36C24918R0400-001.docx

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626A4-18-107 - AE Renovate for Whole Health Clinic
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36C24918R0400 P09 - Final SOW Renovate Whole Health Clinic ACY.docx

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STATEMENT OF WORK

Renovate for Whole Health Clinic Project 626A4-18-107 TVHS Alvin C York VAMC

I. Introduction This requirement will design for the complete renovation to accommodate multiple specialties within the whole health approach umbrella as outlined in the VHA Office of Patient Centered Care and Cultural Transformation report entitled “Whole Health – It’s All About You”. Existing medical center functions will be relocated to other buildings to enable the construction of TVHS’s first whole health clinic that will be a VA flagship program. Spaces encompassed by this project are located within the TVHS Alvin C. York VA Medical Center, Buildings 1, 2 and 9, at 3400 Lebanon Pike, Murfreesboro, TN 37129.

II. Background
A system-wide implementation of a whole health approach to veteran care is one of the Department of Veterans Affairs (VA) priorities. A whole health approach to care represents a transformation from traditional disease management to a more comprehensive approach that is based in a patient/physician partnership across time, focused on the physical, emotional and social wellbeing of each Veteran. With this new model of care the VA desires that the aesthetics and overall clinic atmosphere do not reflect the traditional medical based feel of a hospital treatment area, but instead the design shall incorporate elements that encourage movement and make the veteran connect with nature and oneself. Design elements, such as natural light, custom planters and casework, textured wall materials, floor to ceiling acrylic panels, acoustical wall panels/ceiling treatments, overhead music/sound system, sound absorbing floor and ceiling treatments, shall be explored and incorporated to create healing spaces that are distinctly different than the traditional primary care exam spaces. The designers shall work with the VA to bring to life a soothing spa-like atmosphere that aesthetically brings the veteran to a place of healing, reflecting the VA Whole Health Team’s vision for their new, flagship program.
III. Scope of Work
The consultant shall provide all necessary architectural and engineering services as required to prepare complete contract drawings, specifications, technical reports, and cost estimates, including services throughout construction to "Renovate for Whole Health Clinic” at the historic Alvin C. York Campus of the VA Tennessee Valley Healthcare System, 3400 Lebanon Pike, Murfreesboro, TN 37129. This project will provide for the complete renovation of approximately 7200 square feet to meet the space allocation requirements of the attached Space and Equipment Planning System (SEPS -see attachment package) and Concepts in accordance with all applicable codes, specifications, guidelines and standards. Disciplines will include Space planning, Noise control, mechanical, plumbing, architectural, interior design, controls, fire safety, structural, industrial hygiene (abatement / infection control), and electrical and communications and security systems.
The conceptual documentation (attached) represents the VA’s intent and preliminary planning for this project, which the A/E shall develop into a final design and construction documents. The A/E shall develop the design to ensure all needs and project objectives are met. During the design the A/E shall independently analyze existing conditions, infrastructure, systems, equipment and processes, fully investigate, survey, test, interview key personnel, document, to gain the knowledge and insight necessary to develop optimal solutions to achieve the project objectives and user needs. All design work shall be complete within 147 calendar days.
IV. Statement of Objectives
It is the intent of the VA TVHS to have an operational Whole Health Clinic in 2019. The A/E will prepare a quality design to meet the following objectives:
1. Design a modern Whole Health Clinic in Building 2 (approximately 4800 square feet of gut and renovation) that maximizes flow, processes and staff efficiencies while alleviating congestion and incorporating contemporary design and operational philosophies, such as natural light, sound control, and architectural elements that promote a soothing and uplifting healing environment.
2. Design will maximize capacity, productivity and functionality and well as increase veteran access to Whole Health services by providing open treatment bays, open rehab areas, integrated reception and waiting areas, and provider work space along with private exam and consultation rooms.
3. Energy efficiency and cost saving shall be considered in all design decisions. Design to applicable sections of the TVHS Energy Requirements and Design Guide for specific energy guidance (See attachments).
