Exhibit B Agency Specific Requirements rev.pdf

Maryville Community Based Outpatient Clinic

(CBOC)

Lease Request Proposal Department of Veterans Affairs

Mountain Home VA Healthcare System

Agency Specific Requirements

The Agency Specific Requirements (ASRs) do not reduce the minimum requirements contained within the Lease. These ASRs provides specific agency requirements, which may be complementary, more specific, or more stringent than those of the Lease minimum requirements.

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36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 2 of 9

SECTION 1 ROOM SCHEDULE AND DETAILS

1.01 ROOM SCHEDULE

1.02 SPACE DETAILS

SECTION 2 DESIGN SCHEMATIC LAYOUT

2.01 DESIGN SCHEMATIC

2.02 ADJACENCY DIAGRAMS

SECTION 3 ADDITIONAL SPECIAL REQUIREMENTS AND DETAILS

3.01 ROOM LAYOUTS

3.02 ADDITIONAL CONSTRUCTION DETAILS

SECTION 4 GENERAL REQUIREMENTS

4.01 SECURITY

4.02 INFORMATION TECHNOLOGY

4.03 OTHER

36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 3 of 9

SECTION 1 ROOM SCHEDULE AND DETAILS

1.01 ROOM SCHEDULE

Functional Area

Floor

Covering Base

Wall

Finish Size

Reception LVT RB 4"

GWB,

Paint 385

Waiting LVT RB 4"

GWB,

Paint 1110

Patient Toilet 1 PT PT 4"

PT 4',

GWB 100

Patient Toilet 2 PT PT 4"

PT 4',

GWB 100

Patient Toilet 3 PT PT 4"

PT 4',

GWB 100

Patient Toilet 4 PT PT 4"

PT 4',

GWB 100

Conference Room LVT RB 4"

GWB,

Paint 240

Exam Room 1 LVT RB 4"

GWB,

Paint 125

Exam Room 2 LVT RB 4"

GWB,

Paint 125

Exam Room 3 LVT RB 4"

GWB,

Paint 125

Exam Room 4 LVT RB 4"

GWB,

Paint 125

Exam Room 5 LVT RB 4"

GWB,

Paint 125

Exam Room 6 LVT RB 4"

GWB,

Paint 125

Exam Room 7 LVT RB 4"

GWB,

Paint 125

Exam Room 8 LVT RB 4"

GWB,

Paint 125

Exam Room 9 LVT RB 4"

GWB,

Paint 125

Exam Room 10 LVT RB 4"

GWB,

Paint 125

Exam Room 11 LVT RB 4"

GWB,

Paint 125

Exam Room 12 LVT RB 4"

GWB,

Paint 125

Storage

(AED/Weight) LVT RB 4"

GWB,

Paint 180

36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 4 of 9

Breakroom LVT RB 4"

Paint 220

Staff Toilet 1 PT PT 4"

PT 4',

GWB 65

Staff Toilet 2 PT PT 4"

PT 4',

GWB 65

Procedure Room WSF WSF 4:

GWB,

Paint 180

Clean Utility WSF WSF 4:

GWB,

Paint 120

PACT Office 1 LVT RB 4"

GWB,

Paint 240

PACT Office 2 LVT RB 4"

GWB,

Paint 240

PACT Office 3 LVT RB 4"

GWB,

Paint 240

PACT Office 4 LVT RB 4"

GWB,

Paint 240

Telehealth 1 LVT RB 4"

GWB,

Paint 125

Telehealth 2 LVT RB 4"

GWB,

Paint 125

Mental Health

Office LVT RB 4"

GWB,

Paint 120

Mental Health

Office LVT RB 4"

GWB,

Paint 120

Mental Health

Group LVT RB 4"

GWB,

Paint 300

Social Work Office LVT RB 4"

GWB,

Paint 125

Lab WSF WSF 4:

GWB,

Paint 230

Specimen Bathroom WSF WSF 4:

GWB,

Paint 60

Pharmacy Office LVT RB 4"

GWB,

Paint 125

Dietician Office LVT RB 4"

GWB,

Paint 100

HAC Closet Concrete RB 4"

GWB,

Paint 80

Soiled Utility WSF WSF 4:

GWB,

Paint 100

IRM Concrete RB 4"

GWB,

Paint 100

Circulation LVT RB 4"

Paint 865

36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 5 of 9

VT – Vinyl Tile PT – Porcelain Tile LVT – Luxury Vinyl Tile QT – Quarry Tile WSF – Sheet Vinyl

GWB – Gypsum wall board SC – High build glazed coating (special coating) 2 Provide noise transmission control.

