GI104-Addm 1 589A4-24-101.pdf

Na N M La L K Jb J Hb H Ga G F Ea

3.7

4.6

5.4

5.5

6.2

6.3

6.7

7.2

8.2

9.1

7.6

Ja

123 SF

CLEAN

STORAGE

AE307

F3

AE307

F1

LEVEL II - LOW RISK LEVEL IV - HIGH RISK

T

T

T

T

I3

I1

I4

PH9

I5

N M La L K Jb J Hb H Ga G F

3.7

4.6

5.4

5.5

6.2

6.3

6.7

7.2

8.2

9.1

7.6

Ja N M La L K Jb J Hb H Ga G F

3.7

4.6

5.4

5.5

6.2

6.3

6.7

7.2

8.2

9.1

7.6

Ja

LEVEL II - LOW RISK

I2 I6

PH22

STAFF

TLT.

REHAB

COOR.

TELE

HEALTH

PSA

OT

SUPER.

AO

CHIEF

PM&R

EXAM

BREAK

RM.

HSKPG.

PM&R

EXAM

ROOM 3

PM&R

EXAM

ROOM 2

PM&R

EXAM

ROOM 3

PM&R

EXAM

ROOM 4

NURSE

NAVIGATOR

EMG/SCI

PAIN&

PRM

VVC/TM

PAIN BH

STAIR #2

OIT/CLO.

439C

OIT/CLO.

439B

CLO.

439A

PT/OR

STOR.

PT/OT

EXAM

BARIATRIC

ELEC.

PT GYM

PT/OT

SWAMP

CORRIDOR

C43

WAIT.

CORRIDOR

C42

STG.

404A

WC

STOR./SHOP

WOMENS

TLT

MENS TLT

MSA

CHECKIN/OUT

PROCEDURE

ROOM

NURSES

PROCEDURE

ROOM

CORRIDOR

C496

TLT

PM&R

SWAMP

SOILED

HOLDING

492 PAIN

SWAMP

TLT

EXISTING

ELEC.

492A

PAIN

EXAM

CORRIDOR

C499

CORRIDOR

C495

PAIN

PHARM

PAIN

EXAM RM.

PAIN

EXAM RM.

PAIN

EXAM RM.

WORKSTATION

CORRIDOR

C47

CORRIDOR

C498

PROST.

CHEIF

PROST.

REP.

TLT

D385

PROST.

ASST.

CHIEF

DUST RM.

ANTE

FITTING/

EXAM RM.

MAINT.

421A

FUME RM.

PLASTER

CLEAN

LAB

PER.

CLNC.

GROUP

RM.

FITTING/

EXAM RM.

PROST.

PURCHASING

D377

FITTING/

EXAM RM.

CORRIDOR

C46

PER.

CLNC.

MASSAGE

PROST.

WAIT.

STOR.

426A

CHIRO.

EXAM

CHIRO.

EXAM

CORRIDOR

C45

ACUPUNCTURE

ACUPUNCTURE

PELVIC

PELVIC

PT/OT

EXAM

436PT TLT.

437A

EQUIP

PT/OT

EXAM

OT TLT.

440A

OT TRAIN.

RM.

CORRIDOR

C44

PROST.

CHECKIN

405A

PROST.

STOCK

RM.

ELEV.

LOBBY

SOILED

DISP

401A

CLEAN

LINEN

450A

LOBBY/

CORRIDOR

CORRIDOR

C41

ELEC.

OI&T

L K Jb J Hb H

5.4

5.5

6.2

6.3

6.7

7.2

7.6

Ja

C43

L K Jb J Hb H

5.4

5.5

6.2

6.3

6.7

7.2

7.6

Ja

C43

LEVEL OF INFECTION PREVENTION

AND CONTROL PRECAUTIONS*

AREAS OUTSIDE SCOPE OF WORK

LEVEL I - NONINVASIVE WORK

LEVEL II - ALL CONTROL MEASURES IN LEVEL I AND THE

FOLLOWING:

CONTROL AIRBORNE DUST FROM DISPERSING INTO

OCCUPIED AREAS, REMOVE OR ISOLATE AIR

DIFFUSERS (SUPPLY AND RETURN), SEAL DOORS TO

PREVENT DUST MIGRATION. INSTALL A STICKY

(DUST COLLECTION) MAT AT ENTRANCE OF

CONTAINED WORK AREA.