4. Abate asbestos within the confines of the project, in accordance with VA’s goal to be 100% asbestos free.
5. Replace AHU-7 (Building 2) and upgrade the HVAC systems serving the areas being renovated. Project will ensure spaces remain compliant with VA design criteria. Improve reliability, monitoring, control and energy efficiency. Use non-priority native BACnet DDC controls and variable speed drives. Implement energy optimization control, such as reset of discharge air temperature, optimal start/stop, occupied/unoccupied and economizer modes. Use DDC and variable speed drives. Integrate new Direct Digital Controls (DDC) controls with existing frontend controls system. VA staff shall be able to quickly shut down AHU and air intakes during an emergency response to an airborne contaminant threat. Provide appropriately sized DDC controlled terminal units to provide individual temperature control for each space, thermostats should include resets, setback and override. Also, use occupancy sensing in select areas for flow and temperature setback. New automated control system shall provide tight control of temperature, pressure relationships and humidity, providing a quality care environment.
6. Design for the relocation of Patient Resource Center to Building 9 (approximately 400 square feet of gut and renovation). Provide a modern, comfortable environment that successfully addresses both functionality, aesthetics and noise reduction. Design shall maximize space by increasing efficiency (see concept drawing in attachments package).
7. Design for the relocation of Educational spaces to Building 1 (approximately 2000 square feet). Design work includes coordination with Vendor providing modular furnishings for proper placement, patching, prepping and painting identified walls, providing security card readers, local cameras and electrical/data services for assigned equipment. Refer to concept drawing in attachments package.
V. Design Tasks
1. The A/E shall work with VA multi-disciplinary team to gather information and ensure VA satisfaction with design. The designer shall provide Three (3) design concepts of the interior spaces and layouts as part of the Schematic Design phase that include all spaces identified in the SEPS plan (see attachments). The designer shall present the concepts of the multi-disciplinary team and fully discuss the merits (pros and cons) of each concept. The team will select the concept that will be fully developed during Design Development and Construction Documents.
2. The A/E shall furnish all services for a complete design development, construction documents, and construction period services (including final inspection) by professionally licensed Architects and Engineers. The A/E will stamp construction documents for all work and assist with providing necessary professional design services required to complete construction:
a. Perform a complete site survey to include a thorough investigation of existing conditions, typical construction type and variations, finishes, verifying and analyzing utility systems for affected areas and utilities traversing through affected areas to accurately document and convey space dimensions on drawings. This information provides the necessary basis for preparation of Design Development.
b. Utility system verification shall include, but not be limited to, the necessary testing, adjusting, and/or balancing of affected systems to ascertain the existing operating and performance conditions that will impact the design and construction process. Systems that are insufficient in capacity or are no longer supported by OEM parts shall be considered for expansion and/or replacement.
c. Perform hazardous material surveys (asbestos, lead, etc.) to identify approximate quantities, type, and location for complete abatement. Examples of sampling include, but are not limited to, mastic, flashing mastic, paint, insulating materials, etc. Surveys should be performed in advance so as not to delay work
d. Perform structural evaluation and design to include any necessary structural support for equipment/furniture and penetrations (wall, roof, floor, etc.). Examples of structural evaluations include, but are not limited to, scaffolding, temporary platforms, equipment supports (rooftop equipment, radiology equipment, vendor equipment, etc.), penetrations, slab integrity and evaluations, etc. Structural designer shall provide stamped construction documents for any related structural work.
e. Perform life safety/fire protection evaluation and design to include any necessary modifications to maintain life safety/fire protection requirements for building occupancy. Examples of life safety/fire protection evaluations include, but are not limited to, existing pumps/pump test data, sprinkler piping, fire/sprinkler zones, rated walls/shafts, fire alarm devices and annunciation, etc. A/E shall provide stamped life safety, fire protection and fire alarm plans.
