S02 Exhibit C_ ASR_Statement of Work Standalone Dental Clinic_Durham without SPS_1.pdf

Standalone Dental Clinic

Statement of Work

The Department of Veterans Affairs will acquire 10,636 usable square feet and 12,232 rentable square feet for a Standalone Dental Clinic in the Raleigh-Durham area with 20- Treatment Rooms. The facility should be suitable for retrofitting or designed for general dental services, including comprehensive patient care such as periodontal treatments, fillings, crowns, and preventive education. The clinic must house both administrative and dental staff on a single floor in a contiguous, high-quality building that is new, modernized, or rehabilitated. In case of discrepancies, the Agency-Specific Requirement (ASR) will supersede the lease document.

Basic Standards

The facility must be in excellent condition before VA occupancy. The Lessor will provide three color boards for finish selection prior to any construction, refinishing, or remodeling.

The facility must be designed to house both administrative and dental staff on a single floor. The desired space should be contiguous and located in a professional and visually appealing building. The space offered must be in a high-quality structure, either a new or modernized building, or one that has been restored or rehabilitated for this intended use.

The space must be in a Class A or B building, offering high-quality commercial office/clinical space in attractive and professional surroundings, rather than industrial areas. The streets and public walkways must be well maintained.

The space must have access to at least one mode of public transportation, specifically bus services, that can connect to the VA facility. Additionally, it must be within walking distance of 400 meters (or ¼ mile) of the mass transit system, bus stop, or rail system.

The facility must be visible and accessible from main roads, with adequate ingress and egress for public transportation and an emergency loading zone.

*For any specific questions regarding the layout, please direct them to the Veteran Affairs (VA) Lease Contracting Officer for resolution. The Government will not be responsible for any errors, omissions, or assumptions made by the Lessor while adapting the Government's requirements to the Lessor's space.

The Lessor is responsible for utilizing the VA Dental Design Guide, the Technical Information Library (TIL), and the Design and Leasing Criteria to tailor the Government's requirements to the space. For more information, refer to the TIL Catalog available at the Office of Construction & Facilities Management (va.gov). https://vatilms.va.gov/vatilms/catalog.

The Lessor shall meet with the Contracting Officer, the Dental Clinic Integrated Project Team, and the Contracting Officer’s Representative (COR) before starting the design to clarify the requirements for the GOVERNMENT-FURNISHED DESIGN CRITERIA. The design must adhere to the relevant VA documents specified in this work order amendment. Go here to https://vatilms.va.gov/vatilms/reports/PG-18-1%20Master%20Construction%20Specifications, Type in “Dental”, review the required documents.

https://vatilms.va.gov/vatilms/catalog https://vatilms.va.gov/vatilms/reports/PG-18-1%20Master%20Construction%20Specifications

SITE CONSIDERATION

PARKING

A. The site will provide 60 well-lit parking spaces for regular and handicapped vehicles, including a designated van drop-off/loading area.

B. Parking should be within 250 feet (76 meters) of the entrance, with no pedestrian crossings over drive lanes or highways.

C. Spaces will be striped and resurfaced every five years, and lighting will ensure safety while minimizing nighttime pollution.

D. The 60 accessible parking spaces must be directly adjacent to the building, within 60 feet of the entrance, and marked by signage from the lessor.

E. The clinic entrance must also comply with the accessibility requirements of the Americans with Disabilities Act (ADA).

HOURS OF OPERATION

The office hours are Monday to Friday from 7:00 a.m. to 5:30 p.m. with weekend clinic hours from 8:00 a.m. to 12 p.m. The Government must have access to the office space Monday to Friday from 6:00 a.m. to 8:00 p.m. and Saturdays from 7 a.m. to 1 p.m. at no extra cost. This includes access to elevators, restrooms, lights, and electricity.

The Durham VA Dental Clinic Team will give a seven (7)-day notice for holiday access.

Weekend access notifications will be sent to the Contracting Officer or Contracting Office Representative without additional cost to the Government.

Government Holidays:

Recognized Government Holidays include New Year's Day, Martin Luther King Jr. Day, Presidents Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day, and any other holidays authorized by the President. Holidays on Saturday will be observed on the preceding Friday, and those on Sunday will be observed on the following Monday.

The lessor should inform the Government of any holidays they observe that the Government does not recognize and provide emergency access contacts.

*The VA Police Service must have access to space 24/7, every day of the year.

EXHAUST/HVAC SYSTEM

Any conflict with lease documents the ASR/SOW shall govern. If conflict exist in this ASR/SOW, the most restricted will apply.

*Emergency Epidemic Air Handling Unit, All Sterile Instrument Storage, and All Cone Beam Computerize Tomography specifications are excluded from this statement of work.

Dental Clinicsare not mandated to follow the Leased Design Narrative for

HVAC design or the HVAC Design Manual for HVAC Units. Direct Expansion (DX) UNITS ARE PERMITTED.

The lessor must comply with American Society of Heating, Refrigerating and Air- Conditioning Engineers (ASHRAE) and the local Authority Having Jurisdiction (AHJ). Go to https://www.cfm.va.gov/til/leasing.asp, then click on VA Leased CBOC Design Narrative Scroll to 4.4 Mechanical HVAC Design Guide to review HVAC Design Guidance.

The Lessor is required to complete an NFPA 99 Risk Assessment. Most

Leased Facilitiesare Category 3 or 4. If the facility meets Category 3 or 4 of the NFPA Risk Assessment, a generator is not required.

This Dental Clinic is classified as an Ancillary Facility according to

Program Specific Requirementsand Design Manual (PSRDM) Section

1.4.1.3 for Ancillary Facilities and does not require a generator.

Heating, Ventilation, and Air Conditioning: General. The Lessor will provide air conditioning systems to heat, cool, and ventilate the Dental Clinic as required to meet VA design criteria. Dental Clinic HVAC requirements are listed in the VA HVAC Design Manual (pgs. 6-50, 6-51, 6-52 and 6-53).

