Appendix C.1- FINAL Agency Specific Requirements.pdf

Appendix C.1: Agency Specific Requirements (ASR)

Basis of Design Narrative

James J. Howard CBOC - New Jersey Healthcare System

August 13, 2020

RLP ID: 36C10F20R0061

Appendix C.1: Agency Specific Requirements (ASR) - Basis of Design Narrative

This appendix contains Agency Specific Requirements that must be included in the construction and operation of the leased premises. Elements indicated below as (TI) shall be considered Tenant

Improvement related items.

The Department of Veterans Affairs (VA) seeks to lease an appropriately-sized space (amount as identified in the RLP) for use by the VA as a Community Based Outpatient Clinic in the New Jersey delineated area, supporting the parent facility of the VA East Orange Campus New Jersey Health Care

System. This project will integrate all care delivery (Primary, Specialty Care, Mental Health, Audiology, Dental, Eye Clinic, Physical Medicine / Rehabilitation, Prosthetics, Radiology, Laboratory and Pharmacy) into an efficient state-of-the-art facility to meet the requirements of the VHA Health Care Uniform

Benefits package.

The project will implement the VA design principles found within the VA PACT Design Manual and the

VA CBOC Design Manual, both found on the www.va.gov/til website. These principles place focus on creating an environment of care which brings the healthcare team and services to the patient all in one location. The result is for each patient to feel in control of their personal healthcare story resulting in reduced stress, decrease healing time and cost savings. The integration of all primary care team work areas within each PACT module also reduces the number of steps staff must take.

Through the combined efforts of many stakeholders much thought and time has been given to bring this project to this moment. The design and construction of this project has been envisioned as a destination healthcare facility of excellence for Veterans.

I. Healthcare Requirements

The lease is for a healthcare facility and as such local building codes do not capture all requirements need for the facility to be accredited for operation after the completion of construction. Appendix D contains the additional standards and codes that must be met to ensure accreditation. Several standards and codes depend on the types and quantities of services provided to determine requirements.

NFPA 99

Relating to NFPA 99 Chapter 5, piped-in medical gases are not a requirement for this project.

However, relating to NFPA Chapter 15, piped-in dental gases are included in this project. Dental gases are to be provided at the (8) Dental Treatment Rooms and Dental Prosthetics Lab, including natural gas, nitrous oxide, oral evacuation and dental compressed air systems. The VA has determined dental gases are to be considered Category 2.

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For NFPA 99 Chapter 6 the VA has determined the following spaces are Category 3 spaces requiring appropriate Essential Emergency Systems:

• Permanent generator to serve backup critical, security, select outlets and lighting (at Pharmacy fridges/ freezer, Pharmacy Controlled Substances vault, Dental Treatment Rooms, Dental

Prosthetics Lab and Dental Mechanical Equipment Room, Pact Procedure Rooms, Procedure nutrition fridge), Main Computer Room, Telecommunication Rooms and recharge UPS.

Temporary generator to serve and bring entire clinic back on line within 72 hours.

For NFPA 101 the VA has determined the following systems:

• Life Safety Systems (i.e. exit signs, emergency lighting, fire alarm).

NFPA 101 and IBC

For developer to properly determine occupancy type, the VA intends to simultaneously treat zero (0) patients at any given time who are incapable of self-preservation.

The Joint Commission (TJC)

The following requirements are location specific TJC standards that must be included in the construction and operation of the lease. Lessor shall refer to all TJC standards to ensure they understand and apply all TJC requirements for Ambulatory Healthcare, Behavioral Health and Laboratory categories.

II. General Site Requirements

EXTERIOR YARDS (TI)

Provide exterior patio or yard areas for outdoor activities and dining to offer seating opportunities.

Outdoor areas shall be designed with a diversity of landscape and hardscape elements to create an environment capable of accommodating a variety of activities.

SITE FEATURES

• Site should be accessible for primary roadway with space for adequate parking. Site shall not be interrupted by railway or other cross streets that would impede access to the site.

• If located in existing building, access to parking and roadways remains the same.

• Provide reserved parking for VA patients, including handicapped spaces, at the spaces closest to the Main Entrance and Women’s Center Entrance. Spaces with direct sidewalk access without crossing traffic are preferred.

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• Provide an overall total of 480 parking spaces, including 48 handicapped accessible spaces, subdivided as follows:

o A minimum of 320 Patient Parking spaces, including 32 handicapped and 5 motorcycle.

Provide a dedicated Women’s Center Patient Parking area convenient / immediately adjacent to the dedicated Women’s Center entry. Total Patient

Parking count above includes those serving the dedicated Women’s Center parking / entry. (Provide a minimum of 12 dedicated spaces, including 2 handicapped, serving the Women’s Center entry).

o A minimum of 160 Staff Parking spaces, including 16 handicapped and 3 motorcycle. Staff parking to include card-access security gates.