f. Noise reduction is of vital importance and shall be part of the design meetings to review and implement noise control measures during each submittal.
g. A/E shall provide complete interior design services of a licensed Interior Designer. A/E Interior Designer shall coordinate with VA Interior Designer to develop finishes and create/present 3 finish boards that include (3) 3D perspectives of focal areas to select from. The A/E’s interior designer will need to work closely with the VA interior designer to develop and fine tune the finish selections. Once selections have been finalized/approved the VA requests (1) final 36” x 48” interior finish board and (2) 36” x 48” Perspective boards. The perspective boards shall include an isometric view of overall floor plan and colored rendered perspectives of (3) focal areas. The renderings should be no smaller than 12” x 18” with VA logo and project name.
3.The A/E design shall implement cost control measures to design within funding limits. Cost control measures and alternatives shall be explored during all the design phases. The A/E shall employ a system of measures, such as timely estimates, cost control meetings, effective product, material and equipment selection, efficient management of labor / trades, management / reduction of time / critical path, etc.
4. Interior design finish schedule shall be coordinated, submitted and approved by the VA to ensure coordination with facility standards.
5. The A/E shall develop and execute a Quality Assurance (QA) plan that demonstrates the team approach and methodology for design review and improvements and code compliance, including fully documented comments / issues and resolutions / corrections. The QA process shall drive design review, improvement and code compliance, including fully documented comments / issues and resolutions / corrections. The QA plan shall be submitted to the VA along with the project schedule and shall describe each QA task that will be taken during the development of the various design submission packages, including review of submissions. The design QA effort shall be led by a senior design engineer and a senior architect and shall include senior designers for each trade. VA COR shall be invited to all QA meetings and reviews. Completion of each QA task shall be initialed and dated by the responsible QA team member. A 100% completed QA review shall be submitted with each A/E design submission, including the final construction bid document submission package. Cost review and cost control shall be part of each phase of the QA process and each design submission. The QA process shall produce deliverables included with each submission package, including but not limited to redline mark-ups and QA issue tracking sheets and a QA overview/narrative. QA teams shall review issues with the design team, so corrections are be made prior to submission of each package. QA team shall be involved throughout design, installation, inspection, and testing. A final QA report shall include an overview/main narrative, designer certification letters of compliance for each discipline/trade, and final inspection list and tracking sheet of corrections.QA team leaders shall maintain a tracking sheet, mapping all code compliance issues from inception, review and resolutions. Tracking sheet line item activities shall include, date, issue, review and decision, responsible A/E designer and satisfactory resolution. Since the A/E is solely responsible for the design, ‘VA Directed’ shall not be an acceptable explanation of compliance or resolution. The QA team leaders shall simultaneously copy the VA COR and Contracting Officer when producing/conveying any QA work product, (correspondence, observation lists, tracking, etc.). Any issues shall be discussed in group meetings and resolved to the satisfaction of the designers and QA team, then incorporated into the upcoming design submission package.
6. The A/E will be required to provide a complete set of contract documents and as-built documents. Drawings will be submitted in AutoCad 2016 and REVIT 2016. Specifications shall be edited from the VA Master Construction Specifications (https://www.cfm.va.gov/TIL/spec.asp)and submitted on paper (bound) and electronically in 2016 Microsoft Word and the latest version of Adobe Acrobat
7. The A/E shall provide design and construction period services utilizing licensed, discipline specific designers. Changes in personnel from those who are proposed in negotiations or at the kick-off meeting or during design will not be permitted. Changes in project personnel must be approved in writing by the VA. The services of an industrial hygienist familiar with hazardous materials will be utilized if hazardous materials are found. The registered individuals who will stamp the completed documents shall accomplish engineering design work.

