so that a Final inspection with the customer can be scheduled. Any items noted on the Pre-Final inspection shall be corrected in a timely manner. These inspections and any deficiency corrections required by this paragraph shall be accomplished within the time slated for completion of the entire work or any particular increment of the work if the project is divided into increments by separate completion dates.

3. Final Acceptance Inspection. If new work or construction is completed, the CQC personnel, plus the superintendent or other primary management person, and the Contracting Officer's

Representative shall be in attendance at the Final acceptance inspection. Additional Government personnel including, but not limited to, those from the installation, the Medical Treatment Facility (MTF) or other Project Delivery Team (PDT) members may also be in attendance. Any and all appropriate testing and commissioning test results shall be available to the inspectors. The Contracting Officer based upon results of the Pre-Final inspection will formally schedule the Final acceptance inspection. Notice shall be given to the Contracting Officer Representative prior to the Final acceptance inspection and shall include the Contractor’s assurance that all specific items previously identified to the Contractor as being unacceptable, along with all remaining work performed under the Task Order, will be complete and acceptable by the date scheduled for the Final acceptance inspection. The Contractor shall notify within the timeframe(s) outlined Table 1:

Submissions and Activities. The Government will provide review/response within the timeframes outlined in the table.

4. Deferred/Seasonal Tests and 10-Month Warranty Review. If new work or construction is completed, the Contractor and Commissioning Firm/Agent shall coordinate Final commissioning activities with the Government and designated independent Commissioning Authority. Final report shall indicate the status of any remaining deficiencies and coordinated resolution plan for implementing corrective measures. The Contractor shall provide within the timeframe(s) outlined in Table 1: Submissions and Activities. The Government will provide review/response within the timeframes outlined in the Table.

5. Acceptance and Closeout Plan. For new work or construction, the Contractor shall provide an acceptance and closeout plan.

B. CLEANING

The Contractor shall work with Facility Management to determine the amount of time required for cleaning, prior moving sections into their new areas. Aseptic level cleaning is required, prior to open for business. Prior to handover the Contractor shall perform an Aseptic (antiseptic) cleaning of all areas affected by the contract. The Contractor shall furnish all management, labor, supervision, transportation, equipment and materials to provide complete aseptic cleaning. All rooms/areas shall be cleaned as necessary to ensure a level of asepsis commensurate with the Government's use of the room. This is an in-depth cleaning to bring an area up to the level of cleanliness, beautification, and protection to ensure the room/area is acceptable for patient care and occupancy.

C. FURNITURE, FURNISHINGS, EQUIPMENT & LOW VOLTAGE SYSTEMS ACCEPTANCE

1. Inspection and Acceptance Protocol. For new work or construction, the Contractor shall notify the acceptance team of the “walk-through” dates prior to inspection. The Contractor shall notify them. Upon completion of the FFE-LVS installations, the Contractor shall notify the representatives that the area is ready for a final walkthrough, validation and inspection. The participants will walk the space. Participants will use the “Corrected Final” as a basis for inspection. If the documents have since changed, the Contractor shall provide updated copies and provide to the inspection team. All discrepancies shall be annotated on the closeout document that becomes the “punch-list”. The Contractor, Agent and MTF Representatives shall sign the documents.

Once validation is complete, a cover memorandum will be generated by the MTF representative documenting validation was completed. A copy will be provided to the Agent – Administrative Contracting Officer (ACO). The memorandum will identify the rooms that have been validated and any discrepancies noted. The signed closeout documents (punch-list) will be added to the memorandum as supporting documentation.

2. Discrepancy Log. The Contractor and the MTF will maintain a log of all discrepancies. The log will track the date identified, issue/discrepancy noted, Office of Primary Responsibility (OPR), estimated completion date, and status. All open items will be tracked at the weekly progress meeting until resolved. The following products/installations will be inspected for completeness and operability at time of acceptance of all FFE-LVS.

3. Infection Control Items. FM/Quality Assurance/Infection Control Officer will validate height and placement of sharps containers, and/or all dispensers.

D. CLOSEOUT & PREWARRANTY MEETINGS

Prior to Task Order completion at a time designated by the Contracting Officer or Contracting Officer's authorized representative; the Contractor shall meet with the Contracting Officer to develop a mutual understanding with respect to the requirements of the warranty.

Communication procedures for Contractor notification of warranty defects, priorities with respect to the type of defect, reasonable time required for Contractor response, and other details deemed necessary by the Contracting Officer or Contracting Officer's authorized representative for the execution of the construction warranty shall be established/reviewed at this meeting.

E. WARRANTY

For new work or construction, an on-site Contractor representative shall be present to coordinate punch list and warranty issues during the final transition period. All close out documents including Operation & Maintenance manuals, redlines, As-Built drawings, 1354, etc. shall be submitted and approved. The Contractor shall submit the deliverable(s) in a timely manner. The Government will provide review/response in a timely manner as well.

Following written notification by the Government, the Contractor shall respond to construction warranty service requirements in accordance with the Base Contract. The Contractor shall submit a report on any warranty item that has been repaired during the warranty period. The report shall include the cause of the problem, date reported, corrective action taken, and when the repair was completed.

Warranty repair work which arises to threaten the health or safety of personnel, the physical safety of property or equipment, or which impairs operations, habitability of spaces, etc., will be handled by the Contractor on an immediate basis as directed by the Contracting Officer or the Contracting Officer's authorized representative.

Final Task Order payment will not be made until completion and approval of the Task Order closeout activities.