EXHIBIT B_Agency Requirements - Carson Valley CBOC.pdf
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- Carson Valley CBOC
- Solicitation number
- 36C24W23R0069
About this file
This document outlines agency requirements for a federal lease solicitation to replace an existing Community Based Outpatient Clinic in Carson Valley, Nevada. Key details include a 25,194 square foot build-to-suit or tenant improvement project for the Department of Veterans Affairs Sierra Nevada Health Care System to accommodate projected workload growth. The facility is to include 175 rooms across 13 functional areas to support primary care, mental health services, physical therapy, laboratory testing, and administrative functions. Signage, finishes, infrastructure, and IT specifications are provided.
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Carson Valley CBOC – ASR Package rev. 06/24/2022 Planate Management Group
VA Sierra Nevada Health Care System Carson Valley CBOC LEASE
AGENCY SPECIFIC REQUIREMENTS
Delineated Area, Program, Administrative Requirements, Site Requirements, Room Requirements, Signage Requirements, Schedule of Finishes, Infrastructure Requirements, IT Requirements
EXHIBIT B
Table of Contents
DELINEATED AREA
PROGRAM
ADMINISTRATIVE REQUIREMENTS
Tests and Inspections
Exterior Maintenance
Lessor’s Responsibilities
Waste and Recycling
Extermination Services
Snow Removal
Landscaping Services
Building Maintenance and Repairs
Janitorial Services
Pest Control
Frequency of Building Maintenance
SITE REQUIREMENTS
General Notes
Building Entrances and Exits
Access for Emergency Responders
Building Envelope
Parking
Bike Racks and Lockers
Flagpole
Environmental Compliance
ROOM REQUIREMENTS
General Project Description
Occupancy Groups & Exiting
General Design Criteria
Architectural
Partitions
Doors and Hardware
Flooring
Casework
Cubicle Curtain Tracks
Handrails, Wall Guards and Corner Guards
Furniture, Fixtures, and Equipment
Room Templates Disclaimer
References
SIGNAGE REQUIREMENTS
General Notes
Exterior Signs
Interior Signs
Signage by VA
References
SCHEDULE OF FINISHES
General Notes
Specification Per Area
FA3: Veteran Welcome Area / Main Street
FA4: Café / Refreshment Area
FA5: Veteran Education / Group Care Area
FA6: Physical Medicine, Prosthetics, and Orthotics Area
FA7: Laboratory Medicine Area
FA8: Diagnostic Imaging
FA9: Patient Care Area
FA10: Teamwork Area
FA11: Logistics Area
FA12: Police Area
FA13: Management Area
INFRASTRUCTURE REQUIREMENTS
Mechanical System
Electrical System
Raceways, Receptacles, & Wiring
Lighting System
Plumbing System
Plumbing Fixtures, Trim, and Equipment
Fire Protection
Water Supply for Fire Protection
Automatic Sprinkler Systems
Fire Alarm Systems
Fire Extinguishers
Physical Security
Exhibit B1 - Facility Security Level II (FSL II)
IT REQUIREMENTS
General Notes and Scope
IT Closet Requirements
Telecommunications System
Closet Construction
Data Lines
Noise Transmission Control General
VA Sierra Nevada Health Care System
Carson Valley CBOC Lease
AGENCY SPECIFIC REQUIREMENTS
Delineated Area, Program, Administrative Requirements, Site Requirements, Room Requirements, Signage Requirements Schedule of Finishes, Infrastructure
DELINEATED AREA
General Notes The Carson Valley Community Based Outpatient Clinic (CBOC) is an integral part of the VA Sierra Nevada Health Care System (VASNHCS). The current Carson Valley CBOC, located in Gardnerville NV, provides primary care and support services to the Veterans in the immediate area. In FY19 the clinic workload was 14,486 encounters. Projections estimate increases in the VASNHCS catchment area, including Carson Valley, of over 14% for primary care and over 43% for outpatient mental health in the next ten years.
The replacement lease planned for Carson Valley will allow VASNHCS to accommodate the projected workload growth.
In order to provide better continuity of care, VA Sierra Nevada Health Care System is requesting a new lease to be located within the boundaries provided in the map below.
This would allow access to Primary and select Specialty Care closer to the Veterans’ homes.
Location should be minimum 200 yards from the following establishments: liquor store, bar/club, marijuana dispensary, firearm store, shooting range, gentleman's club/strip club, brothel, adult shop/cinema, casino, pawn shop, or residential neighborhood.
Approximate Borders of Delineated Area:
North: Southern boundary of Carson City
East: East Valley Road
South: Riverview Drive/Pinehurst Court/Pinenut Road
West: East Fork Carson River
Requirements, Signage Requirements
PROGRAM
Functional Area
(FA) Room Room Code Qty Area Net
Area Comments
FA1: supporting ease of access to the clinic, weather protection, and other exterior amenities
Outdoor Public Area CBOC Veteran Drop-off SB101 1 0 0
Covered portico sheltering drop-off and entry; allows 2 vehicles to easily pass
Outdoor Public Area CBOC Valet Parking Station SB102 1 0 0
Outdoor Public Area CBOC Bicycle Rack Area SB103 1 0 0
Outdoor Public Area CBOC Service Dog Walk Area SB104 1 0 0
FA Totals: 4 0 0
FA2: weather protected entry, convenient placement of mobility aids, PPE for cold symptoms
Indoor Public Area CBOC Vestibule / Indoor Buffer SB291 1 120 120
Indoor Public Area CBOC Wheelchair Corral / Parking SB262 1 30 30
Indoor Public Area CBOC Mobile Lift Corral / Parking SC093 1 40 40
Indoor Public Area CBOC Public Health Kiosk SC170 1 120 120 For gloves/masks/ hand sanitizer
FA Totals: 4 310 480.5
FA3: support a warm personal welcome, rapid assisted self-check-in, relaxation
Veteran Welcome Area / Main Street
CBOC Assisted Veteran Electronic Check-in
SC165 2 35 70 Power and data for 2 kiosks
Veteran Welcome Area / Main Street
CBOC Welcome Station SC005 1 100 100 Volunteer or welcome desk
Area / Main Street
Reception/Check-in and Check-out 1 400 400
3 check-in/3 check-out with walls in between for privacy; design with line of site to the waiting room and vestibule/entry
Veteran Welcome Area / Main Street
CBOC Veteran Appreciation Area SB105 1 30 30 Display
Veteran Welcome Area / Main Street
CBOC Veteran Information Station SB133 1 10 10
Veteran Welcome Area / Main Street
CBOC Veteran Video Connect Station SC274 2 80 160
Veteran Welcome Area / Main Street
CBOC Veteran / Guest Seating SB003 1 415 415
Requires backing, power, data and cable for wall-mounted monitor
Veteran Welcome Area / Main Street CBOC Family Seating SB051 1 90 90
Requires backing, power, data and cable for wall-mounted monitor
Veteran Welcome Area / Main Street
CBOC Universal Single Occupant Toilet SB191 1 65 65 Include changing table
Veteran Welcome Area / Main Street
CBOC Bariatric Patient Toilet SB163 1 75 75 Include changing table
Veteran Welcome Area / Main Street Toilet, Female TNPF3 1 265 265
Include changing table, Male/Female Toilets: provide drinking fountains (high and low) and water bottle filling station adjacent to public toilet rooms.
