JBSA_3_Construction_Specifications.docx

US Army Medical Command (MEDCOM) Community Based Medical Home (CBMH) Construction Specifications 01NOV2015 A) General Guidance

1) The following construction specifications will be used unless local building code(s) mandate a standard that is equal to or above the Government’s standard and is approved, in advance, by the Corps of Engineers (CoE). It will be the Lessor’s responsibility to consult with the CoE on the acceptability of the office building’s existing finishes. Any significant departure from the intent of these specifications will require prior approval of the CoE.

2) The Lessor shall be responsible for constructing, operating, and maintaining the facility in accordance with the solicitation requirements. Prior to award of a lease for space requiring alterations, dimensioned architectural drawings with square foot allocations by CBMH function and common area will be provided by the Lessor. These drawings will show at a minimum, wall, door, window placement and finish schedules. The Lessor is responsible for coordinating with the CoE in the development and generation of these drawings. Mechanical, electrical, and plumbing diagrams (MEPs) and communication layouts shall be furnished on separate drawings. Any significant departure from these drawings once agreed upon, will require approval by the CoE. Note: These drawings along with the construction specifications shall become an exhibit to the lease and will serve as a basis for resolving any disputes.

3) Codes and Standards: The facility must comply with all Federal, State and local construction standards, building codes, applicable laws, the National Electrical Code (NEC) and the National Fire Protection Association (NFPA). Any variance from these guidelines must have prior approval by the authority having jurisdiction. Where conflicts between standards arise, the build-out of the CBMH must comply with the more stringent requirements. The completed facility will be submitted for accreditation by The Joint Commission (TJC). The leased space shall adhere to Business Occupancy standards as defined by NFPA Life Safety Code 101 as well as local, state and federal laws and jurisdiction requirements. The facility must meet Interagency Security Committee (ISC) Physical Security Criteria.

4) Where applicable, only Energy Star labeled components and natural resource conserving/ recyclable products shall be installed.

5) In order to qualify for annual utilities rate adjustments, all utilities must be metered separately from other landlord tenants.

B) Mechanical

1) Utilities: Utility and mechanical service facilities, if located within the leased space, shall be enclosed within a separate room. Exposed ducts, piping and/or conduit runs are not permitted outside of mechanical room. This enclosed room may NOT, under any circumstances, be co-used for other purposes.

2) Heating, Ventilation and Air Conditioning (HVAC):

a. If existing, the present HVAC system shall be balanced to accommodate the floor plan and operational needs of the CBMH. The design of the HVAC system shall provide for controlled temperatures within the leased space which are in conformance with local, commercial temperature standards and operating practices. If not otherwise stipulated, the HVAC equipment shall be capable of maintaining a minimum temperature of 70 degrees Fahrenheit during the heating season and a maximum of 78 degrees Fahrenheit during the cooling season. These temperature standards must be maintained throughout the leased premises regardless of outside temperature. The Lessor within the design of the HVAC system shall account for areas affected by solar radiation, either excessive heat gain/loss.

b. The Communication Room shall have a separate Lessor provided and installed individual air conditioning unit capable of maintaining a temperature of 18-24 degrees Celsius (64-75 degrees Fahrenheit) 24 hours a day 7 days a week. The system must maintain a relative humidity of 33-55 percent measured at 1.5 meters (5 feet) above floor level. The recommended unit is a Mitsubishi, Model MSY-GE18NA, but other units of equal or better specifications may be submitted for CoE approval. The primary facility HVAC system shall not be ducted to or supply heating or air conditioning to the communication room.

c. The Pharmacy shall have a separate HVAC thermostatic control within the Pharmacy to maintain specific temperature required for certain medications. The following mesh specifications apply to all openings (e.g. duct), except doors and dispensing windows, in excess of 96 square inches in the pharmacy that are located less than 18 feet from the ground level and to similar openings above the first floor which can be reached from an elevated portion of the structure or an adjacent structure which provides ground level access. Long narrow openings with the shortest dimension measuring less than 6 inches are exempt from these requirements. Openings must be protected with 9–12-gauge steel security mesh. Weld the mesh to the duct or secure with smooth-headed bolts with nuts peened in place.

d. The Laboratory shall have separate HVAC thermostatic control within the Laboratory to maintain specified temperature and humidity requirements for equipment.

