Exhibit B- Agency Specific Requirements- Floorplan.pdf

Design Requirements, Page 1

EXHIBIT B – AGENCY’S REQUIREMENTS- STATEMENT OF

WORK

Design Requirements

I. DESIGN TASK

Provide a complete design for the build out of the space leased for the Oconomowoc Community Based Outpatient Clinic (CBOC) in Oconomowoc, Wisconsin.

A. Background Information: The Clement J. Zablocki VA Medical Center in Milwaukee, WI is seeking a new lease of approximately 5,900 net usable square feet/8,000 maximum rentable square feet in Oconomowoc, WI. The clinic will contain Primary Care, outpatient Mental Health, TeleHealth, and laboratory services. The new space will be designed to meet the VA’s current Primary Aligned Care Team (PACT) design guidance. The VA PACT model design emphasizes flexibility of rooms and team work areas.

B. Project Intent: Provide the Oconomowoc CBOC with space that fully supports

PACT model operation and that allows the clinic to meet its projected workload.

C. This project includes all design services required to renovate the new leased space, including all utilities, to meet the VA’s needs and the requirements of this document.

II. DUTIES OF THE A/E

A. The A/E shall provide complete investigative and design services to provide for a fully coordinated, functionally integrated, and operational design and subsequent project.

B. The work shall include:

1. Preliminary meetings and site survey investigations to define the necessary elements of the project scope of work. This includes presentation of preliminary layout plans with proposed alternatives to the User Group and preparation of a detailed project plan based on User Group meetings and site survey.

2. A detailed analysis of the various options available, covering design constraints, access requirements and all applicable codes and standards.

3. A full field investigation of all areas affected by this design. Site investigations shall measure and document the conditions of areas to be renovated and/or impacted. This information shall be clearly conveyed in the construction documents.

4. Preparation of drawings and specifications, as called for in this scope of work and within the established construction budget.

5. Design Review Meetings:

a. Professional Architects, Engineers and related design disciplines familiar with the work shall be provided to attend the VA design reviews at the VA Medical Center in Milwaukee, WI.

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b. The A/E shall provide minutes of each review meeting to the VA for review within 3 business days of the review meeting.

6. Construction Period Services (CPS), including:

a. Review and approval of construction submittals - This service includes reviewing and providing comments and recommendations to government on items such as construction contractor’s quality control plan, initial and final network schedules, bar chart schedules, schedules of prices, safety plan, shop drawings (including MEP coordination drawing, shop drawings, diagrams, layouts, catalog cuts, performance and test data, samples finish chips, etc.), operation and maintenance manuals, and as-built drawings. AE submittal review time shall not exceed 14 calendar days. VA uses OPCENTER as file transfer and workflow tracking platform for Submittals. AE shall review Construction Contractor submittals listed for review by Government in Submittal Register of construction solicitation package, and as modified during negotiation of this Task Order. For items that are shown as "CONDITIONAL, RE-SUBMITTAL REQUIRED", or "REJECTED", AE shall include an explanation that clearly describes reason(s) for recommended action.

b. Responses to Request for Information (RFI) - Review and respond to contractor

RFIs. When necessary for contract in-scope changes to construction project requirements, prepare construction cost, completion schedule estimates and Construction Bulletins (CBs) due to differing site conditions and design omissions.

AE RFI review time shall not exceed seven (7) calendar days. VA uses OPCENTER as file transfer and workflow tracking platform for RFIs. When CB is not for a design deficiency, VA will issue an RFP to the AE for re-design during CPS. Otherwise, CB and other RFI document responses shall be at no added cost to government

c. Site visits, spread across the various design disciplines, as required for inspection of ongoing construction, including final tests and inspections.

(a) A site inspection report shall be furnished to the VA within three workdays following all site visits during the construction period.

(b) The site inspection report shall include the purpose of the inspection, items reviewed, deficiencies observed, recommendations and additional actions required.

d. Review and Preparation of Record Drawings – AE shall prepare Record Drawing set at construction completion. Add any new drawings and review Construction Contractor’s annotated drawings. Verify accuracy of contractor interim record drawings and as-built conditions as construction contractor document changes occur. Receive and review contractor “red-line” in preparation for production of final as-builts. Deliver electronic (REVIT) and hard copy record drawings to VAMC COR within 60 days of receipt of full as-built package from General Contractor.

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C. Provide all necessary engineering and design services for architectural, interior design, site development, mechanical (plumbing, fire protection and HVAC), electrical, structural, asbestos abatement, signage, and other specialty consultants within the limits of the project to support submissions as detailed in Attachment A, Submission Requirements. Each discipline shall document and investigate the relevant existing conditions, review the building available information, and verify all essential elements pertinent to their discipline.

D. Design shall comply with the latest editions of all applicable VA guidelines (eg, Construction Standards, Design Guides, Master Specifications, Standard Details, Special Design Criteria), NFPA, JC, Federal and State codes pertinent to the project scope. VA guidelines are available at http://www.cfm.va.gov/TIL/.

E. In the design of new building and alteration work under this contract, consider all requirements (other than procedural requirements) of:

1. zoning laws;

2. laws relating to landscaping, open space, minimum distance of a building from the property line, maximum height of a building, historic preservation, and aesthetic qualities of a building, and similar laws, of the State and local political division which would apply to the building if it were not to be constructed or altered by the U.S.

Government; and

The A/E shall provide prompt, written notification to the VA concerning conflicts with or recommended deviations from codes, laws, regulations, standards, and opinions of review officials as described above.

III. PROJECT SPECIFIC REQUIREMENTS

A. Specifications: VA Master Construction Specifications, available at http://www.cfm.va.gov/TIL/spec.asp, shall be the basis for the construction specifications. However, these are a guide only and are written to cover a wide variety of project types and sizes. Each spec must be carefully edited for this project. The “track changes” tool in Microsoft Word shall be utilized when editing specifications so that VA reviewers can see the changes that have been made.

