ATTACHMENT J-6A Draft SOW TO 1.pdf

SECTION C

DESCRIPTION / SPECIFICATIONS / STATEMENT OF WORK

C.1 TITLE

The title of the activity in this Task Order is “ Jordan Healthcare Facilities Design ”

C.2 OBJECTIVES

The objective of this task order is to provide full Architect-Engineer (A-E) design services (which includes construction, expansion, and renovation; detailed specifications of the required equipment; and limited construction management services) for four Obstetrics (OB) Departments, including Neonatal Care Units, listed below:

Design Project 1: Royal Medical Services (RMS) - King Hussein Medical Center Design Project 2: Al Bashir Hospital Design Project 3 ( OPTIONAL ) : Prince Hamzeh Hospital Design Project 4 ( OPTIONAL ) : Other Obstetrics Hospital with an estimated area of 5,000 m 2 .

During year one of this task order, the A-E firm will be required to design the RMS and Al Bashir hospitals (Projects 1 and 2 from the above list). As noted above, Design Project 3 and Design Project 4 are included only as options. USAID reserves the right to exercise these options or not. Based on factors such as budget and GoJ priorities, for year two USAID will have the option to request that the contractor design either the Prince Hamzeh Hospital (listed above as design project 3) or a different hospital (listed above as design project 4), or none of them, to be decided after USAID receives the final designs for Project 1 and Project 2.

Improving the well-being of mothers, newborns, infants, and children is an important public health objective for USAID. Their well-being determines the health of the next generation and can help predict future public health challenges for families, communities, and the healthcare system.

The risk of maternal and infant mortality and pregnancy-related complications can be reduced by increasing access to quality and appropriate healthcare. Moreover, healthy birth outcomes and early identification and treatment of health conditions among infants can prevent death or disability and enable children to reach their full potential.

The hospital design projects, after completion, will support the Integrated Health Services and Resilience (IHSR) Program, managed by the Office of Population and Family Health (PFH), by increasing access to quality health services and alleviate and/or mitigate the impacts of rapid population growth and the influx of refugees due to the Syrian crisis.

C.3 BACKGROUND

USAID and Jordan have partnered in the health sector for more than 60 years. USAID/Jordan’s support for health infrastructure through the Integrated Health Program/ Integrated Health Services and Resiliency (IHSR) Project contributes to improving the social sector quality.

The rapid population growth in Jordan presents a significant challenge and threatens the Government of Jordan (GOJ)’s development plans and the long-term stability of the Kingdom.

Furthermore, the influx of refugees has placed increasing pressure on Jordan’s health system and is restraining the GOJ’s ability to deliver public health services. As a result, access to reliable public health care in Jordan is a challenge for many families, especially in areas with large refugee populations. Based on these demographic changes,the average growth in demand for women's health care services requires a larger healthcare provider workforce and the expansion of key facilities. Thus, the need for the expansion of the hospitals to meet the growing demands of the patient population in Jordan and primarily in Amman is essential. In accordance with the updated statistics for Jordan Hospitals’ Patients Admission Records, there was a significant increase from 2018 in the patient load at Jordan’s obstetrics (OB) departments. As patient loads expand, facilities are more challenging to operate and maintain if they are not designed to handle current needs. Further, the building footprint may not be suitable for good circulation and programmatic space needs. In addition, the existing old buildings may not have the engineering services and utilities needed to meet current health codes and best practices, including for suitable patient care and infection control. The current systems are also in need of review against current applicable national and international standards for various health care departments and building types.

USAID/Jordan has been working with the Ministry of Health (MOH) to plan necessary interventions, but a current, comprehensive, nationwide assessment of long-term needs for hospitals and health centers and other health infrastructure in Jordan is not available. To support the Government of Jordan (GOJ), USAID’s PFH office conducted an Initial Infrastructure Improvement Assessment to identify where USAID investment might be the most effective. The Obstetrics Departments for three existing hospitals were recommended to be designed and expansions/renovations implemented, with an optional item for a new obstetrics hospital. The Contractor will be required to conduct an independent Healthcare Facilities Needs Assessment to identify the actual needs of each facility.

Since 2002, USAID has built, renovated or expanded more than 340 healthcare facilities in Jordan. Over the next five years, USAID/Jordan will invest approximately $60 million to expand several major referral hospitals, including the emergency department of Al-Bashir Hospital and Princess Rahma Hospital. USAID intends to also design two other OB departments with two additional optional ones under this task order. USAID’s current and future efforts will contribute to improving the overall health delivery systems as well.

C.4 SCOPE OF WORK

C.4.1 Required A-E Design Services:

This Task Order provides engineering and technical support services to USAID/Jordan’s PFH office, including the full design of the Obstetrics Departments, including neonatal care units, for the four health facilities (two of them are optional) that require infrastructure improvements in order to meet the health care needs of the Jordanian local communities.

