Exhibit A.1_Agency Specific Requirements.pdf

December 9, 2025

Madison County VA Clinic Agency Specific Requirements (ASR)

TABLE OF CONTENTS

1. INTRODUCTION

2. GENERAL REQUIREMENTS

2.1 General

2.2 Codes

2.3 Standards

2.4 References

2.5 Design, Construction, and post award activities

3. PLANNING AND DESIGN CRITERIA

3.1 Background

3.2 PACT Guiding Principles

3.3 Community Based Outpatient Clinics (CBOC) Planning Approach

3.4 Room Data Matrix

3.5 Surgical Design Criteria

4. TECHNICAL NARRATIVE FOR CONSTRUCTION

4.1 Master Construction Specifications

4.2 Site/Civil

4.3 Architecture

4.4 Interior Design

4.5 Mechanical

4.6 Plumbing

4.7 Electrical

4.8 Lighting

4.9 Telecommunications

5. Lessor-Provided Services

5.1 Maintenance

5.2 Utilities

5.3 Services

6. Government-Provided Services

Appendix A: Room Data Matrix

Appendix B: Hardware Groups and Modifiers

Appendix C: Janitorial Services

Agency Specific Requirements

December 9, 2025 3

1. INTRODUCTION

1.1. The purpose of this document is to consolidate the governing codes, standards, references, and guidelines to provide performance-based standards for this VA leased

CBOC.

1.2. The governing codes, standards, and references are based on a VA affiliated outpatient clinic.

1.3. The design of the VA leased CBOC is based on the Prototype for Standardized Design and Construction of Community Based Outpatient Clinics which is described in Part 3 Planning and Design Criteria.

1.4. Commonly Used Acronyms and Definitions:

1.4.1. PACT: Patient Aligned Care Team. Provides service to veterans that is patient-centered with the right care at the right time by the right person. A typical “teamlet” serving a veteran consists of four caregivers: A Primary Care Provider – physician (MD), physician assistant (PA) or nurse practitioner (NP); a Registered Nurse (RN); a clinical staff assistant (LPN or Medical Assistant) and an administrative staff member (Clerk).

1.4.2. CBOC: Community Based Outpatient Clinic. Is VA-operated, VA-funded, or VA-reimbursed site of care which is located separate from a VA Medical Facility. A CBOC can provide primary, specialty, subspeciality, mental health, or any combination of healthcare delivery services that can be appropriately provided in an outpatient setting.

1.4.3. PFD: Program for Design. Net square feet (NSF) listing all spaces and rooms that are to be included in a construction project.

1.4.4. VA: Veterans Affairs

1.4.5. VHA: Veterans Health Administration

2. GENERAL REQUIREMENTS

2.1. General

2.1.1. The codes, standards, and references listed below indicate minimum performance requirements. Based on input from Owner representatives and recommendations from the architectural/engineering firm, minimum requirements or standards may be exceeded by site specific project design.

2.1.2. Compliance is required with applicable codes and standards throughout the process of design, construction, acceptance, and on-going maintenance of the facility.

2.1.3. Design and construction of the CBOC shall be in compliance with the requirements of the GSA Form L100 Global Lease and the codes, standards, and references listed below. This Leased CBOC Design Narrative covers construction materials and standards not fully addressed by the codes, standards, and references below.

2.1.4. Use the most current edition at the date and time of bid submission

2.2. Codes

2.2.1. All VA leased CBOC facilities are to conform to the most recent applicable codes, which include but is not limited to following:

2.2.1.1. National Fire Protection Association (NFPA) 70 National Electric Code, NFPA 99 Health Care Facilities Code and all standards referenced therein, NFPA 101 Life Safety Code, current editions.

2.2.1.2. Architectural Barriers Act Accessibility Standards (ABAAS), current edition.

December 9, 2025 4

2.2.1.3. International Building Codes (IBC): 2018 or latest edition (within 2 years of release). The latest edition shall be used for structural and seismic design.

2.2.1.3.1. International Building Code

2.2.1.3.2. International Energy Code

2.2.1.3.3. International Mechanical Code

2.2.1.3.4. International Plumbing Code

2.2.1.4. State and local codes as required by the local Authority Having Jurisdiction (AHJ).

2.2.1.5. For the Lessor to properly determine occupancy type, VA intends to simultaneously treat 0 patients at any given time who are incapable of self-preservation (i.e. Business Occupancy).

2.2.1.6. Lessor shall maintain utilities and building equipment as prescribed by local codes, as outlined within this document.

2.3. Standards

2.3.1. All leased CBOC facilities are to conform to the following standards:

2.3.1.1. FGI Guidelines for the Design and Construction of Outpatient Facilities, current edition (referred to as FGI Guidelines herein).

2.3.1.2. Facility Security Level (FSL) shall be as outlined in GSA Form L100

Global Lease.

2.3.1.3. Sustainability standards shall be as outlined in GSA Form L100 Global

Lease.

2.3.1.4. American Society of Heating, Refrigerating and Air-Conditioning

Engineers (ASHRAE) Standard 170, Ventilation of Health Care Facilities, current edition (referred to as ASHRAE 170 herein)

2.3.1.5. ASHRAE Standard 12, Minimizing the Risk of Legionellosis Associated with Building Water Systems, current edition.

2.3.1.6. ASHRAE Standard 188, Legionellosis: Risk Management for Building Water Systems, current edition.

2.3.1.7. ASHRAE Standard 62.1, Ventilation for Acceptable Indoor Air Quality, current edition (referred to as ASHRAE 62.1 herein)

2.3.1.8. ANSI/ASHRAE/IES Standard 90.1-2019 -- Energy Standard for Buildings Except Low-Rise Residential Buildings

2.3.1.9. Sheet Metal and Air Conditioning Contractors National Association (SMACNA) Standard, HVAC Duct Construction Standards - Metal and Flexible.

