36E77618R0079-003.docx

689-CSI-104

Interventional Radiology Suite Design VAMC West Haven, Connecticut

STATEMENT OF WORK

Project Number: 689-CSI-104

Interventional Radiology Design-Build (D-B)

VA Connecticut Healthcare System (VACHS)

West Haven Campus

950 CAMPBELL AVENUE

WEST HAVEN, CT 06516

TABLE OF CONTENTS:

BACKGROUND

SCOPE OF WORK

ADMINISTRATIVE PROCEDURES

MATERIAL TO BE PROVIDED TO THE DESIGN-BUILD ARCHITECT-ENGINEER BY THE VA

DELIVERABLES

DESIGN REVIEWS – SCHEDULES AND REQUIREMENTS

CONSTRUCTION PERIOD SERVICES

APPENDIX A: ENVIRONMENTAL ASSESSMENT SCOPE OF WORK

APPENDIX B: INFECTION PREVENTION MEASURES

APPENDIX C: VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY LANGUAGE FOR INCLUSION INTO CONTRACTS, AS APPROPRIATE Drawing 1: VACHS West Haven Campus Site Map

APPENDIX E: VACT PAINT STANDARDS; PPG DRAW DOWN FORMULAS

APPENDIX F: PRIVACY CURTAINS, TRACKS, CARRIERS AND TIE-BACK SPECIFICATIONS

APPENDIX G: VISN 1/VACT INTERIOR DESIGN STANDARDS

APPENDIX H: VACT INTERIOR SIGNAGE

I. BACKGROUND

The scope of this project includes the replacement of the Interventional Radiology X-Ray equipment within the Interventional Radiology Suite, located on the first floor of Building 1 at the VA Connecticut Healthcare System, West Haven Campus.

This project will assess, design, and modernize the existing Interventional Radiology Suite with attention to technology, space, flow, and configuration. The new Interventional Radiology suite will utilize and redesign existing square footage to create a highly technical and homelike healing environment for veterans. Coordination with the new Interventional Radiology equipment vendor/manufacturer is required.

II. SCOPE OF WORK

The VA Medical Center in West Haven, Connecticut is seeking Design-Build services for the design and construction for the removal and/or relocation of existing Interventional Radiology equipment, interior finishes, HVAC, utilities, and medical gas and a redesign and upgrade approximately 1200 square feet of existing Interventional Radiology Suite space on the first floor of Building 1.

A design with appropriate critical phasing is required to demo and replace the existing IR.

Work shall include architectural, activation planning, high technology medical consultant/planner, physicist, structural, electrical, mechanical, plumbing, communications, and all such systems and components as may be necessary to achieve project goals.

A. Project Objectives Include:

1. Review the locations of existing architectural, electrical, structural, mechanical, plumbing, fire protection, HVAC, communication, surgical equipment, etc. system’s drawings within the project area and document and verify their locations. The D-B A-E shall have a thorough understanding of the existing conditions within the project limits.

2. Review existing documents and testing previously performed to confirm the locations of asbestos containing materials. Identify, collect, and test asbestos samples within the project area.

3. Field verify and evaluate all existing lead shielding and determine if it meets vendor/RSO and all code requirements.

4. Provide planning 35% design documents, design development 65% documents, and 100% design documents for architectural, electrical, structural, mechanical, plumbing, fire protection, communication, phasing, demolition and construction of improvements within the project limits.

5. Provide a Commissioning Plan in accordance with VA Whole Building Commissioning Process Manual dated May 01, 2013 and with minor revisions 11/01/2013.

6. 100% Design Documents for new Interventional Radiology Design and Equipment.

7. The equipment installation is under a separate delivery and installation contract with the VA Connecticut Healthcare System.

8. Site investigations of the Interventional Radiology Suite by the D-B A-E shall occur after the hours of 7 p.m. on weekdays or scheduled for weekends.

9. Thoroughly understand existing conditions within the IR Suite and areas impacted by the IR Suite at the VA Medical Center site.

10. Investigate and correct HVAC, controls, and components. New HVAC design shall meet VA Design Guide specifications and integrate into the existing Building Management System.

11. A maximum Interventional Radiology Suite shutdown of 180 (one - hundred eighty) calendar days is required to minimize the construction schedule. The total period of performance for construction is 240 calendar days.

12. Develop three alternatives to meet project requirements to be presented at the 35% design submittal. Each alternate shall address each of the following requirements:

a. Temporary IR Solution.

b. Patient path of egress to temporary IR Solution.

c. Infection Control requirements for the temporary IR Solution.

d. VA ILSM requirements.

e. Physical Security Design for the temporary IR Solution.