• Include a minimum of 3 Bus Shelters distributed logically and evenly amongst the Patient and Staff parking. VA to review /confirm locations with local bus service provider.

• The site shall provide adequate space required for stormwater quantity and quality control infrastructure. Stormwater management techniques should prioritize low impact development techniques.

MOBILE MRI UNIT PAD (TI)

Include a Mobile MRI Unit Pad on site, located for convenient patient access from Radiology

Department zone including telescoping, enclosed connecting link, and logical truck / MRI trailer access on-site without conflicting with other parking areas.

See Section “V. Special Space Requirements” within this document for further requirements.

AMBULANCE PICK-UP DRIVE / CANOPY (TI)

Include an exclusive Ambulance Pick-up Drive with drive-under canopy on site, located for efficient patient access from Primary Care / Pact zone, and logical ambulance access / egress on-site without conflicting with other parking areas.

LOADING DOCK

Include two loading docks with dock leveler / lift ramps capable of accommodating a semi-truck-type vehicles and logical semi-truck / MRI trailer access on-site without conflicting with other parking areas.

DUMPSTER ENCLOSURE

Provide a port at the dock for access to the dumpster and recycling bins.

EXTERIOR SIGNAGE (TI)

Lessor shall develop and provide a complete exterior signage program to include identification, directional, informational, and regulatory signage in accordance with VA’s Exterior Signage standards.

Signage must comply with local municipality’s codes and specifications. Careful consideration of the location of monument signs shall be taken to avoid sight triangle encroachment at vehicular entrances.

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Lessor shall provide exterior, lighted, monument signs as permitted and required by local zoning requirements.

MAIL BOX (TI)

Lessor to provide a mailbox at the main entrance of the clinic in an appropriate location. VA will assist in defining the location during design.

SITE FLAGPOLE

Lessor is to provide one 25 foot (minimum height) flagpole on site. Flagpole shall include adequate lighting to illuminate flag between dusk and dawn. Flagpole shall be protected from vehicular traffic.

Lighting shall be controlled by a photocell device and maintained by lessor.

III. Building Features

PROGRAM, FLOOR PLAN, DESIGN AND HEALING ENVIRONMENTS

Provide a design and construct a building based on the VA Design Manual for PACT and CBOC design. The project will implement the VA design principles found within the VA PACT Design Manual and the VA

CBOC Design Manual, both found on the www.va.gov/til website. These principles place focus on creating an environment of care which brings the healthcare team and services to the patient all in one location.

The result is for each patient to feel in control of their personal healthcare story resulting in reduced stress, decrease healing time and cost savings. The integration of pharmacy, mental health and team work areas within each PACT module also reduces the number of steps staff must take.

https://www.cfm.va.gov/til/dGuide/dgPACT.pdf https://www.cfm.va.gov/til/dGuide/dgLBOPC.pdf

A minimum ceiling height of 9’-0” shall be provided in all areas, with 10’-0” (or greater) provided in the

Main Lobby, Women’s Lobby and all Waiting Areas. Procedure Rooms, Radiology, CT and Ultrasound

Rooms shall be a minimum of 9’6”, or greater as required by the Imaging Equipment Manufacturer.

(Coordinate with Equipment Manufacturer)

EXTERIOR CANOPIES (TI)

Provide a drop off area and drive through covered canopy at the Main Entrance.

Provide a drop off area and drive through covered canopy at the Women’s Center entrance.

Provide a drive through covered Ambulance entrance.

Provide a telescoping, covered unconditioned walkway/ connector at the MRI trailer.

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PROVISIONS FOR ALL FURNISHED AND ALL INSTALLED EQUIPMENT

As part of the rental consideration, the Offeror shall include supporting construction (wall backing, ceiling struts, etc.), HVAC systems, utilities, and electrical distribution as required for all furnished and all installed equipment to be installed in the CBOC.

STRUCTURAL SYSTEMS

Design of the structural system shall follow the applicable codes and standards (see Appendix D). Per the VA Seismic design guide H-18-8, Community-Based Outpatient Clinics (CBOC) are classified as

Ancillary Facilities and as such fall under the code classification of a non-essential facility and a Risk

Category II building for purposes of wind, snow and seismic design.

MECHANICAL CONTROL SYSTEMS

A complete automatic temperature control system shall be provided. The direct digital control (DDC) system shall be a complete system suitable for the monitoring, programming, and control of heating, ventilating, and air conditioning (HVAC) systems provided. The system shall have read access for the VA.

The system shall have a GUI interface that includes individual screens for each controlled system and a floor plan showing the location and status of the controlled equipment and individual zone environmental conditions. It shall be open protocol (not proprietary), expandable and capable of accepting additional points.

