36C24119C0092-001.pdf

SOP Other Than Full and Open Competition Original Date (3/22/2011)

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A)

For

Other Than Full and Open Competition (>SAT) Install MEG Lab

Project # 689-CSI-110

Acquisition Plan Action ID: VA241-19-AP-2041

1. Contracting Activity: Department of Veterans Affairs, Network Contracting Office 1, Manchester VAMC, VISN 01, West Haven Medical Center, 950 Campbell Avenue, FMS Design and Development, West Haven CT 06516

2. Nature and/or Description of the Action Being Processed:

This will be a new fixed-price contract for the balance of construction required for the installation of a new Magnetoencephalography (MEG) Lab in Building 1 addition, PET Center, at the West Haven campus of the VA Connecticut Healthcare System with new Elekta MEG Lab.

3. Description of Supplies/Services Required to Meet the Agency’s Needs

Acquire the services of a construction contractor to install MEG Lab in accordance with completed drawings and specifications. MEG is a noninvasive technique for measuring neuronal activity in the human brain. The MEG facility will be a Core Resource for VA Connecticut and for the VA National Center for PTSD. The primary purpose will be to study the neurobiology of PTSD and related conditions (including traumatic brain injury). The purpose of this project is to demolish and renovate the PET Center Lab SG128 and office SG128A to accommodate the installation of a MEG Lab. This will be the first MEG Lab available on a VA campus, and under intense scrutiny of the VA National Research Service.

The installation of the MEG Lab is being performed under a separate contract with Elekta issued by the National Acquisition Center (NAC) High-tech, High-cost (HTHC) program. However, the Elekta contract is limited in scope and does not provide a complete turn-key solution.

This sole source justification is submitted to request the use of Construction Technologies Group, Inc. (CTG) for the balance of the installation construction required for the completion of the new MEG Lab build-out.

The work required to install this lab is extensive and includes most major construction divisions: General Requirements, Existing Conditions, Site Work, Concrete, Metals, Wood, Plastics, and Composites, Thermal and Moisture Protection, Openings, Finishes, Specialties, Furnishings, fire suppression, plumbing, HVAC, electrical, communications, and electronic safety and security.

The estimated value of the award is $1,506,513. This IGE assumes a sole source is permitted.

Original Date (3/22/2011)

Completion time is estimated at 15 months after Notice to Proceed (NTP). The contract is on the operating plan for fiscal year 2019 award. NTP is projected to be issued in first quarter, Fiscal Year 2020. This completion time assumes a sole source is permitted.

The VA is procuring a contract with a construction contractor to buildout the MEG Lab space. The construction package has been prepared and is ready to be built. This is a construction contract.

4. Statutory Authority Permitting Other than Full and Open Competition

(X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per FAR 6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per FAR 6.302-3;

( ) (4) International Agreement per FAR 6.302-4 ( ) (5) Authorized or Required by Statute FAR 6.302-5;

( ) (6) National Security per FAR 6.302-6;

( ) (7) Public Interest per FAR 6.302-7;

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

(1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per

FAR 6.302-1

This MEG Lab project is the first of its kind for the VA. This will be the first installation of a MEG Lab at any VA facility and it has many unique requirements. VA Connecticut Healthcare System (VACT) requests sole source to CTG as the only responsible source for the complete installation of this highly complex, specialized equipment.

There are very few (approximately 60) MEG Labs in the United States, primarily at major research Universities; a MEG Lab has never been installed at a VA Medical Center. This is a unique construction project for the VA specifically, and VA Connecticut requires a contractor with a successful High-Tech High- Cost (HTHC) install track record at VA sites, particularly VACT. The contractor must also have a proven track record of successful completion of scope, on budget and within schedule; this project requires multiple sub-contractors to work concurrently in the same space under two separate contracts. Failure to coordinate contract work could lead to potential changes and delay claims, as well as facility damage leading to code violations, and safety risks.

Review of the 14 VISN 1 MATOC vendors, reveals none have installed a MEG Lab. Of the Contractors that have installed MEG Labs at other locations, none have installed MEG Labs at VA Medical Centers. These contractors do not have VA experience or VACT-specific experience. The unique requirements of the VA provide many obstacles in construction including site access, hospital-related concerns including Infection prevention, and interim life safety measures. CTG has the depth of experience in HTHC contracts required for this project, VA experience and VACT experience. The remainder of the construction contractors do not have the extensive HTHC experience paired with VA-specific experience, and VACT institutional knowledge.