The HVAC design must include exhaust air provisions to control odors and ensure proper room pressurization and air changes per hour, in accordance with the VA HVAC Design Manual or relevant code standards. Lessors must check the Dental Clinic - Room Data Sheet in the VA HVAC Design Manual to assess the AHU requirements for specific dental clinic rooms.

The lessor shall provide commercial-grade room temperature sensors with programmable limits and night setback override capabilities. Sensor locations must comply with VA OIT standards, approved by OIT and the Interior Design Team.

Sensors should not be on exterior walls or partitions between conditioned and non- conditioned spaces. *Coordination with existing or proposed furniture layouts is required.

https://www.cfm.va.gov/til/leasing.asp

EXHAUST/HVAC SYSTEM (Cont’d).

https://vatilms.va.gov/vatilms/criteria-viewer/90196?type=application%2Fpdf&title=HVAC&name=dmHVAC-2024- 03.pdf (Go to https://vatilms.va.gov, then click on TIL Catalog, go to Design Manuals(PG-18-10), search for HVAC, then search for Dental.)

TELECOMMUNICATION CLOSET (IT CLOSET)

All OIT areas shall be built in accordance with the most recent version of VA OIT- Infrastructure Standards: https://www.cfm.va.gov/til/telecom.asp

The data closet must be at least 100 square feet, have overhead lighting, a solid reverse door opening into the hallway, and a two-inch conduit from the building demarcation to the OIT closet. Access is restricted to VA personnel only and should not be shared with other tenants.

The conduit should have four CAT 6A cables and space for two (2) fiber connections.

Services such as a T1/T3/DSL/CAT 6A Cable and a 911 line shall be extended from the telecom demarcation point to the data closet by the lessor. This should be accomplished by providing four (4) CAT 6 A data cables from demarcation to the data closet. May require a 4” conduit to accommodate additional wiring runs for Wi-Fi.

The data closet needs a dedicated 110V circuit and a 2-inch conduit to the OIT closet, with four CAT6A cables and space for two fiber connections. All cabling should be CAT6A, and the closet must be grounded, adhering to TIA-568B standards. The OIT closet requires a 208V dual-outlet with an L6-20 twist lock at the top of the rack.

The data closet must be a secure, floor-to-ceiling structure not accessible via ceiling tiles. The tenant will choose the location after review. The lessor must install an underfloor water leak detection system and a smoke detector for alerts and corrective actions.

Data closets must have PIV Card RPK40 readers with Keypad. Door shall have an automatic closure installed, with mortise lockset and deadbolt lock according to VA security regulations. Main door to the data closet shall be solid core wood or metal and shall be 42” wide. The data/OIT closets must have At least one 240-volt 30-amp outlet.

https://vatilms.va.gov/vatilms/criteria-viewer/90196?type=application%2Fpdf&title=HVAC&name=dmHVAC-2024-03.pdf https://vatilms.va.gov/vatilms/criteria-viewer/90196?type=application%2Fpdf&title=HVAC&name=dmHVAC-2024-03.pdf https://vatilms.va.gov/vatilms/criteria-viewer/90196?type=application%2Fpdf&title=HVAC&name=dmHVAC-2024-03.pdf https://www.cfm.va.gov/til/telecom.asp

TELECOMMUNICATION CLOSET (IT CLOSET) (Cont’d).

The data closet will have a separate thermostat-controlled cooling unit to maintain 60°F, accommodating a 12,000 BTU heat load. It must have a fixed ceiling to prevent over-wall access. Access will be restricted to VA authorized personnel only.

Data closets must have PIV Card RPK40 readers with Keypad. Door shall have an automatic closure installed, with mortise lockset and deadbolt lock according to VA security regulations. Main door to the data closet shall be solid core wood or metal and shall be 42” wide. The data/OIT closets must have At least one 240-volt 30-amp outlet.

A single cable will be required in the data closet for a wall phone to be terminated on a wall jack at 48” center. Data racks must have enough space for patch panels, equipment, PBX systems, and UPS units. Access to the data closet is limited to VA personnel only.

Lessor will need to provide the rack-mounted Uninterruptible Power Supply (UPS) Vertiv RACK·MOUNTED 5KW 206V UNINTERRUPTIBLE POWER SUPPLY (UPS)

WITH NEMA ZOA LZI·20P INPUT ANO L21-20R OUTPUT.

The data rack will be a four-post open rack (preferably two racks). Patch Panels should be angled Category 6A 24-port 1U or 48-port 2U. A rack-mounted Power Distribution Unit with C13 / C14 outlets is required. Must be a vertically rack mounted, zero RU PDU. 2 PDUs should be present on each rack, connected to separate circuits with L6-30 connections.

The data rack must consist of two four-post open racks, securely bolted to the floor.

The plywood board should be positioned with the stenciling facing away from the wall for clear visibility. (Ortronics Series or equivalent). All wall mounted and floor mounted racks, cabinets, and pathways exceeding 3 ft in length must be bonded to the busbar within the same telecommunications space.

The Lessor must install horizontal organizers between each patch panel and a vertical organizer on the right side. Test and certify all cabling for compliance.

Guarantee all cabling and materials for the lease term. Ensure cabling runs above ceiling tiles, out of sight and inaccessible to tenants or visitors. Vertical cable management must be present on both sides of the rack.

TELECOMMUNICATION CLOSET (IT CLOSET) (Cont’d).

Each cable location will have three CAT 6A cables in a duplex jack, with at least two locations per room. The VA may request additional locations based on the furniture layout at no extra cost. Two ethernet RJ-45 jacks per outlet, unless in a higher density area.

All cabling shall be home run to the data closet to be terminated on a CAT 6 patch panel, housed in a data rack. All cables have their own identifiable number that is labeled on both ends.