Consistent with Sections C4.1.1 to C4.1.4 of the IDIQ on Project Planning, Design, and Procurement Support, the Contractor must coordinate with USAID, Ministry of Health (MOH), and other relevant entities, as directed by USAID, to plan and fully design the four selected healthcare facilities.

The required design services include, at a minimum, the following:

● pre-design site-and needs- assessment;

● systems analysis of existing facilities and infrastructure;

● structural analysis (including seismic design and analysis,), geotechnical investigations and reports;

● topographic and boundary surveys;

● environmental assessments, climate risks screening and management plans, as well as compliance assessments for hazardous medical waste;

● feasibility studies and cost estimates;

● architectural, interior design and space/medical planning, including landscape architecture;

● civil, mechanical, and electrical works, energy conservation, green building, including design of security and communications systems, fire protection and life safety systems, medical gases, heating, ventilation and air conditioning;

● hospital systems and medical equipment, studies and reports, sampling;

● construction documentation, tendering documents, statement of work preparation, value engineering; and

● Construction Management services including review Requests for Information (RFI) provided by the construction contractor and prepare responses, review and advise on claims and disputes as necessary, and the services of other A-E disciplines as may be required.

See section C.4.3 for detailed task order services that will be required by USAID.

The Contractor shall work to verify the existing site conditions by obtaining the available "as-built" or construction drawings pertinent to the facilities involved. Such drawings, however, do not always accurately show presently-existing conditions at the site. The Contractor, therefore, shall verify in the field all data shown on such drawings as necessary for the accomplishment of this work and shall obtain all other data as required to insure the complete and proper design of the project. Additionally, the Contractor shall investigate and verify that no major underground utilities exist underneath the proposed locations of new obstetrics buildings.

The design of the health facilities shall take into consideration sustainability and energy efficiency, and shall be most economical with necessary consideration being given to the most efficient utilization of all materials consistent with the design criteria. The design shall respond to best practice and innovation within architecture and the built environment, and consider the implementation of new technology in healthcare. In addition, the design of all facilities shall include all equipment, accessories and appurtenances required for the proper functioning of the healthcare system involved. The design basis of the facilities should consider the increase in population growth over the next 20 years.

The A-E design shall be consistent with current medical facility design guidelines and planning principles and shall meet of the current applicable codes and standards listed below:

1. Guidelines for Design and Construction of Hospitals (2018 Ed.) – The Facility Guidelines Institute (FGI), (formerly AIA).

2. Regulations of the Occupational Safety and Health Administration (OSHA)

3. Americans with Disabilities Act (ADA)

4. National Fire Protection Association (NFPA) model fire codes, including Standards for

Health Care Facilities (NFPA 99) and the Life Safety Code (NFPA 101)

In addition, design work must comply with the equivalent international standards, local laws, regulations, construction practices, and procedures. In case of conflict between these regulations, the most stringent and protective standard will be applied unless a specific waiver is granted.

This should be documented and the reasons and justifications for deviation noted.

As part of the quality management system, adequate design review process for the healthcare facilities are planned at the following intervals (expressed as a percentage of completion of each design stage):

● Healthcare Facilities Needs Assessment

● Conceptual (30%) Design Stage

● Intermediate (60%) Design Stage

● Pre-Final (90%) Design Stage

At each stage, the Contractor shall organize and coordinate meetings with USAID and MOH (and others as requested by USAID) to present and explain the facilities needs. This shall allow for a review period of two weeks for USAID, MOH, and other stakeholders as requested by USAID for the respective facilities, followed by a response period for the Contractor team to address comments in preparation for the next stage of design development.

https://www.osha.gov/ https://www.wbdg.org/ffc/usab/guidelines-standards/ada-standards http://www.nfpa.org/

C.4.2 General Requirements:

The Contractor shall work closely with the MOH and the healthcare facilities' team throughout all project phases and shall obtain all relevant approvals from the Ministry of Health and the Ministry of Public Works and Housing as indicated under this Task Order. The Contractor is also responsible for obtaining all required data and information necessary to complete all the tasks under this project. During different design phases, including the initial pre-design identification and planning phase, the Contractor shall engage MOH, as well as the health field directorates, hospital/healthcare facilities managers, operating staff, and local area key stakeholders. This engagement includes conducting structured meetings to solicit stakeholder input on health facility’s needs, design alternatives, and local area conditions and to share the proposed hospital designs with them. Please note that engagement at the Ministerial and Secretary General levels requires special permission and processes, as USAID implementing partners must work through their COR to arrange this level of meeting.

The Contractor shall coordinate with the local authorities to secure and obtain the required design and construction permits, and land use approval. The Contractor shall verify that there are no obstacles on the proposed sites that may impact the renovation/expansion scope or progress.

Additionally, the Contractor shall secure a special permit for RMS hospital expansion to allow the work implementation through the Ministry of Public Works and Housing.

The Contractor shall obtain USAID approval and MOH’s concurrence on all deliverables listed under this task order. No changes to the approved designs can be made without USAD’s written approval. The format and number of copies of submitted documents are indicated under section C.4.3 and section F.

