EXHIBIT B - AgencyTechnical Requirements Final Revision 08.23.24.pdf

AGENCY TECHNICAL AND SPECIAL REQUIREMENTS

SECTION 5

5.1 GENERAL: The Lessor shall provide office space as identified herein, for which the Lebanon VA Medical Center will operate a Community Based VA Clinic in Berks County, Pennsylvania. The rental rate shall include all requirements herein identified.

5.1.1 SITE SELECTION: The site shall be located in Berks County, Pennsylvania. The site needs to comply with the following conditions:

Within walking distance of a bus route or other public transportation Located within, adjacent to or encompassed within medical office space or healthcare space Include room for future growth

5.2 STANDARD CONDITIONS AND REQUIREMENTS: The following standard conditions and requirements shall apply to any space offered for use to the VA:

A. First class medical/office space is required. Space offered must be section(s) of sound and substantial construction from either a new, modern building, or one that has undergone first class restoration or rehabilitation for the intended use. Tenants must be separated within the building so as the VA shall have privacy within their rented area. Building shall be designed and constructed in compliance with any and all applicable local, state, and federal code requirements.

B. The Lessor shall provide a valid occupancy permit for the intended use of the VA and shall operate the building in conformance with local codes and ordinances within 45 calendar days after Government inspection and acceptance of the leased space.

C. The Building and the offered space shall be accessible to the handicapped in accordance with the Uniform Federal

Accessibility Standards (41 CFR 10119.6, App. A) and any recent accessibility requirements. .

D. The space shall be free of all asbestos-containing materials, except undamaged asbestos flooring in the space or undamaged boiler or pipe insulation outside the space, in which case an asbestos management program conforming to Environmental Protection Agency (EPA) guidance shall be implemented. A report of the space being asbestos free shall be provided to the VA upon request.

5.3 UTILITIES AND SERVICES: The Lessor shall provide the following services and utilities on a daily basis unless a different frequency is specified herein. The cost for utilities and services shall be included in the rental rate. Primary utilities like electricity and natural gas will be billed based directly on measured VA usage in the space. Utilities shall include:

Heat Electric Power for Special Equipment Water (Hot & cold) Air Conditioning Back-up Electric Generation

Services shall include:

Local Telephone Service Snow Removal Trash Removal and Recycling Service Infectious Waste Removal Chilled Bi-Level Bottle Filling Drinking Water Toilet Supplies Elevator Service (If Required) Window washing: Windows shall be cleaned/washed prior to occupancy by VA;

Initial & Replacement lamps, tubes and ballasts.

Painting: Any required painting shall be accomplished prior to occupancy by VA.

5.4 Toilet/ Sink Supplies: The Lessor shall provide and maintain all toilet supplies required under this contract which includes, but is not limited to: toilet paper, paper towels, and hand and antibacterial soap dispensers. Regular hand soap shall be provided for the bathrooms. Standardization calls for the usage of STERIS Brand, Kindest Kare – number 1105-87 and Bactoshield CHG 2% - number 1322-BJ antibacterial soap and hand sanitizer or approved equal to be provided for all sinks.

Acceptable paper products will be Green Seal certified.

5.5 DRINKING FOUNTAINS: The Lessor shall provide a minimum of two chilled drinking fountain on each floor; each fountain shall be bi-level and include a bottle filling station where the Government occupies space.

5.6 SPECIAL REQUIREMENTS: The Lessor shall renovate the space to meet the following specifications. The costs for renovations shall be included in the rental rate and when specific equipment is cited, using brand names, model numbers, etc., a comparable or equal may be utilized.

Entire space shall be cleaned.

All walls shall be patched, cleaned, and freshly painted.

Worn, torn or soiled wall coverings shall be cleaned, repaired or replaced to match existing.

Existing carpet may be accepted if it is in good condition and can be cleaned to meet VA satisfaction.

Clean all vinyl tiles.

Perform carpentry, electrical and plumbing work as determined necessary by the designated VA

Representative.

Remove any fixtures, wires, etc., as determined necessary by the designated VA Representative.

Provide at least two (2) master keys for each lock.

Lessor to provide to Tenant certifications for yearly Fire Alarm Testing, Emergency Lighting Testing, Sprinkler

Testing, and Fire Extinguisher Testing as applicable to the available systems.

5.7 DOORS IDENTIFICATION (SIGNAGE): The Lessor is responsible for the procurement and installation of Door identification (Signage). Exterior directional signage to be provided as required to direct patients to the leased space. This may vary, and be required at several locations, depending on the configuration of the building. Interior identification Signage shall be installed in approved locations adjacent to each room entrances within the suite. The Contracting Officer or designated VA representative must approve the door identification (signage). The Lessor shall submit a submittal for approval by the Contracting Officer or designated representative prior to procurement and subsequent installation of the signage. All signage will be ADA complaint in product and installation height. See additional information in sections 4.2, 4.3, and 4.4.

5.8 ELECTRICAL OUTLETS: A standard outlet with two plugs will be required. Number required and specific locations as required by VHA CFM design criteria available at http://www.cfm.va.gov/til/criteria.asp

5.8.1 BACK-UP ELECTRICAL GENERATOR: A back-up electrical generator will be provided by lessor to supply back up power to the following areas:

Emergency Lighting Fire Alarm IT System Medicine Refrigerators and Freezers 10 exam rooms as identified by the VA 4 Red Outlets for Laboratory Reception work area

Generator will meet all VA standards as listed in the VHA CFM design criteria available at: http://www.cfm.va.gov/til/criteria.asp

5.10 SPACE REQUIREMENTS

5.10.1 PARKING: Up to 150 on-site vehicle parking spaces, paved and striped, must be provided for use by employees, patients and visitors, and official government vehicles. Of these, eight (8) spaces must be provided in close proximity to the building’s main entrance for use by the handicapped/disabled persons. The remainder of the parking spaces shall be within 500 feet of the building. The Lessor shall provide the greater of the following: (1) the number of parking spaces required by local building or zoning regulations, or (2) the number of parking spaces indicated herein.

