HomeMy WebLinkAboutB12-0094 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
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Town of Vail, Community Development, 75 South Frontage Road,Vail, Colorado 81657
p.970.479.2139, f. 970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT Permit #: B12-0094
Project #: PRJ12-0006
Job Address: 181 W MEADOW DR VAIL Applied.....: 04/11/2012
Location......: WMC-SUITE 400-STEADMAN CLINIC 3RD FLO Issued... : OM25/2012
Parcel No....: 210107101013
OWNER VAIL CLINIC INC 04/11/2012
IN CARE OF VAIL VALLEY MEDICAL CENTER
PO BOX 40000
VAIL
CO 81658
APPLICANT BOULDER ASSOCIATES ARCHITECT 04/11/2012 Phone:303-499-7795
1426 PEARL ST.,STE 300
BOULDER
CO 80302-5340
CONTRACTOR JACKSON BUILDING COMPANY, LL 04/24/2012 Phone:970-331-6800
PO BOX 6625
VAIL
CO 81658
License:C000003450
Description:
INTERIOR REMODEL-STEADMAN 3RD FLOOR CLINIC,AREA"C".
Occupancy: Type Construction: Valuation: $120,000.00
.....«..«».........+........««................................................... FEE SUMMARY .......,,.,,......»..........+....»...»..«............,,.......................,.
Building Permit---> $1,105.75 Bldg Plan Check-----> $718.74 Use Tax Fee- -- > $2,200.00
Electrical Permit > $833.75 Elec Plan Check--------> $541.94 Restuarant Plan Review > $0.00
Mechanical Permit—> $400.00 Mech Plan Check- > $100.00 Additional Fees---------> $0.00
Plumbing Permit--> $225.00 Plmb Plan Check---> $56.25 Recreation Fee--- -> $0.00
Investigation--- ----> $0.00
Will Call— > $20.00
TOTAL PERMIT FEES--- --> 56,201.43
Payments– --- -----> 56,201.43
BALANCE DUE -> 50.00
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DECLARATIONS
I hereby acknowledge that I have read this application,filled out in full the information required,completed an accurate plot plan,and state that all the information
as required is correct. I agree to comply with the information and plot plan,to comply with all Town ordinances and state laws,and to build this structure
according to the town's zoning and subdivision codes,design review approved,International Building and Residential Codes and other ordinances of the Town
applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
8:00 AM-4: M. ;--
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ure of Owner or Contractor Date
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Print Name
combination permit_012811
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit#: 612-0094 Address: 181 W MEADOW DR VAIL
Owner: VAIL CLINIC INC Location: WMC-SUITE
400-STEADMAN CLINIC 3RD FLO
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Cond: CON0012529
Analysis by electrical engineer of actual load report to be
submitted prior to final inspection
Cond: 1
(FIRE): FIRE DEPARTMENT APPROVAL IS REQUIRED BEFORE ANY
WORK CAN BE STARTED.
Cond: CON0012530
Fire alarm and sprinkler permits to be approved and issued
prior to work being done
combination permit_012811
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REQUIRED INSPECTIONS AND STATUSES
Permit#: 612-0094 Address: 181 W MEADOW DR VAIL
Owner: VAIL CLINIC INC Location: WMC-SUITE
400-STEADMAN CLINIC 3RD FLO
......*..�**..***.*,.#........«**....*.*.*.*.....«.*«**......*.***...,.,,,...*....«**.....*.,,*.,.....*..***.....**..*.,....�..*«**.*�„«**.*................
Item: 00120 ELEC-Rough
Item: 00220 PLMB-Rough/D.W.V.
Item: 00230 PLMB-Rough/Water
Item: 00200 MECH-Rough
Item: 00030 BLDG-Framing
Item: 00060 BLDG-Sheetrock Nail
Item: 00190 ELEC-Final
Item: 00290 PLMB-Final
Item: 00390 MECH-Final
Item: 00090 BLDG-Final
combination permit_012811
**************�*************��*��*r*******rr**************�******��*****�*************�*****
TOWN OF VAIL, COLORADO Statement
**�*�****�*«�����*�r*�r**�*******************�**�***�*******�**r***********�******��*�******
Statement Number: R120000358 Amount: $5, 326.44 04/25/201203: 14 PM
Payment Method: Check Init: LC
Notation: #2098 /
JACKSON BUILDING COMPANY LLC
-----------------------------------------------------------------------------
Permit No: B12-0094 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-071-0101-3
Site Address: 181 W MEADOW DR VAIL
Location: VVMC-SUITE 400 - STEADMAN CLINIC 3RD FLO
Total Fees: $6, 201.43
This Payment: $5,326.44 Total ALL Pmts: $6,201.43
Balance: $0.00
*�*******r�********���***************��*�********r********�*********r*s*��r********ss*****s*
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
BP 00100003111100 BUILDING PERMIT FEES 1, 105.75
EP 00100003111100 ELECTRICAL PERMIT FEES 833.75
MP 00100003111100 MECHANICAL PERMIT FEES 400.00
PF 00100003112300 PLAN CHECK FEES 541. 94
PP 00100003111100 PLUMBING PERMIT FEES 225.00
UT 11000003106000 USE TAX 4� 2,200.00
WC 00100003112800 WILL CALL INSPECTION FEE 20.00
-----------------------------------------------------------------------------
Department of Community Development
75 South Frontage Road
�'��� �� ���� ' Vail, CO 81657
I � Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMITAPPLICATION
(Separate applications are required for alarm & sprinkler)
Project Street Address: Project#: �� —
181 W. Meadow Drive 400
Number DRB#:�� —
( ) (Street) (Suite#)
Vail Valle Medical Center Building Permit#:��o� - �n9 �l
Building/Complex Name: Y
Contractor Information Lot#: Block# Subdivision:
eusiness Name: To be determined
Business Address:
Work Class: New(�j Addition (�j Alteration (�
City State: Zip: Type of Building:
Single-Family�j Duplex�j Multi-Family((�jj
Contact Name:
Commercial � Other�j
Contact Phone:
Contact E-Mail:
Work Type: Interior� Exterior� Both �
I hereby acknowledge that I have read this application,filled out Valuation of
in full the information required,completed an accurate plot plan, Work Included Plans Included Work
and state that all the information as required is correct. I agree to Electrical �Yes �No �i Yes QNo �,G�O
comply with the information and plot plan,to comply with all Town �
ordinances and state laws, and to build this structure according to Mechanical �Yes �No �Yes �No �010�
the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Plumbing �Yes �jNo �Yes �No JS,�
ordinances of the Town applicable thereto. Q O Q Q �pD� Do
Building • Yes No • Yes No 0
�� Value of all work being performed: $ �� � �O�
Owner/Owner's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3)
Electrical Square Footage
Applicant Information Detailed Scope and Location of Work:
Applicant Name: Boulder Associates Architects 3rd floor interior remodel of existing clinic (Area 'C')
Applicant Phone: 303-499-7795 Work includes architectural, mechanical, electrical and
Applicant E-Mail: triddle@boulderassociates.com plumbing.
Project Information Vail CliniC Inc.
Owner Name:
Parcel#: 2101-071-01-013
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag lecounty.uslpatie)
(use additional sheet i
For Office Use Only: � � 15 O l/ L5
Fee Paid: �g7y.99 Date Received: D COMQ�T� �/Q/1�
� �
Received From: APR 06 2��2
Cash Check # �P
CC: Visa/ MC Last 4 CC# exp date: ��
Auth # TOWN OF VAIL
/
� 12-Mar-2012
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Transmittal
ID: 00005
Date Sent: 4/5/2012
Project: 111958.00 - Steadman Clinic Third Floor-Remodel
Number: 111958.00
To: Town of Vail
Department of Community Development
75 Frontage Road
Vail, CO 81657
United States
From: Carolyn Schilling
Boulder Associates, Inc.
1426 Pearl St
Ste 300
Boulder, CO 80302-5340
United States
(303) 499-7795 (Phone)
(303 ) 499-7767 (Fax)
Subject: Permit Submission
Via: Overnight
Purpose: For your review and comment
Remarks: Please contact Carolyn Knox-Keep at The Steadman Clinic for payment of the
plan review fee.
The Steadman Clinic
Contact: Carolyn Knox-Keep
Tel: 970-479-5877
CC:
Description of Contents
,_.. .__ �._. _._ � _
Quantity iTitle Number 'Date Scale Size Revision !
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3 Construction i� --
� �Documents - �
�� 'Steadman Clinic �
� Remodel �
N3 NT�^ �Project Manual �„ ~��� -- � --
' 1 ' Building Permit -- ?
Application Form ; � '
_ �___._.____�___�_._________. ___W___� � _...._.._.. �__..,__._ _._...___�.�.____:
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: • �
•
Robert G.Owens,I11,AIA
Craig D.Muiford,AIA
Nicholas J.Rehnberg,AIA
Timothy C.Boers,AIA
Curtis Chong,AIA
Vail Valley Medical Center
Steadman Clinic Remodel �,
181 W. Meadow Drive, Suite 400 -�
Vail, CO 81657
Project Manual
100% Construction Documents
March 27, 2012 �� ����
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Boulder Associates Project No. 111958.00
Baulder Assaci2les. �nc.l Archiiecture+interior Desiyn I ovwv�.baultierassociakes.com
i426 Pearl Sirt�et!Suitr 3d0 l Eiouider, Colarada 803Q2 1 3Q3.499.77Si5 l F 303.499.i767
2015 J StreE;t I St�it� 205=SeCramento,C7lilurnia 9581d'�91�.�192.87R6!F 916.492.8i98
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THE STEADMAN CLINIC
: . �
THIRD FLOOR REMODELS •
OUTLINE SPECIFICATIONS
March 27, 2012
DIVISION 00—INFORMATION:
THE FOLLOWING DOCUMENTS HAVE BEEN INCLUDED AT THE END OF THIS DOCUMENT.
1) VAIL VALLEY MEDICAL CENTER—CONTRACTOR SAFETY AGREEMENT
2) VAIL VALLEY MEDICAL CENTER POLICY AND PROCEDURE—FIRE AND SMOKE BARRIER
SEALING POLICY
3) VAIL VALLEY MEDICAL CENTER POLICY AND PROCEDURE—HOT WORK POLICY -
4) VAIL VALLEY MEDICAL CENTER POLICY AND PROCEDURE—INFECTION CONTROL IN
CONSTRUCTION/MAINTENANCE
5) VAIL VALLEY MEDICAL CENTER POLICY AND PROCEDURE—LOCKOUT/TAGOUT
6) VAIL VALLEY MEDICAL CENTER POLICY AND PROCEDURE—STAFF AND CONTRACTOR
COMPETENCY
DIVISION 01 -GENERAL CONDITIONS:
1) GENERAL CONTRACTOR TO SECURE ALL PERMITS,APPROVALS AND INSPECTIONS AS
REQUIRED THROUGHOUT PROJECT.
2) GENERAL CONTRACTOR SHALL SECURE AND MAINTAIN AT REQUIRED LIMITS,ALL OWNER
AND STATE REQUIRED GENERAL LIABILITY, PROPERTY AND VEHICLE INSURANCE;
WORKER'S COMPENSATION INSURANCE;ALL RISK BUILDER'S RISK INSURANCE. OWNER
AND ARCHITECT SHALL BE NAMED AS ADDITIONALLY INSURED. SUBMIT COPIES OF
CURRENT CERTIFICATES TO THE OWNER AND ARCHITECT.
3) GENERAL CONTRACTOR SHALL CONTACT THE ARCHITECT FOR CLARIFICATIONS AND
APPROVAL OF PRODUCT SUBSTITUTIONS PRIOR TO PROCEEDING WITH THE WORK SUBMIT
TO THE ARCHITECT FOR REVIEW, SHOP DRAWINGS AND PRODUCT DATA FOR ALL
MATERIALS REQUIRED FOR THE COMPLETION OF THE PROJECT, PRIOR TO ORDERING
MATERIALS.
DIVISION 02—EXISTING CONDITIONS:
1) CONTRACTORS SHALL VISIT THE SITE AND BECOME FAMILIAR WITH EXISTING CONDITIONS
AND MAKE PROVISIONS WITHIN THEIR BIDS,TAKING IN ACCOUNT LIMITATIONS AND
CONDITIONS AS FOUND.
