El Paso VA Healthcare System New Northeast CBOC New Lease

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STATEMENT OF WORK

I. SCOPE OF WORK

The El Paso VA Healthcare System is proposing to lease a minimum of 23,597 square feet

Gross Area of the Building / 18,581 square feet (contiguous) net usable square feet of clinical space for a Community-Based Outpatient Clinic (CBOC) in Northeast side of El Paso, Texas.

The space shall be located in a quality building, constructed of sound and substantial construction, and shall be in compliance with Federal Laws & Regulations governing federal leases, building & fire codes, and the American with Disabilities Act (ADA). In addition, the space offered must be either new, modernized building, or one that has undergone restoration or rehabilitation for the intended use. All design and construction shall meet the most current VA

Technical Information Library (TIL) standards. Attachments provided herein are for informational purposes only.

Space shall be available for use by Tenant (VA) for personnel, furnishings, and equipment to meet the needs for a CBOC. Space design will provide maximum co-location of the staff providing services to our patients.

The space shall be of contiguous office space in a professional and aesthetically pleasing building. Space shall be located in a prime commercial office space with attractive, professional surroundings. Streets and public walkways shall be well maintained. Buildings must have all utility providers connected such as Water, Sewer, Electrical, Natural Gas, etc. Temporary utility services such as septic tanks, water tank storages, etc. are NOT acceptable. Space shall be located on the ground floor.

The lease shall be full serviced and follow the standard specifications and requirements for a

New/Replacing Lease as per the GSA Global Lease or Simplified Lease.

II. SPACE REQUIREMENTS

Functional Area: 01 - OUTDOOR PUBLIC AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB101 CBOC Veteran Drop-off, Bldg Sprt 0 0 1 2

1 SB103 CBOC Bicycle Rack Area, Bldg Sprt 0 0 1 2

1 SB104 CBOC Service Dog Walk Area, Bldg Sprt 0 0 1 2

Functional Area: 02 - INDOOR PUBLIC AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB262 CBOC Wheelchair Corral / Parking, Clncl Sprt

30 30 1 0

1 SB291 CBOC Vestibule / Indoor Buffer, Bldg Sprt 100 100 1 2

1 SC093 CBOC Mobile Lift Corral / Parking, Clncl Sprt

40 40 1 0

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Functional Area: 03 - VETERAN WELCOME AREA / MAIN STREET

1 CWV02 CBOC Lactation Room, Wm Vet Svc 80 80 1 2

1 OCB16 Veteran Information / Welcome Area Storage Alcove, CBOC

20 20 1 0

5 OFA07 Workstation, Medium 56 280 1 0

1 SB003 CBOC Veteran / Guest Seating, Bldg Sprt 415 415 1 2

1 SB051 CBOC Family Seating, Bldg Sprt 125 125 1 0

2 SB163 CBOC Bariatric Patient Toilet, Bldg Sprt 75 150 1 2

1 SC005 Volunteer Welcome Station, Clncl Sprt 80 80 1 0

1 SC271 Universal Consult Room, Clncl Sprt 100 100 1 0

CCS

1 SC271 Universal Consult Room, Clncl Sprt 100 100 1 0

My HealtheVet & Eligibility

Functional Area: 04 - CAFE / REFRESHMENT AREA

1 SV692 CBOC Vending Area, VC Svc 20 20 1 0

Functional Area: 05 - VETERAN EDUCATION / PACT GROUP ROOMS

1 OCB21 Shared Group / Multifunction Room, CBOC

360 360 1 0

1 OCB21 Shared Group / Multifunction Room, CBOC

360 360 1 2

2 OCB24 Shared Group / Multifunction Storage Room, CBOC

60 120 1 2

1 SC172 CBOC Patient Education Workstation, Clncl Sprt

56 56 1 2

Functional Area: 06 - LABORATORY MEDICINE AREA

2 CL822 CBOC Bariatric Blood Draw Station, Path Svc

100 200 1 2

1 CL831 CBOC Laboratory Clean Supply Storage Room, Path Svc

60 60 1 2

1 CL832 CBOC Laboratory Soiled Holding Room, Path Svc

60 60 1 2

1 SB198 CBOC Specimen Collection Toilet, Bldg Sprt

65 65 1 2

1 SC189 CBOC Handwashing Station, Clncl Sprt 10 10 1 2

2 SS218 CBOC Laboratory Lead Tech Workstation, Stff Sprt

56 112 1 2

Functional Area: 07 - RADIOLOGY

1 CI011 Class 1 Radiology Imaging Room, Imgng Svcs

325 325 1 0

1 SS218 Staff Workstation, Stff Sprt 56 56 1 0

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Functional Area: 08 - PRIMARY CARE EXAM ROOMS