Original Date (3/22/2011)

Based on the high profile and highly complex nature of this contract, CTG is the only vendor that can meet the vendor selection criteria established for this contract. The selection criteria includes extensive HTHC experience, extensive VA experience, and extensive VACT-experience. Specifically requirements are the successful completion of at least five HTHC equipment installs at VACT in the last five years, successful coordination, delivery and installation of HTHC equipment within a site-prep schedule, and history of coordination with HTHC equipment vendors.

CTG is unique in its extensive experience with High Tech High Cost (HTHC) installs around the United States, particularly at VA sites and many at VA Connecticut. They are also unique in their VACT experience. They understand the communication aspects of working with an equipment vendor, coordinating on the schedule and collaborating with the utility shops at VACT. They have success meeting project schedule and cost.

There are numerous reasons that CTG is the only vendor that can successfully complete this construction.

1. Experience. CTG has extensive experience in HTHC installs. CTG has installed over 100 HTHC projects over the last 30 years nationally for the VA. They have installed over 5 HTHC projects at the West Haven campus in the last 5 years. A list of their VA experience is attached.

2. Meeting Schedule. CTG has successfully met project schedules on numerous VACT projects.

3. Meeting Budget. CTG has successfully met project budget on numerous VACT projects.

4. Communication with HTHC Equipment vendors. CTG has extensive knowledge working with HTHC equipment vendors. CTG understands the vendor schedule impacts and consistently evaluates impacts to delivery dates, schedule and overall project completion.

5. Local Presence. CTG is currently working at VA Connecticut so mobilization requirements would be minimal.

6. Coordination of multiple contractors. CTG has extensive knowledge coordinating multiple contractors within the same space. The equipment vendors will have sub-contractors and the site prep sub-contractors will be working simultaneously which can be difficult and cause problems. CTG has the experience to coordinate these efforts to provide minimum impacts to the schedule, costs and existing space.

7. Coordination with VACT safety, infection prevention, and police departments. CTG understands the unique environment present at the VA Connecticut West Haven campus. CTG continually communicates with the safety department to be sure all aspects of safety, ILSMs are followed. CTG understands they are working in a continually operating hospital and the potential impacts that construction has on patient safety. The police department is very involved in construction projects, and CTG understands the impact their deliveries, noise, and parking have on campus.

8. Coordination with VACT shops. CTG has developed a good rapport with the VACT West Haven shops supervisors to accomplish required investigation and utility shutdowns to compete utility tie ins. In addition, CTG works with supervisors to schedule training of staff on new equipment.

This contract is for the site prep portion of the project. In addition to site prep, the equipment vendor will also be working in the same space. If the request for sole-source is approved, the installation of the MEG Lab would be completed by Elekta and CTG, Inc. This contract, required for the site prep balance of the work, would be issued directly to CTG Inc. by the VA.

Original Date (3/22/2011)

Elekta has issued drawings with their equipment installation. The balance of work is being included in this sole source solicitation request. The two contracts must occur concurrently within the same PET Center Lab space, so coordination across the separate contracts is maintained and this is critical to project success. CTG has extensive experience working with clinical equipment vendors, such as Elekta, on other HTHC turnkey projects.

It is expected that cost overruns, delays, and scope changes would be incurred if this contract is not awarded to CTG with their unique qualifications. The MEG Lab equipment is already ordered to suit the space designed for and allocated by this project. If this project is not completed timely, the medical center could lose this equipment and forgo dollars already allocated. The VA could also lose $2M earmarked for this site prep contract. Further, if this is not completed timely, the VA may have to pay storage fees as well and the longer it is stored the more the VA may have to pay in unnecessary costs.

In summary, CTG is a small business and unique construction contractor having successfully completed numerous projects at VA. Their experience and site-specific knowledge make them uniquely the only contractor with the ability to successfully complete this highly complex HTHC install within scope, on budget and on schedule.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

Not applicable. No Sources Sought Synopsis was published. No other actions area planned for this acquisition.

7. Determination by the Contracting Officer that the Anticipated Cost to the Government will be Fair and Reasonable:

Costs will be reviewed and compared to the Government estimate and negotiations will take place as necessary to determine a fair and reasonable cost.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted:

Market research was performed on all available construction contractors. The VISN 1 MATOC Contractors are not acceptable to perform this unique HTHC install. Outside of the VISN 1 MATOC, Construction Contractors with MEG Lab construction experience, do not have a combination of HTHC experience, VA construction experience, and VACT institutional knowledge.