The VA has determined that the Brick NJ CBOC direct digital control (DDC) system will not be required to interface with the East Orange NJ VAMC parent facility, which is a Delta Controls Inc. system.

Provide humidification where necessary for the reliable functioning of the production equipment and electronics as well as for 24/7 Rx handling per USP 797 and 800. Provide temperature (t), relative pressure monitors (pm) and air flow/ changes (af) monitoring in the following rooms.

• PACT and Women’s Health Exam Rooms: t

• Negative Pressure PACT Exam rooms: t, pm, af

(Two PACT Exam Rooms shall be negative pressure)

• Procedure Rooms: t

• Dental Exam and Laboratory Rooms: t

• Medical Supply Rooms (Clean Utility): t

• Medication Storage Areas (Medication Alcoves): t

• MMGS1 Logistics Storage, General and Medical: t

• Radiology and IT Data Processing: t

• Communications Rooms: t

• IDF and OIT Equipment Rooms: t

• Logistics Storage Areas: t

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MECHANICAL SYSTEMS

Procedure rooms, radiology, CT, ultrasound, and dental exam rooms shall have no less than 6 air changes per hour.

Medication storage shall have no less than 4 air change per hour.

The two negative pressure PACT Exam rooms shall be exhausted at 12 air changes per hour, shall be designed as negative pressure rooms, and shall be exhausted directly to the outside.

Dental laboratory rooms shall be exhausted at no less than 6 air change per hour and shall be exhausted directly to the outside.

Provide dedicated temperature control at radiology, CT, ultrasound, dental exam, and dental laboratory.

Provide dedicated exhaust and ventilation as required for the Medical gas manifold, battery charging areas and hazardous storage.

Provide secure grill at ductwork wall penetrations at Police Secure Suite (Locker/Holding/Armory), Chemistry Secure Storage, Pharmacy Secure Storage Rooms, IT Rooms and any other secure holding or storage rooms.

Telecommunication and computer rooms (OIT, IDF) shall be provided with dedicated independent cooling systems that shall provide cooling to spaces with no unoccupied setback. Cooling systems shall be capable of maintaining temperature at or below design ambient temperature requirements of all equipment and shall be capable of maintaining humidity within the acceptable range of equipment.

Lessor to provide negative isolation procedure rooms with a pressure monitoring system capable of monitoring the room differential pressure relative to the main clinic and the current ventilation air change level. Monitor to have control panel exterior to the procedure room and to alarm when the room is not meeting the design requirements.

Provide air curtains at loading dock doors. Air curtains are not required at Main Entry, Women’s Center or ambulance pick-up.

PLUMBING

TI related: All plumbing fixtures and associated piping within any VA tenant-related rooms / spaces.

• Provide foot controls at staff faucets located in lab rooms, therapy rooms, pharmacy, and other procedural spaces.

James J. Howard CBOC - New Jersey Healthcare System

• Provide hands-free, sensor operated faucets at public lavatories, and manual operated faucets at general use sinks in staff and public areas.

• Electric water coolers shall have hands-free, sensor operated bottle fillers.

• Provide water softening to indoor fixtures as required to maintain hardness no greater than 20 grains per gallon based on verification of municipal water quality.

• Wall mounted water closets and urinals with battery powered, sensor operated flush valves.

Floor mounted Bariatric water closets.

• Provide emergency eyewash stations where indicated in the Project Room Contents. Each eyewash station shall be provided with dedicated mixing valves to provide tepid water.

• Provide floor drains in all toilet rooms, just outside the Holding Room, and other spaces as indicated in the Project Room Contents.

• Provide floor set service sink in custodial closet(s).

• Provide internal hose bibs and external wall hydrants as required in the Project Room Contents and as required to address building exterior and site needs.

• Provide water meter, natural gas utility meter, and domestic water backflow prevention device(s) per the requirements of the local utility providers and municipal water department.

• Provide primary domestic hot water mixing valve assembly to mix high temperature hot water from the water heater down to code compliant temperature for general distribution and secondary point of use mixing valves at all faucets provided with hot water.

• Provide freeze-proof roof mounted hydrant to service roof mounted equipment.

MEDICAL AND DENTAL GAS SYSTEMS (TI)

Piped-in medical gases are not a requirement for this project.

Piped-in dental gases are included in this project. Dental gases are to be provided at the (8) Dental

Treatment Rooms and Dental Prosthetics Lab, including natural gas, nitrous oxide, oral evacuation and dental compressed air systems. Provide systems in accordance with all local building codes, including amendments, NFPA 55 and NFPA 99 requirements.

Provide piped-in natural gas to (8) Dental Treatment Rooms and Dental Prosthetics Lab as required for equipment in compliance with all local building codes and NFPA 54.

FIRE PROTECTION

Provide fire suppression and fire alarm throughout the building, including fire alarm strobe and sprinklers in the audiology sound booth. Fire Alarm control panel with voice.