All perimeter walls must go from the floor slab to the ceiling to prevent unauthorized access. The telecommunications closet requires four 20-amp electrical ports and a PIV Card reader for access. It should have a PIV Card RPK40 reader with a keypad, no windows or openings, and door hinges on the inside. The door should be a metal frame with a deadlock pin and automatically lock when entering or exiting. Use 1- 3/4-inch hardwood or hollow steel doors with welded pins and two locksets. If the door isn’t in a steel frame, one lock must be a jimmy-proof rim deadlock.

All fiber-optic cables, equipment, and terminations must meet ANSI/EIA/TIA specifications. For plenum applications, cables should have OFNP-rated insulation and jacketing for indoor and outdoor use. Cables for direct burial or aerial installations must be armored.

The fiber strands shall be 900um tight buffered, cable shall be of dry blocked distribution construction. Fiber shall be 62.5/125 for Multimode and 8/125um for Single mode as specified by end user.

Cable goal shall be Category 6A (4 pair) plenum rated data twisted pair. Terminate cable on RJ-45, Category 6A, high density modular 110 patch panels. Each patch panel have a channel identification system that allows numbering or labeling of the jacks (A, B= phone; C, D= data).

Each room/office must have at least two four-port Ethernet connections. PER

DESK/WORKSTATION-Electronic Health Record Modernization (EHRM) standard is 2 ports.

DATA JACKS (TO CONNECT INTO THE VHA NETWORK)

Offices, Patient Care Areas, Drop-In Spaces should have two dual port Ethernet connections on opposite walls, featuring dual jacks with a two-position faceplate, compliant with Category 6A.

Ethernet should be wired to 568B Category 6A standards, with all Ethernet connections punched down to TIA-568B standards. Each cable should have a location number and be terminated sequentially on a patch panel in the grounded data rack located in the data closet.

BISCI standards require the installation of continuous cabling runs without splices, not exceeding 328 feet. All patch panels, jacks, and cables must be rated CAT 6 or higher and certified with a passing rating.

Additional data locations may be requested by occupants and must be provided by the lessor within ten days. VAMC can recommend a cable contractor if needed.

All connections and networks shall be tested prior to occupancy, and a report provided to the VA COR/IT staff.

INFORMATION TECHNOLOGY SPECIFICS

General: This document outlines the installation of a network infrastructure (cabling system) and telephone system at a TBD location. The contractor must ensure compliance with all requirements for Durham VAHCS, and all systems must operate according to the manufacturer's specifications.

Information Security: The contractor shall ensure adequate LAN/Internet, data, information, and system security in accordance with VA standard operating procedures and standard contract language, conditions laws, and regulations.

The contractor’s firewall and web server shall meet or exceed the government’s minimum requirements for security. All government data shall be protected behind an approved firewall.

Any security violations or attempts must be reported to the VA project manager and the VHA Headquarters Information Security Officer immediately. The contractor must adhere to all relevant VA information security policies and procedures, especially those concerning certification and accreditation.

The Veterans Affair Acquisition Regulation (VAAR) security clause must be included in all contracts: VAAR-852.273-75 “SECURITY REQUIREMENTS FOR

UNCLASSIFIED.

INFORMATION TECHNOLOGY SPECIFICS (Cont’d).

A. The contractor and their personnel must comply with the same Federal laws, regulations, standards, and VA policies regarding information security as VA personnel. This includes the Federal Information Security Management Act (FISMA), OMB Circular A-130 Appendix III, and guidance from the National Institute of Standards and Technology (NIST), including standard security configurations available on NIST's website at:

http://checklists.nist.gov.

B. To ensure that appropriate security controls are in place, Contractors must follow the procedures set forth in "VA Information and Information System Security/Privacy Requirements for IT Contracts" located at the following Web site: http://www.iprm.oit.va.gov.

C. The Secure File Room must have walls that extend from the floor slab to the structural system to prevent up and over access.

SAFETY/SECURITY

Security: The area must have secure doors with locking systems that meet government requirements. All entrances and high-security spaces should feature operational badge access and camera security systems. All doors must have 5-pin locks.

Employee access must be secured with keys, cipher locks, or key fob/card reader systems. Public access to offices is prohibited. Stanley Alarm Systems is the required vendor for the alarm system.

Security System must be Stanley Convergent Security Solutions, Inc. (Sonitrol), version S2 Enterprise 4.11.00, for compatibility with the security system at the main campus, 508 Fulton St. Durham, NC or latest version. Note: the S2 Enterprise software is proprietary to Stanley Convergent Security Solutions, Inc.

The Security System must report to the local PD as primary with the VAPD as the

2nd priority. Lessor is responsible to maintaining monthly security monitoring.

A. Lessor shall provide all materials and equipment required to complete the installation of the security alarm system. The security alarm system shall include four (4) S2 Emerge panels to include alarm and reader inputs for the following:

1. Ten (10) Dual Technology Motion Detectors throughout the facility

2. Eight (8) Dual Authentication Readers

3. Fourteen (14) Single Authentication Readers

4. Motion detectors in critical security areas

5. Motion detectors in hallways.

http://checklists.nist.gov/ http://www.iprm.oit.va.gov/

SAFETY/SECURITY (Cont’d).

6. Door contacts at all perimeter doors.

7. Portable panic buttons/alarms in clinical care spaces, operatories, and offices.

8. Fourteen (14) door strikes

9. Four (4) Magbond Locks

10. Two (2) Power supply panels to accommodate strike and Magbond devices

11. Two (2) 3KVA rack mount Uninterrupted Power Supplies (UPS).

12. Control pad at primary entrance/ suite entrance.

Stanley Alarm Systems must monitor the alarm system through Convergent

Security Solutions, Inc. (Sonitrol).

All spaces must have Fire Protection (Sprinkler and Alarm) that meets or exceeds minimum code requirements.