C.4.3 Task Order Services

The Contractor will provide the A-E design services at four distinct phases: 1) Facilities Needs Assessment, Planning and Concept Design phase, 2) Detailed Design Phase, 3) Bidding Phase and 4) Construction Management Services Phase.

As outlined in further detail below, the Facilities Needs Assessment and Planning phase will include:

● data collection;

● actual needs assessment;

● design guidelines;

● survey and mapping;

● geotechnical investigations;

● analysis and environmental assessment (including a climate risk screening); and

● preliminary basis of design report with the conceptual design.

The detailed design phase will include preparing of engineering designs and construction documents. The bidding phase will include the preparation of all tender documents, tendering strategy, and construction contractor prequalification procedures, and to assist MOH / MPWH in tender announcement, evaluation, and selection of contractors. The Post-design (Construction) Services Phase will include the review of Requests for Information (RFI) provided by the construction contractor, shop drawings, submittals, plans, and claims submitted by the construction contractors.

Each successive phase is described in detail below:

I. Facilities Needs Assessment, Planning and Concept Design Phase

The initial phase of the healthcare facilities design activity pertains to the planning efforts that will allow the A-E firm to determine specific facility requirements that will yield a well-defined scope and approximate construction cost, before the detailed design is developed.

During this phase, the Contractor shall establish the project’s overall guidelines and scope for health facilities design. On its team, the Contractor shall have a Senior Medical Planner, as a member of the team’s Key Personnel, with demonstrated significant international experience in the field of healthcare facilities design and development, hospitals planning, design codes and new technology, working with facilities health service providers and stakeholders to define facility’s needs, and transferring such needs to A-E design concepts.

The contractor will have to propose different design alternatives and to demonstrate which alternative presented is the best investment and should be used to prepare the conceptual design.

Once USAID and MOH has made a determination to proceed with the conceptual design, the contractor will be required to furnish full design specifications.

The Facilities Needs and Planning Phase will entail the following components:

1) Facilities Needs Assessment: The assessment will evaluate the condition of each existing obstetrics department or the new department to be constructed at the four hospitals to determine how they are meeting their current and potential future workloads.

These workload forecasts generate space requirements that form the basis for future renovation or expansion that accommodate changing.

The needs assessment should consider the patient care and community service goals for a period of at least 20 years, growing demand of patient, population growth, and the annual number of deliveries, average length of stay, commitment, required staffing, available land, topography and site conditions, legal and statutory applicable laws, size, occupancy rate, needed medical equipment, beds and furniture, and admission procedures. In addition, the contractor will assess the needs for the new OB Hospital (optional two facilities described above) that will be located in Amman as recommended by the MOH and in consultation with USAID. The assessment will require engaging and working with stakeholders (users, health providers, MOH, etc.), to verify the scope of the required work. The Facilities Needs Assessment Report, for the first two selected hospitals, shall be prepared and submitted to USAID and MOH for their review and concurrence within 60 days of contract start date.

Each report shall also include digital photo albums to document the site pre-existing conditions including information on where photos were taken (shown on the site plan) and any related information to serve as a record for future work.

2) Field Visits, Site Inspections, Meetings and Data Gathering: The contractor shall conduct field visits, site inspections, and meetings to gather data and information relevant to the following:

● existing plans;

● past records/issues;

● plans for future use, expansion or growth;

● land ownership and approvals;

● zoning or any applicable restrictions;

● verification of the equipment needed and to be installed, to make sure space and utilities are appropriately planned; and

● verification of health regulations/standards that impact space and infrastructure, etc.

In addition, the contractor shall meet and coordinate with the hospital staff and other stakeholders, develop generalized conditions of satisfaction, conduct a visual survey of site and connections with other facilities and adjacencies, conduct a photographic and video documentation of site, confirm building program and site program needs, conduct visual surveys of other completed hospitals, such as, Jordan University OB/GYN Hospital, interview users and administrators, develop lessons learned. The contractor shall confirm local and available materials, relative cost, construction types and constructability, as well as develop an initial list of medical equipment.

3) Design Guidelines: The health facilities shall be planned and designed to observe appropriate architectural practices, to meet prescribed functional programs, and to conform to applicable codes as part of normal professional practice. References shall be made to the recommended US, international, and local codes. Design guidelines standards and codes shall be related to the following:

● environment;

● occupancy;

● safety;

● security;

● patient movement;

● Lighting and ventilation;

● water supply;

● waste disposal;

● sanitation;

● housekeeping;

● maintenance;

● material and equipment specifications;

● sustainability;

● patient handling, infection prevention and control;

● segregation;

● fire protection;

● zoning;

● access to facilities;

● function, size and space needed;

● acoustic and visual privacy;

● efficiency of staff and patients circulation;

● architectural detail; and

● surface and furnishing needs for clinical and support areas of hospitals.

