Agency Requirements for Defiance VA Clinic

This clinic will be designed based upon the VA Leased CBOC Design Narrative, dated November 29, 2022. The items listed in this document are meant to add clarifications and additions to the VA Leased CBOC Design

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

The following partial list of manuals, guides and standards is provided to help the Lessor meet the VA design requirements. These manuals are available on in the Technical Information Library at WWW.CFM.VA.GOV/TIL/

. The version posted at the time of this contract will used.

• Barrier Free Design Guide

• Architectural Barriers Act (ABA) Standards

• VA Signage Design Manuals

• PACT Primary Care Clinic Design Guide, Chapter 264

• Mental Health Clinic Design Guide, Chapter 260

• Leased Based Outpatient Clinic,

• CBOC Prototype (Prototypes for Standardized Design and Construction)

• Sustainable Design Manual including

• Telecommunications Systems infrastructure Standards and Design

• HVAC Design Manual

• Plumbing Design Manual

• Electrical Design Manual

PATIENT ENTRANCES

Provide pedestrian canopies over patient entrances to outpatient clinic. Canopies will have down lighting to provide safe entry.

Please reference VA Leased CBOC Design Narrative, Section 4.2.7 Entry Canopies.

Access from the lobby to corridors shall be controlled. Separate the public lobby from adjacent areas with partitions that extend to the underside of the floor above. Glazing in the lobby area shall be laminated glass.

The main entrance door shall be capable of being remotely locked and unlocked from the reception desk in the main lobby. This door will be a sliding-type door with automatic door operation. Door will have keyed on and off switch with hold open feature.

At least one other door shall be designated as a secondary public entrance and shall be equipped with a panic device, door operator, ADA push buttons and exterior keying.

Means of egress doors that do not also function as entrances shall be provided with panic devices and door closers. Means of egress shall not be obstructed by installation of security devices such as guard stations, screening equipment, or other security devices.

Access for Emergency Responders: The Fire Command Center (FCC) and secure house key box for emergency responders shall be located near main entrance door in a recessed box with lock.

STAFF ENTRANCES

Provide pedestrian canopies over staff entrances to outpatient clinic. Canopies will have down lighting to provide safe entry.

Staff entrance door hardware shall include electrified locksets, panic devices or strikes with card readers (with pin pads) and ADA push button access. Doors will also have key access.

Access for Emergency Responders: Provide and install the Fire Command Center (FCC) and secure house key box for emergency responders shall be located near main entrance door. The entrance shall be controlled and monitored by Security Surveillance Television (SSTV).

Duress Alarm

Duress, Security Phones and Intercom System (DSPI) is used to provide security intercommunications for access control, emergency assistance and identification of locations where persons under duress request a security response. All components of the DSPI shall be fully compatible and shall not require the addition of interface equipment or software upgrades to ensure a fully operational system. DSPI shall be fully integrated with other security systems. The system will alarm up to two monitoring locations in the clinic and will provide location for staff to respond. The device placed in the rooms will require a key type of device to reset the duress alarm. Pull stations will be mounted to furniture provided by the VA. This will require additional cabling to run under desks http://www.cfm.va.gov/til/ and other furniture.

Video Teleconferencing System (VTEL): Provide open conduits (1 ½”) for VA supplied and installed VTEL systems in each conference, group therapy and shared medical appointment room. Each room will have two 65”

– 80” tv installed. VA will provide TVs. Conduit will run from a location in the floor near the center of the conference room table to pull box on the same wall that the TVs are mounted. Provide a double duplex receptacle at each TV location, at the pull box location and in the floor with a floor box that is flat with the floor. A double duplex box will be placed behind each tv will have 1 ½” conduit from pull box and a 1” conduit to above the ceiling. This box will have one data line, a cable connection on one TV and a plate that can be modified to house a HDMI cable.

One TV in each room will have cable tv installed. The pull box in each room will also have a conduit that will run to the wall that feeds the Provide cable TV behind Television locations along with data port. Run conduit to box behind head end equipment along with power. Feed empty conduit to floor box under table in conference and group rooms.

AUTOMATED DATA PROCESSING CAPABILITY

A. The Lessor is responsible for procuring and installing a minimum 1” conduit system capable of carrying, a minimum of 4 pair cat 6a wire, in unshielded cable to every telecommunication outlet in the space. Each telecommunication outlet and cabling shall be installed by the Lessor, with 2-cat-6a, 4pair cables to each telecommunication outlet location. The cable will be routed in the hallways using cable trays.

B. All cabling will be configured from each location to the designated communication closet room (IT Closet).

All cabling shall be supported, and all cable shall be terminated to patch panels, tested, and certified per TIA/EIA

568 standards by the Lessor’s contractor. Provide COR electronic copy of testing results after completion.

C. The Lessor shall furnish and install:

1. 3 - 24-inch by 30 inch 7-foot-high data racks (4 post)

2. 48 port patch panels to include one completely empty patch panel for VA use

3. Wire management panels for vertical wire management and horizontal wire management below each patch panel.

4. Provide two (2) separate 208V, 30A, three phased circuits to each feed a NEMA L21-30R receptacle at the top of the data rack.

5. Provide four (4) separate circuits to each feed a double duplex outlet with 20-amp 110volt power on the plywood for other systems.

6. Labeling of data will be coordinated with VA for VA standard labeling. Labels will be at patch panel and at wall plate.