13. Temporary IR(s) shall be furnished and installed for on-site procedures during the entire timeframe of this construction period.

a. Temporary IR shall be fully operational before the shutdown on the IR may be executed.

b. Temporary IR unit shall include all furnishings, fixtures, and equipment.

c. Temporary IR unit and adjacent spaces shall meet the West Haven VA Hospital environmental control requirements.

d. Utilities required for the operation of the temporary IR shall be all inclusive or investigated.

e. Temporary IR shall include all required medical gas and services.

f. Temporary IR shall meet Physical Security Design requirements

14. Temporary IR shall be located as to minimize risks to patients during transport to and from such IR.

15. Maintain existing utilities.

16. Install security cameras compatible with the existing/planned site security system.

17. Install site lighting compatible with existing as required.

18. Install all site egress and accessibility as required.

19. Maintain egress for public transportation, emergency vehicles, and standard traffic routes through the VAMC- West Haven.

20. Work with the VA Radiation Safety Officer to address site specific radiation safety requirements and signage.

21. Consider snow impacts and locations for staging snow.

22. Within the 35% Submittal, based on the above requirements, the D-B A-E shall recommend one alternative to move forward to 65% design.

23. Install appropriate signage as required for all staging, temporary requirements, and final design requirements.

B. Design Scope – General: The D-B A-E shall develop and provide a set of drawings and specifications for conceptual, design, development, and final design purposes which meet the previously stated Project Scope and Objectives. The D-B A-E shall also provide equipment arrangement locations. The D-B A-E shall design for LEED Silver Certification where economically feasible. Documentation for application for Certification will not be required.

1. Design Scope – Architectural: The D-B A-E shall provide design of and detailed construction drawings and specifications to meet the Project Scope and Objectives stated in Section IIA, including flooring, doors, radiation safety, and wall protection finishes as required.

2. Design Scope – Structural: The D-B A-E shall provide for structural design, calculations and documentation as required to evaluate the location of structural members to avoid conflicts. In addition, the D-B A-E shall provide structural design, calculations and documentation as they pertain to other modifications to the space, roof, or other locations supporting equipment.

3. Design Scope – Mechanical: The D-B A-E shall review all available documents from the facility and perform site visits as required to evaluate the location of all HVAC equipment, controls, and components as required. The D-B A-E shall provide mechanical design, calculations, and documentation.

The D-B A-E hall perform a load analysis for the proposed space to determine all requirements in accordance with VA requirements as outlined in the VA Technical Information Library.

4. Design Scope – Plumbing: The D-B A-E shall provide design of and detailed construction drawings and specifications as required and as they pertain to the requirements of the redesign and modifications to the Interventional Radiology space.

5. Design Scope – Electrical: The D-B A-E shall provide design of and detailed construction drawings and specifications for: General Electrical information, Electrical Demolition, as required in accordance with required equipment and controls.

6. Design Scope – Communications: The D-B A-E shall evaluate the existing detailed construction drawings and specifications as required and as they pertain to the requirements of the redesign and modifications to the Interventional Radiology space.

7. The D-B A-E shall work closely with the VA COR/Project Manager through the conceptual planning and design phases to ensure coordination with various VA staff through detailed phasing plans. The drawings shall contain boldly printed instructions requiring the same level of coordination by the construction contractor and subcontractors.

C. General Requirements: The D-B A-E shall produce designs that comply with the latest editions of all applicable DVA guidelines (e.g. Construction Standards, Master Specifications, Standard Details, Special Design Criteria), NFPA, JC, Federal and State codes pertinent to the project scope.

1. Hazardous Materials: The D-B A-E shall have all areas to be impacted by design or construction tested for asbestos and lead containing materials and incorporated into the plans and specifications. However, as a baseline and so as to not duplicate efforts, current VA hazardous material surveys shall be first reviewed by the D-B A-E to determine what has already tested positive. This information shall be incorporated into the construction contract documents. However, all other questionable or unknown items and materials that may contain asbestos or lead shall be further sampled and tested.

2. Safety Plan: VA construction projects have requirements for the General Contractor to establish a safety plan per OSHA, AIA< and VA guidelines. The D-B A-E shall specify the applicable standards and method of plan development for both the area of work and interaction of work within the facility. Infection Prevention Measures shall also be included in the Safety Plan. The D-B A-E shall also be responsible for developing their own safety for all site investigation, which shall include asbestos awareness training and procedures when encountering asbestos.

3. Quality Control Plan: The D-B A-E shall specify the applicable standards and method of development for a Quality Control Plan in accordance with Attachment 8, Quality Control Plan Requirements. The D-B A-E shall not be responsible for the development, but only for identifying and specifying the appropriate standard forms for Quality Control inspections that will become part of the overall plan.

4. Utility Shutdowns: The VA has a mandatory requirement to obtain approval for utility shutdowns. The D-B A-E shall provide a list of all utility shutdowns required for this project and identify and define the procedure for each shutdown in a Construction Schedule Gant Chart. This will include electrical mechanical and plumbing tie-ins. The D-B A-E shall provide estimated time of each outage and provide a narrative to the impact of the shutdown.

D. Site Survey: The D-B A-E shall conduct on-site survey(s) within specific timeframes during off hours of the Interventional Radiology Suite located on the first floor of Building 1. An escort shall be provided.