Guidelines shall address engineering design criteria for plumbing, electrical, and heating, ventilation, and air-conditioning (HVAC) systems. In addition, guidelines shall consider the lessons learned, cost, quality, and the applicable accreditation standards.

Design guidelines include areas that were considered during the health facilities assessment and proposed material and systems that will be used during the design. All proposed solutions should be based on previous research/studies/data conducted in this area. Contractor shall prepare the design guideline report in parallel with the Needs Assessment and it shall be submitted to USAID and the MOH for review and approval within 60 days of the task order’s start date and it shall include the basic concepts for all interventions under this project, detailed analysis of the challenges, and how the proposed designs will address them.

4) Environmental Mitigation and Monitoring Plans (EMMPs) and Climate Risk

Screening: After award of task order, the Contractor must work with the USAID Mission Environmental Officer (MEO) through the COR to confirm that the final environmental threshold determinations have been reached for all the construction activities of the health facilities and to confirm that no revision or amendment has been made to the Initial Environmental Examination.

The current IEE (ME 19-40) [1] includes A/E services and construction activities that were recommended for Negative Determination with Conditions (NDC). However, if new actions or new Information becomes available which indicates that any of the proposed actions to be funded by this activity might be "major " and their effects " significant,'' the threshold decision for the actions listed in the IEE will be reviewed and revised. If warranted, an Environmental Assessment will be required.

The Environmental Mitigation and Monitoring Plan (EMMP), including the Integrated

Waste Management Plan (IWMP), should be developed and submitted by the contractor during the design phase. The contractor shall ensure implementation of environmentally sound designs; refer to the Best Management Practices (BMP) to minimize dust, noise, debris, waste production, flooding, traffic disturbance, risks to workers and community safety, and for the safe use of equipment and safe storage, handling and disposal of medical waste and chemicals per country and International codes, and MOH standards.

The EMMP shall be approved by the Contracting Officer's Representative (COR) and

Mission Environmental Officer (MEO) and shall be included in any procurement instruments. The contractor is subject to the terms and condition for Environmental Compliance as defined in Section H.

In addition, the contractor shall complete a detailed climate risk screening based on the initial climate risk screening that has been conducted by USAID and included in the Initial Environmental Examination (IEE). The detailed screening shall be guided by USAID’s Climate Risk Screening and Management Tool for Project Design (hereinafter referred to as the “tool”) and in compliance with Climate Risk Management for USAID Projects and Activities: A Mandatory Reference for ADS Chapter 201 .

The contractor will identify impacts of climate change on the location (siting), functionality and sustainability of resulting infrastructure and infrastructure services;

including but not limited to, seismic resiliency, air quality, increases in temperatures, more frequent extreme precipitation and heat events.

If moderate or high climate risks are identified through application of the tool, appropriate adaptation and resilience measures shall be integrated into the planned healthcare facilities, and they will be addressed by:

1. Integrating risk management measures into the current phase of the program cycle, and/or

2. Identifying risk management measures appropriate for future stages of the program cycle and the Climate Risk Management approach to be used moving Forward.

5) Field Survey and Topographic Mapping: Following the concurrence with the submitted Health Facilities Needs Assessment Report by the MOH and USAID, the Contractor shall conduct a full survey for the proposed areas of the Obstetrics department’s expansion in order to initiate the A-E designs including the space programming.

Contractor shall obtain the services of a qualified topographical surveying firm to perform the necessary survey work to support the design work for the four facilities.

Surveyor activities will include:

● Obtaining and researching existing utility plans and parcel descriptions and identifying site boundaries;

● Establishing ground control points and benchmarks;

● Performing ground survey;

● Identifying existing structure (plans and elevation), roads and buildings;

● Identifying existing underground and above ground utilities;

● Identifying roads within the vicinity of the site, size, elevations and condition;

● Identifying contour lines using proper interval of marking and leveling grid, and fixing benchmarks with concrete;

● Describing the status of all adjacent land, and their elevations relative to the project site; and

● Preparing base maps.

6) Geotechnical Investigation: Geotechnical investigation will be conducted after creating concept layouts based on topographic survey data. Contractor shall obtain the services of a qualified geotechnical testing firm to perform the necessary field investigations and lab tests to support the design work at each healthcare facility. The costs of such services shall be covered under the contract price.

● The Contractor shall verify the land to be used for health facilities expansion and external work in terms of size, location and any other information and drawings which might be required and shall define the soil investigation scope.

● Procured services of local geotechnical firm shall include the preparation of boring/test pit location plans based on preliminary design, performing borings and test pits, conducting sampling, and developing conclusions and recommendations for design criteria

● A copy of the test results, reports and deliverables shall be provided to A-E firms for completion of design work. The Contractor shall obtain the MPWH approval for the final soil investigation report.

7) Structural Analysis for Existing Buildings: Conduct structural analysis for the existing structural system of any building that has available buildable space (roof slab) and may be proposed for the new vertical expansion (additional floors) for the Obstetrics department. In addition, the Contractor must verify the original permit for the building to ensure that it can withstand the additional vertical structure components.

