STATEMENT OF QUALIFICATIONS

Industrial Hygiene Services for

Rapid Medical Facilities Deployment

TRCcompanies.com Industrial Hygiene for COVID-19

Introduction

Hospitals and health care facilities must meet rigorous standards for cleanliness. Increasing the number of beds and patients being treated in an existing hospital requires changes to the cleaning procedures to effectively sanitize facilities operating in higher density and higher traffic conditions. Cleaning staff may need to be retrained to cope with the new requirements and cleaning must be verified to ensure protocols are being correctly followed.

The challenge in repurposing existing buildings for use as medical facilities is that building codes and standards are stricter when building a medical care facility. High levels of sanitation must be maintained when caring for patients with weakened immune systems, especially those suffering from respiratory ailments like COVID-19. Repurposing buildings for use as medical facilities can be challenging for some of the following reasons:

Those buildings were not originally built to be hospitals. Medical facilities are built using materials and design that minimize dirt-catching or hard to clean spots and enable deeper and more frequent sanitization. Buildings that were not built to these standards require special cleaning procedures and more vigilant verification of cleanliness.

In addition, certain sensitive medical facility areas require positive pressure rooms to avoid contamination coming from external areas. Retrofits are required to implement such features when repurposing a building for medical use.

Older buildings may also present other toxic hazards. Some facilities that may have been built before the current standards and codes were in place, which are not currently inhabited, may present the risk of toxic exposures to lead, asbestos, mold, PCBs, radon and other airborne dangers. Before repurposing a building, rigorous screening for these hazards, as well as remediation when possible, must be conducted. As one of the nation’s top providers of industrial hygiene services, TRC stands ready to help our clients with site selection, retrofit, remediation and continuous cleaning verification to ensure safe operation of its temporary medical care facilities.

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TRC Support Cleaning Protocols and Verification Cleaning protocols must be revised to meet hospital cleanliness standards. TRC can work with cleaning service suppliers to revise existing protocols that will meet those rigorous standards and train cleaning crews on the new procedures, as well as conduct cleaning verification to ensure cleaning protocols are adequately followed by cleaning crews. We can also support the selection of cleaning products to maximize efficiency while also reducing waste and providing guidance on cleaning product storage, safe handling and spill prevention.

Programmatic and Digitally-Enabled Approach The repurposing, construction and expansion of medical facilities across cities and states will require high levels of coordination. We will want to ensure all facilities are being appropriately prepared to receive patients. As the situation is fluid and rapidly changing, information must be made available to the right personnel quickly and accurately. Real-time data is key in this situation. TRC utilizes a proprietary, cloud-based data collection, management and reporting tool that makes all data from geographically dispersed sites available at each stakeholders’ phones and other mobile devices in real-time. The tool can collect test results, photos, schedule completion and other crucial information. Sanitization status and progress are visible across local, city and state geographic segments, so the crisis response team can compare bed availability against the capacity needs in the corresponding geographic location.

Site Selection and Remediation TRC has a long history of supporting clients with the identification, measurement and remediation of toxic contaminants. TRC has supported many in their efforts to remediate toxic exposure situations, procedure development, as well as supervised cleaning and disinfection of HVAC systems such as after Superstorm Sandy flooding at the World Trade Center.

A comprehensive list of our Industrial Hygiene services in combat of the COVID-19 pandemic can be found below:

Response and Certification Design and Prevention . Emergency Response Inspection and . Recommendation and Guidance on Sampling Personal Protective Equipment (PPE) . Adenosine Triphosphate (ATP) Testing . Cleaning and Disinfecting Procedures for Biological . Awareness Training . Residue on Surfaces . Microbial Assessment and Hazard . OSHA and CDC Compliance Monitoring Identification and Audits . Microbial Remediation Design and . Building Inspections Oversight . Emergency Response Inspection and Sampling

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Services Description Brief descriptions of the most applicable services based on the characteristics of a rapid medical facility deployment project and the special requirements for highly contagious diseases like COVID-19 can be found below:

Hygiene Monitoring and ATP Testing Hygiene control is critical during the coronavirus outbreak. Even though a surface may look clean, microorganisms and other biological residues that are not visible to the human eye may be present. Measuring for adenosine triphosphate (ATP) – which is found in living cells – has long been used in the medical and food industries to evaluate the effectiveness of cleaning activities and help prevent the spread of viral contamination. TRC can instantly assess the cleanliness of various surfaces and indicate where immediate corrective action is needed. Our process minimizes the use of slower, labor intensive and expensive conventional testing methods. ATP testing can improve sanitation training, help optimize cleaning chemicals and equipment to maintain sanitation without waste while increasing the quality of work with less time spent on reactive cleaning. We perform a cleaning and disinfection protocol peer review, contractor oversight and post-cleaning verification using both visual and ATP testing methods.