7. A 1 ½” conduit will be place between the demarcation room and the IT closet to route data.

8. Flooring in IT closet will be static dissipating vinyl composition tile.

9. An empty 4” conduit shall be installed underground from the D-marc communications closet to the outside of the building at location negotiated with data provider to be used for communications cabling.

10. All cabling and terminations will be installed by the lessor unless otherwise expressly stated. Color coding and numbering system of data jacks and cable will be provided by the VA during design.

11. Three (3) walls of ¾” fire retardant plywood will be installed in the IT closet on walls not including the wall with the door. Plywood will start at 3’ above finished floor and extend to 7’.

LEGIONELLA MITIGATION

There are currently no EPA enforceable regulations governing the levels of Legionella bacteria in potable water systems; however, EPA has issued a Maximum Contaminant Level Goal (MCLG) of 0 ppm [mg/L]. Municipal water supplies and wells can carry Legionella, so it is a given that the bacteria will be introduced into the facility potable water system at some time. The challenge is to limit the amplification of the bacteria to less than lethal levels.

Legionella bacterial amplification occurs when biofilms exist in water storage tanks and dead-end piping legs which allow for growth sites, and when temperature and pH levels are optimum for growth. Infection can occur when patients inhale atomized droplets while showering, drinking or receiving respiratory treatment.

Piping Design Provide means to easily remove and disinfect all outlet devices such as showerheads and faucets, etc. Utilize self-draining showerheads.

Provide a ¾" ball valve at the end of each piping section to drain heated (above 140 °F [60 ˚C]) flushing hot water that will be used for initial and supplemental disinfection. Ball valve shall be within 50 feet [15.24 meters] of a floor sink, floor drain, sink, or lavatory.

Mix hot/cold water as near the fixtures as possible. Ensure there are no dead legs in the piping system.

Disinfection Methods Subsequent to piping disinfection required per IPC, and as part of the commissioning process, disinfect the potable water systems against Legionella by one of the following methods:

• Thermal Eradication: Flush 145°F water through all outlets for a period of at least 30 minutes.

• Chlorine: Flush free chlorine at a level of 2 parts per million (PPM) or greater for a period of at least 2 hours.

Further information can be found in ASHRAE paper CH-03-3-2.

SPACE PLANNING AND FUNCTIONAL LAYOUT

The conceptual floor plan provided in this solicitation shall be used as the basis for the planning and functional layout of the facility. The final layout, design development documents, and construction documents shall be in accordance with this solicitation and the VA PACT Space Module Design Guide which may be found at

HTTP://WWW.CFM.VA.GOV/TIL/DGUIDE.ASP#PC.

Lessor shall provide accurate space layout drawings (floor plans) with offer and during design and construction document phases. Plans shall include sufficient information for the Government to compute the net area of each function (room), and to compute Building Gross Area and Net Usable Area to determine compliance with solicitation requirements.

Lessor and design team will provide the VA with the design ownership to use the design as the VA sees fit at each stage of the design. It is important that this information be passed to design team.

Within 60 days of acceptance of construction the landlord will provide the VA Record Drawings of the VA space.

Record Drawings will be completed in Revit and PDF.

CUBICLE CURTAINS

VA will supply, install, and maintain fabric cubicle curtains. Curtains will be suspended from hooks attached to the track at the underside of the ceiling system. VA will supply the curtain and Lessor to provide and install the track and hooks. Lessor will ensure track is shown on plans and all mechanical and electrical items are coordinated to miss the track area.

HANDRAILS, CORNER GUARDS and WALL PROTECTION

Lessor will furnish and install handrails on both sides of all public corridors. Handrails will also be installed in public areas along main routes of travel. Handrails to be HR-1

All outside corners in the leased space will receive corner guards starting above the baseboards and extending to over 6’. Corner guards to be plastic type which attach to aluminum retainer.

Provide wall protection at wheelchair storage area, height and weight area. Wall protection will start at floor and extend to 36”.

DOORS and HARDWARE

All interior doors will be solid core wood doors in hollow metal welded frames or glass doors with aluminum frames.

All doors leading to Veteran facing activity will be a minimum of 3670 doors.

All security doors will fully mortised locks. These doors include IT closets, medication rooms, supply closets and demarcation room. All of these doors will be able to be opened with a single motion.

Provide automatic operators at each hallway leading from waiting area to Veteran care areas. Operators will have motion sensor and handicap push button on the Hallway side of the door and a card reader which will release the door and activate the operator on the waiting room side of the door. Card reader will automatically trigger the door to open when used. Doors leading to patient area from the waiting area will have vision panels built in.

All doors will have kickplates on the push side of the door.

Doors leading from patient rooms to teamlet area will be sliding doors with a minimum open dimension of 34 ½” when fully open. Doors will have bottom seal and seals at all sides for sound. Doors will be equipped with magnet for card reader inside the exam rooms and push button on the teamlet side for access. Doors will be wood to http://www.cfm.va.gov/til/dGuide.asp#PC match the rest of the building. Doors will have automatic soft close and hold open capabilities. Framing system will be manufactured by AD Systems, Serenity or equal.

All door hardware that receives keys will be provided with Best 7-pin removable cores. Keyway will be determined by VA. Cores will be furnished and installed by Landlord after consultation with VA. Keys will be turned over to VA. Number of keys will be enough for staffing at facility plus a 10% attic stock.

WALLS

All Walls will extend from the floor to the deck with 5/8” sheetrock on both sides. Walls will be insulated with sound insulation.

BLOCKING

Provide and install blocking for all wall-hung items installed by the VA or by the Lessor. Blocking will also be placed at all doors requiring door stops.