8. Review of Submittals: The A/E shall review all material submittals, shop drawings test reports, etc. Reviews shall be completed and submittals returned to the VA Project Engineer within 5 calendar days of the A/E's receipt of the submittal. A/E shall include submittal review times in the schedule.

9. Perform a complete assessment (functional, infrastructure, operational, etc.) of existing space and develop a minimum of three, unique concepts. Each concept shall be a specific solution that is independent and unique. A variance or modification of a concept theme is not unique and shall not be considered as another concept or alternative solution.
10. Evaluate all components, materials, supplies and equipment associated with the Whole Health Clinic. Present alternative options and propose best practices.
11. Design shall weigh the benefits and risks of the concepts. On-site interviews and discussions shall occur during schematic development and a narrative included in the schematic submission. Pros and Cons for each concept shall be fully discussed during the schematic submission review meeting and VA concerns addressed/resolved prior to DD1.
12. Provide dimensioned layouts of the space with flow diagrams, furniture placement, and equipment selection, incorporate utility tie-in locations, and address any impact moves or construction during the schematic phase. This should be done to prove the validity of concepts, as well as the final solution(s).
13. Provide complete concepts and designs that include moves, phasing, and staging plans to provide a new fully operational Whole Health Clinic. Planning and design shall include any medical center spaces and operations affected by the construction improvements. The TVHS Space Planner will not develop the plans or provide space planning, but will work with the consultant to evaluate the overall effects to services / spaces / functions. A/E’s space planner shall interface with the VA space planner as part of schematic development and follow-up during DD’s to ensure proper space allocation and planning. These meetings will be separate from scheduled submission reviews and shall include VA Space Planner and CORs.
14. Once the design team comes to a consensus, selecting the best concept, the A/E shall fully develop the selected concept and provide complete construction documents.
15. The A/E shall form a design team consisting of key designers and key VA personnel, including affected users and services, and conduct meetings to accomplish a cohesive product that addresses facility issues and concerns. Design team meetings shall be held on site in conjunction with each phase of design and each submission. Additional meetings with individual user groups will be necessary to gather information and produce an effective design.
16. The required stamp of the licensed architect and/or engineer of record will be considered as certification of compliance with the contract requirements for that document. The registered individuals who will stamp the final construction bid documents shall be the same lead designers that accomplish the assessments, surveys, interviews and design work.
17. Design shall ensure proper life safety, including evaluation, classification, egress, fire/smoke compartmentation, fire alarm, sprinkler system, etc. The A/E shall provide stamped Life Safety drawings for the areas in question within the submitted drawings. In accordance with VHA Directive 7712 the final Fire Protection code review will be vetted by a VA provided 3rd party. Any comments by the 3rd party will be addressed and revisions made accordingly by the A/E. A/E shall submit stamped Life Safety, fire alarm and fire protection sheets as part of the CD1 package and final construction bid documents.
18. A/E will coordinate with leading industry equipment manufacturers and vendors to ensure proper layout and support of equipment according to manufacturer’s requirements. A/E shall interface with various equipment providers, including modular solutions, to find the best working solution for TVHS, including all components, options, arrangements, utilities, etc. All selections shall promote fair and open competition.
19. Estimating and cost control shall be a part of every design phase and submission. A/E shall provide an independent estimate, arriving at a specific, construction total for a complete, working project, including all equipment, phasing and temporary measures. Estimate shall account for the current construction climate.
VI. Guidelines, Standards and Basis of Design
1. Department of Veterans Affairs standards may be obtained from the Internet at
http://www.cfm.va.gov/TIL/.
2. Department of Veterans Affairs Design Manuals.
http://www.cfm.va.gov/til/dManual.asp
3. Space Planning Criteria shall be developed with PG 18-9 – Since a design guide for Whole Health has not yet been developed, Chapter 270 was used for concepts.
https://www.cfm.va.gov/til/space/SPchapter270.pdf along with the Whole Building Design Guide http://www.wbdg.org/space-types/clinic-health-unit
See the attachment package for general finishes and layout concepts.
4. Compliance with the Physical Security design manual for Mission Critical VA
Facilities. https://www.cfm.va.gov/til/PhysicalSecurity/dmPhySecMC-2007.pdf
