Exhibit B - ASR with Janitorial.docx

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Auburn Homeless Vet Center
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36C24W25R0028
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This document is an Exhibit B - Architectural and Special Requirements (ASR) for a Veterans Affairs Community Based Outpatient Clinic (CBOC) in Spokane Valley, Washington. The detailed specifications outline comprehensive requirements for facility design, construction, and maintenance, focusing on creating a high-quality medical space that meets VA standards and healthcare regulations.

The document provides extensive guidelines for the facility, including specific space utilization requirements such as eight primary care exam rooms, a bariatric procedure room, multi-purpose conference room, lobby, reception areas, laboratories, offices, and specialized spaces like telehealth and optometry rooms. Critical technical specifications cover architectural elements, fire protection, electrical and plumbing systems, security infrastructure, and janitorial services. The facility must comply with multiple regulatory standards, including Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Fire Protection Association (NFPA), and International Building Code (IBC) requirements. Additionally, the document includes detailed provisions for equipment, maintenance, safety protocols, environmental management, and personnel screening for contractors.

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Auburn CBOC Veteran Affairs Special Requirements

EXHIBIT B

1.0 QUALITY OF SPACE

1.0.1 The tenant improvement design and construction shall be executed in strict accordance with the latest editions of Veterans Health Administration (VHA) A/E Minimum Submission Requirements, Design Guides/Manuals, VHA Master Construction Specifications, International Building Code (IBC), International Mechanical and Plumbing Codes, and all applicable National Fire Protection Agency (NFPA) regulations, specifically NFPA 101 Life Safety Code. The lessor will ensure the facility is cleaned and maintained at an acceptable level to meet industry standards and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) required for medical clinics.

1.0.2 The leased facility, Spokane Valley Community Based Outpatient Clinics (SVCBOC) will be broadly based on but not limited to the following space utilization requirements: The lessor shall provide manufactured upper/lower wood casework and solid surface tabletops and provide first quality vitreous china sinks and faucets in exam rooms, and restrooms.

1) Ambulatory Care plan based on eight (8) Primary Care exam rooms, two (2) exam rooms for women’s health, supporting four (4) primary care provider teamlets. All exam rooms shall have quad-receptacle outlet power and network ports on all walls other than the door wall.

2) One (1) common work area to support one PACT module. Space required for 20 workstations to support four (4) teamlets, to include Extended Team members.

3) (1) Bariatric Procedure room with adjoining restroom. Provide bariatric patient Lift, bariatric door openings, bariatric toilet, and sink.

4) Four (4) Common Patient Aligned Health Care (PACT) Consultation/extended treatment rooms.

5) One (1) Multi-Purpose Conference room with folding partitions. Provide state-of-the-art audio/visual system and interactive white board. Contractor install VA provided interactive white board, projector, screen, television monitor, and V-Tel System. Integrate V-Tel system with audio-visual system.

6) Lobby, Reception Intake, Volunteer, Patient Education and Canteen Vending areas. Power & Data to support two (2) Kiosk check-in stations, wheelchair alcove.

7) One (1) Workroom with storage space.

8) One (1) Limited capacity Laboratory with adjacent restroom and refrigerated storage room. Provide specimen pass-through window assembly from adjacent restroom. The Lessor shall provide manufactured metal casework and stainless-steel tabletops and sink in lab.

9) Three (3) offices with outlet power and network ports to support three (3) workstations in each

10) One (1) Tele-Health room. One (1) Tele-Retinal room. Provide sinks.

11) Optometry space with one (1) consult/viewing room, one (1) eye exam room, one (1) pre-testing/intake room. Also provide workspace for one (1) work station.

12) Two (2) Linen Closets

13) One (1) Radiology room.

14) One (1) Staff Break room (Lounge) and one (1) Locker room for Clinical Staff Personal Property.

15) Ensuite restrooms - Four (4) patient, and two (2) staff. These are in addition to the Procedure room, Women’s Health and Lab restrooms.

16) One (1) PACT Supplies Storage, and one (1) Soiled Utility room. Provide sink for Soiled Utility room.

17) Two (2) Medical Equipment Storage rooms.

18) Housekeeping closet (HAC) with floor sink, backflow preventer for chemical mixing station (if required), supply storage shelving, and broom/mop wall mounted storage brackets.

19) Telecommunication room with security access controls and Intrusion Detection Systems. Provide Air Conditioning to maintain industry standard conditions per VA/OIT design guides.

20) Five (5) Medication, Equipment, Crash cart, or Weight scale alcoves.

1.0.3 The site, site improvements, building, interior spaces and finishes, and Lessor-furnished equipment and special construction shall be provided in accordance with this Exhibit, all applicable Federal requirements, local Building Codes and ordinances, and applicable utility company requirements.

1.0.4 Site, site improvements, building, interior construction, and equipment shall comply with 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.