1. The VA COR will prepare in MS Word following specifications and provide to AE for incorporation into specification package at each deliverable milestone:

a. 01 00 00 – GENERAL REQUIREMENTS

b. 01 01 10 SN – SPECIAL NOTES

c. 01 32 16.15 – PROJECT SCHEDULES

d. 01 33 23 – SHOP DRAWINGS, PRODUCT DATA, AND SAMPLES

e. 01 35 26 – SAFETY REQUIREMENTS

f. 01 57 19 – TEMPORARY ENVIRONMENTAL CONTROLS

g. 01 74 19 – CONSTRUCTION WASTE MANAGEMENT

h. 01 81 13 – SUSTAINABLE CONSTRUCTION REQUIREMENTS

i. 01 91 00 - COMMISSIONING REQUIREMENTS http://www.cfm.va.gov/TIL/ http://www.cfm.va.gov/TIL/spec.asp

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B. Interior Design:

1. All interior design services for the project area shall be included and shall be coordinated with VA Interior Design staff. Interior design services include recommending and coordinating all finishes, preparing storyboards and color selections, and working with the VA interior designer making furniture selections to help ensure that the furniture is well-coordinated with the project.

2. Finishes and fixtures shall be developed during design in conjunction with the

VA Interior Designer and VA COR.

3. Signage shall be provided in accordance with Attachment B, Signage Requirements.

C. PACT Design: Ensure that the design complies with the VA PACT Space Module Design Guide, available at https://www.cfm.va.gov/til/dGuide/dgPACT.pdf.

D. Patient/Visitor Access: Automatic door openers shall be provided at main entrance to facility, including vestibule area, to allow for ease of access for the mobility impaired. Auto door openers shall also be provided at bathrooms in waiting room area. Commercial grade handrails shall be provided and installed throughout the patient hallway areas, InPro Corporation series 800.

E. Room Requirements

*All furniture, cabinetry and finishing’s shall be coordinated with the VA Interior Design staff from Clement J. Zablocki VAMC.

Entryway Vestibule

• One (1) power door operator at exterior double door set and one (1) power door operator at interior double door set.

• Alarm panel for arming/disarming building security alarm system.

• Exterior doors shall be with dual locking hardware, but with a single action from inside to exit in emergency.

• Wall mounted heater for maintaining vestibule temperature.

Reception Area

• Separated from Waiting Area by full height constructed walls and two (2) sliding teller windows with solid surface counter between receptionist and waiting area.

• Soffit with dimmable LED can lights directly above the receptionist area.

• Nurse call notification station, with visual and audible alarm panel.

• Wall mounted remote control of paging amplifier system.

• Two (2) Duress Alarms, mounted under counter at each workstation location.

Waiting Area

• One (1) elevated television bracket with in-wall data cabling and duplex electrical receptacle.

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

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• Chair rail around perimeter – Inpro product or as approved by VA COR.

• Refrigerated Duplex Drinking fountain (ADA).

• Data outlets and duplex receptacles for two (2) Kiosk registration stations.

Unisex Rest Rooms

• All restrooms are to be ADA compliant, and shall include stainless steel grab bars at stool location.

• Floors shall be ceramic tile, with ceramic tile walls floor to ceiling. Power door operator.

• All doors shall have lockset including red “in-use” and green “vacant” indication, including emergency key, Medeco, or approved equal.

• Two stainless steel coat hooks on interior of door, with wall mounted stainless steel shelf near sink, approx. 18”x5”.

• Wall-mounted baby changing units, Koala Kare KB101, or approved equal.

• Soap, paper towel, toilet paper dispensers, and sanitary napkin dispensers.

• Nurse call station at each location, including visual indicator above each door.

• Provide stainless steel specimen pass-through cabinet on wall in Lab toilets, Bobrick B-

505 or approved equal.

Exam Rooms & Telehealth Exam Rooms

• Door to patient hallway shall be standard swinging door with privacy lock, and door to Teamlet space shall be sliding barn door style. Barn door shall be AD Systems ExamSlide, with ADA thumb turn lock and occupancy indicator, with soft-close dampening system, or VA-approved equal.

• Duress alarm at workstation location.

• Room status indicator flags above each door to Teamlet area.

• Sink and casework with drawers and locking upper cabinets.

• Soap, paper towel, and Purell dispensers provided by VA.

Blood Draw

• Provide lockable door hardware.

• Duress alarm at wall location.

• Specimen cabinet on wall adjacent to Lab Restrooms.

Lab Processing

• Provide lockable door hardware.

• Duress alarm at workstation location.

• Sink and casework with drawers and locking upper cabinets.

• Soap, paper towel, and Purell dispensers provided by VA.

Clean Supply

• Provide lockable door hardware, card reader, auto operator, and door closer with 90 degree hold open on door.

• Provide floor to ceiling adjustable shelving system along one wall surface, wall to wall.

• Room must maintain 70 degrees F year-round, with a dedicated DX cooling system.

Soiled Utility hold open on door.

• Provide flush rim sink with splash guard and faucet with spray.

Equipment Storage

Design Requirements, Page 6 hold open on door.

Teamlet Space and Clinical Staff Work Areas

• Provide card readers and storeroom function lockable door hardware at each door.

• Duress alarm at each workstation location.

• Two (2) stainless steel coat hooks on inside of each door.

Conference Room

• Provide classroom function lockable door hardware.

• Duress alarm at wall location.

• Ceiling mounted electrical outlet and data outlet for projector, projector provided by VA.

• Electrically operated ceiling mounted projection screen along wall.

• In floor electrical and phone/data outlet box in center of room.

