EXHIBIT B Agency Specific Requirements.pdf

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Mountain Home CBOC New Lease
Solicitation number
36C25626R0032
Issued by

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This document is Exhibit B, which contains Agency Specific Requirements for a VA (Department of Veterans Affairs) healthcare facility lease. The lessor must design and construct a clinical facility meeting comprehensive specifications across multiple building systems and functional areas.

Key infrastructure requirements include: HVAC systems complying with VA Technical Information Library (TIL) standards with Test and Balance certification by a licensed technician; radiology spaces with specific dimensions (Diagnostic X-ray 20x15 feet with 1/32-inch minimum lead lining; CT room 25x20 feet with 1/16-inch minimum lead lining, both subject to Health Physicist approval); electrical service with 3-phase 277/480V 200-amp capacity designed at maximum 75% capacity with 25% reserved for future expansion, complying with NFPA 70; and a four-hour emergency response time for all utility and building system problems. The lessor must submit an annual building emergency plan addressing loss of water, electricity, heating/cooling, structural damage, water intrusion, smoke/water damage, pipeline flooding, and airborne particulates. Additional requirements specify parking with 70 spaces, security systems (CCTV and Intrusion Detection System per Facility Security Level), window privacy treatment, female hygiene dispensers, ADA-compliant restrooms, automatic doors in patient corridors, a covered awning with patient transfer ceiling lift, soundproofing between clinical spaces, no carpeting in clinical areas, dedicated 24/7/365 air conditioning for IT closet, humidity-controlled laboratory space, and pre-treatment of parking and pedestrian areas during winter weather. The facility includes clinical spaces (primary care exam rooms, mental health offices, telehealth rooms, radiology, laboratory), support spaces (pharmacy, storage, janitorial), and specialized areas (Physical Therapy Gym 900 sq ft, CT room 576 sq ft). Attached floor plans and parking plans show the facility layout and 70-space parking configuration.

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EXHIBIT B

LESSOR___________GOVERNMENT_________ Page 1

Agency Specific Requirements

Floor Plans and Parking Plans Attached

HVAC

The HVAC system must meet VA Technical Information Library (TIL) requirements, specifically the HVAC Design Manual. The system for clinical spaces is more complex than a collection of residential units, required to be designed and constructed to provide proper temperature, fresh air make-up, humidity control, and proper differential pressure between specific spaces. Upon completion, contractor will Test and Balance (TAB) the system for final adjustments to flow and pressure by a licensed technician.

Radiology

A Diagnostic X-ray room 20x15 (this includes a separate area for a control area for technician). Minimal lead lining for this area would be 1/32 inch – final determination would need to be made by a Health Physicist based on equipment, location of equipment, and number of studies).

The minimum size for a CT room 25x20 (this includes a separate area for control area for technician). Minimal lead lining for this would need to be 1/16 inch - final determination would need to be made by a Health Physicist based on equipment, location of equipment, and number of studies.

Parking Lot

The parking lots must be well-lit and easily navigable with clear signage and provide visibility by security cameras mounted on the building and lot posts.

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

Lessor shall pre-treat parking and pedestrian areas before forecasted winter weather and clear those areas during/after winter weather to ensure safe driving and walking paths.

Emergency Response

Four-hour response time on any utility or building system problems, to include but not limited to HVAC, plumbing, electric, roof leaks, etc. Repair personnel shall be on site to effect repair within four hours or appropriate time frame determined by the government.

LESSOR___________GOVERNMENT_________ Page 2

The lessor shall submit a building emergency plan annually that clearly defines the actions the lessor will take in the event of emergencies. It will clearly define the details of what actions will be taken by the lessor in the event of:

• Loss of water

• Loss of electricity

• Loss of heating/cooling

• Structural damage to the building

• Interior water intrusion, containment, response and recovery

• Smoke and water damage remediation

• Flooding from a ruptured supply pipeline within the building

• Release of airborne particulates such as dust, mold, asbestos, or fiberglass that may be hazardous to building occupants

Electric

All electrical service, connections, outlets, wiring, etc. will comply with latest edition of NFPA 70 (National Electric Code).