1.1 GENERAL DESIGN CRITERIA

1.1.1 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 in order to comply with the accreditation requirements of the Joint Commission. Therefore, designs shall comply with the requirements of NFPA 101, and documents referenced therein. Design features not addressed by NFPA 101 or documents referenced therein shall comply with the requirements of the IBC.

1.1.2 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 and solicit the services of a third-party qualified fire protection engineering consultant during design 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.

1.1.3 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.

1.1.4 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.

1.1.5 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.

1.1.6 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. https://www.cfm.va.gov/til/prototypes.asp#CBOC.

1.1.7 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 Tele-Health Services. http://www.cfm.va.gov/til/dGuide/dgPACT.pdf.

1.1.8 The lessor shall provide new furnishings such as welded sheet and luxury tile flooring, ceilings, painting, office and exam room drapery tracks, accessories, and window furnishings.

1) Lessor shall provide upper and lower wood casework and solid surface counter tops for conference, staff break room, physical therapy, and exam rooms.

2) Provide upper and lower manufactured metal casework for Blood Draw Lab.

3) Lessor shall provide built-in casework with lockable doors and drawers for reception, mail/copier work room, and conference room.

4) Lessor shall provide employee lockers for staff rest/locker rooms.

1.2 DESIGN TEAM QUALIFICATIONS

1.2.1 Provide a resume for each individual or firm on the Lessor’s design team. Identify key personnel that are to be committed to the project. Provide a description of outstanding commitments for each firm and key personnel. As a minimum, the design team shall include entities providing the following services: Architecture, Civil Engineering, Mechanical Engineering, Fire Protection, Electrical Engineering, Interior Design, and appropriate Low Voltage Engineering (Structured Telecommunications Cabling, Security, Audio Visual, and Special Systems).

1.2.2 Provide a copy of the license or certification of the individual(s) and/or firm(s), providing architectural and engineering design services, proving their ability to practice in the state where the facility is located. Low-voltage designers shall be BICSI-certified for structural cabling and shall have OEM credentials for the Special Systems Specific Requirements.

1.2.3 Lessor shall maintain the same design team for the duration of the design development and construction process. Design team firm and key personnel shall not be changed without prior approval by the Contracting Officer.

1.3 CONTRACTOR QUALIFICATION

1.3.1 Provide a completed GSA Form 527, "Contractor’s Qualifications and Financial Information" for the General Contractor, Mechanical Contractor, and Electrical Contractor; except Section V need not be completed. In Section VII of Form 527, provide a description of outstanding commitments, names and qualifications of key personnel, and any other information related to experience, competency, performance capabilities, and three (3) Past Performance’ evaluations with construction projects similar in scope to that which is required herein.

1.3.2 Provide a copy of the license in the state where the facility is located for the individual(s) and/or firm(s) proposed as contractors. If the Lessor is also the Contractor, information provided in response to Past Performance and Financial Resources above need not be duplicated.

2.0 BUILDING ENTRANCES AND EXITS

2.0.1 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.

2.0.2 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.

2.0.3 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.

2.0.4 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 installation of security devices such as guard stations, screening equipment, or other security devices.

2.0.5 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).

2.0.6 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.

2.1 BUILDING ENVELOPE

2.1.1 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 complete standard has not been adopted by the VA, but the Architectural Design Manual requires compliance with the building envelope requirements. 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.

2.2 EXTERIOR SIGNAGE

2.2.1 Lessor shall develop and provide a complete exterior signage program to include identification, directional, informational, and regulatory signage. Signage must comply with local municipality’s codes and specifications. Careful consideration of the location of monument signs shall be taken to avoid sight triangle encroachment. Exterior signage shall include all Mandatory VA signage such as no weapons signage at all VA entrances.

2.2.2 Lessor shall provide ground mounted, illuminated, horizontal monument sign to identify the Outpatient Clinic main entrance. The Lessor shall provide foundations and electrical power as necessary. Base shall be concrete or masonry and shall be compatible with building design and landscaping scheme. Monument sign shall be 4’-0" high x 8’-0" wide. VA will furnish message layout, content, and colors for the monument sign. Graphic process shall be routed out copy backed with white, translucent acrylic.

2.2.3 Lessor shall provide illuminated, wall mounted building identification signs of dimensional powder coated aluminum letters and numerals with VA logo. Letters and numerals shall be minimum 12 inches high. Logo shall be of design provided by VA and shall be minimum 27 inches high. Sign messages shall be as follows:

Facility Name: Spokane Valley Community Based Outpatient Clinic (CBOC). VA logo shall precede facility name. Address sign shall consist of numerals for the building street address.

2.2.4 Wall mounted building signs shall be prominently located to be visible from street approach in accordance with VA-approved building elevations.