Staff Break Room

• Provide card access reader or storeroom function door hardware, Trilogy DL2700, and door closer on all doors.

• Laminated cabinetry (upper and lower) with sink (~10 ft. total Length)

• Lockable staff lockers along one wall.

IT Closet

• Room must maintain 70 degrees F year-round, with a dedicated DX cooling system.

• Two (2) dedicated 20-amp circuits, plus other power requirements for miscellaneous systems.

• Phone/Data rack and patch panels are to be provided by contractor.

• Refer to Structured Wire Installation Specifications (S02-Structured_Wire_Spec.doc)

• Access shall be via electronic door strike hardware and PIV card compatible reader.

Mount new controller panel(s) with power supply panel on wall in this room. Unit shall be fully programmed and connected via VA network to the Clement J Zablocki VA Medical Center and be fully operational.

• No suspended ceiling in this room. Provide painted drywall at roof deck, open below to room, with pendant or wall LED ceiling lights.

Housekeeping Aid Closet

• Provide lockable door hardware

• Exhaust Fan

• Floor basin sink with faucet

F. Intercom/Paging/Radio System: A local intercom/paging/radio system shall be provided and installed, to audibly communicate throughout the VA leased space, and shall be incorporated for use with VA provided telephone system. Unit shall have a amplifier, rack installed in an IT Closet, and a digital stereo tuner.

Speakers shall be designed to work with the system and shall be installed in each exam/procedure/telehealth room, in each office, in conference room, staff lounge, VIC room, patient intake room, and waiting area. Remote control of system on/off and system volume adjustment shall be provided at reception area, and each speaker location shall also have wall-mounted volume control.

G. Drinking Fountain: An ADA-style water fountain shall be provided and

Design Requirements, Page 7 installed in the main patient waiting room for use by patients/visitors.

H. Patient Privacy: Provide and install two (2) ceiling mounted cubicle tracks (one at the patient entrance and one between the patient exam table and the providers work station) in each exam room and one (1) at each Blood Draw station, to provide visual privacy, using the Barrier-Free Curtain Track Rail Support System (CTRSS). Contractor shall also provide curtains, with style/color coordinated with VA Interior Designer. Provide quantity of curtains that is twice the number installed, to allow for full cleaning/swap out of curtains at one time. Patient exam tables need to be oriented to prevent patients’ feet to directly face a door.

I. Electrical/Emergency Generator: The lessor shall be responsible for meeting the applicable requirements of the NFPA, NEC, the National Electric Safety Code, and local codes and ordinances, and shall be inspected for compliance in the NFC and local code by the local authority having jurisdiction. A certificate of compliance shall be furnished to the VA. Distribution panels must be circuit breaker type with 25 percent spare power load and circuits. All electrical equipment shall be U.L. Listed. Lessor shall provide and install a dedicated, self-enclosed emergency generator to support the critical functions of the clinic in order to maintain operations in event of a power failure. This shall include at a minimum: telecommunications room and associated equipment, mechanical systems and alarm systems supporting the clinic, emergency egress and exit lighting, at least one emergency circuit (double duplex outlet) in each exam room, in each office, and in reception area, along with emergency light fixture in each respective area also.

Outlet Distribution - Quad floor and wall electrical outlets shall be provided in a ratio of one (1) for every 50 gsf of space. Quad floor outlets in rooms over 400 gsf shall be provided on the basis of one (1) per twelve (12) linear feet of wall surface. Quad utility outlets shall be provided in toilets, corridors, and dispensing areas for maintenance purposes. Outlets are to be circuited separately from the lighting with not more than nine such outlets on one circuit. Switchgear and circuit breakers shall be plainly marked or labeled to identify circuits or equipment supplied through them. If the electrical outlet is within 24” of a sink, then it shall be Ground Fault Interrupting type. Emergency outlets shall be red in color.

J. Physical Security:

1. Designer shall ensure that the facility design complies with ISC, Facility

Security Level (FSL) II, as per Attachment C.

2. Card reader access shall be provided for exterior staff and exterior main entrance doors, the IT closet, the clean supply and soiled/utility rooms, and for all doors from the public areas (i.e. waiting room) into the clinical areas (containing the exam rooms). Card readers shall be fully compatible with existing VA PIV cards and shall report back to the Clement J Zablocki VA Medical Center Physical Security Office, via hospital computer network.

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3. Provide a security system to alarm upon illegal entry in the leased space and to prevent unauthorized entry 24 hours, 7 days per week. The preferred system will have intrusion/motion detectors at each entrance to the clinic space that alarm locally at the site and to a remote monitoring location. The remote monitoring company shall be in the business full-time (ADT, Brinks, etc. or equal), shall be approved by the Contracting Officer, with all monitoring costs provided by the landlord for the term of the lease. Lessor shall install keypads to allow for arming/disarming the building at two separate location(s) as directed by VA COR.

4. Provide and install a hard-wired duress alarm button in each exam/procedure room, at each office workstation, in the reception area workstations, at the blood draw stations, in Group Meeting/Conference room, and as directed by COR. Duress buttons shall be specified during A/E design. The duress buttons will be programmed by contractor into VA security software package.

Contractor shall provide to COR a device directory, with specific room locations, for each installed device, including control panel terminal numbers.

K. Sustainable Development:

Coordinate sustainable requirements with the GEMS coordinator at the Milwaukee VA Medical Center VA’s policy is to integrate sustainable strategies and features into design of facilities and infrastructure projects. Recycling of demolition debris shall be incorporated into project designs covered under this Project to maximum extent possible. Per Sustainable Design Manual (current version) AE shall include specification section 01 81 13, and edit per specification checklist furnished to AE by VA. From the Sustainable Design Manual, download the MS Excel workbook titled, “U. S. Department of Veterans Affairs Checklist for Validating Compliance with the 2016 Guiding Principles for New Construction and Modernization”. Workbook shall be used to help select appropriate measures and materials that allow ease of reporting for the government.

