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0) P01 SOW 578-15-037 Construction 5-27-21 EDITED.docx

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Statement of Work

GU Clinic Renovation

Project 578-15-037

May 27, 2021

Attachments:1)Hines VA Campus Site Plan

2)GU Clinic 100% drawing

3)CU Clinic 100% Specifications

4)Pre-Construction Checklist

5)Safety and Health during Construction Activities

APre-construction/Safety Risk Assessment (PCRA)

BNational Environmental Protection Act Assessment (NEPA)

CConstruction Safety Checklist

DGEMS Awareness Competent Person Training

EConstruction Project Waste Minimization Report

FHines VAH Contractor Safety Disciplinary Procedure

GHines VAH COR Letter of Concern for Safety Non-Compliance

HOSHA Required Competent Person Inspections

ICrane Operation Competent Person Training – Not Applicable

JHines VA Hospital Planned Critical Lift plan & Crane Permit – Not Applicable

6)Cutting Welding and Other Hot Work

7)Above Ceiling Entry and Wall Construction Permits

8)Pre-Construction Risk Assessment (PCRA)

9)Interim Life Safety Measures (ILSM)

10)Infection Control Risk Assessment (ICRA)

11) Contractor PIV Instructions and Form

12) Contractor Parking

13) OIT Horizontal Cable Requirements

14) Specification Book -Front -end Specification

15) No Smoking Policy 10-1-19

16) Infection Control Barrier Sample

17) Hines COVID – 19- Guidelines

18) Asbestos Survey Glossary

References:1) VA’s Technical Information Library (TIL)

2) Master Construction Specifications (PG-18-1)

3)Standard Details (PG-18-4)

4)Environmental Planning Guidance (PG-18-17)

5)2011 Asbestos Survey for the Edward Hines Jr. Veterans Affairs Hospital (available on request)

6)2013 Historic Preservation Plan for the Edward Hines Jr. Veterans Affairs Hospital (available on request)

7)2020 Statement of Conditions Survey for the Edward Hines Jr. Veterans Affairs Hospital (available on request)

Mission.

Engineering Service’s mission is the total oversight and management of the environment of care, as it pertains to the physical infrastructure and base plant operations, at the Edward Hines VA Hospital. Engineering support is for customers that include, but are not limited to, patients, visitors, clinic staff and administrative employees.

Goals.

The goal of the GU Clinic renovation is to add additional patient rooms and help improve the patient’s overall comfort and experience and improve patient throughput.

Current Conditions.

The current GU Clinic layout was designed and installed in 1970. The existing layout does not meet current design standards and has an inadequate number of exam rooms to meet current patient loads. The HVAC makeup system is currently shared with Ambulatory Surgery and provides inadequate temperature control.

Justification.

The redesigned layout will allow for more efficient and comfortable patient care in accordance with Surgical and Endovascular Services Design Standards – April 2016 (Rev 4/20). The new layout will add 2 new exam rooms and a dedicated HVAC system.

Objectives.

The objective of the project is to:

1) Provide high-level construction and management to ensure all paperwork, safety conditions, and general conditions as described in the Project Manual are followed.

2) Provide all demolition and construction as described in the drawing’s specifications.

3) Provide close out documentation as required to the COR and to include highly detailed as-built drawings.

4) Perform the work in a manner least likely to interfere with the daily operations of this hospital.

Acronyms and Definitions.

The following is a listing of acronyms and/or definitions to terms that may be used in this document.

COContracting Officer

CORContracting Officers Representative as delegated by the CO

CSContracting Specialist assigned by the CO

EHVAHEdward Hines Veterans Affairs Hospital

GCGeneral Contractor (firm)

IDIQIndefinite Delivery Indefinite Quantity

LFLinear or Lineal Feet

NTPNotice to Proceed

OITOffice of Information & Technology

PDTProject Delivery Team – Typically comprised of the CO/CS, the COR, and EHVAH staff

RFIRequest for Information

SFSquare Feet

VADepartment of Veteran Affairs

Requirements.