2.2.5 Lessor shall provide illuminated flagpole with U.S. American flag and POW flag.

2.3 INTERIOR SIGNAGE

2.3.1 Lessor shall develop and submit a signage plan for review and approval by the Contracting Officer during design development. Interior signage systems shall include identification, directional, informational, and code required signage. The Lessor shall furnish and install interior signs for all rooms, areas, conditions or features in the facility. Comply with accessibility standards. For informational purposes, Offerors are advised that VA has an established signage program, VA Signage Design Guide, which may be found at http://www.cfm.va.gov/til/aeDesSubReq.asp.

2.4 NOISE TRANSMISSION CONTROL GENERAL

2.4.1 Provide sound-resistant construction at the rooms and areas listed in paragraphs below. Submit details of sound resistant construction with Second Design Development Submittal. Include test reports for designs or systems to be used. Construct partition, ceiling, and floor systems to provide necessary performance. Special attention shall be given to prevent possible flanking paths for noise transmission. Verification of noise transmission control shall be included in building commissioning.

2.4.2 Sound damping in meditation rooms, quiet rooms, and similar areas shall be provided PG-18-14, Room Finishes, Doors, and Door hardware Schedules.

2.4.3 Where an area generating unusual noise or vibration is located adjacent to occupied spaces, the Lessor’s A/E shall obtain the services of a professional acoustical consultant to design the sound suppression measures required to produce a comfortable working environment in the adjacent spaces.

2.4.4 NOISE CONTROL (NC): The sound resistant enclosures (partitions, doors, duct system) of the spaces listed below shall be designed to suppress generated noise and provide a satisfactory degree of acoustical isolation for adjacent occupied spaces. The minimum NIC ratings shall be achieved:

1. Multipurpose Rooms: NC 35

2. Mental Health Group Therapy rooms: NC 35

3. PACT Team: NC 35

4. Conference rooms: NC 35

5. Consultation offices: NC 30

6. Examination and treatment rooms: NC 30

7. Individual offices in Mental Health and Behavioral Sciences Service: NC 30

8. Tele-Health rooms: NC 30

3.0 FIRE PROTECTION

3.0.1 Lessor shall provide fire protection systems in accordance with the latest edition of VA Fire Protection Design Manual. http://www.cfm.va.gov/til/dManual/dmFire.pdf.

3.0.2 Hazardous and high hazard areas within the outpatient clinic shall be protected as prescribed in NFPA 101, Life Safety Code and local building codes and ordinances. Areas identified as high hazard shall be protected by not less than a minimum 1-hour fire enclosure with C- labeled doors and automatic sprinklers.

3.0.3 Storage rooms of 50 or more square feet [15.24 sq m] net area shall be considered hazardous areas and comply with appropriate occupancy chapter requirements of NFPA 101.

3.0.4 Location, construction, and arrangement of compressed medical gas storage areas shall comply with NFPA 99.

3.1 WATER SUPPLY FOR FIRE PROTECTION

3.1.1 Assess adequacy of the water supply. The Lessor must verify the locations involved as well as the quality and accuracy of the data. Perform water supply flow testing.

3.1.2 Fire flows shall be available as required by NFPA 13 for the required occupancy classification. The Lessor shall verify and submit documentation of the fire department’s capability of handling the manual firefighting requirements to the Contracting Officer prior to occupancy by the Government.

3.2 AUTOMATIC SPRINKLER SYSTEMS

3.2.1 Design wet pipe sprinkler systems, unless installed in areas subject to freezing. Dry pendant or sidewall sprinklers are preferred in lieu of dry pipe or antifreeze systems. Propylene glycol shall be used should antifreeze systems need to be installed when permitted by local authorities. Do not use pre-action type systems.

3.2.2 The installation shall comply with the requirements of NFPA 13. Sprinklers shall be provided throughout the building. Rooms containing bulk supply storage shall be classified as defined by NFPA 13. Do not use shelving which obstructs sprinkler water from penetrating down through racks.

3.2.3 Install quick response sprinklers (QRS) in all areas, except where specifically prohibited (e.g., high temperature areas as defined in NFPA 13, elevator shafts, or elevator machine rooms). On retrofit projects, replace existing standard sprinklers with QRS.

3.2.4 Install standard sprinklers with intermediate temperature rating 200 F [93 C] or higher in elevator shafts, elevator pits, and elevator machine rooms. Install sprinklers in elevator shafts and pits only where required by NFPA 13. (Comply with necessary power shutdown requirements.)

3.2.5 The installation of flow control (on/off) sprinkler heads is not permitted.

Provide non-ferrous piping for all areas within Magnetic Resonance Imaging (MRI) suites.

3.2.6 Coordinate with architectural, mechanical, and electrical work and show smoke zone boundaries, hazard classification, density, and other special requirements on drawings.

3.2.7 Coordinate sprinkler zones with fire or smoke (compartments) and fire alarm evacuation zones. Provide a flow switch, isolation valve, tamper switch, and pressure gauge for each zone. Notification shall comply with NFPA 72.