1 CWV16 Women Veteran Patient Care Room, CBOC

140 140 1 2

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 1

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 2

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 3

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 4

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 5

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 6

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 7

2 OCB31 General Patient Care Room, CBOC 140 280 1 0

NE 8

1 SB159 CBOC Women Veteran Patient Toilet, Bldg Sprt

75 75 1 2

2 SB201 CBOC Patient Toilet, Bldg Sprt 75 150 1 0

1 SB244 Housekeeping Aides Closet (HAC), Bldg Sprt

60 60 1 0

2 SC066 CBOC Accessible Patient Height & Weight Station, Clncl Sprt

60 120 1 2

1 SC078 Linen Closet, Clncl Sprt 20 20 1 0

1 SC213 Soiled Linen Chute Room, Clncl Sprt 40 40 1 0

1 SC257 Waste Disposal Chute Room, Clncl Sprt 40 40 1 0

2 SC271 Universal Consult Room, Clncl Sprt 100 200 1 0

Triage

Functional Area: 09 - PRIMARY CARE BEEHIVE

1 SC079 Medical Equipment Alcove, Clncl Sprt 20 20 1 0

1 SC281 Supply Alcove, Clncl Sprt 40 40 1 0

33 SS218 Staff Workstation, Stff Sprt 56 1848 1 0

1 SS268 Copy / Supply Alcove, Stff Sprt 40 40 1 0

1 SV581 Medication Alcove, Phrm Svc 40 40 1 0

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Functional Area: 10 - BEHAVIORAL HEALTH

2 OPMH4 Exam/ Treatment Room, Mental Health 120 240 1 0

BHIP LIP

3 OPMH4 Exam/ Treatment Room, Mental Health 120 360 1 0

BHIP Therapist

2 OPMH4 Exam/ Treatment Room, Mental Health 120 240 1 0

PCMHI LIP

1 SC271 Universal Consult Room, Clncl Sprt 100 100 1 0

BHIP LVN

1 SC271 Universal Consult Room, Clncl Sprt 100 100 1 0

BHIP RN

1 SC271 Universal Consult Room, Clncl Sprt 100 100 1 0

PCMHI RN

Functional Area: 11 – PHARMACY

2 SV422 Consultation Room, Phrm Svc 100 200 1 0

Functional Area: 12 - MEDICAL SOCIAL WORK

Functional Area: 13 - TELEHEALTH

2 WRTM2 TeleHealth 125 250 1 0

Functional Area: 14 - WHOLE HEALTH/HPDP

Functional Area: 15 - LOGISTICS AREA

1 SB541 CBOC Full Gas Cylinder Storage Room, Lgstcs Svc

40 40 1 2

1 SB551 CBOC Empty Gas Cylinder Storage Room, Lgstcs Svc

40 40 1 2

1 SB721 CBOC Medical Equipment Storage Room, Lgstcs Svc

160 160 1 2

1 SB741 CBOC Clinical Supplies Storage Room, Lgstcs Svc

140 140 1 2

1 SB763 CBOC Sterile Supplies Storage Room, Lgstcs Svc

140 140 1 2

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Functional Area: 16 - PHYSICAL THERAPY

1 CT231 CBOC PT/OT Patient Care Room, PMR Svc

140 140 1 0

1 CT233 CBOC PT/OT Equipment Storage Room, PMR Svc

120 120 1 0

1 SB244 Housekeeping Aides Closet (HAC), Bldg Sprt

60 60 1 0

1 SC243 Team Room (2 workstations), Clncl Sprt 120 120 1 0

Functional Area: 17 - STAFF WELLNESS AREA

2 SB191 CBOC Universal Staff Toilet, Bldg Sprt 65 130 1 2

1 SS262 CBOC Clinical Neighborhood Staff Multipurpose Room / Breakroom, Stff Sprt

180 180 1 2

1 STEQ1 Storage, Equipment 80 80 1 0

Functional Area: 18 - MANAGEMENT AREA

1 SS204 CBOC Lead Medical Services Administration Office, Stff Sprt

100 100 1 0

SMSA

1 SS204 CBOC Nurse Manager Office, Stff Sprt 100 100 1 0

1 SS209 CBOC Shared Leadership Office, Stff Sprt 120 120 1 0

AO/PSA

1 SS268 CBOC Copy / Supply Station, Stff Sprt 40 40 1 0

Functional Area: 19 - POLICE AREA

1 SB811 CBOC Office/Interview Room, Pol Svc 100 100 1 0

1 SB811 Security Room, Police Svc 60 60 1 0

Special systems room

Functional Area: 20 - OIT

1 COMC1 COMMUNICATIONS ROOM 130 130 1 0

Dept Totals: Room Qty: 139 Net Area: 12,387 Gross Area: 18,581

Building Totals: Room Qty: 139 Net Area: 12,387 Sum of Dept Gross Area: 18,581 Gross Area: 23,597

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III. ROOM REQUIREMENTS

For room/space requirements and guidance in general, please refer to appropriate TIL standards, design guides and VA directives. The subsequent sections outline requirements for selected room types.

A. WAITING AREA

1. Four (4) quad electrical outlets, location as determined by VA.

2. Two (4) Telecommunication outlets, location as determined by the VA.

3. All walls to have Chair Rail and corner guards, mounted at height determined by VA.

4. Direct window access to waiting area.

5. Restricted access or lockable door to clinic area.

6. Front and back entrances to check-in area.

7. Duress alarm.

8. One (1) dimmer light switch.

1. TV/Cable Outlet and separate electric outlet.

9. Wall Mounted coat rack.

10. LVT, ceramic, or laminate wood flooring to be selected by the VA

11. Centralized check-in/check-out for efficient utilization of staff.

12. Waiting area shall be strategically located to give the office manager and/or team leader clear observation of waiting areas.