3) Provide ventilation to the leased space in the most energy efficient and cost-effective manner. It will meet or exceed all applicable building code standards for air-exchange rates and distribution.

C) Plumbing

1) Hot and cold potable water shall be provided to the leased space. If required, the Lessor shall verify the existing water supply meets all potable water standards. When found deficient, the Lessor will be responsible for providing an acceptable alternate water supply. Additionally, when required, an energy efficient water heating system shall be installed to produce and maintain a hot water temperature of 120 degrees Fahrenheit. The hot water heater shall have a minimum capacity of 80 gallons. In the event that clinic water temperature is not able to be maintained at 120 degrees Fahrenheit, a recirculation pump or system to support quick response and efficient conditioned water flow may be needed. Specific system must meet local code requirements.

2) The Lessor shall provide plumbing connections and hookup in accordance with local building codes for all CBMH room fixtures requiring plumbing whether furnished by the Lessor or the Government. Note: Consult Compass unit cut sheets for necessary height of plumbing supply lines and electrical conduit where Compass units are to be installed throughout the clinic. For optimal “back to back” Compass unit wall installation, offset the plumbing and electrical lines; see cut sheets for more thorough explanation/description.

3) In the lab, the lessor shall provide Chlorinated Polyvinyl Chloride Chemical DWV piping system complying with ASTM F2618 and socket (solvent cement) joints.

D) Electrical Electrical Distribution: Each electrical circuit shall be 20 amps rated or greater as defined by the National Electrical Code (NEC). Duplex outlets spaced a minimum of 8-feet apart shall be installed in all CBMH rooms, hallways/reception area and at countertop level where cabinetry/counters are placed, i.e., conference/training area, or as delineated on the floor plans. Electrical faceplate for outlets shall be standard ivory in color. Reception Desk, Physical Therapy, Group Practice Rooms (GPR) and Conference/Training Room require additional outlets: (1) adjacent to TV cable access boxes (See paragraph E.3.), height to be 76-84 inches AFF based upon ceiling height allowance or as approved by CoE. (2) In exam rooms, adjacent to exam table and rail hanging devices: Compass sink, exam table corner, and the rail hanging devices (for rails located on walls behind M4200 and M4116 in picture below) will each require an outlet. Outlets on either side of the head of the exam table should be located about 36-40 inches from the exam table corner, under the location of the rails (18 inches AFF). Place outlet locations supporting the exam table in locations as consistent as possible in rooms with respect to power cord location on exam tables. (Rails are installed by via a separate government contract.)

Connections for modular furniture and special equipment must meet all approved standards. Government supplied furniture will be connected to electrical j-boxes by the Lessor’s electrician.

1) Communications Room: The communications room will have at least one wall covered with ¾ inch fire rated plywood backer board (two 4 x 8 fire rated sheets of plywood mounted and painted) for electronic equipment mounting; two (2), 30 amp L5-30R twist-lock plugs will be centrally located in the room and affixed to the plywood wall. Lessor to provide cable trays throughout leased space where bulk of communications cable weight due to volume is located.

2) Lighting: Light fixtures shall be capable of producing and maintaining a uniform light level and meet all local and national code requirements. They shall produce a minimum 35 foot-candles of illumination in non-patient/non-working areas such as hallways and restrooms. All patient and work areas will have a minimum of 50 foot-candles of illumination at floor level, with 70 foot-candles of illumination at exam table surface in exam and treatment rooms and all work surface areas. The Lessor shall provide blocking above the ceiling in the Treatment room for the Government provided Lessor installed dual headed light fixture.

3) Fluorescent: Lighting provided by the Lessor in all office, hallways, reception areas shall be 2x4, 18-cell parabolic, or larger if required to meet above minimum illuminations standards, energy efficient recessed fluorescent light fixtures with electronic ballast. In rooms requiring smaller scaled fixtures, 2x2 energy efficient, recessed fluorescent fixtures will be provided. Note: If existing fixtures differ from those specified, the contractor will consult with the CoE on their acceptability.