Cleaning Oversight and Management In-house cleaning crews are doing their best in these difficult times. However, in the case of highly contagious pathogens, standard cleaning protocols are not enough. The best way to make sure surfaces are appropriately cleaned and safe for occupants is to utilize third party review and oversight to confirm the cleaning is effective and to implement cleaning procedures specifically tailored to adhere to CDC guidelines. Our team provides cleaning crew oversight, cleaning verification as well as developing and documenting cleaning protocols in accordance with relevant guidelines and regulations. We can also support cleaning chemical labeling, ventilation, storage and spill prevention design and protocols.

Mobile Data Solutions Program We have developed a customizable data collection, program management and reporting process to efficiently collect and report field data, including a geographically visible program management tool that shows the summary of sanitization completion vs. bed capacity needs across a city, county or state region. This solution enables TRC to provide consistent high- quality data and real-time insights. TRC OneView uses a customizable mobile application to enable users to collect field data via smartphones or tablets. This enhances TRC’s ability to successfully deliver our services in the following ways: . Speed – Execution is faster because the data collection tool is customized for each program; our process and technology eliminate the need to handle data multiple times. . Accuracy – Critical program specific field data is recorded electronically and handled only once, eliminating errors and improving confidence in the data by decision-makers. . Customizable – TRC’s experienced staff provide a custom solution for every client and every program with speed and reliability to help you make better decisions during a crisis. . Real-Time Information – TRC’s real time retrieval allows project staff to coordinate efficiently on large programs and provide management with real-time updates.

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Project after project, TRC OneView has proven its ability to increase the speed of execution, improve data accuracy, and add value. TRC has a robust library of more than 100 mobile applications already built to expedite the customization of the tool for specific project requirements. Existing TRC-designed mobile applications have been utilized on asbestos, LBP, mold, PCB and hazardous materials surveys, abatement oversight and air/project monitoring projects, building water intrusion assessments, industrial hygiene evaluations, due-diligence projects, SPCC inspections, bat surveys, floristic surveys, groundwater monitoring, and much more.

Remediation Engagement and Oversight After the initial assessment for potential toxic contaminants exposure, if remediation of the facility is needed, TRC can oversee the necessary abatement activities. A TRC Project Manager can coordinate the work and serve as the central point of communication for all project activities.

Our on-site remediation monitoring services includes the following activities: . Inspections and observations of the performance and remediation project progress; . Abatement work area inspections before, during and after remediation; . Detailed reports of all non-compliance issues within 24 hours; . Air monitoring inside and outside the work areas for the duration of the abatement phase of the project; . Final visual inspections and ATP testing prior to access by non-licensed and certified personnel.

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Representative Clients in the Medical Field For over 30 years, TRC has been providing industrial hygiene services to a wide range of clients and industries in both single facility and multi-site / region programs. Our list of representative clients in the health care industry can be found below:

. Abington Hospital, PA . Mount Sinai Hospital, CT . All , WI . Mountainside Hospital, NJ . Belchertown Hospital, MA . New York Presbyterian and Weill Cornell . Bellevue Hospital, NY Center, NY . State Hospital, MA . New York University, NY . Boston University School of Medicine, MA . Newington Children’s Hospital, CT . Brigham & Women's Hospital, MA . Northern Dutchess Hospital, NY . Bryn Mawr Hospital, PA . Oregon State Hospital, OR . Cedarcrest Regional Hospital, CT . Overlook Hospital, NJ . Children’s Hospital Boston, MA . Pace University, NY . Cigna – Nationwide . Phoenix Children’s Hospital, AZ . Columbia University, NY . Rensselaer Polytechnic, NY . Connecticut Valley Hospital, CT . Robert Wood Johnson University Hospital, NJ . Dana Farber Cancer Institute, MA . Rutgers University, NJ . Dartmouth Geisel School of Medicine, NH . South Nassau Communities Hospital, NY . , MA . St. Barnabas Hospital, NY . Englewood Hospital, NJ . St. Elizabeth’s Medical Center, MA . Franklin Hospital, NY . St. Frances Hospital & Medical Center, CT . , MA . St. Joseph's Hospital, CT . Harvard Medical School, MA . St. Luke's Hospital, TX . Harvard School of Public Health, MA . St. Mary's Hospital, WI . Hebrew Hospital for the Chronic Sick, NY . Stamford Hospital, CT . Holyoke Hospital, MA . Stevens Institute of Technology, NJ . Holy Family Hospital, MA . Thames Hospital, CT . Hospital of Saint Raphael, CT . Trinity College, CT . Hudson Valley Hospital Center, NY . Tufts Medical School, MA . J.T. Berry Hospital, MA . University Hospital, WI . Kaiser Permanente – Nationwide . University of Connecticut Health Center, CT . Lincoln Medical & Mental Health Center, NY . Western Massachusetts Hospital, MA . , MA . Westborough State Hospital, MA . Manhattan College, NY . White Plains Medical Center, NY . Mass General Hospital, MA . Winchester Hospital, MA . Metropolitan State Hospital, MA . , MA . Middlesex Hospital, CT . Yale University, CT