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DIVISION 05—METALS:
1) STRUCTURAL STEEL: SECTIONS ASTM A36; BENT OR COLD FORMED STEEL PLATE:ASTM
A283, GRADE C: STEEL TUBING ASTM A500 GRADE B: ANCHOR BOLTS'/.INCH DIAMETER
ASTM A325 TYPE 1 HEAVY HEX STEEL BOLTS,ASTM A563 HEAVY HEX STEEL NUTS AND ASTM
F436 HARDENED STEEL WASHERS.
2) FABRICATE AND ASSEMBLE IN SHOP TO GREATEST EXTENT POSSIBLE PER REVIEWED SHOP
DRAW�NGS. CONFORM TO AISC'S"CODE OF STANDARD PRACTICE FOR STEEL BUILDINGS
AND BRIDGES"SHOP PRIME ALL STEEL WITH ZINC RICH NON-LEAD AND CHROMATE FREE
PRIMER.
3) GROUT: NON METALLIC, NON-SHRINK GROUT:ASTM C1107, FACTORY MIXED. EMBECO 636 OR
EQUAL.
4) ERECT STRUCTURAL STEEL ACCURATELY. PLUMB, LEVEL AND STRAIGHT. WELD IN _
ACCORDANCE WITH AWS D1.1.
DIVISION 6—WOOD. PLASTICS 8�COMPOSITES:
1) ROUGH CARPENTRY
a) FURRING OR BLOCKING: UTILITY GRADE,ANY SPECIES, SIZE AS REQUIRED OR
INDICATED. FIRE RETARDANT TREATED AS REQUIRED BY CODE.
b) PLYWOOD: EXTERIOR GRADE, SIZE AS REQUIRED. FIRE RETARDANT TREATED AS
REQUIRED BY CODE.
2) INTERIOR ARCHITECTURAL WOODWORK:
a) INTERIOR STANDING AND RUNNING TRIM AND WINDOW SILLS TO BE AWI CUSTOM
GRADE. SEE DRAWINGS FOR SIZE, FINISH AND PROFILE.
3) CASEWORK:AWI. CUSTOM GRADE, FLUSH OVERLAY, HIGH PRESSURE PLASTIC LAMINATE
FACED CASEWORK.
a) ALL EXPOSED AND SEMI-RECESSED SURFACES TO BE PLASTIC LAMINATE, COLORS AS
SHOWN IN THE MATERIAL FINISH SCHEDULE. ALL DOOR AND DRAWER EDGES TO BE
DECORATNE HIGH PRESSURE PLASTIC LAMINATE TO MATCH PLASTIC LAMINATE. ALL
INTERIORS OF CABINETS AND DRAWER BOXES AND SHELVING ON BRACKETS&
STANDARDS TO BE WHITE MELAMINE. STAINED EDGES AS NOTED ON CASEWORK
SECTIONS.
i) NOTE: STAINING SHOULD BE DONE OFFSITE WHERE POSSIBLE. ANY STAINING TO BE
ACCOMPLISHED IN OCCUPIED SPACE SHOULD ONLY BE DONE WITH 7 DAYS NOTICE
AND DURING OFF HOURS. PROVIDE ADDITIONAL VENTILATION TO FLUSH
CONTAMINATES FROM BUILDING FOR A MINIMUM OF 24 HOURS.
, �
4) CASEWORK HARDWARE:
a) HINGES: CONCEALED, EUROPEAN TYPE, 125 DEGREE OPENING; BLUM CLIP top OR
APPROVED EQUAL
b) DRAWER GUIDES: FULL EXTENSION,ACCURIDE#AC2632 OR APPROVED EQUAL.
c) PULLS:4"WIRE PULL ADA COMPATIBLE; SATIN CHROME FINISH.
d) LOCKS: CAM TYPE,ALL LOCKS TO BE KEYED ALIKE UNLESS NOTED OTHERWISE ON
DRAWINGS.
e) GROMMETS: 3" I.D. HOLE SIZE,ABS PLASTIC, FINISH COLOR TO BE SELECTED BY
ARCHITECT. CONFIRM FINAL LOCATIONS WITH TENANTS IN FIELD
fl FILE DRAWERS: SIZE DRAWER FOR"LETTER"SIZE DROP IN FILES. PROVIDE 2- 1/8"X
3/4"ALUMINUM FILE RAILS, FRONT TO BACK PER DRAWER. PROVIDE 150 LB. DRAWER
GUIDES,ACCURIDE#AC4034 OR EQUAL.
5) SUBMITTALS:
a) PRODUCT DATA: FOR CABINET HARDWARE&ACCESSORIES,AND FINISHING MATERIALS
AND PROCESSES.
b) SHOP DRAWINGS: SHOW LOCATION OF EACH ITEM, DIMENSIONED PLANS AND
ELEVATIONS, LARGE-SCALE DETAILS,ATTACHMENT DEVICES,AND OTHER
COMPONENTS.
c) SAMPLES:
i) LUMBER AND PANEL PRODUCTS FOR TRANSPARENT FINISH, FOR EACH SPECIES AND
CUT, FINISHED ON ONE SIDE AND ONE EDGE.
ii) PLASTIC-LAMINATES, FOR EACH TYPE, COLOR, PATTERN,AND SURFACE FINISH.
iii) THERMOSET DECORATIVE PANELS, FOR EACH TYPE, COLOR, PATTERN,AND
SURFACE FINISH.
iv) SOLID-SURFACING MATERIALS.
DIVISION 7—THERMAL& MOISTURE PROTECTION:
1) WATERPROOFING:
a) WATERPROOFING FOR THIN-SET TILE INSTALLATIONS:
i) MANUFACTURER'S STANDARD PRODUCT THAT COMPLIES WITH ANSI A118.10,
SELECTED FROM THE FOLLOWING.
(1) AVAILABLE PRODUCT: NOBLE COMPANY(THE); NOBLESEAL TS.
(2) AVAILABLE PRODUCT: SCHLUTER SYSTEMS L.P.; KERDI.
b) SUBMITTALS:
i) PRODUCT DATA: FOR EACH PRODUCT INDICATED.
ii) SAMPLES FOR INITIAL SELECTION: FOR EACH TYPE OF FINISH INDICATED.
2) BUILDING INSULATION:
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, �
a) SOUND BATTS: UNFACED GLASS FIBER ACOUSTICAL INSULATION COMPLYING WITH
ASTM C 655,TYPE 1. 3 1/2"THICK,WIDTH TO MATCH STUD SPACING. GREENGUARD OR
CA 01350 CERTIFIED. OWENS CORNING SOUND ATTENUATION BATT FIBER GLASS OR
APPROVED EQUAL.
b) SAFING INSULATION: UNFACED 4 PCF MINERAL WOOL COMPLYING WITH ASTM C-612.
c) ACOUSTICAL SEMI-RIGID INSULATION: RECTANGULAR BOARDS OF INORGANIC FIBROUS
GLASS INSULATION CONFORMING TO ASTM C612 TYPE 1A/1 B. INSULATION SHALL BE 24-
INCHES WIDE BY 60-INCHES LONG BY 1 1/2-INCHES THICK. INSULATION SHALL BE OF 3.0-
•PCF DENSITY. INSULATION SHALL BE"703 UNFACED"AS MANUFACTURED BY OWENS-
CORNING FIBERGLAS CORPORATION;"INSUL-SHIELD INSULATION, IS 300"AS
MANUFACTURED BY JOHNS MANVILLE; OR APPROVED EQUAL.
d) SUBMITTALS:
i) PRODUCT DATA: FOR EACH PRODUCT INDICATED.
3) THROUGH-PENETRATION FIRESTOP SYSTEMS:
a) ALL FIRESTOP SYSTEMS TO BE TESTED ASSEMBLIES COMPLYING WITH ASTM E814 OR
UL 1479.
b) PROVIDE FIRESTOP SYSTEMS AT ALL THROUGH-PENETRATIONS OF FIRE RATED
PARTITIONS.
c) ALL FIRESTOP SYSTEMS TO HAVE AN F-RATING EQUIVALENT TO THE PENETRATED
ASSEMBLY.
4) JOINT SEALANTS:
a) ALL SEALANTS USED ON-SITE MUST MEET OR EXCEED THE REQUIREMENTS OF THE
LIMITS OF THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD) RULE
#1168.
b) JOINTS BETWEEN EQUIPMENT OR COUNTERS AND WALLS: SILICONE RUBBER BASED, 1
PART ELASTOMERIC WITH MILDEW RESISTANCE FOR WET AREAS. ARCHITECT TO
APPROVE COLORS.
c) GENERAL PURPOSE INTERIOR SEALANT: LATEX, PAINTABLE (MAX V.O.C. CONTENT 250
GRAMS/LITER)
d) ACOUSTICAL SEALANT: PROVIDE AT ALL EDGES OF SOUND RATED PARTITIONS, USG OR
EQUAL
e) FIRE RATED SEALANT: HILTI CP 606 FIRE STOP OR EQUAL(MAX V.O.C. CONTENT 250
GRAMS/LITER)
� SUBMITTALS:
i) PRODUCT DATA: FOR EACH PRODUCT INDICATED.
ii) SAMPLES FOR INITIAL SELECTION: FOR EACH TYPE OF FINISH INDICATED.
, �
DIVISION 8-OPENINGS:
1) HOLLOW METAL DOOR&WINDOW FRAMES:
a) INTERIOR HOLLOW METAL FRAMES: PROVIDE 16 GA. HOLLOW METAL, FULL PROFILE
(WELDED OR KNOCK-DOWN AS INDICATED ON DOOR SCHEDULES); SHOP PRIMED AND
FIELD PAINTED FRAMES AS INDICATED ON THE DOOR SCHEDULE. SEE INTERIOR
DESIGN MATERIALS LIST FOR COLORS. FIRE RATED WITH LABEL AS SHOWN ON
SCHEDULE.
b) DOOR FRAMES TO BE STANDARD DOUBLE RABBET PROFILE,WINDOW FRAMES TO HAVE
DOUBLE RABBET PROFILE WITH APPLIED STOP TO PROVIDE CENTERED GLAZING.
c) SUBMITTALS:
i) PRODUCT DATA: FOR EACH TYPE OF DOOR&WINDOW FRAME INDICATED.
ii) SHOP DRAWINGS: INCLUDE ELEVATIONS, DOOR EDGE DETAILS, FRAME PROFILES,
METAL THICKNESSES, PREPARATIONS FOR HARDWARE,AND OTHER DETAILS.
iii) SCHEDULE: PREPARED BY OR UNDER THE SUPERVISION OF SUPPLIER, USING SAME
REFERENCE NUMBERS FOR DETAILS AND OPENINGS AS THOSE ON DRAWINGS.
2) WOOD DOORS:
a) PREMIUM GRADE, PARTICLEBOARD CORE.
b) SOLID CORE FLUSH PREMIUM GRADE DOORS; SPECIES AND GRAIN CUT TO MATCH
BUILDING STANDARD,GRADE AA FACES,5 PLY,WITH FACTORY-FINISHED CATALYZED
POLYURETHANE, FINISH TO MATCH EXISTING BUILDING STANDARD; EXPOSED EDGES
TO MATCH FACE. SIZE AND FIRE RATING AS INDICATED ON THE DOOR SCHEDULE.
MANUFACTURED BY ALGOMA, EGGERS, GRAHAM, MARSHFIELD, OREGON DOOR, OR
APPROVED EQUAL.
c) PROVIDE WOOD BEADS FOR LITE OPENINGS IN NON-FIRE-RATED DOORS,WOOD-
VENEERED BEADS TO MATCH AT FIRE-RATED DOORS.
d) SUBMITTALS:
i) PRODUCT DATA: FOR EACH TYPE OF DOOR AND WINDOW, GLASS&GLAZING
INDICATED.
ii) SHOP DRAWINGS:
(1) DOORS: INDICATE LOCATION, SIZE,AND HAND OF EACH DOOR; ELEVATION OF
EACH KIND OF DOOR; CONSTRUCTION DETAILS NOT COVERED IN PRODUCT
DATA; LOCATION AND EXTENT OF HARDWARE BLOCKING;AND OTHER
PERTINENT DATA. INDICATE DIMENSIONS AND LOCATIONS OF MORTISES AND
HOLES FOR HARDWARE, DIMENSIONS AND LOCATIONS OF CUTOUTS, DOORS TO
BE FACTORY FINISHED AND FINISH REQUIREMENTS,AND FIRE-PROTECTION
RATINGS FOR FIRE-RATED DOORS.