Provider spaces will be equipped with Panic Alarms compatible with the VA emergency response system, with every patient care room required to have one—at least 28 rooms must meet this requirement.

Compliance with NFPA standards, including but not limited to NFPA 101, NFPA 99, and others, is mandatory.

The lessor is responsible for conducting all NFPA inspections within 24 hours of notification from The Joint Commission, Office of Inspector General, and Annual Workplace Evaluation to ensure Life Safety code compliance for patients and VA personnel.

A key inventory for all interior and exterior doors must be maintained, with access coordinated with the COR to protect patient records.

Master keys must be coordinated through the Construction Representative (COR).

The Contracting Officer or their representative will set all security standards.

Access to all areas must be controlled with keyed locks, keycards, or similar measures like Sonitrol. Additional access controls for keys, keycards, and codes must be enforced.

At the lessor's expense, all interior doors must have hardware that meets VA security requirements, including assigned keys and necessary hardware.

X-Ray fall under Low-Risk Radiation and will require Special Key and Physical Access Control System (PACS) in addition to a Mortise Lock on all doors as outline in the most recent Security and Law Enforcement Directive 0730.

(Go to https://www.va.gov/vapubs/Search_action.cfm, search Document number “0730”, Title Keywords “Security and Law Enforcement”).

All controlled access doors must report back to the VA Police Department (VAPD) at

508 Fulton St, Durham, NC. All support areas in Appendix A must comply with VA Handbook 0730, requiring PACS with pin codes for OIT Communications closet, Security Closet, and Secure File Room.

The Major Entrance and Exits, the OIT Communications closet, Security Closet, and Secure must have an Intrusion Detection system with an alarm of 80db or more, along with Mortise Locks on all doors. The VAPD has the authority to modify badge access personnel.

The Intrusion Detection System (IDS) consists of all equipment and information required to detect and annunciate potential unauthorized entry into a protected space through an accessible and man-passable opening. An accessible opening as defined by NFPA 730 Guideline for Premise Security is within 18 feet (5.5 m) of exterior ground surface within 14 feet (4.3 m) directly or diagonally opposite a window, structure, fire escape, or roof, or 3 feet (0.9 m) or less from an opening, fire escape, ladder, and the like that is in or projecting from the same or adjacent wall and leads to other premises.

The Lessor will provide one DSL line and one POT line to the panel, along with the necessary equipment for IP connectivity and power supplies for the security system. Wiring must comply with the current National Electrical Code (NEC).

Install 24-hour Closed-Circuit Television (CCTV) coverage or video coverage, operated and maintained by the Lessor. The building security assessment will identify the number and locations of the cameras. Video Monitoring may be integrated as part of the alarm/detection system.

Time-lapse video recordings must be stored digitally for at least 180 days. The DVR will be placed in the telecommunications space and should be compatible with the current security CCTV system.

Physical Access Control System (PACS) terminations should be specifically routed into OI&T Closet with VLAN encrypted back to Police Services for all SSTV cameras. PACS monitoring should be maintained by Sonitrol with an additional link to VA Police Services Dispatchers.

https://www.va.gov/vapubs/Search_action.cfm

All security equipment purchases, installed, and/or utilized must comply with HSPD-12, PPD-21, NIST SP800-116, and VA Directive 6500, page 40 Section (4) Physical Security Controls Requirements as stated in PSRDM Sec 10.4.

Video Surveillance Requirements:

Twenty-four (24) IP Fixed dome camera 5-megapixel digital w/mounting hardware.

1. Ten (10) IP PTZ dome camera 5-megapixel digital w/mounting hardware.

2. One (1) 24 port POE switch.

3. One (1) NVR 48 TB Storage

4. Two (2) Software clients for VAPD.

Security Surveillance – Interior- The following areas are required to be under camera surveillance:

1. The general waiting area

2. IT Data Room

3. Entrance to the Mechanical Room

4. Hallways

5. Common areas

6. All exits/egress doors for the facility and building perimeter (i.e., parking lots, rear of the building and all applicable areas).

7. All Operatories and care areas that do not require the removal of patient clothing or contain medical equipment that would be hindered by the presence of a surveillance camera.

Security Surveillance – Exterior - The following areas are required to be under camera surveillance:

1. Patient

2. Employee Parking

3. All Entrances

Secure File Room

All perimeter walls must extend from the floor slab to the structural system (deck) to prevent unauthorized access.

The Secure File Room should feature a metal frame and door equipped with a deadbolt lock. The door must automatically lock upon entry and exit, using Electronic Physical Access Control Systems (EPACS).

Secure File Room (Cont’d).

The room must include an Intrusion Detection System along with an alarm with 80db or more, along with Mortise Locks on all doors.

Access control systems protecting PACS high security areas, such as controlled substance storage, primary computer and communications rooms, research or clinical laboratories that store, use or develop biohazardous materials, require a PIN number as a secondary personal authentication to be used in addition to card readers. Dual authentication methods are recommended (VA PIV Reader and Keypad). PIN readers are recommended when PIN systems are installed.

The hinges for the Secure File Room door should be located inside the room. The room should have no windows or other openings.

Overhead lighting is required in the Secure File Room, and a fire extinguisher must be installed.

The room should have four (4) electrical outlets and two (2) telecommunications outlets. The flooring must consist of tiles chosen per VA Interior Design standards.

The Government shall not be responsible for errors, omissions, or assumptions made by the Lessor in the adaptation of the Government’s requirements to the Lessor’s Space.

The Lessor is responsible for using the VA Dental Design Guide, the Technical Information Library (TIL), the Design and Leasing Criteria to adapt the Government’s requirements to the Space. https://vatilms.va.gov/vatilms/reports/PG-18- 12%20Design%20Guides

CARD READERS

PIV card readers must support 75-bit or 128-bit cards and be upgradable from 75-bit to 128-bit.