E. Code Study: The D-B A-E shall conduct a code study to determine code compliance of the proposed redesign. This shall also include a life safety plan.

III. ADMINISTRATIVE PROCEDURES

A. All D-B A-E personnel, their sub-contractors and representatives visiting VA sites will be required to sign in upon arrival and sign out upon leaving in a log book which is kept in the Engineering Design and Development Section in Building 15. Each visiting individual will be required to enter their name, their company’s name, VA project title, date, reason for the visit, and the times of arrival and departure. Additionally, all persons shall be badged. Arrangements for after-normal-working-hour site visits shall be made in advance and during normal working hours.

IV. MATERIAL TO BE PROVIDED TO THE DESIGN-BUILD ARCHITECT-ENGINEER BY THE VA

A. The VA shall provide the D-B A-E with copies of As-Built site plans, master floor plans, elevations, and structural plans in AutoCAD or .pdf format. Otherwise, copies of drawings will be hardcopy prints. These drawings will be provided for reference purposes only. The D-B A-E shall be responsible for verifying all such plans for dimensional accuracy and other features and representations critical to the design prior to their use in production of final plans. The VA Engineering Department electronic files, copy machines and paper will be made available for use by the D-B A-E for such document production throughout the project.

B. VA Connecticut has adapted VISN-1 branding design materials, finishes, and specifications that will be incorporated into this scope of work. Refer Appendices F, G, & H for VISN-1/VACT Interior Finish Standards.

C. Specific sections of the VA Master Construction Specifications, Design and Construction procedures, Standard Details and CAD standards, Design Manuals, etc. can be found via the internet for acquisition and editing by the D-B A-E at http://www.cfm.va.gov/TIL/

V. DELIVERABLES

The D-B A-E shall develop and provide to the VA the following:

A. Meeting Minutes: The D-B A-E shall take minutes of all conferences and other meetings with the VA (including site visits) and shall provide a copy to the Contracting Office for a concurrence signature.

B. Drawings: The D-B A-E shall deliver to the VA fully developed Drawings on current year AutoCAD and REVIT file using the VA Standard BIM Guidelines. Hard copy drawings shall be plotted at a 1:96 scale minimum. Larger more appropriate scales shall be used for sections and details.

C. Specifications: The project specifications shall be prepared in Microsoft Word by the D-B A-E from the VA Master Specifications. The general format shall include; Part 1 – General, Part 2 – Products, and Part 3 – Execution. Part 1 shall include the general requirements, identify applicable standards, and identify submittals required for a particular specification. Part 2 shall include descriptions of the salient characteristics of the products. Part 3 shall include a description of the methods used to install items of construction. The D-B A-E shall identify all VA Master Specification sections applicable to the project and edit them accordingly to fit the scope of work. If additional specification sections are needed that are not listed in the VA Master Specs, the D-B A-E is responsible to write and edit an appropriate CSE format specification section. Specifications shall be printed on 8-1/2”x11” bond paper using 12 pt. Times-New Roman font. The D-B A-E shall incorporate into the specifications and its construction site inspection procedures the applicable Infection Control and Dust Control provisions.

D. Construction Cost Estimates: The D-B A-E shall prepare a Construction Cost Estimate in Microsoft Excel using the CSI 34-division format. The Cost Estimates shall include a copy of the quantity take-offs, breakdown of individual line items that accurately reflect the quantity take-off of the various categories of work involved, unit of measure, quantities, unit cost, 10% overhead, and 10% profit. All cost data shall be taken from the most current version of a recognized industry standard, e.g. Means Estimating Guides. For items that are not in the industry standards, vendor quotes and justification for labor hours shall be provided. Construction Cost Estimates shall be submitted with 65% and 100% design reviews and include a cost breakdown for each alternative.

E. Submittal Register: The D-B A-E shall develop a list of all submittals required by the specifications in Section 1 of each individual specification. The register shall include specification reference, and item to be reviewed and approved.

F. Narratives: Written narratives shall be used as part of each design submission. The narrative, or basis of design, should be used to elaborate on and provide an explanation of key design decisions relating to constructability, and in general to communicate all information relevant to the design submission.

G. Construction Schedule: The D-B A-E shall also establish a preliminary construction schedule indicating the entire length of time estimated for the completion of the construction contract, measured in weeks. The D-B A-E shall provide a commensurate Gant chart for the construction activities to include critical path items. For example, utility shut downs. This schedule shall include pre-construction activities (such as submittals and mobilization), specific construction activities/events, special phasing requirements and final activation of the space.

H. Phasing: The D-B A-E shall develop a phasing plan taking into consideration minimal disruption to current staff, maintaining emergency egress, storage of construction equipment and materials, security and access, debris removal and maintenance of the clean environment. The specific phasing requirements shall be established by the VA prior to the 35% design submission. The VA will notify the D-B A-E on the availability of the entire work area or if partial areas will be required for the duration of construction.

I. Reproduction: The D-B A-E shall be responsible for all reproduction during design; however, only materials which are submitted to the VA for design reviews shall be reimbursable. All other reproduction for in-house reviews, consultants, etc. shall not be reimbursed. Note that all bid administration activities will be performed by VHA Program Contracting Activity Central (PCAC).