(2) WINDOWS: INCLUDE PLANS ELEVATIONS, SECTIONS, DETAILS,AND
ATTACHMENTS TO OTHER WORK, OPERATIONAL CLEARANCES,AND
INSTALLATION DETAILS.
, �
3) DOOR HARDWARE:
a) PROVIDE HEAVY DUTY COMMERCIAL GRADE HARDWARE AS INDICATED ON HARDWARE
SCHEDULE. FINISH TO MATCH BUILDING STANDARD.
b) SUBMITTALS:
i) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED.
ii) SHOP DRAWINGS: DETAILS OF ELECTRIFIED DOOR HARDWARE, INCLUDING WIRING
DIAGRAMS.
iii) DOOR HARDWARE SETS: PREPARED BY OR UNDER THE SUPERVISION OF
INSTALLER, DETAILING FABRICATION AND ASSEMBLY OF DOOR HARDWARE.
(1) FORMAT: USE SAME SCHEDULING SEQUENCE AND FORMAT AND USE SAME
DOOR NUMBERS AS IN THE CONTRACT DOCUMENTS.
(2) CONTENT: IDENTIFICATION NUMBER, LOCATION, HAND, FIRE RATING,AND
MATERIAL OF EACH DOOR AND FRAME. TYPE, STYLE, FUNCTION, SIZE,
QUANTITY,AND FINISH OF EACH DOOR HARDWARE ITEM. COMPLETE
DESIGNATIONS OF EVERY ITEM REQUIRED FOR EACH DOOR OR OPENING
INCLUDING NAME AND MANUFACTURER. DESCRIPTION OF EACH ELECTRIFIED
DOOR HARDWARE FUNCTION, INCLUDING LOCATION, SEQUENCE OF
OPERATION,AND INTERFACE WITH OTHER BUILDING CONTROL SYSTEMS.
iv) KEYING SCHEDULE: PREPARED BY OR UNDER THE SUPERVISION OF INSTALLER, j
DETAILING OWNER'S FINAL KEYING INSTRUCTIONS FOR LOCKS. COORDINATE �,
KEYING WITH VAIL VALLEY MEDICAL CENTER MASTER KEYING REQUIREMENTS.
DIVISION 9-FINISHES:
1) NON-LOAD BEARING STEEL FRAMING:
a) METAL STUDS:TO BE GAUGE AND SIZE AS INDICATED ON PLANS AND SCHEDULE OF
PARTITION TYPES.
b) HARD CEILINGS&SOFFITS: WHERE APPLICABLE, USG DRYWALL SUSPENSION SYSTEM
IN LIEU OF METAL STUD FRAMING.
c) SUBMITTALS:
i) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED.
2) GYPSUM BOARD:
a) GYPSUM WALLBOARD:TO BE 5/8"TYPE"X",TAPE AND COMPOUND 3 COATS, LEVEL 4
FINISH FOR WALLS SCHEDULED TO RECEIVE WALL COVERING. WALLS AND CEILINGS
SCHEDULED TO RECEIVE PAINT SHALL RECEIVE A LEVEL 4 TAPED FINISH.
b) PROVIDE GEORGIA-PACIFIC 5/8"TYPE"X" DENSHIELD TILE GUARD AT ALL WET
LOCATIONS TO RECEIVE TILE. USE GLASS-MAT WATER RESISTANT BACKING PANEL AT
ALL WET AREAS NOT RECEIVING TILE.
c) SUBMITTALS:
i) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED.
3) CERAMIC TILE:
a) GLAZED WALL TILE: SEE ARCH SHEETS FOR SPECIFIED PRODUCT.
b) ANSI TILE INSTALLATION STANDARDS: COMPLY WITH PARTS OF ANSI A108 SERIES
"SPECIFICATIONS FOR INSTALLATION OF CERAMIC TILE"THAT APPLY TO TYPES OF
SETTING AND GROUTING MATERIALS AND TO METHODS INDICATED IN CERAMIC TILE
INSTALLATION SCHEDULES.
c) TCA INSTALLATION GUIDELINES: TCA'S"HANDBOOK FOR CERAMIC TILE INSTALLATION."
COMPLY WITH TCA INSTALLATION METHODS INDICATED IN CERAMIC TILE INSTALLATION
SCHEDULES
d) METAL EDGE STRIPS: L-SHAPED STAINLESS STEEL. INSTALL AT LOCATIONS INDICATED
OR WHERE EXPOSED EDGE OF TILE FLOORING MEETS CARPET,WOOD, OR OTHER
FLOORING THAT FINISHES FLUSH WITH TOP OF TILE.
e) CEMENT BACKER BOARD: 5/8"WONDERBOARD
fl INSTALL GLAZED WALL TILE AND GLASS TILE ON WALLS WITH JOINT WIDTHS TO MATCH
EXISTING.
g) INSTALL PORCELAIN TILE ON WALLS AND FLOORS WITH JOINT WIDTHS TO MATCH
EXISTING
h) PROVIDE THIN SET AND SETTING BED APPLICATION PER TCA-HANDBOOK FOR CERAMIC
TILE INSTALLATION.
i) FLOOR TILE INSTALLATION:
i) THIN-SET MORTAR: LATEX-PORTLAND CEMENT.
ii) GROUT: STANDARD SANDED CEMENT GROUT
j) FLOOR TILE INSTALLATION:
i) THIN-SET MORTAR: LATEX-PORTLAND CEMENT MORTAR.
ii) GROUT: STANDARD SANDED CEMENT OR STANDARD UNSANDED CEMENT GROUT
k) SUBMITTALS:
i) CONCRETE SLAB MOISTURE TEST REPORT(FURNISH PRIOR TO INSTALLATION).
ii) PRODUCT DATA: FOR EACH PRODUCT INDICATED.
iii) SHOP DRAWINGS: SHOW WIDTHS, DETAILS,AND LOCATIONS OF EXPANSION,
CONTRACTION, CONTROL,AND ISOLATION JOINTS IN TILE.
iv) SAMPLES: EACH TYPE,COMPOSITION, COLOR,AND FINISH OF TILE, AND EXPOSED
EDGE TRANSITIONS AND GROUT.
4) ACOUSTIC PANEL CEILINGS:
a) ACOUSTICAL PANELS FOR ACOUSTICAL PANEL CEILING: PROVIDE PRODUCT INDICATED
ON DRAWINGS.
b) INSTALL ACOUSTICAL PANELS WITH UNDAMAGED EDGES AND FIT ACCURATELY INTO
SUSPENSION SYSTEM RUNNERS AND EDGE MOLDINGS. SCRIBE AND CUT PANELS AT
BORDERS AND PENETRATIONS TO PROVIDE A NEAT, PRECISE FIT.
c) SUBMITTALS:
i) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED.
� A
ii) SAMPLES: FOR EACH EXPOSED FINISH.
5) VINYL COMPOSITION RESILIENT TILE:ASTM F1066; CLASS 2, PATTERN FULL THICKNESS OF
TILE, 12x12 x 1/8 THICK TILE AS NOTED ON THE MATERIALS FINISH SCHEDULE
a) GENERAL FLOORING:
i) CLOSE SPACES TO TRAFFIC DURING FLOOR COVERING INSTALLATION. CLOSE
SPACES TO TRAFFIC FOR 72 HOURS AFTER FLOOR COVERING INSTALLATION.
INSTALL FLOOR COVERINGS AFTER OTHER FINISHING OPERATIONS, INCLUDING
PAINTING, HAVE BEEN COMPLETED. SEE INTERIOR DESIGN MATERIALS LIST AND
GENERAL FINISH NOTES.
ii) TROWELABLE LEVELING AND PATCHING COMPOUNDS: LATEX-MODIFIED, PORTLAND
CEMENT BASED OR BLENDED HYDRAULIC-CEMENT-BASED FORMULATION
PROVIDED OR APPROVED BY MANUFACTURER FOR APPLICATIONS INDICATED.
iii) CONCRETE SUBSTRATES: PREPARE ACCORDING TO ASTM F 710 AND THE
REQUIREMENTS OF THE MANUFACTURER PRIOR TO INSTAL�ATION.VERIFY THAT
SUBSTRATES ARE DRY AND FREE OF CURING COMPOUNDS, SEALERS,AND
HARDENERS. REMOVE SUBSTRATE COATINGS AND OTHER SUBSTANCES THAT ARE
INCOMPATIBLE WITH FLOOR COVERING ADHESIVES AND THAT CONTAIN SOAP,WAX,
OIL, OR SILICONE, USING MECHANICAL METHODS RECOMMENDED BY
MANUFACTURER. DO NOT USE SOLVENTS.
iv)ALKALINITY AND ADHESION TESTING: PERFORM TESTS RECOMMENDED BY
MANUFACTURER. PROCEED WITH INSTALLATION ONLY AFTER SUBSTRATES PASS
TESTING.
v) MOISTURE TESTING: PERFORM TESTS RECOMMENDED BY MANUFACTURER.
PROCEED WITH INSTALLATION ONLY AFTER SUBSTRATES PASS TESTING.
vi) EXTEND FLOORING INTO KNEESPACES,TOESPACES, DOOR REVEALS, CLOSETS,
OFFSETS OF WALLS, CABINETS, ETC. LAYOUT TILES FROM CENTER MARKS WITH
PRINCIPAL WALLS, SO THAT TILES AT OPPOSITE WALLS ARE OF EQUAL WIDTH, BUT
NOT LESS THAN '/z TILE WIDTHS AT PERIMETER. SCRIBE, CUT AND FIT FLOOR TILE
TO BUTT NEATLY AND TIGHTLY TO VERTICAL SURFACES AND PERMANENT
FIXTURES INCLUDING BUILT-IN FURNITURE, CABINETS, PIPES, OUTLETS AND DOOR
FRAMES.
vii) ADHESIVES: WATER-RESISTANT TYPE RECOMMENDED BY MANUFACTURER TO SUIT
PRODUCTS, ROLLING LOADS,AND SUBSTRATE CONDITIONS INDICATED.ADHERE
FLOOR TILE WITH A FULL SPREAD OF ADHESIVE APPLIED TO SUBSTRATE TO
PRODUCE A COMPLETED INSTALLATION WITHOUT OPEN JOINTS,VOIDS, RAISING
AND PUCKERING OF JOINTS,TELEGRAPHING OF TROWEL MARKS AND OTHER
SURFACE IMPERFECTIONS.
viii) CONTRACTOR SHALL COVER AND PROTECT INSTALLED FINISH FLOORS;
CORRIDORS AND AREAS SUBJECT TO ROLLING LOADS OR HEAVY CONSTRUCTION
TRAFFIC SHALL LAY DOWN PLASTIC SHEETS AND '/o" HARDBOARD OR PANEL
PRODUCTS. ALL OTHER AREAS PLASTIC SHEETS AND CARDBOARD.
� 1
b) SUBMITTALS:
i) CONCRETE SLAB MOISTURE TEST REPORT(FURNISH PRIOR TO INSTALLATION).
ii) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED INCLUDING ADHESIVES.
iii) SHOP DRAWINGS: FOR EACH TYPE OF FLOOR COVERING. INCLUDE RESILIENT
FLOORING LAYOUTS, LOCATIONS OF SEAMS, EDGES, COLUMNS, DOORWAYS,
ENCLOSING PARTITIONS, BUILT-IN FURNITURE, CABINETS,AND CUTOUTS.
iv) SAMPLES: IN MANUFACTURER'S STANDARD SIZE, SECTIONS OF EACH DIFFERENT
COLOR AND PATTERN OF FLOOR COVERING.