13. A wall hung stainless Bottle Filling Station & Single ADA Cooler will be provided in the suite waiting room.

14. Lessor shall provide and pay for basic cable at two locations in the leased property. Cable TV audio/video wall jack required backing and mounting materials for connection to a VA furnished television.

B. RESTROOM (MALE AND FEMALE)

1. All bathrooms shall meet handicap accessibility codes and will include grab bars at commode.

2. All bathrooms shall have a power assisted door that is operated by a push pad.

3. Minimum one (1) accessible wall hung water closet and wall hung lavatory.

4. Toilet paper dispenser shall be provided by the lessor installed within easy reach.

5. Mirror over lavatory, minimum of 24"x 36", with a shelf shall be provided by the lessor shall be installed above each sink.

6. Wall Mounted touchless Soap Dispenser: Sinks shall be equipped with a wall mounted touchless soap dispenser provided by the lessor.

7. Paper Towel Dispenser shall touchless and provided by the lessor. Shall be installed near the sink.

8. Built-in waste receptacle.

9. Wall mounted coat rack shall be installed on inside face of door.

10. Baby changing station with baby changing staging signage on each entrance

P a g e 7 | 20 door as applicable.

11. One (1) GFCI electrical outlet.

12. Duress Alarm.

13. Ceramic flooring to be selected by the VA.

14. Sanitary Napkin Dispensers and Disposal Bins: All Shared and Female restrooms shall be equipped with wall mounted Sanitary Napkins Dispensers and Sanitary Napkin Disposal Bins provided by the Lessor

C. GROUP COUNSELING ROOM/ CONFERENCE ROOM

1. Sound Transmission Class (STC) rating of 50 shall be achieved. The sound resistant enclosures shall be designed to assure speech privacy and achieve an

STC rating of 50.

2. Eight (8) Electrical outlets.

3. Three (8) Telecommunication outlets.

4. One (1) additional Telecommunication outlet located by COR for conference call system (Possible location: Floor center of room).

5. Equipped with infrastructure to support video teleconferencing (Vtel) equipment such as conferencing call system, television, camera, etc. Vtel equipment to be provided by the VA.

6. TV/Cable Outlet and separate electric outlet.

7. Wall mounted TV holder.

8. Duress Alarm.

9. One (1) Dimmer light switch.

10. LVT, ceramic or laminate wood flooring to be selected by the VA

11. Moveable/operable partition installed to separate the room into two.

12. Lessor shall provide and pay for basic cable at two locations in the leased property. Cable TV audio/video wall jack required backing and mounting materials for connection to a VA furnished television.

D. OFFICES (TEAM LEADER, OFFICE MANAGER, COUNSELORS)

1. Sound Transmission Class (STC) rating of 50 shall be achieved. The sound resistant enclosures shall be designed to assure speech privacy and achieve an

STC rating of 50.

2. Four (4) double electrical outlets – One (1) per wall.

3. Two (4) telecommunication outlets.

4. Coat hooks on back of doors.

5. Door window glass panels shall be frosted for privacy (or other method of privacy as accepted by CO).

6. Duress Alarm and duress pendants (portable, remote access, key fob style device).

7. One (1) Dimmer light switch.

8. One (1) 20-amp electrical outlet.

9. LVT, ceramic, or laminate wood flooring to be selected by the VA.

10. Shall have glass pane adjacent to door frame, in the door, or in the office with

P a g e 8 | 20 frosted glass for secure view of visitors.

E. EMPLOYEE BREAK ROOM

1. All perimeter walls shall extend from floor slab to six inches above the ceiling grid and filled with fiberglass bat insulation to ensure acoustical privacy.

2. Two (2) GFCI Electrical outlets.

3. Two (2) Telecommunication Outlets.

4. Minimum of ten (10) feet of counter with base and overhead cabinets; double compartment sink.

5. TV/Cable Outlet and separate electric outlet.

6. Full size refrigerator.

7. Built-in Convection Microwave Oven.

8. Dishwasher.

9. LVT or ceramic tile flooring to be selected by the VA.

F. JANITORIAL/UTILITY CLOSET

1. Mop Sink.

2. Two (2) Electrical outlets.

3. Adjustable shelving on two walls.

4. LVT or ceramic tile flooring to be selected by the VA.

G. SUPPLY/STORAGE ROOM

1. Four (4) Electrical outlets. One (1) per each wall.

2. Two (2) Telecommunication Outlets.

3. Adjustable shelving on two walls of each storage room - 3 shelves per wall with a depth of 15”.

4. LVT or ceramic tile flooring to be selected by the VA.

H. TELECOMMUNICATIONS ROOM (DATA CLOSET)

1. Minimum of 110 square feet.

2. All perimeter walls shall extend from floor slab to structural system (deck) to prevent up and over access.

3. No windows or other openings.

4. Independent HVAC system with temperature and humidity monitoring. Room shall have stand-alone temperature controlled and maintained at 69 degrees.

The Lessor shall also provide rack mounted temperature and humidity sensors which shall report back to TempTrak, system at main VA Health Care Center.