Veteran Welcome Area / Main Street Toilet, Male TNPM3 1 265 265
Veteran Welcome Area / Main Street
Veteran Information / Welcome Area Storage Alcove
OCB16 1 40 40
Area / Main Street
CBOC Housekeeping Aides Closet (HAC) SB244 1 60 60
With floor sink, backflow preventer for chemical mixing station (if required), supply storage shelving, and broom/mop wall mounted storage brackets.
FA Totals: 16 2,045 3169.75
FA4: enhance the comfort of our guests and social hub for Veterans
Café / Refreshment Area
CBOC Refreshment Station SV381 1 80 80
Café / Refreshment Area
CBOC Refreshment Seating SV628 1 120 120
Café / Refreshment Area CBOC Vending Area SV692 1 30 30
Café / Refreshment Area
CBOC Outdoor Seating SB207 1 0 0 Picnic style seating area
FA Totals: 4 230 356.5
FA5: support group care, education events, and meetings
Veteran Education / Group Care Area
Shared Group / Multifunction Room OCB21 2 360 720
Requires multiple in-floor power and data.
Veteran Education / Group Care Area
Shared Group / Multifunction Storage Room
OCB24 2 60 120
Veteran Education / Group Care Area
Multifunction Room Assembly Area OCB27 2 40 80
Requires multiple in-floor power and data.
Veteran Education / Group Care Area
CBOC Patient Education Workstation SC172 1 56 56
Veteran Education / Group Care Area
CBOC Patient Education Room SC171 1 140 140
FA Totals: 8 1,116 1729.8
FA6: integrating physical therapy, prosthetics, and other whole health services
Physical Medicine, Prosthetics, & Orthotics Area
CBOC PT/OT Patient Care Room CH231 1 140 140
Physical Medicine, Prosthetics, & Orthotics Area
CBOC PT/OT Multiple Treatment Station Room
CH232 1 400 400
Physical Medicine, Prosthetics, & Orthotics Area
CBOC PT/OT
Equipment Storage Room
CH233 1 120 120
Physical Medicine, Prosthetics, & Orthotics Area
CBOC PT/OT Tech Workstation SS217 2 48 96 open office concept to be split among a few team rooms with audible isolation from hallway and other rooms similar to Exam Rooms (STC 45-50); requires power and data placed appropriately to route through the furniture; requires dedicated power and data for multi-function device in each team room.
Physical Medicine, Prosthetics, & Orthotics Area
CBOC Clinical Supply Storage Room CH237 1 60 60
Physical Medicine, Prosthetics, & Orthotics Area
CBOC Outdoor Courtyard CH238 1 0 0
Easily accessible from the therapy gym for gait and mobility training
Physical Medicine, Prosthetics, & Orthotics Area
CBOC Prosthetics Supplies Storage Room
CPR56 1 60 60
Physical Medicine, Prosthetics, & Orthotics Area
CBOC Wheelchair Repair Shop CPR31 1 120 120
Physical Medicine, Prosthetics, & Orthotics Area
CBOC Prosthetics Workstation 1 56 56
Open office concept to be split among a few team rooms with audible isolation from hallway and other rooms similar to Exam Rooms (STC 45-50); requires power and data placed appropriately to route through the furniture; requires dedicated power and data for multi-function device in each team room.
FA Totals: 10 1,052 1630.6
FA7: acquisition and processing of physical specimens for diagnostic testing
Laboratory Medicine Area
CBOC Blood Draw Station CL821 2 80 160
Laboratory Medicine Area
CBOC Bariatric Blood Draw Station CL822 1 100 100
Laboratory Medicine Area
CBOC Specimen Collection Toilet SB198 2 65 130
Laboratory Medicine Area
CBOC Handwashing Station SC189 1 10 10
Laboratory Medicine Area
CBOC Laboratory Specimen Processing CL823 1 150 150
Laboratory Medicine Area
CBOC Laboratory Lead Tech Workstation SS218 1 56 56
Open office concept to be split among a few team rooms with audible isolation from hallway and other rooms similar to Exam Rooms (STC 45-50); requires power and data placed appropriately to route through the furniture; requires dedicated power and data for multi-function device in each team room.