5. Comply with VA HVAC Design Guidelines at www.cfm.va.gov/til/dGuide/dgMH.pdf. Indoor air quality requirements must be met / maintained, such as outside air percentages, air changes / CFM, humidity, etc. Design shall maintain building envelopes to prevent moisture infiltration and possible mold growth.
6. Comply with the VHA National Center of Patient Safety.
http://www.patientsafety.va.gov/
7. Design shall be performed submitted in accordance with VA A/E Submission
Instructions for Minor and NRM Construction Program. Refer to
www.cfm.va.gov/contract/ae/aesubmin.doc
8. Provide room finishes, door, and hardware in accordance with VA Room Finishes, Door and Hardware Schedule https://www.cfm.va.gov/til/room/RoomFinishes.pdf
Also, refer to the specific finish requirements for this project in the sections that follow below.
9. Design for accessibility. Refer to
http://www.cfm.va.gov/til/accessibility.asp. This includes providing handrails in all corridors.
10. Comply with VA TIL, PG-18-3, Design and Construction Procedures
http://www.cfm.va.gov/TIL/cPro.asp
11. Comply with current federal codes and guidelines, as well as applicable state and local codes. Comply with requirements, standards, codes and guidelines from other recognized authoritative bodies, such as The Joint Commission, American Society of Hospital Engineers, AIA & IBC. Other recognized bodies include but are not limited to, the following:
Associated Air Balance Council (AABC), American Concrete Institute (ACI), Acoustical and Insulating Materials Association (AIMA), American National Standards Institute (ANSI), American Society of Healthcare Engineering (ASHE), American Society of Heating, Refrigeration, and Air-Conditioning Engineers(ASHRAE), American Society of Mechanical Engineers (ASME), American Society for Testing and Materials (ASTM), Gypsum Association (GA), International Building Code (IBC), National Electric Code (NEC), NFPA, National Environmental Balancing Bureau (NEBB), International Plumbing Code (IPC), National Standard Plumbing Code (NSPC), OSHA, Standard Building Code (SBC), Sheet Metal and Air Conditioning, Contractors’ National Association (SMACNA), The Uniform Building Code (UBC), and Uniform Federal Accessibility Standard (UFAS), Architectural Barriers Act (ABA) and American Disabilities Act (ADA). Also see Attachment 11- Specification Section 01 35 26 Safety Requirements & Attachment 12- Specification Section 01 42 19 Reference Standards.
11. Design shall consider and incorporate industry standards and best practices, as well as facility standards, incorporating them to arrive at optimal design solutions.
12. Design for patient privacy and HIPPA compliance.
13. Insure proper life safety, including (but not limited to) egress, proper
fire/smoke compartmentalization, fire alarm, sprinkler system, etc. Code Analysis will be clearly defined on the Index Sheet of the Construction Documents. There shall be a stamped life safety sheet. The VA will provide third party fire systems review. All comments by the third party will be incorporated by the AE.
14. The awardee shall design within the construction budget provided at the time of
contract award.
15. Any deviation from requirements, standards and guidelines (to any extent) shall be fully presented by the A/E and fully discussed with the design team. The A/E is responsible for documenting the issue, discussions and resolutions, including detailed reasons, contributing factors and justification for deviation. The A/E shall attribute a deviation to VA input or direction. The A/E shall retain all responsibility for a compliant design and shall stamp the design, certifying compliance without any exceptions.
16. New rooms and partitions shall be designed tight to reduce sound and air transfer. The sound transmission class shall be 40 STC. This includes in-wall components such as doors, frames, boxes and glazing.
17. Comply with TVHS Energy Requirements and Design Guide (revision September 2014, attached). See ASHRAE 90.1-2010 for energy requirements.
18. Code Analysis will be clearly defined on a tracking sheet, with QA review and corrections prior to DD1. There shall be a stamped Life Safety sheet(s) as part of the CD1 package and final construction bid documents.
VII. Design Submission and A/E Requirements
1. Program Guide PG 18-15 (https://www.cfm.va.gov/til/aeDesSubReq.asp), Vol. C Minor and NRM Projects, establishes the guidelines for the A/E submissions. These guidelines indicate a minimum level for submission compliance, which may not be adequate for certain types of design. In some instances, in which critical decisions need to be made, sufficient and relevant information must be provided timely in order for the design to progress to meet certain milestone dates. The level of applicability of the program guide depends upon the scope of work and the exclusions, which are herein specified. Questions regarding the applicability of specific requirements shall be resolved with the medical center staff prior to any submission deadline. Where “days” are stated, this refers to “calendar” not “work” days.
2. The A/E shall implement cost control measures / processes / reviews that shall be implemented during every phase of planning and design.
3. At each submission, the A/E design team shall present and review all submission
materials with the VA inter-disciplinary team:
Work Element
Copies
Duration