Where a conflict exists between the Statement of Work (SOW) requirements and the

requirements of other associated contract documents, the SOW requirements shall prevail.

This SOW presumes the contractor will not need access to the Hines LAN nor VA Sensitive Information to execute the contract. See Attachment 15 and Section P - Government Furnished Equipment (GFE)/Government Furnished Information (GFI) for further guidance.

The awarded Contractor will adhere to all codes, standards, guidelines, and design requirements found in the VA’s Technical Information Library (TIL) including, but not limited to, the following:

Pre-bid site visit:

A pre-construction site walk through is encouraged and should be coordinated by the CO. The intent of this walkthrough is to give the contractor access to the project site so that an accurate evaluation of the project requirements and site assessment can be made.

Contractor shall coordinate with the COR to schedule the site visit seven (7) calendar days prior to the requested date.

RFI Submittals:

The contractor shall submit any RFI’s resulting from the site visit within five (5) working days after the inspection to the CO.

Unless otherwise stated the contractor shall allow the COR and CO ten (10) working days to respond to an RFI.

Infection Control Barrier (ICB):

Temporary construction partitions shall be smoke-tight and built of noncombustible materials that will not contribute to the development or spread of fire.

Barriers shall not obstruct access to emergency services and for fire, police, and other emergency forces.

The contractor shall provide and install a rigid infection control panel system manufactured by Edge Guard out of Berendt, Illinois or an approved equal. http://www.edge-guard.com/home.html. Salient details of the infection control barrier are:

The ICB must be fire-rated.

The barrier must be water resistant; capable of being cleaned and sanitized.

Installation of the barrier shall not:

Generate dust outside the barrier.

Generate excess noise outside the barrier.

Generates excess fumes outside the barrier.

Demobilization of the barrier shall not:

Generate dust outside the barrier.

Generate excess noise outside the barrier.

Generates excess fumes outside the barrier.

Require floor, wall, or ceiling repairs upon removal.

The barrier should be environmentally responsible.

The materials should be reusable.

The materials should not contribute to unnecessary waste to our landfills.

Fire-rated plastic sheeting may be used to supplement the rigid infection control panel system. COR approval is required.

Contractor shall submit an RFI requesting approval during the bid period.

Wood studs, plywood, OSB, particle board, pressboard, or other flammable materials are not allowed at Hines.

Manometers shall be installed on the ICB adjacent to every entrance of the work zone to monitor negative pressure within the work zone. See

Attachment 16.

All doors to rooms inside the work zone but directly impacted by the work shall have their doors shut and the perimeters taped to prevent the migration of dust and debris into these rooms.

Cover all sprinkler heads (daily), signs, data transmitters, and light fixtures. Cover the supply and return diffusers within the work zone to prevent the spread of dust and fumes to other areas outside the work zone.

Rigid infection control panel system and manometers are to be submitted and approved by the COR prior to installation.

The following is a manner acceptable to Hines Infection Control to maintain negative pressure inside an infection control barrier with no reasonable access to discharge air to the exterior.

Install a floor-to-ceiling infectious control barrier (ICB) meeting the fire-rating required.

Cover all sprinkler heads (daily), signs, data transmitters, and light fixtures. Cover the supply and return diffusers within the work zone to prevent the spread of dust and fumes to other areas outside the work zone.

Place the air scrubber inside the ICB with a HEPA filter. The air scrubber will draw air from inside the ICB.

Place a flapper valve connection on the ICB near to the ceiling.

Route the filtered air from the scrubber via a collapsible duct to the flapper valve thus maintaining negative pressure inside the ICB.

If the power should accidently get cutoff, the flapper valve will swing close thereby maintaining the integrity of the ICB.

The contractor shall post and maintain the final signed ICRA and ILSM (when issued) at the entrance to the ICB for the duration of the project. See Attachment 16.

The contractor will update the postings when new documents are issued.

Equipment Lead time:

Equipment lead times line shall be incorporated into the project schedule and used in conjunction with the baseline for the project start date.

EHVAH Permits:

Unless otherwise stated the contractor shal… Show All