2.3.1.10. Illuminating Engineering Society North America (IESNA) Handbook -latest edition

2.3.1.11. VA Signage Design Manual PG 18-12

2.3.1.12. H 18-8 Seismic Design Handbook Seismic Facility Criticality Designation

(FCD), based on the Program for Design, is defined as: Ancillary

2.3.1.13. VA Enterprise Facility IT Support Infrastructure Standard, most current.

2.4. References

2.4.1. The following guides, manuals, and other references developed by VA are for reference only, however, they are applicable to VA leased CBOCs:

2.4.1.1. Prototype for Standardized Design and Construction of Community Based Outpatient

Clinics https://www.cfm.va.gov/til/prototypes.asp#CBOC

2.4.1.2. PACT Space Module Design Guide https://www.cfm.va.gov/til/dGuide/dgPACT.pdf

2.4.1.3. Room Templates, Leased Community Based Outpatient Clinics https://www.cfm.va.gov/til/rTemplate/LeasingCBOCw.asp

2.4.1.4. VA Design Guides (PG18-12)

2.5. Design, Construction, and post award activities schedule for completion of space.

2.5.1. At least four (4) design submissions (Level 1/Level 2 DIDs- 35%, 65%, 95% and 100% and CDs) shall be submitted by the Lessor, and approved in writing by VA, before proceeding to the next submission or construction. Lessor’s A/E firm will facilitate design review meetings https://www.cfm.va.gov/til/etc/seismic.pdf https://www.cfm.va.gov/til/prototypes.asp#CBOC https://www.cfm.va.gov/til/dGuide/dgPACT.pdf https://www.cfm.va.gov/til/rTemplate/LeasingCBOCw.asp

December 9, 2025 5 within 14 calendar days of each submission. Design submissions should follow Design Submission Instructions found in Program Guide, PG-18-15, Volume C.

2.5.2. Not later than 30 days after the acceptance of the Space, the Lessor, at Lessor’s expense, shall furnish to the Government a complete set of Computer Aided Design (CAD) and Building Information Models (BIM) files and PDFs of as- built floor plans showing the Space under Lease, as well as corridors, stairways, and core areas. The plans shall have been generated by at least 2020 CAD or 2020 Revit program. The required file extension is “.DWG.” or “.RVT”. Clean and purged BIM and PDF files shall be submitted in a digital format. They shall be labeled with Building name, address, list of drawing(s), date of the drawing(s), and Lessor's architect and architect’s phone number. The Lessor’s operator shall demonstrate the submission on VA equipment, if requested by the LCO.

3. PLANNING AND DESIGN CRITERIA

3.1. Background. VHA has committed to the development of a patient-centered medical home model for enhanced outpatient primary care services to veterans. The result was a patient care delivery model and a set of planning and design standards.

3.2. PACT Guiding Principles. An operational and planning design guide was developed which identified key principles and objectives. Refer to PACT Space Module Design Guide under References Section 2.4.

3.3. Community Based Outpatient Clinics (CBOC) Planning Approach. The development of the PACT Planning Module was complimented by the development of a Prototype for Standardized Design and Construction of Community Based Outpatient Clinics. Using the PACT Module as the building block, prototypes were developed for three types and sizes of outpatient facilities.

3.4. VA Project Specific Requirement. The Department of Veterans Affairs has a need for 17,000

(contiguous + circulation space) ABOA Square Feet (ANSI/BOMA= American National Standards Institute/Building Owners and Managers Association) not to exceed a maximum of 18,750 ABOA SF (including circulation) of clinical space for a Veterans Health Administration Outpatient Clinic in Edwardsville, IL. See the Program For Design (PFD) and Room Data Matrix for details.

3.5. Property Delineated Area. The property shall be within the delineated area and have municipal utilities available. Delineated Area is as follows:

3.5.1.1. Northern boundary: Highway 140

3.5.1.2. Southern boundary: I-270/70

3.5.1.3. Western boundary: I-255

3.5.1.4. Eastern boundary: IL Route 4

December 9, 2025 6

3.6. Room Data Matrix

3.6.1. A collection of typical rooms within leased CBOCs. It lists the required finishes, STC ratings, ceiling heights, door size and type, hardware sets, HVAC space ventilation, number of electrical receptacles, lighting controls and fixture types, and number of standard density work area outlets for each room type.

3.6.2. The Lessor shall associate rooms listed on the program for design with the room data matrix by room name. Use department level room names and types when available, otherwise use general room/space for like room function.

3.6.3. FGI Equivalent for ASHRAE 170 – Where HVAC space ventilation requirements are omitted, ASHRAE 170 Tables 8-1 and 8-2 shall be followed. Column “FGI Equivalent for ASHRAE 170” lists the equivalent room name for use in the tables.

3.6.4. Additional Requirements in this Design Narrative take precedence over the standard in the Room Data Matrix.

3.6.5. The Room Data Matrix can be found in Appendix A.

3.7. Space considerations.

3.7.1. Rooms other than storage rooms and corridors may not be over 3 times longer than they are wide. Treatment Exercise Area (PTEA1) should be more square than rectangular.

3.7.2. Area of building leased to VA must be roughly rectangular in shape and must not be more than 3 times longer than its width

4. TECHNICAL NARRATIVE FOR CONSTRUCTION

4.1. Master Construction Specifications for specific divisions and sections may be found at https://vatilms.va.gov/vatilms/reports/PG-18-1.

4.1.1. Building materials shall be asbestos-, mold- and lead-free.

4.1.2. Commissioning Service. Lessor will contract with an independent 3rd party commissioning agent (“Commissioning Agent”) to perform Acceptance and Testing Phase Commissioning in accordance with Chapter 8 of the VA’s Whole Building Commissioning Process Manual dated May 1, 2013 (https://www.cfm.va.gov/til/Cx-RCx/CxManual.PDF). Systems requiring commissioning include Fire Suppression, Plumbing, HVAC, Electrical, Communications, Electronic Safety and Security, and Integrated Systems Tests as further described in Chapter 3. The cost of the Commissioning shall be paid by the lessor and included in the build out cost.

4.2. Site/Civil

4.2.1. Site Consideration: Facility must be highly visible and located in a high traffic area accessible to and from main thoroughfares.

4.2.2. Pedestrian and Vehicle Access & Circulation

4.2.2.1. Minimum traffic lane width is 12 feet, and minimum sidewalk width is 4 feet. Curves for traffic lanes and radii at intersections must be adequately sized to prevent vehicles from encroaching on an opposing lane of traffic.

4.2.2.2. An accessible route must be provided from the public right-of-way abutting the site to the accessible building entrance.