In summary, CTG is a small business and unique construction contractor having successfully completed numerous projects at VACT. Their experience and site-specific knowledge make them uniquely the only contractor with the ability to successfully complete this highly complex HTHC install.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

Not applicable

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition

Not applicable. No solicitation was published.

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required:

This will not be a re-occurring requirement. This is an interim requirement due to unique characteristics of construction.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Robin Gangemi Date Engineer VA West Haven, CT

13. Approvals in accordance with FAR 6.304

a. Contracting Officer's Certification: (required) I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Richard Coutermarsh Date Contracting Officer

NCO 1

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $700K): I certify the justification meets requirements for other than full and open competition.

Athena Jackson Date Branch Chief, Construction Team 1

NCO 1

c. VHA SAO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and recommend approval

(if over $68 million) or approve ($700K to $68 million) for other than full and open competition.

Name Date

VHA Head of Contracting Activity (HCA)

Technology Group, Inc.

CGC# 020745

CONSTRUCTION

2605 Airport Road, Plant City, Florida 33563

Construction Technology Group has worked very hard to develop a long-standing, mutually advantageous relationship with the Department of Veterans Affairs. Over the last 30 years, CTG has successfully completed more than 100 projects for the VA. While a majority of the projects have been delivered utilizing the Turnkey- Design/Build method of construction, a number of projects were also completed through a construction management program or a conventional lump sum general contract. The following is a list of some of these projects:

VA Anchorage, AK Picker Intern’l, CT Suite Army Base, Fairbanks, AK Picker Intern’l, CT Suite VA Phoenix, AR Picker Intern’l, 1.5T MRI Suite VA Sepulveda, CA Picker Intern’l, 1.5T MRI Suite VA West Haven, CT Siemens, SPECT/CT Philips, Catheterization Lab Philips, PET/CT Suite Philips, CT Suite Philips, 1.5T MRI Suite VA Lee County, FL G.E., Modular MRI VA Tampa, FL Siemens, Catheterization Lab 2 Floor Addition to Cancer Ctr VA West Roxbury, Boston, MA Philips, Hybrid OR Toshiba, CT Suite Siemens, MRI Suite Tyco, Cystoscopy Lab Toshiba, CT Suite Philips, Catheterization Lab Philips, Electrophysiology Lab Philips, Nuclear Med Rooms Philips, Radiography and

Fluoroscopy Room VA Jamaica Plains, Boston, MA Siemens, 1.5T MRI Suite Siemens, Linear Accelerator

Suite Philips, CT Suite Philips, PET/CT Suite Philips, Radiography and

Fluoroscopy Room VA Brockton, MA Philips, Radiography and

Fluoroscopy Rooms VA Bedford, MA Philips, Radiography and

Fluoroscopy Rooms VA North Hampton, MA Toshiba, CT Suite

Toshiba, Radiography and Fluoroscopy Room

Picker Intern’l, CT Suite VA Togus, ME Toshiba, CT Philips, Radiography and

Fluoroscopy Rooms Marine Base, Camp Lejeune, NC Siemens, CT Suite Marine Base, Cherry Hill, NC Siemens, CT Suite VA Manchester, NH Philips, X-Ray Suite Toshiba, CT Suite Philips, Catheterization Labs Philips, Nuclear Med Room Philips, Radiography and

Fluoroscopy Rooms Tyco, Cystoscopy Lab VA East Orange, NJ Picker Intern’l, 1.5T MRI

Modular Bldg.

VA Albany, NY Philips, CT Suite VA Buffalo, NY Picker Intern’l, Modular MRI Army Base, West Point, NY Philips, 1.5T MRI Suite Philips, CT Suite VA Manhattan, NY Picker Intern’l, 1.5T MRI Suite Philips, 1.5T MRI Suite VA Bronx, NY Philips, Catheterization Lab Philips, Radiography and

Fluoroscopy Rooms Philips, Digital Chest Room Siemens, 1.5T MRI Suite Siemens, CT Suite Siemens, Electrophysiology

Lab G.E., Radiography and

Fluoroscopy Room VA Buffalo, NY Toshiba, CT Suites (2)