5.10.2 TELEPHONE AND TELECOMMUNICATIONS EQUIPMENT ROOM: This room shall be designed to accommodate the telecommunications system and it shall be constructed to this standard: https://www.cfm.va.gov/til/dguide/OIT- InfrastrucStdTelecomSpaces.pdf There shall be NO plumbing or any other utilities not serving this room ran through this room.

5.10.3 AUTOMATED DATA PROCESSING CAPABILITY: The Lessor shall ensure all below requirements from the VA Office of Electronic Healthcare Modernization Site Infrastructure and End User Device Requirements are met.

2. Local Area Network (LAN)

2.2.1 Reference: Infrastructure Standard for Telecommunications Spaces, Version 3.1, https://www.cfm.va.gov/til/dguide/OIT-InfrastrucStdTelecomSpaces.pdf.

2.2.2 Horizontal cabling shall be Category 6 (Cat6) or higher (American National Standards Institute (ANSI)/Technology

Industries Association (TIA)-1179 Healthcare Facility Telecommunications Infrastructure). If existing horizontal cabling is not minimally Cat6, Lessor shall upgrade to Category 6A (Cat 6A).

2.2.3 Telecommunications outlets/connectors and the horizontal cross-connects (patch panels) shall be of equal or greater

Category to connected horizontal cable.

2.2.4 Installation shall be compliant with the BICSI standards (ANSI/NECA/BICSI 568, Standard for Installing

Commercial Building Telecommunications Cabling and ANSI/TIA-1179-A Healthcare Facility Telecommunications Infrastructure for new installations).

2.2.4.1 New cable installations additionally shall be compliant with TIA 568.2-D, TIA TSB-184-A, and NFPA-

70 Section 725.144 to prevent PoE heat accumulation. Provide certification reports to the COR.

2.2.4.2 Alternatively, new UTP cabling shall carry a UL listed "LP" (Limited Power) rating.

2.2.4.3 Cat6A cable shall be terminated to a CAT6A RJ-45 patch panel in IT closet and CAT6A RJ-45 jack at wall plate and labeled at both ends.

2.2.4.4 Use a cable analyzer to determine cable length (max cable length 90M/295 linear feet) and certify that cable meets or exceeds TIA-EIA-568-C.2.

2.2.4.5 Cables shall be installed in continuous lengths from origin to destination, no splices with a 1’ service loop.

2.2.5 All patch cables shall be Category 6A for copper, OM4 for multi-mode fiber or OS2 level for single mode fiber.

2.2.6 Cable management shall be implemented for all patch cables in accordance with Infrastructure Standard for

Telecommunications Spaces, Version 3.0, ensuring proper bend radius, bundling, airflow, support and labeling.

2.2.7 1 GbE connectivity to desktops, and other End User Devices.

2.2.8 End-to-End latency from the user desktop to Cerner Data Center of equal to or less than 90ms for Citrix connection.

2.2.0 Copper structured cabling shall be certified as meeting or exceeding TIA-EIA-568.1-D (max fixed cable length

90M/295 linear feet) independent of media type.

2.2.10 Lessors shall provide service with a minimum of 10 GbE fiber or better.

2.3 Power

2.3.1 Provide bonding per the VA Infrastructure Standard for Telecommunications Spaces, Version 3.0, https://www.cfm.va.gov/til/dguide/OIT‐InfrastrucStdTelecomSpaces.pdf. This work shall include, but will not be limited to, providing a single primary bonding busbar and a secondary bonding busbar in each communications room, bonding the cable trays and the racks. The VA shall be responsible for bonding rack components to the racks.

2.3.2 Upstream bonding requirements to the Secondary Bonding Busbar or Primary Bonding Busbar must use two lugs.

Bonding for telecommunications equipment must be performed per manufacturer's specifications. All grounding shall comply with ANSI/NECA/BICSI 607-C, Generic Telecommunications Bonding and Grounding (Earthing) for Customer Premises, November 2015.

2.4 Physical Security Design Requirements

2.4.1 Reference: Telecommunications and Special Telecommunications Systems Design Manual, https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf.

2.4.2 Provide an electronic Security Management System (SMS) with a Physical Access Control System (PACS). Use

Siemens security systems brand name only for proximity card readers, security hardware, sensors, cameras, alarms, control units, power supplies, wiring and other associated access control hardware and systems to create a complete and usable Siemens security system.

2.4.3 Doors shall include a mechanical spring loaded “deadlocking feature” (not separate “deadbolt” lock), PACS associate electronic Personal Identity Verification (PIV) card access device with keypad, electric strike and digital Closed Caption Television (CCTV) color camera routed to and directly controlled by the Lebanon VAMC SMS.

Use BEST access systems and locks for all locks, cores, cylinders and other associated access control hardware to create a complete and usable BEST great grand master lock and key system.

2.4.4 Telecommunication Room security system shall be connected to a UPS or emergency backup power system.

2.4.5 Facility programmable door controller shall be fully functional in a standalone status if connection to the SMS is lost. Once the connection is restored, the local door control system shall update the SMS, regarding all operations that occurred after the connection was interrupted. Then, the SMS shall update the local door control units to current operational function.