LEVEL III - ALL CONTROL MEASURES IN LEVELS I AND II AND

THE FOLLOWING:

CRITICAL BARRIERS MEETING NFPA 241

REQUIREMENTS MUST EXTEND TO THE CEILING OR

IF CEILING TILE IS REMOVED, TO THE DECK ABOVE.

SEAL ALL PENETRATIONS IN CONTAINMENT

BARRIERS. MAINTAIN NEGATIVE PRESSURIZATION

OF THE ENTIRE WORKSPACE. INSTALL A

DIFFERENTIAL PRESSURE SENSING DEVICE.

LEVEL IV - ALL CONTROL MEASURES IN LEVELS I, II AND III AND

THE FOLLOWING:

BARRIERS MUST BE HARD BARRIERS.

CONTAINMENT MUST INCLUDE AN ANTEROOM

GENERAL ICRA NOTES:

1. ALL "RATINGS" DEPICTED ON THESE DRAWINGS ARE FOR

REFERENCE AND BID PURPOSES ONLY. ICRA SHALL BE

COMPLETED FOR EACH AREA AND RATINGS WILL BE BASED

ON WORK DURATION.

2. FOR FURTHER DIRECTION ON ICRA REQUIREMENTS SEE

SPECIFICATION SECTION 01 00 00 - GENERAL REQUIREMENTS,

PARAGRAPH 1.7, G. AND ATTACHMENT 01 00 10.01, VHA-ICRA

1.2 (OCTOBER 2024), FOR MORE DEFINED CONTROL

MEASURES THAT ARE THE RESPONSIBILITY OF THE GENERAL

CONTRACTOR FOR ALL WORK AREAS.

3. TABLE 5 IN THE DOCUMENT CONTAINED IN THE

SPECIFICATION SECTION 01 00 00, DEFINES SPECIFIC

CONTROLS THAT ARE REQUIRED TO BE IN PLACE BEFORE AN

ACTIVITY BEGINS, DEPENDING ON THE ICRA LEVEL OF

PRECAUTION ASSIGNED ON THIS FLOOR PLAN.

4. TABLE 6 IN THE DOCUMENT CONTAINED IN THE

SPECIFICATION SECTION 01 00 00, DEFINES SPECIFIC

MEASURES THAT ARE REQUIRED UPON COMPLETION OF

ACTIVITIES IN AN AREA, AND INSPECTED PRIOR TO

TERMINATING MEASURES DEFINED IN TABLE

5. ALL AREA CLASSIFIED AS ICRA LEVEL IV SHALL HAVE A

TEMPORARY ANTEROOM, AT EVERY ENTRY DOOR, INSTALLED

TO SEPARATE THAT AREA UNDER CONSTRUCTION FROM ANY

ADJACENT AREAS THAT ARE STILL OCCUPIED BY THE VA.

6. CRAWL SPACES & ATTICS ARE CLASSIFIED AS ICRA LEVEL II.

7. CONTRACTOR TO CONSTRUCT BARRIER TO MEET ICRA

PERFORMANCE REQUIREMENTS.

8. CONTRACTOR TO PROVIDE DUST MATS AT THE DOOR INTO

THE CONSTRUCTION ZONE.

9. SEE ENLARGED FLOOR PLANS ON AE300-SERIES SHEETS FOR

ADDITIONAL ICRA KEYNOTES.

10. CONTRACTOR SHALL PROVIDE AT A MINIMUM ONE (1) HEPA

CART TO WORK FROM IN DEFINED AREAS. VA DOES HAVE A

CART, BUT IT SHALL NOT BE THE PRIMARY AS VA WILL

REQUIRE FOR ITS OWN WORK.

PATIENT RISK GROUP CONSTRUCTION PROJECT TYPE

LOW RISK GROUP

MEDIUM RISK GROUP

HIGH RISK GROUP

HIGHEST RISK GROUP

I

III

TYPE A

I

I

II

III

TYPE B

II

II

IV

IV

TYPE C

III

II

IV

IV

TYPE D

IV

III

Table 4 - VHA-ICRA 1.2 (Oct 2024) - pg 5 of 10

TYPICAL FLOOR PLAN ICRA LABEL*

PATIENT RISK CATEGORY**

(Table 3 - VHA-ICRA 1.2 (Oct 2024) - pg 4 of 10)