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Health Care Representative Experience TRC provides a number of services to hospital and health care facilities, including air quality assessments and monitoring, waste disposal evaluation and recommendations, incinerator assessments, dispersion modeling and risk assessments, ventilation systems assessment, in both single facility and multi-site / region programs.

New York City Health and Hospital Corporation New York, NY EH&S Consulting Services associated with Post-Sandy Recovery at Various NYC Health and Hospital Corporation Facilities, 5 Boroughs of NYC TRC’s overall scope of work for this project consisted of providing environmental, health and safety (EH&S) compliance management services to the following NYCHHC facilities: . Bellevue Hospital . Coler Hospital . Metropolitan Hospital . Coney Island Hospital . Neponsit Adult Care Center

TRC was retained by NYCHHC to assist in the recovery, reconstruction and hazard mitigation of Bellevue Hospital, Coler Hospital, Metropolitan Hospital, Coney Island Hospital and Neponsit Adult Care Center damaged as a result of the Hurricane Sandy disaster.

TRC provided professional asbestos and mold consulting services to ensure compliance with applicable EH&S requirements and maintain employee safety during all phases of work. In addition, TRC prepared Contractor ACM and Mold remedial scopes of work to facilitate the reconstruction efforts and oversaw the abatement and removal of impacted materials. Ongoing air monitoring for ACM and microbial was conducted to confirm actions taken were effective and hospital’s safety standards were maintained. During on-site activities, TRC’s site personnel performed air monitoring activities as required by regulatory agencies during various phases of the project in accordance with all applicable federal, state, and city regulations. This project involved extensive coordination with regulatory personnel and various stakeholders and related parties to successfully implement recovery.

Stamford Hospital Stamford, CT Environmental Compliance/Audit Services TRC is performing ongoing environmental compliance consulting services at Stamford Hospital. TRC completed a detailed environmental site assessment and regulatory compliance audit for Stamford Hospital. The audit was conducted in order to meet Connecticut Health and Education Facilities Authority (CHEFA) requirements necessary for bond issuance. The site assessment included a detailed background investigation and site inspection, with interviews conducted at state and local regulatory agencies. A federal database search was also completed.

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The audit consisted of review of environmental compliance with respect to hazardous waste, biomedical waste, underground storage tank, wastewater, asbestos, and air management issues. The wastewater discharges reviewed included minor photographic discharges from x- ray developing machinery, boiler blow-down, non-contact cooling water, and stormwater. Air emissions at the hospital included boilers, diesel generators, fume hoods, and ethylene oxide sterilizers. TRC also reviewed the hospital's asbestos operation and maintenance program. Superfund Amendments Reauthorization Act (SARA) Title III Emergency Response, underground storage tank management and fuel burning generators. At the close of the audit TRC was retained to assist the hospital with ensuring compliance with these issues.

University of Connecticut Various sites, CT Environmental Engineering, Industrial Hygiene, and Safety Consulting (On-Call), Various UConn Campuses Statewide and the UConn Health Center (UCHC) Since 1999, TRC has performed a variety of environmental health and safety projects at UConn campuses under five successive on-call contracts for general environmental engineering and hazardous material abatement/health & safety design services. The current contract is valued at a maximum of $1.5M.

TRC has performed a variety of environmental engineering and safety and health support services for UConn. This work has included design, construction administration/health & safety oversight, inspection, sampling, and reporting services for underground storage tank (UST) removal/closure at various campuses. TRC also prepared Spill Prevention Control and Countermeasure (SPCC) Plans for the Mansfield Depot campus, the Stamford campus, and the Torrington campus. For this work, TRC conducted detailed inspections of all oil storage areas including the oil storage conditions and drainage conditions in order to assess potential spill volumes, rates, and directions. Detailed personnel training, spill response and reporting requirements were provided in the Plans. TRC assisted UConn in establishing specific improvement requirements for oil-filled electrical transformers at the Storrs and Depot campuses and for other SPCC Plan improvements at the Depot campus. TRC provided a detailed action plan with guidelines for complying with the SPCC Plan requirements. TRC developed an environmental training program for UConn that covered issues pertaining to wastewater discharges, petroleum storage tanks, and air emissions. TRC provided the training for approximately 50 personnel from all of UConn’s facilities. TRC also developed detailed reference sheets for each of the 10 wastewater discharge general permits applicable to one or more of the campuses and has provided permit renewal services for equipment/operations at various campus locations.