FIRE EXTINGUISHERS & CABINETS

Lessor will provide and maintain fire extinguishers to include monthly and yearly inspections. Lessor will provide fire extinguisher cabinets with glass vision panel. Cabinets will be painted and will be semi-recessed or fully recessed.

CEILING PATIENT LIFT

Lessor will provide and maintain an overhead xy configuration ceiling patient lift in the procedure room. Lift will recharge in any position. Lift will have a 600-pound capacity. Landlord will provide all required annual inspection services to include filling out VA inspection forms on required periodic basis.

SCREENING AREA

Provide area in vestibule to install a small desk for screening in case of pandemic or heightened security. Area will have data, power and proper HVAC.

FLOORING REPLACEMENT

Lessor will replace all flooring at or before the 10-year anniversary of building acceptance date. Notwithstanding, all flooring will be replaced upon unserviceability or damage in the opinion of the COR.

GROMETS

Provide 2 ½” grommets with cap and cuff in all built in workstations, cabinets and reception counters.

EMERGENCY POWER BACKUP/GENERATOR/UPS

Provide generator or an uninterruptible power supply (UPS), or uninterruptible power source is a type of continual power system that provides automated backup electric power to a load when the input power source or mains power fails, capable of powering full sized lab refrigerator, freezer and full-sized medication room refrigerator and freezer in case of power outage. Generator or UPS will be natural gas, diesel fueled generator, or battery source and will automatically start upon power outage. The Landlord shall be required to maintain, upkeep and be responsible for all testing and inspection requirements by the VA and Joint Commission.

PLUMBING

Hot water line will be run in a loop with a circulation pump to allow for nearly instant hot water at each faucet.

Water closets in lobby area public restrooms to be wall mounted or floor mounted.

All water closets and urinals will have automatic flush valves attached.

HVAC

Provide supplemental cooling in medication room(s) to ensure temperatures are kept in required ranges.

Provide two independent split package air conditioning systems for IT Closets, based on VA standards.

HVAC system will be designed using VAV boxes as per the VA requirements.

Lessor will provide the VA COR and VA on site designee remote access to the building management system.

Lessor will not restrict system settings to limit temperatures in rooms.

ELECTRICAL

Provide panels that require bolt in breakers.

All lighting will be LED lighting. Provide dimmer switches to greatest extent possible.

Provide building surge protection.

SIGNAGE

All Signage will be furnished per the VA Signage Design Manuals.

Landlord will provide individual backlit letter signage to say “VA │US Department of Veterans Affairs Defiance VA Clinic” and affixed to the forward-facing façade of the building and/or any side of the building facing a major traffic area (if applicable). See below for example.

Landlord shall provide a two-sided monument sign near entrance closest to the main entrance. See example below.

The Landlord shall provide all exterior and interior signage based on VA design guides and specifications.

Upon vacating the premises by the VA, the Landlord shall remove all exterior building signage and monument signage, referencing the Department of the Veterans Affairs, within 60 days of the vacate date.

PEST CONTROL

There will be no application of insecticides/chemicals during working hours. However, exceptions may be made in sensitive hospital areas. Such other chemicals include paint, carpet glue, HVAC cleaning agents, and similar construction or maintenance chemicals. Whenever pesticides are used in a large-scale application, the Health and Safety representatives as well as employees will receive advance notice about the spraying. Individuals with special health needs will be reasonably accommodated. Notifications shall be in the form of a phone call and email addressed to the Contract Officer Representative and onsite Clinical Manager.

Control pests as appropriate, using Integrated Pest Management techniques, as specified in the GSA Environmental Management Integrated Pest Management Technique Guide (E402-1001). The Lessor shall be responsible for keeping the entire building free from vermin. Lessor shall provide periodic pest and rodent control service to the Common Areas and other areas specified by the VA using a licensed pest control company. The Lessor shall be responsible for eliminating Infestation by Bed Bugs and controlling the presence of Bed Bugs and shall promptly complete any corrective or extermination work recommended by professional exterminators. Landlord will fill out VA provided pest control log with required information from pest controller and after each treatment. The Lessor shall respond within 24 hours upon notification by a Government representative.

Lessor shall comply with Pest Management Operations Program, VHA DIRECTIVE 1850.02, dated December 22, 2022.

MISC ITEMS

The Lessor agrees to the requirements of the ISC Security Standards for Leased Space or other security documents attached to this Lease. Deviations to the published guidelines are listed below.

• Automatic Sprinkler system shall be provided throughout.

• Building will meet requirements of NFPA 13

• Quick response sprinkler heads throughout except IT closets which will be standard.

• Provide a fire pump to supplement flow and pressure if required meeting NFPA 20.

• SSTV and intrusion detection shall be provided to include monitoring.

• Monitoring of the intrusion detection system shall be included in the rental agreement.

• Cable television service shall be included in the rental agreement and will be placed in all waiting areas, break rooms and conference/group rooms.

• Perimeter site fencing is not required. Landscaping and site circulation patterns should be employed to prevent and deter unauthorized trespass and maintain a 25-foot setback.

• During the term of the lease, the VA may have a need to install, remove, or affix items on walls. The landlord shall install, remove, or affix items based on VA needs, as part of the maintenance plan.

• If a stand-alone generator is placed on the exterior of the building, bollards shall be placed to protect from vehicle impact.

SPECIFICATION STYLES TEMPLATE ## ## ## - 7

SPECIAL REQUIREMENTS BY FUNCTIONAL AREA

See attached conceptual plan, Door Schedule, and Finish plan for additional information relating to each room not listed below.