Design Kick-off Meeting

1 Day

Schematic (SD)
3
21 Days

Gov’t Review

7 Days

Design Development 1 (DD1)
3
30 Days

Gov’t Review

7 Days

Design Development 1 (DD2)
3
30 Days

Gov’t Review

7 Days

Construction Document 1 (CD1)
3
21 days

Government Review

7 days

Construction Document 2 (CD2)
3
14 Days

Gov’t Review

7 Days

Total

147 Days

4. VA submission review comments may be verbal, noted directly on review sets, or
written list. The A/E shall be responsible for compiling and addressing review
comments. A/E shall produce and distribute meeting notes or minutes for VA review
immediately after each submission review meeting within 48 hours. If the submission documents are not complete, the A/E must resubmit the package in its entirety. Incomplete submissions will not be accepted or reviewed. Partial submissions or piecemealed information is considered to be incomplete and will not be accepted. Submissions and final construction bid documents shall incorporate or address all VA supplied comments from the previous submission package review(s) or it will be considered to be incomplete. Submissions packages shall undergo QA review and designer corrections prior to each submission. Submissions that have not been corrected shall not be accepted. Submissions without the required designer redline mark-ups and up-to-date QA tracking sheet will not be accepted.
5. Design Team Meetings: A/E shall meet with design team consisting of
key VA staff (engineering, key personnel, etc.) to conduct in person interviews to ensure that design will meet VA needs. Design team meetings are suggested after each submission. Additional design reviews or fact gathering meetings may be required based on A/E’s experience and design progress.
6. For each submission (except final), furnish electronic files in the latest version of Microsoft Office and Microsoft Word, Adobe PDF, and/or AutoCAD 2016 and REVIT. The AE shall also produce 3D renderings of the designed Whole Health Clinic at each submission to help communicate the design. The renderings shall show isometric view of clinic and (2) perspectives of key focal areas. Submit 3 hardcopies of drawings, 1 half set and 2 full set. VA submission review comments may be verbal, noted directly on review sets, or written list. The A/E shall be responsible for compiling and addressing review comments. The A/E shall produce and distribute meeting notes or minutes for VA review immediately after each submission review meeting. Final construction documents shall be reproduced as part of the contract. A full size and 2 half size sets of the Construction Drawings and 1 bound copy of the Specifications shall be delivered to the COR.
7. Total time to accomplish design shall be within 147 calendar days
from the issuance of the Notice to Proceed to reproduced Construction Documents.
Material selection/specification and submittals shall be incorporated into the design process. A/E design team shall review and approve material submittals, shop drawings, test reports, etc. previously submitted and approved by the contractor. Submittal and submittal review copies shall be provided to VA Contracting Officer upon request.
8. Each design submission will require 7 days for VA review, depending upon the
A/E’s responsiveness to previous VA comments. The A/E shall propose a submission schedule based upon their understanding of the design and their staffing workload.
9. The final construction bid documents will include 2 full sets and 2 half sets plus 1 set of specifications, including all disciplines/packages and will be stamped (sealed and signed by the Architects and Engineers of Record).
VIII. Construction Period Services Requirements
1. Review Analysis of Requests for Information, Schedules, Change Orders, and Costs: A/E shall provide prompt responses within 2 business days when required to review and provide analysis of construction, requests for information, change orders, etc.
2. Site Visits: A/E shall provide 48 site visits (1 person for 3 hours of consultation time. Travel time is not included in this time frame.) during the construction period, in addition to pre-bid conferences, in-wall inspection, above ceiling inspections and final inspection. A site visit “unit” is defined as a visit to the site by one individual for any part of a day when requested by the Contracting Officer or an authorized representative. On this job, a site visit should last 3 hours and may require the use of multiple “units” when more than one individual or an extended period is needed to inspect an area of work. Only registered architects and engineers familiar with the project may make these site visits. The Contracting Officer Representative has the prerogative to determine the professional discipline(s) required for each site visit. The A/E shall notify the COR of their presence on site, before any work is performed, to document the number of individuals who are making the site visit. The A/E shall observe the construction, advise the COR of any deviations or deficiencies, and recommend appropriate corrective actions.
3. The A/E shall provide QA and final inspection of the new work and building systems. Provide a copy of the final inspection report to the Contracting Officer and COR. In subsequent inspections, update of final inspection list (for the Contracting Officer and COR) to indicate corrective measures (and dates) until Completion list items have been corrected. Signed and stamped QA report and closeout documents shall be provided to the Contracting Officer.
4. Record Documents/Drawings Requirement: The A/E shall revise the solicitation documents and provide a complete set of drawings showing actual, completed construction and reflecting any changes incorporated in the work on electronic media. Electronic media drawings shall be in AutoCAD 2016 or Autodesk Architectural Building Systems. Compatibility means that data can be accessed directly without translation or processing of data files. Problems shall be corrected to satisfaction of VA. VA will not accept electronic drawings with numbered or coded layer names (reference http://www.cfm.va.gov/til/projReq.asp), corrupted information resulting from translation / conversion, non-uniform drawing layers, colors, line-types, etc., and other issues that prevent easy reading and manipulation of the drawing/entities in AutoCAD 2016. Electronic media specifications shall be in the latest version of Microsoft Word in use at VA. Provide closeout binders (3 total) with certifications, warranties, test reports, product information, application data, MSDS and O&M manuals. All closeout information shall be provided within 14 days of acceptance of final inspection.