4.2.2.3. Provide a service area with a loading dock designed to accommodate truck (WB-62) maneuverability. Loading dock shall be 4 feet above the driveway. Platforms shall have a minimum depth of 8 feet front to back or between dock lift/leveler and back wall. Provide canopy over the platform with 14 feet of clearance from grade to the underside of the canopy. Canopy shall extend minimum of 4 feet beyond the edge of the dock for weather protection.

Provide stair or ramp to the platform. Provide hydraulic dock levelers with 25,000 pounds capacity for recessed installation at loading dock.

https://vatilms.va.gov/vatilms/reports/PG-18-1 https://www.cfm.va.gov/til/Cx-RCx/CxManual.PDF

December 9, 2025 7

4.2.2.4. Service area shall accommodate vehicles that pick-up trash and recycled materials. Locate service area away from public and patient areas.

4.2.2.5. Provide reflective traffic control signs as required for intersections, no parking lanes, and guidance of site traffic.

4.2.2.6. Public transportation must be available to the facility with the pickup/drop off located within 0.5 miles of the main building public entry point.

4.2.2.7. All concrete curbs must be painted high visible yellow and maintained as such. At minimum, all curbs shall be repainted every three years, and as needed.

4.2.2.8. Provide necessary curb cuts with truncated domes at all major pedestrian intersections with vehicle pathways.

4.2.2.9. During Construction, provide privacy screening on construction fencing to lessen social impacts.

4.2.3. Parking

4.2.3.1. Parking lots with 90-degree stalls must have minimum parking stall dimensions of 9 feet by 18 feet, and a minimum drive aisle width of 24 feet.

Angled parking must have one-way drive aisles with the same stall sizes as 90-degree parking. Angled parking drive aisle width must comply with a published design standard for a designated parking angle.

4.2.3.2. Parking spaces should accommodate 100 cars. This includes 7 standard handicap spaces, 1 van-accessible handicap space, and the remaining parking spaces are open for staff or patients.

4.2.3.3. Parking lots shall be resealed and striped every three years

4.2.4. Site Grading.

4.2.4.1. Roads and walks should have a typical cross slope of 2% unless adequate surface drainage is provided by other slope conditions.

4.2.4.2. Pedestrian pathways and ramps shall meet VA Barrier Free Design standard with maximum slope of 1:20. Ramps shall have rail on both sides.

4.2.4.3. Exterior walks shall be 5ft in width.

4.2.4.4. If site topography permits, site will be equipped with bushes and trees.

4.2.5. Site Flagpole: A flagpole will be provided and installed by the Lessor at a location to be approved by the LCO if the government is the sole occupant of the building. The flag will be provided by the Lessor, as part of shell rent and replaced at all times during the lease term when showing signs of wear. The flagpole will be 25 foot (minimum height). Flagpole shall include adequate lighting to illuminate flag between dusk and dawn. Flagpole shall be protected from vehicular traffic.

4.3. Architecture

4.3.1. General Criteria. Refer to Appendix: Room Data Matrix for Door, Hardware and Acoustic requirements listed by Room Type.

4.3.2. Accommodations for Care of Patients of Size. Refer to FGI Guidelines for Outpatient Facilities for accommodations for care of patients of size. Minimum requirements are to provide access to a Procedure Room and Procedure Room Toilet in one PACT Module using a 650lb capacity design requirement.

4.3.3. Acoustics. Refer to FGI Guidelines for Outpatient Facilities for acoustics requirements for enclosed rooms. Refer to the Room Data Matrix-Interior Construction for information on rooms not covered under FGI or rooms with special acoustics requirements.

4.3.3.1. To maximize sound privacy, STC ratings shall include the plenum/ceiling as well for Mental Health rooms and Conference rooms. If needed, walls shall extend to the deck above.

4.3.3.2. Acoustical partitions are to be installed to provide visual privacy at multi-patient check-in counters as well as a designated “queue line” designation to provide an identifiable physical distance separation between the person checking in and the queue. The minimum distance from the front edge of the Check-in/Reception desk to the queue line shall be five (5) feet. Please refer

December 9, 2025 8 to Design for Patient Privacy and Women Veterans’ Health.

4.3.4. Equipment/Accessories/Furnishings

4.3.4.1. Refer to Project Room Contents tab of the Room Data Matrix. Items to be provided and/or installed by Lessor are noted on the list in Column K, Acq Code as “CC” or “VC.” Provide partitions, partition backing, and above ceiling structural support as required for wall and/or ceiling mounted equipment, accessories, and furnishings. Provide required utility connections for scheduled equipment.

4.3.4.2. Lessor is responsible for providing all utilities to government furnished equipment.

4.3.4.3. Fire Extinguishers: Portable 10 lb. fire extinguishers will be provided, hung and maintained by the VA. Lessor is to install recessed fire extinguisher cabinets at appropriate locations to meet NFPA and AHJ.

4.3.4.4. Radiology Room. Provide Physicist calculations and certification of lead lining for specified radiological equipment (general X-ray).

4.3.5. Signage and Wayfinding.

4.3.5.1. Refer to VA Signage and Wayfinding Design Guide for signage standards and requirements at https://vatilms.va.gov/vatilms/reports/PG-18-10 and Design for Patient Privacy and Women Veterans' Health at https://vatilms.va.gov/vatilms/reports/Alerts/Design%20Alerts for specific signage related to baby changing stations.

4.3.5.2. Marquee will be required if the property is located within a mall-type area.

The Lessor will provide a lighted marquee and design.

4.3.5.3. During Construction, provide a 4 foot x 8 foot temporary sign visible from the public roadway with Madison County VA Clinic Coming Soon, and an appropriate rendering(s) of the building.

4.3.5.4. Post construction, Lessor shall register the location with Google Maps, Apple Maps, and Waze as Madison County VA Clinic.

4.3.6. Critical Dimensions

4.3.6.1. Patient-use corridors are to be 6 feet minimum. Staff corridors for transport of supplies from loading dock area to services shall be 8 feet minimum.

4.3.6.2. Refer to Room Data Matrix – Interior Construction for required ceiling heights by room type.

4.3.7. Entry Canopies

4.3.7.1. Provide non-combustible canopies over the following locations: patient entry to clinic, and receiving area/loading dock.