ELECTRICAL @ MEETING ROOMS, WORKSTATIONS AND WAITING ROOMS (TI)

Data 4 and Power 4 in the floor: Shared Medical Appointment, Group Rooms, and two at each end of the Conference room. Provide same (Data 4 and Power 4 in the floor) with two 3” conduit at each PACT

James J. Howard CBOC - New Jersey Healthcare System workstation, then directed through VA provided workstations panels to each individual workstation, consistent with final floor plan layout approved by the VA.

Power 4 in the floor: eight at the Waiting rooms, Power and data shall be provided from below (underfloor) for all PACT workstations on project.

ELECTRICAL @ PHYSICAL THERAPY GYM (TI)

Four (4) Data (3-1) outlets and Four (4) electrical receptacles shall be provided within a floor box at the

Physical Therapy Gym.

BACKUP POWER SYSTEMS

Permanent Generator (natural gas, 96 hours):

The facility shall have a standby emergency generator connection to support emergency receptacles at the following locations:

• Lighting, fire alarm, security system (access control, cameras) and Telecommunication Rooms, and select receptacles (pharmacy and lab freezers and freezers), dental treatment rooms and dental prosthetics lab, dental equipment mechanical room, and PACT Procedure Rooms.

Uninterrupted Power Supply (UPS) shall be provided and have a minimum 2 hour run time to support emergency egress lighting, fire alarm, intrusion detection and security systems. Emergency generator shall connect to and recharge the UPS.

Temporary Generator (connect within 72 hours and on): (TI)

• Balance of the building, ie HVAC, normal power distribution, lighting.

• Receptacles connected to the temporary generator connection system shall be so identified.

Provide a management and maintenance plan for:

• Replenishment of Permanent Generator to continue coverage of the above mentioned

Permanent Generator systems, including after the 72 hour period.

• Connection of Temporary Generator within and after the 72 hour period.

SOUND MASKING WITH PUBLIC ADDRESS - PA (TI)

Provide sound masking with public address and mass notification (PA) system(s). System(s) shall be most current technology or manufacturer. System shall be capable of being zoned by area as requested by the

VA. At a minimum provide a system with the capacity of 12 zones plus an all call. Exterior speakers shall be a separate zone. Public Address head-end equipment shall be installed in a facilities management closet which is separate from the IT closet.

James J. Howard CBOC - New Jersey Healthcare System

Provide sound masking throughout clinic. Attenuators at Conference and group rooms. Achieve STC 45 minimum in patient specifics areas, including exam, consult, group, conference rooms, management offices and PACT staff areas. Sound masking head-end equipment shall be installed in a facilities management closet which is separate from the IT closet.

At Mental Health only, sound masking shall be individually controlled in each room.

NURSE CALL SYSTEM (TI)

Provide nurse call system as required for exam rooms, public toilet rooms, (at accessible fixtures), public family toilet rooms, patient toilets, procedure rooms, and radiology rooms identified by local clinic staff.

Master stations shall be placed in building and Staff Stations in ten (10) at manned nursing and reception locations. Nurse call shall include Code Blue. The crash carts at Radiology and Procedure shall also have Code Blue.

Nurse call head-end equipment shall be installed in a facilities management closet which is separate from the IT closet.

STRUCTURED CABLING SYSTEM (TI)

Lessor to provide Category 6A structured cabling system throughout clinic per Appendix E (IT). Two separate systems which do not connect: VA network (VA Wi-Fi) and Non-VA networks (public Wi-Fi) shall terminate in separate rooms. Provide wireless access point cabling outlets throughout clinic for VA provided and installed WAP units. Provide wireless survey to confirm 100% coverage throughout the facility.

NON-VA NETWORKS (TI)

The facility will contain Non-VA networks for CBOC contractors and the lessor. Non-VA modems and routers shall be located in the Main Electrical room, not the VA IT rooms. The Non-VA networks shall not utilize wireless connectivity, only hard-wired, to prevent interference with VA wireless antennas. A guest

Wi-Fi system shall be managed and provided by the lessor.

Non-VA network infrastructure, including outlets, cabling, pathways, patch panels, wire management, racks and other components of the Non-VA network system shall be provided with the facility construction.

All Non-VA active equipment such as servers, switches, wireless access points, PC’s, etc. will not be included in the building construction scope but will be furnished using other sources.

James J. Howard CBOC - New Jersey Healthcare System

SECURITY SYSTEMS

Access Control: For the electronic access control system provide card readers compliant with FIPS 201.

System must network with the East Orange NJ VA Physical Access Control System which is the “Northern

System 2012” system. Provide a Separate internal stand-alone system for both the Pharmacy suite and

Police suite, networked to East Orange NJ Police. At a minimum the following doors require card readers:

all Telecomm rooms, Main Computer Room, Electrical, Mechanical, Police Storage Secure, Pharmacy vault, Pharmacy, Exterior doors, swing doors serving the Dock and all Public to Patient area doors.