Siemens, Radiology Suite VA Northport, NY Philips, CT Suites (2) Philips, Catheterization Lab Philips, CT Suite VA Rome, NY Siemens, X-Ray SUite VA Syracuse, NY Siemens, ED Rad Room Siemens, Cath Lab Siemens, CT VA Philadelphia, PA Picker Intern’l, 1.5T Modular MRI VA Altoona, PA Picker Intern’l, CT Suite Picker Intern’l, X-Ray Room VA Wilkes-Barre, PA Picker Intern’l, 1.5T MRI Suite VA Providence, RI Philips, X-Ray Room Siemens, Multi Purpose Room Siemens, CT Suite Philips, Radiography and

Fluoroscopy Room VA Charleston, SC Siemens, Nuclear Med Rooms Siemens, 1.5T MRI Suite VA Dorn, SC Siemens, 1.5T MRI Suite VA White River Junction, VT Siemens, SPECT/CT Philips, Nuclear Med Room Philips, Radiography and

Fluoroscopy Rooms Philips, X-Ray Room Tyco, Cystoscopy Lab USA Naval Base, Naples, Italy Picker Intern’l, CT Suite USA Naval Base, Sicily, Italy Picker Intern’l, CT

Suite

Project Description Location Client/Architect Completion Date

VA Medical Center Manhattan, NY Philips Healthcare Start Hybrid OR Don Berg, Architect Pending

VA Medical Center Northport, NY Philips Healthcare Under Pet/CT Suite Don Berg, Architect Construction

VA Medical Center Northport, NY Siemens Healthcare 2019 MRI Suite Don Berg, Architect

VA Medical Center West Haven, CT Veterans Administration, 2019 Radiology/Cardiology Wing Philips Healthcare, and Renovation Siemens Healthcare Don Berg, Architect

VA Medical Center Syracuse, NY Siemens Healthcare 2018 X-Ray Room Don Berg, Architect

VA Medical Center West Haven, CT Philips Healthcare 2018 X-Ray Room Don Berg, Architect

VA Medical Center West Haven, CT Siemens Healthcare 2018 MRI Suite Don Berg, Architect

VA Medical Center West Roxbury, MA Toshiba Medical Solutions 2018 CT Suite Don Berg, Architect

VA Medical Center Rome, NY Siemens Healthcare 2017 X-Ray Room Don Berg, Architect

VA Medical Center Manchester, NH Philips Healthcare 2017 X-Ray Room Don Berg, Architect

VA Medical Center West Haven, CT Siemens Healthcare 2017 SPECT/CT Suite Don Berg, Architect

VA Medical Center Syracuse, NY Siemens Healthcare 2017 Cath Lab Don Berg, Architect

VA Medical Center Providence, RI Siemens Healthcare 2017 Multi-Purpose Suite Don Berg, Architect

VA Medical Center Northampton, MA Toshiba Medical Solutions 2017 CT Suite Don Berg Architect

Recap of Work

VA Medical Center White River Junction, VT Siemens Healthcare 2017 SPECT/CT Suite Don Berg, Architect

VA Medical Center Providence, RI Philips Healthcare 2017 X-Ray Suite Don Berg, Architect

VA Medical Center W. Roxbury, MA Philips Healthcare 2017 Hybrid OR Don Berg, Architect

VA Medical Center W. Roxbury, MA Siemens Healthcare 2017 MRI Suite Don Berg, Architect

VA Medical Center Syracuse, NY Siemens Healthcare 2017 ED Radiology Suite Don Berg, Architect

VA Medical Center Buffalo, NY Toshiba Medical Solutions 2017 Two (2) CT Suites Don Berg, Architect

VA Medical Center White River Junction, VT Toshiba Medical Solutions 2017 CT Suite Don Berg, Architect

VA Medical Center Augusta, ME Toshiba Medical Solutions 2017

VA Medical Center Syracuse, NY Siemens Healthcare 2017 Two (2) CT Suites Don Berg, Architect

VA Medical Center Northport, NY Philips Healthcare 2017 Two (2) CT Suites Don Berg, Architect

VA Medical Center Buffalo, NY Siemens Healthcare 2017 Radiology Suite Don Berg, Architect

VA Medical Center Augusta, ME Toshiba Medical Solutions 2016 CT Suite Don Berg, Architect

VA Medical Center White River Junction, Toshiba Medical Solutions 2016 CT Suite VT Don Berg, Architect

VA Medical Center West Haven, CT Toshiba Medical Solutions 2016 CT Suite Don Berg, Architect