VI. DESIGN REVIEWS – SCHEDULES AND REQUIREMENTS

The following design schedule will be required (calendar days):

Total Design Period of Performance: 210 calendar days from NTP

A. First Submittal Schematic Design – 35%

a. Narrative:

Provide a written narrative with a summary of the meetings with the VA Design Team as well as a presentation, discussion and recommendation of the design alternatives which have been explored and evaluated. Key decisions/choices which were made by the VA Design Team prior to the Schematic Design submission should be documented. The design narrative shall also identify each and all required systems, utilities (including electric power requirement calculations) and major (built-in) equipment with a brief description of its type, location, use and extent. The D-B A-E shall address constructability issues and their impact on project construction cost.

b. Drawings:

Identify and verify existing underground utilities and their locations that will be impacted and propose solutions to re-route utilities or avoid underground utility conflicts. Identify and verify as-built conditions in walls and overhead spaces in those areas that will be impacted and propose solutions to re-route existing utilities or avoid utility conflicts.

Review existing environmental reports covering the project area. Identify existing asbestos, lead based paint, and other environmental hazards locations that will be impacted and identify locations that require further testing.

Two C size drawings and electronic version of CAD/REVIT work completed to date.

c. Specifications:

The D-B A-E shall provide an index of all VA Master Specifications which are anticipated to be used for this project.

d. Cost Estimates:

The D-B A-E shall provide a complete cost estimate with as detailed a breakdown as possible for this stage of design. Separate cost estimate figures shall be given for design alternatives being presented for consideration as part of the design.

e. Construction Schedules and Phasing Plans:

The D-B A-E shall provide a construction schedule and phasing plan.

The D-B A-E shall provide a completed VA Infection Control Form, and Interim Life Safety Measure form addressing all areas.

The D-B A-E shall provide a completed D-B A-E Review Checklist for all applicable disciplines.

f. 35% Review Schedule:

The 35% schematic design package shall be submitted 30 calendar days after Notice to Proceed (NTP).

The VA will provide 35% review comments to D-B A-E no later than 45 calendar days after NTP.

The 35% design package review meeting with the VA at 55 calendar days after NTP.

B. Second Submittal Design Development – 65%

a. Narrative:

The D-B A-E shall provide a written narrative with a concise and complete record of the design process including all key design decisions and the background and reasons for the intent of these design decisions. The narrative shall include all records of the meetings with the VA Design Team as well as a presentation, discussion and recommendation of various design alternatives which have been explored and evaluated. Key decisions/choices which were made by the VA Design Team should be documented. The design narrative shall also identify each and all required systems, utilities, and major (built-in equipment) with a brief description of its type, locations, use and extent. The D-B A-E shall address constructability issues and their impacts on project construction cost and schedule. Engineering Calculations shall be included as an appendix.

b. Drawings:

The D-B A-E shall provide detailed final drawings and calculations based on information collected, and VA comments on the 35% and 65% design submittals.

1. Site Submit preliminary drawings showing the development concept. Submit copies of topographic, utility, and landscape surveys should the scope impact the exterior. Include layout plan(s) showing location of: building and structures, roads, fire access, parking, mechanical, electrical, and telecommunications equipment on grade, service area(s), entrances and exits, and walks; Grading plan, showing existing and proposed contours; and Planting plan, showing plant groupings.

Submit a preliminary narrative for site design concept with analysis of site, circulation study, phasing analysis, and parking analysis.

2. Structural Submit preliminary structural plans and sections. Show by sizes, locations and sizes of columns, bearing walls, and foundations. Show locations and depths of floor and roof framing members. Show locations and sizes of lateral force resisting elements. Indicate locations of major mechanical, electrical, and other special equipment items.

3. Architectural Submit final layout drawings (floor plans) for all floors at 1/8-inch scale. Drawings shall be of sufficient precision and/or adequately dimensioned so that the Government may accurately compute rentable and usable areas to verify compliance with solicitation requirements.

Submit preliminary equipment plans (at ¼-inch scale) and preliminary equipment schedules that reflect the requirements in the Basic Solicitation as well as a “Schedule of Equipment Requirements.” Identify all equipment for each clinical type room listed in the Schedule. Equipment plans are not required for offices, consultation rooms, conference rooms, and waiting rooms.

Submit building elevations, showing all significant materials, including their colors, roof top mechanical equipment, and any architectural screens. Elevations shall show massing, proposed fenestration, and the building’s relationship to adjacent structures and the finish grade.

4. Interior Design Submit interior design narrative. Discuss information gathered during interior design programming with the VAMC project coordinator and interior designer including, but not limited to the following: interior and exterior design and materials, light, safety, patient profile, customer’s “vision” or desired image, public vs. private spaces, signage, regional influences, etc.