L. National Environmental Policy Act (NEPA):

VA will complete NEPA documents based on environmental impact. The AE shall incorporate results in design and complete an environmental assessment if needed. An environmental assessment is usually required for new construction

M. Environmental/Construction Permits

Area of disturbance greater than one acre will require a stormwater permit through the necessary municipalities based on clinic location and State of Wisconsin prior to commencement of construction. Best Management Practices (BMPs) must be included per state of Wisconsin guidelines. The following documents must be submitted:

1. Storm Water Management and Erosion Control Plan Narrative

2. Erosion Control Map (Construction Plans)

3. Site Evaluation for Storm Water Infiltration

4. Modeling Summary

5. Long Term Maintenance Agreement

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6. Best Management Practices Permission Letter

7. Soil Loss / Sediment Discharge Calculations

8. Peak Runoff Rate Calculations (must be within City of Milwaukee rate limitations per Chapter

120)

N. Telephone/Data Requirements:

Telephone/data outlets will be provided on the basis of one (1) per twelve (12) linear feet of wall surface.

Coordinate outlet locations with electrical outlets for computer equipment. Outlets will be served by ¾” conduit through walls, stubbed above ceiling height, with two (2) Category 6E 4 Pair data cables and two (2) Category 6E 4 Pair voice cable at each location, running back to the data closet, terminated by OEM Certified contractor at the jack location and on contractor provided patch panel(s) and data rack(s). Cabling shall be 4 individually twisted pair 24 AWG insulated copper conductors, voice=white color; data=blue color.

(Panduit) CAT6A 4 PAIR PVC CABLE BULK BLUE 1000’ (Panduit) CAT6A 4 PAIR PVC CABLE BULK YELLOW 1000’

Contractor shall provide and install a suitable (L5-20, L6-30, etc) receptacle, mounted in or near the rackspace in the data closet for VA provided UPS connection. Provide and install sheets of ¾” fire rated plywood from floor to 6’-0” high along one wall of IT closet.

VA IT staff will provide specific guidance on power plug connectors/terminations/patch panels, etc. The government reserves the right to provide its own telephone service in the leased space. Conference room data jacks will be provided on the basis of one (1) every six (6) linear feet of wall surface.

General Requirements:

All telecommunications cabling and telecommunications physical space must conform to established industry standards (NEC, NFPA, OSHA, IEEE, EIA/TIA, etc.) including the following practices:

• Telecommunications equipment and other equipment supporting the building’s security or communications interfacing may be located in wiring closets. Electrical service panels, HVAC equipment, natural gas or water control valves, etc. must be located elsewhere.

• Length of any UTP cable run from patch panel in wiring closet to RJ-45 data jack at wall plate must not exceed 90 meters. If contractor cannot meet this requirement with a centrally located wiring closet, contractor must provide additional wiring closets conforming to the specifications outlined in this document.

Environmental/Electrical:

A telephone/data wiring closet must be provided, with dimensions of at least 10’ x 10’ in size. The floor must be sealed concrete or low static tile. It must have lighting controlled by a wall switch directly inside the closet by the entry. Lighting fixtures shall be surface-

Design Requirements, Page 10 mounted LED, and shall ensure a lighting level of 100 foot-candles on working surfaces with a near (natural) light color rendition. A dedicated cooling system shall be provided in the closet to ensure 70 degrees F. 20-amp duplex or quad electrical receptacles must be located on each wall and each receptacle must be connected to one or more circuits that are isolated from receptacles outside the closet. Two of the receptacles must provide emergency power, and the receptacle should be red. The door must open outward to avoid collisions with network equipment or, if inward opening, provide at least five feet of clearance between the door and any network equipment. All perimeter walls for the IT closet shall extend from floor to roof deck above to prevent entry.

Equipment Mounting Hardware:

At the end of the room opposite from the entry, a contractor-provided 96”H x 24” W x 30” D four-post equipment rack made with 16 gauge steel components, supporting 52 rack spaces, UL Listed for 2,500 lbs. (Panduit CMR4P96) must be installed at a 90-degree angle to the wall. Vertical cable management must be provided by contractor and attached to each side of the rack (Panduit Patch Runner PRV8). Contractor must also provide horizontal cable management (Panduit SRBCT, Panduit NCMH2, Panduit NCMHAEF2, Panduit NCMHAEF4). VA OI&T staff will mount horizontal cable management after network electronics have been installed in the rack. The contractor will provide at least one two post standard rack(s) 96”H x 20.3” W x 6” D 6” channel steel for a UL Listed of 1,500 lbs load rating (Panduit R2P96S). The standard rack must be interoperable with the horizontal and vertical cable management supporting the 4 post equipment rack. The rack must be bolted to the floor for stability and oriented for easy access from front and back (ideally this would be at least 4-foot clearance, front and back). Racks must also be connected by grounding strip (Panduit CGK630U) and grounded to building ground through a busbar (approx. ¼” x 4” x 12”) of copper with tin plating which meets BICSI and J-STD-607 (Panduit GB4B0612TPI-1) and self-laminating labels to identify busbar to the building ground. All components are required to be installed by OEM certified installer of items provided for telecommunications closet.

Horizontal Cable Raceways:

All horizontal wire and cabling shall be installed in a raceway system within the telecommunications closet. This raceway should be supported from above the rack area with enough vertical space to allow for easy access to both the raceway and top of the rack system and a graceful entry from the above raceways to the equipment within the racks below. Waterfall devices provide the soft transition from the raceway above the racks to the devices below and should be installed in adequate numbers to facilitate the network hardware being deployed and additional waterfall devices provided to IT for current and future needs. The raceway must run across the top of the rack in four directions each point meeting in the near center. Racks are shown in the center of the diagram below with raceway running across the top to the full extent of the room, and two offset raceways tying into the main trunk of the raceway at one point left and one point right of the rackspace.

