J047--Medical Gas Deficiency 610A4-26-507 (VA-26-00058207) 36C25026Q0452

DESCRIPTION OF SERVICES: GENERAL The Contractor shall provide all labor, equipment, materials, and supervision necessary to furnish, install, and correct cited deficiencies of current MEDICAL GAS (MED-GAS) systems with maintenance/testing requirements to reduce facility risk posture. All work to be completed on the 3rd Floor, Building #1, VA Northern Indiana Health Care Systems, Fort Wayne Campus, 2121 Lake Avenue, Fort Wayne, IN 46805-5100. SCOPE Contractor s work and responsibility shall include all contractor planning, programming, administration, and management necessary to provide all construction and related services as specified. Building #1 s Med-Gas System Evaluation. The Med Gas system has been evaluated in accordance with the applicable edition of NFPA 99 Health Care Facilities Code and ASSE 6000 Standards. The system is within applicable guidelines except as noted in the inspection report. All cited deficiencies for the third floor shall be repaired, replaced, or updated. Area Alarm: Deficiencies: There is no area alarm panel supporting Recovery Room #3204. Correction: Furnish & install new area alarm panel supporting at minimum O (OXYGEN), MA (COMPRESS MEDICAL AIR), VAC (MEDICAL VACUUM). Installation shall be for Recovery Room #3204, including all transducers, wiring, labeling; verify setpoints and functional test (audible/visual, test mode, signal accuracy). The Contractor shall perform alarm setpoint and full functional test (including audible/visual alarm activation, test mode operation, and signal accuracy verification). Verification of setpoint documentation and panel labeling check. A qualified ASSE 6030 medical vacuum verifier shall perform final verification and certification of all affected systems. The Contractor shall retain verifier, complete all corrections, and furnish updated certification. Warranty. The Contractor shall provide a minimum one year warranty on parts, labor, and installation workmanship. Zone Valve Boxes: Deficiencies: There is no intervening wall between zone valves and outlets/inlets served in Room #3315 and Room #3304; PRE-OPERATION ROOM (PRE OP). Each room contains three (3) affected valves (O , MA, VAC) for a total of six (6) valves. Correction: Relocate zone valve boxes to a compliant location not served by the valves or modify architectural layout to provide a required intervening wall. All location shall be verified and approved by COR. Update all valve labeling accordingly. Furnish and install all necessary materials, piping, enclosures, fittings, labeling, supports, and accessories to complete valve box relocation. Per NFPA 99, all station outlets/inlets shall be supplied through a zone valve meeting the following requirements: The zone valve shall be placed such that a wall intervenes between the valve and outlets/inlets that it controls. The zone valve shall serve only outlets/inlets located on that same story. The zone valve shall not be located in a room with station outlets/inlets that it controls. The Contractor shall perform pressure checks at zone valves and valve enclosure condition. Verification of updated labels and drawing reflecting new compliant locations. Nitrogen Zone Valves: Deficiencies: There is no NITROGEN (N ) zone valve installed is currently serving OPERATING ROOM (O.R.) #3232 and #3235. Correction: The Contractor shall verify whether any N outlets were removed from service and isolated properly, and/or shall be supplied. Furnish & install new N zone valves and required labeling/enclosures for each room as required. New N outlets to match existing DIAMETER INDEX SAFETY SYSTEM (DISS) standard in O.R. suites; furnish labeling & verification. The Contractor shall perform functional isolation test, pressure indication checks (if applicable), and check for leaks. Verification of labeling. WASTE ANESTHETIC GAS DIPOSAL (WAGD) Inlets: Deficiencies: There is no WAGD inlet in the following anesthetizing locations: Room #3210, #3218, #3232, and #3235. Correction: The Contractor shall furnish & install WAGD inlet assemblies (headwall or boom). Route piping to vacuum/WAGD