LEVEL OF INFECTION

PREVENTION AND

CONTROL PRECAUTIONS**

(Table 5 - VHA-ICRA 1.2 (Oct 2024) - pg 4 of 10)

LEVEL XX - XXX RISK

* SEE LEVEL OF INFECTION PREVENTION PREVENTION AND CONTROL

PRECAUTIONS LEGEND & Table 5 - VHA-ICRA 1.2 (Oct 2024) - pgs 5-6 of 10)

** SEE VHA-ICRA 1.2 VHA INFECTION CONTROL RISK ASSESSMENT FOR

CONSTRUCTION, RENOVATION AND MAINTENANCE

PHASING NOTES:

A. REFER TO PHASING NOTES ON GI100.

PHASING SEQUENCING:

1. REFER TO PHASING GENERAL NOTES ON GI003.

2. REFER TO MECHANICAL, PLUMBING AND ELECTRICAL

DRAWINGS FOR WORK ASSOCIATED WITH HVAC RENOVATION.

3. COORDINATE WITH THE COR HOW MUCH OF THE SPACE THE

CONTRACTOR CAN TAKE OVER AT A TIME, AND IF WORK IS TO

BE DONE ON NIGHTS AND WEEKENDS.

ACA CONSTRUCTION SEQUENCING (PA#)

1. INSTALL ACA HEAT EXCHANGERS, DISTRIBUTION PUMPS,

EXPANSION TANK, AIR SEPARATOR, AND ASSOCIATED NEW

HEATING WATER PIPING IN MECH ROOM E003.

2. REMOVE EXISTING HEATING WATER EQUIPMENT AND

ASSOCIATED PIPING AFTER NEW SYSTEM IS OPERATIONAL.

3. INSTALL ACA CLEAN STEAM GENERATOR.

4. REPLACE ACA-AHU-1, -2, AND -3 ONE AT A TIME. ACA AHUS

#1, #2, AND #3 SERVE A COMMON SUPPLY AIR AND RETURN

AIR AND HAVE N+1 REDUNDANCY. EACH NEW AHU

INSTALLATION SHALL BE COMPLETED AND COMMISSIONED

PRIOR TO THE DEMOLITION OF THE SUBSEQUENT AHU.

5. REPLACE ACA-AHU-4. ACA-AHU-4 DUCT SYSTEM IS

INTERCONNECTED TO ACA AHUS #1, #2, AND #3. ADJUST

APPLICABLE DAMPERS TO BACKFEED ACA-AHU-4 DUCT

SYSTEM PRIOR TO THE DEMOLITION OF ACA-AHU-4.

6. INSTALL REMAINING WORK IN THE ACA.

NON-ACA CONSTRUCTION SEQUENCING (PH#)

1. INSTALL NEW CLEAN STEAM GENERATION SYSTEMS

INCLUDING HUMIDIFIER DISPERSION GRIDS AND

ASSOCIATED PIPING.

2. INSTALL WORK ASSOCIATED WITH ROOM D123 AND THE

PATHOLOGY LAB.

3. INSTALL WORK ASSOCIATED WITH ROOMS G108, G124,

G135, G136, AND G138.

4. INSTALL WORK ASSOCIATED WITH ROOMS A117D, B105,

C136, C137, AND D199.

5. INSTALL WORK ASSOCIATED WITH ROOM B208/B228.

6. INSTALL WORK ASSOCIATED WITH ROOMS B336, B338,

G346, AND G347.

7. INSTALL WORK ASSOCIATED WITH ROOMS A321, A336,

C347, AND D317.

AREAS OUTSIDE

SCOPE OF WORK

SYMBOL

FIRE WALL LEGEND

DESCRIPTION

1-HOUR FIRE BARRIER

2-HOUR FIRE BARRIER

1-HOUR SMOKE BARRIER

1-HOUR HAZARDOUS AREA FIRE BARRIERHZ HZ HZ

RICHARD

JOSEPH

ONKEN

A-5125

A

R C H I T E

C

T

S T

A T

E

O F N E B

R A

S K

A

6/23/2025

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

ARCHITECT/ENGINEER OF RECORD

321 4 5 6 7 8 9 10

Alesia Architecture P.C.