1.02 SPACE DETAILS

Please refer to the Lease document for the construction’s standards applicable to the interior tenant area build-out. These standards provide a general outline of the interior build-out requirements. For a complete list of requirements refer to the Lease document.

Room Name Room Description

Reception / Waiting Work area for clerks, check-in stations and ADA accessible waiting room

Wheelchair Alcove Area to store wheelchairs & stretchers for patient transfers

Public Toilet ADA accessible with 4’ tile wainscot

Conference Room Conference Space

Break Room Staff Lounge Space

Staff Toilet ADA accessible with 4’ tile wainscot

Storage Room Area to store sterile supplies

Housekeeping Closet Area to store cleaning equipment, includes floor mop sink

Telecom Closet Area to house network switches and other equipment.

Open Circulation Corridors, alcoves, and generally accessible circulation space

Refer to TIL Guidelines for each room type’s finish, mechanical and electrical requirements.

VA TIL: CFM.VA.GOV/TIL/

https://www.cfm.va.gov/til/dGuide/dgLBOPC.pdf https://www.cfm.va.gov/til/

36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 6 of 9

1.03 ADDITIONAL ROOM INFO

A) Power/Data: One quad receptacle per wall. One wall in each private space shall have two quad receptacles. One data jack per wall at a minimum (3 cables per jack)). Exact locations of receptacles and data jack to be determined by COR during DID phase. TV in lobby and breakroom shall have cable hookup and power located 60” a.f.f.

B) Window Coverings: All windows to have roller shades unless otherwise directed by COR

C) Lighting: All lighting shall be LED one-piece design

D) Doors: All doors shall be at a minimum 36” wide. Exterior doors and main interior doors (corridors, lobby to clinic, etc.)

shall be 42” wide. Hardware shall be BEST brand able to accept a 7-pin key core.

Auto openers shall be installed on main entrance, doorway(s) from lobby into clinical space, and the lab.

E) Breakroom: shall have adequate space and utilities for a sink, microwave, and refrigerator. Any counter space shall have a tile backsplash

F) Bathroom: Shall include baby changing station and feminine product dispenser (dispenser is to be set up to freely issue products, no payment needed for patients)

Please refer to the Lease document for the construction’s standards applicable to the interior tenant area build-out. These standards provide a general outline of the interior build-out requirements. For a complete list of requirements refer to the Lease document.

SECTION 2 DESIGN SCHEMATIC LAYOUT

2.01 DESIGN SCHEMATIC

The schematic attached is representative of the layout required for this Space. The Lessor is responsible for using the room schedule in section 1.01 and this layout to adapt the Government’s requirements to the Space. Specific questions regarding the layout should be directed to the Lease Contracting Officer for resolution. The Government shall not be responsible for errors, omissions, or assumptions made by the Lessor in the adaption of the Government’s requirements to the Lessor’s Space.

2.02 ADJACENCY DIAGRAMS

Refer to TIL Guidelines for each room type’s finish, mechanical and electrical requirements. Tist is

36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 7 of 9

SECTION 3 ADDITIONAL SPECIAL REQUIREMENTS AND DETAILS

3.01 ROOM LAYOUTS

These room layouts indicate the required layout for the room listed. For all rooms not listed, the final layout will be determined during the creation of the Design Intent Drawings.

Refer to the Campbell County Finish plan for guidance each room type’s finish, mechanical and electrical requirements.

HTTPS://WWW.CFM.VA.GOV/TIL/SPEC.ASP

HTTPS://WWW.CFM.VA.GOV/TIL/DMANUAL.ASP

HTTPS://WWW.CFM.VA.GOV/TIL/ROOM/ROOMFINISHES.PDF

3.02 ADDITIONAL CONSTRUCTION DETAILS

These construction details indicate required construction standards for the items listed. These standards may be more stringent than those listed in the Lease document. Where specified, these standards shall take precedence.

Refer to TIL Guidelines for each room type’s finish, mechanical and electrical requirements.

HTTPS://WWW.CFM.VA.GOV/TIL/SPEC.ASP

HTTPS://WWW.CFM.VA.GOV/TIL/DMANUAL.ASP

HTTPS://WWW.CFM.VA.GOV/TIL/ROOM/ROOMFINISHES.PDF

https://www.cfm.va.gov/til/spec.asp https://www.cfm.va.gov/til/dManual.asp https://www.cfm.va.gov/til/room/RoomFinishes.pdf https://www.cfm.va.gov/til/spec.asp https://www.cfm.va.gov/til/dManual.asp https://www.cfm.va.gov/til/room/RoomFinishes.pdf

36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 8 of 9

SECTION 4 GENERAL REQUIREMENTS

4.01 SECURITY

The following security standards are listed in addition to those listed in the Lease document and the building specific security attachment.