4.3.7.2. At patient entry, provide a covered patient drop-off zone with space for at least one full size passenger vehicle (19 feet long) and an accessible access aisle.

4.3.7.3. Provide clearance from grade to underside of canopy with for typical emergency and transport vehicles used in the area.

4.3.8. Elevators. Where elevators are provided in a leased facility, not less than one elevator car shall accommodate an ambulance stretcher of 24 inches by 84 inches in the horizontal open position and shall be identified by the international symbol for emergency medical services (star of life). The symbol shall be not less than 3 inches high placed inside on both sides of the hoist way door frame.

4.3.9. Slab Depressions and Thickened Slabs. At new construction, provide slab depression and thickened slabs as required to provide flush threshold installation at audiology booths, and other equipment requiring recessed installation or additional structure as recommended by equipment manufacturer. At these equipment locations, concrete slab levelness shall be level and true to meet vendor requirements and shall have a minimum flatness and levelness of FF=45 and FL=35. At existing construction, provide ramp to meet ABAAS.

4.3.10. Millwork

4.3.10.1. Quality compliance to conform to Architectural Woodwork Institute (AWI) https://vatilms.va.gov/vatilms/reports/PG-18-10 https://vatilms.va.gov/vatilms/reports/Alerts/Design%20Alerts

December 9, 2025 9 and Woodwork Institute (WI) quality standards.

4.3.10.2. Wood Veneer Casework Construction: Combination of custom wood casework and countertops to conform to program and functional requirements. Location: Lobby, Reception. Construction: Flush overlay construction with concealed hinges. AWI custom grade.

4.3.10.3. Plastic Laminate Casework Construction: Custom plastic laminate casework to conform to program and functional requirements. Location:

Typical.

4.3.10.3.1. Construction: Flush overlay construction with concealed hinges, AWI Custom Grade.

4.3.10.3.2. Cabinet Hardware:

4.3.10.3.2.1. Concealed hinges, all metal, 110 degree opening, self-closing.

4.3.10.3.2.2. Full extension drawer guides, 100 lbs. capacity.

4.3.10.3.2.3. Door and drawer pulls: 4” center to center wire pull, 5/16” diameter round, 1 ¼” projection, satin chrome.

4.3.10.4. Solid Surface Fabrications: Hard, solid, non-porous mineral-filled acrylic resin (methyl methacrylate) material in color to be selected by designer.

Thickness: 1/2” minimum.

4.3.10.4.1. Locations:

4.3.10.4.1.1. Transaction tops at nurse stations and reception desks.

4.3.10.4.1.2. All counters in patient treatment areas to have solid surface countertop with 4” high minimum integral coved side and backsplash.

4.3.10.4.1.3. Where scheduled as wall protection, provide ¼” thick material with welded seams.

4.3.10.5. Heavy gauge stainless steel (SS): fully welded with a work surface load capacity of at least 300 lbs. per linear foot and antimicrobial. Locations:

Preparations and Assembly (Utility Room, Soiled).

4.3.11. Joint Sealant Systems. Joints at plumbing fixtures, ceramic tile to be mildew resistant silicone.

4.3.12. Doors and Frames

4.3.12.1. Refer to Room Data Matrix for door and hardware requirements by room type.

4.3.12.2. Door details located at: https://www.cfm.va.gov/til/rTemplate/sDetail-

SD080000-01-02.pdf

4.3.12.3. Finish: Prefinished in compliance with AWI Section 1500.

4.3.12.4. Automatic Sliding Doors: Single Slide Automatic Sliding Door, Class 1

Clean Room Certified, narrow stile, 84” wide w/ 35.3” nominal clear door opening, trackless, clear anodized finish, and touchless actuators.

4.3.12.4.1. Comply with BHMA Standard ANSI A156.10 (BHMA 1601), Power

Operated Pedestrian Door Standard and UL Standard UL 325, Electric Door, Drapery, Gate, Louver and Window Operators and Systems.

4.3.12.4.2. Service Life: Provide automatic sliding doors capable of operating without failure of any component, for not less than 300,000 open and close cycles, with normal maintenance as defined in manufacturer's standard operating manual.

4.3.12.4.3. Location: main entrance vestibule, two sets for air lock.

4.3.12.4.4. In the event of negative air pressure conditions, provisions shall be made for equalizing air pressure.

4.3.12.4.5. The Lessor shall provide permanent entryway systems (such as walk off mats) to control dirt and particulates from entering the building at all primary exterior entryways.

4.3.12.5. Access Panels:

4.3.12.5.1. Flush stainless steel at toilet areas.

4.3.12.5.2. Flush gypsum board surface with concealed hinges at public and office areas.

https://www.cfm.va.gov/til/rTemplate/sDetail-SD080000-01-02.pdf https://www.cfm.va.gov/til/rTemplate/sDetail-SD080000-01-02.pdf

December 9, 2025 10

4.3.12.5.3. Fire rated steel at rated construction.

4.3.13. Hardware

4.3.13.1. General Note

4.3.13.1.1. Hardware sets shall be provided as per Section 5 Hardware

Groups and Modifiers and the Room Data Matrix. Provide extra heavy duty, Grade 1 hardware for all components.

4.3.13.2. Cylinders and Keying: the keying system shall be an intelligent key system compatible with VASTLHCS keying system:

4.3.13.2.1. Electronic Cylinders shall fit and function with LFIC locking hardware.

4.3.13.2.2. Electronic Keys shall operate Electronic Cylinders.

4.3.13.2.3. Electronic Cylinders and Electronic Keys shall be operated on VA

TRM approved software, as listed on OIT approval site:

https://www.oit.va.gov/Services/TRM/SearchPage.aspx

4.3.13.3. Electronic Cylinders

4.3.13.3.1. Electronic cylinders shall eliminate the need to "rekey" mechanical cylinders, and allow electronic reprogramming of cylinders by authorized programming key.

4.3.13.3.2. Electronic cylinder shall have stainless steel plug face and shell to resist environmental conditions

4.3.13.3.3. Electronic cylinder shall have non-volatile memory to store 2,000 audit events, with the oldest record self-deleting after 2,000 events

4.3.13.3.4. Electronic cylinder shall record unauthorized entry attempts from keys that are not in the system, are outside of the schedule date or time range, are not programmed to open the specific cylinder, or are stored on internal black list.

