Exhibit B.2 CLEVELAND CBOC - PFD SPACE PLAN REV.2 4.23.2024.pdf

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Cleveland, WI VA CBOC New Replacing Lease
Solicitation number
36C25225R0056
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About this file

This document is a Program for Design for a new Community Based Outpatient Clinic (CBOC) in Cleveland, Wisconsin, projected for completion in 2025-2026. The facility will be part of the Clement J. Zablocki VA Medical Center in VISN 12, with a total net area of 9,960 square feet and a gross area of 14,940 square feet. The design encompasses 15 functional areas including outdoor and indoor public spaces, veteran welcome areas, patient care rooms, laboratory medicine, teamwork spaces, logistics, management, staff wellness, and mobile technology zones.

Key design features include 12 general patient care rooms, 2 women veteran patient care rooms, 4 counseling patient care rooms, a telehealth patient care room, multiple staff workstations, a staff conference room, a shared group/multifunction room, blood draw stations, specimen processing areas, and specialized spaces like a lactation room and bariatric patient facilities. The clinic is designed to provide comprehensive primary care services for veterans, with a focus on accessibility, technology integration, and staff support infrastructure. The project was initiated on 8/26/2022 and the space plan was last edited on 4/5/2024.

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Other files

File Type Posted
RLP amendment 7-36C25225R0056 0007.pdf PDF
36C25225R0056 0005.pdf PDF
RLP Amend 4-RLP 36C25225R0056 0004-w-Q and A.pdf PDF
36C25225R0056 0003.pdf PDF
Cleveland CBOC Global Request for Lease Proposal (RLP) Revised 11.20.25.pdf PDF
Exhibit D-3516 Solicitation Provisions (Feb. 2025).pdf PDF
Exhibit E-3517B General Clauses (Feb. 2025).pdf PDF
36C25225R0056 0001.pdf PDF
36C25225R0056 0002.pdf PDF
RLP Amend 1-Cleveland CBOC (RLP) FINAL11.12.25.pdf PDF
Exhibit B.1 Cleveland CBOC Conceptual Floor Plan Rev 2 2.21.2025.pdf PDF
Exhibit B.4 Cleveland Build - Install vs Provide chart.xlsx XLSX spreadsheet
Exhibit D 3516 Solicitation Provisions Oct. 2023.pdf PDF
Exhibit E 3517B General Clauses Oct. 2023.pdf PDF
Exhibit H Prelease FPLS Evaluation Form 12000 Part A-B Part B May 2015.pdf PDF
Exhibit I-FSL Security Price List.xlsx XLSX spreadsheet
Exhibit N- Past Performance Questionaire-Cleveland.pdf PDF
Exhibit K-Manitowoc DOL wage rates.pdf PDF
Exhibit A-Cleveland Global Lease Template L100.pdf PDF
Exhibit B SOW Cleveland CBOC.pdf PDF
Exhibit B.3 Space Plan - Cleveland WI CBOC -.pdf PDF
Exhibit F Form 1364 Proposal to Lease Space Jan. 2023.pdf PDF
Exhibit J Tenant Improvements Cost Summary TICS.xlsx XLSX spreadsheet
Exhibit L-Sheboygan DOL wage rates.pdf PDF
Cleveland CBOC Global Request for Lease Proposal RLP.pdf PDF
Exhibit C VA Security Requirements FSL Level II Oct 2024.pdf PDF
Exhibit G Form 1217 - Lessor_s Annual Cost Statement.pdf PDF
Exhibit M-Pre-Proposal Conference reqistration-Cleveland.pdf PDF
Exhibit O FAR 52.204-24 Representation Digital Nov. 2021.pdf PDF
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PROGRAM FOR DESIGN

CLEVELAND CBOC

NEW PRIMARY CARE

CLEVELAND, WI

Projected Year: 2025 Midpoint Year: 2026

VISN: 12 State: WI State: 695 Station: Milwaukee

Installation: Clement J. Zablocki VA Medical Center

Project Created: 8/26/2022 1:38:54 PM by Joni Dauphinais Space Plan Last Edited: 4/5/2024 3:20:25 PM by Joni Dauphinais

Contents List Created: 10/11/2023 11:04:00 AM by Joni Dauphinais Contents List Last Edited: 4/5/2024 3:20:25 PM by Joni Dauphinais

Report Generated: 05 Apr 2024 11:20AM ET

CLEVELAND CBOC (NEW PRIMARY CARE)