6) RESILIENT WALL BASE&ACCESSORIES:
a) RUBBER BASE: PROVIDE PRODUCT INDICATED ON DRAWINGS. LENGTH: COILS IN
MANUFACTURES STANDARD LENGTH. INSIDE AND OUTSIDE CORNERS TO BE JOB
FORMED.
b) RESILIENT MOLDING ACCESSORY: CARPET EDGE FOR GLUE-DOWN APPLICATIONS AND
REDUCER STRIP FOR RESILIENT FLOOR COVERING. COLOR AND PROFILE AS INDICATED
ON DRAWINGS TO MATCH RUBBER BASE.
c) FOR RUBBER BASE AND ACCESSORIES USE ADHESIVES THAT HAVE A VOC CONTENT OF
50g/I OR LESS WHEN CALCULATED ACCORDING TO 40 CFR 59, SUBPART D(EPA METHOD
24).
d) SUBMITTALS: I
i) CONCRETE SLAB MOISTURE TEST REPORT(FURNISH PRIOR TO INSTALLATION).
ii) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED INCLUDING ADHESIVES.
iii) SHOP DRAWINGS: FOR EACH TYPE OF FLOOR COVERING. INCLUDE SHEET-GOOD
FLOOR COVERING LAYOUTS, LOCATIONS OF SEAMS, EDGES, COLUMNS,
DOORWAYS, ENCLOSING PARTITIONS, BUILT-IN FURNITURE, CABINETS,AND
CUTOUTS.
iv) SAMPLES: IN MANUFACTURER'S STANDARD SIZE, SECTIONS OF EACH DIFFERENT
COLOR AND PATTERN OF FLOOR COVERING, WELDING RODS,AND RUBBER BASE.
7) SHEET VINYL: PROVIDE PRODUCT SPECIFIED ON DRAWINGS. COMPLY WITH
MANUFACTURER'S WRITTEN INSTRUCTIONS FOR SUBSTRATES PREPERATION AND
INSTALLATION OF FLOOR COVERINGS.
a) ADHESIVES;TYPE RECOMMENDED BY MANUFACTURER TO SUIT PRODUCTS, ROL�ING
LOADS,AND SUBSTRATE CONDITIONS INDICATED.
8) RESILIENT MOLDING ACCESSORY:CARPET EDGE FOR GLUE-DOWN APPLICATIONS, NOSING
FOR CARPET, NOSING FOR RESILIENT FLOOR COVERING, REDUCER STRIP FOR RESILIENT
FLOOR COVERING,JOINER FOR TILE AND CARPET. COLOR AND PROFILE AS INDICATED ON
DRAWINGS TO MATCH RUBBER BASE.
r i
9) CARPET TILE:
a) CARPET TO MEET THE CARPET AND RUG INSTITUTE GREEN LABEL INDOOR AIR QUALITY
TEST PROGRAM.
b) PROVIDE PRODUCT INDICATED ON INTERIOR MATERIALS LIST.
c) ADHESIVES: WATER-RESISTANT, MILDEW-RESISTANT, NONSTAINING TYPE TO SUIT
PRODUCTS AND SUBFLOOR CONDITIONS INDICATED,THAT COMPLIES WITH
FLAMMABILITY REQUIREMENTS FOR INSTALLED CARPET AND IS RECOMMENDED OR
PROVIDED BY CARPET MANUFACTURER.VOC LIMITS FOR ADHESIVES THAT ARE NOT
PART OF THE CARPET SYSTEM TO COMPLY WITH THE FOLLOWING LIMITS FOR VOC
CONTENT WHEN CALCULATED ACCORDING TO 40 CFR 59, SUBPART D (EPA METHOD 24):
INDOOR CARPET ADHESIVE:50 G/L.
d) INSTALLATION: COMPLY WITH CRI 104 AND CARPET MANUFACTURER'S WRITTEN
INSTALLATION INSTRUCTIONS FOR THE FOLLOWING:
i) DIRECT-GLUE-DOWN INSTALLATION: COMPLY WITH CRI 104, SECTION 14, "CARPET
MODULES."
ii) COMPLY WITH CARPET MANUFACTURER'S WRITTEN RECOMMENDATIONS AND SHOP '
DRAWINGS FOR SEAM LOCATIONS AND DIRECTION OF CARPET; MAINTAIN
UNIFORMITY OF CARPET DIRECTION PER MANUFACTURER RECOMMENDATIONS.
e) SUBMITfALS:
i) CONCRETE SLAB MOISTURE TEST REPORT(FURNISH PRIOR TO INSTALLATION).
ii) PRODUCT DATA: FOR EACH PRODUCT INDICATED INCLUDING ADHESIVES.
iii) SAMPLES:CARPET, EXPOSED EDGE TRANSITION AND OTHER ACCESSORY
STRIPPING, CARPET CUSHION.
10) INTERIOR PAINTING:
a) ALL PAINTS TO MEET OR EXCEED GREEN SEAL STANDARD GS-11.
b) ALL LATEX PAINTS TO BE 100%ACRYLIC.
C) LATEX PAINT FINISH HIGH-PERFORMANCE ARCHITECTURAL SCRUBBABLE LATEX(EGG
SHELL):
I) MASTER COATINGS TECHNOLOGIES; SCUFF MASTER: SCRUBTOUGH WITH MICOBAN
PROTECTION (2 COATS,4 MILS WFT, 1.6 MILS DFT EACH) NO SUBSTITUTES.
II) MASTER COATINGS TECHNOLOGIES; SCUFFMASTER; PRIMEMASTER PRIMER/SEALER
(1 COAT,3.5 MILS WFT, 1.0 MILS DFT) NO SUBSTITUTES
d) GYPSUM BOARD WALLS: 1 COAT LATEX PRIMER (MAX V.O.C. CONTENT 50 GRAMS/LITER),
2 FINISH COATS EGGSHELL ENAMEL(MAX V.O.C. CONTENT 50 GRAMS/LtTER). MAX
V.O.C. CONTENT 150 GRAMS/LITER FOR DEEP TONES ONLY.
I) PRIMER: SHERWIN WILLIAMS PRO-GREENT"' 200 PRIMER OR APPROVED
EQUAL
II) FINISH COATS: SHERWIN WILLIAMS PRO-GREENT"' 200 EG-SHEL OR APPROVED
EQUAL
e) DOOR FRAMES: 1 FINISH COAT WATER BASED SEMI-GLOSS ACRYLIC ENAMEL.
fl SUBMITTALS:
. �
i) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED,ADHESIVES,AND
MANUFACTURERS' PRODUCT DATA FOR PAINTS, INCLUDING PRINTED STATEMENT
OF VOC CONTENT AND CHEMICAL COMPONENTS.
ii) SAMPLES: FOR EACH FINISH AND FOR EACH COLOR REQUIRED.
11) WOOD STAINS&TRANSPARENT FINISHES:
a) TRANSPARENT WOOD FINISH: STAINED VARNISH RUBBED FINISH; 3 COATS OVER STAIN
PLUS FILLER ON OPEN-GRAIN WOOD. WIPE FILLER BEFORE APPLYING FIRST VARNISH
COAT.
(1) STAIN COAT: S-W OIL STAIN A-48 SERIES
(2) FILLER COAT: PASTE WOOD FILLER
(3) FIRST COAT: S-W OIL BASE VARNISH
(4) SECOND COAT: S-W POLYURETHANE VARNISH
(5) THIRD COAT:S-W POLYURETHANE VARNISH
b) SUBMITTALS:
i) PRODUCT DATA: FOR EACH TYPE OF PRODUCT INDICATED AND MANUFACTURERS'
PRODUCT DATA FOR STAINS AND FINISHES, INCLUDING PRINTED STATEMENT OF
VOC CONTENT AND CHEMICAL COMPONENTS.
ii) SAMPLES: FOR EACH FINISH AND FOR EACH COLOR REQUIRED.
DIVISION 11 -EQUIPMENT:
1) OWNER FURNISHED EQUIPMENT:
a) SEE PLANS FOR LOCATIONS AND EQUIPMENT SCHEDULE FOR DETAILS. CONTRACTOR
TO INSTALL OWNER FURNISHED EQUIPMENT ONLY AS NOTED IN SCHEDULE.
VAIL VALLEY MEDICAL CENTER
POLICY AND PROCEDURE
TiTLE: Staffand Contractor Competency Page 1 of2
DEPARTMENT: Environment of Care POLICY#EOC.027
APPLICABLE TO: All Vail Valley Medical Center Staff.
Definition: For the sake ofthis policy, the term"contractor" shall refer to cumpanies that
perform work within facilities owned or opexat�by Vail Valley Medical Center (the
Organization} for specialized maintenance, installation, inspection, testing,or repairs of
any utilities, medical equipment or Life Safety systems that cannot be completed by
WMC personnel.
PURPOSE: To assure that only appropriately trained, experisnced, and qualified
personnel perform installation, modification, inspectian, tesking, maintenance, and/or
repair of utilities, medical equipment or Life Safety systems, within facilities owned or
operated by Vail Valley Medical Center. Intent of this policy is to help assure the safety
of patients, visitors, and staffthrough minimizing opportunities to jeopardize capabilities
or performance ofthe Organization through improper procedures or workmanship
attributable to a lack of worker knowledge, understanding, or experience.
DISCUSSION: Technical sophistication and complexity has steadily increased
throughout the capabilities and performance of utilities, medical equipment or Life Safety
systems. Diversity in age, style, and manufacture of utilities, medical equipment or Life
Safety systems throughout the Organization can present particular challenges to the scope
af technical knowledge, understanding, and experience required of facility maintenance
staff and contradors.
The Organization cannot simply assume that in-house maintenance staffor commercial
contractors or vendors are qualified and competent across the spectrum of utilities,
medical et�uipment or Life Safety systems within the Organization. Facilities &
Engineering Department policy is, therefore, to require and assure necessary teclv�ical
competencies and qualifications for both in-house maintenance stafF and commercial
contractors or vendors whose responsibilities entail installation, modification, inspection,
testing, maintenance, or repair of utilities, medical equipment or Life Safety systems
throughout the Organization.
Competency requirements include relevant technical knowledge, understanding, and
demonstrated capability gained through work experience with the type and configuration
of utilities, medical equipment or Life Safety systems entailed in assigned work
responsibilities. In some cases, formal trade certifications and/or professional licenses
1
may typically be required as evidence of attained competencies, and may be required and
expected by state or local agencies, including the Authority Having Jurisdiction.
The Director of Facilities &Engineering shall assure that maintenance staff Job
Descriptions include specific requirements for technical knawledge, experience, trade
certification, or professional license, as may be applicable to the particular related work
responsibilities inherent in the job position. Expectations for reliability and quality of
work performed on utilities, medical equipment or Life Safety systems, as well as for
demonstrated self-initiative and achievement regarding continuing technical training and
education shall be required
REVIEW: Scope and implementation of this Departmental Policy, and any associated
supporting Operating Procedures, will be subject to ongoing evaluation,being reviewed
and validated at least annually. Policy review will be conducted by knawlecigeable staff,
with recommendations (including any revisions or additions}submitted to the Dixector of
Facilities &Engineering for approval.
,II
CREATTON DATE: 8/03 ORIGINAL/REVISION NLJMBER: ____ 2
INPLTT AND/OR APPROVAL: EOC Committee
APPROVED BY: EOC Committee
REVIEWED/REVISED DATE: 8/19/03,06/04 6/O5, 8/08, 9/08
�
VAIL VALLEY MEDICAL CENTER
POLICY AND PROCEDURE
.�n _____r __ �_ � . �_
TITLE: Utility Distribution Documentation Policy Page 1 of2
DEPARTMENT: Facilities&Engineering Department POLICY# FAC.025
Environment of Care POLICY#EOC.046
APPLICABLE TO: All Facilities&Engineering Department Staff.
PURPOSE: To define Facilities&Engineering Departmerrt policy addressing
�stablishment and maintenance of utility system schematics reflecting areas served,
access provisions, and critical control points.
DISCUSSION: Accurate and current information regarding the locations and physicai
routing of utility systems, areas served by the systems, provisions for maintenance
access, types and locations of devices for energy isolation("Lock-Out"/"Tag-Out'�, as
well as locations of critical controls for emergency operational shut-off, is imperative for
safe and effective inspection, testing, and maintenance of the utility systems or
equipment, as well as for response to system failures or emergencies.