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Illustration: Example of raceway position in Telecommunication Closet

VA OI&T staff will be responsible for the purchase and installation of network electronics and uninterruptible power supplies.

Adjacent to the T-style equipment rack, one or more walls must be covered with ¾-inch fireproof plywood and painted white. A remote telephone switch requiring wall mounting will be provided and installed in this area by VA OI&T staff. Ideally, this should be the same or adjacent wall to where the Local Exchange Carrier point-of-presence equipment is or will be installed.

UTP Telecommunications Cabling:

Sufficient angled patch panels must be provided to match the number of UTP data/VOIP cable home runs from the new wiring closet to individual room locations, plus 10% for growth. These angled patch panels must be mounted with top panel starting at approximately 5.5 foot height of the contractor-provided equipment rack(s). The patch panels must be 48-port angled high-density patch panel with labels (Panduit Part No. CPPLA48WBLY), supplied factory installed CFFPL4 type front removable snap-in faceplates, of cold rolled steel construction, able to accept modules for CAT5E and CAT6A, Fiber Optic and Coax with snap-in feature to allow for easy moves, adds and changes. Items ordered need to match our VA OI&T standard infrastructure and meet VA requirements for Quality Assurance of installation.

All UTP data/VOIP cable home runs must be terminated in the wiring closet in patch panels using the 568-A standard.

The provision of both data/VOIP cable runs and analog/digital voice cable runs provides flexibility for the location to support a mixture of PBX, VOIP and POTS voice services over time.

CAT6A cabling should be used for all UTP cabling home runs (voice and data) (Panduit PUR6004GN-UY; PUR6004YL-U7). This cabling must meet or exceed the current industry standards for voice/data cabling and must be certified together with the telecommunications infrastructure installed by contractor to meet the VA Quality Assurance requirements. (Section 27 00 11 Communication Equipment Room Fittings).

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Contractor must also include in the procurement the necessary patch cabling to support each network jack that is installed. These cables should be white 7’(station) and blue 10’ (closet) cables supporting both the station side and the telecommunication closet.

Once terminated, UTP cabling must be capable of supporting 10/100/1000-BASE-TX Ethernet traffic that will meet the VA requirements for signal level, signal speed, impedance, and system data error (Section 27 00 11 Communication Equipment Room Fittings). All UTP cabling home runs must be terminated by 569-B modular RJ-45 jacks that meet or exceed ANSI and IEEE Class E channel standards and that meet requirements of IEEE 802.3af and IEEE 802.3 for PoE applications (Panduit CJ688TGYL) blue color jack for data, white color jack for voice in single gang, sloped vertical faceplate accepting 4 modules (Panduit CFPSL4EIY). The standard network drop consists of two phones and two data jacks. A typical room requires one standard network drop per 50 nsf of space.

Coordinate outlet locations with electrical outlets for computer equipment. Outlets will be served by ¾” conduit through walls, stubbed above ceiling height, with two (2) Category 6 data cables and two (2) Category 6 voice cable at each location.

Labeling of Cabling Runs:

For ease of tracing, troubleshooting or relocation, cable jacket colors must be white for the voice jacks, blue for the data jacks with corresponding color jacks in sloped wall plate.

Each cable voice/data pulled to the telecommunications closet must be identified in the telecommunications closet to the corresponding room number.

Room numbers will be assigned by VA staff in advance of any cabling pulls.

Analog/digital and data/VOIP jacks are labeled alphanumerically based on the level location of the patch panel and the port number on the patch panel that corresponds to the room/jack in associated inside the telecommunication closet. Multiple installs of the 48 angled patch panels should be labeled with capital letters A-Z from the top of the rack down. A label below each jack must indicate the room number and sequential jack position within the room. As an example, upon entering a room, the first quad receptacle would be labeled room #-seq. #, such as 101-1, and continue around the room in clockwise order incrementing the sequence until all wall jacks are labeled. Further each jack within the quad receptacles will also need to be identified by identifying the panel and associated jack on that patch panel for each jack (Section 27 00 11 Communication Equipment Room Fittings).

Illustration 1: Sample sloped wall plate Illustration 2: Example of jack identifiers NOT wall plate, colors to be blue for data and white for voice

Contractor must clearly label all patch panel jacks, 110-panel positions and cross-connects

Design Requirements, Page 13 to match the labeling of the wall plate jacks.

Testing of Completed Cabling:

Once UTP data cabling has been pulled and terminated at both ends, the contractor must test each cable run to confirm that it is capable of supporting data transmission rates indicated above and conforms to cabling standards listed above. The contractor must supply a report documenting the test results. The report should be submitted in electronic format.

Wireless Infrastructure: The listing below is the requirements that must be provided to address wireless infrastructure for a new construction or renovation project.

1. Dimension of the building: This must be the longest length and largest width of the building or section of the renovated space.

2. Total Square Feet of the building: This must be the total foot print square foot of the new building or renovated space.

3. DWG document created from the engineering staff’s AutoCAD application: The document must include the room numbers as well as the total dimension of the building.

The AutoCAD DWG drawing must not be in design mode and must be attached to the Service Request ticket as well.

4. Ceiling height of the building: This is normally 10 feet, in some cases ceilings may be higher than normal and must be identified.

5. Clinical Services: List if inpatient mental health will be located in the new building or renovated space.

6. Specialized construction: Identify any areas where there will be specialized construction, such as 18” reinforced concrete walls.