4) Track Lighting: To be standard 120-volt system with wall mounted on-off switches and dimmers. Location as referenced on lighting/floor plan. Lighting to highlight wall graphic(s) where applicable.

5) Compact Fluorescent Lamps (CFL): In areas where it is deemed necessary to use, the Lessor shall install energy efficient compact fluorescent lamps (CFLs).

6) Switches: Note: Occupancy sensors must utilize “adaptive technology.”

7) Ultrasonic occupancy sensors shall be used in storage areas. They shall be wall mounted, with manual override.

8) Infrared wall mounted occupancy sensors shall be used in private offices, display/reception areas and all other small miscellaneous areas/rooms. They shall be equipped with a manual override and incorporate an adjustable photocell set at 40-foot candles.

9) Infrared ceiling mounted occupancy sensors shall be used in large open rooms and hallways 1500 square feet and above. When mounting in hallways, they shall be placed a maximum of 30 feet on center. Hallways over 40 feet long require a minimum of (2) sensors; they shall be equipped with a manual override.

10) Emergency Lighting: Shall be installed with energy efficient emergency lighting with extended, maintenance-free, sealed batteries to maintain illumination throughout the means of egress (exit). The unit(s) will be hardwired to maintain an adequate charge on battery pack; be UL listed and shall be neutral in color.

11) Parking Area Lighting: All parking areas shall be equipped with a lighting system that provides a lighted parking area having a minimum illumination of 5 foot candles from dusk to dawn seven days a week, 365 days a year.

12) Pharmacy Drive-Thru Window: Dedicated 20 amp circuit for electronic systems and lighting required. Specifications are to be identified depending on system selection.

E) Communications

1) Telephone Equipment: The telephone demarcation point provided by the owner and which must be easily accessible, shall be capable of supplying the required phone service to the leased space and shall be so installed as to provide easy activation by the Government selected phone service provider. The Lessor shall coordinate with the CoE on the number of required phone lines to be provided. The Lessor shall provide and install in the Communication Room two painted plywood backer boards for telephone equipment to hang from and shall be anchored to the wall adjacent to the equipment racks. Communications room floor should be coated with anti-static covering or materials.

2) Telecommunication outlet boxes shall be installed adjacent to electrical outlets in all office and general work areas. These telecommunication outlet boxes shall be double-ganged (except PED Alcove, Clean and Soiled Utility and Janitor's closet). Lessor to provide conduit (minimum 3/4 inch diameter; EXCEPT in Laboratory and Group Practice Rooms where there is a 2 in minimum requirement), (2) pull strings, standard ivory blank covers, and cable trays to communication room. Gov't will provide, pull, terminate, and test data and phone lines.

3) Reception Area, Reception Desk, Physical Therapy, Group Practice Rooms (GPR), and Conference/Training requirements: Provide both data and TV cable access boxes and adjacent electrical outlets as located on the electrical floor plan. Installation height to be at 76-84 inches AFF based upon ceiling height allowance or as approved by CoE.

4) Information Technology Requirements: General and specific room IT requirements are listed in column titled “IT Requirements” MEDCOM Community Based Medical Home Program for Design (PFD), of the SFO. MEDCOM IT and MTF IT will identify site specific requirements pending outside support capabilities.

5) Pharmacy Drive Thru Intercom: communications system between Pharmacy Staff and Pharmacy drive through customer with camera/recorder to be determined. Specifications decided upon selection of system.

6) White Noise: clinic will have white noise system installed by a separate government contract; typically, installation will take place after ceiling grid work and ceiling tile installation.

7) Cable Trays: lessor to provide cable trays throughout leased space where bulk of communications cable weight due to volume is located (typically down all hallways and leading to the communications room—bulk of cables in group practice/team rooms, pharmacy and laboratory).

F) Safety and Fire Equipment

1) If existing, the contractor will inspect the fire protection system for fire code compliance. If found deficient, the Lessor shall be responsible for any required remediation.