For the sake of this policy, such utility equiprnent and systems may refer to any of the �
following:
Normal Power Nurse Call System
Emergency Power Telephones
Fire Alarm System Chilled Water(AC}
Medical Air System Vacuum System
Public Address System Critical Air-Handling Systems(Isolation Rooms)
Oxygen System Domestic Water
Fire Sprinkler Steam
Hot Water(Domestic) Hot Water(Heating)
Elevators Natvral Gas
The age and diversity of Vail Valley Medical Center facilities present particular
challenges to the task of providing accurate and consistent utijity scttematics. Certain
facility"as-built" records reside on aged blueprints, while other newer facility records
provide more complete and accessible electronic files in the form of CAD drawings.
Facilities &Engineering Department policy is to require such utility system schematics
and information as deliverables within all current and future Architect-Engineer conFracts
for design services supporting new construction, building additions, renovations, and:'or
projects affecting utility distribution systems or equipment.
t
Where complete and reliable as-built record files exist as blueprints for existing buildings
or areas, they shall be used as the basis for utility schematics. However, such records
shall be verified through appropriate sampling to validate accuracy and currency of as-
built information.
In cases where as-built records are not reliable or compleke, or where it is known that
subsequent modifications to utility systems are not reflected within available records,
management determination shall be made as to the most appropriate approach and action.
Wherever this situation may exist within patient-care or critical operational
environments, however, Facilities&Engineering Department policy is to establish needed
schematics and information through dedicated in-house or contract effort, developing,
through physical survey, as needed, reliable as-built documentation of utility systems.
Utility schematics shall reflect types and locations of critical controls for operational
isolation within the system, and for partial or total emergency shutdown of the system.
UEility distribution schematics and associated information shall be centrally maintained,
clearly labeled and indexed, and readily accessible by the Facilities&Engineering
Department Staff.
REVIEW: Scope and implementation of this Departmental Policy, and any associated
supporting�perating Procedures, will be subject to ongoing evaluation,being reviewed
and validated at least annually. Policy review will be conducted by knowledgeable staff,
with recommendations (including any revisions or additions) submitted to the Direetor of
Facilities & Engineering for approval.
CREATION DATE: 8/03 ORIGINAUREVISION NUMBER: 1
INPilT AND/OR APPROVAL: Darryi Flores, EOC Committee
APPROVED BY: Dan-vl Flores, EOC Committee
REVIEWED/REVISED DATE: 8/19/03,06/04,06/05, 6/13/06, 8:�'2008,9/08
�
Vail Valiey Medical Center
Extraordrnary people. Extraordinary care.
Vail Valley Medical Center
CONTRACTOR SAFETY AGREEMENT
This Conttactor Safety Agreement is entered into by the Vail Clinic, Inc (d/bja Vail Valley Medical Center}
and (contractor compan}�) and is dated (date).
Scope of work: ._.:�,�,,�,,�,.�.._.._. Duration:
Vail Valley Medical Center(WMC�is committed to providing a safe environment for patients,visitors,and
staff. To accomplish this,we must continually monitor,evaluate,identify,and make recommendadons on
safety related issues,and pmvide appropriate follow-up action.
Contractors and vendors provide a number of services on our campuses. These include everything from _
major consuuction projects to medical equipment installations. Statisdcs indicate that the majority of
incidents in hospitals occur during construction,renovation,or equipment installations.
WMC recognizes the role that contractors and vendors have in helping to meet our safety goals. Thcrefore,
the endosed guidelines have been developed to clearly oudine the safety requirements for working on our
campuses. It is the intent of these guidelines to impart responsibiliry on all contractors and vendors to
recognize and demonstrate safe work practices while perfomvng work at any WMC location.These
Contractor Safety Guidelines are not intended to cover all regulatory requirements. It is the responsibility of
the contractor to comply with all Local,State and Federal regulations (Local building codes,OSH�1,EPA,
etc.'. Compliance with all safety reguladons wi�l be stricdy enEorced. Contractors are expected to also provide
safe workplaces and implement their own safety programs. Issues of non-compliante will be communicated
v►rith the contractor's head supervisor for resolution. Unsafe activides may result in immediate terrninadon of
contract and/or use of conttactot's company and jeopardize any future relations between WMC and
contractor's company.
Acceptance to adhere to these guidelines is required by all con[ractors beEore services can be completed on
any WMC campuses. It is the responsibility of the Contractor/Vendor to inform all of their personnel who
will be perfornvng work on our campuses of these guidelines. Failure to adhcre to these guidelines may result
in a request to have that individual or contractor removed from the facility. If you have questions or
concerns,please contact your Medical Center representative.
CONTRACTOR GUIDELINES:
Construction can be stopped ar any time when rt interferes rvith stafl`'function or direct patient care
or as otherwrse determrned by the Project Manager,Direcror ofFacilities, Safety Manager, Infection
Control Coordinator or other VYMC designee.
Sec�Report all incidents, theft,loss,injury, near miss and hazards to Project hianager, Facilities Director
or Faciliries contact petson.
h k-in�1I1 contractor personnel will wear WI�4C issued identificadon badges at all times �vhile
warking on campus. �ll contractors will check-in and out on a daily basis �or as deternvned by die
project manager:��vith the Facilities Department and Vail Valley I�iedical Center representadve
responsible for the�vork being done. It is the responsibilih oE the contracror to ensure that all
personnel are�vearing their identification badges.ANY hospital employee has the right and
tesponsibility to ask you�vho you are if you are not clearly identified as a con�ctor.
e s�ll key requests mus[be authorized by the Director of Facili[ies& Engineering. Keys issued
must be returned as required. Misplaced keys will be charged to the contractor at a cost of$50.00 per
kep-
Vehicles All contractors must observe all parking requirements. Contractots should parl:at the far
side of the parking tot and keep the forward spaces open for patients and visitors. �ddidonal
requirements may be determined at any time during a project
. to ge of Materials and F,�}�+nrn n ��Uhen not in use,all toolboxes and cabinets must be locked and
stored in designated areas. Corridors and esits must be kept clear of obs[tuctions at all times.
rllternate routes and e:�its must be clearly marked. Keys must be removed from all equipment
Chemicals and flammable liquids must be stored in a locked "rlammables"cabinet.
Removal of Hos �i�t j�'r�=ertr�'Axitten authorizauon,by the project manager or WMC -
represcntative,is required before removing any hospital property from the campus.
Cod of Conduct All contractor personnel ace requued to dress and conduct themselves in a professional
manner at all umes. Padents and visitors are not expected to understand the difference between employees
and contractors,therefore contractors are expected to tonduct themselves in a manner which is conducive to
a healthcare environment. Use of offensive language is not allowed on campus.Fighting or horseplay is
prohibited on all WMC property. Smoking is permitted in designated areas only. Decisions concerrung the
above will be the sole responsibility of the Facilities Director.
Patient Care Considerations Excessive noise may have an adverse impact on the treatment and care
of patients.When conducdng business in occupied areas,contxactors are expected to keep noise
levels and com*ersations at a minimal level. Prior to conducting any work which creates an excessive
noise level,confer with the Project Manager for any padent care determinacions.
Health Information Portabilitv an �lccounta6ilih��1ct I-, 1{E P�l All inforcnadon about patients is
considercd private or"confidential"whether�vritten on paper, saved on a computer or spoken aloud. �
This includes all personal information including the fact that they are at our facility for healthcare. I
This is a federal law which can result in fines or penaldes.
Regorting of r1 id nts_Eme encies and Incidents �or any accident or injury requiring immediate
medical treatment,call 911 ditecdy. r�ll accidents,incidents,injuries and illnesses requiring an
"Employers' first Report of�lccident"must be reported to the Pioject Manager, Facilicies Director
or Safety Manager inuriediately so they can be properly irrvestigated and employees properly
protected.
Emernenc� Resnonse Coatractors worl:ing in WMC hospital and other WMC fatilities will hear from time
to time,certain overhead "code"announcements. These codes for the mort�xir�have nothing to do with
contractor business. Ho�vever, to assure that all persons wocl:ing in the facility are informed of emergency
response, the follo�ving informauon defines the codes emergency and the contractor response to such an
announcement.
Coc�e Red indicates smoke or fire. If the Etre is in your location, R�1CF is the acronym used to
Rescue;�ctav�te �larms;Contain fire and smoke by closing doors;and Evacuate or Exdnguish if
safe to do so. If the Code Red is announced for a location a�vay from�vhere}°ou are located,you
must stay where yvu are until an "all clear" has been deterrnined. DO N07'pass through fire doors
during alarms! r1ll concractors, personnel, patients and visitors within all faciliries outside oE the main
campus must ev�cuate the building during all fire alarrns.
�
Code Orang�is a Chemical Spill or Contaminadon. If a Code Orange is announced,stay where you
are unril an"al1 clear" has been established uriless the spiJ]or contamination is in your locaaon.
Code Pink indi�ates an infant or child abduction. If a Code Pink is announced,stay where you are
until an"all clear"has been determined. If asked by hospital personnel to look through your tools
and supplies you must comply with their request. No one will be allowed to leave the building until
an"all clea�''is determined,
�e Blue is an intemal medical emergency. If a Code Blue is announced,stay�vhere you are and do
not impede medical response.
Cod�indicates a bomb threat. If a Code Grey is annouriced,stay where you are uriless
otherwise directed by the Project Manager,Facilities Director or Safety Manager.
�_ e Triave indicates the need for emergenc��response to a possible mass casualty event. If a Code
Triage is announced,stay where you are unless otherwise d'uected by the Project Manager, Facilities
I?irector or Safety Manager.You may be requested to leave the Eacility for the duration of the
emergency.
Method of Procedures (]�sl No servi�r or ey.rtem wili�in!be ho,�pital or any of itr r,anrpuru caa Gt i�rlerrupted or
dinbnnttltd without umtten appror,n!a�rd agreem�nt(thrak�b a written Methnd oJProadkn(MOP))to be appmved by the
Pmjetl ManaBerand/or Faci/itier Director. There in�lude 6xt are so!k'mited lo:Fire Abrm 2�'Detec•tion Systemr;Elec•tricrr! -
power;Stearn Generr�torr;Air Handfin�Syftemr;Dome.rtic Hot and Cold Wa�rr ryrtrnrr. No uriliry syst�ms will be
disrupted unless a Facilities Technician is on site,even after proper approval.Any required work
permits are to assist in coordinating contractor work activities and WMC activiues affecting the same _
systems. Failure to rtquest these work pernvts in advance may result iri a delay in work progress,possible
contract defciencies,and may place future contracts ia jeopardy.
�ff hours Work r111 off hours work must be scheduled and documented through a written Method
of Procedure (MOP) and/or approved by the Project Manager or Facilities Director.
Hot��/ork Permits Contractors must obtain Hot�'t/ork perrnits from the Facilities Deparnnent
before perfornung welding,soldering or torch�vork.48 hours before performing hat wotk,
contractors shall submit a Hot VUork Permit to the Facilities depattment Duector (479-7196}.The
Project Manager may be ahle to provide assistance filling out the Hot Work Permi�
Fire Protection Contractors must contact the Facilities Department before performing work on Fire
Suppression and Fire rllarm systems at 479-722G,48 hours before work. Nate:operution.r thut creute dri.r!or
particles, .rucb a.r.randi�g and,rpray�rrntrng, muy af jea•t fire u/arm ry,rtemr.
Fire��1all Penetra[ions Fire and smoke barrier pene�dons must be maintained by all contractors in
actordance with hospital building codes. Caulk around pipes, replace ceiling tiles,install drywall,etc.
All peneuation seals must be approved by the Project hlanager or Facilities Director. Smoke and fire
penetrations are to Ue maintained by all contractors in accordance with Hospital Building Codes.
Contractors must complete a Fite\�Uall Penetration Norificauon �vhen penetraung r1NY walls in any�
WIvfC facilic}.
Interim Life Safe��easures EvaIuation and implementation oE Intcrim Life Safety Measures will be
applied�vhenever signifcant Life SaEety Code deficiencies are present�vithin an e�cisGng building or
�vhen reno��ation or construction acuvides disrupt normal access to, or operation of, building life
Safety Eeatures,components, or systems.
�m I�in Smol,•ing is allowed onl}'in designated areas. Contact the project manager for locations.
Hot��Votk Permit� Hot work invoh*ing the use oE open flames,welding apparatus,and spark
producing equipment can tesult in fires and explosions. 1t is very important that all conuactors must
udlize the WMC Hot�Y�ork Permit program.