3.2.8 Determine and identify on drawings the location of fire pump, risers, all valves, fire department connections, drains, and points of connection with underground fire service main.

3.2.9 Provide seismic protection in areas of Moderate High, High, and Very High Seismicities (See VA Seismic Design Requirements (H-18-8)).

3.2.10 For the leased facilities, commissioning of the fire protection systems shall be implemented to verify the intent of the design by inspecting and testing the systems.

3.3 FIRE ALARM SYSTEMS

3.3.1 Fire alarm systems shall be provided as required by NFPA 101 or the locally adopted codes.

3.3.2 Wiring for fire alarm systems shall be as follows: Initiating Device Circuits – Style B (Class B), Signaling Line Circuits – Style 4.0 (Class B), Notification Appliance Circuits – Style Y (Class B), and Communications between fire alarm control units – Style 7 (Class A). Where there are conflicts with local codes, the most stringent requirements shall be enforced.

3.3.3 Initiation devices shall be provided in accordance with NFPA 101, NFPA 72, NFPA 90A, and ASME 17.1 or ASME 17.3, as applicable.

3.3.4 Audible fire alarm notification appliances shall be provided in accordance with NFPA 72 and NFPA 101.

3.3.5 Visual fire alarm notification appliances shall be provided in mechanical rooms, public restrooms, and publicly accessible areas such as corridors, auditoriums, cafeterias, assembly rooms, canteens, retail stores, and other publicly accessible rooms of more than 750 square feet [228.6 square meters] of area.

3.3.6 Coordinate fire alarm zones with the location of smoke compartments and sprinkler zones. The fire alarm system shall be monitored by a listed remote central station.

3.4 FIRE EXTINGUISHERS

3.4.1 Portable fire extinguishers recessed in cabinets shall be provided, inspected, and maintained by the Lessor in accordance with National Fire Protection Association (NFPA) 10, Standard for Portable Fire Extinguishers.

3.4.2 Recessed cabinets shall be provided in occupied areas. Size fire extinguisher cabinets to accommodate a 2.5 gallon [9.5 liters] pressurized water extinguisher. Recessed cabinets shall be conspicuously marked.

4.0 PHYSICAL SECURITY

4.1.1 The Lessor shall provide a level of security which is reasonably deters unauthorized entry to the space leased during non-duty hours and deters loitering or disruptive acts in and around the space leased. The Lessor shall ensure that security cameras and lighting are not obstructed.

4.1.2 Lessor shall provide Security Systems to include Intrusion Detection System (IDS), Physical Access Control System (PACS), Security Surveillance (SSTV), Nurse Call, and Public-Address Improvements. Systems shall be designed and install in accordance with VA Design Manuals, VA Master Construction Specifications, and VA Handbook 0730/4 Security and Law Enforcement. https://www.va.gov/vapubs/search_action.cfm?formno=730&SortBy=Pub_Type_Desc.

4.1.3 Physical Access Control System: The Lessor shall acquire and install an Enterprise Physical Access Control System, E-PACS that complies with all relevant HSPD-12, NIST SP800-116 requirements for card and cardholder authentication and standards for entry to Controlled, Limited and Exclusion designated areas as determined by Agency Senior Security Specialist and function as described in NIST SP800-116. The Mann-Grandstaff VAMC utilizes Lenel On-guard access hardware which has a stand-alone access control/monitoring system to allow for change in accesses and view access logs, all CBOC locations will require compatibility to this system. https://www.gsa.gov/cdnstatic/Guid e_to_PACS_-_REVISED_060717.pdf

Compliance with Federal Standards. New installations or retrofitted access control systems will be compliant with technology described in Federal Information Processing Standard (FIPS) Publication 201, Personal Identity Verification of Federal Employees and Contractors, and the document "PACS Implementation Guidance, Version 2.2 (July 30, 2004), published by the Physical Access Interagency Interoperability Working Group of the GSA Government Smart Card Interagency Advisory Board. This requires that such systems will meet the ISO/IEC 14443 a, Parts 1-4 standard for contactless (proximity) card systems, or the ISOIIEC 7816 Standard for contact-type cards. **Lessor to provide Andover Continuum with latest firmware revision, or equal.

4.1.4 Physical Access Control System (PACS): Shall include, but not be limited to card readers, keypads, electromagnetic locks and strikes, and electronic security management system (SMS). PACS devices shall be used for the purpose of controlling access and monitoring building entrances, sensitive areas, mission critical asset areas, and alarm conditions from an access control perspective. This includes maintaining control over defined areas such as site access points, parking lot areas, building perimeter, and interior areas that are monitored. PACS shall be able to be fully integrated with other security subsystems using direct hardwire or computer interface.