Vestibule

• 1 duplex electrical outlet

• LED Can Lighting and/or Cove Lighting

• Painted gypsum board ceilings

• Aluminum Storefront and painted gypsum board walls, corner guards

• Recessed walk off mat with removable slats with PCT-1 Porcelain tile floors

Lobby and Check In, Main Circulation, Waiting

• 1 duplex electrical convenience outlet every 15’-0” linear feet (not to exceed 20)

• 1 double-duplex electrical outlet at each check-in desk (3 desks)

• 1 telecommunication/data outlet at each check-in desk (3 desks)

• 1 duplex and 1 telecommunication outlet for each self-check-in kiosk and my healthy vet kiosk (not to exceed 2)

• 1 cable connection and one data connection to each TV for wall mounted TV (up to 3 locations)

• 1 duress alarm pull station mounted under the desk at each check in station.

• 1 duplex outlets at each TV locations

• Wall mounted TV bracket for up to 50” TV (TV supplied by VA)

• Overhead Speakers for intercom

• Direct/Indirect LED lighting, Waiting: Can Lighting, Main Circulation: Can Lighting & Pendant Accent Lighting PL-1, Check in: Accent Pendants LT-1 over check-in desks

• Lighting to be controlled near check-in desks

• CPT-1 Carpet tile floors with rubber base RB-1

• Painted gypsum board walls (Field and Accent), corner guards

• Waiting Areas: Acoustical lay-in tile ceiling and painted gypsum board soffits, Main Circulation/Clearstory Ceiling: Decorative ACT-2 panels

• Built in check in desk synthetic quartz counters, plastic laminate walls

• Check in stations to be separated by acrylic wall panels; Manuf.: Lumicor Resin Decors Luminous/Impressions or equal

• USB/power charging station for portable devices.

Group Therapy & Shared Medical Appointments (Each Room)

• 6 duplex electrical outlets (2 duplex outlets in flush floor box)

• 6 telecommunication outlets (2 outlets to be in flush floor box)

• 1” conduit from center of room in-floor box to behind Video Teleconferencing unit

• 1” conduit from wall near Video Teleconferencing (location by COR) Unit for camera shelf to behind Video Teleconferencing Unit

• 1 duress alarm pull station at front of classroom tied to the duress alarm system.

• 1 coaxial cable connection to Cable TV for wall mounted TV

• 1 duplex outlets at TV locations

• Wall mounted TV bracket for up to 70” TV (TV supplied by others)

• Direct/Indirect LED lighting, Manuf.: 2x2 Fluxwerks View or Equal

• Dimmable LED Can Accent Lighting and/or Cove Lighting.

• Lighting to be controlled by multiple switches and dimmers for control and ability to dim/turn off lights over TVs

• CPT-2 Carpet tile floors with rubber base

• Acoustical ACT-1 lay-in tile ceiling, drywall soffit

• Painted gypsum board walls (Field and Accent), Corner guards

• Divider acoustical retractable wall (non-electrical) installe between group therapy room and shared medical appointment room

• Provide wall/ceiling blocking for pull-down projector screen

Group Therapy & Shared Medical Appointments Closets (Each Room)

• 1 duplex electrical outlet

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• Lighting to be controlled by closet door switch

• CPT-2 Carpet tile floors with rubber base

• Acoustical ACT-1 lay-in tile ceiling

• Painted gypsum board (Field and accent), Corner guards

Public Toilets

• 1 GFCI duplex electrical outlet by sink

SPECIFICATION STYLES TEMPLATE ## ## ## - 8

• 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucets and toilet flush valve

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or Equal

• LED Can Accent Lighting and/or Cove Lighting.

• Lighting to be controlled by motion sensor in ceiling

• PCT-1 Porcelain tile floor and PTW-1 Porcelain Tile Wall including various sized wall tile wainscot to 5’-0” AFF plus GL-1 Glass Tile band, paint above, corner guards

• Painted gypsum board ceiling

• ADA compliant water closet and sink. Automatic faucets & flush valves.

• Stainless steel toilet room accessories which also include toilet seat cover dispensers and sanitary napkin disposal

• Baby changing station, Koala or equal

Voluntary Storage

• 2 duplex electrical outlets

• 2 telecommunication outlets

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2

• Lighting to be controlled by motion sensor

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

Vending

• 2 duplex electrical outlets on own circuits

• 2 telecommunication outlets

• Direct/Indirect LED lighting, LED can Accent Lighting or cove

• Lighting to be controlled near check-in desks

• Acoustical ACT-1 lay-in tile ceiling

Voluntary Service

• 2 telecommunication outlets

• 1 duress alarm pull station mounted under desk.

• Direct/Indirect LED lighting, LED can Accent Lighting or cove

• Lighting to be controlled near check-in desks

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Acoustical ACT-1 lay-in tile ceiling

• Stainless steel toilet room accessories which also include toilet seat cover dispensers and Sanitary napkin disposals

Storage

• 2 telecommunication outlets

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by motion sensor

• Acoustical ACT-1 lay-in tile ceiling

Housekeeping Aids Closet (HAC)

• 2 GFCI duplex electrical outlets at 3’-6” AFF

• Surface mounted LED lighting or drop in LED lighting.

• Lighting to be controlled by motion sensor.

• Acoustical ACT-1 lay-in tile ceiling

• Sheet Vinyl SV-1 and rubber base RB-1

• FRP wainscot to 4’-0” AFF, painted gypsum board above, corner guards

• Molded mop sink with FRP behind sink.