system, label, and ensure compliance with NFPA. Each room requires a One (1) valve per room for a total of four (4) valves. The Contractor shall perform dynamic flow pressure drop test. Verification of labeling and inlet functionality. Testing & Verification (post construction): Alarm: Test master and area alarm audible/visual, verify setpoints and transducer accuracy. Zone Valve: Check leaks, verify pressure indication accuracy, labeling, and enclosure condition. Outlets/inlets: Test static and dynamic pressure, operational flow drop, and oxygen concentration screen for cross connections detection. Source Systems: Confirm compressor dew point and CARBON MONOXIDE (CO) monitor readings, validate manifold changeover and relief valve venting, and document manifold pigtail replacements (if applicable). Phasing & Shutdowns: Contractor shall submit a phasing plan and shutdown plan within 14 working days prior to any interruption. All work shall maintain continuous operations and comply with infection control, egress, and safety in occupied care areas. All tie ins shall follow NFPA 99 testing/verification procedures, including depressurization, blow down, leak tests, and re verification post connection. Hot taps are not prohibited on operating medical oxygen systems. Medical gas installation personnel shall hold ASSE 6010 (installers) credentials; submit current certifications prior to work. Brazers shall be qualified per ASME BPVC Section IX / AWS B2.2; submit current certifications prior to work. Commissioning: Commission shall comply per Specification 22 08 00 and Specification 01 91 00, including completion of Pre Functional Checklists, Systems Functional Performance Tests witnessed by the COMMISSIONING AGENT (CXA), and submission of signed test reports and training deliverables. Here are the role and responsibilities that will affect this project: System verification that Air, gas, electrical, oxygen, and other critical systems. Documentation of commissioning activities, including systems manuals and test results. Post-occupancy monitoring to maintain performance and address emerging issues. See Whole Building Commissioning Process Manual, May 1, 2013, minor revisions 11/01/2013. Chapter 3, page 24. Certification: See Whole Building Commissioning Process Manual, May 1, 2013, minor revisions 11/01/2013. Chapter 3, page 33. Documentation Required: Final test reports & checklists. Provide as built drawings (AutoCAD), updated utility/piping maps, valve tag lists, labeling photos, and lockout/tagout point identification per Specification 22 05 11. Infection Control Risk Assessment (ICRA): The Contractor shall coordinate with Infection Prevention and Control to evaluate potential patient infection risks associated with all work activities performed under this contract. An ICRA shall be completed, reviewed, and approved prior to the start of any construction activity. Requirements identified by the ICRA such as barriers, negative air machines, HEPA filtration, dust control, work hour limitations, environmental cleaning, and traffic flow controls shall be implemented and maintained for the duration of the project. The ICRA shall determine the class of precautions required based on the scope and location of the work. Although some project types may have minimal infection risk, medical gas work performed within or adjacent to clinical spaces requires formal assessment under VHA Directive 7715 and the VHA ICRA Template. The Contractor shall adhere to all ICRA measures and correct any deficiencies identified by Infection Prevention and Control, Safety, or the COR without delay. PERFORMANCE PERIOD All work shall be completed within 120 calendar days from Notice to Proceed (NTP). JUSTIFICATION(S) This work is required to correct cited deficiencies and complete recommended improvements, so the medical gas systems comply with NFPA 99 testing and maintenance standards. The improvements directly enhance the safety, reliability, comfort, and protection of patients, visitors, and staff. This project supports the VA s mission to provide a safe, resilient, and compliant environment of care across the Northern Indiana Health Care System.