General Requirements

IX. Architectural
1. Remove and in some instances, rework utilities. Pass thru utilities serving other areas outside construction limits shall remain but may require a rework to achieve required ceiling height and configuration.
2. Typical ceiling height shall be 9’-0” minimum.
3. Provide drywall soffits over focal areas, reception and upper cabinets.
4. Provide wall protection on walls. Walls shall be painted with a scuff guard paint such as http://www.wolfgordon.com/products/paint/scrubtough-max-st11350m.html
Install new handrails and new bumper guards in corridors, including common areas within suites for accessibility and wall protection. Provide 16-gauge steel backer or fire treated wood blocking as required for in-wall support. Also, provide full height corner guards on outside corners.
5. Countertops shall be solid surface material.
6. VA will provide toilet paper holders, soap dispensers, hand sanitizer dispensers, toilet seat cover holders, and paper towel dispensers for contractor installation.
7. Provide and install mirrors and grab bars which comply with ABA.
8. Provide 16-gauge metal backing for wall mounted items.
9. Include sound deadening (acoustical) decorative floor to ceiling panels and
“clouds” to minimize noise in new Building 2 clinic. Product should meet or exceed the Specifications of the “Quiet-Core” substrate - https://www.xorelartform.com/ and for Ceilings http://hewsonprestige.com/ceilings/

10. Clinic flooring shall be sound absorbent and work to decrease impact sound. An impact sound reduction (EN ISO 717-2) of 12 dB shall be realized. Sound absorbing flooring shall be slip resistant and specifically designed for high traffic areas.

Flooring subcontractor must demonstrate 5 years’ experience and manufacturers certification to install selected products.

11. Facility standard acoustical ceiling tiles are USG Radar – designer shall include 8ea 2 by 2 focal ceilings such as Sky Factory Luminous or Digital Cinema http://www.skyfactory.com/products/

12. Provide signage for all rooms/spaces – include room number and function. Facility Standard by Takeform (see attachment package).

13. Integrated corner and edge protection must be included on casework, no unprotected laminate edges. See attached finish legend for examples.

14. Design casework for open bay applications that defines separation, provides privacy and a work station while not hindering the open concept. Casework shall provide a workspace, storage, data and power, integrated seating, and a decorative acrylic panel.

15. Design casework to provide a check in station for 2 full time employees. Casework will consist of 2 finishes and solid surface countertops. include stainless standoffs and provide a transaction top of solid surface material.

16. Reception area shall include, printer space and casework storage for paper and office supplies. Design elements shall include textured accent walls, planters and stainless steel, laser cut signage appropriately scaled for wall to identify the Whole Health Clinic brand.

X. Building Envelope Replace approximately 1800 square feet of modified bitumen roofing and damaged insulation. Roofing shall be designed and installed per manufacturer’s recommendations, warranted for not less than 25 years, meet R value of 30, accommodate for the installation of new Air Handler and associated components. A/E shall design to ensure slope allows for water to completely drain from rooftop and ensure load carrying capacities are met. Provide stamped structural details of load bearing components associated with the HVAC Air Handling Unit installation.