8) Building Conceptual (30%) Design, and Basis of Design Report (BODR): The

Contractor shall develop site-specific conceptual designs for each health facility, which will be considered as part of the 30% design progress and shall be approved by USAID and the MOH. This phase shall include the preparation of drawings, site layout, architectural floor layout and plans, and conceptual design reports; this report will be developed throughout the detailed design phase to a basis of design report (BODR). A&E conceptual design package which feeds into formal designs will comply with the US and international standards as detailed in section C.4.1.

The Contractor shall prepare and submit a basis of-design report that will address the following:

● Assembling of the preliminary functional program including:

o Finalized validated spatial program diagrams and site strategy o Function activities analysis;

● Design charrette including the design team for each health facility;

● Refinement of program analysis; and

● Finalization of the new facility conceptual design and Basis of Design Report

The BODR shall show the typical analyses for basic parts of the project, including structural, mechanical and electrical features and each utility, and stating all criteria, factors, assumptions and codes on which the design is to be based. Where applicable, the basis-of-design report shall include the planned utilization, renovation or extension of existing facilities.

The drawings and reports shall take into consideration the relevant factors; which include, but are not limited to:

a) Location (new structures/facility expansions) :

● Accessibility

● Environmental quality

● Land availability (for potential future expansion)

● Proposed new structure/expansion fits within the overall site master plan and has no negative impact on existing health facility functions

● Appropriate land topography

● Minimized external works (retaining walls, excavation and filling)

● Access to existing utilities and services (e.g. electric/water)

b) Orientation (new structures/facility expansions):

● Minimize exposure to undesirable sunlight

● Make maximum use of prevailing winds for ventilation

● Provide for adequately designed window-shades (fixed or movable)

● Preserve existing vegetation, especially trees

c) Spatial Requirements :

● Improved functionality, circulation patterns, and efficient space usage within the existing health facility and with the proposed renovation/expansions. The design should enable the facility to meet basic physical requirements for attaining (and/or re-attaining) national accreditation from the Health Care Accreditation Council.

● As part of the overall objective, USAID will need to build/renovate structures requiring multi-story construction; the contractor will confirm the need for this Approach.

● Appropriateness of additional spaces and external spaces

d) Environmental Standards :

● Appropriate acoustic standards ensured (minimal/no reverberation, sound transmission)

● Optimal light conditions (sizing and orientation of openings; consideration of contrast and glare as design factors)

● Climatic features of a given site should be taken into consideration, e.g. ventilation, solar radiation, average temperatures

● Color – both from an environmental/psychological and maintenance point of view

e) Cost and Value Engineering :

The Contractor shall make its best effort to propose options that achieve the project and Design requirements at the lowest cost without sacrificing quality. The design options proposed by the Contractor shall be supported by cost analysis for each of the options, comparing the cost of the proposed items to the average price of similar projects in Jordan and justification of any increase in the Hospitals cost.

f) Green Design :

To the extent possible, and considering the allocated budget, the Contractor shall incorporate “green building” design concepts. Below are illustrative areas to be considered during the design:

● Reuse of greywater for irrigation

● Use of energy and water saving devices and features

● Maximize the use of natural ventilation and daylight

● Use of renewable energy solutions

● Effective, safe and environmentally-friendly disposal of medical waste, as appropriate

g) Proposed Systems and Material :

Selected systems and materials shall be identified at this stage. These systems and material shall be:

● Available locally from different sources, spare parts and after sale services also available locally at a reasonable price, or should have an authorized local dealers and suppliers.

● Safe and comply with the environmental requirements and international codes

● Durable, easy to maintain and operate

● Cost effective in terms of initial and long-term costs

h) Sustainability

The special technical concerns for “cost effectiveness” and “low operation and maintenance costs” contribute toward operational sustainability of the healthcare facilities infrastructure investments. Technical performance includes interventions to improve energy efficiency, water consumption, and materials consumption.

However, other factors also contribute to the sustainability of constructed facilities.

Such factors include, but are not limited to, the management structure of the operating entity, the capabilities and experience of the operating staff, tariff structure, security factors, and community involvement.

i) Timeliness :

The Contractor shall ensure full compliance with the timelines for completing tasks and deliverables as indicated under this contract and as in the approved work plan.

j) Other :

● The Contractor shall comply with regulations and standards concerning earthquake-resistant design (seismic design requirements).

● Design shall take into consideration people with physical disabilities and special needs in every aspect, (e.g. regarding footpaths, staircases (ramps), sanitary facilities, and doors)

● Designs shall support a safe environment, healthy life styles and the use of modern technologies in hospitals

9) Preliminary Cost Estimate (at the conceptual 30% design stage): Required cost estimates of cost shall be detailed and prepared for any indicated components or equipment of the project and for the project as a whole. Estimates shall be broken down into items of construction, shall be based upon current material and labor costs, and shall be in sufficient detail as will permit analysis of the adequacy of the estimates. Estimates shall not contain lump sums that cannot be broken down and shall not exceed the allocated budget by USAID.