Frisbie Memorial Hospital Rochester, NH Philips Healthcare 2016 Radiology Suite Don Berg, Architect

MacDill Air Force Base Tampa, FL Philips Healthcare 2016 MRI Suite Don Berg, Architect

VA Medical Center Orlando, FL Philips Healthcare 2016 Big Bore CT Suite

VA Outpatient Clinic Cape Coral, FL GE Healthcare 2016 Modular MRI Don Berg, Architect

VA Medical Center W. Roxbury, MA Siemens Medical Solutions 2016 CT Suite Don Berg, Architect

Queens Hospital Queens, NY Philips Healthcare 2016 UPS Upgrade

VA Medical Center Providence, RI Philips Healthcare 2016 R & F Suite Don Berg, Architect

VA Medical Center W. Roxbury, MA Philips Healthcare 2016 Angio Suite Don Berg, Architect

VA Medical Center West Haven, CT Toshiba Medical Solutions 2016

RCMA Child Care Center Dover, Florida Redlands Christian Migrant As- 2016 16,000 sf. Child Care Center WS Architecture

San Jose Mission Parking Lot Dover, Florida Redlands Christian Migrant As- 2016 Parking Lot Addition WS Architecture

VA Medical Center Orlando, FL Philips Healthcare 2016 PET/CT Suite Electrical Changes

VA Medical Center Jamaica Plain, MA Toshiba Medical Solutions 2016 CT Suite Don Berg, Architect

Westchester Medical Center Valhalla, NY Philips Healthcare 2016 R & F Suite Don Berg, Architect

VA Medical Center Augusta, ME Siemens Medical Solutions 2016

(2) CT Suite Renovation Don Berg, Architect

VA Medical Center East Orange, NJ Philips Healthcare 2016 PET/CT A&E Design Don Berg, Architect

VA Medical Center Jamaica Plain, MA Philips Healthcare 2015 X-Ray Suite Don Berg, Architect

Mid-Hudson Hospital Poughkeepsie, NY Philips Healthcare 2015 R & F Suite Don Berg, Architect

VA Medical Center Jamaica Plain, MA Siemens Medical Solutions 2015 MRI Upgrade

Martin Army Hospital Ft. Benning, GA Philips Healthcare 2015 MRI Replacement

VA Medical Center Augusta, ME Philips Healthcare 2015 X-Ray Suite Don Berg, Architect

VA Medical Center Castlepoint, NY Philips Healthcare 2015 CT Suite Don Berg, Architect

Utilities Administration Building Land O’ Lakes, FL Pasco County 2015 50,000 s.f. 2 Story Office Complex Fleischman Garcia Architects

Land O’ Lakes Community Center Land O’ Lakes, FL Pasco County 2015 Community Park Renovation George F. Young & Associates

Keller Army Hospital West Point, NY Philips Healthcare 2015 X-Ray Suite

VA Medical Center Tampa, FL Philips Healthcare 2015 Cath Lab Don Berg, Architect

VA Medical Center Orlando, FL Philips Healthcare 2015 Electrical Upgrades

VA Medical Center Augusta, ME Philips Healthcare 2014 IR Suite

Martin Army Hospital Ft. Benning, GA Philips Healthcare 2014 2 MRI Suites and 1 CT Suite Don Berg, Architect

VA Medical Center Daytona Beach, FL Philips Healthcare 2014 X Ray Suite

VA Medical Center Daytona Beach, FL Toshiba Medical Solutions 2014 CT Suite

VA Medical Center West Haven, CT Philips Healthcare 2014 HVAC Modifications

VA Medical Center West Roxbury, MA Philips Healthcare 2013 Radiology Suite with 3 X-Ray Rooms Don Berg, Architect

Univ. of Connecticut Health Center Farmington, CT Siemens Medical Solutions 2013 UPS Upgrade

Hillsborough County Aviation Authority Tampa and HCAA 2013 Hangar Rehabilitation Projects Plant City, FL RS&H

St. Albans Community Center Jamaica, NY Philips Healthcare 2013 Radiology and Fluoroscopy Suite Don Berg, Architect

MacDill AFB Outpatient Clinic Brandon, FL Philips Healthcare 2013 X-Ray Room Renovation Don Berg, Architect

Landmark Aviation TPA Tampa, FL Landmark Aviation 2013 Fixed Base Operation Remodel LH2 Architects

VA Medical Center West Roxbury, MA Philips Healthcare 2013 Cath Lab Don Berg, Architect