Laboratory Medicine Area
CBOC Laboratory Clean Supply Storage Room
CL831 1 60 60
Laboratory Medicine Area
CBOC Laboratory Soiled Holding Room CL832 1 60 60
FA Totals: 10 726 1125.3
FA8: diagnostic imaging (Not provided; 10,001+ enrollees)
FA9: service the face-to-face care needs of Veterans
Patient Care Area CBOC Accessible Patient Height & Weight Station
SC066 2 60 120 Requires power for scale
Patient Care Area General Patient Care Room OCB31 12 140 1680
Patient Care Area Multi-Use/Bariatric Patient Care Room OCB37 1 210 210 Include ceiling mounted patient lift
Patient Care Area Women Veterans Subwaiting Room 1 60 60
Close to Women Veteran Patient Care Room
Patient Care Area Women Veteran Patient Care Room CWV16 1 140 140 Include ceiling mounted patient lift
Patient Care Area CBOC Women Veteran Patient Toilet SB159 1 75 75
Patient Care Area Podiatry Patient Care Room OCB41 1 140 140
Patient Care Area CBOC Optometry Patient Care Room CEY53 2 140 280
Patient Care Area CBOC Optometry Testing Patient Care Room
CEY52 1 140 140
Patient Care Area CBOC Tele Retinal Imaging Patient Care Room
CEY62 1 140 140
Patient Care Area CBOC Dilation Seating Alcove SB001 1 60 60
Patient Care Area CBOC Consult Patient Care Room SC271 6 140 840
Patient Care Area CBOC Clinical Trainee Consult Patient Care Room
SC271 1 140 140
Patient Care Area CBOC Counseling Patient Care Room OCM05 2 140 280
Patient Care Area CBOC Audiometric Booth Patient Care Room
CAS11 1 300 300
Patient Care Area CBOC Hearing Aid Fitting Patient Care Room
CAS94 1 140 140
Patient Care Area CBOC Telehealth Patient Care Room SC249 3 140 420
Patient Care Area CBOC Patient Toilet SB201 2 75 150 FA Totals: 40 5,315 8238.25
FA10: workstations for staff and places for equipment, supplies, and medication at point of use
Teamwork Area CBOC Clinical Staff Workstation SS218 30 56 1680
Open office concept to be split among a few team rooms with audible isolation from hallway and other rooms similar to Exam Rooms (STC 45-50); requires power and data placed appropriately to route through the furniture; requires dedicated power and data for multi-function device in each team room
Teamwork Area CBOC Intern / Student Workstation SS216 2 36 72
Teamwork Area CBOC Hoteling Workstation SS217 2 48 96
Teamwork Area CBOC Huddle Space SS291 2 180 360
Teamwork Area CBOC Point of Use Supply Alcove SC281 2 50 100
Teamwork Area CBOC Point of Use Medication Alcove
SCV58
1 2 50 100
Vaccine refrigerators and other medication administration related items
Teamwork Area CBOC Point of Use Equipment Alcove SC079 2 50 100
Teamwork Area CBOC Team Copy / Supply Alcove SS268 2 50 100
FA Totals: 44 2,608 4042.4
FA11: support materials handling and storage needs, and OIT
Logistics Area CBOC Medical Equipment Storage Room
SB721 1 120 120
Logistics Area CBOC Sterile Supplies Storage Room SB763 1 100 100
Logistics Area CBOC Clinical Supplies Storage Room SB741 1 100 100
Logistics Area CBOC Recycling Holding Station SB272 1 40 40
Logistics Area CBOC Trash Holding Room SB289 1 60 60
Logistics Area CBOC Soiled Linen 1 60 60
Logistics Area CBOC Housekeeping Aids Closet (HAC) SB244 1 60 60
Logistics Area CBOC Full Gas Cylinder Storage Room SB541 1 40 40
Logistics Area CBOC Empty Gas Cylinder Storage Room SB551 1 40 40
Logistics Area CBOC Equipment / Furniture Staging Area SB581 1 100 100
Logistics Area CBOC Demarc Room SC393 1 80 80
Services brought by outside providers such as telephone, data, cable TV; service provider network cabling ends and the VA premises cabling begins in this room
Logistics Area
CBOC
Telecommunications Room
SC391 1 100 100
Refer to TETR1 guide plate for physical security requirements including card reader access at door, preventing access from adjacent spaces (partitions and ceiling), security cameras, and dedicated HVAC
Logistics Area Covered Drop-off / Pick-up SB106 1 0 0
FA Totals: 13 900 1395
FA12: support security operations.
Police Area CBOC Operations Room SB811 1 100 100
One-way glass that can oversee the entrance; no ability for up and over access from adjacent spaces
Police Area CBOC Secure Storage Room SB821 1 60 60 No ability for up and over access from adjacent spaces
Police Area CBOC Armory / Weapon Storage Room
SB831 1 60 60
Police Area CBOC Holding Room SB816 1 60 60
Police Area CBOC Police Personal Property Locker Alcove SS251 1 20 20
Police Area CBOC Police Staff Universal Toilet SB191 1 65 65
No ability for up and over access from adjacent spaces
FA Totals:
6 365 565.75
FA13/14: support leadership/admin area and staff wellness, recharging, comfort and rest needs
Management Area CBOC Shared
Leadership Office SS209 1 140 140
Management Area CBOC Administrative Staff Workstation SS218 1 56 56
Management Area CBOC HAS Workstation SS218 1 56 56
Management Area CBOC Copy / Supply Station SS268 1 40 40
Management Area CBOC Staff Workroom / Storage Room SC231 1 140 140
Management Area CBOC Staff Conference Room SS101 1 240 240
Management Area CBOC Clinical Training Materials Storage Room
SC063 1 80 80
Management Area
CBOC Clinical Neighborhood Staff Multipurpose Room / Breakroom
SS262 1 210 210
Requires multiple in-floor power and data
Management Area CBOC General Staff Multipurpose Room / Break Room
SS262 1 120 120
Requires multiple in-floor power and data
Management Area CBOC Staff Wellness / Fitness Room SS276 1 200 200
Management Area CBOC Lactation Room CWV11 1 75 75 Shared for patients and staff
Management Area CBOC Universal Staff Toilet SB191 1 65 65
Management Area CBOC Universal Staff Toilet / Shower SB196 1 85 85
Management Area CBOC Staff Personal Property Locker Alcove SS251 2 40 80
Management Area CBOC Staff Outdoor Eating Area SS275 1 0 0 One or more picnic tables FA Totals: 16 1,587 2459.85
NUSF DGSF (1.55)
Department Totals: 175 16,254 25,194
Requirements, Signage Requirements
ADMINISTRATIVE REQUIREMENTS
Tests and Inspections
Provide VA documentation annually that required testing and maintenance was performed. Maintenance, testing, and inspection of appropriate equipment and systems shall be done in accordance with applicable codes, and inspection certificates shall be displayed as appropriate. Copies of all records in this regard shall be forwarded to the VA Contracting Officers Representative (COR) or a designated representative. All Fire Protection and safety requirements should comply with NFPA 101 and local codes/ordinances.