XI. Plumbing and Sprinkler
1. Plumbing fixtures shall meet or exceed facility standard (Powers ASSE 100 faucet
series with integrated thermostatic control).
2. Include floor mounted commodes and standard flush controls.
XII. Electrical, Fire Alarm and Technology
1. Remove 120V lighting circuits and replace with 277V.
2. Lighting will be LED and dimmable. Lighting will be layered to provide overall ambient lighting. Lay in overheads (facility standard Cooper Encounters), recessed cans (wall washing and focal areas), wall sconces, and pendants shall be separately switched with dimming control. Provide 3 way switching at multiple entrance locations. See attachments package for decorative lighting concept.
3. Lighting in each space shall be on a minimum of 2 circuits to allow for work to continue during outages.
4. Contractor to perform a Wireless Local Area Network (WLAN) Site Survey for the
project area to provide heat mapping and determine placement of wireless access points(WAP). Contractor will provide appropriate cabling (include a 10-foot loop) and specified connector. VA will provide the WAP’s. Please incorporate the document titled WLAN Site Survey in attachment package into specification 270800.
5. Facility Standard for each Data Outlet includes 3 homeruns of CAT6. At select locations where a multifunction printer is to be employed an additional analog homerun will be required along with the 3 Cat6.
6. In Building 2 convert fire alarm sub panel to a main panel. Design for new
signaling devices with voice notification.
7. Provide “call for help” devices for each restroom and treatment area. Devices shall provide both a visual alarm and a locally auditable alarm.
8. Building 9 – provide infrastructure to accommodate the education TC channel,
including power source and new coax (RG11) from this location to the TV Headend
located in Building 2 Room G24A. Additionally, provide new cable TV infrastructure.
9. Install facility compatible overhead paging system in the new Whole Health Clinic in Building 2, paging system must be integrated into the existing hospital wide system. Additionally, provide and install a separate complete (include head in and speakers) overhead music system with individual volume control in each room/space – excluding restrooms and storage areas.
10. Provide cable TV infrastructure including power and coax to headend located in building 2 to the new Whole Health Clinic waiting area.
11. Provide nurse call (facility standard is Rauland Responder 5) in all restrooms and at each patient exam room/station. Visual and audible notifications are required.
12. Provide security cameras in waiting areas.
XIII. Mechanical
1. Replace existing AHU 7 in Building 2 with a new 20% oversized 480V fan wall
technology AHU to include chilled water coil, steam heating coil and steam humidifier. Unit shall be on emergency power. The new unit will be specifically designed for rooftop installation and fully engineered, assembled and tested at the factory including variable – frequency drives, economizers and control valves. (Unit shall be delivered fully assembled and wired at factory). Design for and install new ductwork. Implement energy optimization control, such as reset of discharge air temperature, optimal start/stop, occupied/unoccupied and economizer modes. Use DDC and variable speed drives. Integrate new Direct Digital Controls (DDC) controls with existing frontend controls system.
2. The VA HVAC design guide - https://www.cfm.va.gov/til/dManual/dmHVAC.pdf will be
used for AHU design reference. Exam/Treatment spaces will be designed as PTBT1 –
Chiropractic Exam Room.
3. Every room shall have individual temperature control with resets, setback and
override. VAV boxes will have reheat coils and tied into the existing reheat system in Building 2.
4. Demolition of old unit (AHU7) in Building 2 shall be complete and include
convertors, pumps and all associated components, ductwork, wiring, old hot water
piping and radiators. Demolition should be back to the source.
5. Building 9 work includes the replacement of VAV’s with modern DDC controlled units, includes replacing the hot water feed from source, and ductwork. Demolish existing radiators, piping and wiring to source.

XIV. MATERIALS TO BE FURNISHED TO THE SELECTED A/E BY VA

1. Drawing files will be made available. AutoCAD drawing files are available only for architectural floor plans. Utility drawing files are incomplete and only available as hard copies, but can be made available for the A/E to copy and scan. The accuracy of drawings is not guaranteed and shall be used for general information only. Actual conditions shall be fully surveyed in the field by the A/E, then drafted and reverified by the A/E.

a. Existing Architectural Floor Plans (PDF and AutoCAD)

b. TVHS Energy Conservation Project Requirements and Design Guide

XV. AE QUALIFICATIONS

1. The AE shall provide a team of professional designers and engineers that have worked together before on hospital clinics projects that are capable of completing the work as specified. The A/E shall not make changes in personnel from those who are approved on the team without prior approval from the VA Contracting Officer and the Contracting Officer’s Representative (COR). Approval of changes will not be granted without overwhelming reason, such as death, termination or severe health issues. Personnel changes solely benefiting the consultant will not be approved. Replacement personnel must be approved by the VA CO and COR. Any replacements must have equal or greater qualifications to the departed team member. Similar projects shall be hospital treatment space with a project dollar amount greater than $1,500,000. Additionally, the following qualification shall be met.

a. Licensed in United States and able to stamp designs / drawings.

b. Worked together as a team on design projects.

c. Experience working as a team to successfully complete similar hospital clinic designs within the last 5 years.

2. With their SF330s, A/E shall provide the following deliverables demonstrating they are qualified to submit a bid.

a. A list of similar projects that include, at a minimum, facility name, location, project title and total project cost.

b. A facility point of contact for each project with name, email, and phone number.

XVI. GEOGRAPHICAL LOCALITY

The A/E shall be geographically located within 350 miles. A/E must be capable of scheduling and arriving at the Murfreesboro Campus the next daywithin twenty four (24) hours if required.

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