5. Room must be protected from weather.

6. Overhead lighting.

7. Metal frame and door with dead lock pin, automatic locking upon entry and exit for a secure room.

8. The data closet shall be secured to VA access only and not be shared with any

P a g e 9 | 20 other tenant. Core should be locked to the VA OIT closet key (3SKL2)

9. Data racks shall have space to mount patch panels, data equipment, PBX and

UPS.

10. The Lessor shall furnish and install one (1) new Uninterruptable Power

Supply (UPS) for the Main IT Server per VA TIL and Electronic Health

Records Modernization (EHRM) specifications.

a. UPS shall integrate to the VA’s Main Energy Management System

(EMS/ BMS). Integration Points shall be included as directed by the

VA’s COR for this contract. Existing EMS/ BMS system specifications are as follows:

i. KMC Controls, BACnet MS/TP, BACnet IP. Installation and

Integration shall be performed by a local certified KMC installer.

11. The contractor shall provide and install 2 relay racks “19 inch” width, with vertical cable management in between the racks. The racks should be seismically bolted to the floor and grounded with wire #6. The contractor shall install all patch panels on one side of the relay rack, leaving the secondary vacant and room for IT equipment.

12. The contractor shall provide and install an APC model UPS with NIC card, that is rack mountable, sufficient to support all OIT equipment with a minimum of 30+ minutes of runtime.

13. Data racks shall have vertical and horizontal organizers affixed. The contractor will provide and install cable ladder within the Data Closet from the wall to the top of the relay racks, allowing for a pathway to conduits and

110 blocks.

14. The contractor will provide and install conduit pathways from the Data Closet, to connect the building with AT&T or the local telephone company vaults.

15. The contractor will work with AT&T or the local exchange carrier (LEC) to bring in both fiber and copper infrastructure into the Data Closet.

16. Access to the closet will be restricted to include only those persons specifically authorized by VA OI&T, including facility lessors.

17. Please refer to the OIT Enterprise Facility IT Support Infrastructure Standards for details.

VA Enterprise

Facility TI Support Infrastructure Standard

OIT CABLING NEW

CONSTR

OIT INSIDE PLANT

ITS SPEC

OIT_Design_Guide_Te mplates-12272018-v1-0.pdf

VA OEHRM Site

Infrastructure Requirements v2 Signed.pdf OIT Infrastructure

Standard for Telecommunications Spaces v3_1.pdf

IV. DATA JACKS (TO CONNECT INTO THE VHA NETWORK)

1. There must be a minimum of two (2) location in each room (excluding bathrooms and to be based on tenant furniture layout).

2. Standard Data Outlets: Each data outlet/device location will have four (4) cable runs that terminate on the high- density rack mounted patch panel. Each typical data outlet will be on a six-port base plate.

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3. Wall Mounted Phones: Any jacks for wall mounted phones should have 1 data cable to support VoIP, and be on a 1 port metal plate, and accommodate RJ45.

Jack Conventions

(VoIP)

4. Cabling must be installed according to BISCI standards.

5. All cabling shall be continuous runs with no splices and be less than 328’.

6. Patch Panels, jacks and cable shall all be rated at Cat 6A or higher and be tested and certified with a pass rating. A copy of the test results will be provided to the COR as a deliverable.

7. Must have the capability to add additional data locations as determined by occupants to be provided by the lessor within ten days from request.

8. VAMC can suggest a cable contractor if necessary.

9. Medication area with data port to support Ominicell of approximately 20 square feet.

10. Location of Data Outlets:

a. If the construction at the location of the data outlet is drywall, provide flush-mounted single-gang outlet boxes with six-port base plates and applicable wall device faceplates (cable to be installed behind drywall).

b. If the construction at the location of the data outlet is a solid wall, provide surface-mounted single-gang outlet boxes with six-port base plates and applicable wall device faceplates (cable to be installed in plastic wall mold equipped with protective insulator or sleeve).

c. Where modular furniture is used, the location of the data outlet will be in the baseboard of the furniture, where the networked equipment

(computers, printers, etc.) will be located. Provide flush-mounted single gang outlet boxes with six-port base plates and applicable wall device faceplates. If flush-mounted single-gang outlet boxes cannot be used, then modular surface mount boxes will be used with six-port inserts. All cable runs in modular furniture will be through furniture wire baseboard ducts/conduit.

d. The contractor shall follow VA naming conventions attached at both the patch panel and wall plate. All labeling shall be easily visible and printed, handwritten labeling is prohibited.

V. SECURITY:

A. Provide a level of security which reasonably deters unauthorized entry during regular and non-duty hours. The Government considers a security alarm reasonable. Overall security shall also include deterring loitering or disruptive acts in and around the space during duty hours. Tenant shall have security within the tenant space, separate from that of the general building security. Keys/cipher locks OR key fob/card reader capability for employee access. No public access to the offices will be allowed.