TRC has assisted University staff in developing programs to help meet OSHA hazard communication requirements for asbestos and lead. TRC developed signs and labels to convey information to occupants regarding asbestos within all the pre-1980 buildings. In addition, TRC developed OSHA compliant negative exposure assessments to demonstrate that associated employees were not being exposed to excess levels of airborne lead during activities such as manual wet scraping/sanding of lead paint, manual demolition of lead- coated components, and maintaining/cleaning the indoor firing range. TRC has also provided childhood lead poisoning prevention services at the University-owned daycare facilities and provides emergency health & safety response to various hazardous materials issues.

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All Saints Medical Center (two facilities) Racine, Wisconsin Multiple Environmental Services TRC has provided a variety of environmental services, including the following: . Performed environmental compliance audits for both facilities and developed an environmental management system (EMS) (non-ISO) for each facility. . Calculated actual facility-wide air emissions and evaluated annual air emission inventory reporting requirements for both facilities for several years. Prepared air emission inventory reports for submittal to the Wisconsin Department of Natural Resources (WDNR), or prepared reporting exemption documentation, as applicable. . Successfully applied for an air construction permit for the planned installation of new ethylene oxide sterilization equipment and EO oxidizing equipment for one facility. Evaluated construction permit applicability, prepared the construction permit application, reviewed the draft construction permit and preliminary permit determination from the WDNR, prepared written comments to the draft, and facilitated permit issuance in a timely manner. . Prepared an air operation permit renewal application for one facility, a Part 70 Source. Reviewed the draft renewed operation permit and preliminary permit determination from the WDNR, prepared written comments to the draft, and facilitated permit issuance in a timely manner. . Reviewed the draft renewed operation permit and preliminary permit determination for the other facility from the WDNR, prepared written comments to the draft, and facilitated permit issuance in a timely manner. . Evaluated Spill Prevention Control and Countermeasure (SPCC) planning regulation applicability for both facilities and prepared the site-specific SPCC Plan for both facilities. . Reviewed the Tier II reports for both facilities.

St. Mary's Hospital Madison, Wisconsin Air Sampling for Employee Exposure to Organic Compounds, and Evaluation of Existing Exhaust Ventilation Controls TRC conducted an air sampling survey of the ethylene oxide sterilization area. Measured xylene and ethylbenzene concentrations in employee breathing zones and evaluated the effectiveness of ventilation controls in the histology laboratory. In addition, made real-time measurements with a portable gas chromatograph, and studied the ventilation patterns inside the laboratory with smoke releases. Also conducted an industrial hygiene survey in the paint shop and the carpenter shop.

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University Hospital Madison, Wisconsin Ventilation System Evaluation – Helicopter Fume Dispersion The hospital was experiencing a problem with odors being drawn in through outside air intakes of the hospital as a result of the operation of emergency helicopters at the facility. TRC assisted in the evaluation of the cause of, and the potential solutions to, the odors. Potential solutions included modifications to the ventilation system and the application of emission control equipment to the air intakes for existing ventilation systems. TRC developed a sampling protocol to measure the ambient contaminant concentrations in the vicinity of air intakes at the facility and researched likely emission types and rates from the helicopters. Ambient carbon monoxide concentrations were measured in the vicinity of seven ventilation system vents and intakes, at locations within the facility, and at background sites during helicopter operation. TRC summarized the test results and ventilation system conclusions and assisted the facility in evaluating options for modifying the ventilation systems to resolve the odor issue. Given the extent of the ventilation system alterations that would be needed, the facility chose to minimize the use of helicopter equipment that generated the problematic emissions.

Additional Services As a full-service engineering and consulting firm, TRC offers a full suite of integrated services that can be deployed to this project. Some of the applicable services are listed below:

Situation Assessment and Site Selection . Evaluate civil structural and electrical systems conditions . Provide recommendations for civil and electrical retrofits to meet current codes and standards . Conduct logistics simulations and other important data analysis needed for site selection . Study and provide waste disposal recommendations

Expanded Deployment of Mobile Data Solution . Deploy TRC’s proprietary Data Solutions tool to an expanded scope to include management of project schedules, budgets and other crucial information across multiple project sites

Electrical Engineering Services . Design modifications needed to meet current electrical codes and standards . Reconnect facilities to the electrical grid or provide additional power sources for running hospital equipment

Community Relations . Communication strategy and deployment

Funding Support . Experience securing FEMA funding . Evaluate other options such as P3s, bonds and other sources

More information on these services can be provided by request.