2) Exit signs shall be placed at doors that open to areas exterior from the CBMH and point in the direction of the nearest fire exit or path of Egress. Signs shall be hard-wired, UL listed, and have backup batteries which shall provide at least 1½ hours of power to light as per NFPA 101. Mounting: Must be capable of ceiling, wall or end mounting; either single or double faced as required.

3) 10-lb ABC dry-chemical fire extinguishers with semi-recessed protective cabinet (painted to match adjacent wall) shall be installed throughout the lease area. Mounting height of protective cabinet should be 48 to 52 inches AFF or as dictated by local building code regulations with maximum distance of travel to fire extinguisher of 75 feet.

4) Ionized Smoke Detector-Alarm: Hardwired, 120-volt smoke alarms with battery backup and test function shall be installed in accordance with local building codes. The alarms will be UL approved and capable of emitting an audible alarm of at least 85 dB at 10 feet.

5) Combination Carbon Monoxide (CO)/Gas Detector-Alarm: Hardwired, 120-volt detectors with battery backup shall be installed in accordance with local building codes. The alarms will be UL approved with sealed cover, test/reset button and capable of emitting an audible alarm of at least 85 dB at 10 feet.

6) Duress/Nurse Call System: All restrooms shall have Lessor furnished and installed Duress/Nurse Call pull strings adjacent to the toilets and wired back to a Lessor furnished and installed control panel at the Reception Desk. Each Pharmacy window work desk (see G 6 below) shall have a duress button installed beneath and positioned for convenient and easy access wired back to the control panel at the Reception Desk. Drive-Thru window area must have an additional duress button. The Behavioral Health Room(s) shall have duress button(s) installed beneath the desk area of the Government furnished modular workstation positioned for convenient and easy access wired back to the control panel at the Reception Desk. The preferred Duress/Nurse Call system is Cornell Series 4000. If the Lessor desires to use a different system, the Lessor will obtain approval from the CoE for the use of an equivalent system.

7) Fire Annunciators: Mount Fire Annunciators in rooms with furniture panels at 85 inches or above due the furniture panel height; the height must be in compliance all Federal, State and local construction standards, building codes, applicable laws, the National Electrical Code (NEC), and the National Fire Protection Association (NFPA).

8) Conduit for cameras/badge readers/alarms: lessor to provide conduit throughout leased space as designated on the A&E MEPs plans. The clinic will have security systems installed by separate government contracts; typically, installation will take place after ceiling grid work and ceiling tile installation. Door badge reading equipment and/or MAG lock systems will require doorframe and hardware to be in place and doors to be hung. Note: consult with CoE and MEDCOM POCs as to specifics on security system requirements and installation timelines.

G) Architectural Finishes-Fixtures

1) Ceilings: Office ceilings should be at least 9 feet or no more than 11 feet, from floor to lowest obstruction. Ceiling tile shall be Armstrong Acoustical, Ultima, Tegular Edge #1911, 24 x 24 x ¾ inch, White. Blocking: The Lessor shall provide blocking in the ceiling of Treatment room to accommodate the Government provided treatment light.

2) Walls:

a. Demising and mechanical room: Walls separating government leased space from adjacent tenants and interior walls enclosing mechanical facilities (if existing) will be erected from floor to building understructure. It shall be constructed of ⅝ inch, Type “X” gypsum wallboard, taped, and finished, applied over 3⅝ inch metal studs, 16 inches o.c. Note: Steel chain link fence may be substituted for gypsum wallboard for the wall section above the finished ceiling line.

b. Interior office partitions: Construction shall be of 3⅝ inch metal studs 16-inch o.c. with ⅝ inch gypsum wallboard applied to both sides, taped and finished. Pharmacy and Communication Room walls must extend to the building superstructure.

c. Soundproofing: Material shall be inserted in all interior walls to provide a minimum Sound Transmission Class (STC) of 45 when tested in accordance with ASTM E-336. Walls shall extend from finished floor to a minimum of 4 inches above ceiling grid with sound batts in partitions and 3 feet on both sides of partitions over ceiling tiles for sound control.

d. Paint: All exposed interior walls shall be finished and painted with one coat primer and two coats latex paint. Type of paint shall be that stated in the PFD.

e. Blocking: Blocking shall be provided in walls of Reception Area/Waiting Room, Group Practice Rooms, and Conference/Training Room for all TV/42-47 inch monitor locations.