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B. Security Alarm: The Lessor shall provide, install and maintain a security system, (at lessor’s expense) to alarm upon illegal entry or loitering in the leased space and to prevent unauthorized entry 24 hours per day, 7 days per week that alarms locally at the site and to a remote monitoring location. Alarm sensors required on all exterior doors and windows. A motion detector will be provided in the waiting rooms and the main corridor. The remote monitoring company shall be in the business full-time, shall be approved by the LCO, with all monitoring costs borne by the VA for the term of the lease. Updates for codes or names are included in the lease and shall be coordinated with the LCO or authorized representative. The lessor shall install a keypad to disarm the building as directed by the VA COR. The cost of security services will be factored into the lease. The security system will be completely tested at least once per month by the lessor with a copy of the testing report sent to VA.

C. Duress alarm - Button wireless duress / panic button each duress button is to be supplied a mounting clip to be installed by the lessor. Supply and install a wireless receiver to interface with panel. Each duress button is to be an individual zone. Provide and install group rooms with hard-wired duress alarms.

D. Security Closet - Door shall have an automatic closure installed and deadbolt lock according to VA security regulations. Security closets shall be independent from IT closets.

E. OTHER REQUIREMENTS:

1. Fully Serviced Lease.

2. Cable Television Service and Guest Wi-Fi paid for/provided by the lessor through the annual rent.

3. Lessor shall be responsible for all monitoring services which shall be included as part of the rent cost. These services include but are not limited to: Security alarm monitoring, Fire alarm monitoring, etc.

4. Corridors shall be at minimum of 6 feet in clear width.

5. Front entrance and front desk entrance doors shall have a power assisted door that is operated by a push pad from within the MSA’s area.

6. All rooms (except IT Closet) should be master keyed, locking mechanism should be on the inside of the frame, and locking mechanism must be approved by the VA.

7. DRINKING FOUNTAIN: A wall hung stainless Bottle Filling Station &

Single ADA Cooler will be provided in the suite waiting room and break room. Complete cooler and bottle filling station in a consolidated space saving ADA compliant design.

8. FIRE PROTECTION: The A/E shall possess the knowledge of applicable fire protection criteria and solicit the services of a third-party qualified fire protection engineering consultant during design to ensure the project as designed by the A/E complies with such criteria. Obtaining these third-party

P a g e 12 | 20 services early in the design process is required. The third-party entity shall be involved in reviewing the design, but may also be involved with reviewing contractor’s submissions, conducting pre-occupancy life safety inspections, and/or witnessing final fire protection acceptance testing. The Lessor shall provide third‑party fire protection engineering services by a licensed fire protection engineer to conduct an assessment to determine the fire protection measures required to meet applicable NFPA 101 code requirements for the facility’s occupancy. Refer to Lease Contract Section 3.10, “AUTOMATIC

FIRE SPRINKLER SYSTEM” for additional requirements and guidance.

9. EXTERIOR BUILDING SIGNAGE: Lessor must provide, approved by the

VA, an internally lighted, wall mounted building sign with VA logo to meet

VA’s Signage requirements. Signage must comply with local municipality’s codes and specifications.

10. GENERAL EXTERIOR SIGNAGE: Lessor shall develop and provide a complete exterior signage plan to include identification, directional, informational, and regulatory signage. Signage must comply with local municipality’s codes and specifications. Careful consideration of the location of monument signs shall be taken to avoid sight triangle encroachment. Lessor shall provide signage on the building/ door.

11. EXPECTING MOTHER SIGNAGE: One (1) Expecting mother signage for one (1) expecting mother parking space shall be provided by the Lessor and shall meet VA’s signage requirements.

12. MONUMENT SIGN: A monument sign shall be provided on the exterior of the parking lot. Sign shall be provided with internal lighting with VA logo and shall be bi-directional (2-sides). Style, color, and dimensions shall comply with VA’s Exterior Signage Guidelines. Approval for final Design shall come from COR and VA team. Careful consideration of the location of monument signs shall be taken to avoid sight triangle encroachment.

13. INTERIOR SIGNAGE: Lessor shall provide interior signage in standard aluminum wall sign (holder) for slide in name plates. Signage must state room number only. Signage shall also include a sliding bar to indicate whether a room is available or non-available.

14. SITE FLAGPOLE: A flagpole will be provided and installed by the Lessor at a location to be approved by the LCO. The flagpole will be 25 foot (minimum height). Flagpole shall include adequate lighting to illuminate flag between dusk and dawn. Flagpole shall be protected from vehicular traffic. Lighting shall be controlled by a photocell device. The flag will be provided by the

Government.

15. INTERIOR DESIGN: The Lessor shall provide an Interior Designer to coordinate with VA Staff (VA’s Interior Designer) for the configuration, color pallet/finishes, layout, and furnishings for the designated space. The VA’s

Interior Designer must approve of the afore mentioned interior design items.

Once approved, the lessor shall include the value of the designed layout to the cost of the tenant improvements.

16. Since this acquisition does NOT require services that involve connection of one or more contractor-owned IT devices (such as a laptop computer or

P a g e 13 | 20 remote connection from a contractor system) to a VA internal trusted network, Certification & Accreditation (C&A) requirements do not apply, and an information security accreditation package is not required.

17. Refer to Attachment “Exhibit D- Security SOW- Final New NE CBOC” for additional Security Requirements.

18. Water Intrusion/ Water Damage: Whenever there is water intrusion or water damage in the building, the Lessor shall comply with all EPA, OSHA and

VA’s Mold Management requirements wen providing the necessary remediation and repairs.