Building electrical service, main breaker panel, and any sub-panels will be designed and constructed with maximum 75% capacity used, minimum 25% available for future changes/addition of circuits.

Janitorial

Disposable curtains provided by VA and changed by janitorial company every 7 months.

Cleaning of facility to be done after hours Monday-Friday.

Security

The lessor shall install, VA provided, CCTV system for the facility IAW the Facility Security Level.

CCTV equipment shall be located in the main computer room and telecommunications rooms.

The lessor shall design, install, and maintain an Intrusion Detection System for the facility IAW the Facility Security Level

IDS equipment shall be located in main computer room and telecommunications rooms.

Window treatment to include a film for privacy and UV reduction.

LESSOR________GOVERNMENT_________

Mobile CT Power outlet 3=phase 277/480V 200 amp Russellstoll #DF2504FRABO Female Flap CAP Receptacle w/Angle Adapter and Junction Box. (See screenshot below).

Section of the parking lot to support the extra weight of CT truck Generator power transfer switch (need to have back up power for, medication room, supply closet, 2 Primary Care Pact Team exam rooms, MSA area, waiting room, Lab area, OIT room, HVAC system for these areas, Alarm system(s)

Female Hygiene dispensers in all unisex/female restrooms

Two ADA compliant restrooms in waiting room, one ADA compliant restroom in clinical space

Automatic doors in patient corridors between waiting room(s) and clinical space, ADA compliant restrooms

VA Signage in front of building

Covered awning space at the main entrance of the clinic with a ceiling lift to transfer patients from cars to wheelchairs

Soundproofing to between rooms used in primary care clinical areas, and mental health exam rooms to promote privacy

No carpeting to be used within the clinical space

Windows will have privacy tinting or window treatment to promote peering in from outside.

IT closet 24/7 365 dedicated AC unit

Laboratory room with backup mini split, humidity controlled

HVAC units must meet TIL requirements

LESSOR________GOVERNMENT_________

Must have 3 phase 277/480 volts 200 amp service. See screenshot below.

RLP Section 3.45 Security For New Construction B 2. Setback distance for baluster requirements

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120SF triage

100 SF lab processing lab specimen collection

XRay

Rad control

CT

Mammography

120SF

HBPC

500 SF

TELE Health

120SF

TELE Health

CAS 200SF

Storage

Tele conference audio booth

200SF

Conference room

280SF

DOCK

2472 LL

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PMRS GYM

MentalHealth Provider Therapy

100SF

Mental Health

Provider Therapy

100SF

Mental Health Exam

120SF

Tele Psych

120SF

MentalHealth Case manager RN

120SF

Women's Health

120SF

MentalHealth Therapy

120SF

MentalHealth Social

Worker

120SF

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Storage

Soiled Utility

100SF

Clinical Pharmacy

240SF

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Chiropractor

TELE Health

120SF

TELE Health

120SF

TELE Retinal

100SF

Electrical closet 80 SF

EXHIBIT B

LESSOR____GOVERNMENT____ Page 5

AutoCAD SHX Text

MEN'S (151 SF)

AutoCAD SHX Text

WOMEN'S (151 SF)

AutoCAD SHX Text Triage (120 SF)

AutoCAD SHX Text Breakroom (154 SF)

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text Unisex Restroom (100 SF)

AutoCAD SHX Text Women Restroom (100 SF)

AutoCAD SHX Text Men Restroom (100 SF)

AutoCAD SHX Text

INTAKE LPN #1

AutoCAD SHX Text

INTAKE RN #1

AutoCAD SHX Text Wheelchair Storage(80 SF)

AutoCAD SHX Text

VESTIBULE

AutoCAD SHX Text

SOLID CEILING

AutoCAD SHX Text

VESTIBULE

AutoCAD SHX Text

SOLID CEILING

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text Clean Supply (200 SF)

AutoCAD SHX Text

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AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text Medication Room (120 SF)

AutoCAD SHX Text Men Restroom (80 SF)

AutoCAD SHX Text Women Restroom (80 SF)