Honeywell CCTV system shall be IP based with sufficient camera coverage for all exterior and interior spaces. Provide cameras as defined by the user at the following locations:

• At Automatic Distribution System Medication, Automatic Distribution System Supply and

Automatic Distribution System Prosthetics (aka Pyxis).

• Inside of all Telecomm rooms, Main Computer Room, Electrical, Mechanical, Police Storage

Secure, Police Holding room, Pharmacy vault, Pharmacy and main corridors.

• At all Interior doors showing exits and entrances to Telecomm rooms, Main Computer Room, Electrical, Mechanical, and Pharmacy vault.

• At all Exterior doors and dock showing exits and entrances and showing the perimeter of the building.

• All drop off areas and exterior parking.

• Provide 360 degree coverage at exterior perimeter of facility.

• Provide four client stations: one at Brick CBOC Police Operations Room, one at Pharmacy (views only pharmacy), one at East Orange VAMC and one at East Orange NJ Police Operations.

The system shall be capable of recording a minimum of 30 frames-per-second simultaneously across all cameras. Storage will be sized such that 120 days storage retention is possible with motion detection disabled and compression on the “normal” setting. The system must be networked such that it can be viewed and accessible from the four stations indicated above. Coordinate with the requirements described per Appendix C.2- FSL II – Facility Security Level II.

Intrusion detection system shall be provided with flush mounted annunciator panels for the clinic. The system will connect to the facilities existing security management system and will include lights, buzzer, silencing switch, and visual indication of intrusion location. Keypads shall be provided to arm and disarm the system. Duress buttons shall be provided as outlined below. Intrusion detection system head-end equipment shall be installed in a facilities management closet which is separate from the IT closet.

Motion detection at Distribution System Medication Automatic, Distribution System Supply Automatic, Distribution System Prosthetics Automatic and Pharmacy (Entry doors, windows, vault).

James J. Howard CBOC - New Jersey Healthcare System

Door Contacts at all Telecomm rooms, Main Computer Room, Electrical, Mechanical, Police Storage

Secure, Pharmacy vault, Pharmacy, Exterior doors and dock door.

Provide an integrated intercom/ buzzer with camera at Pharmacy suite entry doors. (TI)

Provide integrated intercom/ buzzer at Logistics Dock and swing door. (TI)

Provide radio system compatible and communicable with the current VAMC East Orange system. (TI)

PANIC BUTTON LOCATIONS: (TI)

• Locate panic buttons at Mental Health Consult rooms and Mental Health Group rooms.

• Locate panic buttons at all Reception desks.

• Locate panic buttons in audio booths.

• Locate panic annunciator panel at Police Operations.

• Locate a panic button at Police Operations tied to local Police.

• Electronic door shut down control at Police Operations.

SPECIAL ELECTRONICS SYSTEMS (TI)

Audio-visual rough-in conduit and back boxes shall be installed within the training, telehealth rooms, group and meeting rooms and throughout the production floor at approximately ten (12) locations.

Rough-in shall be provided for projectors and electronic screens or large format monitors as required by the user. Display type shall be dependent on room size and shall be selected by the A/V designer. Wall or floor boxes shall be installed within rooms for serving telecommunications requirements and A/V cabling at all Conference Rooms, Waiting Rooms (4), Teleretinal and Telehealth Rooms.

Cable TV shall be in the Lobby / Waiting Areas and Treatment Exercise Area.

INTERIOR CONSTRUCTION PARTITIONS (TI)

The Lessor shall be responsible for construction and carrying the (TI) cost of a Pharmacy Vault and Police

Secure Storage (framed wall to structure above with reinforced drywall/ mesh). Lessor shall follow federal government rules and regulations, for the construction of the controlled substances enclosure.

Achieve minimum STC ratings per FGI Guidelines in patient-specific areas, including exam, consult, group, conference rooms, telehealth, teleretinal and management offices. STC shall pertain to walls, doors, openings and penetrations.

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Provide recessed slab at audio booth to permit for a zero-transition entry.

Minimum width of all corridors serving multiple departments and building entrances and lobbies shall be

6 feet in width, minimum except where greater widths are required to comply with egress requirements.

Provide lead-lined partitions, doors and frames where applicable.

INTERIOR DESIGN AND FINISHES (TI)

FINISH STANDARDS (TI)

Interior finish materials shall comply with VA PG-18-14 Room finishes, Door and Hardware Schedule.

Accessible and barrier free design shall be incorporated throughout the building. Floor material changes shall be minimized to prevent trip hazards. Finish selections shall be based on finish prevention considerations.

• Interior finishes shall meet minimum specifications defined in Lease Agreement.

• Floor coverings shall be classified for commercial use and when identified shall be classified for heavy duty use.