VI. LOCATION REQUIREMENTS

A. The space must be location within 0.10 mile from access to public transportation

VII. PARKING REQUIREMENTS

A. The space shall provide a parking area for approximately 210 vehicles, of which

25 dedicated as ADA accessible spaces to be utilized by patients and staff and 1

Expecting Mother space. ADA accessible parking spaces must be located immediately adjacent to the building’s main entrance (s). All other parking spaces shall be located within 100 feet of the main entrance (s).

B. The parking area shall meet the following requirements:

a. The parking area shall have appropriate vehicular circulation, access from main thoroughfares, emergency vehicle access and entry, barrier free access to public entrances, safe passage for pedestrians, adequate lighting, and security monitoring.

b. The parking area shall be paved and striped.

c. The parking design shall follow VA Guidelines outlined at the link:

https://www.cfm.va.gov/til/dManual/dmParking.pdf

VIII. ADDITONAL REQUIREMENTS

A. Utilities

a. The Lessor shall ensure that public utilities are available and operable at the site at the time of inspection before acceptance. VA does NOT accept septic tanks, water tanks as utilities. The Lessor is responsible for all connection and impact fees to public utilities, including but not limited to, any and all tap fees associated with public utilities. The Lessor shall provide separate meters (exterior electric, gas and water) to measure VA usage versus Lessor usage.

B. Housekeeping (cleaning janitorial) Service

a. The Lessor shall furnish all supplies, materials machinery, appliances, supervision, and labor necessary to provide complete janitorial services for the clinic. Services shall be provided in all interior areas of the leased premises to provide a clean, neat, and attractive appearance. The Lessor https://www.cfm.va.gov/til/dManual/dmParking.pdf

P a g e 14 | 20 shall consider the clinical environment and ensure that the janitorial staff is instructed on applicable safety precautions and special requirements.

Lessor shall provide disposal of general waste and trash. It is the Lessor's responsibility to maintain the clinic in a condition that meets all housekeeping and sanitation requirements of this solicitation and the current standards of the Joint Commission for the Accreditation of

Hospitals and Outpatient Clinics (JCAHO).

C. Building Maintenance Service

a. Maintenance of the building, building systems, equipment and grounds is the responsibility of the Lessor. The Lessor shall submit a Building

Operations and Maintenance (O&M) Plan with the offer to include factors relevant to the Lessor’s proposed ongoing maintenance and repair of the facility. The plan shall include a schedule of startup and shutdown times for operation of each building system, such as lighting, cooling, ventilation, plumbing, and worn floor or wall coverings necessary for the operation of the building. The O&M plan shall be in operation on the effective date of the lease. HVAC system shall not be shut down after normal hours. The Lessor must have a building superintendent or a local, designated representative available to promptly correct deficiencies or attempt to correct deficiencies upon written notice of such condition from

VA within the timeframes specified in the O&M Plan. The Lessor shall provide the labor, material, and supervision to adequately maintain the structure, the roof, the exterior walls, windows, doors, and any other necessary building appurtenances to provide watertight integrity, structural soundness, and acceptable appearance. The Lessor's maintenance responsibility includes initial supplies of all items, materials, and equipment necessary for such maintenance. All maintenance work will be done in accordance with applicable Federal, State and local

Building Codes & ordinances. Inspection certificates will be displayed as appropriate. Maintenance by Lessor includes, but is not limited to, interior and exterior care of the building and the site; all sidewalks, parking areas, driveways, private access roads, lawns, and shrubbery;

utilities; and building service equipment; including all repairs and replacements. All equipment and systems shall be maintained to provide reliable service without unusual interruption, disturbing noises, exposure to fire or safety hazards, or unusual emissions of dirt. Lessor shall maintain the Essential Electrical System as required by NFPA and the

Joint Commission, including, but not limited to, weekly, monthly, annually, and triennial tests and activities.

D. Pest Control Service

a. Lessor shall provide interior and exterior extermination of insects and rodents on a regular basis (minimum of every three (3) months), and upon any sign of infestation. Use of chemicals shall conform to EPA and state requirements. If any signs of re-infestation appear, additional service shall be provided by the Lessor at the request of VA. Pest management is to be done using an integrated pest management approach

P a g e 15 | 20 that minimizes the use of toxic chemicals. Pesticide shall only be applied by persons deemed qualified by EPA and state requirements. Lessor shall coordinate application of pesticide with the Government and only apply pesticide in a manner that VA agrees is protective of the health of patients, employees, and visitors.

E. Snow Removal Service

a. Lessor shall remove snow and ice from all entrances, sidewalks parking lots, and approaches. In the event of snow or freezing rain during working hours, removal must occur within one hour from receipt of notification by VA staff. Chemicals or sand may be used to reduce safety hazards.

