Exhibit B Down River Agency Requirements (ASR).pdf

Down River Community Based Outpatient Clinic (CBOC)

Lease Request Proposal Department of Veterans Affairs Detroit 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

SECTION 1 ROOM SCHEDULE AND DETAILS

1.01 ROOM SCHEDULE

1.02 FINISH DETAILS

1.03 SPACE DETAILS

1.04 GENERAL SPACE REQUIREMENTS

1.05 PROCUREMENT/ INSTALLATION REQUIREMENTS

SECTION 2 DESIGN SCHEMATIC LAYOUT

2.01 DESIGN SCHEMATIC

2.02 ADDITONAL CONSTRUCTION DETAILS

SECTION 3 GENERAL REQUIREMENTS

3.01 SECURITY

3.02 INFORMATION TECHNOLOGY

3.03 OTHER REQUIRED SYSTEMS

1.01 ROOM SCHEDULE

Functional Area Dept. Unit Area

Quantity Dept. Net Area

Floor Covering

Wall Finish Ceiling

Reception 250 1 200 CPTLVT Paint Suspended Wheelchair alcove 60 1 60 LVT Paint Suspended Medication alcove 60 1 60 LVT Paint Suspended

Waiting 300 1 300 CPTLVT Paint Suspended Phlebotomy (blood draw) 90 1 90 LVT Paint Suspended

Unisex Restroom 60 2 120 PT Paint Suspended Alcove, height/ Weight Accessible Station 40 1 40 LVT Paint Suspended

Womens Exam Room w/adjoining bathroom

170 1 170 LVT Paint Suspended

Women’s Exam Room Bathroom 60 1 60 PT Paint Suspended Exam/ Consult room 100 9 900 LVT Paint Suspended

Conference/ Group Therapy Room 175 1 175 CPT Paint Suspended Soiled Utility 60 1 60 LVT Paint Suspended Clean Utility 50 1 50 LVT Paint Suspended Team Room 350 1 350 CPT Paint Suspended

IT Closet expand to second room 100 1 100 ESD Paint N/A Staff Lounge 175 1 175 LVT Paint Suspended

Storage 225 1 225 LVT Paint Suspended Private Office 100 4 400 CPT Paint Suspended

Open Administrative space 500 1 500 CPTLVT Paint Suspended Shared Office 200 1 200 CPT Paint Suspended

SECTION 1 ROOM SCHEDULE AND DETAILS

TOTAL NUSF 4235

GROSS NUSF range 4500 - 4800sf

1.02 FINISH DETAILS

Finish Definitions

• LVT Luxury Vinyl Tile

• PT Porcelain Tile

• CPT Carpet

• SC Sealed Concrete

• ESD Electrostatic Dissipative Tile

Finishes General

• All finishes and wall protection shall be called out on the finish plan, finish schedule, and accompanied by interior elevations, shop drawings and details as appropriate in drawing set.

• Finish samples to be provided and approved by VA prior to installation

Ceilings:

• All built in upper casework cabinetry and/or millwork shall have gypsum board soffit or a slope top to prevent collection of dust.

Counters and Casework/Millwork:.

• All casework and cabinetry shall be lockable. Cabinetry to be keyed alike. A grand master lock shall be provided to unlock all key cores.

Perimeter Walls:

• Any room that has a window shall have blinds that can fully open and fully close.

• Corridors in patient care areas to include handrails

1.03 SPACE DETAILS

Reception

• 3242” minimum clearance entrance door, entry lock set

• Space and utilities for (2) staff work stations with opening and countertop for wheelchair access

• Panic button to be mounted to VA-provided furniture in locations determine by the VA. Main panic alarm station console to be in reception.

• Main nurse call station console

• Space and utilities for (1) multi function printer

• clock

• coat hooks

• full size step-on opener trashcan

• hand sanitizer dispenser, wall hung

• 810 duplex electrical outlets.?

• 810 duplex data outlets.?