4.3.13.3.5. Electronic cylinders shall store up to 40 blacklisted keys (keys lost or out of service)

4.3.13.3.6. Electronic cylinders shall have drill resistant inserts to improve drill resistance

4.3.13.3.7. Electronic cylinders shall have break-away plug face that shall fail secure in the event of over-torquing

4.3.13.3.8. Electronic cylinders shall be independently tested to meet dust and water jet IP-68 and certified to specification CEI/IEC 60529, Edition 2.1

4.3.13.3.9. Electronic cylinders shall be independently tested to meet dust and water jet IP-55 and certified to Specification CEI/IEC 60259 Edition

2.1 and DIN EN 1303, ICS 91.190

4.3.13.3.10. Electronic cylinders shall be independently tested to meet salt fog testing for greater than 96 hours, certified to specification ASTM-B-117 and DIN EN 1303, ICS 91.190

4.3.13.3.11. Electronic cylinders shall be independently tested to meet MIL- STD-202G, Method 201A, 3 Axis qualification vibration testing.

4.3.13.4. Electronic Keys

4.3.13.4.1. Electronic keys shall be designed to be programmed as user, control, setup, audit or operator plus audit options.

4.3.13.4.2. Electronic keys shall have an operating temperature of -4 F to

122F (-20C - 50C)

4.3.13.4.3. Electronic keys shall have rechargeable battery capable of 1,800 cylinder openings between charges.

4.3.13.4.4. Electronic keys shall have a charging temperature range of 32F-

104F (0C- 40C)

4.3.13.4.5. Electronic Keys shall have battery level indication reporting a low battery at time of programming and during cylinder opening.

4.3.13.4.6. Electronic Keys shall have hardened steel tip

4.3.13.4.7. Electronic Keys shall be capable of storing up to 14,000 cylinders https://www.oit.va.gov/Services/TRM/SearchPage.aspx

December 9, 2025 11 to be opened

4.3.13.4.8. Electronic Keys shall also store unauthorized attempts from

Electronic Cylinders which shall be viewable in the software reporting once the key is updated/reconnected to the programming devices.

4.3.13.4.9. Electronic Keys shall use gold-plated, spring-loaded data contacts.

4.3.13.4.10. Electronic Keys audit reporting shall be capable of configuration in "first in first out" (FIFO) or to disable keys when memory is filled to prevent loss of audit trail data.

4.3.13.4.11. Electronic Keys shall store 14,000 audit events.

4.3.13.4.12. Electronic keys shall utilize hardened steel frame and plastic housing.

4.3.13.4.13. Provide (50) electronic keys with up to five different sets of programmed groups to be identified by VA by 95% Design Intent Drawing Review.

4.3.13.5. Wall Mounted Identification and Programming Device (IPD)

4.3.13.5.1. IPD shall allow system administrators to manage the electronic key system anywhere within the VA campus or CBOC facilities with a VA network connection.

4.3.13.5.2. Power Drop and Network drops shall be provided by contractor.

4.3.13.5.3. IPD shall utilize LCD-based touchscreen for easy data input and system feedback, Linux-based OS for efficient operation, and hidden cable connection.

4.3.13.5.4. IPD shall include optional four (4) to eight (8) digit personal identification number (PIN) for secondary authentication in high security environments.

4.3.13.5.5. IPD shall provide programming feedback so that the user can visualize

4.3.13.5.5.1. Key updates are complete

4.3.13.5.5.2. Battery charge status

4.3.13.5.5.3. Key errors

4.3.13.5.5.4. Network connection status

4.3.13.5.5.5. Provide (1) IPD at the main employee entrance or employee break area.

4.3.13.6. Software for the key system shall be compatible with the following and provided by the VA

4.3.13.6.1. Software shall be self-hosted and TRM approved for use on the VA network.

4.3.13.6.2. Software shall allow the programming of electronic cylinders and electronic keys either locally, or via remote programming devices.

4.3.13.6.3. Software shall allow time stamp audit of electronic keys and electronic cylinders, either locally or via remote programing devices.

4.3.13.6.4. Software shall allow the creation of individual users, or user groups to ensure ease of programming and maintenance of the electronic keys system.

4.3.13.6.5. Software shall allow authorization of individual keys or user groups to specific time and date schedules, including the expiration of keys.

4.3.13.6.6. Software shall allow the blacklisting of keys from electronic cylinders to eliminate risk association with lost keys and eliminate the need to rekey cylinders.

4.3.13.6.7. Software to be hosted on servers provided to the VA based on “XT

Self-Hosted System Requirements”

4.3.13.7. Door Hardware

4.3.13.7.1. Doors shall have door handles or door pulls with heavyweight hinges. The Lessor is encouraged to avoid the use of chrome- plated hardware.

4.3.13.7.2. All doors shall have corresponding doorstops (wall- or floor-mounted) and silencers.

4.3.13.7.3. Automatic doors are also required on doors leading from the waiting room to the clinic areas.

4.3.13.7.4. Exterior doors with removable hinge pins will be retained with set pins or spot

December 9, 2025 12 welded.

4.3.13.7.5. Hinge pins and hasps shall be secured against unauthorized removal by using spot welds or pinned mounting bolts.

4.3.13.7.6. The exterior side of the door shall have a lock guard or astragal to prevent tampering of the latch hardware.

4.3.13.7.7. Doors used for egress only shall not have any operable exterior hardware.

All security- locking arrangements on doors used for egress shall comply with requirements of NFPA 101or the International Building Code current as of the Lease Award Date. Egress doors must be equipped with panic hardware and meet NFPA requirements for exit.

4.3.13.7.8. All patient exam rooms shall have privacy locks. See also. DA-149, VA Design Alert for Patient Privacy and Women Veterans’ Health at https://vatilms.va.gov/vatilms/reports/Alerts/Design%20Alerts.

4.3.13.7.9. All single-use toilet rooms shall have a privacy lock with occupancy indicator.

4.3.13.8. Low Energy Automatic operators, ANSI A156.19-07. Heavy duty commercial grade. Provide complete with drop plates, bracket, or adapters for arms as required to suit details. Provide a terminal strip in an enclosed box near or above door that indicates connections for Security and Fire Alarm equipment and for electrified hardware items associated with proper door operation, as indicated by hardware group operational description. Coordinate with Security Contractor for doors actuated by electronic access control system.