• Wall mounted stainless steel mop holder

Phlebotomy (Blood draw)

SPECIFICATION STYLES TEMPLATE ## ## ## - 9

• 4 duplex electrical outlets

• 4 telecommunication outlets

• 1 duress alarm pull station at each blood draw station

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• Lighting to be controlled by motion sensor and switch located at check in area

• Sheet Vinyl SV-1 and rubber base RB-1

• Acoustical ACT-1 lay-in tile ceiling, drywall soffit

• Painted gypsum board walls (Field and Accent)

• speakers for intercom

• Cubicle curtain track at each blood draw station

Phlebotomy Toilet

• 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucets 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucets

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• LED Can Accent Lighting and/or Cove Lighting.

• Lighting to be controlled by motion sensor.

• PCT-1 Porcelain tile floor and PTW-1 Porcelain Tile Wall including various sized wall tile wainscot to 5’-0” AFF plus GL-1 Glass Tile band, paint above, corner guards

• Painted gypsum board ceiling

• ADA compliant water closet and sink. Automatic faucets for sink.

• Stainless steel toilet room accessories which also include toilet seat cover dispenser and sanitary napkin disposal

• Stainless steel specimen pass-thru wall unit

Lab

• 6 duplex electrical outlets, GFCI as required, 2 on separate circuits tied to the generator for emergency power for refrigerator and freezer.

• 4 telecommunication outlets

• 1 duress alarm pull stations at workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• Lighting to be controlled by motion sensor

• Sheet Vinyl SV-1 and rubber base RB-1

• Acoustical ACT-1 lay-in tile ceiling, drywall soffit

• Painted gypsum board (Field and accent), Corner guards

• (2) Sinks with base and wall cabinets (plastic laminate) per conceptual plans, synthetic quartz countertop; cabinets to be medical grade with sloped upper cabinet tops.

Patient Corridors

• duplex electrical outlet every 15’-0” linear feet (not more than 6 per hallway)

• Speakers for intercom

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• CPT-1 Carpet tile floors with rubber base RB-1

CBOC Manager Office

• 3 duplex electrical outlets

• 3 telecommunication outlets

• 1 duress alarm pull station at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting controlled by motion sensor switch at door

• Acoustical ACT-1 lay-in tile ceiling

• CPT-2 Carpet tile floors with rubber base RB-1

Tele-Health, Tele-Retinal

• 1 GFCI duplex electrical outlet at sink

• 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucets

• 5 duplex electrical outlets

• 4 telecommunication outlets

• 1 duress alarm pull station at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

SPECIFICATION STYLES TEMPLATE ## ## ## - 10

• Lighting to be controlled by dimmable 3-way switches at each door

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Sink with base and wall cabinets (plastic laminate) per conceptual plans, synthetic quartz countertop;

cabinets to be medical grade

• Cubicle curtain track

Mental Health Counseling

• Rough in for future sink with shut offs located close to water loops

• 3 duplex electrical outlets

• 3 telecommunication outlets

• 1 duress alarm pull station at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by dimmable 3-way switches at each door

• Acoustical ACT-1 lay-in tile ceiling

Exam Rooms and Exam/Consult Rooms (each room)

• 5 duplex electrical outlets

• 4 telecommunication outlets

• 1 duress alarm pull station at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by dimmable 3-way switches at each door

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Sink with base and wall cabinets (plastic laminate) per conceptual plans, Corian solid surface countertop with integrated sink, cabinets to be medical grade with sloped top on wall cabinets. Unit will have rolling cabinet with four drawers to roll under countertop. System will be Midmark or equal. Faucets will be lever handled high gooseneck type.

• Cubicle curtain track at each door

Procedural Room

• 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucets

• 3 duplex electrical outlets

• 3 quadplex electrical outlets

• 6 telecommunication outlets

• 1 Panic alarm at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by dimmable 3-way switches at each door

• Acoustical ACT-1 lay-in tile ceiling

• Sheet vinyl flooring SV-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Sink with base and wall cabinets (plastic laminate) per conceptual plans, synthetic quartz countertop, Lactation Room

• 2 duplex electrical outlets

• 1 telecommunication outlets

• 1 duress alarm pull station at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by dimmable 3-way switches at each door

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Sink with base and wall cabinets (plastic laminate) per conceptual plans, Corian solid surface countertop with integrated sink, cabinets to be medical grade with sloped top on wall cabinets. Unit will have rolling cabinet with four drawers to roll under countertop. System will be Midmark or equal. Faucets will be lever

SPECIFICATION STYLES TEMPLATE ## ## ## - 11

• Door lock needs to specify Locked/Unlocked, privacy function.

Massage Therapy Room

• 5 duplex electrical outlets

• 4 telecommunication outlets

• 1 duress alarm pull station at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by dimmable 3-way switches at each door

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Sink with base and wall cabinets (plastic laminate) per conceptual plans, Corian solid surface countertop with integrated sink, cabinets to be medical grade with sloped top on wall cabinets. Unit will have rolling cabinet with four drawers to roll under countertop. System will be Midmark or equal. Faucets will be lever

• Cubicle curtain track at each door

Physical Therapy

• 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucet

• 10 duplex electrical outlets

• 5 duplex electrical outlets located in the floor

• 6 telecommunication outlets

• 1 Panic alarm at each PC workstation controlled through Centurion wireless system.