1nfe�tion Gon�o� Precautions: Construction and maintenance in healthcare organizadons present a great risk
to patients. Dust generated during construction and maintenance have the potential to carry harmful
pathogens which can create infections among patients who are immuno�ompromised or susceptible as a
result of their care or the environment in which they are cared for. These pathogens pximarily include
A.spngillur,Candida and Le�ionella. All work shall be immediately stopped on the project whenever s
hazardous infection control deficiency exists.
Pre Gonstruction R.isk rlssessment (PCR�1l It is the responsibility of the General Conccactor to work
with appropriate in-house representadves to verify that job hazard level is assessed,Pre-Construction
Risk Assessment (I'CRA)is completed and distributed,and.vork is conducted safdy.
jnfecr_+�±?GonLOI Rsk rlssessment{ICRr1} It is the responsibility of all contractors working for the -
Vail Valley Medical Center to be involved in the processes for conduct�ng on-going Infecrion -
Control Risk�ssessments and measures implemented to decrease risk.Reference Infection Control
policy# EOC.005/IC.03 for details.
Barriers Betueen Gonstr�ct�on and P�bLc/Staff�reas Barriers must be provided between
construction areas and pubGc/staff areas. Barriers can range from drywall separations to barricades
and signage. Construction,demoliaon or reconsavction not capable of containment within a single
room must have:
• an air-tight plastic or drywall barrier that extends from floor to ceiling to prevent dust :�
and debris Erom escaping
• Sricky mats should be used at wark area entrance/exit
• Dust txacked outside the barriers should t�e removed immediately
Trash Removal�`Vork areas must be kept clean at all times. Debris is to be picked up on a routiae
basis. Debris removal from the construction site should be completed through predetermined route
�pproved by Infection Control. Debris should be transported in clean (wiped down)containers with
tight-fitting covers.
Indoor�' Ouality r111 air vents must be blocked off and sealed to prevent contamination of the duct
s}^stem before demolition/construction begins. Negative pressure air-flo�v relative to adjacent patient
care areas should be created and maintained.r'lir and pardculate sampling should be conducted on a
bi-weekly basis unless determined otherwise by the project manager,Facilides Director or Infection
Control Coordinator. For outside consuuction,adequate seals must be maintained on windows of
patient care areas to prevent infiltration of outside air.
$�g,plies and Materials Store cons[ruction materials to keep them dry.Anything wet for 72 houes
must be disposed of or removed or mold WILL grow!
rlrea Restrictions Certain areas of tlie facility may be considered "oEf limits" to contxactors or
specifically designated as contractor access to maintain infection control measures. These wi�l be
determined for each project as necessar}�. It 'ss the responsibility of the Contractor and Project
I�ianager to ensure compliance�vith these restricdons.
Regulator��Re�irements 7�ese Contractor Safety Guidelines are not intended to corer all regulatory
requirements. It is rhe responsibilit}•of the contractor to comply with all Local,State and Federal regulations
{L.ocal building codes,OSHr1, EP�,etc.}. Compliance with all safety regulations�vill be stricdy enforced.
Contractors are expected to also provide saEe�vorkplaces�nd implement their own safety programs.
Bloodborne Patho�ens Program Vail Valley Medical Center has a Bloodbome 1'athogens program,
�vhich is intended to help reduce esposure to blood and body fluids. Protective equipment is
available for use throughout the hospital. �1ll contractors must use discretion and follow
recommended precauaons that may be posted throughout the hospital.
Ha,ar.1�„� Marer�als and��Iaste / Hazard Communicaaon In addiuon to complying with
comprehensive federal,state, and/or local regulatory requirements,all contractors shall be required
to assure that their ernployees�vorking in any Vail Valley Medical Center facilities or areas are
properly trained,equipped,and supervised in their handling of hazardous materials. Contractors will
keep a manual on-site,complete with Material Safety Data Sheets, for all items being used on
campus- Contcactors shall comply with regulatory and Vail Valley Medical Center expectations
regarding proper labeling of original and secondary containers.
Lockout/Tagout�111 personnel will comply with Lockaut/Tagout procedures.�1t least two people
are required when working on projects involving high voltage or high-risk procedures.
Personal ProtecLVe Fq�i�m n r'�ppropriate personal protecdve equipment shall be worn in all
operadons where there is an exposure to hazardous condiaons or where the need is indicated for
using such equipment to reduce the haaard to the employees.
The undersigned authoriaed company representadves are executing this agreement on the date signed below:
Vail Clinic, Inc. Contractor Company _..� .. _..
Authorized agenr. Authorized agent:
By(signature) By(signature}
Date: Date:
Name (print) Name (print}
Tide: Tide: '�
VAIL VALLEY MEDICAL CENTER
POLICY AND PROCEDURE
_. _ _ ___ ,._._ _
TITLE: Fire&Smoke Barriex Sealing Policy Page 1 of 1
_ _ __. � � �
DEPARTMENT: Environment of Care POLICY#EOCA19
PURPOSE: To assure the continued reliable Life Safety performance of fire and smoke
barriers within Vail Valley Medical Center facilities, through providing proper and
effective sealing of any penetrations through such structural partitions.
DISCUSSIUN: Penetrations are allowable, and can exist without jeapardizing the
intended Life Safety performance of the fire/smoke barrier, provided that the penetrations
are fitted with properly selected and installed fire-resistant sealant materials or devices to
effectively close the space between the pipe, duct,or other component and the barrier
itself.
POLICY:
• All in-house maintenance and construction staff must have an understanding of
the critical Life Safety dependence upon proper sealing of penetrations in
f�re/smoke barriers, and assure that any such penetrations generated in their work �
performance aze properly and reliably sealed.
• The Facilities &Engineering Department will also require that vendors and
contractors reliably and properly seal any penetrations through fire or smoke
barriers created through their scope of work performance.
• All telecommunications installation work, whether performed by employees,or
by vendors or contractors, shall camply with NFPA 101 (Life Safety Code}
requirements for proper penetration sealing, such that Life Safety capabilities and
performance intended iz�the design of building fue��smoke partitions can be
effectively preserved and maintained.
• Facilities &Engineering Department managers/supervisors, and staff will work
closely with telecommunications installation staff, vendors, ar�d contractors to
help assure effective stai�'training and worker understanding regarding techniques
and materials for the proper sealing of fire and smoke partitions, as well as to
coordinate operational procedures for work that potentially affects building Life
Safety capabilities and performance.
CREATION DATE: 8/03 ORIGINAi/REVISION NUMBER: 2
INPUT AND/OR APPROVAL: EOC Committee
APPROVED BY: EOC Committee
REVIEWED/REVISED DATE: 8/19/03, 6/04,6/OS 6/13/06. 8/08 .9/O8
1
� VAIL VALLEY MEDICAL CENTER
POLICY AND PRQCEDURE
TITLE: Hot Work Policy Page 1 of 3
DEPARTMENT: Environment of Care POLICY#EOC.021
APPLICABLE TO: All Facilities &Engineering Department Staff, vendors, and oontractors.
PUltPOSE: To define Facilities & Engineering Department requirements for assuring fire safety of
work involving the use of open flame.
DISCUSSION: Maintenance and construction work often requires use of torches or other open-flame
devices far operations such as soldering, welding,brazing, or flame-cutting for equipment removal or
other demolition. Within this Policy, the term "hot work" shal! mean any such work that involves the use
of open flame. While some hot work may be conducted in shops or areas specifically configured and
designated for the purpose, most often such work must be performed within other facility spaces. Nature
of the work frequently brings open flame in close proximity to wood framing or other combust�ble
components within a bui�ding or area. Because generated fumes or smake may inadvertently trigger
alarm system detectors,or even activate an installed sprinlcler system, such fire safety systems must _
sometimes be de-activated during hot work operations. Impact upon building fire safety, both from the
direct fire hazard of open-flame operations and the frequent need to disable critical warning and
extinguishing systems during hot worfc operations, dictates adherence to specific operational procedures to
minimize inherent fire safety risks.
POLICY: Other than within shops or work areas specifically designed and designated for the purpose of
accommodating open flame work, no hot work aperations shall be conducted inside any Vail Valley
Medical Center building without first securing a Facilities &Engineering Department Hot Work Permit.
This Palicy applies to all hot work performed, regardless of whether accomplished by in-house staff,
vendors, or contractors.
PROCEDURES:
• For any in-house staff hot work operation, the Director of Facilities&Engineering shall assure that
an appropriate Hot Work Permit is obtained prior to the start of such work.
• Statements-of-Work, Specifications, and/or other performance requirements applicable to
contracts or purchase reyuests issued by Vail Valley Medica) Center for any work known to
actually or potentially require use of open flame within any building or area not specifically i
designed and designated for the conduct of hot work, shall clearly stipulate that an approved
Facilities & Engineering Department H�t Work Permit must be obtained prior to the start of any
such open flame work.
Hot Work Permit information must describe the work to be performed, and the specific needs for, and
uses of, any open flame devices. Information must include the expected duration af hot work; the impact
(if any) upon full operational capability and status of fire detection, alarm, or sprinkler systems during
work performance; the building areas affected by any such system de-activations; and the name and
phone/pager number of the responsible Facilities & Engineering Department manager/supervisor
Policy:Hot Work Permit Page 1 of3
1
overseeing the work. The Hot Work Permit shall also include a summary of fire prevention and
protection measures taken to protect adjacent facility areas or equipment during work performance.
The Director af Facilities&Engineering sha11 also assure that other Vail Valley Medical Center
Departments occupying building areas affected by fire detection, alarm, or sprinkler system deactivations,
of any time duration, are reliably notified prior to such system deactivation, and again upon full
operational restoration of the system.
REVIEW: Scope and implementation of this Departmental Policy, and any associated supporting
Operating Procedures,will be subject to ongoing evaluation, being reviewed and validated at least
annually. Policy review will be conducted by knowledgeable staff, with recommendations (including any
revisions or additions)submitted to the Director of Facilities&Engineering for approval.
CREATION DATE: 8/03 ORIGINALJREVISION NUMBER: 2
INPUT AND/OR APPROVAL: EOC Committee
APPROVED BY: EOC Committee
REVIEWED/REVISED DATE: 8/19/03,6/O5.6/13/06
Policy:Hot Work Pern,it Page2 of3
2
Vail Valley Medical Center
Hot Work Permit
All pennits muri be approved by lhe Director of Facilities(or designee)prior to work being performed.
Company: Name:
Date of Intended How Work:
Location of work to be performed:
Expected Duration of Work
Descri tion Of and Reason For work to be performed:
WiII Fire Detection, Alarm or Suppression Systems need to be de-activated?Please clarify:
Areas to be affected by de-activation of Fire System:
Affected departments notified? _.,_ . _
Summary of temporary Fire Systems put into place:
Interim Life Safety Measures Implemented? Attach matrix and describe measures taken:
Facilities Technician overseeing work to be performed:
Approval $y: _ _�____. Date:
Project completed on (date): _
Policy:Hot Work Permit Page 3 of3
3
, .
VAIL VALLEY MEDICAL CENTER
POLICY AND PROCEDURE
TITLE: Infection Control in Construction/Maintenance Page 1 of 9
DEPARTMENT: Infection Control POLICY#IC.03
Environment of Care POLICY#EO.005
Purpose:
To pro�ide a comprehensive plan to assess air quality control, infection control hazards, implications,
and interventions when new construction, renovation or maintenance activities in the patient care setting
is anNcipated.
Policy: Infection Control is critical in all areas of each facility.
• Maintenance or Construction activities causing disturbance of existing dust or creating new dust
must be conducted in tight enclosures cutting off any flow of particles into patient care areas.
WMC requires any subcontractors or sub-subcontractors,materials, suppliers, vendors, -
employees or agents to be bound by these requirements. -
• Before any maintenance or construction having potential to create ar distribute airborne
contaminants begins on site, the contractor's management team shall attend a mandatory
preconstruction meeting for instructions on Infection Control precautions.
• HEPA equipped air filtration machines shall provide airflow into oonstruction area not less than
.O1HG at barricade entrances with doors fully open. -
General information:
The following guidelines are for the prevention of nosocomial infection during hospital construction,
renovation, and/or invasive maintenance procedures.. The main organisms of concern are dust and
fungal spores (aspergillus), and water organisms (legionella).