Required models include HID pivClass Reader Model RP40 (reader only) and RPK40 readers with a keypad for OIT and the telecommunications closet.

Installation must be carried out by the lessor with guidance from the Veterans Affairs Office of Information and Technology (VA OI&T). Access Control will report to the VAPD at 508 Fulton St. for monitoring and management of PIV access.

The VAPD shall be given the rights to add/subtract personnel from badge access.

https://vatilms.va.gov/vatilms/reports/PG-18-12%20Design%20Guides https://vatilms.va.gov/vatilms/reports/PG-18-12%20Design%20Guides

EMERGENCY POWER/BACKUP GENERATOR

The Facility Electrical Power System should be supplied from a Utility Power Company (UPC). The Dental Clinic is considered Ancillary. Backup generator is not required.

ENVIRONMENTAL REQUIREMENTS

Spaces must be free of asbestos-containing materials (ACM) and lead products. If such materials are present, certification must confirm they are safely contained and do not pose health risks. The lessor is responsible for documentation and compliance with NFPA requirements for inspections.

GENERAL TECHNICAL REQUIREMENTS

ACCESSIBILITY

The facility must fully comply with the Americans with Disabilities Act (ADA), ensuring building accessibility and a minimum of 60 parking spaces.

To be eligible for the award, the new building must fully comply with the

Americans with Disabilities Act Accessibility Guidelines (ADAAG), the Uniform Federal Accessibility Standards (UFAS), and the Department of Veterans Affairs Barrier-Free Design Guide (PG-18-13, April 2006).

All doors in patient-accessible areas must be at least 48 inches wide. The

Agency Specific Requirements (ASRs) do not reduce the Lease's minimum standards; they may offer additional or more stringent agency-specific criteria.

CODES

The structure must comply with local, national, and International Building Codes, along with applicable NFPA Fire and Life Safety codes. The Lessor will develop and submit a clear design that meets the requirements for the Standalone Dental Clinic project.

Dental Treatment Room Criteria: https://vatilms.va.gov/vatilms/room-criteria

*Emergency Epidemic Air Handling Unit, All Sterile Instrument Storage, and All Cone Beam Computerize Tomography specifications are excluded from this statement of work.

https://vatilms.va.gov/vatilms/room-criteria

INTERIOR DESIGN

The Lessors A/E shall provide Interior Design Services in accordance with VA Interior Design Manual, For New Construction and Renovations of Hospitals and Clinics. Go to https://vatilms.va.gov/vatilms/reports/PG-18-10%20Design%20Manuals PG 18-10 Design Manuals and search “Interior Design”.

The Lessor's Interior Designer will identify key characteristics for items from multiple suppliers and obtain approved samples from the VA Interior Designer to comply with VA design guidelines.

The layouts will include all furniture, such as biohazard bins and recycling containers. All work surfaces, including check-in desks, lab counters, and nurses’ stations, must be adjustable with a height range of 24 to 52 inches.

The Lessor’s Interior Designer will submit a complete set of deliverables in a 3-ring binder or suitable format, as well as electronically, for the VA Interior Designer's review and comments.

Deliverables will include a scaled furniture plan and a generic furniture schedule listing all items within the scope of work.

Specifications must comply with FAR 52.211-6 and include manufacturer, model, dimensions, cost, fabric type, fabric grade (or C.O.M.), finishes, and features necessary for a complete purchase order.

The selections should not be proprietary and must have salient characteristics available from multiple suppliers.

Each binder should contain "cut sheets" for unique furniture items, including:

a code linking items to the furniture plan, images or illustrations with size, finish, and upholstery details, and actual samples of finishes and fabrics (photos are not accepted).

An itemized cost estimate must be provided, detailing unit costs, quantities, and extended costs, all coded to the floor plan.

A written statement of work for installation services should be included, outlining installation instructions, project schedule, specific furniture, building access, and relevant site features.

https://vatilms.va.gov/vatilms/reports/PG-18-10%20Design%20Manuals

INTERIOR DESIGN (Cont’d).

Questions regarding the layout should be directed to the Lease Contracting Officer for resolution.

WALL FINISHES

Wall coverings must be washable vinyl or paint, with colors chosen by the VA.

The vendor will move and return furniture for painting and vinyl installation, which must be completed after hours and be odor-free during business hours.

Perimeter walls should feature rubber or vinyl base cove, and all walls must be finished without visible ductwork, conduit, or piping.

A wood chair rail is to be installed for wall protection.

The Lessor shall install sound-dampening insulation in all interior walls.

PAINTING

Walls and other surfaces will be painted with washable semi-gloss, while ceilings will have a flat finish. Only Low Volatile Organic Compound (VOC) paint will be used.

FLOOR FINISH

The waiting area, multipurpose room, group room, staff offices, and reception area will be carpeted.

Ceramic tile will be used in the vestibule, rooms with sinks, and restroom floors, while the Main Distribution Frame room will have static dissipative tile, with color selected by the VA.

Carpet tiles are recommended.

The carpet must meet fire and smoke safety standards, and all flooring materials must be asbestos-free.

CEILING FINISH

Ceilings may be sheetrock or lay in tile with a minimum of 11-12 ft in height.

ASBESTOS / ENVIRONMENTAL HAZARDS

Existing buildings must be asbestos, mold and lead free.

DOORS

Doors must have a minimum width of 36 inches, with exterior and patient care area doors at least 48 inches wide (48 in. Required for Panoramic X-Ray and Special Needs Operatories).

All doors should be 1-3/4 inches thick, solid core wood.

Removable hinge pins on door exteriors must be retained with set pins or spot welded, preventing their removal. This applies only if the hinge pins are on the outside of the doors and door frames. Hinge pins will be on the outside if the door opens outward. Dutch or half doors are unacceptable.