Landmark Aviation Tampa, FL Landmark Aviation 2013 Office and Hangar Addition RS&H

Hillsborough County Aviation Authority Tampa, FL HCAA 2013 Terminal Rehabilitation Projects RS&H

Westchester Medical Center Valhalla, NY Philips Healthcare 2013 Hybrid OR Swanke Hayden Connell Architects

VA Medical Center Syracuse, NY Siemens Medical System 2012 Cath Lab Electrical

Shands Lake Shore Regional Medical Lake Mary, FL Health Management Associates 2012 MRI Switch Out Bentley Engineers & Architects

Project Description Location Client/Architect Completion Date

University Medical Imaging Rochester, NY Siemens Medical Solutions 2012 MRI Suite Don Berg, Architect

VA Medical Center West Haven, CT Philips Healthcare 2012 MRI Suite Don Berg, Architect

Northern Westchester Hospital Mt. Kisco, NY Northern Westchester Hospital 2011 Kitchen Renovation

Holland & Lamoureux Law Office Brandon, FL Jason and Heather Lamoureux 2011 New Office Building Bert Thomas Architect

VA Medical Center Jamaica Plain, MA Philips Healthcare 2011 PET/CT Suite Don Berg, Architect

VA Medical Center West Haven, CT Philips Healthcare 2011 SPEC/CT Suite Don Berg, Architect

VA Medical Center Manchester, NH Toshiba Medical Systems 2011 MRI Suite Don Berg, Architect

VA Medical Center West Roxbury, MA Philips Healthcare 2011 Cath Lab Don Berg, Architect

VA Medical Center Jamaica Plain, MA Philips Healthcare 2011 Easy Diagnost Suite Don Berg, Architect

VA Medical Center Providence, RI Siemens Medical Solutions 2010 CT Suite Don Berg, Architect

VA Medical Center Brockton, MA Philips Healthcare 2010 R/F Suite Don Berg, Architect

VA Medical Center West Roxbury, MA Philips Healthcare 2010 X-Ray Suite Don Berg, Architect

VA Medical Center West Roxbury, MA Covidian 2010 Cysto Suite Don Berg, Architect

VA Medical Center Bedford, MA Philips Healthcare 2010 X-Ray Room Don Berg, Architect

VA Medical Center West Roxbury, MA Toshiba Medical Systems 2010

VA Medical Center North Hampton, MA Toshiba Medical Systems 2010 R/F Suite Don Berg, Architect

VA Medical Center West Roxbury, MA Philips Healthcare 2010

(2) SPEC/CT Suites Don Berg, Architect

VA Medical Center Columbia, SC Siemens Medical Solutions 2010 MRI Suite Don Berg, Architect

VA Medical Center West Roxbury, MA Philips Healthcare 2010 EP Lab Don Berg, Architect

Gran Paradiso Clubhouse Venice, FL West Villages Improvement 2009 3 Buildings Connected by Covered Walkways Kimley Horn & Associates

VA Medical Center Manchester, NH Philips Healthcare 2009 Nuclear Suite Don Berg, Architect

VA Medical Center Manchester, NH Philips Healthcare 2009 X-Ray Room Don Berg, Architect

VA Medical Center Manchester, NH Philips Healthcare 2009 X-Ray Room Don Berg, Architect

VA Medical Center Augusta, ME Philips Healthcare 2009 Easy Diagnost Suite Don Berg, Architect

VA Medical Center Augusta, ME Philips Healthcare 2009 Easy Diagnost Suite Don Berg, Architect

VA Medical Center White River, VT Philips Healthcare 2009 X-Ray Suite Don Berg, Architect

VA Medical Center Jamaica Plain, MA Siemens Medical Solutions 2009 Linear Accelerator Suite Don Berg, Architect

Northern Westchester Hospital Mt. Kisco, NY Northern Westchester Hospital 2008 Infusion Center

Shands Hospital Jacksonville, FL Siemens Medical Solutions 2008

Modular MRI and Outpatient Facili- Don Berg, Architect

VA Medical Center Charleston, SC Siemens Medical Solutions 2008 Nuclear Suite Don Berg, Architect

VA Medical Center Manchester, NH Toshiba Medical Systems 2008

VA Medical Center Charleston, SC Siemens Medical Solutions 2008 Nuclear Suite Don Berg, Architect