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks View or Equal in main area

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal in private treatment areas

• Lighting to be controlled by dimmable 3-way switches at each door and motion sensors

• Lighting in two individual treatment bays to be controlled by individual switches with dimmers

• Acoustical ACT-1 lay-in tile ceiling

• CPT-3 Carpet Tile flooring and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Wall-hung hand wash sink

• Cubicle curtains tracks for two private treatment areas

HT/WT Alcove

• 2 telecommunication outlets

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• Lighting controlled from adjacent hallway

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Nurse Call pull station.

Consult Room

• 1 GFCI duplex electrical outlet for motion sensor faucets

• 5 duplex electrical outlets

• 4 telecommunication outlets

• 1 duress alarm pull station each PC workstation.

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by dimmable 3-way switches at each door

• Acoustical ACT-1 lay-in tile ceiling

• CPT-1 Carpet tile floors with rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Sink with base and wall cabinets (plastic laminate) per conceptual plans, synthetic quartz countertop;

SPECIFICATION STYLES TEMPLATE ## ## ## - 12

Patient Toilet

• 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucets and toilet flush valve

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• LED Can Accent Lighting and/or Cove Lighting.

• Lighting to be controlled by motion sensor.

• PCT-1 Porcelain tile floor and PTW-1 Porcelain Tile Wall including various sized wall tile wainscot to 5’-0” AFF plus GL-1 Glass Tile band, paint above, corner guards

• Painted gypsum board ceiling

• Nurse Call to side of water closet

• ADA compliant water closet and sink. Automatic faucets & flush valves.

Team Room

• 1 double-duplex electrical outlet for each workstation (flush in floor)

• 2 duplex electrical outlets at copy area on individual circuit

• 2 duplex electrical outlets above counter at supply counter

• 1 duplex electrical outlet every 15’-0” linear feet of wall (not to exceed 14 per room)

• 1 telecommunication outlet for each workstation (flush in floor)

• 2 telecommunication outlets at copy area

• 2 telecommunication outlets above supply counter

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks View or equal

• Lighting to be controlled by photovoltaic sensor with wall dimmer switches

• Acoustical ACT-1 lay-in tile ceiling

• Painted gypsum board walls (Field and Accent), Corner guards

Work/Mail Room

• 3 telecommunication outlets

• Master duress station located in this location

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• Lighting to be controlled by photovoltaic sensor and switches

• Acoustical ACT-1 lay-in tile ceiling

Photo ID Room

• 3 telecommunication outlets

• 1 Panic alarm at each PC workstation

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or equal

• Lighting to be controlled by photovoltaic sensor and switches

• Acoustical ACT-1 lay-in tile ceiling

• CPT-1 Carpet tile floors with rubber base RB-1

Public Toilets

• 1 GFCI duplex electrical outlet or junction box for motion sensor sink faucets and toilet flush valve

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x2, Fluxwerks Transom or Equal

• LED Can Accent Lighting and/or Cove Lighting.

• Lighting to be controlled by motion sensor

• PCT-1 Porcelain tile floor and PTW-1 Porcelain Tile Wall including various sized wall tile wainscot to 5’-0” AFF plus GL-1 Glass Tile band, paint above, corner guards

• Painted gypsum board ceiling

• ADA compliant water closet and sink. Automatic faucets & flush valves.

• Stainless steel toilet room accessories which also include toilet seat cover dispensers

• Toilet partitions will be overhead hung type

• Baby changing station, Koala or equal

• Stainless steel sanitary napkin disposal

• Install VA provided sanitary napkin dispenser

SPECIFICATION STYLES TEMPLATE ## ## ## - 13

Meds / Supplies

• 4 duplex electrical outlets (one on dedicated circuit tied to generator power)

• 3 telecommunication outlets

• 1 duress alarm pull station tied to wall

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by motion sensor

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Provide HVAC Controls to monitor and provide appropriate levels of humidity and temperature in room separate from main building system.

Conference Room

• 1 double-duplex electrical outlet for each workstation

• 4 duplex electrical outlets

• 2 quadplex flush in floor

• 1 coaxial cable connection to Cable TV for wall mounted TV

• 1” conduit from wall near Video Teleconferencing (location by COR) Unit (for camera shelf) to behind Video Teleconferencing Unit

• 1” conduit from wall near Video Teleconferencing (location by COR) Unit (for camera shelf) to flush mount in floor

• Wall mounted TV bracket for 50” TV (supplied by others)

• 6 telecommunication outlets (2 flush in floor)

• Dimmable LED Can Lighting and/or Cove Lighting

• Lighting to be controlled by photovoltaic sensor and switches

• Acoustical ACT-1 lay-in tile ceiling

• CPT-1 Carpet tile floors with rubber base RB-1

• Painted walls (Field and Accent), corner guards

Biohazard Storage

• 1 duplex electrical outlets

• 1 telecommunication outlets

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by motion sensor

• Acoustical ACT-1 lay-in tile ceiling

• SV-1 Welded sheet vinyl with Rubber Base RB-1

IT Closet

• 6 double duplex 110V outlets. Two will be placed on one circuit and two on another circuit

• 3 outlets of 220V 30 amp outlets each on separate circuits. Plug type to be determined during design.

• 2 telecommunication outlets

• Fire retardant plywood (3/4”) on perimeter walls from 3’-0” AFF to 7’-0”

• Direct LED lighting controlled by a wall switch

• SVT-1 Static Dissipative Tile with Rubber Base RB-1

• Painted gypsum board (Field and accent), Corner guards

• Provide independent cooling of this room using split system wall hung unit to include power and programmable remote

• Provide cable tray around the perimeter of the room above the data racks.

