3 - Exhibit B - Agency Special Requirements ASR Revised January 8 2026.pdf

___________Government _____________Offeror Homestead CBOC ASR Page 1 of 9

Homestead CBOC

AGENCY SPECIFIC REQUREMENTS (ASR)

The U.S. Department of Veterans Affairs (VA) desires to lease sufficient Rentable Square Feet (RSF) of existing real property to yield a minimum of 17,350 to a maximum of 17,400 of American National Standards Institute/Building Owners and Managers Association (ANSI/BOMA) Occupant Area (ABOA) square feet (SF) in Homestead, Florida for use as a Community Based Outpatient Clinic (CBOC). Clinical space must be contiguous space located on a single floor and have first floor access. On-site parking for approximately 150 vehicles, with a minimum of 8 dedicated to handicapped parking spaces is required.

The facility offered may be a multi-tenant building or single tenant building with a VA preference for a ground floor facility, all continuous space.

The facility offered must be in a suitable location for a clinical or administrative facility, preferably in an area of other medical office buildings or in a retail sales area. Standalone building preferred but not required.

1. The following spaces are necessary for occupancy by Miami VA in Homestead, Florida.

The building owner shall provide Architectural, Engineering, and Construction services to build new or convert existing space for the following space requirements.

2. Offerors shall design and build all rooms based on all the requirements on all documents provided with the RLP, The following requirements and the room templates at the end of this exhibit. It is the offeror’s responsibility to ensure TI pricing provided with offer represents the full cost of the required spaces accordingly.

3. Building Codes and Standards. The building will be designed, constructed and maintained in accordance with the most current version of the codes and standards at time of award:

• All applicable State and Local Building Codes

• The Joint Commission

• The Facility Guidelines Institute Guidelines for Design and Construction of Health Care Facilities

• NFPA 99: Health Care Facilities Code

• Architectural Barriers Act Accessibility Standards (ABAAS)

• in the absence of a State or Local Fire Code - NFPA 101: Life Safety Code

• VA HVAC Design Manual\VA PG 18-14: Room Finishes, Door & Hardware Schedule – used to define room finish materials, door sizes and types and hardware functionality.

• VA Signage Design Guide

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4. Space Plan:

Room Type # of Rooms

ABOA

SF

Total

ABOA

SF

Floor

Covering Base Wall Covering Ceiling

Alcove/Volunteer Alcove 1 144 144 Luxury Vinyl Tile Vinyl Paint Acoustical

Alcove, Wheelchair Alcove 1 108 108 Luxury Vinyl Tile Vinyl Paint Acoustical

Lactation Room Room 1 120 120 Luxury Vinyl Tile Vinyl Paint Acoustical

Reception Room 1 462 462 Luxury Vinyl Tile Vinyl Paint Acoustical

Toilet Family 1 96 96 Luxury Vinyl Tile Vinyl Paint Acoustical

Waiting PACT`1 Waiting 1 1237 1237.2 Luxury Vinyl Tile Vinyl Paint N/A

Waiting PACT Family Waiting 1 420 420 Luxury

Vinyl Tile Vinyl Paint Acoustical

Work Station Workstati on PT Education

2 36 72 Luxury Vinyl Tile Vinyl Paint Acoustical

Storage/shared MD/Appts Room 1 120 120 Porcelain

Tile Vinyl Paint Acoustical

Team Work Area Open 4 288 1152 Luxury Vinyl Tile Vinyl Paint Solid

Telehealth Room Room 1 150 150 Luxury Vinyl Tile Vinyl Paint Acoustical

Tele Retinal Room Room 1 150 150 Luxury Vinyl Tile Vinyl Paint Acoustical

Toilet Patient Room 1 90 90 Carpet Tile Vinyl Paint Acoustical

Toilet Pact Staff Room 2 84 168 Luxury Vinyl Tile Vinyl Paint Acoustical

Toilet women’s Health Room 1 90 90 Luxury

Vinyl Tile Vinyl Paint Solid

Women’s Heath Exam Room 8 150 1200 Luxury

Vinyl Tile Vinyl Paint Acoustical

Clean Utility Room Room 1 72 72 Tile Vinyl Paint Acoustical

Workstation PACT Room 1 120 120 Luxury Vinyl Vinyl Paint Acoustical

Workstation Administrative Room 1 90 90 Luxury

Vinyl Vinyl Paint Solid

Workstation extended care team Room 1 90 90 Luxury

Vinyl Vinyl Paint Acoustical

Specialty Area Audiology Booths 5 360 1800 Luxury

Vinyl Tile Vinyl Paint Acoustical

Hearing Aid fitting Room 3 150 450 Luxury Vinyl Tile Vinyl Paint Acoustical

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Pact Mental Health Exam Room 5 150 750 Luxury