2.4.6 The PACS and SMS shall be fully compliant with VA’s PII, PIV "Smart" ID Card and at a minimum, FIPS 201-1 and NRTL (i.e. UL) listed and labeled.

5.10.4 PANIC ALARM SYSTEM: Lessor shall furnish and install one (1) panic alarm system. System shall have a wireless Panic Alarm device in rooms as noted in section 3.0 of the special requirements. Panic alarm device topography shall alarm back to Reception areas designated in 3.0 and to the local security as established by the Lessor. These main stations shall be set up to ring at the local Police station (and VA police) or Security Firm (as selected by the Lessor), if the alarm is not answered at the main “VA” station within the designated time frame (number of rings). Lessor shall provide a submittal to the Contracting Officer or designated representative for review and approval prior to procuring and installation thereof.

5.11 SECURITY SYSTEM:

Plans for this renovation shall include, but are not limited to:

A. Provide panic buttons for each existing exam room, newly created exam room, group room, check-in/administrative room and lab

B. Provide a motion intrusion detection system for the entire VA space that is monitored by motion sensors, door contacts on exterior doors, and also door contacts on IT room doors. System shall meet the following requirements:

a. An internal, automatically charging DC standby power supply and a primary AC power operations.

b. An automatic reset capability following an intrusion detection

c. A local alarm level of 80 dB (min) to 90 dB (max) within the configuration of the protected area.

d. A low nuisance alarm susceptibility

e. Annunciators/keypad shall be located at front and rear entrance and shall have the capability of identifying protected zones.

f. System shall have the capability of transmitting alarms to an off-site alarm 24 Hr. monitoring company and VA police service.

g. Telecommunications Closet: Room must have motion detection inside the room and intrusion detection on the door. Room must have electronic physical Access Control Systems (EPACS) controlling entry to the room. If any of the walls of the telecommunications closet are exterior walls, they must be either brick or CMU construction or have security mesh screening installed within the walls.

C. Physical Access Control System (PACS) shall consist of:

a. Head-end equipment server

b. One or more networked PC-based workstations

c. Physical Access Control System and Database Management Software

d. Credential validation software/hardware

e. Field installed controllers

f. PIV Middelware

g. Card readers

h. Biometric identification devices

i. PIV <PIV-I>, <Legacy CAC>, <CAC NG>, <CAC EP>, <TWIC>, <FRAC> cards

j. Supportive information system

k. Door locks and sensors

l. Power supplies

m. Interfaces with:

i. Video Surveillance and Assessment System

ii. Gate, turnstile, and traffic arm controls

iii. Automatic door operators

iv. Intrusion Detection System

v. Intercommunication System

vi. Fire Protection System

vii. HVAC

viii. Building Management System

ix. Elevator Controls

D. PACS shall provide secure and reliable identification of Federal employees and contractors by utilizing credential authentication per FIPS-201.

E. Head-end equipment server, workstations and controllers shall be connected by a high-speed electronic data transmission network.

F. Security doors, windows, walls, ceilings shall be incompliance with VHA CFM guidance regarding physical security of VA facilities. Available at: http://www.cfm.va.gov/til/spclRqmts.asp#PHS

5.11.1 MOVABLE MODULE CASEWORK: Movable modular casework may be installed in any or all of the Office/Medical Space, as determined by the staff. The VA designated representative shall provide the Lessor with the appropriate data so that the Lessor can provide the appropriate wall structure to support the manufacturer’s products in accordance with standard Building Codes concerning Government-Owned Property-Movable Module Casework.

5.12 NET USABLE SQUARE FEET = NUSF REQUIREMENTS:

Berks VA Clinic Space Plan

TOTAL

FUNCTION Size(SF) Qty Total NSF Section

Scale Alcove 60 2 120 5.13.20

Exam Room 150 28 4200 5.13.9

Consult Office 130 14 1560 5.13.16

Lab 300 1 300 5.13.18

Medication Storage Room 80 2 160 5.13.17

Sterile Supply Closet 50 4 200 5.13.21

Soiled Storage 50 4 200 5.13.22

Tele‐Retinal 120 2 240 5.13.11

Touchdown Room 110 6 660 5.13.10

Education/Conference Room 200 4 800 5.13.8

Open Office Area 1550 6 9300 5.13.14

Clerk's area 350 1 350 5.13.2

Medical Supplies 100 4 400 5.13.13

Break Room 100 2 200 5.13.4

Waiting area 500 1 500 5.13.1

Staff RR 50 8 400 5.13.5

Vet RR 50 12 600 5.13.6

Equipment Storage 100 4 400 5.13.12

Housekeeping 50 2 100 5.13.19

IT Closet 100 3 300 5.13.7

Rehab Clinic 1600 1 1600 5.13.15

Vestibule 100 1 100 5.13.1

TOTAL NET SQUARE FEET 22693

Net useable square footage

Corridors & Circulation 7249 5.13.3

Total Net Usable Square Footage 29,939 Maximum NUSF

Please note that entrance Vestibule and Corridor sizes will vary dependent on the configuration of the building.

5.12.1 GENERAL INFORMATION: Refer to current VA Master Construction Specifications (MCS) and Standard Details (SD) for more complete information on items listed in this document. MCS and SD can be found on Internet at the following address:

http://www.cfm.va.gov/til/space.asp

For complete Design Guides and detailed requirements please see CFM Design Criteria located at http://www.cfm.va.gov/til/criteria.asp Design guides includes detailed requirements for Architectural, Electrical, HVAC, Plumbing, Site, Interior Design, and Structural elements.

All partitions within the VA space shall be full height from floor slab to deck or roof above. HVAC shall incorporate a fully ducted return. Architectural design shall be designed to ensure warehouse functionality.