Present the preliminary design solution for the primary areas of the project. Use broad categories of materials, finishes, color palettes, patterns, textures, and scales. Include primary and secondary corridors, lobbies, waiting rooms, offices, exam and treatment rooms, and toilet rooms. Discuss the relationship among departments and functions, and between public and private spaces.

5. Sustainable Design & Energy Efficiency Submit LEED® Silver Equivalency checklist. Submit narrative addressing how the design will meet Federal Mandates for sustainability and energy efficiency. Submit refined ASHRAE 90.1-2004 base-case energy model and as-designed energy model, including all assumptions used, targeting compliance with the 30% energy reduction goal, or exceeding the goal. Submit refined water use analysis and daylighting calculations. Submit preliminary commissioning specifications.

6. Fire Protection/Life Safety Submit completed fire protection narrative. Indicate NFPA 220 and UBC fire resistive rating of the building, NFPA 101 occupancy type, and fire protection code analysis to assess compliance with NFPA 101. Provide information to meet JCAHO requirements, e.g., location of all fire related barriers, smoke barriers, exit signs, fire extinguishers, manual pull stations, smoke detectors, and sprinkler flow switches.

Submit completed design development fire protection plans/drawings illustrating: sprinkler zones, fire alarm zones, smoke zones, building water supply, 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, fire sprinklers, fire hydrants, fire pumps, post indicator valves, sectional valves, fire extinguisher cabinets, electromagnetic door hold open devices, wall sections indicating fire resistive ratings, and evacuation plan signage. Submit draft specifications for fire alarm and suppression systems.

7. Mechanical Submit completed design narrative and calculations for HVAC systems. Include room-by-room, peak zone-by-zone, and building block heating and cooling loads. Discuss selection of HVAC equipment and provide catalog cuts of equipment. Provide room-by-room heating and cooling loads, zone-by-zone heating and cooling loads; and building block heating and cooling loads. Include Psychometric chart for air handling unit, coil entering and leaving conditions, fan motor heat gains, consumption of humidification loads, sound/acoustic analysis. Provide room-by-room air balance charts. Show supply, return, exhaust, make-up, and transfer quantities with intended pressure relationships, i.e., positive, negative, or zero with respect to adjoining spaces.

Submit design development drawings indicating: main supply, return and exhaust ductwork, volume dampers, fire and smoke partitions, fire and smoke dampers, smoke detectors, automatic control dampers, air quantities for each room, air inlets/outlets, rises and drops in ductwork, and interconnection of HVAC equipment with fire protection equipment. Provide plan and section of mechanical equipment rooms and building corridors (show routing of main ductwork, plumbing, fire protection, major conduit or cable tray runs). Provide schematic flow and riser diagrams, schematic control diagrams, and equipment schedules. Indicate required seismic bracing. Provide legends, symbols, and abbreviations.

Submit draft specifications for mechanical systems and equipment.

8. Electrical Show all new services to building, utility transformers, location, exterior lighting, and the utility service point and meter location on the electrical site plan. Submit a written summary of any conversations with the electrical utility.

Provide legend of symbols and abbreviations. Submit a full set of electrical lighting, power, and lighting protection plans for building and site. Submit one-line diagrams of the normal electrical power distribution system and the emergency power system.

Provide prefinal fault current, generator sizing, load, feeder, and equipment sizing, voltage drop, lighting protection risk analysis, and lighting and energy calculations.

Submit draft specifications for electrical equipment.

9. Plumbing Submit completed design narrative addressing plumbing systems including supply, waste, and medical or laboratory gas systems. Submit calculations for piping systems and equipment.

Submit design development drawing. In addition to the requirements of the first design development submittal, show the following: size of pipe, equipment schedule, fire and smoke partitions, riser diagrams, legend, notes, and details; location and size of sprinkler riser, standpipes, and fire pumps; and location of emergency eyewash and shower equipment.

c. Specifications:

The D-B A-E shall provide design development drawings that show detailed plans with upgrades and redesign of the Primary Care space at the West Haven VA Campus.

One F size (30”x42”) and two C size drawings and one electronic version of CAD work completed to date.

d. Cost Estimates:

The D-B A-E shall provide an accurate and detailed cost estimate which will show that the scope and the design of the project are within the project budget.

e. Construction Schedules and Phasing Plans:

The D-B A-E shall provide a detailed construction schedule and phasing plan to support the design.

f. The D-B A-E shall provide completed VA infection control form addressing all areas.

g. The D-B A-E shall provide a completed D-B A-E Review Checklist for all applicable disciplines.

h. 65% Review Schedule:

The 65% design development package shall include detailed design. This shall be submitted 120 calendar days after Notice to Proceed (NTP).

The VA will provide 65% review comments to D-B A-E no-later than 135 calendar days after NTP.

The 65% review package meeting with the VA at 145 calendar days after NTP.

C. Third Submittal Construction Documents and Back Check Design – 95%

a. Narrative:

The D-B A-E shall provide a written narrative with a concise and complete record of the design process including all key design decisions and the background and reasons for the intent of these design decisions. The narrative shall include all records of the meetings with the VA Design Team as well as a presentation, discussion and recommendation of various design alternatives which have been explored and evaluated.