Performance Requirements
Contractor Responsibilitv �
• Work with appropriate in-house representatives to verify that job hazard level is assessed, Pro-
Construction Risk Assessment (PCRA) is completed and distnbute�, and work is conducted
safely.
• Equipment is maintained and replacement of HEPA and other filters is conducted in accordance
with manufacturer's recommendations.
• Know and understand the policy requirements as outlined within this policy
• Report any problems immediately to the Project Manager
Project Manager Responsibilitv
• Ensure a safe environment for the patients, visitors and staff
• Work with Fnfection Control, Facilities personnel, department personnel and contractors to
isolate canstruction activities from patient care activities.
• Evaluate construction and renovation activities in patient care and other identified high risk
areas according to this policy .
POLICI':Infatim Contro)i�Cwsvucoon Mavitrnmice Page I of9
. .
• Complete Pre-Construction Risk Assessment and for all renovation, repair, and construction
activities to be perfor►ned.
• Consulting with Infection Control before all activities to promote patient safety.
• Inform contractors and subcontractors about these policy re�uirements and provide
oversight;�direction for contracted work.
• Ensure work performed in patient care and other identified high risk areas is conducted in a
manner that would minimize dust generation and provide for patient safety.
• Equipment is maintained and replacement of HEPA and other filters is conducted in accflrdance
with manufacturer's recommendations.
• Repart any problems immediately to the Safety Manager and Infection Control as necessary
Infection Control Department Res�onsibilitv
• inspect work site before demolition/construction begins.
. Review completed Pre-Construction Risk Assessment prior to initiation of work
• During Class III and Class IV projects, conduct weekly Infection Control Risk Assessments
(ICRA) within the work site to ensure compliance with these construction standards and to
promote safety of patients.
• Distribute information and education about Infection Control Standards to contradors at the
preconstruction meetings.
• Provide education to staff', physicians, administrative staffofupcoming construction, plans, and
ongoing education as needed.
• Identify care areas with patients at risk and plan transport of materials and patient placement
away from those areas.
• Educate staff in construction area to assess daily for infection control risks (dust, water damage,
etc.)
• Provide education to healthcare workers about oonstruction related organisms and patient'risk
papulations.
Oualitv Control
� • Discuss and plan with construction staff how to respond for emergencies (water leak, sewage
leak, airflow"burst", prior to start of exercise.
• All work shall be stopped on the project whenever a hazardous ir►fection control deficiency is
identified.
• Contractor shall take immediate action to correct all deficiencies
� Failure of contractor to cotrect such deficiencies will result in conective action taken by V VMC
and deducting all costs from the contract.
Products and Materials
� Sheet Plastic: fire retardant polystyrene, b-mil thickness
• Barrier poors: solid core wood, painted
• HEPA eauipped air filtration machines: Forced Air 2000 HEPA eyuipped filtration unit or equal.
HEPA primary and secondary fiIters.
• Exhaust Hases: heavy duty reinforced steel and ventilation blower hose
• Adhesive Walk OffMats: Minimum size mats (24" x 3b")
� HEPA Vacuum
Ventilation
• All air vents must be blocked off and sealed to prevent contaminakion of the duct system before
demolition/construction begins.
POL1Cl':lnfc�tion Conwl in Comwccun �teima�ance Pa��e'_of9
Y �
• Negative pressure air-flow relative to adjacent patient care areas shouid be created and
maintained.
• Frequent daily assessments will be conducted to ensure patency of negative pressure using
flutter test for level III/IV areas.
Dust Barriers
• All barriers must be completed before demolition/construction begins.
• A closed door with duct tape applied over the frame and door is acceptable for short projects
which can be contained and completed within a single room (I, II)
� Construction, demolition or reconstruction not capable of containment within a single room
must have the following barriers erected:
-: An air-tight plastic or drywall barrier that extends from floor to ceiling to prevent dust
and debris from escaping. If the false ceiling is not violated, the harrier only needs to be
extended to the ceiling tiles. When construction penetrates a smoke or fire wall,
additional safety standards may apply to barrier construction. (IIUIV}
:� Each entrance must be constructed so that it has an ante-room to prevent escape of dust
and debris. The ante-room can be constructed of plastic or drywall barriers.
a� Ante-room will be stocked with equipment to wipe down tools, equipment prior to exit, _
and clothing (bunny suits/vacuum) for workers to clean selves prior to exit
• If elevator shafts or stairways are within the area of construction, they must have proper barriers
installed.
• Penetration of ceilings, chases, ceiling spaces, and slabs must be sealed with approved fire-
stopping material to stop movement of air, debris, smoke and fire.
• Sticky mats should be used at work area entranceJexit.
• Dust tracked outside the barriers should be removed immediately.
• Holes cut or punctured in walls, ceilings, floors or doors should not be left exposed longer than 4
hours. If work cannot be completed within this time span, the holes should be temporally
plugged or covered.
• For outside construction, adequate seals must be maintained on windows of patient care areas to
prevent infiltration of outside air.
• To minimize traffic into%ut of construction area, communication strategies will be implemented
to decrease errand activities that will increase dust distribution.
Debris Removal
• Debris removal from the construction site should be completed through predetermined route
approved by Infection Control. And PCRA team
• Debris should be transported in clean {wiped down) containers with tight-fitting covers.
• If elevator to be used for removal of debris, predetermined times for transport and cleaning
procedures will be outlined prior to start.
At Project Completion
• Barriers should not be removed from work area until the completed project is inspected by
Infection Control and thoroughly cleaned by Environmental Services or the contractor.
• The work area should be vacuumed with a HEPA filtered vacuum and�'or wet mopped.
• Barrier materials should be removed carefully to minimize spreading ofdirt.=`debris associated
with construction
• Barrier and construction waste should be either bagged or transported in carts with tight fitting
lids.
• Barriers should be treated as debris.
• Blockage should be removed from vents.
POLICY:InfecGOn Co�wol in Consm�ttion Jlaimrnance P;e�,;,,7��
r �
Cleanin� Procedures for staged construction sites:
• Class I/II projects: Replacement of ceiling tiles, covering of holes in walls, vacuum, wet mop
for dust collection. Room to be sealed when not in use.
• Class III/IV projects: Replacernent of ceiling tiles, covering of holes, vacuum, wet mop for dust
collection. Ternunal clean to be performed to adjacent areas prior to patient use.
Procedures:
1. Obtain the "lnfection Control Construction" form
2. Using the following table, ident�the Type of Construction/Maintenance Project Activity(Type
A-D)
[nspectioe and Non-lnvasive Activities
Includes but is not limited to:
. removal of ceiling tiles for visual inspection
Type A • painting(but not sanding)
• wall covering,electricat trim work,minor plumbing,and activities which do not generate
dust or uire cuttin of walls or access to ceilin s other than for visual ins ction
tl���w�w����V Smafl scale,short duration activities which create dust t6at can be controlkd st the source
with vacuum
Includes but is not limited to:
Type B � • Installatian of phoae and computer cabling
• Access to chase spaces
• Cutting of walls o�ceiling where dust mig�'ation can be controlled
• Sandin of walls for aintin or wa11 coverin
Work that generates a moderate to higb level of dust or requires demolition or removal of
any fixed building components or assemblies -
Includes but is not limited to:
Type C • Ceiling tiles and casework
• New wall construction
• Minor duct work or electrical work above ceilings
• Ma'or cablin activities
���?� Major mainteoance,demolttion aad construction projects
Includes but is not limited to:
Type D • Activities which require consecutive work shifts
• Requires heavy demolition or removal of complete cabling system
� • New canstruction _
3. Using the following table, identify the Risk Groups that will be affected. If more than one risk
group will be affected, select the higher risk group(any activities conducted in occupied areas
are automatically classified as one risk group higher than listed):
GROUP 1 GROUP 2 GROUP 3 GROUP 4
Low Risk Medium Risk Medium-Hi h Risk Hi hest Risk
Office areas Echocardiography Emergency Room Canccr Ccntcr
Mechanical rooms Nuclear Medicine Labor&Delivery PCU
Storerooms off of Physical therapy Laboratorics Ccntral Steriie Supply
patient care areas Radiology�`MRI Nurscry Intensive Care Unit
Respiratory"Iherapy Pre-Op f PACU Negative Presswe
Pharmacy Food&Nu�-ition Isolation Rooms
Gencral- Patient Care Oncology
Arcas Operating rooms—
Med-Surg � including C-Section OR
Patient Rooms _ Pharmacv IV area
�. On the following table, match the Construction Project Type{A, B, C, D) with the Risk Group
(Low, Medium, Medium-High, Highest) to determine the Class of Precaution (I, II, III, IV).
POLICY:MfecuonConoolinConmuttion Mainxnm�ce Paqe4of9
. ,
1Vlaintenance/Construcdon Pro ect T
IC Risk Gro T e A T e B T e C T e D
Low Risk Grou I II II nI�
Medium Risk Grou I II III N
Medium-Hi Risk Grou I II Yti/IV N
Hi hest Risk Grou ][ III/IV IIUIV N
5. An Infection Control Risk Assessment (ICRA) will be required when Maintenance�
Construction Project Type and Risk Group indicates that Class III or Class IV Precautions are
necessary,
During Maintenance/Construction Project Upon completion of Project
1. Execute work by methods to minimize raising dust
� from construction operations
atl 2.Lnmediately replace ceiling tiles displaced for visual
U
inspection
1.Provide active means to pnevent airborne dust while 1.Notify the EVS department to ctean the area
cutting(vacuum tools} 2.Contain construction waste before transport
�C 2.Water mist work surfaces to control dust while cutting 3.Wet mop and/or vacuum with HEAA filtered
3•Sea]unused doors with tape vacuum before leaving work area
U 4.Block offand sea]air vents as needed 4. Return HVAC to standard operation
5_Place dust mat at entrance and exit of work area
1. lsolate HVAC system in area where work is being done
ro pr�event oontamination of duct system 1• �amers should not be removed from work
2.Complete all critical barriers(i.e.sheetrock,plywood, area until the completed projea is inspected by
plastic}to seal area from non-work area before Infection Control and thoraughly cleaned by
construction begins Environmental Services or the contractor.
3.Maintain negative air pressure within work site
utilizing HEPA equipped sir filtration units or exhaust Z' T�e w'°rk a�'ea should be vacuumed with a
to exterior of the building.Ensure no fan intakes for SO H�pA filtered vacuum and:or wet mopped.
feet.
^ 4.Contain construction waste before transport in tightly 3' �me�ma�enals should be nemoved carefully
covered containers to minimize spreading of dirt/debris associated
� 5.Cover transport receptacles or carts. Tape covering W�th construction
unless solid lid
6.Place dust mat at enttance and exit of work area 4• �amer and construction waste should be either
bagged or transported in carts with tight fitting
lids.
5• Barriers should be treated as debris.
6. Blockage should be removed from vents.
7. Return HVAC to standard operation
P(A,IC!':In&Yppn CoMrol in Canauetv,a� Maintc»micc �,,���
S=:�E�«
,
l, Isolate HtiAC system in arra where+vork is being done i Barriers should not be removed from work
to prevent contamination of duct system area until the completed project is inspected by
2.Complete all critical barriers(i.e.sheet�ock,plywood, lpfection Control and thoroughly cleaned by
plastic)to seal area from non-work ares before Environmental Services or the contractor.
construction begins
3. Maintain negative air pressure within work site Z. The work area should be vacuumed with a
utilizing HEPA equipped air filtration units or exhaust HEPA filtered vacuum and/or wet mopped.
to exterior of the bui lding. Ensure no fan intakes for 50
feet,monitor to.Ol"Hg or greater 3. Barrier materials should be removed carefully
� 4. Seal holes,pipes,conduits,and punaures appropriately to minimize spreading of dirtldebris associated
� 5. Do not remove barriers until the completed project has W;th construction
V been inspected by the Project Manager and Infection
Control Nwse and thoroughly cleansed by the EVS 4, gamer and construction waste should be either
department bagged or transported in carts with tight fitting
6. Place dust mat at entrance and exit of work area ���
5. Barriers should be treated as debris.
6. Blockage should be removed from vents.
7. Retum HVAC to standard ope�ation
Reference:
1. Siegel JD, Rhinehart E, Jackson M,Chiarello L, and the Heahhcare Infeetion Control Practices
Advisory Committee, 2007 Guideline for Isolation Precautions: Preventing Transmission of
Infectious Agents iun Healthcare Settings, June 2007.