7. Construction start date: The date the construction is to begin on the new building or renovated space.

8. Estimated construction completion date.

9. Wireless Clients: Types of wireless clients expected to be used at the new building or renovated space including Wireless VOIP clients. Total number of wireless clients expected to be deployed.

The System Contractor or subcontractor shall submit certified documentation that they have been an authorized distributor and service organization for the OEM for a minimum of three (3) years. The System Contractor shall be authorized by the OEM to certify and warranty the installed equipment. In addition, the OEM and System Contractor shall accept complete responsibility for the design, installation, certification, operation, and physical support for the System. This documentation, along with the System Contractor and OEM certification must be provided in writing as part of the Contractor’s Technical Submittal.

O. Sustainability: Ensure that the design complies with the applicable sections of the

VA Sustainable Design Manual, available at http://www.cfm.va.gov/til/sustain.asp.

P. Acoustics: The design shall carefully consider and address acoustics, with the goal of reducing sound transmission between spaces for patient privacy and providing a work environment free of unnecessary distractions.

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

Design Requirements, Page 14

1. Walls shall extend from floor to deck, utilize metal studs, and contain sound absorbing insulation.

2. Additional measures shall be taken to improve audible privacy in the open-office-style team work area. The design team shall present options and a “pros/cons” analysis of the options to the VA for input.

Q. Telehealth: Plan exam, consult, and conference room layouts to accommodate telehealth equipment. Specific information on telehealth equipment will be available from the VA during design.

R. Designer Response: The required response time for all VA requests, unless otherwise stated by the VA, shall be 14 calendar days. If the scope of the required action is extensive, the A/E shall notify the VA and request additional time.

S. Construction Document Requirements:

1. Provide in accordance with Supplement “B” sets of both drawings (AutoCAD and PDF) and specifications (MS Word and PDF).

2. Drawings shall be compatible with AutoCAD 2016. Specifications shall be developed utilizing MS Word 2016.

T. Construction Cost Estimate

1. Provide detailed construction cost estimate utilizing CSI 50-division format in accordance with PG-18-15 (Volume B) and Manual for Preparation of Cost Estimates & Related Documents for VA Facilities. Cost allocation percentage for each element shall be based on experience with projects of similar scope. Expand element breakdown, if necessary, to capture components of project that do not fall within WBS if necessary. For projects with multiple buildings or phases, prepare a model for each building or phase.

a. Cost estimates shall be based on local pricing Milwaukee Metropolitan Area and escalated to estimated bid date. Also, cost estimates shall account for construction climate/market conditions at time of planned construction award. Do not use lump sum (LS) units in cost estimates.

b. The AE shall be responsible for and verify latest wage rate data, category codes, etc. that are to be used. Estimates shall be based on most up-to-date working drawing available and shall be current as of date of submission. Costs will include insurance, taxes, and applicable subcontractors mark up in accordance with FAR and VAAR and/or most accurate factors including risk. Estimate taxes and insurance on labor, such as: public liability, property damage, workmen's compensation, bodily injury, Federal Insurance Contribution Act, social security, federal and state unemployment compensation as an average cost experience for each trade. Use wage rates that reflect current wages at time estimate is submitted. For union labor, include welfare and pension fund costs in labor units as appropriate.

c. Price material at contractor's buying level. Sales taxes when applicable will be

Design Requirements, Page 15 added to material costs.

d. Each submission shall contain a certification that quantities have been checked and found to be correct.

e. The AE shall contact VA COR for guidance on cost break down. In general, show total estimated cost and CSI division costs, i.e., 1, 2, 3, etc.

f. Provide cost breakout for sole source materials and equipment based on current

VA Sole Source List of Materials as specified in current version of specifications section 01 01 10 SN, a VA Milwaukee specification not on TIL.

IV. A/E SUBMISSIONS OF DESIGN REVIEW MATERIAL

A. First Review: 35% Submittal - Schematics

• 2 Sets of reduced size preliminary/schematic layout plans

• 1 Electronic Set of AutoCAD and PDF Schematic drawings

• 1 Electronic Set of MS Word specification index

• 1 Construction Cost Estimate

B. Second Review: 65% Submittal – Design Development (DD)

• 1 Electronic Set of AutoCAD & PDF Design Development drawings

• 1 Sets of full-size bound DD layout plans/details

• 1 Sets of half size bound DD layout plans/details

• 1 Electronic Set of MS Word draft specifications

• 1 Sets of draft specifications in 3-ring binders

• 1 Electronic Set of Proposed Equipment Submittals (light fixtures, toilets, sinks, faucets, etc.)

• 1 Construction Cost Estimate

• 1 Set of fire protection drawings.

C. Final Review: 100% Submittal – Final Construction Documents

• 1 Electronic Set of AutoCAD & stamped (by registered architect or PE) PDF final construction drawings

• 1 Set of approved full size bound final construction drawings with PE stamps

• 1 Set of approved half size bound final construction drawings with PE stamps

• 1 Electronic Set of MS Word final specification sections

Design Requirements, Page 16

• 1 Electronic Set of Adobe PDF final specification sections merged

• 1 Set of final specifications paginated front to back in 3-ring binders.

• 1 Construction Cost Estimate

D. Project Close-Out Submittal – As-Built Construction Documents

• 1 Electronic Set of AutoCAD & stamped (by registered architect or PE) PDF As-Built drawings

• 1 Set of approved full size As-Built drawings with PE stamps

V. SCHEDULE

ID Milestone Task Description Duration (Calendar

Days)

Schedule Date

Notice to Proceed (NTP) Meeting 0 1 (Charette) Preliminary Investigations/Develop Draft

Conceptual/Schematics and proposed options NTE 30 days Notice to

Proceed (NTP) + 30

2 Initial User Group Meeting – review Draft Conceptual/Schematics and proposed options

1 NTP + 15

3 Submit First Review – 35% Schematics 28 days NTP+43 4 VA Review 14 days NTP+57 3 Submit 65% Design Development Submission 35 days NTP+92 4 VA Review 14 days NTP+106 5 Submit 100% Construction Documents 35 Days NTP+141

VHAMIWJacobA3 Image

VHAMIWJacobA3 Rectangle

VHAMIWJacobA3 Text Box Square footage was determined using the VA Space and Equipment Planning System (VA-SEPS)

Oconomowoc CBOC 1/26/2022 Appendix B.2 – Adjacency Matrix

1.01 ADJACENCY REQUIREMENTS

• Reception should be adjacent to the waiting room.