3) Windows:

a. Exterior: Windows shall be weather tight and if operable, shall be equipped with workable lock assemblies. Window unit(s) that cannot be secured must be replaced.

b. Glass fragment retention film or Window Glazing: All exterior windows shall be valid in accordance with UFC 4-010-01, dated 9 October 2013 and manufacturer's instructions. Drive-Thru window must meet all codes for security and national, state, and local codes for pharmacy operations; ISC Physical Security for Federal Facilities applies to these clinics

c. Blinds: All exterior windows shall be equipped with blinds having non-corroding mechanisms and synthetic tapes. Each window shall have its own individual blind. Blinds shall be building standard. If there is not a building standard use Graber, Grandeur 2 inch Aluminum Blinds, Color: # 112 Alabaster or comparable to blend with wall and floor coloring. If windows have existing, serviceable coverings, size and color may be approved for use in clinic as a cost saving measure.

d. Interior: Windows shall be fixed plate glass and installed as referenced on the floor plan at a height of approximately 40 inch AFF. Window frames shall match interior doorframes both in style and color.

4) Doors:

a. Main Entrance: Doors and finish to be standard to the office building or as approved by CoE. Main entrance doors to the leased space shall have Grade 1 hardware and equipped with dead-bolt lockset with automatic door closer. Important: If removable, all door hinge pins exposed to the outside exterior of the office premises will be secured to prevent manual removal.

b. Secondary entrance/exit: Door(s) shall be equipped with Grade 1 hardware with deadbolt lockset with automatic door closer. Note: Doorframe and hardware finish should be standard to the building for Main/Secondary entrances.

c. Interior: The Lessor shall coordinate with the CoE to determine whether interior door standards of the existing office building will be acceptable. If unacceptable, the following standard will apply: All interior doors 3 x 7 feet in size with Grade 2 hardware or better and will be wood veneer, solid core, with a flat panel (with the exception of the Treatment room and Communications room doors which should be 4 feet wide). Wood veneer to be maple or as approved by CoE. Veneer surface to be stained cherry or as appropriate to match wall and floor coverings as approved by CoE. Doorframes shall match interior window frames in style, color and material (See 3.d., Interior window frame finish). Hardware to be brushed stainless steel finish or as approved by CoE. Note: All hallway doors shall be solid core wood one-way doors, 4 ft wide or greater, (finish to match other interior doors) with vertical see through glass panel (60 inches x 6 inches). The glass panel should be located opposite of the hinged side of the door. These doors should be located in the main hallways between the reception area and the exam rooms for patient privacy and open towards the path of egress. See Security Comments in the PFD, for door security info. Special requirements for pharmacy and communications door locks are listed on the PFD. Note: Communications door should open outward to the hallway as long as there are no egress and/or code restrictions preventing the door from opening outward.

d. All entrance doors to leased space: Lessor locksmith will recut keys at day of key acceptance for turnover to the CoE Realty Office with jurisdiction.

e. Elevators: Where present, shall have the capability to program elevator to not stop or open on tenant occupied floor in non-business hours.

f. Stairs: Where present, shall have the capability to lock and deny access to tenant occupied floor in non-business hours.

5) Flooring: General parameters: All floor areas will be of a common level, covered in a specified material and have a minimum live-load capacity of 50 pounds per square foot. Floors must be completely and thoroughly prepared including but not limited to a) repair of all cracks and uneven patches in the concrete subfloor prior to the installation, b) in case of sub floors with large cracks, consider the possibility of removing a large section of concrete slab and replacing it with a new one instead of patching all the cracks, c) for bad cracks in the concrete slab, smooth it with concrete filler, or similar compound, d) cleanliness is paramount; besides any surface materials, be sure to remove any grease stains, or other substances that have stained the slab. If the concrete floor to be repaired is heaving, has large wide cracks, or is damaged due to freeze damage, then other alternatives should be considered instead of resurfacing. Pharmacy area must be able to support a "Class 5" Diebold narcotics safe with an estimated weight of 1,000 pounds. The communications room floors must be covered with anti-static coating/materials. All floor covering shall meet the specifications listed in the PFD.