2. Facility Guidetines Institute. Guidelines for Design and Construction of Health Care Facilities.
The American Institute of Architeds. 2006.
3. Bartley, J.M. APIC State-of-the-Art Report: The role of infection control during construdion in
health care facilities. 1999.
4. SehuLster, L. Chinn, R. Guidelines for Environmental Infection Control in Health-Care Facilities.
MMWR. June 6, 2003/52 (RR10); 1-42.
CREATIONDATE: 2/11/98 MaiorRevisionsb/13/OS ORIGINAVREVISIONNIJMBEft: 4
INPUT AND/OR APPROVAL: Dan Feenev.Anna Mills.RN.CIC.Kip Gardner.Environment ofCare Committee
APPROVED BY: Infection Control Committee.Env�,onment of��rg Committee
REVIEWED/REVISED DATE: 12/99 4/O1.5/02.6/03,6/04,7/OS.10/07
1'OLICY:tnftttian Cunool in Conmuction M1taintrnanc� F';y;e°,c:"v
Pre-Construction Risk Assessment/Job Classiification Worksheet
Project Name: Project Start Date:
Project I,ocation: Estimated Duration:
Project Manager
YFS CONSTRUCTlON ACTNE?Y(referto policy for complete YES INFEC7ION CONTROL RISK GROUP(refer to
details of activities related to each t ) lic for com lete list of risk u s)
TYPE A: Inspection and non-invasive activity GROUP l: Low Risk
l'YPE B: Small scale,short duration which create dust that can GROUP 2;Medium Risk
be controiled a the source
TYPE C: Activity generates moderate to high levels of dust or GROUP 3:Medium/High Risk
requires demoEition or removai of aay fixed building
com nents
'iYPE D: Major maintenance,demolition and construction GROUP 4:Highest[tisk
ro'ects
Project Classification and Precautions Circle Class of Pro'ect
CLAS$ I �, Execute work by methods to minimize�aising dust from 2. Immediately replsce any ceiling tile displaced for
construction o ations. visual in ion.
CLASS II �. provide active means to prevent air-boroe dust fi'om 6. Contain construction waste before trdnsport in tightly
dispersing into atmosphere covered containers.
2. Water mist work surfaces to control dust while cutting. 7. Wet mop and/or vacuum with HEPA filtered vacuum
3. Seal unused doors with duct tape. before leaving work area.
4. Block off and seal sir vents. 8. Place dust mat at entrance and exit of work area.
5. Wipe surfaces with disinfectant. 9. Remove or isolate HVAC system in areas where
work is bein rformed.
1. Conduct Infection Control Risk Assessment{ICRA) 6. Vacuum work with HEPA filtered vacuums.
CLASS )li before construction begins. 7. Wet mop with disinE'ectant
2. Isolate HVAC system in area whec+e work is being done to 8. Remove barrier materials carefvlly to minimize
prevent contamination of the duct system. spreading of dirt and debris associated with
3. Complete all critical baniers or implement mntro!cube construction.
method before consttuction begins. 9. Contain construction waste before transport in
4, Maintain oegative air pressure within work site utilizing tightly covered containers.
HEPA equipped air fiitration units. f 0. Cover transport receptacles or carts.Tape oovering.
5. Do not remove barriers frorn work area until complete 1 l, Remove or isolate HVAC system in areas where
ro'ect is thorou I cleaned b EVS work is bein rformed
I. Conduct Infection Control Risk Assessment{ICRA) 7• Vacuum work area with HEPA filtered vacuums.
Class 1V before construction begins. 8. Wet mop with disinfectant.
2. Isolate HVAC system in area where work is being done to 9. Remove barrier materials carefutly to minimize
prevent contamination of duet system. spreading of dirt and debris associated with
3. Complete al1 critical barriers or implement control cube construction.
method before construction begins. ]0. Contain constn�ction waste before transport in tightly
4. Maintain oegative air pressure within work site utilizing covered containers.
HEPA equipped air filtration units. 11. Cover transport receptacles or carts.Tape wvering.
5. Seal holes,pipes,conduits,and punctures appropriately. 12. Remove or isolate HVAC system in areas where is
6. Al l personnel entering work site are required to wear shoe ��ng done.
covers
7. Do not remove barriers&om work area until completed
project is thoroughly cleaned by the Environmental
Service De t.
Additional Re uirements:
Assessment Completed By: Assessment Authorized By:
Date: Date:
POLIfY:InfeeppnConmpl�CaLArucdon Mamlrnartce Page7o(9
Construction/Infection Cantrol On-Going Risk Assessment--Class III and IV Projects Only
Project Name Location Project Manager
1. Pro'ect Walk-Thr h I3abe:
Met Not Met Not Mel Noi Met Not Met Not Met Not
Met Met Met Mec Met Met
2. Ventitafloa
Negative Pressure
Supply
Return
Exhaust
3. Barrie�
Type
lnstalled
Airtight
Enu7ies
Potentia�sources of pene�ation
reviewed t sealed
Air filtration/recircularion relative to
outside constructia�►
4. rationsl Procedures -
Wallc offmats
Air sampling/particle sampling
Approved trat�c routes/elevator usage
Trash/debris removal
Appropriate notices distributed
Si�nage in place
EPA Cleanin8 EquiPment
Area clean/fr�of food debris
5. Clean-U /Dis osal
Initill cleaning by contractor
Proper barrier cleaning removaU
di. �l
Unblock air vents
Air system returned to ori inal status
Terminal cleaning by EVS
POI.ICY:]nkevnnConuol6Corawcoon Alaimrnance Pa��eSof9
Existing ceiling-mounted filter units
checked for dama elleaks
f ilters changerl
6. Worker arel
Masks
Bunny suits�booties
7. Pi
Plumbing fixtures Qushed
ScreensJaerators cleancd ar reptaoed
S. EVS
Notification prior to start ofproject
Frequeocy/type ofcleaning needed in
surroundin areas
9. Addi6onal high-risk patient
rnnviderations
10. Recommendations/Comments
Inspectloo Issue ldend8ed:Recommendatfons/Commenls Completioo Ca.pkdow
Date
DueD9te verifed(IdWk)
11. �'inal Inspecdon Pnior To Occupancy:
Project Manager: Date:
Infection Control Coordinator: Date:
POLICI':InfectionCanualinCrnuvuc6on R4aimmance �:��,,.j.,.-ir
VAIL VALLEY MEDICAL CENTER
POLICY AND PROCEDURE
TITLE: Lockout/Tagaut Page 1 of 2
DEPARTMENT: Facilities&Engineering POLICY#FAC.O11
POLICY:
Implementation of lockout�"tagout shall be performed only by authorized employees. If an energy
isolating device is capable ofbeing locked out, then this policy requires that a lockout and tagout
be utilized. If an energy isolating device is not capable af being locked out, then a tagout shall be
utilized.
PURPOSE:
To isolate machines or equipment fi�om energy sources while undergoing servicing or maintenance. To
ensure that before any employee performs any maintenance or repair of a machine or equipment
where unexpected start up or release of stored energy could occur and cause injury, the machine
or equipmenk shall be isolated, and rendered inoperative.
PROCEDURES:
1. Preparation. Notify all affected employees that a lockout is required and the reason
therefore.
2. Machine or Equipment Shutdown. If the equipment is operating, shut it down by the
normal stopping procedure. Personnel knowledgeable of equipment operation should be
involved with shut down or re-start procedures.
3. Machine or Equipment Isolation. Operate the switch, valve, or other energy isolating
device so that the energy source(s) (electrical, mechanical, hydraulic, etc.) is{are)
disconnected or isolated from the equipment. Stored energy, such as that in capacitors,
springs, elevated machine members, rotating flywheels, hydraulic systems, and air, gas,
steam, or water pressure, etc., must also be dissipated, disconnected, or restrained by
methods such as grounding, repositioning, blocking, bleeding-down, etc.
4. Application of Lockout/'fagout. Lockout and tag the energy isolating device with an
assigned individual lock. Tags shall be attached to the energy isolating device(s} and to the
normal operating control and shall be attache� in such a manner as ta preclude operation.
S. Verification of Isolatian. After ensuring that no personnel can be exposeci and as a check
on having disconnected the energy sources, operate the push button or other normal
operating controLs to make certa:in the equipment will not operate.
If there is a possibility of re-accumulation of stored energy to a hazardous level,
verification of isolation shall be continued until the maintenance or repair is completed, or
until the possibility of such accumulation no longer exists.
6. The equipment is now locked out.
,
VAIL VALLEY MEDICAL CENTER
P4LICY AND PROCEDURE
TI'TLE: Lockout/Tagout Page 2 of 2
DEPARTMENT: Facilities &Engineering POLICY #FAC.OI 1
__,e_ . _ _w _
Release from Lockout/Tagout
1. Before lockout or tagout devices are removed and energy is restored to the machine or
aquipment, inspect the work area to ensure that nonessential items have been removed and
to ensure that machine or equipment oomponents are operationally irrtact.
2. Check work area to ensure that all employees are in the clear.
3. Notify affected employees that lockoutJtagout devices have been removed.
4. Each lockout�tagout device shall be removed from each energy isoiating device by the
employee who applied the device.
Lockout/Tagout Interruption (Testing of En�ergized Equipment)
In situations where the energy isolating device{s) is locked/tagged and there is a ne�d for testing
or positioning of the equipment/process, the following sequence shall apply:
1. Clear equipment/process of tools and materials.
2. Clear personnel.
3. Clear the control of locks/tags according to established procedure.
4. Proceed with test, etc.
5. De-energize all systems and re-lock/re-tag the controls to continue the work.
Outside Personnel(Cantractors, etc.)
1. Whenever outside service personnel are to be engaged in activities covered by the scape
and application of this policy, the VVMC and al! contractors shall inform each other of
their respective lockout or tagout procedures.
2. The WMC shall ensure that all personne!understand and comply with the restrictions and
prohibitions of any contractor's energy control procedures. Contractors shall ensure that
the'vr personnel do likewise for WMC policies.
CREATION DATE: ORIGINAI.JKEVISION NUMBER:
tNPUT AND/OR APPROVAL: Director ofFacilities&Engineerin�¢
APPROVED BY: __ Darryl Flores
REVIEWED/REVISED DATE: IO/02, 3/06. 7/10/07 8/20(}S
,
. �
05-18-2012 Inspection Request Reportin Page 18
4:31 pm �[��I, CO - Citv Of
Item: 30 BLDG-Framing "Approved�"
05/14/12 Inspector: sgremmer Action: DN DENIED
Comment: Mech needs to pass
05/15/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 60 BLDG-Sheetrock Nail '*Approved *`
05/15/12 Inspector: sgremmer Action: AP APPROVED
Comment:
05/18/12 Inspector: JRM Action: AP APPROVED
Comment: above ceilmg complete
Item: 190 ELEGFinal �
item: 290 PLMB-Final
item: 390 MECH-Final �
Item: 90 BLDG-Final �
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TOWN OF VAIL, COLORADOCopy Reprinted on 04 -11 -2012 at 14:17:37 04/11/2012
Statement
Statement Number: R120000250 Amount: $874.99 04/11/201210:11 AM
Payment Method:Credit Crd Init: LC
Notation: CREDIT CARD
FROM F. LYON STEADMAN
Permit No: B12 -0094 Type: COMBINATION BLDG PERMIT
Parcel No: 2101 - 071 - 0101 -3
Site Address: 181 W MEADOW DR VAIL
Location: VVMC -SUITE 400 - STEADMAN CLINIC 3RD FLO
Total Fees: $6,201.43
This Payment: $874.99 Total ALL Pmts: $874.99
Balance: $5,326.44
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
PF 00100003112300 PLAN CHECK FEES 874.99
�1z--(�6 qC(
TOWN OF UAIL COM DEU
75 6 FRONTAGE RD.
UAIL CO 81657
970- 479 -2324
TERMINAL I.D.; 2881
MERCHANT M;
#40�1373t
MAIL ORDER
BATCH. 080456 I NU : 000004
AUTH:O11174
APR 11, 12 08:43
TOTAL $874.99
CUSTOMER COPV