It is allowable to use own documentation format/template for reporting out on required tests and inspections, however, the documentation must include ALL required information as specified in NFPA 101, 72, 99, and any other applicable code requirement.
Without any additional charge, the Government reserves the right to require documentation of proper operations or testing prior to occupancy of such systems as fire alarm, fire sprinkler, emergency generator, physical security systems, nurse call/code blue, etc. to ensure proper operation. These tests shall be witnessed by a designated representative of the LCO.
Fire alarm system shall be designed such that it is not affected by vacancies in adjacent spaces. Monthly fire extinguisher inspections are completed by the VA, CBOC Manager or designee. Annual fire extinguisher inspections are to be completed by the Lessor as part of maintaining fire safety equipment
The Government will be responsible for the disposal of hazardous or pathological waste which has been properly stored in the designated store areas.
Exterior Maintenance
Lessor’s Responsibilities
The Lessor shall maintain the leased premises to provide a clean, neat, and attractive appearance by performing the functions described below. At a minimum, the Lessor shall perform the following at the frequency indicated:
1) Daily:
• Building entrances: Pick up trash, litter, debris, and cigarette butts.
Empty trash receptacles.
2) Three Times Weekly:
• Sweep landings, steps, and sidewalks.
3) Quarterly
• Lessor shall clean bugs and cobwebs from the interior of exterior light lenses.
• Clean balconies, ledges, courts, areaways, gutters, and flat roofs.
• Clean mildew from exterior of building, sidewalks, and roof areas, etc.
4) Semi-Annually
• Wash outside of all exterior windows, glass located over and in exterior and vestibule doors, and all exterior plate glass around entrances, lobbies, vestibules, and skylights.
• Inspect and clean all onsite catch basins and storm drain inlets of trash, leaves, and other deleterious materials.
Detention/retention and silting basins shall be inspected and cleaned of weeds and overgrowth to ensure proper drainage is maintained.
• Basin bottoms should be scarified to maintain the integrity of the drainage design.
5) Annually
• Remove all spider webs, wasp nests, dirt dobber nests, stains, etc., around exterior of the building.
Waste and Recycling
The Lessor shall have no responsibility for disposing of hazardous or pathological waste. The Lessor shall provide collection, disposal, and recycling for all other waste materials generated by VA. Recycling of cardboard and plastics as required for LEED Certification or by local ordinances.
• Locate waste and recycling containers near the loading dock/service area in accordance with security requirements. The Lessor shall provide and maintain adequate quantity of trash container(s), including compacting equipment as required, based on volume of waste and frequency of collection.
• The Lessor shall provide the covered recycling receptacles and shall collect and remove recycled materials bi-weekly.
Extermination Services
Extermination of insects and rodents shall be provided on a regular basis (minimum of every three (3) months), and upon any sign of infestation. Use of chemicals shall conform to EPA and state requirements. If any signs of re-infestation appear, additional service shall be provided by the Lessor at the request of VA.
Snow Removal
Lessor shall provide snow removal services for the Government on all days for which this Lease has designated normal hours. Lessor shall clear parking lots if the accumulation of snow exceeds one inch. Lessor shall clear sidewalks, walkways, and other entrances before accumulation exceeds 1.5 inches. The snow removal shall take place no later than 7:00 a.m., without exception. Should accumulation continue throughout the day, the Lessor shall provide such additional snow removal services to prevent accumulation greater than the maximums specified in this paragraph. In addition to snow removal, the Lessor shall keep walkways, sidewalks and parking lots free of ice during the normal hours. The Lessor shall remove excess build-up of sand and/or ice melt to minimize slipping hazards. If the Building entrance(s) has a northern exposure, then Lessor shall take additional measure to protect the safety of pedestrians.
Landscaping Services
Landscape Maintenance shall be performed during the growing season at not less than a weekly cycle and shall consist of watering, weeding, mowing, and policing the area to keep it free from debris. Pruning and fertilization shall be done on an as-needed bases.
In addition, dead, dying, or damaged plants shall be replaced. In addition, the Lessor shall perform the following:
1) Monthly:
• Remove weeds from around building, parking areas, all landscaped areas (including lawn), and fence borders (both sides of fence).
• Mow and edge lawns during the dormant season.
• Trim and prune shrubbery and trees to maintain an attractive appearance.
Shrubbery shall not be allowed to grow up and cover windows.
2) Annually:
• Re-mulch all planting beds.
3) As Required:
• Water the grass and plantings as necessary to maintain their health and attractive appearance.
• Pruning and fertilization shall be done on an as-needed basis. Fertilize plants and trees with type of fertilizer recommended by manufacturer with frequency recommended by the manufacturer of type of fertilizer used.
• Dead, dying, or damaged plantings or lawn shall be replaced with like kind immediately. Partially dead plantings may be trimmed if, after trimming, a good appearance is maintained.
• Rake and remove leaves to ensure a good appearance of the site.
Landscape Management Practices shall prevent pollution by:
• Employing practices which avoid or minimize the need for fertilizers and pesticides.
• Prohibiting the use of the 2,4-Dichlorephenozyacteic Acid (2,4-D) herbicide and organophosphates; and
• Composting/recycling all yard waste.
The lessor shall use landscaping products with recycled content as required by EPA’s CPG for landscaping products. Refer to EPA’s CPG website: www.epa.gov/cpg.