• A public toilet should be adjacent to the waiting room.

• Exam rooms should be adjacent to the team work area (PACT Diagram).

• Providers access the exam rooms from the team work area.

• Patients access the exam rooms via a controlled public corridor.

• Clearly defined patient versus staff areas segregated by access control doors.

• Staff training room, conference room, toilet, lounge, and locker room should be accessible only to staff and off the team work area.

• Mental Health exam rooms should be separate from primary care exam rooms.

Attachment A

A/E SUBMISSION INSTRUCTIONS

Table-of-Contents

I. GENERAL

A. INTRODUCTION

B. A/E RESPONSIBILITIES

C. SUBMISSION POLICY

II. SUBMISSIONS

A. SITE DEVELOPMENT

B. ARCHITECTURAL

C. FIRE PROTECTION

D. INTERIOR DESIGN

E. STRUCTURAL

F. PLUMBING

G. HVAC

H. ELECTRICAL

I. EQUIPMENT

J. ASBESTOS ABATEMENT

K. ENERGY

L. SPECIFICATIONS

M. FINAL BID DOCUMENTS

Attachment A, Page i

Attachment A, Page 1

A/E SUBMISSION INSTRUCTIONS

Community Based Outpatient Clinic in Oconomowoc, WI

I. GENERAL

A. INTRODUCTION

1. This document contains information and minimal submission requirements for the design of the Department of Veterans Affairs (VA) Community Based Outpatient Clinic (CBOC) in Oconomowoc, WI.

2. Coordinate all activities with the Clement J. Zablocki VA Medical Center.

Hold informal meetings (upon mutual consent of the VA and the A/E) at the hospital to discuss the design and related issues.

3. Final approved Schematic documents shall be the basis for the development of the Design Development phase. Likewise, final approved Design Development documents shall be the basis for the development of the Construction Documents phase. The VA COR must approve any changes from each set of documents before the A/E proceeds to the next phase.

4. VA will review all submittals for functional and aesthetic relationships. However, no further functional decisions are anticipated after the Design Development phase.

5. Provide computations and sizing calculations for electrical, mechanical (HVAC, plumbing, and steam), sanitary, structural and fire protection designs. For computerized calculations, submit complete and clear documentation of computer programs, interpretation of input/output, and description of program procedures.

6. Submit final drawings compatible with AutoCAD 2016.

B. A/E RESPONSIBILITIES:

1. Contract documents shall meet or exceed the requirements of this document.

2. The A/E is responsible for producing a complete set of drawings, design narrative/analysis, calculations, sample boards, and specifications in accordance with professional standard practices and VA criteria. Each A/E discipline shall receive a copy of their respective VA design manuals, standard details, construction standards, and VA National CAD Standard Application Guide. The AE is responsible for obtaining the NCS.

3. A/E shall conduct coordination meetings between A/E technical disciplines before submitting material for each VA review and provide minutes of the meetings to

VA COR.

Attachment A, Page 2

4. The A/E shall conduct interim fire protection installation inspections and witness final fire protection equipment testing.

C. SUBMISSION POLICY:

1. There is a 35% Schematic* submission, a 65% Design Development (DD**) submission, and a 100% Construction Document (CD***) submission indicated in this guide.

2. At each submission, the A/E shall date all material and present the designs on

VA standard size drawings that are appropriately labeled, "SCHEMATIC

SUBMISSION", “DESIGN DEVELOPMENT SUBMISSION”, OR “CONSTRUCTION

DOCUMENT SUBMISSION”, in large block letters above or beside the VA standard drawing title block. In each submission, the A/E shall incorporate the corrections, adjustments, and changes made by VA at the previous review.

II. SUBMISSIONS

A. SITE DEVELOPMENT: Submit the following:

Site Development: Schematics* DD** CD***

Layout plan showing location of:

• Building and structures ✓ ✓ ✓

• Roads ✓ ✓ ✓

• Fire Access ✓ ✓

• Parking ✓ ✓ ✓

• Accessible spaces ✓ ✓

• Van spaces ✓ ✓

• Mechanical and electrical equipment on grade

• Off-site roads (if applicable) ✓ ✓ ✓

• Off-site utilities (if applicable) ✓ ✓ ✓

• Entrances and exits ✓ ✓

• Walks ✓ ✓

• Inlets ✓ ✓ Signage plan and schedule ✓ ✓ Specifications ✓ ✓

Attachment A, Page 3

B. ARCHITECTURAL: Submit or show the following:

Architectural: Schematics* DD** CD***

Location of:

• Rooms1 ✓ ✓ ✓

• Doors2 ✓ ✓ ✓

• Corridor(s)3 ✓ ✓ ✓

• Basic column grid/sizes ✓ ✓ ✓

• Expansion and seismic joints ✓ ✓ ✓

• Electrical closets ✓ ✓ ✓

• Equipment rooms ✓ ✓ ✓

• Signal and telephone closets ✓ ✓ ✓

• Mechanical shafts and space ✓ ✓ ✓

• Stair(s) ✓ ✓

• Ramp(s) ✓ ✓

• Elevator(s) ✓ ✓ ✓ Floor Plans/Drawings:

• Roof plan (if applicable) ✓ ✓ ✓

• Reflected ceiling4 ✓ ✓

• Equipment floor plans 1:50 (1/4 inch) scale5

• Demolition plans6 ✓ ✓ Room names and numbers7 ✓ ✓ Program net/designed net8 ✓ ✓ ✓ Dimensions of leased space/Net useable square footage

Finish floor elevations11 ✓ ✓ ✓ Door locations, sizes, and swings ✓ ✓ Wall thickness and chase walls ✓ ✓ Handrail location/dimensions ✓ ✓ Fixed equipment ✓ ✓ Equipment elevations and details ✓ Plumbing fixtures ✓ ✓ Wheelchair accessible facilities ✓ ✓ Wall sections12 ✓ ✓ Building sections13 ✓ ✓ Finish grades at corners, entrances, exits, platforms and ramps

Fire and smoke rated partitions ✓ ✓ ✓ Fire extinguisher cabinets ✓ ✓

Attachment A, Page 4

Architectural: Schematics* DD** CD***

Spray-on fire proofing (see fire protection)

Construction details15 ✓ ✓ Drafting symbols, abbreviations, and general notes

Door, window, and louver schedules ✓ Interior details, elevations, sections ✓ Finish schedule16 ✓ ✓ Graphics and signage17 ✓

B. NOTES:

1. Use lines between spaces to indicate the centerline of the partition (for schematics only).

2. Indicate ceiling mounted equipment, lighting fixtures, air diffusers, registers, tracks, and other significant elements.

3. Identify all equipment for each room. Indicate and coordinate all equipment with the Equipment Guide List (Program Guide 7610) and Activated Equipment List. Use VA standard symbols and notation to distinguish between contractor-furnished and installed (CC), VA-furnished contractor-installed (VC), and VA-furnished and installed (VV).

4. Label as required for schematic drawings. Coordinate new room numbering with medical center.

5. If the project requires exterior work, show all facades indicating massing, proposed fenestration and the building relationship to adjacent structures and the finish grade.

Show all significant building materials, including their colors, any proposed roof top mechanical equipment, architectural screens, skylights, and stacks on the elevation drawings. If building is designed for future expansion (vertical and/or horizontal), delineate elevations with and without the future expansion. If project is an addition, show elevations of the existing building in sufficient detail to illustrate the relationship between the new and existing in terms of scale, material, and detail.

Attachment A, Page 5

C. FIRE PROTECTION: Submit the following:

Fire Protection: Schematics* DD** CD***

Fire protection narrative:1

• Fire and smoke separation ✓ ✓ ✓

• Fire sprinkler/standpipe system ✓ ✓

• Size of fire pumps (if applicable) ✓ ✓

• Water supply available/max.

demand

• Water flow testing results ✓ ✓

• Fire alarm systems2 ✓ ✓

Existing to be modernized ✓ ✓ Base loop system for interface of new construction

• Size of air handling unit ✓ ✓

• Exit paths from each zone ✓ ✓

• Distances to stairs ✓ ✓

• Occupancy of each area ✓ ✓

• Exit calculations for each floor ✓ ✓

• Smoke control features ✓ ✓ Floor Plans/Drawings:3 & 4

• Sprinkler zones ✓ ✓

• Fire alarm zones ✓ ✓

• Smoke zones ✓ ✓

• Building water supply ✓ ✓

• Interior sprinkler supply lines ✓ ✓

• Standpipes ✓ ✓

• Fire extinguisher cabinets ✓ ✓

• Fireproofing of structural members

• Sprinkler/standpipe riser supply piping

• Termination of sprinkler main and inspector test drains

• Sprinkler alarm valves ✓ ✓

• Waterflow and tamper switches ✓ ✓

• Sprinkler system fire department connections

• Sprinkler design hazards per

NFPA 13

• Exit signs and emergency lighting ✓ ✓

Attachment A, Page 6

• Occupied areas not protected by automatic sprinklers

Calculations ✓ ✓ ✓ Estimated capacities for proposed air handling units in cubic meters (cubic feet) per minute

Location of:

• Fire alarm system ✓ ✓

• Annunciator panels ✓ ✓

• Pull stations ✓ ✓

• Flow switches ✓ ✓

• Audio-visual devices ✓ ✓

• Smoke detectors ✓ ✓

• Duct smoke detectors ✓ ✓

• Smoke dampers ✓ ✓

• Fire dampers ✓ ✓

• Fire alarm risers5 ✓ ✓

• Exit signs ✓ ✓

• Emergency lighting ✓ ✓

• Fire sprinklers ✓ ✓

• Standpipes ✓ ✓

• Fire hydrants ✓ ✓

• Fire pumps (if applicable) ✓ ✓

• Post indicator valves ✓ ✓

• Sectional valves ✓ ✓

• Fire extinguisher cabinets ✓ ✓

• Electromagnetic door hold open devices

Wall sections indicating fire resistive ratings

Evacuation plan signage ✓ ✓ Door and window schedule with fire rating or fire rated glazing

Zoning of each fire alarm initiating device

Details:

• Fire pump system (capacity and pressure), if applicable.

• Elevation and isometric view of fire pump, if applicable

Attachment A, Page 7

• Stairwell sign, if applicable ✓ ✓

• Annunciator panel ✓ ✓ Interconnection of fire alarm system with:

• Smoke dampers ✓ ✓

• Air handlers ✓ ✓

• Elevator controls, if applicable ✓ ✓

• Fire pump system, if applicable ✓ ✓

• HVAC system with smoke duct detectors

Single line riser diagram for fire alarm system

Height/configuration of storage racks and shelving

C. NOTES:

1. Indicate NFPA 220 and UBC fire resistive rating of the building, NFPA…