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Questions and Answers Due to the areas that this work will be performed, what times will be permissible working hours? Please advise. Due to the nature and location of the work, night and weekend work may be required. The project duration is 120 calendar days from NTP. Pending the final ICRA posting, limited daytime work may be permissible within the surgery ward only. Are there specific locations for the Area alarm supporting Recovery Room #3204 Item 2 and Zone valve boxes listed for Items 3 and 4 in the statement of work? No. Final locations will be determined after contract award. Item 5 in the statement of work states needing one valve per room. What type of valve is required for these areas and will an alarm be needed for pressure loss indication? Refer to NFPA 99, project specifications, and specification updates. May the testing certification firm also act as the CXA with reports as in Attachment III? Please advise. Commissioning: Commission shall comply per Specification 22 08 00 and Specification 01 91 00, including completion of Pre-Functional Checklists, Systems Functional Performance Tests witnessed by the COMMISSIONING AGENT (CXA), and submission of signed test reports and training deliverables. Refer to NFPA 99, specifications, and specification updates. This language is generic and can be removed as it is not part of the scope. SOW #2: Can you provide as-builts for the recovery room? See Third Floor Architectural Original drawings. SOW #2: Have you identified a suitable location for the new AAP? Can you provide pictures of the new location? None identified at this time. Location will be determined after award. SOW #2: We have to open drywall to install the new AAP, is there an ICRA plan for this area? An ICRA plan will be provided; currently in development. SOW #2: We have to pull a new 120VAC E-power circuit to the AAP; what is the closest electrical room? See Third Floor Architectural Original drawings. What is the estimated distance from the electrical room to the new panel? See Third Floor Architectural Original drawings. Are there spare circuits available in the panel, or will we be tie-ing into an existing medical gas alarm panel circuit? Yes, access will be limiting due to current construction on the third-floor fproject. Can you provide pictures of the panel we will be tie-ing the new circuit into? Right now, the electrical panel is under construction for the third-floor project. SOW #2: Confirming all low voltage wire must be run in conduit? Refer to project specifications and specification updates. SOW #3: Can you provide as-builts for the pre-op area? See Third Floor Architectural Original drawings. SOW #3: Have you identified a suitable location for the new zone valve boxes (ZVB s)? Can you provide pictures of the new locations? See Third Floor Architectural Original Drawings. Current ZVB in room 3304 (see IMG 0709) will need to be removed and placed in the main hallway (two new ones are required for the existing room and place in the hallway). In room 3315 (no new ZVBs are required. Two existing are location outside OP room) &. As wall or door must be built in the hall by the end of HVAC room (see IMG 0713 & 0714). We have to open drywall to install the new ZVB s, is there an ICRA plan for this area? An ICRA plan will be provided; currently in development SOW #3: Can you verify valve sizes for each gas? Refer to NFPA 99, specifications, and specification updates. SOW #3: Can you give an approximate distance from the old location to the new proposed location? See, #FLR compressed Med-Gas (Surgery Drawing location will be at nurse station. SOW #4: Can you provide as-builts for the OR Area? See Third Floor Architectural Original drawings. SOW #4: Have you identified a suitable location for the new Nitrogen ZVB s? Can you provide pictures of the new location? An ICRA plan will be provided; currently in development. SOW #4: We have to open drywall to install the new Nitrogen ZVB s, is there an ICRA plan for this area? An ICRA plan will be provided, currently in development. SOW #5: Can you provide an ICRA plan for this area? An ICRA plan will be provided, currently in development. SOW #5: Can you confirm the intent is to tie-in the new WAGD inlets to the existing Medical Vacuum zone valve box? This is allowed by NFPA, as long as it is 5 back from the vacuum inlet and labeled accordingly. Yes. Tie-in to existing system is permissible. See Floor Compressed MedGas (Surgery). SOW #5: It says to install WAGD inlet assemblies (headwall or boom), what is currently in the rooms? See, #FLR compressed Med-Gas (Surgery) Drawing Can you provide pictures? See, #FLR compressed Med-Gas (Surgery) Drawing Would a ceiling inlet with a drop hose be acceptable? Yes. Drop-down assemblies are acceptable. SOW #6: (A) Confirming testing the master alarm is generic language and can be deleted as that is not part of the scope. Commissioning: Commission shall comply per Specification 22 08 00 and Specification 01 91 00, including completion of Pre-Functional Checklists, Systems Functional Performance Tests witnessed by the COMMISSIONING AGENT (CXA), and submission of signed test reports and training deliverables. Refer to NFPA 99, specifications, and specification updates. This language is generic and can be removed as it is not part of the scope. SOW #6 (D) Confirming source systems is generic and can be deleted as it is not part of the scope. Commissioning: Commission shall comply per Specification 22 08 00 and Specification 01 91 00, including completion of Pre-Functional Checklists, Systems Functional Performance Tests witnessed by the COMMISSIONING AGENT (CXA), and submission of signed test reports and training deliverables. Refer to NFPA 99, specifications, and specification updates. This language is generic and can be removed as it is not part of the scope.