Building Maintenance and Repairs
The Lessor is responsible for total maintenance of the leased premises. Such maintenance and repairs include site and private access roads. All building service equipment and systems shall be maintained in accordance with industry standards and the Original Equipment Manufacturers (OEM) recommendations to provide reliable, energy efficient service without unusual interruption, disturbing noises, exposure to fire and safety hazards, uncomfortable drafts, excessive air velocities, or unusual emissions of dirt or fumes.
The maintenance responsibility includes initial supply and replacement of all supplies, materials, and equipment necessary for such maintenance. The Lessor shall provide the labor, material, and supervision to adequately maintain the structure, the roof, the exterior walls, windows, doors, and any other necessary building appurtenances to provide watertight integrity, structural soundness, and acceptable appearance.
The Lessor is responsible to assure that the building is properly maintained to provide a safe and healthy environment and as required by the National Fire Prevention Association (NFPA). Within 60 days after occupancy by the Government, the Lessor shall provide the Leasing Contracting Officer (LCO) with a detailed written schedule of all periodic services and maintenance to be performed other than daily, weekly, or monthly.
The Lessor must have a building superintendent or a local, designated representative available to promptly correct deficiencies or attempt to correct deficiencies upon written notice of such condition from VA. The Lessor’s superintendent or designated representative shall correct or attempt to correct deficiencies within the timeframes agreed to by the LCO. If no substantial attempt has been made to correct the deficiencies within the specified time, action will be taken by VA to correct such deficiencies and the cost of repairs will be deducted from the next month's rental payment.
Maintenance by Lessor includes, but is not limited to, interior and exterior care of the building and the site; all sidewalks, parking areas, driveways, private access roads, lawns, and shrubbery; utilities; and building service equipment including all repairs and replacements. All equipment and systems shall be maintained to provide reliable service without unusual interruption, disturbing noises, exposure to fire or safety hazards, or unusual emissions of dirt.
http://www.epa.gov/cpg
All preventative and corrective maintenance shall be performed by the Lessor if it was provided/installed by the Lessor, e.g., building systems, fixtures (light fixtures, plumbing fixtures, flagpole, etc.). Stained, damaged, or broken ceiling tiles are replaced/maintained by the Lessor. (i.e., maintained in new or “like-new” condition).
Janitorial Services
• To conform to the VA security standards, the Government shall provide janitorial services and supplies for the leased space accessible only to the Government.
• If the space is shared with other tenants; the Lessor shall provide janitorial services for the public areas, entrances, and all other common areas and shall provide replacement of supplies for the areas except space accessible only by the Government.
Pest Control
Control pests as appropriate, using Integrated Pest Management techniques, as specified in the GSA Environmental Management Integrated Pest Management Technique Guide (E402-1001).
• Provide interior and exterior extermination of insects and rodents. Use of chemicals shall conform to EPA and State requirements. The Lessor shall provide additional service at the request of VA, if any signs of re-infestation appear.
• Pest management is to be done using an integrated pest management approach that minimizes the use of toxic chemicals. Pesticide shall only be applied by persons deemed qualified by EPA and state requirements.
• Lessor shall coordinate application of pesticide with the Government and only apply pesticide in a manner that VA agrees is protective of the health of patients, employees, and visitors.
Frequency of Building Maintenance
The following is a list of items that the building owner is responsible for. It is not an exhaustive list, nor does it relieve the building owner of performing other work as necessary to meet code or to maintain a safe and healthy environment.
At a minimum, the Lessor shall perform the following at the frequency indicated:
1) Monthly
• Monthly checking that all exit lights are properly lit.
• Monthly testing all battered powered emergency and exit lights for a minimum of 30 seconds.
• Monthly checking, dating, and initialing all fire extinguishers.
4) Semi-Annually
• Replace all filters in HVAC system. Replace on a more frequent basis if required by the manufacturer’s recommendations.
5) Annually
• Clean interior of all double-walled HVAC units and drain pans. Cleaning shall be done at times when clinic is not in operation.
• Annually testing all battered powered emergency and exit lights for a minimum of 1.5 hours.
• Performing annual fire extinguisher maintenance and inspection of fire sprinkler system.
6) As Required
• Properly maintaining and performing periodic maintenance on all building service equipment, including replacing filters at appropriate frequencies.
• Repair and replacement of all light fixture ballasts and starters. Replace burned out bulbs and fluorescent tubes in interior light fixtures.
• Replacement of worn floor or wall coverings (this includes the moving and returning of furnishings and equipment), unless caused by negligence on the part of VA.
• Clean HVAC units inside and out upon any signs of mildew or bacterial growth. Clean condensate pans in HVAC units shall be treated as required to prevent mildew or bacterial growth.
Requirements, Signage Requirements
SITE REQUIREMENTS
Site work and amenities shall conform to VA standards regarding items such as environmental compliance, parking, bike racks, lockers, and flag poles. The site, site improvements, building, interior spaces and finishes, and Lessor-furnished equipment and special construction shall be provided in accordance with all applicable Federal requirements, local Building Codes and ordinances, and applicable utility company requirements, as well as with the General Design Criteria, including Codes and Standards, criteria unique to VA, Fire, and Life Safety requirements, Environmental requirements, Accessibility Standards, OSHA requirements, and Energy Efficiency and Sustainable Design.
Building Entrances and Exits
Public access to the facility should be restricted to a limited number of entrances. The public entrance is to the main lobby of the facility. Staff entrances shall be located independently of main entrance lobbies and be convenient to staff parking. Design access from drop-off to lobby to prevent a straight line of travel. Provide sufficient size to accommodate several people with mobility aids.
Entrance doors to the lobby shall be visible to or monitored by security personnel.
Access from the lobby to elevators, stairways, and corridors shall be controlled.
Separate the public lobby from adjacent areas with partitions that extend to the underside of the floor above. Glazing in the lobby area shall be laminated glass.