Automatic door openers are required at the main entrance of The Dental Clinic and waiting room bathrooms for accessibility.

Doors to the clinic area must have push pad operation on the clinic side and numerical combination access on the waiting room side.

Exterior doors with removable hinge pins must be secured with set pins or spot welded.

All doors must have heavy-duty hinges, handles or pulls, and matching doorstops (wall- or floor-mounted) with silencers.

Public use and restroom doors require kick plates.

All entrances from public corridors and exterior doors must have automatic door closers.

All exterior building doors should have locking mechanisms with panic features, allowing unrestricted egress while restricting exterior access.

Fire egress doors must have properly rated and labeled fire door assemblies.

The Lessor should avoid chrome-plated hardware.

Government-designated doors need 5-pin tumbler locks and strike plates.

DOORS (Cont’d).

Locks must be master keyed, with at least two master keys provided to the Government.

Exterior entrances should feature high-security locks with proper key control as per government regulations.

Hinge pins and hasps must be secured against unauthorized removal, and exterior doors should have a lock guard or astragal to prevent tampering.

BATHROOMS

Sinks will be equipped with soap dispensers and paper towel dispensers, both provided and installed by the lessor.

Each sink will have a shelf and mirror above it. Commode areas will include easily accessible toilet paper dispensers and coat hooks on the inside of the doors.

All bathrooms must comply with handicap accessibility codes, including grab bars at commodes.

The men's restroom will have both a urinal and a commode. Metal partitions are required for urinals and for commodes, which must have doors unless specified otherwise. All toilets and urinals will feature automatic sensor flushes.

JANITORIAL SERVICES

The Lessor shall keep the premises and all areas accessible to the Government clean and shall supply necessary equipment for the duration of the Lease.

JANITORIAL CLOSET MUST HAVE

1. Mop Sink

2. Four (4) Electrical outlets

3. Adjustable shelving on two walls

4. Tile flooring per Interior Design’s selection

DAILY

a. Empty trash twice daily.

b. b. Sweep entrances, lobbies, and corridors.

JANITORIAL SERVICES (Cont’d)

DAILY (Cont’d).

c. Sweep floors, and vacuum carpets.

d. Clean drinking fountains.

e. Sweep and damp mop or scrub restrooms.

f. Clean all restroom fixtures and replenish restroom supplies.

g. Dispose of all trash and garbage generated in or about the building.

h. Wash inside and out or steam clean cans used for collection of food remnants from snack bars and vending machines.

i. Dust horizontal surfaces that are readily available and visibly require dusting. Spray buff resilient floors in main corridors, entrances, and lobbies.

j. Remove carpet stains.

k. Police sidewalks, parking areas, and driveways.

l. Sweep loading dock areas and platforms.

m. Clean glass entry doors to the Space.

n. Sweep or vacuum office and common areas; stairs.

WEEKLY

Damp mop and spray buff all resilient floors in restrooms and health units.

Sweep sidewalks, parking areas, and driveways (weather permitting). Clean restroom wastepaper receptacles, stall partitions, doors, windowsills, and frames.

EVERY TWO WEEKS

Spray buff resilient floors in secondary corridors, entrance, and lobbies.

Damp mop and spray buff hard and resilient floors in office Space.

MONTHLY

Thoroughly dust furniture. Completely sweep and/or vacuum carpets. Spot clean all wall surfaces within 70 inches of the floor.

EVERY SIX MONTHS

Wash all interior and exterior windows and other glass surfaces. Strip and apply four coats of finish to resilient floors in restrooms. Strip and refinish main corridors and other heavy traffic areas.

PEST CONTROL

The Lessor is responsible for Pest Control using Integrated Pest Management techniques, as specified in the VA Environmental Management Integrated Pest Management Technique Guide (E402-1001).

OTHER CONSIDERATIONS

Centralized reception area at the front for efficient staff utilization, providing the office manager/team leader full visibility of waiting areas.

Sixty percent of offices must have exterior windows. Offices without windows should include a glass pane by the door frame or have horizontal blinds for secure visitor visibility.

All rooms (except the IT Closet) should be master-keyed with the locking mechanism inside the frame and VA approval.

Multi-functional Dental Treatment Rooms should support various procedures like dental hygiene, general dentistry, prosthodontics, periodontics, and orthodontics. These rooms should have exterior windows for natural light and views of nature, as these rooms will host the majority of dental procedures.

Facilities will be non-smoking, with designated smoking areas and signage prohibiting smoking clearly marked. The VA requires two walls with exterior windows to maximize natural light, unless waived by the LCO.

Corridors may be 6 feet in clear width. Signage outside building provided by the

Lessor, according to VA specifications and meets City Ordinances.

All rooms, except the IT Closet, must have master-key systems with locks installed on the inside of the door frame and approved by the VA. A 5-pin keypad system is required for Sterile Processing rooms and X-ray rooms.

Dental treatment rooms/Operatories should support various procedures, such as dental hygiene, general dentistry, prosthodontics, periodontics, and orthodontics. They should have exterior windows for natural lighting and views of nature, as these rooms will accommodate most dental procedures.

Facilities must be non-smoking, with designated smoking areas and proper signage.

The VA requires two walls with exterior windows to maximize natural light, unless waived by the Leasing Contracting Officer (LCO).

OTHER CONSIDERATIONS (Cont’d).

Snow and ice removal must be completed within two hours of accumulation.

Preparations for inclement weather, such as snow, shall be made upon receiving notifications from the weather service updates, which will be monitored by the lessor.

HVAC maintenance and repair services should be available 24 hours a day, 7 days a week, 365 days a year.

Lawn and landscaping maintenance, which includes exterior trash pickup within a 30-foot radius of exterior doors, will be performed weekly.

Replacement of exterior and interior light bulbs and lamps that are hardwired to the building's power system is required.