3705 North 200th Street Elkhorn, Nebraska 68022 Phone: (402) 291-6941 o n e e ig h th i n c h o n e f o o t th re e i n c h e s o n e f o o t o n e a n d o n e h a lf i n c h e s o n e f o o t o n e i n c h o n e f o o t th re e q u a rt e rs i n c h o n e f o o t o n e h a lf i n c h o n e f o o t th re e e ig h th s i n c h o n e f o o t o n e q u a rt e r in c h o n e f o o t

100% FINAL BID

DOCUMENTS

CORRECT REUSABLE

MEDICAL EQUIP STORAGE

589A4-24-101

800 HOSPITAL DR, COLUMBIA, MO

Shaffer Stevens & Schaap 1070 Howard Street Omaha, Nebraska 68102 Phone: (402) 455-7698

Astral Engineers P.O. box 190Omaha, Rancho Cucamonga, CA 91729 Phone: (909) 903-0015

Crux Consulting 18312 Harney St. / 663 N 132nd St. #73 Elkhorn, NE 68022 / Omaha, NE 68154 Phone: (402) 708-0383

Brighttree Studios 301 Brush Creek Rd Warrendale, PA 15086

(412) 212-7515

STAMP

06/26/2025

FOURTH, FIFTH, & SIXTH

FLOOR KEYPLAN

NORTH

E & F

OR ADDITION B A

C & D

ACA BUILDING

AREAS

AREA AREA

AREAS

G

AREA

BUILDING 1

A u to d e s k D o c s /1

A

-2

-1

C o rr e c t R e u s a b le M e d ic a l E q u ip m e n t S to ra g e /5

A

-2

-1

.A rc h

R

-C o rr e c t R e u s a b le

M e d ic a l E q u ip m e n t

S to ra g e

.r v t

/2

/2

:3

:2

P

M

GI104

FOURTH, FIFTH, SIXTH, MACH LVL & PH FLOOR

PLANS - INFECTION CONTROL - PHASING

AHT SW

3/64" = 1'-0"1

FOURTH FLOOR - FLOOR PLAN - INFECTION CONTROL

3/64" = 1'-0"2

FIFTH FLOOR - FLOOR PLAN - INFECTION CONTROL

3/64" = 1'-0"3

SIXTH FLOOR - FLOOR PLAN - INFECTION CONTROL

3/64" = 1'-0"6

PENTHOUSE UPPER ELEV. MACH. LEVEL

3/64" = 1'-0"7

PENTHOUSE FLOOR AND ROOF

NO WORK ON FIFTH FLOOR - SHOWN FOR REFERENCE ONLY

I# KEYNOTE LEGEND-ICRA

KEY KEYNOTE

I1 INSTALL TEMPORARY 1 HR CONSTRUCTION

ICRA BARRIER TO SEPARATE CONSTRUCTION

AREA FROM OCCUPIED SPACE - SEE E4/GI601

& F3/GI601.

I2 INSTALL TEMPORARY PLASTIC FIRE

RESISTANT DUST BARRIER. WORK TO

INSTALL MAY ONLY BE DURING NON

FUNCTIONAL MEDICAL CENTER HOURS.

COORDINATE W/ COR. SEE E2/GI601.

I3 INSTALL FIRE RESISTANT TEMPORARY DOOR

AT OPENING AND MATCH RATING OF ICRA

BARRIER, TYP. SEE E4/GI601 & F3/GI601.

I4 PLACE TACKY CONSTRUCTION WALK-OFF

MATS AT ENTRANCE AND EXIT SIDE OF

CONSTRUCTION ACTIVITY AREAS, TYP. SEE

F1/GI601 & F3/GI601.

I5 FOR CLASS III AND GREATER, NEG AIR

MACHINE IS REQUIRED AND SHALL BE

LOCATED EITHER AT THE ICRA BARRIER OR

AT AN EXTERIOR WINDOW. COORDINATE

WITH VA INFECTIOUS PREVENTION TEAM AND

COR.

I6 EXISTING DOOR BEHIND POLY PLASTIC

SHEETING - SEE E2/GI601.

PHASING LEGEND - HOSPITAL

KEY KEYNOTE

PH9 INSTALL WORK ASSOCIATED WITH ROOM

490.

PH22 ROOF DRAIN INSTALL AFFECTS ROOMS 600 &

601.

PH#

KEYNOTE LEGEND-CEILINGS

KEY KEYNOTE

C43 NO ARCHITECTURAL WORK IN THIS ROOM -

SEE MEP.

C#

Mark Revisions: Date:

1 AMENDMENT #1 - BIDDER QUESTIONS-RESPONSES 07/29/2025

1____