Northern Westchester Hospital Mt. Kisco, NY G.E. Medical Systems 2008 MRI Suite

Northern Westchester Hospital Mt. Kisco, NY G.E. Medical Systems 2008 X-Ray Suite

VA Medical Center White River Junction, Philips Healthcare 2008 Nuclear Suite VT Don Berg, Architect

San Jose Mission Dover, FL Catholic Charities Housing 2008 7 Buildings with 42 Apartments Wedding Stephenson Architects

Columbia University Hospital New York, NY Philips Healthcare 2008 Power and Chiller Upgrade

East Carolina University Greenville, NC Siemens Medical Solutions 2008 Linear Accelerator Suite Don Berg, Architect

VA Medical Center Providence, RI Philips Healthcare 2007 Easy Diagnost Suite

VA Medical Center Albany, NY Philips Healthcare 2007 CT Suite Optimus Architecture

VA Medical Center Jamaica Plain, MA Siemens Medical Solutions 2007

Vandenberg Airport Tampa, FL Hillsborough County Aviation Authority 2007

Maintenance and Storage Facility Reynolds Smith & Hills

Ocean Radiation Oncology Brooklyn, NY Ocean Radiation Oncology 2007 Oncology Suite Remodel

VA Medical Center West Haven, CT Philips Healthcare 2007 R/F Suite Don Berg, Architect

Riverhill Oncology Riverdale, NY 21st Century Oncology 2007 Oncology Suite Remodel

VA Medical Center White River Junction, Philips Healthcare 2007 Digital Diagnost VT Don Berg, Architect

VA Medical Center Augusta, ME Philips Healthcare 2007 CT Suite Don Berg, Architect

VA Medical Center Jamaica Plain, MA Philips Healthcare 2006 Digital Diagnost Don Berg, Architect

VA Medical Center Brockton, MA Philips Healthcare 2006 Bucky Diagnost Don Berg, Architect

VA Medical Center Roxbury, MA Philips Healthcare 2006 Bucky Diagnost Don Berg, Architect

VA Medical Center Manchester, MA Philips Healthcare 2006 Easy Diagnost Don Berg, Architect

Columbia University Hospital New York, NY Philips Healthcare 2006 3.T MRI Research Facility JRS Architects

VA Medical Center Jamaica Plains, NY Siemens Medical Solutions 2006 CT Suite Don Berg, Architect

Riverhill Oncology Yonkers, NY 21st Century Oncology 2006 Linear Accelerator Suite

VA Medical Center West Roxbury, MA Siemens Medical Solutions 2005

Cuscaden Pool Improvements Tampa, FL City of Tampa 2005 Historical Renovation Rowe Architects

VA Medical Center Bronx, NY Veterans Administration 2005 G.E. R & F Suite Don Berg, Architect

Mercy Hospital Scranton, PA Mercy Hospital 2005 Cath Lab Don Berg, Architect

Northern Westchester Hospital Mt. Kisco, NY Northern Westchester Hospital 2005 Cancer Care & Wellness Center Optimus Architecture

DeSoto Park Aquatic Center Tampa, FL City of Tampa 2005 Public Pool and Facilities Harper Partners

University Hospital of North Caroli- Chapel Hill, NC Siemens Medical Solutions 2004

UCONN Medical Center Farmington, CT Philips Healthcare 2004 CT Scanner Don Berg, Architect

Beds To Go Pembroke Pines, FL Rooms To Go 2004 New Retail Store CASCO Corp.

St. Joseph's Hospital Elmira, NY St. Joseph's Hospital 2004 MRI Facility Don Berg, Architect

Proscan Imaging Center Naples, FL Proscan Imaging 2004 MRI Facility Don Berg, Architect

Charlotte Regional Medical Center Punta Gorda, FL Charlotte Regional 2004 CT & Nuclear Suites

Northern Westchester Hospital Mt. Kisco, NY Northern Westchester Hospital 2004 Health Sciences Library Gabrialle Salmon, AIA

UCONN Medical Center Farmington, CT Philips Healthcare 2003 Procedures Room-5 Don Berg, Architect

Indian River Memorial Hospital Vero Beach, FL Indian River Memorial Hospital 2003

VA Medical Center White River Junction, Philips Healthcare 2003 Easy Diagnost Room VT Don Berg, Architect

Northern Westchester Hospital Mt. Kisco, NY Northern Westchester Hospital 2003 Relocate Archives and Facilities Management Gabrielle Salmon, AIA