A) UTILITIES – If there are utilities on the outside of the facility, there must be barriers surrounding it. Per 0730/4 – barriers are defined as concrete bollards; concrete filled steel bollards; or concrete planters. Appropriate fencing may also be a perimeter barrier, depending on the application. Barriers must be of sufficient strength/weight to stop a passenger-car sized vehicle from breaching the protected space. If a fence is used, a minimum 7-foot height vinyl coated 6-gauge core steel fence is required.

B) Bollards/barricades shall be installed across the front of the building to protect from vehicle entry into building.

C) ALARMS: Intrusion alarm is required for monitoring the space when unoccupied. A panic alarm system is required inside. This shall consist of a nurse call system within each room that communicates with the main reception desk. At the reception desk, there shall be a panic button that calls an outside police agency. Fire alarm meeting the requirements of the lease shall be required.

D) Physical Access Control (PACs): PACs door security shall be installed on entrances into clinic, medication room, and IT closet. The door security system requires a controller and door card reader. The HIRSCH system is to be used with Velocity Software.

a. The controller shall be a Hirsch Model: MX-8-N3-FICAM (more than one controller may be required)

b. The door card reader shall be a Hirsch Model: 8332ABTR000 or equivalent.

E) Cameras: Avigilon brand cameras shall be installed per VA police designation. Police will finalize camera placement during DID phase.

Refer to TIL Guidelines for Complete Description of Security Requirements

HTTPS://WWW.CFM.VA.GOV/TIL/PHYSICALSECURITY/DMPHYSECMC.PDF

4.02 INFORMATION TECHNOLOGY

The following IT standards are listed in addition to those listed in the Lease document.

Dedicated IT Communications Room.

A) CONSTRUCTION: The room shall not be located directly below laboratories, kitchens, laundries, toilets, showers, or other areas where water service is provided. The only access to the room will be through the main door. The room will have a steel frame and door, minimum 36” width. The door will have the hinges on the inside of the Communications Room, or if on the outside the pins will be spot welded for security. The door requires multifactor security (Deadbolt and PACs system) to permit two form identification and data collection 24 hour per day 7 days per week, of entrance, exit, and duration within room. Doors and frames shall be 1.5-hour fire resistive construction. Provided intrusion detection will provide door and lock status sensors and motion detectors. There will be a contractor supplied 10 LB Dry Chemical ABC fire extinguisher mounted on the inside wall of the IT Room. The room shall employ automatic fire detection systems that activate and notify the organization and emergency responders in the event of a fire. Surrounding walls and partitions shall be 1-hour fire resistive construction and extend from slab to slab. All vents, ducts, and similar openings in excess of 96 square inches (620 cm2) that enter or pass through the perimeter of a computer room must be protected with either bars or grills. If one dimension of the duct measures less than six inches (150 mm) or duct is less than 96 square inches (620 cm2) bars are not required; however, all ducts must be treated to provide sufficient sound attenuation. If bars are used, they must be 1/2 inch (12.7 mm) diameter steel welded vertically and horizontally six inches (150 mm) on center; if grills are used, they must be of 9-gauge expanded steel. Openings in construction above ceilings or below raised access floors shall be protected as above. The inside walls will be sheet rocked or concrete, the sheetrock must extend from the floor to the ceiling of the structure. The ceiling can be sheet rocked, concrete or a dropped ceiling. All data communication lines will be terminated in this room. 4’ x 8’ fire-rated sheet rock on one wall for mounting equipment. All equipment will be mounted or stored off the floor.

B) POWER: four circuits, 20 amps each. Location of circuits to be discussed during design. Minimum of 3 quad-receptacles on or behind rack.

UPS will require dedicated circuit.

C) UNINTERUPTABLE POWER SYSTEM (UPS): Install (1) APC Smart-UPS X 3000VA RT 2U UPS Battery Backup with Network Management Card (SMX3000RMLV2UNC), External Battery Pack for Smart UPS x RT 120V, APC 3-year extended warranty, and an APC dry contact. UPS will require a dedicated circuit.

https://www.cfm.va.gov/til/physicalsecurity/dmphysecmc.pdf

36C24924R0042 LESSOR: ______ GOVERNMENT: ________ Page 9 of 9

UPS shall manage and report the following information to a building management system: overload, battery temp high, battery charge low, battery failure, critical condition (fan failure, low output voltage, etc.), room temperature, room humidity.