The plumbing maintenance and repair must be addressed within four hours of the initial report of a plumbing issue. For emergency plumbing issues, an immediate response is required within 30 minutes.

Air conditioning, and air conditioning system maintenance and repair

(balance report and adjustment for HVAC system provided annually to VA COTR. This test is to be performed by a licensed HVAC system balancing contractor.)

Electrical maintenance and repair within 4 hours of the initial report of plumbing issue. Immediate response required for emergency electrical issues, within 30 minutes.

Scheduled paintings every 3 years with wall patching and touch ups quarterly with no additional cost.

Carpet cleaning should be completed every six months or as needed. Carpet repairs and replacements should be reviewed and scheduled for the damage.

Trash removal should occur twice a day: once in the morning and once in the evening.

Stakeholder Concurrence

Sullivan McCurdy, VA Police, Lieutenant

Shannon Lewis, Senior IT, Office of Information and Technology

Khwaja Rehman, Engineering Chief, Durham VA Health Care System

Alicia Tsai, DDS, Chief, Dental Service, Durham VA Health Care System

Dental Space Plan: Standalone Dental Clinic

Room Name Area QTY Net Area COMMENTS

STAFF AND ADMINISTRATIVE AREA

Chief of Dental Office 150 1 150

Assistant Chief Dental office 120 1 120

General Dentist Office 120 8 960

Administrative Officer 120 1 120

Dental Treatment (Overall 22 Treatment Room with Special Needs Room) 120 21 2520 30 FTE-Dental Special Needs Treat Room (Overall 22 Treatment Rooms with Special Needs Room) 120 1 120

Dental Asst./Oral Surgeon Resident 120 2 240

General Dentist Residents 120 2 240

X Ray-Panoramic 165 2 330

Conference Room 210 1 210

Resident Training Room 200 1 200

Facility Supply Storage 100 1 100

Staff Breakroom 290 1 290

Drop-In Office 120 1 120

Dental Equipment Mechanical Room

This room will house air compressors, vacuum pumps, flow meters and regulators.

Extra HVAC cooling will be required. Storage, Shelving Storage space with metal

Lockers/Changing area 180 2 360

LOBBY / RECEPTION AREA

Waiting

Waiting space to accommodate at least 20 people.

Program Support/Medical Support (Check-in/Check-Out) 200 1 200 Toilet, Employee (One male= 1 urinal; 2 stalls; One Female bathroom = 3 stalls) - Total 6 stalls 160 4 320

Toilet, Family (Patients) 80 3 240

SUPPORT AREA

Storage Room Storage Shipping/Receiving

180 1 180 Storage space with metal shelving.

Supplies (Administrative) Storage

80 1 80 Storage space with metal shelving.

Dental Equipment Storage

One for Clean Reusable Medical Devices and One for Dirty Storage space with metal shelving.

Gas Cylinder Storage 100 1 100

OIT Communications Closet 120 1 120

Security Closet 110 1 110

Wheelchair Storage 67 1 67

Utility / Housekeeping Closet

75 1 75 Area to store cleaning equipment includes floor mop sink.

20% Circulation/Fit Factor 1688 * Tab 1, cell D15

Total Net Usable Sq Ft

10636 *should not exceed Tab 1, cell D16

Total Rentable Sq Ft

12232

*Includes 15% for USF to RSF Comment Area Factor

DENTAL SERVICE JUNE

Dental Service designguide

JUNE 2014

U.S. Department of Veterans Affairs Office of Construction & Facilities Management

DENTAL SERVICE JUNE 2014

DESIGN STANDARDS SECTION 4 - PAGE 49

Information Technology (IT) Computer Data (Telecom) outlets are typically provided at each workstation or in each room. Specific locations and equipment for key rooms are noted on Guide Plates in this section.

Intercom System In the Dental Clinic, provide a dedicated IC system throughout the Dental area reporting to the Clinic’s administrative desk. Telephone hands-free instruments may be substituted for a formal IC system as an acceptable alternate, if specifically approved by TE-005OP2H3 during the project design phase.

Clock system Provide battery operated clocks synchronized wirelessly. Both the overall system and the specific locations will be determined on a per facility basis.

Television Television outlets are provided at selected areas as determined by function or local facilities policy.

Public Address Provide a system in accordance with Master Construction Specifications (MCS) Section 27 51 16, Public Address (PA) and Mass Notification Systems. The public address system is typically part of the telephone system. Speakers are generally located in corridors and public spaces. The actual system configuration will depend on the overall design layout and functional requirements. Determine whether Dental Service will be included as part of the hospital-wide PA system or have an independent system.

Fire and Life Safety Systems Fire Protection/Sprinkler Systems Fire Protection/Sprinkler Systems shall be designed as required to meet the needs of the Dental Service and individual rooms. Follow criteria in VA Technical Information Library (TIL) non-specific building systems manuals for Fire Protection design manual (PG-18-10) listed on VA website under Office of Construction & Facilities Management (CFM).

Fire Alarm System Fire Alarm Systems shall be designed as required to meet the needs of the Dental Service and individual rooms.

Follow criteria in VA Technical Information Library (TIL) non-specific building systems manuals for Fire Protection (Fire Alarm) design manual (PG-18-10) listed on VA website under Office of Construction & Facilities Management

(CFM).

Waste Management Space requirements for waste holding areas will vary with the selection of waste collection and recycling methods and systems. They will need to be analyzed to determine the method to be considered for new facilities or coordinated with existing facilities. While space needs are determined by VA Space Planning Criteria on a departmental basis, space provisions for waste collection need to be distributed and dedicated for a variety of uses.

Medical Waste Medical waste is generated in most patient care spaces as well as instrument clean up areas where it is bagged, collected and transported to the soiled utility rooms. It is then held in separate containers pending transport to the medical waste handling facility or disposal by contract.