• See other sections of this document for additional equipment requirements.

Storage, Medical Equip

• 3 telecommunication outlet

• Direct LED Lighting

• Lighting to be controlled by motion sensor

• Acoustical ACT-1 lay-in tile ceiling

• Luxury vinyl flooring LVP-1 and rubber base RB-1

• FRP wainscot to 4’-0” AFF, painted gypsum board above, corner guards

• Provide HVAC Controls to monitor and provide appropriate levels of humidity and temperature in room

SPECIFICATION STYLES TEMPLATE ## ## ## - 14

Break Room/Lounge

• 5 duplex electrical outlets

• 2 Duplex electrical outlets for 2 refrigerators on separate circuits

• 2 GFCI duplex electrical outlets along countertop on separate circuits for microwave and coffee pot

• 2 duplex outlets above stand up counter for use for carry in meal days to plug in crock pots.

• 3 telecommunication outlets

• 1 coaxial cable connection to Cable TV for wall mounted TV

• 1 telecommunication outlet behind the TV.

• Wall mounted TV bracket for 50” TV (supplied by others)

• Painted gypsum board (Field and accent), Corner guards

• 1 water connection, drain connection and power connection for commercial ice machine.

• 1 Single Bowl stainless steel sink in wall cabinets as shown.

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks View or equal

• CPT-4 Carpet Tile flooring and rubber base RB-1

Clean Utility

• 3 telecommunication outlet

• Direct/Indirect LED lighting, Manuf.: Lithonia Avante 2x4, Fluxwerks Transom or equal

• Lighting to be controlled by motion sensor

• Painted gypsum board (Field and accent), Corner guards

• Acoustical ACT-1 lay-in tile ceiling

• SV-1 sheet vinyl and rubber base RB-1

• FRP wainscot to 4’-0” AFF, painted gypsum board above

• Provide HVAC Controls to monitor and provide appropriate levels of humidity and temperature in room

Logistics Storage

• 1 telecommunication outlet

• Direct LED Lighting

• Lighting to be controlled by motion sensor

• Painted gypsum board (Field and accent), Corner guards

• Acoustical ACT-1 lay-in tile ceiling

• SV-1 sheet vinyl and integral 6” cove base

• FRP wainscot to 4’-0” AFF, painted gypsum board above

Note: 1- telecommunication outlet will consist of two cat-6a data lines terminated in a single box. Some telecommunications outlets in rooms will be placed in the ceiling to support VA wireless access.

SPECIFICATION STYLES TEMPLATE ## ## ## - 15

Security Requirements (Facility Security Level II) Fire Alarm and Fire

Suppression, and Nurse Call System

SECTION SECURITY REQUIREMENTS (FACILITY SECURITY LEVEL II) FIRE ALARM AND

FIRE SUPPRESSION, AND NURSE CALL SYSTEM

TABLE OF CONTENTS

PART 1 - GENERAL 1

PART 2 - SITE CONSIDERATIONS 3

PART

3 - ACCESS & SECURITY FOR COMMON AREAS, NON-PUBLIC, AND UTILITY AREAS

PART 4 - BUILDING ENTRANCES & EXITS (GOVERNMENT SPACES) 5

PART 5 - FUNCTIONAL AREAS 7

PART 6 - EXISTING BUILDING ENVELOPE, STRUCTURE, AND UTILITIES & BUILDING

SERVICES 8

PART 7 - SECURITY SYSTEMS 9

PART 8 - CENTRALLY MONITORED FIRE ALARM AND FIRE SUPPRESSION SYSTEM 16 PART

9 - NURSE CALL SYSTEM 17

PART 1 - GENERAL

THESE PARAGRAPHS CONTAIN ADDITIONAL SECURITY REQUIREMENTS WHICH ARE TO BE

PRICED AS PART OF EITHER SHELL OR TENANT IMPROVEMENT ALLOWANCE. WHERE THERE

IS A CONFLICT BETWEEN A SPECIFIC REQUIREMENT AND A MORE GENERAL REQUIREMENT,

THE SPECIFIC REQUIREMENT SHALL APPLY.

1.01 Definitions

A. CRITICAL AREAS - The areas that house systems that if damaged or compromised could have significant adverse consequences for the facility, operation of the facility, or mission of the agency or its occupants and visitors. These areas may also be referred to as

"limited access areas," "restricted areas," or "exclusionary zones."

Critical areas do not necessarily have to be within Government-controlled space (e.g., generators, air handlers, electrical feeds which could be located outside Government-controlled space).

B. SENSITIVE AREAS - Sensitive areas include but are not limited to controlled access corridors, sensitive documents areas, telecommunications rooms, staff work areas, and medication rooms.

Sensitive areas are primarily housed within Government-controlled space.

1.02 OPERATIONS AND ADMINISTRATION

A. LESSOR TO WORK WITH VA FOR SECURITY (SHELL)

1. The lessor shall cooperate and work with the Northern Indiana Health

Care System throughout the term of the lease. Common groups of VA

SPECIFICATION STYLES TEMPLATE ## ## ## - 16

Employees from the facility that will be engaged with the security of the clinic include but are not limited to the VA Police Department particularly the Physical Security Officer and the Security Control

Center, the Clinic Nurse Manager and staff, the Environment of Care (EOC)

Committee, and the Contracting Officer Representative.