Key decisions/choices which were made by the VA Design Team should be documented. The design narrative shall also identify each and all required systems, utilities, and major (built-in equipment) with a brief description of its type, locations, use and extent. The D-B A-E shall address constructability issues and their impacts on project construction cost and schedule. Engineering Calculations shall be included as an appendix.

b. Drawings:

The D-B A-E shall provide detailed final drawings and calculations based on information collected, and VA comments on the 35%, 65%, and 95% design submittals.

c. Specifications:

Provide all Specifications that are required for the construction package. The specifications shall be free of writer’s notes and any editing comments. All information that is not required for this project shall be removed from each individual specification section.

The D-B A-E shall provide one electronic version and one copy of unbound proposed Specification sections.

d. Cost Estimates:

A complete takeoff cost estimate based on the Construction Documents submission.

e. Construction Schedule and Phasing Plans:

Provide a detailed Construction Schedule and Construction Phasing Plan. All utility shutdowns shall be included.

f. Safety Plan:

Provide a list of all applicable standards, method of plan development, a VA infection control form, and address all Interim Life Safety Measures.

g. Quality Control Plan:

Provide a list of all applicable standards and method of plan development of a Quality Control Plan.

h. The D-B A-E shall provide a completed VA infection control form addressing all areas.

i. Completed D-B A-E Review Checklist:

Provide a completed D-B A-E Review checklist for all applicable disciplines.

j. 95% Review Schedule:

The 95% design submission package shall include detailed design for final and back check comments. This shall be submitted 170 calendar days after Notice to Proceed (NTP).

The VA will provide 95% review comments to D-B A-E no-later than 180 calendar days after NTP.

The 95% review package meeting with the VA at 190 calendar days after NTP.

D. Final Design Submission – 100% Complete and coordinate all drawings, specifications, and schedules for 100% construction document submittal for all disciplines. Incorporate all VA and technical review comments. Provide seal and (stamp) and signature all of the responsible charged D-B A-E on all construction documents and final calculations.

The 100% final design package shall include final detailed design. This shall be submitted 210 calendar days after Notice to Proceed:

Electronic package submission on CD or VA approved FTP site:

One set of original 100% Final Design Drawings.

One set of indexed and bound Specifications.

Two CD’s each of;

a) Final Construction Documents in AutoCAD (to include PDF versions of each sheet),

b) Specifications

c) Construction Cost Estimate

d) Construction Duration Estimate

e) Phasing Requirements

f) Narrative with Engineering Calculations, Safety Plan and Quality Control Plan.

g) Equipment List.

Upon final approval by the VA of all 100% construction documents (as evidenced by a VA authorized signature on the title pages), the D-B A-E shall deliver to the VA; one (1) set of C-size Drawings and one (1) set of bound specifications.

A. The period of performance for the Construction portion of the project is 240 calendar days after completion and final acceptance of the design. The construction period accounts for 60 calendar days of administrative tasks, including the approval of submittals, that will take place before starting the construction. As noted in Section II, A (11), the IR can only be shutdown for a maximum of 180 calendar days. The total duration of this project, inclusive of Design and Construction is 450 calendar days after issuance of Notice to Proceed.

B. Commissioning: The D-B A-E shall develop a Commissioning plan to activate the Interventional Radiology space.

APPENDIX A

ENVIRONMENTAL ASSESSMENT – SCOPE OF WORK

Section I

1.1 GENERAL:

A. This Scope of Work (SOW) is applicable to renovation and/or remodeling projects that may contain asbestos, lead, mold, and other potentially hazardous or regulated substances in which the Contractor Professional Industrial Hygienist (CPIH) is hired by the D-B-A-E. The VA will also hire a third-party VA Industrial Hygienist (VPIH) to perform oversight during abatement and in this document, the term D-B A-E may also refer to as a contractor.

B. These special instructions cover the D-B A-E and CPIH services for the Design Development and the Construction Documents stages of the VA process and the construction period services of a project. The CPIH hired by the D-B A-E is not only required to have the experience and expertise of all aspects of hazard analysis and abatement but also have experience working as a member of a D-B A-E design team.

C. The assessment and inspection portion of the services shall be completed by CPIH personnel who are licensed by the State of Connecticut Department of Public Health as asbestos inspectors for those performing asbestos inspection or assessment. CPIH personnel who perform lead paint inspection or assessment shall be licensed by the State of Connecticut Department of Public Health as a Lead Inspector or Lead Risk Assessor. CPIH personnel who perform microbial inspection or assessment shall show proof of expertise through experience and training in microbial and mold remediation inspection and assessment techniques.

D. The design documents shall be produced using VA Master Specifications by the CPIH with personnel who are licensed by the State of Connecticut Department of Public Health as an Asbestos Project Designer, Lead Project Planner/Designer, have expertise, experience, and training in microbial and mold remediation techniques, and are reviewed and approved by a Certified Industrial Hygienist (CIH) accredited by the American Board of Industrial Hygiene (ABIH).