Public doors shall be capable of being remotely locked and unlocked from the reception desk in the main lobby. Secondary public entrance doors shall prevent unauthorized access. Staff entrance door hardware shall include either mechanical or electronic locks.
Means of egress doors that do not also function as entrances shall be provided with delayed action and alarmed emergency egress hardware. Delayed egress and alarmed exits shall comply with applicable codes and regulations. Means of egress shall not be obstructed by the installation of security devices such as guard stations, screening equipment, or other security devices. The main public entrance to the leased space shall contain an Automatic Door Operator (ADO) on each door leading from the building exterior into the main waiting/reception area. Each door along this access path shall be a minimum of 42 inches wide.
Access for Emergency Responders
The Fire Command Center (FCC) and secure house key box for emergency responders shall be located near an entrance door. The entrance shall be controlled and monitored by Security Surveillance Television (SSTV).
SSTV cameras shall be provided to monitor activities in the lobbies of new and existing life- safety protected facilities and shall be located to provide views of approaching pedestrian and vehicular traffic, drop-off areas, building entrances, and departing pedestrian and vehicular traffic. Provide SSTV cameras at locations with alarmed exits, at loading docks, and other areas subject to pilferage. Install door status monitors at doors intended to be used only for emergency egress.
Building Envelope
The building envelope shall meet the latest edition of the Architectural Design Manual for New Hospitals refers to ASHRAE 189.1-2009, Standard for the Design of High- Performance Green Buildings. The prescriptive assembly maximum U-values and insulation minimum R-values stated in ASHRAE 189.1-2009 shall be incorporated into the opaque elements of the building envelope of new facilities.
Parking
Provide total 75 parking spaces, available for VA use at all times. Of the 75, provide five handicap parking stalls with aisles on both sides complying with ABAAS and per the attached standard detail “Parking Stall Layout”. This will allow sufficient parking for all VA staff at the site, 2-4 GOV vehicles for staff use, and parking for visitors/patients. For the GOV spaces, provide a “Reserved for GOV” parking sign; exact verbiage to be provided during design.
Bike Racks and Lockers
Provide bike rack(s), enough to accommodate 8 bikes.
• Bike Rack Location(s):
o Provide ample clearance between racks and curbs, buildings, etc. to allow free movement of the bike o Provide at least 5 feet of unobstructed clearance to utilities, loading zones, or handicapped parking spaces o Be at least 15 feet from any fire hydrant o Be at least 50 feet from building entrances o Be at least 60 feet from any bus stops or shelters o Place bike parking in a highly visible, well-lit, safe area on the site o Locate rack(s) so that parked bicycles don’t block the pedestrian path o Bike parking should be convenient to the building entrance(s) and street access, but away from normal pedestrian and auto traffic o Avoid locations that require bicycles to travel over stairs o Separate bicycle parking, auto parking, and road areas with space and a physical barrier preventing motor vehicles from damaging parked bicycles
• Bike Rack Specifications:
o Rack must be constructed of steel pipe or tubing, round or square, and be securely anchored to an immoveable level surface o Rack must provide support for the bicycle frame by holding it upright and allowing at least two points of contact for locating a cable or U-shaped lock o Prevent the wheel of the bicycle from tipping over o Enable the frame and one or both wheels to be secured o Support bicycles without a diamond-shaped frame with a horizontal top tube o Shall not bend wheels or damage other bicycle parts o Accommodate a wide range of bicycle shapes and sizes o Be simple to operate o Not include protruding bars that could trip or injure cyclists or pedestrians o Provide access area of minimum 4 feet 6 inches at each end of the rack(s)
• Bike Rack Type:
o Keep racks simple; “staple” style or similar preferred o Vertical wall-mounted racks are an alternative to horizontal racks and may be acceptable if there is ample wall space o Bike corrals can be installed in standard parking space footprints, 10 bikes in place of one car
• Avoid the Following:
o “Comb” style racks: does not allow the bike frame to be readily secured o “Wave” style racks: not ideal as they can be confusing to use and frequently used incorrectly, limiting capacity o “Toast” style racks: designed to only secure wheels, not frames o Very low bar-type racks: can be a hazard to pedestrians o Hiding racks in concealed, less public, or back of house areas o Placing racks too close to buildings, plants, walkways, etc. thus preventing easy access to parking
Provide (2) two bike lockers with the following specifications:
• Interlocking modular bicycle storage system
• Bank of lockers to include two end panels for two outside lockers
• Inside lockers to be interlocking
• Each unit must include double door entry with a diagonal partition that creates two triangular stalls
• Secures one bike per door
• Total of two, double door units to hold four bikes
• Materials: high strength material that will not crack, dent, warp or corrode under normal exterior conditions; rust free; impact resistant; flame resistant V-1 rating;
graffiti/UV resistant paint finish; color finish to be pale gray such as Gibraltar Grey RAL 7047; vandal resistant; flame resistant V-1 rating
• Requirements for V-1 Rating:
o The specimens may not burn with flaming combustion for more than 30 seconds after either application of the test flame o The total flaming combustion time may not exceed 250 seconds for the 10 flame applications for each set of 5 specimens o The specimens may not burn with flaming or glowing combustion up to the holding clamp o The specimens may not drip flaming particles that ignite the dry absorbent surgical cotton located 300 mm below the test specimen o The specimens may not have glowing combustion that persists for more than 60 seconds after the second removal of the test flame
• Locks: purchase with pad lockable swing handle to secure user supplied padlock or bicyclist U-lock
• Ability to change lock system to digital access in the future to any of the following options: alarm clock with proximity smart card; blue tooth cellular access to reserve, access, and lock unit with use of smart phone, end use of locker with a click, locker user can be contacted by phone or text messaging
• Secure to concrete pad as recommended by the manufacturer
• Features to include:
o Must be made in the USA o Lockers to be relocatable, expandable, and interlocking o Resistant to seasonal climate changes o 10-year warranty and favorable 30-year lifespan history
• Location: convenient to the front entrance; to be approved by the VA during design
Flagpole
Flagpole must be provided on the property in accordance with VA Criteria. Contractor shall provide all labor, materials, and equipment necessary to accomplish the installation of an exterior light to illuminate the American flag located outside the clinic site. The light shall properly illuminate the flag and be controlled by a power circuit located within the clinic. The feed from the clinic to the light shall be buried below ground and the conductors shall be enclosed in exterior rated conduit. Specifications:
• Overall length: 23 feet
• Exposed height: 20 feet
• Top diameter: 3”
• Butt diameter: 5”
• Wall thickness: .125”
• Flagpole weight: 92 lbs.