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text

AutoCAD SHX Text Nurse Manager

Parking Plan 70 Spaces

LESSOR______GOVERNMENT______ Page 6

Current Lease Estimated Sq Ft

Requested Sq Ft

Confirmation 1 Oct 2025 Comments

MSA Recption area room 105 (added 1 position for PMRS, see line 75) Added 100' 340 440 440 Administration Triage room 107 120 120 Primary Care Clean supply storage room 113 Foyer outside of small storage area (Too SMALL) see line25 100 200 Primary Care Clinic Manager room 125 120 120 Primary Care Tele Health Office 1 room 126 120 120 Specialty Care Mental Health Case Manger room 137 120 120 Mental Health Tele Psych room 138 120 120 Specialty Care Waiting Room room 102 800 800 Primary Care Waiting Room bathroom room 103 Men's 100 151 Primary Care Waiting Room bathroom room 104 Women's 100 151 Primary Care Blood draw room 109 100 237 Ancillary/Diagnostic Lab Precessing room 110 and bathroom 100 614 Ancillary/Diagnostic Radiology x-ray room 111 (x-ray 16'x20') 334 334 Ancillary/Diagnostic Clinic Staff Office 2 room 117 (Pact 2) 120 120 Primary Care Pact Exam 2B room 118 120 120 Primary Care Pact Exam 1b room 119 120 120 Primary Care Clinical Staff Office room 120 (Pact 1) 120 120 Primary Care Provider Office 2 room 124 120 120 Primary Care Pact Exam 1A room 123 120 120 Primary Care Women's Exam 1A room 122 120 120 Primary Care Women's exam room bathroom rm 122A 100 100 Primary Care Provider Office 1 room 121 120 120 Primary Care Medical Supply room 128 (Combined room 133 to make this room bigger for all supplies) 120 250 Primary Care Clinical Tele Pharmacy room 129 (added space for clinical training) 120 240 Specialty Care Clinical Staff Office 3 room 131 (Pact 3) 120 120 Primary Care Hall storage room, room 130 47 47 Primary Care Mental Health Social Worker Office room 135 120 120 Mental Health Pact Exam 3B room 134 120 120 Primary Care Pact Exam 3A room 133 120 120 Primary Care Provider Office 3 room 132 120 120 Primary Care Tele Retinnal room 139 100 100 Specialty Care Mental Health provider room 140 100 100 Mental Health Tele Conference Audio Booth room 200 200 Specialty Care OIT Room 148 (minimum 200 sq ft needed) 220 220 Support/Infrastructure Conference room 147 280 280 Primary Care Staff bathroom room 145 94 94 Primary Care Staff breakroom room 144 120 160 Primary Care Storage room end of hallway near break room, no room # 47 47 Primary Care Triage room no room # top of ramp 120 120 Primary Care Pact Exam 4A, no room # top of ramp 120 120 Primary Care Pact Exam 4B, no room # top of ramp 120 120 Primary Care Physical Therapy Soiled utility room, No room # (used as storage room) 56 56 Specialty Care Physical Therapy Gym (floor plan indicates Gym is 900sq ft but include gym + exam room+ soiled) (Too SMALL) 900 0 added below