F. Site and Grounds

a. Exterior space cleaning will be the responsibility of the Lessor to trim and maintain onsite landscaping as required. Lessor shall maintain the leased exterior premises to provide a clean, neat, and attractive appearance. Activities to include cleaning of building entrances and gazebo; landing, steps and sidewalks; mowing and edging lawns; removal of weeds from around the building, parking areas, all landscaped areas and fence borders; trimming and pruning shrubbery and trees. Lessor shall provide collection, disposal, and recycling for all other waste materials generated by VA. Recycling of paper, aluminum, plastic, and cardboard is required. The Lessor shall provide and maintain adequate quantity of trash container(s), including compacting equipment as required, based on volume of waste and frequency of collection. Lessor shall provide a schedule detailing the maintenance frequency to be performed. In addition, VA staff shall request cleaning service whenever the site becomes dirty in between scheduled service.

G. Waste

a. The Lessor shall provide a dedicated space for both Trash and Recyclable containers within the Area of the Building and shall be in accordance with Security Requirements.

H. Hazard Waste

a. The Government will be responsible for the disposal of hazardous or pathological waste, which has been properly stored in the designated storeroom.

I. Security

a. The Government shall provide security personnel to prevent illegal entry or loitering in the leased space and to prevent unauthorized entry during duty hours. The Lessor shall be responsible for providing security to prevent unauthorized entry after normal working hours. All lessor staff and other non-VA staff requiring access to the facility will be required to obtain P.I.V. cards authorized by the VA police. At the very minimum, all lessor staff and any other non-VA staff requiring entry to the premises shall first check in with front desk staff and shall have previously coordinated with COR and/ or Clinic Manager.

J. Fire Alarm

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a. The Lessor shall be responsible for providing, installing, maintaining, and repairing the Fire alarm System. The Lessor shall be responsible for the monitoring service of the Fire alarm system. The Fire alarm system shall transmit all fire alarm signals to the local fire department via any of the following means; directly to the local fire department, to the (911) public communications center, to central station, to a remote supervising station, or to a proprietary supervising station.

IX. ACCREDITATION

A. The CBOC will be subject to full accreditation by The Joint Commission. The accreditation process includes a review of the facility that could include a review and inspection of the Life Safety systems (fire alarms, sprinklers, emergency exits, etc.) Lessor participation in the accreditation process will be required.

X. TENANT IMPROVEMENTS

A. The facility may require tenant improvements to meet the requirements of the

PACT CBOC. Tenant improvements may include, but not limited to, the installation and/or modification of wall partitions, ceilings, bathrooms, doors and door frames, fire sprinkler systems, telecommunication ports & cables, and monitoring systems (video/audio).

1. Security Office: Weapon storage/Armory will be used as the Security Office to house two police officers. Security Office/Weapon Storage walls shall be of brick and masonry construction. Walls, which are composed of wood frame & siding, will require an interior backing of steel security screen wire mesh.

a. Doors and doors locks required for Security Office. - Doors shall be 45 mm (1-3/4 in.) solid core hardwood or hollow steel construction. Dutch or half doors are unacceptable. 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. Doors set in steel frames must be fitted with a mortise lock with a deadlock feature.

b. Other room access means required in Security Office. - All vents, ducts, and similar openings in excess of 96 square inches (620 cm2) that enter or pass through space shall be protected with either bars or grills. If one dimension of the duct measures less than six inches (150 mm) or duct is less than 96 square inches (620 cm2), bars are not required; however, all ducts must be treated to provide sufficient sound attenuation. If bars are used, they must be 1/2 inch (12.7 mm) diameter steel welded vertically and horizontally six (6) inches (150 mm) on center; if grills are used, they must be of 9-gauge expanded steel.

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c. Access Control for Security Office, IT Closets & Pharmacy. - Intrusion detection System (IDS) to locally detect entry into these rooms with the ability to log into a the Physical Access Control System (PACS). Lock on the main door must be automatically locking, with a minimum 19 mm

(3/4 in.) dead bolt and inside thumb latch. Pharmacy to be secured with double lock procedure to access medication.

2. Security Systems: shall be provided, installed, and maintained by the

Lessor. The Lessor shall ensure security systems are in accordance with VA standard operating procedures and standard contract language, conditions laws, and regulations. The Offeror shall follow all applicable VA policies and procedures governing security, especially those that pertain to certification accreditation to ensure that appropriate security systems are in place.

a. VA standards for security systems.

b. Physical Security and Resiliency Design Manual – October 2020 for Life

Safety Security Facilities refers to Security Systems to be incorporated in the facility.

Link to manual:

https://vatilms.va.gov/vatilms/criteria-viewer/93024?type=application%2Fpdf&title=Physical%20Security%20a nd%20Resiliency&name=dmPhySec-2025-06.pdf

VA Handbook Directive 0730 – Security and Law Enforcement 0730/4 –

March 2013 describes construction standards to protect lives and property at different locations.