4.3.13.8.1. Public and Patient Toilets shall have automatic opening doors

4.3.13.8.2. Doors separating the public waiting area to the staff or patient-care area shall have a vision panel and automatic opening device.

4.3.13.9. Personal Access Control System (PACS): Electronic access control system/device(s), power supplies (unless otherwise noted in hardware group) and monitoring/alarm(s) are provided with Security System. General Contractor to coordinate the provision and installation of the products.

Connection by Electrical.

4.3.13.9.1. Location for PACS with Personal Identification Verification (PIV) card: Doors separating the public waiting area to the staff or patient-care areas (free exit to waiting or public area); Exterior doors.

4.3.13.9.2. Location for PACS with two-factor authentication (2FA) (PIV and pin pad): Demarc Room, Telecommunication Room

4.3.14. Patient Flag System. Add a 4-color mechanical arm flag indicator for all patient exam and procedure rooms.

4.3.15. Toilet Rooms: All toilet rooms shall meet handicap accessibility codes and will include grab bars at commode. Metal partitions required at urinals and metal partitions with doors at commodes unless otherwise noted. All stalls shall be mounted from the ceiling/wall and not floor for infection prevention/cleaning purposes. Toilet rooms that include Baby Changing Stations must include the appropriate identification on the signage. Please refer to Design for Patient Privacy and Women Veterans’ Health. All single stall restrooms, patient and/or staff, shall be noted as unisex.

4.4. Interior Design

4.4.1. General Criteria. Refer to Appendix: Room Data Matrix – Interior Construction for finish requirements listed by room type.

4.4.2. Acoustic Ceiling Tile. AT: Acoustical ceiling tile, standard size to be 24”x24”x 1”.

4.4.3. Concrete Floor Treatment. Concrete Sealer (CS): 30 percent clear, non-yellowing, waterborne, membrane- forming curing and sealing compound: ASTM C1315, Type 1, Class A, minimum 30 percent total solids. Comply with ACI 301.

4.4.4. Fiberglass-Reinforced Panels. Fiberglass-reinforced panels (FRP): Gelcoat-finished, glass-fiber reinforced plastic panels complying with ASTM D 5319. Fire- Rating per ASTM E 84: Class A. Nominal thickness: 0.09 inch.

December 9, 2025 13

4.4.5. Painting

4.4.5.1. Interior painting: Paint (P) and Epoxy Paint (EP): Paint surfaces with primer and two finish coats that are compatible with one another as demonstrated by manufacturer or field experience, unless otherwise indicated.

4.4.5.2. Materials: Use low VOC, low odor latex top coats where indicated. Paint the following items and surfaces:

4.4.5.2.1. Ceilings: Flat latex.

4.4.5.2.2. Walls - gypsum wallboard: Satin latex.

4.4.5.2.3. Walls - concrete block: Semi-gloss latex with block filler.

4.4.5.2.4. Hollow metal doors and frames: Semi-gloss latex over alkyd primer.

4.4.5.3. VA to select colors.

4.4.6. Wall Protection

4.4.6.1. Rigid Wall Covering (RWC): Nominal thickness .060 inch, high-impact, PVC-free, standard texture, chemical and stain resistant, with vertical, inside and outside trims. To comply with ASTM E84, ASTM F476 and ASTM D543.

4.4.6.2. Corner Guard (CG): Surface mounted assembly for angled corner consisting of a continuous aluminum retainer and vinyl/alloy extrusion in standard texture with ¼ inch corner radius. Size to be 2” width each way from corner. Height to be 7’ from top of base.

4.4.6.2.1. Location: Provide at all outside exposed corners in all clinic corridors outside of public areas as defined by FGI.

4.4.6.3. Corner Guard – Stainless Steel (CG-SS): Surface mounted stainless steel, 3-1/2” wing size, 7’ height, 16 gauge in Kitchen and/or Standard Grade, #4 satin finish.

4.4.6.3.1. Location: Provide at all outside exposed corners in loading dock area and heavy use equipment storage areas.

4.4.7. Window Shades

4.4.7.1. Manually operated window shade, chain driven, vertical roll-up, stainless steel bead chain with hold down clips, extruded aluminum rollers, and bottom slats. Aluminum headbox with endcaps and fascia with powder coat finish.

Light gap reduction channels available for black out shades. PVC-free shades, Flame-Resistance Ratings: NFPA 701. Comply with WCMA A100.1.

Window treatments should not compromise patient safety. No draperies shall be installed.

4.4.7.1.1. Locations:

4.4.7.1.1.1. Semi-Transparent to be typical, unless otherwise noted.

4.4.7.1.1.2. Black-out at conference rooms, tele-medicine rooms, optometry exam rooms.

4.4.8. Privacy Curtains / Screens

4.4.8.1. Provide curtain tracks with carriers and hooks (curtains shall be provided by the VA). Tracks shall be of extruded aluminum, ASTM B221, alloy 6063, temper T5 or T6, channel shaped, with smooth inside raceway for curtain carriers. End stop connectors, ceiling flanges and other accessories shall be fabricated from the same material with the same finish as the tracks or from nylon. Curtain tracks to be compatible with VA existing disposable curtains or Lessor provides curtain cleaning/replacement services. Confirm VA curtain compatibility during Design Phase.

4.4.8.2. Provide privacy curtains/screens to encompass adequate space for the healthcare provider to perform examination unencumbered by the curtain and provide a visually private patient changing area that allows the provider to remain in the room.

4.4.8.3. Refer to Design for Patient Privacy and Women Veterans' Health for proper locating in patient areas at https://vatilms.va.gov/vatilms/reports/Alerts/Design%20Alerts.

4.4.8.4. Locations shall be for all examination and procedure rooms.

December 9, 2025 14

4.5. Mechanical

4.5.1. References. The following publications shall be referenced for applicable systems calculations and design information: ASHRAE Handbooks.