Landlord shall be responsible to maintain on-site testing and maintenance manuals/logs for all Electrical, Mechanical, or Life Safety systems. Emergency battery light tests, generator tests, etc… Tests and results of previous months test shall be submitted electronically as PDF to COR with each month’s payment. Additional tests and reports may be requested from COR as necessary to meet NFPA or other regulatory requirements. Additional tests and reports shall be at no additional cost to the VA.

5.12.2 NURSE CALL: Nurse call will have both visual and audio capabilities. Please refer to VA specs above for additional information.

5.13 TECHNICAL SPECIFICATIONS:

5.13.1 VESTIBULE (1x 100 s.f.):

ADA compliant entrance with air lock and automatic doors. See section 3.29 for additional details.

If the main entrance to the building is remote from the VA leased space, Lessor shall provide some form of a communication system (intercom) from the remote entrance to the VA Administrative area.

Door shall have a dimensional 6” x 30” tempered glass vision panel. ( Opaque glass 50% ) Finishes:

o Wall – GWB-W2,3; Paint/Wall covering o Floor – CPT/SVT o Base – RB

Door: ½ S-T o Hardware – 4G

Doors in corridor spaces shall be wide enough to accommodate bariatric wheelchairs. Minimum width dimensions to be provided by the VA.

All public doors and bathroom entry doors shall have automatic door openers including any doors within the general circulation path of the clinic. See section 3.24 for additional details.

WAITING AREA (1x250s.f.)

ADA compliant entrance with air lock and automatic doors. See section 3.29 for additional details.

If the main entrance to the building is remote from the VA leased space, Lessor shall provide some form of a communication system (intercom) from the remote entrance to the VA Administrative area.

TV Cable outlet and power. Location to be provided by the VA.

Four (4)-Telecommunication Outlets-locations as determined by VA.

Twelve (12) - Electrical outlets--locations as determined by the VA.

Panic Alarm mounted to furniture supplied by the VA, in location determined by the VA.

Door shall have a dimensional 6” x 30” tempered glass vision panel. ( Opaque glass 50% ) Finishes:

o Wall – GWB-W2,3; Paint/Wall covering o Floor – CPT/SVT o Base – RB

Door: ½ S-T o Hardware – 4G

Doors in corridor spaces shall be wide enough to accommodate bariatric wheelchairs. Minimum width dimensions to be provided by the VA.

All public doors and bathroom entry doors shall have automatic door openers including any doors within the general circulation path of the clinic. See section 3.24 for additional details.

5.13.2 CLERKS AREA (1x 350 s.f.):

Suspended ceilings shall be used within the office area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of the partitions with the floors and ceilings must be caulked.

All perimeter walls shall extend from floor slab to structure above (including drywall) to insure acoustical privacy.

Four (4) - Telecommunication outlets-- locations as determined by VA.

Twelve (12) - Electrical outlets-- locations as determined by the VA.

Main Station for Nurse Call to be located in this area, exact location to be determined by the VA.

Main Panic Alarm Station to be located in Reception Area.

Two (2) panic alarms mounted to reception desk. Exact location to be determined by VA.

Minimum of 20’-0” of Solid Surface Reception Counter designed in according to VA requests. Reception Counter to have a work height of 32” above the finished floor, with a transaction counter height typically to be 42” high with areas to accommodate ADA interaction. Reception Counter to include movable glass partitions.

Finishes:

o Wall – GWB6; Paint o Floor - VCT o Base - RB

5.13.3 CORIDOORS AND CIRCULATION (1x 3480 s.f.):

• ADA compliant.

• Two (4)- Electrical outlets--locations as determined by the VA.

• Door shall have a dimensional 6" x 30" tempered glass vision panel. ( Opaque glass 50% )

• Finishes:

o Wall- GWB-W2,3; Paint/Wall covering o Floor - CPT/SVT o Base-RB o Hardware 4G

5.13.4 STAFF BREAK ROOM (100 s.f.):

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of the partitions with the floors and ceilings must be caulked.

All perimeter walls shall extend from floor slab to structure above (including drywall) to insure acoustical privacy.

Three (3) - Telecommunication outlets-- locations as determined by VA.

Twelve (12) - Electrical outlets-- locations as determined by the VA, including accommodations for a microwave

(provided by the VA) in the casework described below.

Casework: Minimum 9’lineal feet (base and wall cabinets) with 19”x 20”x 8” deep stainless steel sink.

Faucet: American Standard No. 2000.100 with a No. 7522.055 gooseneck spout and a plain outlet and wrist blades or approved equal.

Drain 1-1/4” grid drain. American Standard No. 7719.016 or approved equal.

Trap: 1-1/4” x 1-1/2” adjustable brass, McGuire, No. 8090 with No. 2127 nipple to wall or approved equal.

Dispenser, paper towel: Multifold, stainless steel, wall mounted, 40” above finished floor, 10-3/4” wide x 4” deep x 14-

3/4” high, Bobrick Washroom Equipment Co., Inc., Model No. B-262 o Wall – GWB; Paint o Floor - SVT

5.13.5 STAFF TOILET ROOMS (4x 50 s.f.):

All perimeter walls shall extend from floor slab to structure above to insure acoustical privacy.

Ceilings to be made of drywall to be painted.

Water Closet, Wheelchair: Wall hung, siphon jet, elongated bowl, Kohler, No. K-4130-ET or approved equal.

Seat: Church, No. 296 (white) or approved equal, Flush Valve: Sloan, No. 110 or approved equal.

Toilet Tissue Dispenser: Double Roll, with lock or approved equal, Scott, Model No. 9600 or approved equal.