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Key Staff and Bios Name / Certifications Years of Areas of Expertise Education Experience

Edward A. Certified Industrial 30 Industrial Hygiene Programs Gerdts, CIH, Hygienist Human Health Risk Assessments CSP, LEED AP Certified Safety Indoor Air Quality and Exposure Professional Assessments Fungal Assessments Construction Management Corporate Environmental Health & Safety Asbestos and Lead Consulting and Management Services Ann Eckmann, Certified Industrial 34 Industrial Hygiene and Indoor Air Quality CIH M.S., Hygienist QA/QC of Field Activities Environmental Industrial Hygiene Program Development, Health including: chemical hygiene, hazard Sciences B.S., communication, and respiratory protection Chemistry Building Hazard Assessments, including asbestos, lead, PCBs, and chemical surface contaminants Microbial Assessments in buildings with Moisture Incursion K. Heath Certified Industrial 10 Industrial Hygiene Sampling Howard, CIH, Hygienist Microbial Investigations CSP Certified Safety OSHA Compliance Professional Design and implementation of Digital Field Documentation Tools Environmental Assessments and Audits Construction Phase Services, Project Management Michelle Certified Industrial 17 Chemistry Campbell, Hygienist Microbial Investigations CIH, CMC, Certified Microbial Implementation and Health & Safety Plan CDPH, CAC Consultant Management Certified Asbestos Occupational Exposure Assessments Consultant Laboratory Decommissioning and Verification Testing A Bart Ashley Certified Industrial 20 Industrial Hygiene Audits Jr., CIH, CSP Hygienist Mold and Bacteria Consulting Certified Safety Litigation Support & Expert Witness Professional Services 40-hour Haz Woper Construction Phase Services Management

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The TRC Advantage With over 50 years of experience in the business, TRC has grown to become a billion-dollar corporation with over 150 offices worldwide. TRC specializes in providing environmental, energy and infrastructure services to a variety of public and private clients. We offer a broad range of engineering and environmental services to federal, state and local government agencies.

We have long standing relationships with numerous institutions across the country and take pride in providing a wide variety of EH&S services to prestigious health care facilities nationwide. TRC’s experienced staff is skilled at navigating the challenges faced by hospitals and health care facilities that maintain operations “24/7” every day of the year. Our teams frequently coordinate EH&S project work in occupied buildings and work closely with your facilities department, environmental health & safety and infection risk control groups to maximize safety and minimize loss of operations while considering sensitive patient areas, noise, logistic and schedule limitations.

Deep Roots in the US TRC operates fully staffed, fully licensed offices across the country with personnel experienced in managing multi-site, multi-task environmental services contracts, experienced personnel licensed by the United States Environmental Protection Agency (USEPA). With professionals located in many offices across the country, TRC can apply additional resources to immediately respond to any environmental needs in a timely and cost-effective manner.

TRC has completed thousands of environmental investigations, survey, assessment, design, remediation, and permitting projects. TRC has a successful history of providing environmental services to government agencies, schools and utility companies.

Having responsibly and diligently worked on complicated projects, we understand the nuances of the regulatory programs, and are able to quickly and efficiently reach agreement on important issues and bring sites to closure without delay. TRC's in-house environmental professionals located in similar areas to the hotspot locations of the COVID-19 outbreak also possess extensive experience obtaining approvals for our clients.

Our extensive footprint and talent located all across the US will enable us to serve the nation’s rapid medical facility deployment project in a fast, comprehensive and cost-effective way.

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Our Differentiators EXPERIENCE: One of the largest building sciences providers nationally . 200 experienced professionals in Industrial Hygiene and Building Sciences fields . Thousands of hazardous material surveys and assessments conducted every year

DEDICATION: Keeping your projects compliant, on schedule, and on budget . Full lifecycle support, from the design of the initial assessment to the oversight and management of necessary remediation or decontamination . Ensure compliance with applicable regulations while staying within budget and on schedule

EXPERTISE: We know the business . We anticipate regulatory requirements to minimize potential schedule delays and address unexpected conditions as they arise . We have long-standing relationships with local and federal regulatory agencies . Integrated approach enabled by our broad portfolio of services

Contact Roger Bartz (614) 425-7035 [email protected]

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