4.5.2. HVAC Design Basis

4.5.2.1. Indoor design conditions:

4.5.2.1.1. Health care function design conditions shall be in compliance with the requirements of the FGI Guidelines and ASHRAE Standard 170, with the Room Data Matrix taking precedence and/or indicating required space design conditions when the FGI Guidelines do not fully address a space or room type.

4.5.2.1.2. Imaging Equipment Space Design Conditions

4.5.2.1.2.1. Equipment manufacturer requirements shall be followed.

4.5.2.1.2.2. Provide a dedicated computer room type AC unit to cool and control humidity for separate equipment rooms for radiology equipment.

4.5.2.1.2.3. Provide a computer room type AC unit to cool UPS rooms when segregated from other spaces.

4.5.2.1.3. Basic MEP Equipment Room Design Conditions:

i. 4.7.2.1.5.1 Design conditions shall be as required to ensure tenant space design conditions are maintained.

4.5.2.1.4. Loading Docks:

4.5.2.1.4.1. Space shall have provisions to limit the intrusion airborne particulate and insects through dock door openings.

4.5.2.2. Outdoor design conditions:

4.5.2.2.1. Design with ASHRAE 2025 conditions associated with the ST LOUIS

REGIONAL AP, IL, USA (WMO: 724395) location at: https://ashrae-meteo.info/v3.0/ .

4.5.3. Air Handling Units (AHUs)

4.5.3.1. Air handling units shall consist of, but not be limited to, the following:

4.5.3.1.1. The units shall be constructed of double wall, insulated metal panels with an overall U-value and necessary features to meet/exceed energy code (and prevent condensation based on the site-specific outdoor design conditions).

4.5.3.1.2. Incorporate supply, return and outdoor air flow measuring stations for proper control feedback and ensure minimum ventilation needs.

4.5.3.1.3. For AHU’s that are in excess of 15,000 cfm, SA/RA Array fans (minimum 2 fans per system) with backdraft isolation dampers shall be employed.

4.5.3.1.4. VSD controllers for fan array systems shall be provided in quantities that will provide no less than a 50% loss of nominal fan capacity if a single VSD were to fail.

4.5.3.2. For overall building capacity needs greater than 50,000 cfm, multiple AHUs shall be provided.

4.5.4. Exhaust Systems. Provide exhaust fans to provide general exhaust for toilet rooms, janitor’s closets, soiled utility rooms and similar spaces.

4.5.5. Cooling System

4.5.5.1. Chillers shall employ multiple, independent refrigerant circuits, and shall have capacity control provisions to achieve at least 4 to 1 turndown.

4.5.5.2. The pumping system for the chilled water supply shall consist of variable speed pumps providing variable primary flow, arranged in a headered approach. Variable speed pumps shall each have a variable speed drive controller.

4.5.5.3. DX systems:

4.5.5.3.1. AHUs packaged with DX cooling sections shall have

compressors/condensing units with direct drive scroll or screw https://ashrae-meteo.info/v3.0/ https://ashrae-meteo.info/v3.0/

December 9, 2025 15 compressors, all-aluminum microchannel condenser coils, and direct drive TEFC condenser fans. Units shall employ multiple, independent refrigerant circuits, and shall have capacity control provisions to achieve at least 4 to 1 turndown.

4.5.5.3.2. Provide spring isolated mounting curbs for vibration attenuation, if applicable.

4.5.5.4. Provide unit supported screen wall panels, if roof supported structural screen wall elements are not incorporated.

4.5.5.5. Variable Refrigerant Flow (VRF) systems shall not be considered for VA CBOC projects due to various concerns such as inappropriate system type for healthcare facility applications due to higher amounts of fresh air requirement as well as safety risk to building occupants due to use of high refrigerant volumes and associated potential leaks.

4.5.6. Hot Water Heating System

4.5.6.1. Hot water heating shall be generated by direct vent, sealed combustion, condensing type boilers.

4.5.6.2. The heating water system distribution shall be a variable/primary pumping system. The pumping system will consist of variable speed pumps providing variable primary flow. Variable speed pumps shall each have a variable speed drive controller.

4.5.7. Humidification System

4.5.7.1. Centralized humidification shall be provided when necessary to maintain

20%-60% relative humidity in all seasons. Each air handling unit shall have a dedicated humidifier.

4.5.7.2. Water treatment shall be provided for humidifier feedwater as required by the humidifier equipment manufacturer.

4.5.8. HVAC Piping Systems

4.5.8.1. Provide isolation valves on branch and lateral lines to reduce the amount of space that can be disrupted for maintenance and repair efforts. Provide isolation valves at each equipment connection.

4.5.8.2. For hydronic systems utilized in specific sites with freezing climate considerations, use of propylene glycol and/or proven freeze protection methodologies must be incorporated.

4.5.8.3. When propylene glycol is used, the freezing point of the glycol solution shall be at least 5°F lower than the minimum annual extreme daily temperature, to prevent the formation of crystals.

4.5.9. Air Distribution and Duct Systems

4.5.9.1. Duct construction shall be as follows:

4.5.9.1.1. All supply return and exhaust air ductwork shall be constructed of G90 galvanized steel. Non-ducted Return Air Plenum is not allowed.

Flexible duct is prohibited except for the last three feet to connect diffusers.

4.5.9.1.2. Ductwork shall be rectangular, round or flat oval constructed to SMACNA standards.

4.5.9.1.3. Ductwork shall be constructed and tested with leakage classifications and pressure ratings and based on at least 125% of the actual operating pressure of the duct system.

4.5.9.2. Grilles, registers and diffusers shall be steel, aluminum or extruded aluminum with appropriate finish.

4.5.10. HVAC Insulation Systems

4.5.10.1. All exposed (visible in space) supply and return ductwork in the occupied conditioned spaces shall be provided with rigid insulation with proper seals.

Painting and finish requirements shall be coordinated with the finish schedule.

4.5.11. Testing, Adjusting and Balancing

4.5.11.1. An independent third-party NEBB, ABBC or TABB certified test and balance contractor shall be hired by the general contractor to balance and

December 9, 2025 16 document all air and hydronic systems within project scope. All ductwork shall be constructed and properly sealed in accordance with applicable energy code requirements. All ducts operating at 2 inches water gauge (wg) or greater shall be pressure tested based on code requirements for 3 in wg or greater pressure classification.