4.1.5 Security Surveillance Television (SSTV): Shall be provided to monitor building entrances, restricted areas, mission critical asset areas, and alarm conditions. SSTV system shall be used for surveillance and observations of defined exterior areas, such as site and roadway access points, parking lots, and building perimeter, and interior areas from a centralized police operations room or security control center. The design, installation, and use of SSTV cameras shall support the visual identification and surveillance of persons, vehicles, assets, incidents, and defined locations.

4.1.6 The Intrusion Detection System (IDS): Shall include motion detection, glass break, and door contact sensors, among other devices. These devices provide alternative methods to detect actual or attempted intrusion into protected areas through the use of alarm components, monitoring, and reporting systems. The IDS shall have the capability of being integrated with PACS, and SSTV systems. All IDS shall meet UL 639 Intrusion Detection Standard. The IDS shall be used to monitor the site perimeter, building envelope and entrances, and interior building areas where access is restricted or controlled.

4.1.7 Electronic Security Management System (SMS): The SMS shall allow the configuration of an enrollment and badging, alarm monitoring, administrative, asset management, digital video management, intrusion detection, visitor enrollment, remote access level management, and integrated security workstations or any combination thereof. Entry control software shall allow for programming of the PACS via a CPU. All software shall be updated per manufacturer’s instructions. Network interface devices shall consist of all hardware and software required to allow for full interface with other security subsystems via a CPU.

4.1.8 Police Operations Room and Holding Room: Police operations room shall be located on the first floor of the building adjacent to the highest potential trouble area, such as emergency or urgent care room, or lobby and shall be located to allow appropriate response and deployment to respond to a security related event. Holding room shall be located within or adjacent to the police operations room. When the police operations room is adjacent to or opens onto areas occupied by unscreened public, such as lobbies, emergency rooms, and public corridors, construction, including partitions from slab to slab, doors, windows, and other openings separating the unit from such spaces, shall be 1-hour fire resistive, UL level 3 ballistic-resistant. SSTV surveillance shall be provided of the entire room through an opening glazed with transparent polycarbonate in a steel frame firmly anchored to the wall.

4.1.9 Provide nurse call system(s) as required: System(s) shall be as manufactured by Rauland Borg, General Electric, Simplex Grinnell, or approved equivalent, as updated to most current technology or manufacturer.

4.1.10 Provide perimeter fencing or walls and gates. Design fencing with due consideration for character and aesthetics of the building design and surrounding properties. Fencing shall comply with security requirements in VA Physical Security Design Manual for Life Safety Protected Facilities.

5.0 ARCHITECTURAL

5.0.1 Flooring: Flooring material specifications and installation methods shall conform to the requirements of VA Design Guide PG-18-14, Room Finishes, Door, and Hardware Schedules. Under floor concrete must be smooth and level. Patching and leveling compounds containing gypsum are prohibited. When floor coverings are newly installed or changed, samples must be approved in advance by the Contracting Officer. Unless other material is scheduled for a room or area, perimeter base shall be rubber or vinyl complying with ASTM F1861. Base shall be 1/8-inch thick, 4 inches high with molded top. Style B (cove) shall be used throughout.

5.0.2 Casework: Casework shall be of the flush overlay design and, except as otherwise specified, be in conformance with AWI 1600, Modular Cabinets. Fabricate casework of plastic laminated covered particleboard.

1) Plastic laminate shall conform to NEMA LD-3

2) Exposed vertical surfaces including both sides of cabinet doors shall be high pressure laminate Type VGS (0.28).

3) Cabinet interiors including shelving shall comply with NEMA, LD3.1 at a minimum: high pressure cabinet liner Type CLS (0.20), OR thermally fused melamine laminate.

4) Backing (concealed surfaces) shall be high pressure backer Type BKH (0.28). Core materials shall be as follows:

· Particleboard up to 7/8 inch [22.22 mm] thick shall be Industrial Grade average 47- pound density particleboard, ANSI A 208.1, M-3.

· Particleboard 1 inch [25.4 mm] thick and thicker shall be Industrial Grade average 45- pound density particle-board, ANSI A 208.1, M-2.

· Moisture Resistant Particleboard shall be average 47-pound density particleboard, ANSI A208.1, M-3.

· Medium Density Fiberboard 1/4-inch thick shall be average 54-pound density grade, ANSI A208.2.

5) Edging machine applied and machine profiled to 1/8-inch radius.

6) Exposed hardware, except as otherwise specified, shall be satin-finished chromium-plated brass or nickel-plated brass.

7) Hinges shall be fabricated of minimum 0.072-inch [1.83-mm] thick chromium-plated steel leaves, with minimum 0.139-inch [3.53-mm] diameter stainless steel pin. Hinges shall be a five-knuckle design with 2-1/2 inch [63.5 mm] high leaves and hospital type tips. Doors 36 inches [914.4 mm] and more in height shall have three hinges, and doors less than 36 inches [914.4 mm] in height shall have two hinges. Each door shall close against two rubber bumpers.