The preliminary cost estimate shall be developed and submitted to USAID for approval at the 30% design development stage, and to be updated throughout the design stages per each hospital. Detailed cost estimate (at 60% design stage) and Engineer's Cost Estimate (at 100% design stage) shall be prepared and submitted to USAID. All required furniture and equipment to be included.

All cost estimates shall be transmitted only to the USAID Contracting Officer in stamped/sealed envelopes.

10) Stakeholder’s Engagement and Concept Design Review: The Contractor shall engage the health field directorates, hospital/health facilities managers, operating staff, and key stakeholders during the planning and early design stages to discuss the preliminary design options, and solicit their feedback and comments. The Contractor shall summarize the feedback and recommendations related to healthcare facility community input and include them in the conceptual design report that shall be reported to USAID and MOH for review and approval.

The Contractor must complete required consultations, field meetings, interviews, and/or workshops with stakeholders to identify critical challenges to address in the design, and implement stakeholder engagement plans for the projects. The Contractor shall organize and coordinate meetings with USAID and MOH (and others as requested by USAID) to present and explain the concept design (30%). The Contractor will develop alternative design components, and facilitate review of design alternatives by stakeholders, and conduct peer reviews of designs performed, as needed, under other programs.

During this stage, the Contractor shall conduct at least one workshop for each designed hospitals to present the proposed interventions and solicit feedback from MOH, potential health staff, health specialists, local field directorate, and other stakeholders. The contractor will also liaise with the equipment provider to ensure the timely procurement of equipment and proper coordination during construction.

11) Deliverables: Planning and Concept Design phase deliverables for each healthcare facility shall include four hard copies and three electronic copies (via CD and DVD) of the following documents (due dates of submission for each deliverable shall be as specified in Section F – Deliverables Plan):

a) Healthcare Facilities Needs Assessment Report

b) General Design guidelines

c) Field Survey, Geotechnical Investigation Reports, and Structural Analysis Reports

d) Environmental Assessment (EA) Reports

e) Presentation of conceptual design options to USAID and MOH

f) Final Conceptual Design Package (considered 30% design progress) ) including :

1. Basis of Design Report ( 30% Design Progress)

2. Final Conceptual Design Drawings (considered 30% design progress) including :

● Illustrative site plan

● Floor plans with test fit of architectural items

● Building sections and elevations

● 3D visualization

● Architectural and civil design criteria

● Structural design criteria

● Building services – HVAC, plumbing and fire protection, where applicable

● Electrical design criteria

3. Initial lists of equipment required to be furnished and installed. The A-E

Contractor will develop the list of needed equipment and its specifications.

USAID's intention is to use a separate mechanism to procure equipment for the facilities. As a result, the A/E Contractor would work with the entity responsible for procuring equipment for the hospitals to ensure the timeliness, compliance with technical specifications, and proper coordination.

4. Preliminary Cost Estimate ( One copy to USAID CO)

Electronic copies, for all design phases, shall be in:

1. MS Word format for all documents except the design drawings and bills of quantities, in addition to a full copy in PDF.

2. Design drawings shall be in AutoCAD format, in addition to a full copy in PDF.

3. Bills of quantities shall be in MS Excel format, in addition to a full copy in PDF.

II. Detailed Design Phase

Once the site-specific conceptual design recommended during the planning phase have been approved by USAID, MOH and hospital authorities, the contractor will be authorized to proceed with the detailed A&E Design. Any deviations or changes from the approved 30% designs shall be approved by USAID.

The Contractor shall prepare the architectural, structural, electrical and mechanical detailed design for each health facility, which shall be submitted for USAID and MPWH approval at 60% and at 90% design progress.

The intermediate (60%) design is required for all features of the project, including site plans, each facility section and structure, floor plans with dimensions and functional arrangement of all areas; elevations and locations of principal items of all required equipment, elevations, sections of structures, and typical wall sections.

For heating, air conditioning, mechanical ventilation and plumbing, and special mechanical features such as elevators, and other equipment, indicate the location, capacity and space requirements of all major items of mechanical equipment. Single line indication and riser diagrams of ducts, pipes and equipment and their approximate location shall also be shown.

Indication shall be made to piping and ductwork .Approximate operating ranges or capacity for heating, ventilation, air conditioning and refrigeration equipment shall be clearly stated.