E. D-B A-E shall be responsible for providing all design documents related to demolition, phasing and other related documents for the project, (as determined by VA if proposed abatement impacts the specific construction project). The CPIH working for the D-B A-E shall design and produce all hazard analysis and abatement contract documents and fully coordinate these drawings with D-B A-E contract documents. Work requirements are listed in SECTION 2.2 for the CPIH.

F. The D-B A-E will employ an independent industrial hygienist consultant and/or use its own qualified personnel to perform various services on behalf of the VA. The CPIH will perform the necessary monitoring, inspection, testing, and other support services to ensure that VA patients, employees, and visitors will not be adversely affected by abatement work, and that abatement work proceeds in accordance with specifications, that the abated areas or abated buildings have been successfully decontaminated. The work of the CPIH consultant in no way relieves the Contractor from their responsibility to perform the work in accordance with contract/specification requirements, to perform continuous inspection, monitoring and testing for the safety of their employees, and to perform other such services as specified. The cost of the CPIH and their services will be borne by the VA except for any repeat of final inspection and testing during monitoring services that may be required due to unsatisfactory initial results, as specified. The CPIH during asbestos abatement oversight shall be licensed by the State of Connecticut Department of Public Health as an Asbestos Project Monitor with project oversight by a Certified Industrial Hygienist (CIH) accredited by the American Board of Industrial Hygiene (ABIH).

Section 2

2.1 Project Scope of Work (SOW)

The CPIH shall perform an environmental assessment of the proposed work areas, and areas adjacent to, directly above and below work areas that will be impacted by the project and any other areas not indicated in this section determined by the D-B A-E that may be impacted during the project. Areas that could be impacted by this project should be carefully inspected including walls, floors, shafts and above ceiling and the precise location and quantity of all hazardous materials including but not limited to asbestos, lead, polychlorinated biphenyls, and mold should be provided. The CPIH will have access to all the historical records available for the areas impacted by the project before the beginning of the inspection.

2.2 CPIH Services Scope of Work:

1. All areas that may be impacted by this project (as described in General D-B A-E Scope Of Work section) shall require environmental assessment for the presence of asbestos-containing materials, lead-based paint, silica, and other environmental hazards (e.g. PCB, mercury, refrigerant, polychlorinated biphenyls, etc.).

In addition, any areas located adjacent to, above, and below these rooms will require assessment if planned project activities impact these areas. This determination of these additional locations should be made prior to initiating field portion of the environmental assessment.

CPIH Services will include:

2. Asbestos Inspection:

a. A State of Connecticut licensed Asbestos Inspector will conduct an asbestos inspection in each impacted area to meet the requirements of EPA NESHAP/AHERA inspection and State of Connecticut regulations.

b. The inspector will collect bulk samples of suspect materials using approved EPA protocol for analysis by polarized light microscopy (PLM) method in a NVLAP accredited laboratory.

c. The inspector will check above ceiling spaces, including the existing HVAC system and all access hatches leading to above ceiling equipment for presence of suspect asbestos-containing materials and/or debris that might have become dislodged from above equipment.

d. The inspector may be required to perform selective demolition to expose concealed potential asbestos containing materials in the following areas, if impacted by the project: below existing flooring, inside wall cavities and chases, and inside ceiling chases.

3. Lead Inspection:

a. A state licensed Lead Inspector/Risk Assessor will test suspect surfaces and building components that may be impacted by the project for lead-based paint or lead-containing materials.

b. An X-ray Fluorescence Analyzer (XRF) will be used to identify the presence of lead or lead-based paint on/in building components prior to project activities.

c. Representative composite TCLP (Toxicity Characteristic Leaching Procedure) lead sample(s) may be collected as necessary to determine if demolition debris is either classified as hazardous waste or solid waste, depending on lead content and/or leachable lead content.

d. Ceiling spaces shall be included in the scope for inspection for the presence of lead-based paint or lead-containing components.

4. Mold Assessment: An inspector shall conduct a visual assessment of existing conditions for any visible mold and water damaged building materials in each area that will be impacted by this project.

5. Other Hazardous or Regulated Materials Assessment: During above inspections, also record any other hazardous or regulated materials noticed in the impacted areas and their conditions, such as mercury-containing equipment or items, refrigerant in any AHU, PCB-containing materials or equipment or items, etc.

6. CPIH Project Monitoring: During any asbestos abatement activities, provide CPIH monitoring services as specified in VA Master Specifications.

7. Written Reports:

a. A written report will be generated to summarize work activities and detail the findings of each inspection.

b. The asbestos inspection report will include quantities and locations of asbestos-containing materials identified, sample location diagrams, photographs of each homogenous area and any damaged materials as documentation of present conditions, sample log and results, as well as the completed laboratory analysis.

c. The lead inspection report will include locations and components of lead-based paint, a sample location diagram, sample log and results, as well as any laboratory analysis.

d. Two (2) hard copies and one electronic copy of the final report shall be provided, with electronic copy in PDF format. All data tables must be provided in Microsoft Excel format. All sample locations must be identified on a print and marked in the field.