3. Electronic Security Systems: New and existing facilities are required to meet the integration and monitoring of the following security systems to be provided and installed by Lessor:

a. Physical Access Control System – Lessor shall provide, install and maintain a PIV compatible PACS system. All PACS are required to be terminated in the network to provide local range coverage by Lessor with network capability for integration to remote transmission to Main VA clinic to be done by others.

b. Intrusion Detection System – IDS consist of a minimal motion alarm system required to detect and “locally” annunciate unauthorized entry into a protected space with a private monitoring service capable of continuous operation and monitoring through the use of UPS equipment.

c. Panic Alarm System – Alarm sensors/devices shall be hardwired, or wireless transmission directly connected to the data network without degrading the effective range of alarm.

d. Video Cameras Assessment Recording and Surveillance – VASS includes “digital IP video” cameras, monitors, controlling and recording equipment to archive minimum of 6 months of video recording, and centralized management and operations of the system. Digital Video

Recording (DVR) can terminate at the Police/Security Office. Cameras shall be color that allows for black and white application to support the https://vatilms.va.gov/vatilms/criteria-viewer/93024?type=application%2Fpdf&title=Physical%20Security%20and%20Resiliency&name=dmPhySec-2025-06.pdf https://vatilms.va.gov/vatilms/criteria-viewer/93024?type=application%2Fpdf&title=Physical%20Security%20and%20Resiliency&name=dmPhySec-2025-06.pdf https://vatilms.va.gov/vatilms/criteria-viewer/93024?type=application%2Fpdf&title=Physical%20Security%20and%20Resiliency&name=dmPhySec-2025-06.pdf

P a g e 18 | 20 exterior and interior to cover egress, public entrances, utilities, fire control room, lobby, main corridors, telecommunication and security rooms. VASS shall be supported by UPS equipment.

e. Duress, Security Phones and Intercom System – DSIP requires an intercom to be integrated with VASS. Lessor to provide Duress/Panic

Alarms and Intercom Systems/ Public Address System at locations where there is considerable public contact in isolated and pre-identified high-risk areas, such as the lobby reception desk, patient service areas, nursing stations, and isolated where VA personnel work.

f. Detection and Screening System – DSS location will be the entry point to the facility where Lessor shall provide space to locate a table and a walk-through metal detectors (WTMD). Lessor shall provide a dedicated electrical circuit with a floor outlet with metal cover protection for

Agency to provide and connect the WTMD.

g. IT Security Systems – Lessor/Landlord shall follow mandatory procedures stated under VA Handbook Directive 0730 – Security and

Law Enforcement 0730/4 –March 2013 to comply with physical security requirements for IT data centers, server room, telephone equipment room, storage areas, data connection closets, etc. Lessor/Landlord shall provide and install cable trays, data cable, telecommunications cable and terminating all connections. Refer to revised table below.

h. Nurse Call System – Lessor shall provide and install a Nurse Call System throughout the facility. Nurse Call System shall be complete with Push

Buttons and lights. Location of Nurse Call and accessories shall be in accordance with VA Guidelines for Community Based Outpatient Clinics

(CBOCs).

i. Emergency Power & Lighting – Lessor shall provide Emergency power throughout the building as required by local codes and as per VA

Guidelines. Lessor shall also ensure the Emergency Lighting has an independent circuit to conduct lighting inspections without interrupting

Normal Lighting Circuits.

j. Furniture Selection and Procurement – Lessor shall provide interior design services to develop a comprehensive furniture design package in coordination with the VA’s Project Manager or COR. The VA will furnish a Basis of Design outlining the furniture requirements. Design package shall include, but is not limited to, drawings, specifications, digital renderings and bill of materials. The VA will use the completed design package to procure furniture independently from the tenant improvement work.

k. Wayfinding Design and Procurement – Lessor shall include wayfinding design, procurement and installation, which shall include all interior signage as well as signage to include Monument Sign and Building Wall

Sign. Design shall follow VA Guidelines outlined at the link:

https://vatilms.va.gov/vatilms/criteria-viewer/97689?type=application%2Fpdf&title=Signage%20and%20Wayfi nding&name=dmSignage-2026-03.pdf https://vatilms.va.gov/vatilms/criteria-viewer/97689?type=application%2Fpdf&title=Signage%20and%20Wayfinding&name=dmSignage-2026-03.pdf https://vatilms.va.gov/vatilms/criteria-viewer/97689?type=application%2Fpdf&title=Signage%20and%20Wayfinding&name=dmSignage-2026-03.pdf https://vatilms.va.gov/vatilms/criteria-viewer/97689?type=application%2Fpdf&title=Signage%20and%20Wayfinding&name=dmSignage-2026-03.pdf

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XI. NARA Records Management Requirements

A. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C.

chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy

Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

B. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the

Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy

Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

C. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

D. El Paso Veteran Affairs Health Care System (EPVAHCS) and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of EPVAHCS or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C.

2701.In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to EPVAHCS. The agency must report promptly to NARA in accordance with 36 CFR 1230.

E. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written

P a g e 20 | 20 permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to EPVAHCS control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY

PROHIBITED unless in accordance with Paragraph (4).

F. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and EPVAHCS guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

G. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with EPVAHCS policy.

H. The Contractor shall not create or maintain any records containing any non-public

EPVAHCS information that are not specifically tied to or authorized by the contract.

I. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of

Information Act.

J. The EPVAHCS owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S.

Government for which EPVAHCS shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

Any Contractor rights in the data or deliverables must be identified as required by

FAR 52.227-11 through FAR 52.227-20.

K. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training, Talent Management System (TMS) Item #10176, Privacy and Information Security, Rules of Behavior. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

END OF STATEMENT OF WORK