Wheelchair Alcove

• Space for (3) VA provided wheelchairs

• Location should be near entry vestibule and/or reception

• 1 duplex electrical outlet

• 1 duplex data outlet

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Waiting

• All doors to waiting to have 3642” minimum door. Door ats from waiting area (two each) to clinical care spaces to have card reader accessshall have and automatic push button door opener

• Television

• full size step-on opener trashcan

• hand sanitizer dispenser, wall hung

Restrooms

• Entry doors to be 36” minimum with privacy lock set

• Porcelain tile wains coat up 4’6” on all walls

• Restrooms may be private or include multiple stalls

• Toilet

• Sink

• paper towel dispenser per sink

• soap dispenser per sink

• nurse call pull-station per toilet

• coat hook per toilet

• baby changing station located in unisex restroom near Entry/ Waiting

• full size step-on opener trashcan

• wall hung sharps disposal container

• feminine product dispenser (unisex and women’s restroom only)

• feminine hygiene receptacle per toilet (unisex and women’s restrooms only)

Phlebotomy (Blood draw)

• Entry doors to be 3642” minimum with privacy lock set

• ceiling mounted cubical curtain track sized to fit around blood specimen chair

• clock

• coat hooks

• sink, wall hung

• Eye wash station

• trashcan, 12 gallon, hands free

• biohazard collection bin, 6 gallon, hands free, red

• sharps container, lockable, 3 gallon, wall hung

• glove box holder, wall hung

• hand sanitizer dispenser, wall hung

• 33 duplex electrical outlets

• 1 emergency power outlet

• 2 duplex data outlets

Alcove, Height/ Weight Accessible Station

• scale

• stadiometer, wall hung

• coat hook

• hand sanitizer dispenser, wall hung

• 1 duplex electrical outlet Alcove, Medication

• 2 duplex electrical outlets

• 2 duplex data outlets

• 1 phone outlet

Exam/ Consult Room

• Entry doors to be 3642” minimum with privacy lock set, typical. (1 larger rest normal?)

• Entry door to exam room closest to waiting area is to be 42” minimum with privacy lock set (1 each)

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• Room pressure: Neutral

• Panic Button mounted to VA-provided furniture

• Sink, wall hung

• paper towel dispenser

• soap dispenser

• hand sanitizer dispenser

• clock

• coat hooks

• trashcan, 12 gallon, hands free

• biohazard collection bin, 6 gallon, hands free, red

• sharps container, lockable, 3 gallon, wall hung

• glove box holder, wall hung

• ceiling mounted track for cubicle curtain, sized to fit around exam bed

• diagnostic set, wall hung

• 1 quad electrical outlet

• 3 32 duplex electrical outlets

• 3 2 duplex data outlets

Women’s Exam Room

• Eentry doors to be 42” minimum with privacy lock set. (larger?)

• RRoom pressure: Neutral

• Panic Button mounted to VA-provided furniture

• Sink, wall hung

• paper towel dispenser

• soap dispenser

• hand sanitizer dispenser

• clock

• coat hooks

• trashcan, 12 gallon, hands free

• biohazard collection bin, 6 gallon, hands free, red

• sharps container, lockable, 3 gallon, wall hung

• glove box holder, wall hung

• ceiling mounted track for cubicle curtain, sized to fit around exam bed

• diagnostic set, wall hung

• 1 quad electrical outlet

• 3 duplex electrical outlets

• 23 duplex data outlets

Women’s Exam Room Restroom

• Entry doors to be 36” minimum with privacy lock set

• Restrooms may be private or include multiple stalls

• Sink, wall hung

• Toilet, wall hung

• Porcelain tile wains coat up 4’6” on all walls

• paper towel dispenser per sink

• soap dispenser per sinkk

• nurse call pull-station per toilet

• coat hook per toilet

• baby changing station located in unisex restroom near Entry/ Waiting

• full size step-on opener trashcan

• wall hung sharps disposal container

• feminine product dispenser (unisex and women’s restroom only)

• feminine hygiene receptacle per toilet (unisex and women’s restrooms only)