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

X-RAY PANORAMIC/CEPHALOMETRIC (DNXS1)

DESIGN STANDARDS SECTION 4 - PAGE 51

SCALE NTS

X-RAY PANORAMIC/

CEPHALOMETRIC (DNXS1)

Axonometric View (165 NSF / 15.33 NSM)

NOTE: Guide plates are graphical representations of selected room types, illustrating the integration of space, components, systems, and equipment.

They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library.

DESIGN STANDARDS SECTION 4 - PAGE 53

2 4

1 ELEVATION KEY

SCALE 1/4” = 1’-0”

X-RAY PANORAMIC/

CEPHALOMETRIC (DNXS1)

Floor/Equipment Plan (165 NSF / 15.33 NSM)

NOTE: Guide plates are graphical representations of selected room types, illustrating the integration of space, components, systems, and equipment.

They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library.

PLUMBING AND MEDICAL GASES

SPECIAL EQUIPMENT

Room Data Sheet

Ceiling: AT

Ceiling Height: 9’-0”

Wall Finish: Paint

Base: RB

Floor Finish: SVT

Door:

Hardware:

Glazing: Lead Equivalent (1)

Notes:

1. Lead Equivalent as Determined by Physicist

Dry Bulb Temp Cooling: 75° F (24° C)

Dry Bulb Temp Heating: 70° F (21° C) Minimum % Outside Air: 2 100% Exhaust Air:

Noise Criteria: 35 Steam:

Relative Humidity/Cooling: 60 Relative Humidity/Heating: 20 Minimum Air Changes/Hr: 6 Room Pressure: Positive (+) AC Load Lights: As Required AC Load Equipment: As Required Number of People: 2 Special Equipment:

General:

1. Three (3) of 2’ x 2’ (600 mm x 600 mm) Fluorescent Light Fixture, Acrylic, Prismatic Lens with F32T8 Lamps, 3500’K CRI >70

2. Provide Ballasts Per Fixture for Desired Switching Configuration and to Provide Practical Uniform Lighting Level.

3. Lighting Level: 50fc; average maintenance

4. Wall or ceiling mounted Vacancy Sensor

General: As Shown and Required by Code Special:

Emergency:

Coordinate electrical requirements with specific equipment.

Patient Monitor:

Nurse Call:

CCTV:

Telephone: Yes

Pub. Address:

Radio:

Data: Yes

Panic Call:

Battery Operated Clock: Yes

Intercom: Note 1

Staff/Duty Station:

In Use Light: Yes

Note 1. Dedicated IC system throughout dental services. Telephone hands-free instruments may be substituted for formal IC system.

Cold Water: Yes

Hot Water: Yes

Laboratory Air:

Laboratory Vacuum:

Sanitary/Vent:

Medical Air:

Medical Vacuum:

Dental Air:

Dental Vacuum:

Oxygen:

Nitrogen Oxide:

Nitrogen:

Anesthesia Evac:

Sprinkler: Yes

Tempered Water:

Water Control:

See Equipment List

ARCHITECTURAL HEATING, VENTILATING AND AIR CONDITIONING

LIGHTING

POWER

COMMUNICATIONS/SPECIAL SYSTEMS

DESIGN STANDARDS SECTION 4 - PAGE 65

DENTAL TREATMENT ROOM, MULTI-FUNCTIONAL (DNTG1)

DESIGN STANDARDS SECTION 4 - PAGE 83

DENTAL TREATMENT ROOM,

MULTI-FUNCTIONAL (DNTG1)

Axonometric View (120 NSF / 11.1 NSM)

NOTE: Guide plates are graphical representations of selected room types, illustrating the integration of space, components, systems, and equipment.

They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library.

DESIGN STANDARDS SECTION 4 - PAGE 85

DENTAL TREATMENT ROOM,

MULTI-FUNCTIONAL (DNTG1)

Floor/Equipment Plan (120 NSF / 11.1 NSM)

NOTE: Guide plates are graphical representations of selected room types, illustrating the integration of space, components, systems, and equipment.

They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library.

M o

Floor Finish: RF (Note 1)

Door:

Glazing: Lead Equivalent (1)

1. Seamless Rubber Floor

Dry Bulb Temp Cooling: 75° F (24° C)

Dry Bulb Temp Heating: 70° F (21° C) Minimum % Outside Air: 2 100% Exhaust Air:

Noise Criteria: 40 Steam:

Relative Humidity/Cooling: 60 Relative Humidity/Heating: 20 Minimum Air Changes/Hr: 6 Room Pressure: Positive (+) AC Load Lights: As Required AC Load Equipment: As Required Number of People: 3

1. Two (2) of 2’ x 2’ (600 mm x 600 mm) Fluorescent Light Fixture, indirect with T8 Lamps CRI ≥ 85 Color Temperature Between 5000K and 6000K - 2’ x 4’ (600 mm x 1200 mm) Fixtures optional

2. Provide Ballasts Per Fixture for Desired Switching Configuration and to Provide Practical Uniform Lighting Level.

3. Lighting Level: 50fc - 100fc; average maintenance

4. Ceiling Mounted Track Dental Light

5. Wall or ceiling mounted Vacancy Sensor

Emergency:

Monitor: Ceiling Track Mounted

Battery Operated Clock:

In Use Light: Yes

Sanitary/Vent: Yes

Medical Air: Note 1

Medical Vacuum: Note 1

Dental Air: Yes

Dental Vacuum: Yes

Oxygen: Yes

Natural Gas: Yes

Water Control: Foot/Knee or Infrared

Note 1: Per Facility Requirements

See Equipment List. Delivery system may be either at the 12 o’clock unit or over the chair. Coordinate with facility.

ARCHITECTURAL HEATING, VENTILATING AND AIR CONDITIONING

POWER

DESIGN STANDARDS SECTION 4 - PAGE 99

DENTAL TREATMENT ROOM, SPECIAL NEEDS…