• All floor finishes shall be hard surface or resilient. Carpet shall not be used in the building.

• Interior floor finishes shall meet all code requirements for slip resistance and sustainability standard.

• Materials shall withstand disinfecting chemicals

• Finish materials shall have flat, non-textured surfaces to promote cleanability.

• When available, finishes shall have inherent antimicrobial qualities such as copper or silver fibers

• Lessor to provide resilient flooring inside audio booths.

Provide motorized programmable window coverings at all exterior windows. Provide adequate opacity to ‘block’ the sunlight.

Provide smart cell flooring (slimline, anti-fatigue SBR/EPDM/NBR rubber polymer material) at Pharmacy main, vault and dispensing.

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DOORS / LOCKING MECHANISMS

• All swing doors must be equipped with cylinder lock locking hardware and master keyed based upon “Best” brand, 7 pin locking system.

• Egress doors must be equipped with panic hardware and meet NFPA requirements for exit.

• Toilets are to be equipped with privacy locks that can be unlocked in emergency with coin from outside.

• Sliding barn doors must provide a locking mechanism that can create privacy for the patient and security for the staff member.

• Provide a 12x4 safety glazing lite at Police Holding Room door, with flip up cover.

• Provide a 10x10 safety glazing lite at Logistics Dock swing door.

• Main entrance, Women’s Entrance and Ambulance entrance doors shall be automatic bi-parting sliders with motion sensor, ADA actuators and breakaway.

• Public Toilet doors (Men, Women and Family) shall be equipped with ADA actuators.

• Built-in cabinets shall be lockable, keyed as directed by the VA.

• Provide punch-code locks in the Logistics Services area.

DESIGN AESTHETIC

The interior design shall create a classic and timeless interior with emphasis on therapeutic environments.

The layout of the space shall minimize dead end corridors and blind spots and maximize visibility from staff stations. The layout shall create circulation paths that are clear and well defined. The layout shall use repetition for simplicity and wayfinding.

WAYFINDING (TI)

• Provide wayfinding signage in public areas, a building directory and door signage throughout.

• Provide signage to conform to local code requirements.

• All door signs shall meet ABAAS guidelines. Refer to the VA Signage Design Guide.

FF&E (TI)

Refer to the Project Room Contents for a comprehensive list of furniture and equipment which shall be accommodated for functionality, code and regulatory requirements.

IV. Security Requirements

Refer and coordinate all facility design requirements and security systems with Appendix C.2- FSL II –

Facility Security Level II requirements. Lessor to ensure that the VA police have jurisdiction at the proposed facility location.

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POLICE SERVICE AREA (TI)

Provide adequate clearance for a clearing barrel to accommodate long guns in Secure Storage area.

Provide one-way glass to lobby from Police Operations, 12’x4’, laminated.

PHARMACY PARTITIONS AND OPENINGS (TI)

Partitions at the dispensing and receiving windows facing the public corridor shall be UL Level 3 ballistic construction and 15-minute forced entry construction, including partitions, suite entry doors, glazed openings, teller windows, and transaction tray.

V. Special Space Requirements

GENERATOR PAD

Lessor shall provide the following provisions for a Permanent Generator Pad and a Temporary Generator

Pad:

• Lessor shall furnish a dedicated clear path to access the generator pad by vehicle.

• The bottom of the receptacle shall be a minimum of 3 feet above grade. The disconnect switch, receptacle, and telecommunications jacks shall be mounted on concrete posts with strut framing adjacent to the generator concrete pad.

• Lessor shall furnish a weatherproof box for telecommunications (IT and non-IT related cabling) located adjacent to power receptacle. Conduit shall extend to interior distribution system in the building. Install six (6) exterior telecommunications jacks. Include 3 telecommunications cables and 3 data cables.

• Generator pads shall be Portland cement concrete. Pad will be approximately 65’-0” x 18’-0” with a minimum of 12” thick slab with appropriate reinforcing. Prior to the Second Design

Development submittal, the Pad shall be sized based on the generator unit that will be used at the site. If reinforcement of concrete is required, use only non-ferrous reinforcement materials.

Variations in pad levelness shall not exceed 1/8-inch in 10’-0". The pad should not be located adjacent to a roadway.

MOBILE MRI (TI)

Lessor shall coordinate with the Mobile MRI Equipment manufacturer to provide, by means of the facility layout / design and the Mobile MRI Trailer design, restricted access to the MRI Suite by establishing the four (4) safety zones of access around the MRI scanner unit. Refer to Joint Commission document “MRI

Safety: Quick Safety Report, Issue 31, March 2017”.

Lessor shall provide the following provisions for mobile MRI/CT Scanner Truck:

• Provide an accessible sidewalk, including telescoping enclosed connector, from an exterior door of the outpatient clinic to the MRI trailer.