Clothes Hook: Hung on enclosure or toilet door, Bobrick Washroom Equipment Co., Inc., Model No. B-211 or approved equal.

Lavatory, Wheelchair: Wall Hung 4” centers with automatic sensors, gooseneck spout with plain outlet, at VA’s option, power operated, and automatic sensors may be required. Drain 1-1/4” grid drain, American Standard No. 7723.018.

Trap: 1-1/4” x 1-1/2” adjustable brass or approved equal, McGuire, No. 8090 with No. 2127 nipple to wall or approved equal.

Nurse Call devices for each toilet.

Finishes:

o Wall – GWB2; Paint o Floor - PT o Base - PT o Wain - CT, 4’-0”

Mirror: Over Wheelchair, Lavatory, 24”x 36”, with acrylic frame Bobrick Washroom Equipment Co., Inc., Model No. B-262 w/ two soap dispensers or approved equal (two different soaps as denoted in section 1.5).

5.13.6 VETERAN REST ROOMS (MALE & FEMALE) (6x 50 s.f.)

Automatic, power operated door opener.

Male Public Toilet to include Urinal and appropriate Toilet partitions to visually screen users.

Ceilings to be made of drywall and to be painted.

All perimeter walls shall extend from floor slab to structure above to insure acoustical privacy.

Nurse Call devices for each toilet.

Water Closets (2), Wheelchair: Wall hung, siphon jet, elongated bowl, Kohler, No. K-4130-ET or approved equal.

Seat: Church, No. 296 (white) or approved equal, Flush Valve: Sloan, No. 11 or approved equal.

Toilet Tissue Dispenser (2): Double Roll, with lock, Scott, Model No. 9600 or approved equal.

Grab bars: For water closet, Bobrick Washroom Equipment Co., Inc., Model No. B-620 or approved equal.

Architectural Standard Detail 12 and 14B. (36” & 42” bars).

Clothes Hook: Hung on enclosure or toilet door, Bobrick Washroom Equipment Co., Inc., Model No. B-211 or approved equal.

Lavatory, Wheelchair: Wall Hung 4” centers with automatic sensors, gooseneck spout with plain outlet. At VA’s option, power operated automatic sensors may be required. Drain 1-1/4” grid drain, American Standard No. 7723.018 or approved equal.

Trap: 1-1/4” x 1-1/2” adjustable brass, McGuire, No. 8090 with No. 2127 nipple to wall or approved equal Finishes:

o Wall – GWB2; Paint o Floor - PT o Base - PT o Wain - CT, 4’-0”

Mirror: Over Wheelchair, Lavatory, 24”x 36”, with acrylic frame Bobrick Washroom Equipment Co., Inc., Model No. B-262 w/ two soap dispensers or approved equal (two different soaps as denoted in section 1.5).

5.13.7 TELECOMMUNICATION CLOSET (1x 100 s.f.):

3 walls covered with ¾” fire retardant plywood, mounted on the wall and painted.

All walls MUST be floor to deck construction for this room.

Solid Core Door with deadbolt lock. No door ventilation larger than 100 square inches.

Four -4 electrical outlets (quad receptacle) on a dedicated circuit.

Overhead lighting.

See section 2 for additional telecommunication equipment requirements within the room.

The size of the room shall be a minimum of 10’ x 10’.

HVAC: This room shall be designed to accommodate the telecommunications system: it shall provide a 65 to 75 degree temperature range and a 40 to 60 relative humidity range 24 hours a day, 7 days a week, in order to minimize damage to Government-Owned-Equipment (GOE) delicate electronic circuits (for computerized systems only). See additional HVAC requirements in section 3.2.

Finishes:

o Wall – GWB; Paint

5.13.8 EDUCATION/CONFERENCE ROOM (2x 200 s.f.):

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 45-50 shall be used. The intersection of the partitions with the floors and ceilings must be caulked.

All perimeter walls shall extend from floor slab to structure above (including drywall) to insure acoustical privacy.

Cubicle Curtain tracks and cubicle curtains to accommodate 2 Blood Draw chairs Finishes:

o Wall – GWB2,4; Paint o Floor - CPT o Base - RB

Four (4) - Telecommunication outlets-- locations as determined by VA.

One (1) Panic Alarm. Location as determined by the VA.

5.13.9 EXAM ROOM (14 x 150 s.f.):

Suspended ceilings shall be used within the office area. Acoustical tile with an STC rating of 50-54 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

Offices to have Casework: Minimum 2’lineal feet (base cabinet only) with 19”x 20”x 8” deep stainless steel sink.

Sink, Faucet: American Standard No. 2000.10 (or approved equal) with No. 7522.055 (or approved equal) gooseneck spout with plain outlet and wrist blades, at VA’s option, power operated automatic sensors may be required.

Sink: Drain 1-1/4” grid drain. American Standard No. 7719.016 or approved equal Sink: Trap: 1-1/4” x 1-1/2” adjustable brass, McGuire, No. 8090 or approved equal with No. 2127 or approved equal nipple to wall.

Dispenser, paper towel: Multifold, stainless steel, wall mounted, 40” above finished floor, 10-3/4” wide x 4” deep x 14-

3/4” high, Bobrick Washroom Equipment Co., Inc., Model No. B-262 or equal with two soap dispensers (different types as denoted in section 1.5).

Two (2) - Telecommunication outlets-- locations as determined by VA.

Twelve (12) - Electrical outlets-- locations as determined by the VA.

One (1) Panic Alarm mounted to furniture supplied by the VA, in location determined by the VA.

HVAC: 6 air changes/hr & 2 outside air changes/hr. Dedicated temperature control. Design for 75-70 degrees F and

60%-20% Relative Humidity.