D) RACK: Room must have 1 rack installed at a minimum. Rack shall be a Legrand Model Mighty Mo 20 Adjustable 4-Post Rack, 42"D adjustable, 7'H, 45 RU, Tapped Rails, Black.

The racks must be secured to the floor, a minimum of 3 feet behind the rack for access.

E) HVAC: The room shall be conditioned 24/7/365 for the temperature range 64°F to 81°F, relative humidity: 30 to 60% noncondensing.

F) CABLE: All cabling, data jacks, and patch panels shall be category 6A. Cable shall be ran using cable trays or J-hooks. Cable shall be ran in an organized manner. Cable shall not be laid on top of the drop ceiling.

G) SECURITY: Door will require a HIRSCH physical access control system (PACs) on the door. This will consist of a controller, door card reader, electric strike, and motion activated exit.

a. The controller shall be a Hirsch Model: MX-8-N3-FICAM (additional controller needed for more than 8 doors)

a. The door card reader shall be a Hirsch Model: 8332ABTR000 or equivalent.

Refer to VA 6500 Information Security Handbook

HTTPS://WWW.VA.GOV/VAPUBS/VIEWPUBLICATION.ASP?PUB_ID=56

4.03 OTHER

A) Mobile CT Truck Pad: The concrete pad shall measure 50’X 15’, be located directly beside the building, and at a handicap accessible entry/exit point, but not the main entrance/exit. Adjacent to the pad will be a 480V 3ph 200A circuit with a weatherproof disconnect and a Russellstoll shore power connection. This will also require 2 data connection points in a weatherproof box with CAT 6A cables running back to the IT closet. If the conduits will extent away from the building they shall be required to run underground from the building to the pad.

B) Cable TV shall be required in the breakroom and lobby.

C) Guest Wi-Fi shall be provided for the entire clinic area.

D) Cleaning products and paper products will need to meet VA specs per the lease.

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=56

PROJECT MGR.:

DATE:

PROJECT NO.:

A1.3

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21102

STUART

03 DEC 2021

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03 DEC 2021

UP

Ultrasound

Cart

Mobile

Waste Recept.

3"required behind refrig.

Printer

Scale

Wheelchair Scale

EKG-MOBILE

Printer RX

Wheelchair Scale

EKG-MOBILE

EKG-MOBILE

BREAK ROOM

SUB-WAITING

WHEELCHAIR STOR.

HAC CLOS.

MECH. CLOS.

RESTROOM

LOGISTICS SUPPLY

CORRIDOR

CORRIDOR

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

DERM. EXAM

EXAM

ORTHO EXAM

PROCEDURE

PAT. U. TLT.

WAITING

VESTIBULE

SOILED UTILITY

PAT. U. TLT.

STAFF U. TLT.

CORRIDOR

CORRIDOR

CORRIDOR

MSA STOR.

MSA SUPERVISOR

131A

MSA WORKROOM

MSA WINDOW

MSA WINDOW

MED RM.

RECEPTION

RED WASTE

121A

STAFF F. TLT.

121B

CLOSET

FEC

FEC

FE

C

NSCALE: 1/4" = 1'-0"

1 FURNITURE PLAN

A1.3

VA NOTES:

1) VA TO PROVIDE CUBICLE CURTAIN ONLY, NOT CUBICLE TRACK

2) CUBICLE CURTAIN TRACKS ARE NEEDED IN ALL EXAM ROOMS. COORDINATE WITH CEILING GRID, LIGHTING, DIFFUSERS, AND COMPASS DOCTOR STATION

3) COMPASS DESK UNIT SPECS TO BE PROVIDED BY VA

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EXAM

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PACT OFFICE

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7.27 sf

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PACT OFFICE

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PACT OFFICE

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MENTAL HEALTH

GROUP

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CONFERENCE

ROOM

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PACT OFFICE

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PHARMACIST

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3.6 sf

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7.67 sf

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SPECIMEN

BATHROOM

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LAB

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PATIENT

TOILET

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PATIENT

TOILET

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MENTAL HEALTH

OFFICE

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MENTAL HEALTH

OFFICE

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SOCIAL WORK

OFFICE

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TELE-HEALTH

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2.8 sf

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5.22 sf

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3.2 sf

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0.07 sf

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DIETICIAN