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• Lessor shall furnish a dedicated five-wire 480V, 3-phase wye connection with neutral and ground, 150 Amp circuit to supply power to mobile MRI/CT scanner trucks at the MRI pad shown on the site plan. The safety disconnect switch shall have lock-on provisions, which will allow the switch to be locked in the "ON" position. The disconnect switch shall also have lock-off provisions.

Provide safety disconnect in electrical circuit, per code, on exterior of building for MRI/CT.

Electrical feed shall terminate on exterior of building at a Russellstoll connector rated for service required. Provide MaxGuard interlocked receptacle (200 amp) with circuit breaker in a weatherproof box. The circuit breaker shall be a minimum 200A/3P. Coordinate exact size with equipment vendor. The bottom of the receptacle shall be a minimum of 3 feet above grade. The disconnect switch, receptacle, and telecommunications jacks shall be mounted on concrete posts with strut framing adjacent to the MRI concrete pad.

• Lessor shall furnish a weatherproof box for telecommunications (IT and non-IT related cabling) located adjacent to power receptacle. Conduit shall extend to interior distribution system in the building. Install six (6) exterior telecommunications jacks. Include 3 telecommunications cables and 3 data cables.

• Provide the following plumbing provisions in two in-ground boxes adjacent to the truck pad. One in-ground box shall be for water supply connections and one in-ground box shall be for sanitary wastewater connection:

• Provide a hose bib and backflow preventer, connected to a cold water supply line, for connection of a ¾-inch hose.

• Provide 1½-inch female threaded connector, connected to the sanitary wastewater drainage system, for connection of a 1½-inch male threaded hose connection.

RADIOLOGY (TI)

Lessor shall provide the following provisions for the (VA provided, Contractor installed) Radiographic Unit:

- Lessor shall furnish a dedicated 480V, 3-phase, 70 amp, 100kW service for the Radiographic Imaging equipment.

VI. Not Used

VII. Maintenance Requirements

Lessor will maintain utilities and equipment as prescribed by local codes and references listed in

Appendix D. Lessor will provide records of the maintenance in the format and frequency required by the VAMC to ensure compliance with TJC.

Emergency Facility Maintenance Situations:

The lessor shall provide maintenance services to the site in a timely manner for standard and emergency facility maintenance situations. The maximum response time to be provided for standard maintenance is the next business day, same day service to be provided for all emergency situations. Any malfunction

James J. Howard CBOC - New Jersey Healthcare System that creates a life safety hazard or has a potential to damage the building or lessee property is considered an emergency situation. The following is a partial list of potential emergency situations

(including but not limited to): Fire alarm system malfunctions, security system malfunctions, fire protection system malfunctions, active plumbing system leaks, and active HVAC system malfunctions or leaks, etc.

VIII. Environmental Management Plan

See Appendix F in this RLP for: JANITORIAL AND SITE MANAGEMENT SERVICES

IX. Construction Observation (TI)

RESIDENT ENGINEER’S OFFICE SPACE

A. All costs associated with the Resident Engineer’s office including, but not limited to, construction, demolition, hook-ups to utilities, furniture, fixtures, and equipment (RE Office Costs) shall be paid by the Lessor. Upon acceptance of the space, VA shall reimburse the Lessor for all RE Office Costs as part of the Tenant Improvement Cost.

B. Remote Oversight Space

The lessor shall provide one (1) office space not less than 120 SF for the sole use of the VA and its delegate, when present. The office space shall be within three (3) miles of the jobsite and may be within the prime contractor’s trailer. Offsite locations must be approved by the SRE considering safety and security. The office space shall have conditioned air and electricity for proper lighting and receptacles in accordance with typical office area standards. Access to high speed wireless internet shall be provided. The space shall be near a restroom, break room, copy room and conference room in which the RE is able to use as needed. The break room shall contain a shared microwave, refrigerator and coffee pot. The conference room shall be able to seat a minimum of 10 people. The office space shall contain the following items:

• 1 Office desks, double pedestal, executive size

• 1 Swivel chairs with arms

• 2 Arm chairs

• 1 5 drawer file cabinets, letter size

• 1 Drawing rack, with 12-30 inch “Plan Hold” drawing holders, freestanding

• 2 Apple I PAD Pro 12” Tablets, Wi-Fi + 4G service, 510 GB and Word app, with

Signed/Numbered awarded SFO loaded. Loading of all drawings and specifications when

“completed” after acceptance of final drawings should be up-loaded / accomplished at that time frame.

• 1 Work table, folding 30" x 72"

C. Lessor shall, for the duration of the Resident Engineer's occupancy, provide the following:

James J. Howard CBOC - New Jersey Healthcare System

• Secure, safe, clean, and sanitary conditions in and around the field office and parking area.