8) Door catches shall be friction or magnetic type, fabricated with metal housing. Provide one catch for cabinet doors 48 inches [1200 mm] high and under, and two for doors over 48 inches [1200 mm] high.

9) Locks shall be cylinder type, 5 pin tumblers, cam style lock with strike. Acceptable locks for 3⁄4- inch [19 mm] thick doors include: National #M2-3708-157 lock and National #M2-3709-100 with strike. Provide two keys for each lock. The name of the manufacturer, or trademark by which manufacturer can readily be identified, shall be legibly marked on each lock, the key change number shall be marked on the exposed face of lock, and stamped on each key. Key change numbers shall provide sufficient information for replacement of the key by the manufacturer.

10) Drawer and door pulls shall be flush pulls fabricated of ABS plastic.

11) Drawer slides shall be full extension, 150-pound [68-kg] load rated epoxy coated steel with nylon, ball bearing rollers, with positive stop both directions.

5.0.3 Countertops: Plastic Laminate (HPDL) shall conform to NEMA LD 3. Decorative surfaces shall be either:

1) Horizontal: High-pressure decorative laminate type HGS (.048)

2) Post forming: High-pressure decorative laminate type HGP (.039) Concealed backing sheet shall be high-pressure backer BKH (.048) or (.039) to match exposed faces.

5.0.4 Window Treatments: All exterior windows shall be equipped with window blinds or shades.

5.0.5 Window Blinds: Blinds may be aluminum or plastic vertical blinds, or horizontal blinds with aluminum slats of one-inch width or less. The window blinds must have non-corroding mechanisms and synthetic tapes.

5.0.6 Cloth Window Shades: Provide opaque cloth shades on windows of special procedures rooms, Telemedicine rooms, exterior conference rooms, and rooms containing image intensifiers.

5.1 CUBICLE CURTAIN TRACKS

5.1.1 Provide cubicle curtain tracks with carriers and hooks in exam rooms and other locations for privacy.

5.1.2 Provide surface-mounted tracks of extruded aluminum, ASTM B221, alloy 6063, temper T5 or T6, channel shaped, with smooth inside raceway for curtain carriers. End stop connectors, ceiling flanges and other accessories shall be fabricated from the same material with the same finish as the tracks or from nylon.

5.1.3 Curtain carriers shall be nylon or delrin, with either nylon or delrin wheels on metal, delrin, or nylon axles. Equip each carrier with either stainless steel, chromium-plated brass or steel hooks with swivel, or nickel chromium-plated brass or stainless-steel bead chain and hook assembly. Alternatively, delrin carriers may have molded-on delrin hooks. Hook for bead chain may be the same material and finish as the bead chain or may be chromium-plated steel. Provide 2.2 carriers for every foot (or fraction thereof) of each section of each track length, plus one additional carrier.

5.1.4 At end of each section of track, make provision for insertion and removal of carriers. Design to prevent accidental removal of carrier. Any operating mechanism shall be removable with common tools.

5.1.5 VA will supply and maintain fabric cubicle curtains.

5.2 HANDRAILS, WALL GUARDS AND CORNER GUARDS

5.2.1 Stainless steel shall conform to ASTM A167, Type 302B. Extruded aluminum components shall conform to ASTM B221, Alloy 6063, Temper T5 or T6.

5.2.2 Resilient materials shall be extruded, and injection molded acrylic vinyl or extruded polyvinyl chloride meeting following requirements:

1) Minimum impact resistance of 2150 ft-lbs [200 Nm] (when tested in accordance with ASTM D256 (Izod impact, ft-lbs per inch notch)

2) Class 1 fire rating when tested in accordance with ASTM E84, having a maximum flame spread of 25 and a smoke developed rating of 450 or less.

3) Shall be rated self-extinguishing when tested in accordance with ASTM D635.

4) Material shall be labeled and tested by Underwriters Laboratories or other approved independent testing laboratory.

5) Provide resilient materials with integral color with all colored components matched in accordance with SAE J 1545 to within plus or minus 1.0 on the CIE LCH scales.

5.2.3 Except in administrative areas, provide handrails and wall guards on both sides of all corridors. Provide chair rail at waiting rooms. Provide continuous reinforcing in the wall attachment of handrails and bumper guards.

5.2.4 Handrail/Wall Guard Combination shall consist of snap-on covers of resilient material, minimum 0.078-inch thick, free-floated on a continuous, extruded aluminum retainer, minimum 0.072-inch thick, anchored to wall at maximum 32 inches on center.

5.2.5 Wall Guards (Crash Rails) shall consist of snap-on covers of resilient material, minimum 0.110-inch thick, free-floated over a continuous extruded aluminum retainer, minimum 0.090- inch thick anchored to wall at maximum 24 inches on center.