For electrical systems, indicate typical lighting arrangements, types of fixtures proposed, special electrical requirements of the using services, including communications and electronic facilities where applicable, light and power service entrance and distribution arrangement. Conduits, including those to be wired by others, shall be shown together with indication as to whether conduits are exposed. Functional areas having exposed conduits shall be delineated. Riser diagrams, showing service equipment, feeders, and panels, other than branch circuits shall be shown. Location, capacity and space requirements of all major items of equipment shall be shown service and switching equipment and panels. Power, communication and electronic features will be indicated in sufficient detail to identify requirements clearly and to indicate the means of satisfying the requirements

1. Main Detailed Design Components : The detailed designs shall include (but are not limited to) the following documents:

a) Architectural Works:

● Building envelope design

● Life Safety design

● Accessibility requirements

● Interior design, including appropriate finishes for each space

● Details that provide sterile, easy-to-clean surfaces and avoid dirt-catching crevices

● Laundry and medical waste handling facilities

● Energy efficient/sustainable products

● Site plan 1/200: The site plan shall clearly indicate all existing and proposed structures, works and utilities at each healthcare facility site

● Plans, elevations and sections 1/100

● Furniture plans 1/100

● Architectural details for external and internal works (variable scale) where needed

● Any other plans or details as needed

b) Civil (Site) Works:

● Excavation

● Utilities

● Site grading and drainage

● Site Lighting

● Landscaping and plantings

c) Structural Works:

● Proper design parameters (Seismic, Wind, Live, Dead Loads, etc.)

● Soil investigation report

● Footing plans 1/100

● Structural reinforcement plans for slabs, beams, columns and staircases

● Structural details

d) Mechanical (HVAC) :

● Size and type of HVAC systems

● Heating, cooling, and level of control of HVAC systems

● Efficiency of HVAC systems

● HVAC System redundancy

● Ventilation, outdoor air, humidity control, and filtration of systems

● Supply and return air systems

● Control Sequences for HVAC systems

● Design of negative pressure systems

e) Mechanical (Medical):

● Size and types of medical gas and vacuum systems

● Distribution and locations of terminal stations for each type of gas used

● Storage of medical gas supply sources

● Zoning, isolation, and alarming (on emergency power) of medical gas systems

f) Mechanical (Plumbing) :

● Size of incoming water and wastewater services

● Number of restrooms and drinking fountains

● Design of hot and cold water system, including hot water pump system (if required)

● Distribution and locations of hand-washing and scrub sinks

● Emergency water supply provisions

g) Mechanical (Fire Protection):

● Size of incoming fire protection supply size

● Riser design

● Fire pump sizes and design of electrical supply

h) Electrical (Power) :

● Size of electrical service

● Size of MDPs with future flexibility of power system for new equipment

● Ground fault protection, equipment ratings & overcurrent protection devices

● Size and duration of Emergency power systems

● Grounding of key medical equipment

● Lightning Protection system (if applicable)

i) Electrical (Lighting):

● Lighting levels for each type of space in the building

● Emergency lighting levels and locations

● Lighting fixture types (protected against accidental breakage)

j) Electrical (Other Systems) :

● Fire detection and alarm system design, including connection to life safety power source

● Nurse call system design, including connection to life safety power source

● Design of voice and data systems, including electronic medical records system, incoming services, and flexibility for future expansion.

● Communication system design, including connection to life safety power source

● Design of electrical life safety systems.

k) Bedhead services:

Detailed plans that show sufficient number of socket-outlets, medical gas outlets, switches, nurse and staff emergency call, connections for IT, Radio/TV, and telephone, and other needed connections.

l) Detailed Electrical, Mechanical, Communication, and coordination plans :

● Detailed plans of electrical works 1/100 (or other as appropriate; including wiring, panels, power supply, lighting points, infrastructure for medical equipment, devices, and computer systems or other equipment, etc.)

● Detailed plans of mechanical works 1/100 (or other as appropriate; including Heating, Ventilation and Air-conditioning (HVAC), firefighting; water distribution, drainage sanitary, plumbing works, and any specialized medical equipment requirement (oxygen, compressed air, etc.))

● Coordination plans with all architectural, furnishing, electrical and mechanical elements and systems

m) Health Facilities Furniture and Equipment

● Health facility furnishing layouts for each division, rooms, and administrative space that respond to US and international codes and MOH requirements

● Health facility equipment list and layouts that respond to US and international codes and MOE requirements and support a modern healthcare environment

2. Required Documents: The contractor is required to prepare and submit the following documents for USAID’s review and approval.

A. Medical and Healthcare Planning Report : The contractor shall prepare and submit a comprehensive Medical Planning Report with all required components, including but not limited to:

● Site layout and relationship to other units functions

● Patient Flow Charts

● Detailed Space Program or Schedule of Accommodation (SOA)

● Patient access to building

● Adjacency/connection to main hospital services

● Number, size and arrangement of programmed spaces

● Ability to serve the estimated volume of patients per month

● Efficiency of circulation (both horizontal and vertical) for staff and patients

● Flexibility of space to be modified in future

● All levels of Neonatal Care Units

● Location of birthing facilities

● Medical treatment areas and equipment definition/selection and planning

● Sanitary provisions

● Security provided for patients, staff, medical equipment and pharmaceuticals

● Acoustic and visual privacy for patients and medical records

● Identify missing services/spaces for typical modern Obstetrics Department.

● Critical materials and waste management.

● Storage and records.