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Conference/ Group Therapy

• Entry doors to be 3642” minimum with privacy lock set

• Television, wall hung

• (4) coat hooks

• clock

• trashcan, 12 gallon, hands free

• hand sanitizer dispenser

• 46 duplex electrical outlets

• 24 duplex data outlets

Clean Utility

• Entry door to be 3642” minimum clearance, storage room lock set

• Room pressure: Positive

• Space cannot have a water source or window

• 12 duplex electrical outlet

• 1 duplex data outlet

Soiled Utility

• Entry door to be 3642” minimum clearance, storage room lock set

• Room pressure: Negative

• 12 duplex electrical outlet

Team Room

• Entry door to be 3642” minimum clearance, entry lock set

• Space and utilities for (5) staff work stations

• Space and utilities for (1) multi function printer

• Panic button per workstation to be mounted to VA-provided furniture

• (10) coat hooks

• clock

• trashcan, 12 gallon, hands free

• hand sanitizer dispenser

• 5 duplex electrical outlets

• 5 duplex data outlets

Private Office

• Entry door to be 36” minimum, entry lock set

• Space and utilities for (1) staff work station

• Panic button to be mounted to VA provided furniture

• coat hooks

• clock

• hand sanitizer dispenser

• trashcan, 4 gallon, hands free

• 2 quad electrical outlets

• 2 duplex data outlets

Staff Lounge

• Entry door to be 32” minimum clearance, entry lock set

• A minimum of 6’-0” lineal feet of both upper and lower casework with under mounted stainless steel sink and countertop surface to accommodate a microwave and coffeepot

• Upright refrigerator

• Panic button to be mounted on wall

• (10) half lockers, z shapecoat hooks

• clock

• hand sanitizer dispenser

• 4 duplex electrical outlets

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• 1 duplex data outlet

Open Administrative Space

• Entry door to be 36” minimum, entry lock set

• Space and utilities for (48) staff work stations

• sink, wall hung

• Panic button per staff work station to be mounted to VA provided furniture

• (10) coat hooks

• clock

• hand sanitizer dispenser

• trashcan, 12 gallon, hands free

• 4 duplex electrical outlets

• 4 duplex data outlets

Shared Office

• Entry door to be 36” minimum, entry lock set

• Space and utilities for (2) staff work stations

• sink, wall hung

• Panic button per staff work station to be mounted to VA provided furniture

• (4) coat hooks

• clock

• hand sanitizer dispenser

• trashcan, 12 gallon, hands free

• 2 quad electrical outlets

• 2 duplex data outlets

IT Closet

• The size of this room shall be a minimum of 810’ (feet) x 10’ (feet)

• No windows are allowed

• No floor drains are allowed.

• (4) – 4’ (feet) x 8’ (feet) sheets of ¾” (inch) fire retardant plywood mounted on the wall and painted.

• (2) 208VAC/60 HZ/ 30 AMPS, single phase electrical outlets on dedicated circuits.

• (4) 120VAC/60 HZ/ 20 AMPS, single phase electrical outlets on dedicated circuits.

• Data rack, Hubbell model HPW96RR19 or equal, 8 feet high. Minimum one required.

• Include data punch down panels per the data requirements listed throughout the functional room listing to accommodate approximately 48 data outlets with 2 jacks each and an additional 48 spares.

• Follow all security requirements in VA 0730/4 appendix B

• Exterior walls of brick and masonry construction are acceptable. Exterior walls which are composed of wood frame and siding require an interior backing of steel security screen mesh or sheet partition.

• Doors must be fitted with a mortise lock with a deadlock feature with interior hinges

• No glass doors or doors with glass panes

• All perimeter room walls (including drywall) must extend from floor slab to structure above to ensure physical security, in which case no ceiling is required. Interstitial overhead areas which enable entry into a secure room from an unsecured room must be barricaded by the installation of a suitable partition in the interstitial space with prevents “up and over” access. Ventilation grills on doors and air circulation ducts which exceed 0.06 m2 (100 square inches) in areas must be reinforced to prevent their removal from outside of the room. Other possible access means such as dumbwaiter shafts, roof or wall ventilator housing, trapdoors, etc., must be secured by appropriate means.

• A Motion Intrusion Detection alarm system shall be installed which detects entry into the room. Equipment which operates on the principle of narrow beam interception, door contacts, microwave, or photoelectric eye are unacceptable. Intrusion detectors must have the following essential features.

• An internal, automatic charging DC standby power supply and a primary AC power operation.

• A remote, key operated activation/deactivation switch installed outside the room and adjacent to the room entrance door frame.

• An automatic reset capability following an intrusion detection.

• A local alarm level of 80 dB (min) to 90 dB (max) within the configuration of the protected area.

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• Dedicated HVAC unit for IT closet that maintains temperature and humidity levels within the facility where information system resides at acceptable levels (per information system manufacturer requirements) and consistently monitors temperature and humidity. Designed to accommodate the telecommunications system: it shall provide a 65 to 75-degree temperature range and a 40 to 60 relative humidity range 24 hours a day, 7 days a week, in order to minimize damage to Government-Owned-Equipment (GOE) delicate electronic circuits (for computerized systems only). Install a dedicated split air conditioning unit with thermostat located in the room. Condensate must be pumped from the room to a drain in another area and not have a floor drain in this room.