Finishes:

o Wall – GWB2; Paint o Floor - SVT

All cabinetry around sinks in exams rooms should be locked.

5.13.10 TOUCHDOWN OFFICE (3x 110 s.f.):

Suspended ceilings shall be used within the office area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

Two (3) - Telecommunication outlets-- locations as determined by VA.

Twelve (4) - Electrical outlets-- locations as determined by the VA.

HVAC: 6 air changes/hr & 2 outside air changes/hr. Dedicated temperature control. Design for 75-70 degrees F and

60%-20% Relative Humidity.

Finishes:

o Wall – GWB6; Paint o Floor - CARPET

5.13.11 TELE-RETINAL CAMERA ROOM (1x120 s.f.):

Suspended ceilings shall be used within the office area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

This room MUST be an interior room (no windows).

Two (2) - Telecommunication outlets-- locations as determined by VA.

Six (6) - Electrical outlets-- locations as determined by the VA.

One (1) Panic Alarm mounted to furniture supplied by the VA, in location determined by the VA.

Finishes:

o Wall – GWB2; Paint o Floor - SVT

5.13.12 EQUIPMENT STORAGE ROOM (2x 100 s.f.):

6- Electrical outlets, location as determined by VA.

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

One (1) - Telecommunication outlet, location as determined by the VA.

Finishes:

o Wall – GWB; Paint

5.13.13 MEDICAL SUPPLIES STORAGE (2x 100 s.f.):

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

One (1) - Telecommunication outlet, location as determined by the VA.

HVAC: 4 air changes/hr and positive pressure. Dedicated temperature control not required. Design for 75-70 degrees

F and 60%-20% Relative Humidity.

Finishes:

o Wall – GWB(SC); Paint o Floor - WSF o Base - WSF

5.13.14 OPEN OFFICE AREA (3x 1550 s.f.):

Suspended ceilings shall be used within the office area. Acoustical tile with an STC rating of 44-46 shall be used. The intersection of the partitions with the floors and ceilings must be caulked.

Finishes:

o Wall- GWB6; Paint o Floor - carpet o Base –RB o Duplex Electrical Outlets – 8 o Data outlets – 7 o Floor electrical and data will be needed for furniture in open area.

5.13.15 REHAB MEDICINE ROOM (1X800 SF):

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 44-46 shall be used. The intersection of the partitions with the floors and ceilings must be caulked.

Six (6) - Telecommunication outlets-- locations as determined by VA.

Twelve (12) - Electrical outlets-- locations as determined by the VA, some will be floor mounted.

Floor – Specialized VCT/Rubber for Physical Therapy Walls – painted GWB Base – RB

5.13.16 CONSULT OFFICE (7x 130 s.f):

Twelve (12)- Electrical outlets, location as determined by VA.

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 54-56 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance, and approved by COR.

Three (3)- Telecommunication outlet, location as determined by the VA.

Wall boxes for Salto Locks (2) and Nurse Call (1) Finishes:

o Wall – GWB2,4; Paint/Wall covering o Floor –VVT

5.13.17 MEDICATION STORAGE ROOM (1x 80 s.f.):

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

One (1) - Telecommunication outlet, location as determined by the VA.

Finishes:

o Wall – GWB2; Paint o Floor –RSF o Base - RB

Door: ½ S, CR o Hardware: SH-3D

5.13.18 LAB (1x 150 s.f.):

Suspended ceilings shall be used within the office area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

Offices to have Casework: Minimum 2’lineal feet (base cabinet only) with 19”x 20”x 8” deep stainless steel sink.

Sink: Faucet: American Standard No. 2000.100 or approved equal with No. 7522.055 or approved equal gooseneck spout with plain outlet and wrist blades, at VA’s option, power operated automatic sensors may be required.

Sink: Drain 1-1/4” grid drain. American Standard No. 7719.016 or approved equal Sink, Trap: 1-1/4” x 1-1/2” adjustable brass, McGuire, No. 8090 or approved equal with No. 2127 or approved equal nipple to wall.

Dispenser, paper towel: Multifold, stainless steel, wall mounted, 40” above finished floor, 10-3/4” wide x 4” deep x 14-

3/4” high, Bobrick Washroom Equipment Co., Inc., Model No. B-262 or equal with two soap dispensers (different types as denoted in section 1.5).

Three (3) - Telecommunication outlets-- locations as determined by VA.

Twelve (12) - Electrical outlets-- locations as determined by the VA.

One (1) Panic Alarm mounted to furniture supplied by the VA, in location determined by the VA.

HVAC: 6 air changes/hr & 2 outside air changes/hr. Dedicated temperature control. Design for 75-70 degrees F and

60%-20% Relative Humidity.

Finishes:

o Wall – GWB(SC); Paint/Wall covering o Floor – WSF o Base - WSF

Door: ½ V-T o Hardware – 4K

5.13.19 HOUSE KEEPING (1x 50s.f.):

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

One (1) - Telecommunication outlet, location as determined by the VA.

HVAC: 6 air changes/hr and negative pressure.

Finishes:

o Wall – GWB(SC); Paint o Floor - WSF o Base - WSF

5.13.20 SCALE ALCOVE (1X60 sf):

o Drywall on 3 sides of the room, open to the corridor.

o Same floor and wall finish as corridor. (5.13.3) o Drop Acoustic Ceiling o Scales will be provided by VA, embedded flush into the floor.

5.13.21 STERILE SUPPLY CLOSET (2 X 50 sf):

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of the partitions with the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance, and approved by COR.

Finishes:

o Wall - GWB2,4; Paint o Floor- VCT o Base -RB

One (1)- Telecommunication outlets-- locations as determined by VA.