VA Medical Center White River Junction, Philips Healthcare 2003 Nuclear Suite VT Don Berg, Architect

Hillsborough Community College Tampa, FL Hillsborough Community 2003 Darkroom Expansion RBK Architects

West Calcasieu Cameron Hospital Sulpur, LA Philips Healthcare 2003 MRI Suite Don Berg, Architect

Hugh Chatham Hospital Elkin, NC Siemens Medical Solutions 2002 CT Suite Don Berg, Architect

VA Northport Medical Center Northport, NY Philips Healthcare 2002 Angio Suite Don Berg, Architect

VA Medical Center West Haven, CT Philips Healthcare 2002 R/F Room Don Berg, Architect

Titusville Area Hospital Titusville, PA Philips Healthcare 2002 MRI Suite Don Berg, Architect

Southern Transportation Plaza Tampa, FL HARTline 2002

Train Trolley Station HNTB

Northern Westchester Hospital Mt. Kisco, NY Northern Westchester Hospital 2002 Angio Suite Gabrielle Salmon, AIA

Kings County Hospital Brooklyn. NY Philips Healthcare 2002 CT Suite Capano and Park Engineers

VA Medical Center Bronx. NY Siemens Medical Solutions 2002 CT Suite Don Berg Architect

Columbia University New York, NY Philips Healthcare 2002 MRI Suite JRS Architects

Rogers Park Golf Course Tampa, FL Tampa Sports Authority 2002 Clubhouse Howard & Associates Architects

HCC Walkway Covers and Plant City, FL Hillsborough Community Col- 2002 New Registration Area PGAL Architects

Camber Clinic Tampa, FL Siemens Medical Solutions 2001

Camber Clinic Orlando, FL Siemens Medical Solutions 2001 MRI Suite Don Berg, Architect

Einstein Hospital Bronx, NY Philips Healthcare 2001 MRI Upgrade Don Berg, Architect

St. John's Queen Hospital Flushing, NY Philips Healthcare 2001 R/F Room Don Berg, Architect

St. Mary's Queens Hospital Brooklyn, NY Philips Healthcare 2001 R/F Room Don Berg, Architect

Mary Immaculate Hospital Queens, NY Philips Healthcare 2001 R/F Room Don Berg, Architect

Metropolitan Hospital New York, NY Philips Healthcare 2001 Angio Room JRS Architects

NY Hospital Medical Center Flushing, NY Philips Healthcare 2001 R/F Room Don Berg, Architect

Ft. Leonard Wood Ft. Leonard Wood, Philips Healthcare 2001 CT Suite MO Don Berg, Architect

VA Northport Northport, NY Philips Healthcare 2001 Cath Lab Don Berg, Architect

Key West Lamp Factory Tampa, FL Key West Lamp Company 2001 189,000 sf Factory CASCO Corporation

Ruskin Community Service Center Ruskin, FL Hillsborough County 2001 Community Service Center Fleischman Garcia Architects

Keller Army Hospital West Point, NY Philips Healthcare 2001 MRI Suite and CT Scanner Suite Don Berg Architect

Kings County Hospital Brooklyn, NY Philips Healthcare 2001 Modular MRI Facility David Lawson Architect

New Rochelle MRI New Rochelle, NY Philips Healthcare 2001 MRI Suite Don Berg, Architect

Lincoln Hospital Bronx, NY Philips Healthcare 2001

(1) Chest Room and (2) R/F Rooms Don Berg, Architect

Our Lady of Mercy Hospital Bronx, NY Philips Healthcare 2000 MRI Suite JRS Architects

TPD Communications Building Tampa, FL City of Tampa 2000 Police Communications Center Alfonso Architects

Senior Adult Center Tampa, FL Hillsborough County 2000

Adult Care Center Woodroffe Corporation Archi-

Charlotte Regional Medical Center Punta Gorda, FL Health Management Assoc. 2000 Cath Lab Don Berg, Architect

Rooms To Go Showroom Clearwater, FL Rooms To Go 2000 Furniture Showroom CASCO Corporation

VA Bronx Medical Center Bronx, FL Philips Healthcare 2000

(2) Digital RF Rooms Don Berg, Architect

X-Ray Associates Cranston, RI Hitachi Medical Systems 2000 MRI Suite Don Berg, Architect

Harlem Hospital Harlem, NY Philips Healthcare 2000 Angio Suite Don Berg, Architect