• Emergency shut off (EPO) for all power to IT closet that is on a separate panel than main circuit board. Switch shall be clearly labeled, easily accessible and protected from unauthorized activation.

• Automatic emergency lighting on separate circuit for information systems that activates in the event of a power outage or disruption and that covers emergency exits and evacuation routes within the facility.

• Provide master shutoff valve(s) for water source(s) within proximity to information systems that are accessible to VA staff. Shutoff valves should be located outside of the IT closet.

• Fire suppression and detection devices/systems for the information system that are supported by an independent energy source, activate automatically and notify the organization and emergency responders in the event of a fire, provide automatic notification of any activation to the organization and emergency responders, and provides automatic fire suppression capability for the information system when the facility is not staffed on a continuous basis.

(Can include but not limited to sprinkler systems, handheld fire extinguishers, fixed fire hoses, and smoke detectors)

• The room shall not be located directly below laboratories, kitchens, laundries, toilets, showers, or other areas where water service is provided.

• The door requires multifactor security (Deadbolt and another form of electronic security), to permit two form identification and data collection 24 hour per day 7 days per week, of entrance, exit, and duration within room (Example forms of identification are; badge, key card, electronic cipher pin, and biometrics).

• Doors and frames shall be 2-hour fire resistive construction. Provided intrusion detection will provide door and lock status sensors and motion detectors.

1.04 GENERAL SPACE AND CONSTRUCTION REQUIREMENTS

• All areas must be in full compliance with current ADA Standards for Accessible Design and the VA Barrier Free

Design Guide (PG-18-13)

• All spaces to maintain temperature between 68-74 degrees Fahrenheit unless otherwise specified

Signage

• Interior signage must meet ADA requirements for mounting location, font size, font type and contain braile

• Exterior signage must be clearly visible from perpendicular entry road. Signage graphic to match VA templated standard and be submitted for government approval prior to installation.

Flag Pole

• A ground-mounted flagpole, located preferably at the left of the entrance (facing the building), must be provided for new federal buildings. If ground-mounted poles are not feasible, a roof-mounted pole is permissible; or, if roof mounting is not suitable, an outrigger pole may be used

• Must be illuminated during darkness

Parking

• A minimum of 40 standard and 5 handicap dedicated parking spots to be provided

• Parking lot to be well lit

Keys

1.05 PROCUREMENT/ INSTALLATION REQUIREMENTS

Item Responsible for Procurement

Responsible for Installation

Signage- interior Lessor Lessor Signage- exterior Lessor Lessor Flagpole- exterior Lessor Lessor Casework/ Millwork Lessor Lessor Soap dispenserNurse Call LessorLessor LessorLessor Baby Changing StationPanic Button LessorLessor LessorLessor Paper Towel HolderSoap dispenser LessorLessor LessorLessor Trashcan- 12 gallon, hands freeBaby Changing Station

LessorLessor LessorLessor

Trashcan- 4 gallon, hands freePaper Towel Holder

LessorLessor LessorLessor

Biohazard Bin- 6 gallon, hands free, redTrashcan- 12 gallon, hands free

LessorLessor LessorLessor

ClockTrashcan- 4 gallon, hands free Lessor Lessor Coat HookBiohazard Bin- 6 gallon, hands free, red

LessorLessor LessorLessor

Sharps disposal container, lockable, 3 gallon, wall hungClock

LessorLessor LessorLessor

Coat Hook Lessor Lessor hand sanitizer dispenserSharps disposal container, lockable, 3 gallon, wall hung

LessorLessor LessorLessor

Toilet paper dispenserStadiometer, wall hung

LessorLessor LessorLessor

Glove box holder, wall hunghand sanitizer dispenser

LessorLessor LessorLessor

Feminine product dispenser, wall hungToilet paper dispenser

LessorLessor LessorLessor

Feminine hygiene receptacle, wall hungGlove box holder, wall hung

GOVLessor LessorLessor

Cubicle Curtain track, ceiling mountedFeminine product dispenser, wall hung

LessorLessor LessorLessor

Cubicle CurtainFeminine hygiene receptacle, wall hung

GOVGOV GOVLessor

FurnitureCubicle Curtain track, ceiling mounted

GOVLessor GOVLessor

Walk off entry matCubicle Curtain LessorGOV LessorGOV Scale, wall hungFurniture GOVGOV LessorGOV Television, wall hungWalk off entry mat GOVLessor LessorLessor Eye Wash Station, hand heldScale, wall hung

LessorGOV LessorLessor

Diagnostic set, wall hungTelevision, wall hung

GOVGOV LessorLessor

Data RackEye Wash Station, hand held LessorLessor LessorLessor Diagnostic set, wall hung GOV Lessor Data Rack Lessor Lessor

2.01 DESIGN SCHEMATIC

The schematic below 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

SECTION 2 DESIGN SCHMATIC LAYOUT

3.01 SECURITY

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

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.