6) Finish Cabinetry: General Parameters: All cabinetry will be covered in a plastic laminate, Nevamar, Kona Blend Polished Velvet, W20028PV. Cover countertops with laminate - Wilsonart 4912-38, Gilded Mesh. Countertops and window shelves in Pharmacy and at Reception Desk are solid surface Corian, color: Suede. The pharmacy and Reception Desk window shelves shall extend into Reception/Waiting Room area 18 inches. Below the Pharmacy and Reception Desk windows within the interior of these two rooms, the lessor shall install working shelves 18 inches in depth covered in plastic laminate, Nevamar, Kona Blend Polished Velvet, W20028PV, being 30 inches AFF. This shelving shall not impede the staff’s ability to perform everyday work tasks while seated at the counter, i.e., the staff must be able to sit comfortably with legs under the counter and not hit the 18 x 30 inch built-in shelving. Reception area and pharmacy area will both have portions allocated to meet ADA requirements, i.e., approximately of the reception counter and one pharmacy dispensing window will be at ADA compliant height/depth.

7) Sinks: Lessor shall provide Stainless Steel, Heavy Duty sinks unless otherwise approved by the CoE in the following work areas: Lab – one double sink and one single sink both with cabinetry; Immunization/Blood Draw - one single sink; Pharmacy – one double sink with cabinetry with Lessor installed Government furnished water purification system, FlowMaster 360 installed per the manufacturer’s instruction; Soiled Utility - one single sink with cabinetry; and Janitor Closet Room - Mop Sink shall be a low curb wash basin with hot and cold water faucets, side splash walls up to 48 inches level AFF, have a minimum of four mop retention devices on a Stainless Steel plate. All restroom sinks shall be porcelain.

8) Eye Wash: Lessor shall provide commercial grade construction eyewash stations in the Soiled Utility Room and Pharmacy; in the Janitor’s closet the lessor shall provide and eye and face wash station. Sinks with an eyewash station will be operated with paddle handles. Lab sink shall have surface mounted eyewash with paddle handles at or co-located with grossing sink.

H) Signage:

1) Lessor shall provide exterior signage in viewing proximity of the thoroughfare road providing access to the facility. The sign shall be of lighted dual sided pylon type of white background with the clinic name in black lettering and the MEDCOM insignia in maroon color. The sign shall be a minimum of 3 feet in height and 6 feet in width with the sign bottom being a minimum of 6 feet above ground level. Note: Prior to ordering the signage, the Lessor shall submit scaled renderings of the proposed signage to the CoE for approval.

2) The main entry door of the clinic shall also have the name of the clinic and MEDCOM emblem in the above stated colors affixed by either etching or decal.

Note: Prior to ordering the above signage, the Lessor shall submit scaled renderings of the proposed signage to the CoE for approval.

3) A separate contract will provide and install interior room signage identifying each room on the hallway wall adjacent to the entry door at a height of 5 feet AFF. The interior signage shall be of approved style and size.

4) Additional signage for Drive-Thru window and traffic flow will be required and must meet local code.

I) Access Road and Parking: Both access road to main thoroughfare and parking areas shall be paved asphalt or concrete installed in accordance with the Local Department of Transportation (DoT) Construction Standards. The access road and parking area boundary shall have concrete curbing in accordance with Local DoT minimum standards. Lessor shall provide adequate drainage for both parking area and access road to prevent any pooling effect during periods of heavy rainfall.

GENERAL NOTES:

· To minimize potential misunderstanding, a Lessor, CoE, MEDCOM representative and General Contractor on-site pre-construction meeting will be scheduled prior to the commencement of construction.

· The Lessor shall notify the CoE representative at least five (5) working days prior to commencement of work on the site.

· All preceding specifications do not preclude common sense considerations/solutions to those issues that may arise during the design/build-out of the leased premises.

· Suggestions/recommendations by the Lessor should be addressed to the CoE representative.

· For all furniture and equipment supplied by the Government and/or Government contractor, please see cut sheets to verify size and dimension requirements for proper floor plan room size/wall spacing/doorway location requirements.

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