• Max unflagged wind speed: 250 mph
• Max flagged wind speed: 120+ mph
• Cast aluminum revolving truck assembly stainless steel bearing concealed inside a cylindrical hood
• Stainless steel aircraft cable halyard
• Two chrome-plated swivel bronze snap hooks
• Plastic covered counterweight with beaded sling
• Internal winch with removable hand crank
• Machine spun aluminum flash collar
• 16 gauge galvanized corrugated ground sleeve
Environmental Compliance
The following references should be consulted to ensure the environmental compliance of the lease site.
• VA’s NEPA Implementing Regulations – 38 CFR Part 26
• NEPA law and implementing regulations, including but not limited to:
o NEPA of 1969, as amended Public Law [Pub.L.] 91-190 42 United States Code [U.S.C.] 4321-4370F o Council on Environmental Quality (CEQ) regulations implementing NEPA 40 Code of Federal Regulations [C.F.R.] Parts 1500-1508
Requirements, Signage Requirements
ROOM REQUIREMENTS
General Project Description
The information contained in this package is for a 25,194 DGSF building tenant improvement or build-to-suit to replace the existing Carson Valley CBOC.
The Facility Guidelines Institute’s Guidelines for Design and Construction of Hospitals and Outpatient Facilities, latest edition, shall be used as the primary standard for design and construction of VA leased facilities.
VA leased facilities design and construction shall follow all State and local building codes and regulations. In case of conflict between the listed codes and regulations, the more stringent shall be followed.
Occupancy Groups & Exiting
The occupancy of the requested lease will be Office, Group B occupancy as defined by the VA-adopted edition of the International Building Code and NFPA 101.
General Design Criteria
NFPA 101 primarily addresses life safety and fire protection features, while the IBC addresses a wide range of considerations, including, but not limited to, structural strength, seismic stability, sanitation, adequate light and ventilation, and energy conservation. VA buildings must meet the requirements of NFPA 101, and documents referenced by NFPA 101. Design features not addressed by NFPA 101, or documents referenced therein shall comply with the requirements of the IBC.
Fire protection implementation guidance to the A/E with respect to the National Fire Protection Agency (NFPA) Fire Codes is provided as follows:
1) VA has adopted the National Fire Codes (NFC) published by the National Fire Protection Association (NFPA), which establish a minimum acceptable level of life safety and property protection. Life safety requirements are specifically addressed in the Life Safety Code, NFPA 101. Where conflicts exist between codes, the A/E shall follow the code specified in the text under the subject section of the VA Fire Protection Design Manual. Fire Protection design shall be based on the latest editions of the NFC at the Date of Award of the contract to the Architectural Engineering (A/E) firm. Under special circumstances, the VA will require compliance with a more recent code edition when significant changes to the code have occurred between the Date of Award to the A/E and the Date of Award to the prime contractor for construction.
Note: Special circumstances would include a situation where a designed project sat “on the shelf” for an extended period of time, or where a significant change to the code was made and where incorporating that change would improve safety in the opinion of the AHJ.
2) The A/E shall use the Department of Veterans Affairs Fire Design Manual, Seventh Edition, 2015 in conjunction with the Scope of Work paragraph in the Architect/Engineer (A/E) Package and PG-18-15, Minimum Requirements for A/E Submissions, which defines the information to be shown on drawings and work to be completed at each stage of design. In addition, coordinate with requirements from other applicable VA Design and Construction Criteria, VA Design Manuals, and VA Design Guides.
3) The A/E shall possess the knowledge of applicable fire protection criteria such as the respective Network Safety Manager, Network Safety and Fire Protection Engineer (SFPE), or solicit the services of a third-party qualified fire protection engineering consultant during design in order to ensure the project as designed by the A/E complies with such criteria. Obtaining these third-party services early in the design process is strongly required. The third-party entity shall be involved in reviewing the design, but may also be involved with reviewing contractor’s submissions, conducting pre-occupancy life safety inspections, and/or witnessing final fire protection acceptance testing.
4) For code interpretation and enforcement, the Authority Having Jurisdiction
(AHJ) for all VA projects is ultimately the Deputy Under Secretary for Health for Operations and Management (10N), with the Safety and Fire Protection Engineer (10NA8) acting as the VA Fire Marshal.
5) The existing fire rated features and fire protection changes will be shown on a separate drawing sheet by the A/E and stamped by a Fire Protection Engineer (FPE) in the contract documents.
NOTE: The above list is intended to serve as a starting point for design and does not represent the only information in identifying the project scope.
Refer to the Infrastructure Requirements section for specific information on building systems including mechanical, electrical, and plumbing.
Lessor shall provide architectural design services for Tenant Improvements (TI) in accordance with VA Architectural Design Manual.
http://www.cfm.va.gov/til/dManual/dmARhosp.pdf.
http://www.cfm.va.gov/til/dManual/dmARhosp.pdf
The Lessors A/E shall provide Interior Design Services in accordance with VA Interior Design Manual, For New Construction and Renovations of Hospitals and Clinics http://www.cfm.va.gov/til/dManual/dmIDhonh.pdf. The interior designer shall have NCIDQ Certification and be able to demonstrate a minimum 3-years of healthcare project experience. Interior design services shall include furniture selection and layout of the PACT Teamwork Zone, Teamwork Support Zone, and Patient Transition Areas.