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 01 - OUTDOOR PUBLIC AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB101 CBOC Veteran Drop-off, Bldg Sprt 0 0 1 2

1 SB103 CBOC Bicycle Rack Area, Bldg Sprt 0 0 1 2

1 SB104 CBOC Service Dog Walk Area, Bldg Sprt 0 0 1 2

FA Totals: Room Qty: 3 Net Area: 0 Gross Area: 0

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 02 - INDOOR PUBLIC AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB291 CBOC Vestibule / Indoor Buffer, Bldg Sprt 120 120 1 2

FA Totals: Room Qty: 1 Net Area: 120 Gross Area: 180

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 03 - VETERAN WELCOME AREA / MAIN STREET

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 CWV02 CBOC Lactation Room, Wm Vet Svc 80 80 1 2

1 OCB11 Interview Patient Care Room, CBOC 140 140 1 2

1 OCB16 Veteran Information / Welcome Area Storage Alcove, CBOC 40 40 1 2

1 SB003 CBOC Veteran / Guest Seating, Bldg Sprt 575 575 1 2

1 SB163 CBOC Bariatric Patient Toilet, Bldg Sprt 75 75 1 2

1 SB191 CBOC Universal Single Occupant Toilet, Bldg Sprt 65 65 1 2

1 SB244 CBOC Housekeeping Aides Closet (HAC), Bldg Sprt 60 60 1 2

1 SB851 Security Station, Police Svc 80 80 1 0

1 SC005 CBOC Welcome Station, Clncl Sprt 100 100 1 2

1 SC165 CBOC Assisted Veteran Electronic Check-in, Clncl Sprt 35 35 1 2

1 SC165 CBOC Assisted Veteran Electronic Check-in, Clncl Sprt 35 35 1 0

1 SC274 CBOC Veteran Video Connect Station, Clncl Sprt 80 80 1 2

Page 2 of 6FOR OFFICIAL USE ONLY05 Apr 2024 11:20AM ET

Functional Area: 03 - VETERAN WELCOME AREA / MAIN STREET

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

FA Totals: Room Qty: 12 Net Area: 1,365 Gross Area: 2,048

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 04 - CAFE / REFRESHMENT AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB207 CBOC Outdoor Seating, Bldg Sprt 0 0 1 2

1 SV692 Vending Machine Alcove, VC Svc 20 20 1 0

FA Totals: Room Qty: 2 Net Area: 20 Gross Area: 30

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 05 - VETERAN EDUCATION / GROUP CARE AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 OCB21 Shared Group / Multifunction Room, CBOC 360 360 1 0

FA Totals: Room Qty: 1 Net Area: 360 Gross Area: 540

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 07 - LABORATORY MEDICINE AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 CL821 CBOC Blood Draw Station, Path Svc 80 80 1 2

1 CL822 CBOC Bariatric Blood Draw Station, Path Svc 100 100 1 2

1 CL823 CBOC Laboratory Specimen Processing, Path Svc 150 150 1 2

1 SB198 CBOC Specimen Collection Toilet, Bldg Sprt 65 65 1 0

1 SC189 CBOC Handwashing Station, Clncl Sprt 10 10 1 2

1 SS218 CBOC Laboratory Lead Tech Workstation, Stff Sprt 56 56 1 2

2 SV581 Medication Alcove, Phrm Svc 40 80 1 0

Page 3 of 6FOR OFFICIAL USE ONLY05 Apr 2024 11:20AM ET

Functional Area: 07 - LABORATORY MEDICINE AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

FA Totals: Room Qty: 8 Net Area: 541 Gross Area: 812

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 09 - PATIENT CARE AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 CEY62 CBOC Tele Retinal Imaging Patient Care Room, Eye Clnc 140 140 1 0

2 CWV16 Women Veteran Patient Care Room, CBOC 120 240 1 0

12 OCB31 General Patient Care Room, CBOC 140 1680 1 0

1 OCB37 Multi-Use / Bariatric Patient Care Room, CBOC 210 210 1 2

4 OCM05 CBOC Counseling Patient Care Room, CB MH 140 560 1 0

2 SB159 CBOC Women Veteran Patient Toilet, Bldg Sprt 75 150 1 2

1 SB201 CBOC Patient Toilet, Bldg Sprt 75 75 1 2

1 SB201 CBOC Patient Toilet, Bldg Sprt 75 75 1 0

2 SC066 CBOC Accessible Patient Height & Weight Station, Clncl Sprt 60 120 1 2

1 SC249 CBOC Telehealth Patient Care Room, Clncl Sprt 120 120 1 0

3 SC271 CBOC Consult Patient Care Room, Clncl Sprt 140 420 1 0

1 SC271 CBOC Consult Patient Care Room, Clncl Sprt 140 140 1 2

FA Totals: Room Qty: 31 Net Area: 3,930 Gross Area: 5,895

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 10 - TEAMWORK AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SC079 CBOC Point of Use Equipment Alcove, Clncl Sprt 50 50 1 0