One (1) Duplex Electrical Outlets

5.13.22 SOILED STORAGE (2 X 50 sf):

1- Electrical outlets, location as determined by VA.

Suspended ceilings shall be used within the area. Acoustical tile with an STC rating of 40-44 shall be used. The intersection of all partitions affixed to the floors and ceilings must be caulked.

All perimeter room walls (included drywall) to extend from floor slab to structure above to insure acoustical privacy.

Any mechanical penetrations through wall to be addressed acoustically to insure patient privacy. Proposed method to be specified prior to SFO acceptance and approved by COTR.

One (1)- Telecommunication outlet, location as determined by the VA.

Two Sinks will be provided, one for hand washing, and a deep sink for equipment cleaning.

Room will be negative pressure.

Finishes:

o Wall - GWB; Paint o Base -RB.

5.13.23 LIGHTING: INTERIOR AND EXTERIOR

5.13.20.1 Interior Lighting: The Lessor shall install only super high efficiency/low mercury lamps throughout the premises.

Incandescent bulbs shall not be used. Interior fluorescent light systems shall not exceed 2.0 watts/BOMA Usable square foot. Such fixtures in all clinical areas and other workspaces shall be capable of producing and maintaining a uniform light level of 50 foot-candles at working surface height throughout the space unless noted differently in this document for a specific space type. All non-working areas illumination shall meet minimum safety levels of 10 foot-candles. Exceptions to lighting power density requirements stated here may be granted with pre-contract approval by the VA Clinic Director, Lease Contracting Officer, or Contracting Officer’s Technical Representative (COTR). When the space is not in use by the Government, interior and exterior lighting, except that essential for safety and security purposes, shall be turned off.

Unless noted otherwise in the space requirements Specification section 3.1 to 3.21, the following lighting illumination levels will be followed for all non-clinical areas. See VA lighting requirements VA Electrical Design Manual Chapter 6 and Appendix A. See http://www.cfm.va.gov/til/dManual/dmELhosp.pdf :

Work Surfaces (includes task lighting) 50 ft-candles Work Area Ambient Lighting 30 ft-candles Telecommunications Room(s)/Closet(s) 50 ft-candles (to be controlled by occupancy sensor) Special Purpose Area(s) 75 ft-candles (to be controlled by occupancy sensor) Garage Areas (if applicable) 50 ft-candles (to be controlled by occupancy sensor) Hallways/Corridors 25 ft-candles Conference/Meeting Rooms

Fluorescent/LED Lighting 30 - 70 ft-candles (using dimmable fluorescent ballasts or split switching) Incandescent Lighting 10 - 30 ft-candles (using split switching, or dimmable incandescent lighting)

Drafting Areas 50 ft-candles (to be controlled by occupancy sensor) High Density Filing Areas 50 ft-candles Office Automation Center 30 ft-candles Document Processing Center 30 ft-candles Restrooms 40 ft-candles (to be controlled by occupancy sensor) Parking Lot Areas 1 ft-candle (parking lot and exterior lighting shall be controlled by a programmable timer with an integrated photocell control device) Exit Lighting LED type fixtures consuming no more than 2 watts per fixture Flagpole Lighting shall be in accordance with flag display protocol

Building entrances and parking areas shall be lighted. Ballasts are to be rapid-start, thermally protected, voltage regulating type, UL listed and ETL approved. Photometric calculations shall be provided for all proposed spaces.

Lighting systems shall meet or exceed current energy efficiency requirements defined in state building code for energy efficiency. All fluorescent lighting fixtures shall be energy-efficient, dual electronic ballast type capable of split switching and suited to the application. Instant start ballasts shall be used where the fixtures are turned on and left on all day. Rapid start ballasts shall be used in auxiliary spaces where the fixtures will be turned on and off by occupancy or motion controls. All fluorescent lighting shall be electronically ballasted only. Space lighting power densities shall not be greater than those defined in ASHRAE 90.1-2007. LED, T-8 or T-5 fluorescent lamps shall be provided with a color rendering index (CRI) of 85 and a color temperature of 3500°K. Photometric calculations and space by space lighting power density calculations shall be provided for all proposed lighting designs.

Lighting controls shall minimally include the following functions: on-off switching, programmable time clock based switching. Non-clinical spaces shall include occupancy sensors controls of light fixtures to reduce energy consumption by switching off fixtures in unoccupied areas. All occupancy sensor controls shall include a user override feature. Coordinate all spaces for occupancy sensor control with the VA.

Lighting control technologies shall be installed to effectively combine the use of daylight and fluorescent lighting with daylight sensors and dimmable LED or fluorescent ballasts in open office areas and lobbies with daylight access.

In general, the lighting schemes should avoid high contrast, scalloped patterns, or other visually distracting results.

5.13.20.2 Exterior Lighting: Exterior parking areas, vehicle driveways, pedestrian walkways, and building perimeter shall have 5 foot-candles for doorway areas, 3foot-candles for transition areas (including stairwells), and at least 1 foot-candle overlapping throughout the lot, except where local codes conflict. Parking area illumination shall be designed to conform to VA Illuminance standards (on Illuminating Engineering Society (IES) standards. Indoor parking shall have a minimum of 1.0 foot-candles average illuminance and shall be designed based on VA and IES standards. Low pressure sodium fixtures are prohibited. The intent is to provide adequate lighting at entrances/exits, garages, parking lots or other adjacent areas to the building to discourage crimes against persons. See VA lighting requirements “VA Electrical Design Manual” Chapter 6 and Appendix A. See http://www.cfm.va.gov/til/dManual/dmELhosp.pdf . Space lighting power densities shall not be greater than those defined in

ASHRAE 90.1-2007.