4.5.11.2. The balance contractor shall review all plans, components, access, etc.

to ensure balancing activities may be successfully performed.

4.5.12. Automatic Temperature Control Systems

4.5.12.1. The temperature controls shall be direct digital control (DDC) system with industry open protocol compatibility. The system shall provide control of the environment and other parameters and collect data on the performance and deviations (alarms).

4.5.12.2. Dedicated thermal control zoning (thermostats) shall be provided for the following:

4.5.12.2.1. each corner space,

4.5.12.2.2. each conference room (or similar),

4.5.12.2.3. each Imaging room,

4.5.12.2.4. each Procedure room (or similar dedicated spaces),

4.5.12.2.5. each logistics storage area

4.5.13. For typical blocks of rooms arranged together, every 3 exterior offices or exam rooms, or every 4 interior offices or exam rooms shall be permitted on a single zone.

4.5.14. Special Conditions

4.5.14.1. Room Pressurization: Health care function design conditions shall be in compliance with the requirements of ASHRAE 170, with the Room Data Matrix taking precedence and/or indicating required space design conditions when ASHRAE 170 does not fully address a space or room type.

4.5.14.1.1. Positive air balance is designated as (+)

4.5.14.1.2. More positive air balance is designated as (++)

4.5.14.1.3. Negative air balance is designated as (-)

4.5.14.1.4. More negative air balance is designated as (--)

4.5.14.1.5. If the room is not indicated with a specific pressure relationship

(blank) or is indicated with NA then there is no requirement.

4.5.14.2. Imaging Areas:

4.5.14.2.1. For HVAC ducts, pipes and devices penetrating shielded walls and ceilings, ensure coordination with the architectural discipline and provide treatment as specified by the equipment manufacturer and medical physicist.

4.5.14.2.2. Provide booster humidification systems as may be necessary to comply with acceptable environmental ranges as prescribed by equipment manufacturers.

4.5.14.3. Temperature, Humidity and/or Air-Balance sensitive areas shall not be on a set-back (unoccupied) program, and shall maintain air metric criteria listed on the Room Data Matrix 24/7.

4.5.14.3.1. Real time monitoring of these conditions shall be provided through the HVAC direct digital control system, providing alarms via the control system when rooms are out of the specified acceptable range, triggering a lessor response.

4.5.14.3.2. Locations: Medication Room, Clean Utility Room, and Telecommunication Room.

4.6. Plumbing

4.6.1. References. The following publications shall be referenced for applicable systems calculations and design information: ASPE Handbooks.

4.6.2. Plumbing Design Basis

4.6.2.1. Domestic Water Service

December 9, 2025 17

4.6.2.1.1. Incoming service water pressure shall be ascertained to determine if adequate pressure is available on site to serve the facility without the use of booster pumps. Coordinate with the water supplier to provide and evaluate historical water data during all seasons.

4.6.2.1.2. If booster pumps are required, they shall utilize variable speed drives for pressure control.

4.6.2.2. Domestic Water Heating

4.6.2.2.1. If storage type heaters are utilized, they shall be set to 140 degrees

F and a thermostatic mixing valve incorporated to temper the water to 115 degrees for domestic use.

4.6.2.2.2. Provide point of use mixing valves to ensure water temperature is no greater than 110F.

4.6.2.2.3. A looped hot water recirculation system with a bronze in-line recirculation pump shall be provided.

4.6.2.3. Domestic Water Treatment

4.6.2.3.1. The facility water system shall have a building program for risk assessment and Legionella mitigation provisions as needed to comply with ASHRAE Standard 188.

4.6.2.3.2. Water systems suppling critical water for SPS, or water for Dialysis shall meet the requirements of AAMI.

4.6.2.4. Sump Pumps and Sewage Ejectors

4.6.2.4.1. If required, 50/50 duplex submersible sump pump and/or sewage ejector systems shall be utilized.

4.6.2.5. Fire Suppression. Install a fire suppression system in accordance with

NFPA 13, latest edition.

4.6.3. Materials

4.6.3.1. Domestic Water Piping:

4.6.3.1.1. Provide isolation valves on branch and lateral lines to reduce the amount of space that can get disrupted for maintenance and repair efforts.

Also provide isolation valves at each equipment connection.

4.6.3.2. Sanitary, Storm, Vent, and Clear Water Waste Systems

4.6.3.2.1. Aboveground:

4.6.3.2.1.1. Cast-Iron pipe, with compatible joints and fittings.

4.6.3.2.1.2. Type DWV Copper Tube, with compatible joints and fittings.

4.6.3.2.1.3. Type 304 or 316 stainless steel pipe, with compatible joints and fittings.

4.6.3.2.1.4. Schedule 40 PVC pipe, solid wall, with compatible joints and fittings.

4.6.3.2.2. Underground:

4.6.3.2.2.1. Cast-Iron pipe, with compatible joints and fittings.

4.6.3.2.2.2. Type DWV Copper Tube, with compatible joints and fittings.

4.6.3.2.2.3. Type 304 or 316 stainless steel pipe, with compatible joints and fittings.

4.6.3.2.2.4. Schedule 40 PVC pipe, solid wall, with compatible joints and fittings.

4.6.3.3. Provide overflow roof drain inlets and piping system independent to storm water piping serving roof drains.

4.6.3.4. Floor drains shall not be provided in single user toilet rooms unless required by local or state code provisions.

4.6.3.5. Plumbing Fixtures

4.6.3.5.1. Fixtures shall be commercial or institutional grade.

4.6.3.5.2. An accessible public refrigerated, wall hung drinking fountain will be provided in the waiting room. Drinking fountain model shall contain a bottle filter feature.

4.6.3.6. Hot Water Supply and Recirculation Piping:

4.6.3.6.1. Insulation systems shall conform to applicable Energy Code

December 9, 2025 18 requirements and current NAIMI standards.

4.6.3.6.2. Insulation on hot piping shall have thickness sufficient to prevent skin injury due to excessive temperature.

4.6.3.7. Cold Water Supply Piping: Insulation shall include vapor retarders and shall have thickness sufficient to prevent condensation.

4.6.3.8. Rainwater Piping: Insulation shall include vapor retarders and shall have sufficient thickness to prevent condensation.

4.6.3.9. Outdoor exposed…