Physical Therapy Clean Storage room, no room # (Too SMALL) 63 0 added below Storage closet, no room # top of ramp 47 47 Primary Care Provider Office 4, no room # 100 100 Primary Care Clinical Staff Office 4, No room # 120 120 Primary Care Bathroom, top of ramp, no room # 80 100 Primary Care Bathroom, top of ramp, no room # 80 100 Primary Care Biohazard room top of ramp, no room # 36 36 Primary Care Mental Health Provider, no room # 100 100 Mental Health Chaplain Office, no room # 100 120 Mental Health Housekeeping room near PT Exam Office approx 60 q ft with mop sink, washer/dryer 60 120 Primary Care Desired Expansion areas Podiatry Exam room if needed (Part time) , ensure sink in room 120 120 Specialty Care HBPC (set up for 6 - 8 desks) 120 500 Acute Inpatient Medicine & Surgery HBPC Storage room 50 50 Acute Inpatient Medicine & Surgery More Telehealth Offices need sink, eye exam chair/table, cas cart 200 200 Specialty Care More Telehealth Offices 120 120 Specialty Care More MHS Office (may include telehealth in room) 120 120 Mental Health More Specialty Care exam rooms (only added 1 rooom) 120 Specialty Care Whole Health room (May need a coach and office space 100sqft) 400 400 Acute Inpatient Medicine & Surgery Swing Space (Standard exam room size 120') 120 120 Common/Swing/Construction Community Care Liasion Presence/ Community care navigators) 120 120 Acute Inpatient Medicine & Surgery Physical Therapy Gym 900 900 Specialty Care Physical Therapy bathroom 120 Specialty Care Physical Therapy Exam room with on suite bathroom/shower. 120 240 Specialty Care Physical Therapy Exam room 120 120 Specialty Care Physical Therapy Exam room 120 120 Specialty Care Physical Therapy Exam room (Chiropractor) 120 120 Specialty Care Physical Therapy Wheelchair storage room 120 120 Specialty Care Physical Therapy Storage (should be 1 large room. Existing is 115sqft combined with line 1) 200 200 Specialty Care Physical Therapy MSA (space at front or with P.T) Added 100' to row 1 100 0 Specialty Care Biomedical Office Space / Swing Space 100 Common/Swing/Construction

CT Room (Beheshti email 3/21/24, 9/26/2025 for 24x24') (CT wating room not included) ("24'24' rough estimate to allow power closet control arm")

400 576 Specialty Care

CT Waiting room with Changing room 0 Specialty Care Ultra sound ("16'x16' rough estimate") 0 256 Ancillary/Diagnostic Add Support Staff Offices for Cardiology and specialty (MSA(s), LPNs & FTE's 240 Specialty Care

LESSOR______GOVERNMENT______ Page 7

CT Waiting room with Changing room 0 Specialty Care Ultra sound ("16'x16' rough estimate") 0 256 Ancillary/Diagnostic Add Support Staff Offices for Cardiology and specialty (MSA(s), LPNs & FTE's 240 Specialty Care Eye Clinic (New service clinic) 100 Specialty Care Electrical Closet (does not exist in CBOC, currently located in the mall space) 78 Support/Infrastructure Intake Room in Front of Foyer (Covid, bed bug risk etc) 120 Primary Care Medical Equipment Room 120 Primary Care Medication Room with Sink (new room) 120 Primary Care Eye clinic Exam room (See Dr. Braswell, Brenda Duhamel) Specialty Care Eye clinic Exam room (See Dr. Braswell, Brenda Duhamel) Specialty Care Eye testing room (See Dr. Braswell, Brenda Duhamel) Specialty Care Optical area (See Dr. Braswell, Brenda Duhamel) Specialty Care "General exam room for pre/post optical (See Dr. Braswell, Brenda Duhamel) Specialty Care Janitor Closet Need to add 110 Primary Cary Work Zone Need to add 660 See Arpil Harmon Dr. Nancy K Anderson

Total Size of Desired Expansion Rooms Rows 58-96 (inlcudes Existing PT rooms) 5,088 Current Lease

Estimated Sq Ft Expanded Clinic

Sq Ft RSF

Total Sq Ft (estimate from PowerPoint) (NUSF) 8,804 13,272.00 1.35 17917.20 895.86

Rentable Sq Ft ( Total Sq Ft - electrical closet, Janitor closet = RSV) 18813.06

NUSF (RSV / 1.35) = NUSF 0

ABOA (NUSF x .20 = ABOA) 0.0

LESSOR______GOVERNMENT______ Page 8

Mt Home Agency specific requirements add to ASR.pdf
EXHIBIT B Agency Specific Requirements.pdf
Floor Plan.pdf
EXHIBIT B Space Plan MOUNTAIN HOME CBOC.pdf
Sheets and Views
Model

Parking Plans.pdf

Mountain Home CBOC Expansion floor plan.pdf
Mtn Home SQft from PPT
Copy of Mountain Home CBOC Expansion floor plan.pdf
Mtn Home SQft from PPT

File details come from the government source that posted it. Updated .