5.2.6 Resilient, shock-absorbing corner guards shall be flush mounted type of 1⁄4-inch [6.35 mm] corner. Snap-on corner guards shall be formed from resilient material, minimum 0.078-inch [1.98 mm] thick, free floating on a continuous 0.063-inch-thick extruded aluminum retainer. Design retainer used for flush mounted type to act as a stop for adjacent wall finish material. Provide appropriate mounting hardware, cushions and base plates as required. Provide factory fabricated end closure caps at top and bottom of surface mounted corner guards.

5.2.7 Stainless steel corner guards shall be fabricated of 0.0625 inch [1.59 mm] thick stainless steel. Stainless steel corner guards shall be surface mounted, with 3-inch [76-mm] wings and 1⁄4-inch [6.35 mm] corner.

5.2.8 Provide resilient or corrosion-resisting metal corner guards for the external corners of finished interior walls and columns in the paths of wheeled traffic as indicated below. Use surface applied 48 inch [1200 mm] high resilient-type corner guards on gypsum wallboard. Use corrosion-resisting-metal corner guards on masonry or ceramic tile walls. Corner guards are not required in corridors where continuous handrails and bumper guards are used around external corners.

5.3 PARTITIONS

5.3.1 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.

5.3.2 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.

5.3.3 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.

5.3.4 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.

5.3.5 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 Police Control Room

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.

5.4 INTERIOR DOORS GENERAL

5.4.1 Doors shall be of flush design, size 3’ 6” minimum opening. All doors shall be mortised by factory.

5.4.2 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.

5.4.3 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 should remain closed for functional reasons.

5.4.4 Sound Rated Doors such as offices, conference rooms, and group meeting rooms. Fabricated as specified for flush wood doors with additional construction requirements to meet specified sound transmission class (STC).

5.4.5 Lessor shall provide door accessories such as continuous closed cell sponge neoprene frame gaskets with stop adjusters, and automatic door bottom seals. Automatic door bottom seals will be concealed or surface mounted, steel spring operated, closed cell sponge neoprene metal mounted removable in extruded aluminum housing with a medium matte 0.1 mm (4.0 mil) thick clear Anodized finish.

5.5 WOOD DOORS

5.5.1 Interior wood doors shall be solid core, 1-3/4-inch thick, AA Grade Face Veneer in accordance with WDMA I.S.1-A, Heavy Duty with Type II adhesives. One species throughout the project. For transparent finishes Premium Grade, rotary cut, white oak veneer. Match face veneers for doors for uniform effect of color and grain at joints. Door edges shall be same species as door face veneer. See 0730/4 VA Physical Security Design Guide for additional security requirements.

5.6 HOLLOW METAL DOORS

5.6.1 Lessor shall provide hollow metal doors, door frames, and door hardware in accordance with the latest edition of PG 18-14 Room Finishes, Door, & Hardware Schedule, and VA Master Construction Specifications, Division 8, Doors and Windows.

5.6.2 Hollow metal doors shall be 1-3/4-inch-thick and comply with Standard Duty Doors per Steel Door Institute (SDI) A250.8, Level 1, Model 2; except:

1) Stairwell doors shall comply with Heavy Duty Doors: SDI A250.8, Level 2, Model 2.

2) Security doors (Type 36) shall comply with Extra Heavy Duty Doors SDI A250.8, Level Model 2.

3) Detention Doors (Type 22) shall comply with Extra Heavy Duty Doors SDI A250.8, Level 3, Model 2 with core type ‘d’ or ‘f.’

5.6.3 Hollow metal door frames shall comply with Steel Door Institute (SDI) 250 for type and grade of doors required (Standard, Heavy Duty, or Extra Heavy Duty) and as follows. Frames shall be welded construction; knockdown frames are not allowed. Frames for doors specified to have automatic operators shall be minimum 16-gauge.

5.6.4 Frames for wood doors specified to have automatic operators shall comply with Steel Door Institute (SDI) 250; shall be welded construction; knockdown frames are not allowed; and shall be minimum 16 gauge.

5.7 AUTOMATIC DOORS

5.7.1 At a minimum, automatic door equipment shall comply with the requirements of Builders Hardware Manufacturers Association (BHMA) 156.10. Provide operators which will move the doors from the fully closed to fully opened position three seconds maximum time interval, when speed adjustment is at maximum setting. Equipment shall conform to UL 325. Provide key operated power disconnect wall switch for each door installation.

5.7.2 Automatic door operators and hardware shall be selected and sized appropriately for the door and frame, and for the type and frequency of traffic anticipated for the opening. Provide controls to open automatic doors from both sides. Equip controls with safety devices for pedestrian protection. Provide door operator controls and equipment that are easily accessible for maintenance.