Exterior building lighting must have emergency power backup to provide for safe evacuation of the building in case of natural disaster, power outage, or criminal/terrorist activity.

5.13.24 AUTOMATIC FRONT ENTRANCE DOORS (VESTIBULE):

Automatic doors shall be installed at the main entrance to the building and main entrance to the clinic. Also, any doors leading to clinic areas, in public passage ways shall have automatic door operators. These operators may vary from entrance door style, due to corridor configuration.

Interior and exterior configuration shall be identical with swing outside lights and two 2’-6” sliding doors, with transoms, Stanley Model No. 8860 or approved equal, to fit a rough opening of 12’-0” wide by 9’-0” high, or size can vary dependent upon configuration of the building as long as the doors are power operated and are ADA compliant.

Operators shall be Stanley Dynaglide electric operators or approved equal. Electrical characteristics-117 volt, 16 amp 60 cycle.

Sensors shall be motion detector type with:

Self-contained units mounted on the headers.

Color to match door package.

Automatic compensation for line voltage.

Adjustable for sensitivity and tilt.

Finish and color shall match remainder of the building o If the sliding doors are utilized and accepted as required exits, the doors shall be designed to open manually in the event of a power failure.

5.13.25 FINISH REQUIREMENTS:

All finishes shall be selected and approved by VA prior to purchase and installation by contractor Finish Abbreviations and minimum standards

AT Acoustical Ceiling (Tile) – Section 09.30.13 “Acoustical Ceilings” 24”x24” grid Minimum .65 NRC, 40 CAC and/or 180 AC Sag resistant Inherently Antimicrobial Minimum .85 light reflect Example: Armstrong Health Zone Optima CPT Carpet Tile – Section 09.68.00 “Carpeting”

Solution Died Made is sustainable/recycled material Minimum 28 oz. face weight Minimum 1/10 gauge Antimicrobial Lifetime commercial warranty Example: Shaw Knit Tile

CT Ceramic Tile – Section 09.30.12 “Ceramic/Porcelain Tiling” Example: DalTile Sandalo Collection, including accent LN Linoleum – Section 09.65.16 “Resilient Sheet Flooring”

0.100 inch gauge

Example: Armstrong NATURCote GWB Gypsum Wallboard Systems – Section 09.29.00 “Gypsum Board” PT Porcelain Tile (Floor and Base) – Section 09.30.12 “Ceramic/Porcelain Tiling” Example: Daltile Del Monoco, including accent RB Resilient Base (Rubber or vinyl with factory formed inside and outside corners) – Section 09.65.13 “Resilient

Base and Accessories” Example: Johnsonite Wall Base RSF Resilient Sheet Flooring (Chemically Welded Seams) - Section 09.65.16 “Resilient Sheet Flooring” Example: Armstrong Timberline or Perspectives SVT Solid Vinyl Floor Tile (Luxury Vinyl Tile) - Section 09.65.19 “Resilient Tile Flooring” Example: Centiva Contour WSF Welded Seam Sheet Flooring (Heat Welded with Rod) - Section 09.65.16 “Resilient Sheet Flooring”

Example: Armstrong Timberline or Perspectives

All adhesives’ sealants, and compound products employed on this project (including, but not limited to, adhesives for carpet, carpet tile, plastic laminate, wall coverings, adhesives for wood, or sealants) shall be those with the lowest possible VOC content below 20 grams per liter and which meet the requirements of the manufacturer of the products adhered or involved and shall be antimicrobial with no hazardous vapors and contain no carcinogenic materials. The Lessor shall use adhesives and sealants with no formaldehyde or heavy metals. Acceptable products will be Green Seal approved or VA approved equivalent.

All paints and coatings will be a green chemical products. Acceptable products will be Green Seal approved or VA approved equivalent. http://www.greenseal.org/FindGreenSealProductsAndServices.aspx

5.13.26 SUSTAINABLE AND RECYCLING REQUIREMENTS:

All specified products must demonstrate that they are a green product and meet the following characteristics:

1. Utilize sustainable practices to eliminate, minimize, or mitigate adverse environmental impacts

2. Integrate pollution prevention, waste reduction, and natural resource conservation in their manufacturing process

3. Contain sustainable, recycled, and/or recovered material

All supporting documentation is requested at time of selection by VA.

The premises shall include the following recycling features:

A. Building Recycling Program: The Lessor shall, at all times during the term, provide all labor and receptacles for collection, storage, and disposal of (at a minimum) paper, glass, plastics, cardboard/OCC, metals, batteries and fluorescent light bulbs.

The Lessor shall provide an easily accessible, appropriately sized (2 square feet per 1,000 square feet of building gross square foot) area that serves the tenant space for the collection and storage of materials for recycling. Telecom rooms are not acceptable as recycling space. During the lease term, the Lessor agrees, upon request, to provide the Government with additional information concerning recycling programs maintained in the building and in the leased space.

B. Waste and Diversification Audit: Lessor shall maintain a log of the following information: type of load; load weight; name of hauling service; recycling service or landfill name; and date accepted by recycling service or by landfill. The VA reserves the right to audit the log at any time. Lessor shall conduct a diversification audit every 18 months from the beginning of the lease term.

C. Waste Storage and Transport: The Lessor shall designate a specific on site area or areas to facilitate separation of materials for potential reuse, salvage, recycling, and return. The VA shall keep waste bins and pile areas neat and clean, clearly mark bins for each category of waste, and not commingle non-recyclable waste with materials designated for reuse or recycling.

The Lessor shall not permit designated materials to become contaminated or to contaminate…