Vinyl Tile Vinyl Paint Acoustical

Consult Room Mental Health

Room Group

Therapy 1 150 150 Luxury

Vinyl Tile Vinyl Paint Acoustical

Storage Room 1 82.8 82.8 Luxury Vinyl Tile Vinyl Paint Solid

Blood Draw Room 2 96 192 Luxury Vinyl Tile Vinyl Paint Acoustical

Laboratory Room 1 180 180 Luxury Vinyl Tile Vinyl Paint Acoustical

Toilet/Specimen collection Room 1 72 72 Luxury

Vinyl Tile Vinyl Paint Solid

Automated Drug dispensing PIXIS Room 1 120 120 Luxury

Vinyl Tile Vinyl Paint Acoustical

Pharmacy service Room 1 360 360 Luxury Vinyl Tile Vinyl Paint Acoustical

Utility/Biohazard Biohazard 1 48 48 Luxury Vinyl Tile Vinyl Paint Solid

Receiving and Issue Room 1 144 144 Luxury Vinyl Tile Vinyl Paint Acoustical

Storage Equipment Room 1 168 168 Luxury Vinyl Tile Vinyl Paint Acoustical

Storage Medical General Room 1 168 168 Luxury

Vinyl Tile Vinyl Paint Acoustical

Storage Medical Gas Room 1 72 72 Luxury

Vinyl Tile Vinyl Paint Acoustical

Office Police Room 1 120 120 Luxury Vinyl Tile Vinyl Paint Acoustical

Storage Vending Vending 1 180 180 Luxury Vinyl Tile Vinyl Paint Acoustical

Vending Machine area Vending 1 120 120 Luxury

Vinyl Tile Vinyl Paint Acoustical

Communication Room 1 204 204 Luxury Vinyl Tile Vinyl Paint Acoustical

Utility Room Soiled 1 96 96 Luxury Vinyl Tile Vinyl Paint Acoustical

PACT Exam Room Rooms 32 150 4800 Luxury Vinyl Tile Vinyl Paint Acoustical

Logistics Room 1 972 972 Luxury Vinyl Tile Vinyl Paint Acoustical

5. Additional Space Requirements:

a. Space must be on one floor and all in the same building.

b. Building entryway and sidewalks to be ADA compliant. Provide ADA auto-door operator for entry door.

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c. The lease shall be fully serviced to include Janitorial, Basic Cable, Guest High Speed Internet Wi-Fi, Security Monitoring and Maintenance. The lease shall follow the standard specifications and requirements for a New/Replacing Lease as per the GSA Global Lease or Simplified Lease.

Provide adequate lighting, plumbing, HVAC, power, data, and phone for spaces and the medical function.

d. Provide casework, chair rails, handrails, window shades/blinds, flooring, and carpeting.

e. All door openings shall meet ADA specifications. Take care to minimize changes in level of the floor and include no carpet pad or cushion.

f. Provide ADA-compliant hardware approved for ADA use. The building and office spaces must be lockable. The building must be alarmed (to be coordinated with Physical Security Specialist). Use Stanley/best 7 Pin Small format cores installed with construction cores that will be removed upon coordination with Locksmith at turnover of the facility

g. Preventive maintenance of building existing systems such as HVAC, domestic water heaters, and electric panel boards will be completed prior to occupying the space and throughout the occupancy of the building to meet FEGLI and Joint Commission Accrediting standards.

h. Building owner to provide exterior building/lot/marquee signage (building signage shall be designed to meet VA signage standards).

i. Building owner to provide carpet, flooring, cove base, paint, and window covering samples to VA interior designer for color selection and approval.

j. Clean entire space (aka “terminal cleaning”) prior to VA occupying space.

k. Patient restrooms (unisex) should be conveniently located near the entrance to the space. Both restrooms should contain baby changing stations (with appropriate signs) and feminine hygiene product dispensers. All patient restrooms shall be ADA compliant and require a handrail.

l. Provide a noncombustible covered area via permanent tile or aluminum canopy (other materials to be more in line with surroundings will be considered if presented to the project manager), a minimum of 8’ x 8’ to completely cover a patient on a gurney waiting in inclement weather should transport via ambulance be necessary. Final determination of canopy height shall be based on an assessment of the typical emergency vehicles arriving at the site. Since some ambulances may require even more clearance, the A/E must coordinate with the medical center and local sources of emergency transportation before firmly establishing the canopy height.