1 SC281 CBOC Point of Use Supply Alcove, Clncl Sprt 50 50 1 0

1 SS217 CBOC Hoteling Workstation, Stff Sprt 48 48 1 0

16 SS218 CBOC Clinical Staff Workstation, Stff Sprt 56 896 1 0

Page 4 of 6FOR OFFICIAL USE ONLY05 Apr 2024 11:20AM ET

Functional Area: 10 - TEAMWORK AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

4 SS218 CBOC Clinical Staff Workstation, Stff Sprt 56 224 1 2

1 SS268 CBOC Team Copy / Supply Alcove, Stff Sprt 50 50 1 2

1 SS291 CBOC Huddle Space, Stff Sprt 180 180 1 0

FA Totals: Room Qty: 25 Net Area: 1,498 Gross Area: 2,247

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 11 - LOGISTICS AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB106 CBOC Covered Drop-off / Pick-Up, Bldg Sprt 0 0 1 2

1 SB244 CBOC Housekeeping Aides Closet (HAC), Bldg Sprt 60 60 1 2

1 SB287 Hazardous Materials Holding Room, Bldg Sprt 30 30 1 0

1 SB721 CBOC Medical Equipment Storage Room, Lgstcs Svc 120 120 1 2

1 SB741 CBOC Clinical Supplies Storage Room, Lgstcs Svc 100 100 1 2

2 SB763 CBOC Sterile Supplies Storage Room, Lgstcs Svc 100 200 1 2

2 SC206 Soiled Holding Room, Clncl Sprt 60 120 1 0

FA Totals: Room Qty: 9 Net Area: 630 Gross Area: 945

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 13 - MANAGEMENT AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SS101 CBOC Staff Conference Room, Educ Svc 240 240 1 2

2 SS209 CBOC Shared Leadership Office, Stff Sprt 140 280 1 2

1 SS218 CBOC Administrative Staff Workstation, Stff Sprt 56 56 1 2

FA Totals: Room Qty: 4 Net Area: 576 Gross Area: 864

Page 5 of 6FOR OFFICIAL USE ONLY05 Apr 2024 11:20AM ET

Functional Area: 14 - STAFF WELLNESS AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

2 SB191 CBOC Universal Staff Toilet, Bldg Sprt 65 130 1 2

4 SS251 CBOC Staff Personal Property Locker Alcove, Stff Sprt 40 160 1 0

1 SS262 CBOC Clinical Neighborhood Staff Multipurpose Room / Breakroom, Stff Sprt 260 260 1 2

1 SS275 CBOC Staff Outdoor Eating Area, Stff Sprt 0 0 1 2

FA Totals: Room Qty: 8 Net Area: 550 Gross Area: 825

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 15 - MOBILE TECHNOLOGY AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB003 CBOC Mobile Technology Patient Seating, Bldg Sprt 130 130 1 2

1 SB218 CBOC Mobile Technology Docking Area, Bldg Sprt 0 0 1 2

1 SB221 CBOC Mobile Technology Covered Walkway, Bldg Sprt 0 0 1 2

1 SB222 CBOC Mobile Technology Utility / Power Connection, Bldg Sprt 0 0 1 2

1 SB291 CBOC Mobile Technology Vestibule, Bldg Sprt 100 100 1 2

1 SC391 Telecommunications Room (TR), Network Support Center 140 140 1 0

FA Totals: Room Qty: 6 Net Area: 370 Gross Area: 555

Dept Totals: Room Qty: 110 Net Area: 9,960 Gross Area: 14,940

Building Totals: Room Qty: 110 Net Area: 9,960 Sum of Dept Gross Area: 14,940 Gross Area: 18,974

PROGRAM FOR DESIGN

Page 6 of 6FOR OFFICIAL USE ONLY05 Apr 2024 11:20AM ET

VHAMIWBakerK Text Box

NUSF - 9,960

ABOA - 11,952

RSF - 13,745

File details come from the government source that posted it. Updated .