8. Abatement Specifications:

a. A State licensed Project Designer will review all inspection results and visit the site if regulated or hazardous materials have been identified in the impacted area.

b. Develop a written specification in accordance with the VA Master Spec for abatement of all asbestos-containing materials to be impacted by the renovation work and lead compliance during abatement and renovation for each area that requires asbestos and/or lead abatement.

c. The specification shall include the quantity and location of asbestos-containing materials to be removed and CAD drawings shown containment locations.

d. The materials for constructing the containments shall be outlined as well as methods of asbestos removal and disposal requirements, engineering controls during abatement.

e. Regulatory requirements specific to the site and final clearance criteria shall be detailed.

f. The specification will also provide appropriate guidance related to the lead compliance and disposal of lead-contaminated demolition debris, and other regulated or hazardous materials identified in the project impacted areas.

9. Final payment for design services will not be made until all project documents are received during the design phase and final payment will not be made until project close-out documentation including, but not limited to, CPIH site logs, monitoring results, and waste manifests is received after the completion of VPIH construction period services.

END OF APPENDIX

APPENDIX B

INFECTION PREVENTION MEASURES

A. Implement the requirements of VA Medical Center’s Infection Control Risk Assessment (ICRA) team. ICRA Group may monitor dust, in the vicinity of the construction work, and require the Contractor to take corrective action immediately if the safe levels are exceeded.

B. Establish and maintain a dust control program as part of the contractor’s infection preventive measures in accordance with the guidelines provided by ICRA Group as specified here. Prior to start of work, prepare a plan detailing project-specific dust protection measures, including periodic status reports, and submit to COR and Facility ICRA team for review for compliance with contract requirements in accordance with Section 01340, SAMPLES AND SHOP DRAWINGS.

1. All personnel involved in the construction or renovation activity shall be educated and trained in infection prevention measures established by the medical center.

C. Medical Center Infection Control personnel shall monitor for airborne disease (e.g. aspergillosis) as appropriate during construction. A baseline of conditions may be established by the medical center prior to the start of work and periodically during the construction stage to determine impact of construction activities on indoor air quality. In addition:

1. The COR and VAMC Infection Control personnel shall review pressure differential monitoring documentation to verify that pressure differentials in the construction zone and in the patient-care rooms are appropriate for their settings. The requirement for negative air pressure in the construction zone shall depend on the location and type of activity. Upon notification, the contractor shall implement corrective measures to restore proper pressure differentials as needed.

2. In case of any problem, the medical center, along with assistance from the contractor, shall conduct an environmental assessment to find and eliminate the source.

D. In general, following preventive measures shall be adopted during construction to keep down dust and prevent mold.

1. Dampen debris to keep down dust and provide temporary construction partitions in existing structures where directed by COR. Blank off ducts and diffusers to prevent circulation of dust into occupied areas during construction.

4. High risk patient care areas may require additional measures like air locks, special signage, smoke and negative pressure alarms.

5. Identify these areas clearly on the drawings and work with Medical Center personnel to achieve desired level of isolation suited to the scope of risk involved.

6. Do not perform dust- producing tasks within occupied areas without the approval of the COR. For construction in any areas that will remain jointly occupied by the medical Center and Contractor’s workers, the Contractor shall:

a. Provide dust proof fire-rated temporary drywall construction barriers to separate construction from the operational areas of the hospital in order to contain dirt debris and dust. Barriers shall be sealed and made presentable on hospital occupied side. Install a self-closing rated door in a metal frame, commensurate with the partition, to allow worker access. Maintain negative air at all times. A fire-retardant polystyrene, 6-mil thick or greater plastic barrier meeting local fire codes may be used where dust control is the only hazard, and an agreement is reached with the COR and Medical Center.

b. HEPA filtration is required where the exhaust dust may reenter the breathing zone. Contractor shall verify that construction exhaust to exterior is not reintroduced to the medical center through intake vents, or building openings. Install HEPA (High Efficiency Particulate Accumulator) filter vacuum system rated at 95% capture of 0.3 microns including pollen, mold spores and dust particles. Insure continuous negative air pressures occurring within the work area. HEPA filters should have ASHRAE 85 or other pre-filter to extend the useful life of the HEPA. Provide both primary and secondary filtrations units. Exhaust hoses shall be heavy duty, flexible steel reinforced and exhausted so that dust is not reintroduced to the medical center.

c. Adhesive Walk-off/Carpet Walk-off Mats, minimum 24” x 36”, shall be used at all Interior transitions from the construction area to occupied medical center area. These mats shall be changed as often as required to maintain clean work areas directly outside construction area at all times.

d. Vacuum and wet mop all transition areas from construction to the occupied medical center at the end of each workday. Vacuum shall utilize HEPA filtration. Maintain surrounding area frequently. Remove debris as they are created. Transport these outside the construction area in containers with tightly fitting lids.

e. The…