• Maintenance of gravel surfaced area, weed free, including the area for parking, in an acceptable condition for vehicle and foot traffic at all times.

• Maintenance of utility services.

• Daily janitorial services and supplies (toilet paper, paper towels, soap, trash removal, etc.).

• Potable water, fuel, and electric power for normal office uses, including lights, heating, and air conditioning.

• Lessor shall be responsible for all maintenance for field office and equipment including replacement of burned out light bulbs or tubes and changing of A/C filters.

PHOTOGRAPHIC DOCUMENTATION

A. During the construction period through completion, a 3rd party shall provide photographic documentation of construction progress and at selected milestones including electronic indexing, navigation, storage and remote access to the documentation, as per these specifications. The commercial photographer or the subcontractor used for this work shall meet the following qualifications:

• Demonstrable minimum experience of five (5) years in operation with at least 500 projects documented to date providing documentation and advanced indexing/navigation systems including a representative portfolio of construction projects of similar type, size, duration and complexity as the Project.

• Demonstrable ability to service projects throughout North America with operational resources within 150 miles of project, which shall be demonstrated by a representative portfolio of active projects of similar type, size, duration and complexity as the Project.

B. Photographic documentation elements:

• Each digital image shall be taken with a professional grade camera with minimum size of 6 megapixels (MP) capable of producing 200x250mm (8 x 10 inch) prints with a minimum of 2272 x

1704 pixels and 400x500mm (16 x 20 inch) prints with a minimum 2592 x 1944 pixels.

• Indexing and navigation system shall utilize actual AUTOCAD construction drawings, making such drawings interactive on an on-line interface. For all documentation referenced herein, indexing and navigation must be organized by both time (date-stamped) and location throughout the project.

• Documentation shall combine indexing and navigation system with inspection-grade digital photography designed to capture actual conditions throughout construction and at critical milestones. Documentation shall be accessible on-line through use of an internet connection.

Documentation shall allow for secure multiple-user access, simultaneously, on-line.

• Construction progress for all trades shall be tracked at pre-determined intervals, but not less than once every thirty (30) calendar days throughout the project upon commencement of vertical construction (“Progressions”). Progression documentation shall track both the exterior and interior construction of the building. Exterior Progressions shall track 360 degrees around the site

James J. Howard CBOC - New Jersey Healthcare System and each building. Interior Progressions shall track interior improvements beginning when stud work commences and continuing until Project completion.

• Miscellaneous events that occur during any Contractor site visit, or events captured by the

Department of Veterans Affairs independently, shall be dated, labeled and inserted into a Section in the navigation structure entitled “Slideshows,” allowing this information to be stored in the same “place” as the formal scope.

• Customizable project-specific digital photographic documentation of other details or milestones.

Indexing and navigation accomplished through interactive architectural plans.

• Monthly exterior progressions (360 degrees around the project) and slideshows (all elevations and building envelope). The slideshows allow for the inclusion of Department of Veterans Affairs pictures, aerial photographs, and timely images which do not fit into any regular monthly photopath.

• Regular (5 max) interior progressions of all walls of the entire project to begin at time of substantial framed or as directed by the Resident Engineer through to completion.

C. Images shall be taken by a commercial photographer and must show distinctly, at as large a scale as possible, all parts of work embraced in the picture.

D. Coordination of photo shoots is accomplished through Resident Engineer or other designated on-site point of contact. Contractor shall also attend construction team meetings as necessary.

Contractor’s operations team shall provide regular updates regarding the status of the documentation, including photo shoots concluded, the availability of new Progressions or Exact-

Builts viewable on-line and anticipated future shoot dates.

E. Contractor shall provide all on-line domain/web hosting, security measures, and redundant server back-up of the documentation.

F. Contractor shall provide technical support related to using the system or service.

Upon completion of the project, final copies of the documentation (the “Permanent Record”) with the indexing and navigation system embedded (and active) shall be provided in an electronic media format, typically a DVD or external hard-drive. Permanent Record shall have Building Information Modeling

(BIM) interface capabilities.

X. Design Review Documentation

All design review comments shall be tracked in the Dr. Checks web-based system. Dr. Checks enables an actionable collaboration among the reviewers and Lessor’s design team. This process allows project reviewers to enter their project review comments so that the design team may provide timely responses from a web browser into a database. The main function of Dr. Checks is to document and streamline the communication process between the project reviewers and the design team. This process provides transparency and consistency by tracking the review comments to assure timely response and resolution.

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All information is captured into a database and will remain in the system throughout the design and construction period and will be archived for future reference. Once the review period for a given phase of a project is ended, the designer(s) will be required to respond to all comments.

The SRE is responsible for assuring that access is available to all required users. The Lessor or designer can propose the use of an alternative web-based system as long as it provides equal or better functionality as that offered by Dr. Checks.

End of Appendix C.1: Agency Specific Requirements (ASR) –