● Furniture and medical equipment to be furnished and installed

B. Cost Estimates : Detailed cost estimate (at 60% design stage) and Final Engineer's Cost

Estimate (at 100% design stage) shall be submitted to USAID Contracting Office in sealed envelope. Costs for all required furniture and equipment to be included.

● Detailed Cost Estimate( at 60% design stage) shall be based on contract drawings completed to the percentage established in the task order and other designated data.

The estimates shall be accurate and realistic, reflecting current prices for work and materials, and taking into account and external factors that may affect the estimated cost in the future. The estimates shall be broken down into major items of construction. Each major item shall be further broken down into component units of labor and materials with the quantity and cost of each unit shown. Detailed cost estimates shall present separate costs for each line item, broken down into costs for individual division and components.

● Final Engineer’s Cost Estimate (at 100% design stage) shall be based upon the completed contract drawings and specifications. This estimate comprises a revision of the preliminary cost estimate. The estimates shall be accurate and realistic, reflecting prices for work and materials escalated to the midpoint of construction. The estimates shall be broken down into detailed items of construction. Each item shall be further broken down into component units of labor and materials with the quantity and cost of each unit shown. Pricing of quantity surveys shall include the pricing of square meters areas and cubage’s. Lump sum amounts for items that cannot be readily analyzed will not be accepted. Cost estimates shall present separate costs for each line item, broken down into costs for individual divisions and components

● Priced Bills of Quantities (BOQ) for each designed facility.

C. Certified Final (100% design stage) Documents : After USAID and MOH approval of all conceptual (30%), intermediate (60%), and pre-final ( 90%) design drawings, the contractor shall prepare the Final (100%) design drawings and documents. The contractor shall prepare five copies of the final design documents to be approved and stamped by the Civil Defense, Jordan Engineers Association and relevant local authorities for the purpose of construction permitting.

D. Prepare any other reports, periodic progress reports, financial reports, work plans, performance monitoring plan, or studies as needed to perform this work and /or as requested by USAID.

E. The A/E firm shall develop a notional construction schedule and milestones.

3. Deliverables

Detailed design phase deliverables for each healthcare facility shall include four hard copies and three electronic copies of the following documents (due dates of submission for each deliverable shall be as specified in Section F):

a. Intermediate Design Package (considered 60% design progress) including :

● Design Drawings and Details.

● Technical Specifications including the medical equipment.

● Basis of Design Report

● Detailed Cost Estimate (60% design progress)

b. Pre-final Design Package (considered 90% design progress) including:

● Design Drawings and Details

● Technical Specifications

c. Five hard copies and one soft copy of the Certified Final Design Documents

(at 100% design stage) - stamped by the Civil Defense, Jordan Engineers Association and relevant local authorities – including:

● Final Design Drawings and Details

● Final Technical Specifications

● Final Basis of Design Report

● Cost Proposal Template - Bills of Quantities (BOQs)

d. Final Engineer’s Cost Estimate (at 100% design stage)

e. Priced Bill of Quantities (BOQs)

f. Medical and Healthcare Planning Report

g. Final lists of equipment required to be furnished and installed

h. Permits

III. Bidding Phase

(1) Tendering Documents : After addressing all finial review comments and after USAID and MOH approval of the final design documents, the Contractor shall prepare all tender documents for the proposed Host Country Contracts for construction required for the 100% design submittal. Final content and packaging will be as required by USAID and MOH, and MPWH.

The tendering shall follow USAID's Automated Directives System (ADS) 305: Host

Country Contracts ( http://www.usaid.gov/ads/policy/300/305 ) rules and procedures or other alternative procedures as directed and approved by USAID. The tender documents will be based on International Federation of Consulting Engineers (FIDIC). According to the format approved by USAID, the Contractor shall prepare:

● Tendering strategy that will ensure the selection of qualified construction contractors, completing the works within the assigned time, and achieving the best value.

● Prequalification questionnaires and contractor prequalification procedures

● Tendering Requirements, Contract Conditions, Special Conditions of Contract

(FIDIC-based) according to USAID approved format

● Technical Specifications: shall be specific to the project, clear, concise, complete, correct and consistent

● Cost Proposal Template - Bills of Quantities (BoQs)

● Design Drawings

Contractor shall prepare twenty hard copies and three electronic copies of Detailed

Designs and Tender Documents at 100% design progress, complete and ready for tendering according to the following schedule:

Description Year 1 Year 2 Year 3

100% A/E designs 2 2 (Optional)

Electronic copies shall be in:

1. MS Word format for all documents except the design drawings and bills of quantities, in addition to a full copy in PDF.

http://www.usaid.gov/ads/policy/300/305

2. Design drawings shall be in AutoCAD format, in addition to a full copy in

PDF.

3. Bills of quantities shall be in MS Excel format, in addition to a full copy in

PDF.

(2) Tender Documents Packaging

The Contractor shall package hospitals in multiple tender packages based on the submission time schedule indicated above, priority and recommendations by USAID and MOH, and…