The Lessor’s Interior Designer will provide room-by-room furniture and equipment layouts outlining exam table, patient lifts, privacy curtains, stool, workstation and media-mounts, wall mounted items, casework, bookcases, and room furniture locations so Lessors MEP design team can determine plumbing, electrical power, and data drop locations.
The Lessors A/E shall provide design services that utilize and incorporate VA Prototypes for Standardized Design and Construction Community – Based Outpatient Clinics, latest edition. http://www.cfm.va.gov/til/Prototype/CBOCPrototype-00-TOC.pdf.
The Lessor’s design team shall utilize and incorporate all VHA’s Patient Aligned Care Team (PACT) Facility Design concepts and models into the new leased space design and provide required tenant improvements that meet PACT model requirements to support PACT teams and a variety Mental Health and Telehealth Services.
http://www.cfm.va.gov/til/dGuide/dgPACT.pdf.
Per HIPPA, patient confidentiality must be maintained when providing personal information to interview clerks and/or other staff, particularly at the main entrance Check-in/Reception counter and Waiting areas. The facility Privacy Officer will review the submitted layouts and make recommendations to assure the highest level of patient confidentiality is provided at these critical areas.
Architectural
Room Size Tolerances: allowable room size variance from stated program requirements is +/-5%.
Room Naming Conventions: meet with VA stakeholders to develop room naming conventions prior to finalizing design.
Provide a minimum clear dimension of six feet six inches (6’-6”) in all hallways to accommodate the passage of two wheelchairs. Some circumstances in the design of a facility may require a greater clear hallway dimension for patient safety and functionality.
At a minimum, provide electrical outlets and data boxes on all four walls in each room.
http://www.cfm.va.gov/til/dManual/dmIDhonh.pdf http://www.cfm.va.gov/til/Prototype/CBOCPrototype-00-TOC.pdf http://www.cfm.va.gov/til/dGuide/dgPACT.pdf
Provide one recessed AED cabinet with AED and wall mounted sign. The cabinet will have a local alarm that will be activated once the cabinet is opened. It can be deactivated with the provided key. Location to be determined during the design.
Partitions
Sound protection must comply with provided STC ratings shown on room criteria. Wall details must be submitted for review by VA for STC rating compliance.
Non-bearing interior partitions shall be capable of supporting equipment and furnishings specified for the clinic. For interior partition framing use minimum 3-5/8 inch, 20-gauge, galvanized metal studs ASTM C645 with fasteners and accessories complying with ASTM C 754. Stud spacing shall be 16-inches on center maximum. For special requirements, use other sizes or systems as appropriate.
Where pipe spaces are required, size partition framing thickness to conceal piping.
Installation of metal studs shall comply with ASTM C754. Provide support required for equipment, furnishings, and work of other trades.
Use 5/8-inch-thick gypsum wallboard ASTM C1396, except for special conditions. Use fire resistant Type X or Type C wallboard ASTM C1396 in fire resistant rated assemblies.
Use moisture resistant wallboard ASTM C620 at wet locations. Provide accessories, fasteners, and finishing materials in accordance with ASTM C1047, C1002, and C840.
Install and finish gypsum wallboard in accordance with ASTM C840.
Use Level 5 finish with no texture for all occupied areas with paint finish. Provide Level 4 finish for surfaces to receive Type I vinyl wall coverings or ceramic tile. Provide Level 3 finish for surfaces to receive Type II vinyl wall coverings. Provide Level 2 finish in rooms or spaces for which no decorative finish is required such as mechanical and electrical rooms.
Provide fire and/or smoke rated partitions that comply with published UL, FM Global, or IBC designs. Extend all layers of gypsum board, on both sides of studs, from floor to underside of structure above on the following partitions:
1) Fire rated partitions
2) Security partitions for all Police areas
3) Smoke barriers
4) Sound rated partitions
5) Corridor partitions as required by building code.
6) In other locations, extend gypsum board from floor to heights as follows:
• Not less than 4 inches [101.6 mm] above suspended acoustical ceilings
• At ceiling of suspended gypsum board ceilings.
Doors and Hardware
All doors and hardware shall be designed in accordance with VA criteria: PG-18-14 Room Finishes, Door, and Hardware Schedule. Below are facility requirements for specific components.
Contractor to provide a keying system which matches the existing Medeco XT system currently in use at the main facility campus (https://www.medeco.com/en/products/).
Cores to be built by the contractor to VA requirements and turned over to the VA for install.
All locksets shall be mortise type. Mortise lockset Stanley Part #BES45H7A15S626AM, modified as necessary to fit the specific required function of the lockset.
Use door closers only where required by code and/or VA criteria, unless noted otherwise.
For future flexibility for storage rooms, all storage rooms shall be equipped with door closers. Door closers should not be allowed to stay open in the door’s fully open position.
Facility standard for door closers are as follows:
• Closer with fire alarm connection: LCN 4040 SE Arm STD
• Closer without fire alarm connection: LCN 4040 XP w/ LCP super smooth 4040H or LCN 4041 SHCUSHAL
Doorstops shall be provided for all doors, even on automatic doors.
Provide card reader system for the clinic. Card reader locations to be determined during design. System shall be compatible with the existing facility system Lenel United Technologies, including but not limited to LNL-2220 Intelligent Dual Reader Controller, LNL-1320 Series 2 Dual Reader Interface Module, LNL-1100 Series 2 Input Control Module. It is anticipated that one to four doors will be set up on the card reader system, including the door to the IT Closet. Provide all cabinets, power supplies, door contacts, and other hardware and software associated with this system.
https://www.medeco.com/en/products/
• Doors shall be of flush design, size 3’ 6” minimum opening. All doors shall be mortised by factory.
• Fire rated door and frame assemblies shall comply with NFPA 80.
Acoustical door and frame assemblies shall provide STC rating specified.
Submit certified test reports per ASTM E90.
All corridor-to-corridor doors shall have 100 sq. in. glass vision panels and shall swing in opposite directions from each other. Doors in fire partitions and smoke barriers shall have fire- rated glazing vision panels and be held open with electromagnetic holders, except doors which…
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