CCTV

Entry Ddoors and frames shall be 2-hour fire resistive construction. Provided intrusion detection will provide door and lock status sensors and motion detectors.

• Communications Room- Doors shall have recorded motion-activated CCTV camera coverage on the egress side of the door

Intrusion/ Motion Detection

• Space must include 24 hours centrally monitored perimeter openings intrusion system, centrally monitored fire detection and alarm system and recordable exterior surveillance system.

• Intrusion/ Motion detection required on communication rooms

• An integral capability for the attachment of wiring for remote alarm and intrusion indicator equipment (visual or audio). In protected rooms of outpatient clinics not on facility grounds, intrusion detector alarms will be connected remotely to a commercial security alarm monitoring firm, a local police department, or a security office charged with building security. The remote alarms will be in addition to locally broadcast alarms in the protected areas. A low nuisance alarm susceptibility.

• Monitoring cost is to be included in the lease cost.

Panic Alarms

• Must ring directly to outside emergency number

• Creates an audible ring when pulled

• Console to be located at the reception to indicate location of alarm set

Card Readers/ PACS system

• Card readers to be installed per FSL2 requirements. Readers must integrate into VA Detroit system and will be an extension of VA Detroit PACS system. Lessor will be responsible for designing, procuring, installing all components of the PACS system including licenses for each door added to the system.

Refer to TIL Guidelines for Complete Description of Security Requirements

SECTION 3 GENERAL SYSTEMS REQUIREMENTS

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

3.02 INFORMATION TECHNOLOGY

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

• 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 and suppression devices/systems that activate and notify the organization and emergency responders in the event of a fire.

• All data communication lines will be terminated in this room on the back wall.

• Secure Emergency power shutoff capabilities. Uninterruptable Power Systems (UPS). Provide necessary UPS units with minimum of 20 minutes runtime at full rated capacity and floor space necessary for units.

• Room must have 2 standard 19” data racks installed, one to support network equipment and one to support PC/Servers. The racks must be secured to the floor, a minimum of 3 feet behind the rack for access. Both racks will have 2 shelves on the bottom installed to hold IT computers. All equipment will be mounted or stored off the floor. 2 Shelves on the side wall to hold 2 spare PC’s 2 Monitors, spare mice and keyboards, etc.

• The room will have adequate lighting/emergency lighting to work in controlled by switch/motion sensor.

• The room must also have a telephone for emergencies.

• IT LAN closets shall require 24 hour cooling.

Refer to VA 6500 Information Security Handbook

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

3.03 OTHER SYSTEM REQUIEMENTS

NURSE CALL

• Nurse Call may be a standalone system and installed in the bathrooms and exam rooms only.

Console will be located at reception area. (VA Detroit uses Rauland Responder 5)

CABLE TELEVISION

• Contractor is responsible for providing cable service to a predetermined location such as the waiting area for a television. Contractor is responsible for facilitating the service and should be included in lease fees.

GUEST WIFI

• Contractor is responsible for providing a heat map of the floorplan and designing a guest WiFi system through the entire floorplan. This will be a separate internet service entirely separate from the VA circuit which contractor will not responsible for.

VA WIFI

Formatted: Indent: Left: 0.5", No bullets or numbering http://www.cfm.va.gov/TIL/PHYSICALSECURITY/DMPHYSECMC.PDF http://www.va.gov/VAPUBS/VIEWPUBLICATION.ASP?PUB_ID=56

• Contractor is responsible for providing CAT6A cabling from 14 each WIFI ceiling mounted access points to the IT Closet. Contractor is to install, test and terminate all data cabling at access point to patch panel in IT closet.

DATA CABLING

• Contractor is to install, test, and terminate all data cabling and provide rack mounted patch panels. Data Cable to be CAT6A.

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