2. As necessary and if applicable to the lease the Northern Indiana Health

Care System Physical Security Officer will establish or update existing memorandums of agreement for security with the Lessor’s Security Alarm monitoring company for notifications and the Local police

B. TEMPORARY SECURITY UPGRADE DUE TO IMMEDIATE THREAT

The Government reserves the right, at its own expense and with its own personnel, to temporarily heighten security in the building under lease during heightened security conditions due to emergency situations such as terrorist attacks, natural disaster, and civil unrest.

C. ACCESS TO BUILDING INFORMATION (SHELL)

1. Building Information-including mechanical, Electrical, vertical transport, fire and life safety, security system plans and schematics, computer automation systems, and emergency operations procedures-shall be strictly controlled. Such information shall be released to authorized personnel only, approved by the Government, by the development of an access list and controlled copy numbering. The Contracting Officer may direct that the names and locations of Government tenants not be disclosed in any public accessed document or record. If that is the case, the

Government may request that such information not be posted in the building directory.

2. Lessor shall have emergency plans and associated documents readily available in the event of an emergency.

1.03 IDENTITY VERIFICATION OF PERSONNEL (SHELL)

A. The Government reserves the right to verify identities of personnel with routine access to Government space. The Lessor shall comply with the agency personal identity verification procedures below that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal

Information Processing Standards Publication (FIPS PUB) Number 201, as amended

B. The Lessor shall insert this paragraph in all subcontracts when the subcontractor is required to have physical access to a federally controlled facility or access to a federal information system.

C. Lessor compliance with subparagraphs 1 through 4 below will suffice to meet the Lessor’s requirements under HSPD- 12, OMB M-05-24, and

FIPS PUB Number 201.

1. The Government reserves the right to conduct background checks on

Lessor personnel and contractors with routine access to Government leased space.

2. Upon request, the Lessor shall submit completed fingerprint charts and background investigation forms for each employee of the Lessor, as well as employees of the Lessor's contractors or subcontractors, who will provide building operating services requiring routine access to the

SPECIFICATION STYLES TEMPLATE ## ## ## - 17

Government’s leased space for a period greater than 6 months. The

Government may also require this information for the Lessor's employees, contractors, or subcontractors who will be engaged to perform alterations or emergency repairs in the Government’s space.

3. The Lessor must provide Form FD-258, Fingerprint Chart (available from the Government Printing Office at http://bookstore.gpo.gov), and Standard

Form 85P, Questionnaire for Public Trust Positions, completed by each person and returned to the contracting officer (or the contracting officer's designated representative) within 30 days from receipt of the forms. Based on the information furnished, the Government will conduct background investigations of the employees. The contracting officer will advise the Lessor in writing if an employee fails the investigation, and, effective immediately, the employee will no longer be allowed to work or be assigned to work in the Government’s space.

4. Throughout the life of the lease, the Lessor shall provide the same data for any new employees, contractors, or subcontractors who will be assigned to the Government’s space. In the event the Lessor's contractor or subcontractor is subsequently replaced; the new contractor or subcontractor is not required to submit another set of these forms for employees who were cleared through this process while employed by the former contractor or subcontractor. The Lessor shall resubmit Form FD-258 and Standard Form 85P for every employee covered by this paragraph on a

5- year basis.

1.04 PHYSICAL SECURITY DESIGN REQUIREMENTS FOR TENANT IMPROVEMENTS

The lessor’s design team shall follow the ISC Security Standards for Leased

Space, Level II.

A. VA Provided Conceptual Drawings and Schedules may show requirements for Security Door Openings, Security Door Hardware, and Electronic

Security Systems (ESS) to include Physical Access Control Systems

(PACS), Intrusion Detection System (IDS), Video Assessment and

Surveillance Systems (VASS) historically known as Closed Circuit

Television (CCTV)

B. VA Technical Information Library (TIL) http://www.cfm.va.gov/TIL/

1. PG 18-1 Master Construction Specifications Division 28 Electronic Safety and Security http://www.cfm.va.gov/TIL/spec.asp#28

C. VA Handbook 0730/04, Appendix B, Security and Law Enforcement, Physical Security Requirements and Options. Search for the document at: http://www.va.gov/vapubs/

PART 2 - SITE CONSIDERATIONS

2.01 SIGNAGE

A. POSTING OF SIGNAGE IDENTIFYING THE SPACE AS GOVERNMENTAL (TENANT

IMPROVEMENT ALLOWANCE)

The Lessor shall post signage as required elsewhere in the lease document.

B. POSTING OF REGULATORY REQUIREMENTS (TENANT IMPROVEMENT ALLOWANCE)

The Government may post or request the Lessor to post regulatory, statutory, sensitive areas and site-specific signage.

http://www.cfm.va.gov/TIL/ http://www.cfm.va.gov/TIL/spec.asp#28 http://www.va.gov/vapubs/

SPECIFICATION STYLES TEMPLATE ## ## ## - 18

2.02 LANDSCAPING

A. LANDSCAPING REQUIREMENTS (SHELL)

a. Lessor shall maintain landscaping (trees, bushes, hedges, land contour, etc.,) around the facility.

b. Landscaping shall be neatly trimmed in order to minimize the opportunity for concealment of individuals and packages/containers. Landscaping shall not obstruct the views of security guards and CCTV cameras, or interfere with lighting or IDS equipment.

B. CRIME PREVENTION THROUGH ENVIRONMENTAL DESIGN (SHELL)

The Lessor shall separate from public access, restricted areas as designated by the Government, through the application of Crime Prevention Through

Environmental Design (CPTED) principles by using trees,…