5.7.3 Swing door operators shall be of institutional type, door panel size 2'-0" to 5'-0" width, weight not to exceed 600 pounds, electric operated for overhead mounting. Furnish metal mounting supports, brackets, and other accessories necessary for the installation of operators at the head of the door frames. The motor on automatic door operator shall be provided with an interlock so that the motor will not operate when doors are locked. Operators shall have checking mechanism providing cushioning action at last part of door travel, in both opening and closing cycle. Operators shall be capable of recycling doors instantaneously to fully open position from any point in the closing cycle when control switch is activated. Operators shall, when automatic power is interrupted or shut-off, permit doors to easily open manually without damage to automatic operator system.

5.7.4 Sliding doors shall have electric operators, conforming to BHMA A156.10 and the following. Assembly shall be single or bi-parting sliding doors as shown on conceptual drawings. Doors shall be opened by electric motor pulling door from closed to open position and shall stop door by electrically reducing voltage and stalling door against mechanical stop. System shall permit manual control of door in event of power failure. Opening and closing speeds shall be adjustable. In compliance with NFPA-101, all door panels shall allow "breakout" to the fully open position to provide instant egress at any point in the door’s movement.

6.0 PLUMBING

6.1.1 Lessor shall provide Plumbing systems in accordance with the latest edition of VA Plumbing Design Manual http://www.cfm.va.gov/til/dManual/dmPlbg.pdf.

6.1.2 Potable water provided to VA from municipal or community water systems shall meet EPA and/or state standards for contaminants. For existing buildings, Lessor will repair or replace existing plumbing that is shown to increase the contaminants in municipal or community supplied water to levels that exceed EPA and/or state requirements. The Lessor shall flush and sanitize potable water systems in accordance with AWWA

6.1.3 If potable water does not meet EPA and/or state standards, Lessor shall take action necessary to reduce contamination to acceptable levels. Lessor shall test potable water periodically to ensure that it continues to meet EPA and state standards. Lessor shall provide bottled water at his/her expense at any time contaminant levels exceed EPA and/or state requirements. If potable water does not meet EPA and/or state standards, Lessor shall take action necessary to reduce contamination to acceptable levels.

6.1.4 Plumbing design and tenant improvements shall be in strict accordance with the latest edition of the International Plumbing Code (IPC), VA Plumbing Design Guide, and VA Master Construction Specifications, Division 22.

6.1.5 Lessor shall provide emergency shower/eye and face wash stations in Lab in accordance with ANSI Z358.1-2009 In-Depth Compliance Guide, and latest ANSI Eyewash Standards. Locate eyewash stations on the same level as the hazard and the path of travel shall be free of obstructions. Lessor shall provide Thermostatic Mixing Valves (TMV) or water tempering valves to deliver tempered water to eye wash stations (range 60°F to 100°F) per ANSI Z358.1-2009. Refer to ANSI Standard for Minimum Performance and Installation requirements. Provide Eyewash Signage as required.

6.1.6 Size the piping for the hot and cold-water systems per criteria specified in the IPC including backflow preventers, water hammer arrestors, and trap primers. Minimum pipe size shall be 3⁄4".

6.1.7 Maintain a minimum pressure of 35 PSI [240 kPa] at the plumbing fixtures on the top floor. In minimum pressure calculations, use residual pressure at design flow. Monitor for diurnal pressure fluctuations experienced by the building water supply and modify starting pressures accordingly. Provide a pressure gauge on the top floor branch adjacent to the riser.

6.1.8 Legionella Mitigation: There are currently no EPA enforceable regulations governing the levels of Legionella bacteria in potable water systems; however, EPA has issued a Maximum Contaminant Level Goal (MCLG) of 0 ppm [mg/L]. Municipal water supplies and wells can carry Legionella, so it is a given that the bacteria will be introduced into the facility potable water system at some time. The A/E will consider the following design recommendations:

1) Provide means to easily remove and disinfect all outlet devices such as showerheads and faucets, etc. Utilize self-draining showerheads.

2) Provide a 3⁄4" ball valve at the end of each piping section as a means to drain heated (above 140 °F [60 ̊C]) flushing hot water that will be used for initial and supplemental disinfection. Ball valve shall be within 50 feet [15.24 meters] of a floor sink, floor drain, sink, or lavatory.

3) Mix hot/cold water as near the showerhead and faucets as possible. Eliminate all dead legs in the piping system.

4) Subsequent to piping disinfection required per IPC, and as part of the commissioning process, disinfect the potable water systems against Legionella by one of the following methods:

· Thermal Eradication: Flush 145°F water through all outlets for a period of at least 30 minutes.

· Chlorine: Flush free chlorine at a level of 2 parts per million (PPM) or greater for a period of at least 2 hours. Further information can be found in ASHRAE paper CH-03-3-2.

6.2 PLUMBING FIXTURES, TRIM AND EQUIPMENT

6.2.1…

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