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m. Provide a noncombustible canopy at backing in and drive through unloading areas of main entrances. Clearance from grade to the underside of any canopy obstruction shall be 3 m (10 ft.) minimum. Final determination of canopy height shall be coordinated between the A/E and medical center before firmly establishing the canopy height.

n. All interior walls for offices and conference rooms will be insulated to reduce disruptions and maintain a level of confidentiality and privacy. Refer to acoustic requirements in the TIL for further guidance.

o. Building owner’s proposal to include facility interior signage. Signage configuration shall be approved by VA Project interior designer and be designed according to the VA Signage Design Guide. Interior Signage. Lessor shall design, procure, and install all clinic signage in accordance with the latest version of the attached standard. Lessor shall provide samples for the VA to review and approve. VA to approve sign design schematic prior to fabrication/installation. VA Interior Signs Design Guide technical information library All exterior signage is the lessor’s responsibility for city approval and installation. Reference “VA Interior Design Manual” attached to this document

p. All Telecommunications rooms shall meet the standards attached below. All perimeter walls shall extend from floor slab to structural system (deck) to prevent up and over access. No windows or other openings. Overhead lighting in front of and behind the network rack. The Telecommunications Room shall be secured to VA access only and not be shared with any other tenant. Core shall be locked to the VA OIT TR key. Door shall have an automatic closure installed and deadbolt lock according to VA security regulations. Room shall be temperature controlled and maintained at 69 degrees on a 24x7 basis. The performance category of all installed untwisted shielded pair (UTP) copper distribution elements (permanent link and patch cabling, patch panels, and work area outlet (WAO) jacks) used for network/data transmission shall be Category 6A. The Lessor shall provide and install all cable runs. All telecommunication service (e.g. data, telephone, cable television, etc.) shall be terminated in the Telecommunications Room. Provide and install two (2) each, A/B sides, in accordance with attached standards. Access to the Telecommunications Room will be restricted to include only those persons specifically authorized by VA OIT, not to include facility lessors. Reference “Infrastructure Standards, Telecommunications Room standards, and Telecommunications

q. Room Rack Utilization” attached to this document. The police office requires tinting on the exterior windows to prevent people from viewing locations and activities on cameras.

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r. Ensure all patient care rooms have locks on the patient side to ensure privacy.

Coordination from earliest design phases with locksmith will ensure privacy requirements are met.

s. Ensure soap dispensers are located near the sink and do not have a top that can be accessed without a key.

t. The facility requires the ability to hook up a generator during an emergency event but does not need a generator included with the buildout. Reference “Generator specs” attached to this document

u. The nurse’s call should be installed within reach of the patient where they would most likely need it (not necessarily the location most convenient to other electrical wiring). The focus is on patient safety.

v. Provide general lighting (LED preferred) that does not have direct visibility of ballast but does not have a lens cover that collects dust and debris.

w. Ensure that all thermostats cannot be adjusted or manipulated by staff or patients. This could be with a lockable cover or electronically code controlled.

x. Ensure that any door that opens to a thoroughfare has vision glass installed for safety.

y. Use solid surface countertops in wet areas and laminates in areas that do not have risk of water damage.

z. Utilize the PACT design guide located here for general design guidance of how clinic will be managed via the PACT model:

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

aa. Templates: https://www.cfm.va.gov/til/rTemplate/LeasingCBOC as to base the design of the rooms in the project. The space must be on the ground floor. The space must be compliant with the Americans with Disabilities Act.

bb. Parking, both handicapped and regular must be readily available, VA dedicated and marked “VA ONLY”. Convenient access to public transportation is required.

cc. All utilities including gas, electric, water, sewer, cable and janitorial service shall be included in the lease.

dd. All curtain track layouts shall be placed on drawing before 90% design review for interior design review, along with furniture and equipment to be purchased by the VA to be reviewed by the project manager and interior design for coordination with systems and utilities

ee. Disposable privacy curtains supplied by a lessor or laundered and installed by a lessor. Standard curtain track https://www.cfm.va.gov/til/dGuide/dgPACT.pdf https://www.cfm.va.gov/til/rTemplate/LeasingCBOC

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ff. To prevent wall erosions, rub strip that comes in adhesive sheets – like Acrovyn minimum 8” strip in all waiting areas and exam rooms behind seating is required.

Use corner guards on all corners – like Acrovyn – there are several brands.

gg. Mold Prevention: Wallcovering should be avoided, if possible, due to high relative humidity in this region. If a Wallcovering is being considered, avoid exterior walls, restrooms, shower rooms, and other wet area. Additionally, the wallcovering is required to be class A fire rated. Submit sample with permeability rating to Engineering office for approval.

hh. Special care should be taken to avoid storing construction materials in non-climate-controlled environments.

ii. Biomedical Equipment purchased is required to be compatible with existing multi-year, multi-campus M+O biomedical equipment contracts already in place for Miami or provide adequate full system repair and preventive maintenance training to current in-house biomedical and M & O staff members

jj. Locks/Hardware: Stanley/Best 7 Pin Small format cores installed with construction cores that will be removed upon coordination with VA Locksmith at turnover of the facility

kk. Janitorial Service:

I The Lessor shall maintain the Premises and all areas of the Property to which the Government has routine access in a clean condition and shall provide supplies and equipment for the term of the Lease.

ii. Response time of 1 hour during normal business hours for emergency janitorial services. Cleaning to be performed as per OSHA requirement for Bloodborne Pathogens and/or CDC requirement of Environmental Service.

iii. Lessor to provide unscheduled terminal cleaning when deemed necessary from infection control (no more than 4 times annually).

iv. Terminal Cleaning: The purpose of this cleaning and disinfection process is to remove bacterial contamination from environmental surfaces and equipment surfaces where patients receive care to prevent the transmission of the microorganism from patient to patient, from patients to healthcare workers, and from patients to visitors.

v. Terminal Cleaning services personnel should receive proper training and education on patient room cleaning and disinfecting protocols, and they must use all barrier precautions (such as masks, gloves and gowns) when cleaning in rooms or units where surfaces may be contaminated with infectious microorganisms. All training will be coordinated with the VA infection control staff and will be completed within 14 calendar days of contract award.

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vi. Terminal Cleaning services personnel should use Environmental Protection Agency (EPA)-approved, hospital grade cleaning and disinfectant products and all horizontal surfaces and other surfaces in the room that may have become contaminated must be cleaned and disinfected. The contractor is to provide all terminal cleaning supplies.

vii. Contractor shall clean all high-touch areas in the room including cabinets, workstations and inner drawer, phone and cradle, armchairs, door and cabinet handles, light switches, etc. In restrooms, Contractor shall start with the highest surface and clean the toilet last; clean the sink and counter area, including sink fixtures, and if there is a shower, the support bars and shower fixtures and surfaces.

viii. Privacy curtains should be removed by the Contractor, placed in a plastic bag in the room and double bagged to a laundry bag with the assistance of another member of the terminal cleaning services staff standing at the door outside the room. The person outside the door should wear gloves. After completing the task this person should remove gloves, wash hands with antimicrobial soap and water or apply an alcohol rub to their hands.

ix. If visibly soiled, the Contractor shall clean window curtains, ceiling and walls.

x. Following the terminal cleaning of a patient room, gloves should be removed to avoid touching the outside of the gloves. Hands should be washed with an antimicrobial soap and water or an alcohol rub applied to the hands prior to donning a new set of gloves

ll. Davis Bacon Act Wages must be utilized for the build out of the lease space

mm. Four-hour response time on any utility or building system problems, to include but not limited to a/c, plumbing, electric, roof leaks. If no evidence of action being taken 24 hours after the problem has been reported; the Contracting Officer will have the option to Contract the Services. etcetera. Non - urgent calls, as determined by the AO be addressed within 24 hour of being notified by the facility.

nn. As part of JCAHO inspection standards, Sites must show that at least 95% of the program’s items work properly at any given time. Exit Lights and Lights in the means of address must be in working condition at all times. Inspect smoke barrier penetrations and fire rated corridor wall penetrations quarterly for penetrations and repair with appropriate fire-rated materials. Onsite lessor rep should be inspecting the facility monthly to assess fire rated door latches, panic hardware, fire extinguishers, eye wash stations, ensure corridors are clear, all common areas assessed for damage, building systems are fully operational, etc. During repairs or maintenance, a process is in place to manage air quality, infection control, utilities, noise, odor, dust, vibration and other hazards; high-risk and infection control preventive maintenance completion rates at 100 percent; and non-high-risk completion rate at 90 percent.

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6. REFERENCE:

• National Electric Code (NEC), part 800 article 250

• Building Industry Consulting Service International (BICSI) standards.

• Electronic Industries Association / Telecommunications Industry Assoc. EIA / TIA

569 Standard for telecommunications pathways and spaces requirements

• Telecommunications Industry Assoc. / Electronic Industries Association TIA / EIA

568B

• (Telecommunications cabling standard)

• ICEA Publications S-80-576-1988

• Telecommunications Industry Assoc. / Electronic Industries Association TIA / EIA

607 (Building grounding and bonding requirements)

• Telecommunications Industry Assoc. / Electronic Industries Association TIA / EIA 606 (Standard for records, labeling and space & pathway administration)

• Installation of outside plant, inside riser, and station cabling shall conform to meet the requirements of ICEA Publications S-80-576-1988 (Ref.B1.6) as to size and installation practice.

• The installation of the cable shall conform to appropriate OEM, ANSI/EIA/TIA recommendations, Federal Communications Commission (FCC) part 68

• Americans with Disabilities Act (ADA)

• National Fire Protection Association (NFPA)

• Underwriters Laboratories (UL)

• VA PACT Module Design Guide for Cofacilitates

• VA TIL Design and Construction Guidelines