Exhibit B SOW Cleveland CBOC.pdf

Design Requirements, Page 1

Design Requirements

I. DESIGN TASK

Provide a complete design for the build out of the space leased for the Cleveland

Community Based Outpatient Clinic (CBOC) in Cleveland, Wisconsin.

A. Background Information: The Clement J. Zablocki VA Medical Center in Milwaukee, WI is seeking a new lease of approximately 9,960 net usable square feet and 13,745 gross sq/ft Cleveland, WI, to replace the existing CBOC located at 1205 North Ave, Cleveland, WI. The clinic will contain Primary Care, outpatient Mental Health, Telehealth, and laboratory services. The new space will be designed to meet the VA’s current Primary Aligned Care Team (PACT) design guidance. The new space will also meet the Community Base Outpatient Clinic design guidance. The VA PACT model design emphasizes flexibility of rooms and teamwork areas.

B. Project Intent: Provide the Cleveland CBOC with space that fully supports

PACT model operation and that allows the clinic to meet its projected workload.

The project will also meet the required IT infrastructure requirements for an upgraded Electronic Medical Record installation.

C. This project includes all design services required to buildout the new leased space, including all utilities, to meet the VA’s needs and the requirements of this document.

II. DUTIES OF THE A/E

A. The A/E shall provide complete investigative and design services to provide for a fully coordinated, functionally integrated, and operational design and subsequent project.

B. The work shall include:

1. Preliminary meetings and site survey investigations to define the necessary elements of the project scope of work. This includes presentation of preliminary layout plans with proposed alternatives to the User Group and preparation of a detailed project plan based on User Group meetings and site survey.

2. A detailed analysis of the various options available, covering design constraints, access requirements and all applicable codes and standards.

3. A full field investigation of all areas affected by this design. Site investigations shall measure and document the conditions of areas to be renovated and/or impacted. This information shall be clearly conveyed in the construction documents.

4. Preparation of drawings and specifications, as called for in this scope of work and within the established construction budget.

5. Design Review Meetings:

a. Professional Architects, Engineers, and related design disciplines familiar with the work shall be provided to attend the VA design reviews at the VA Hospital in

Design Requirements, Page 2

Milwaukee, WI or other designated site closer to the project (Green Bay VA

Health Care Center).

b. The A/E shall provide minutes of each review meeting to the VA for review within 2 business days of the review meeting.

6. Construction Period Administration (CPA) Services, including:

a. Review and approval of construction submittals covering products that have been listed within the contract documents, including cut sheets, manufacturer’s data/performance sheets, samples, shop drawings, schedules, and phasing plans.

b. Responses to Request for Information (RFI);

c. Site visits, spread across the various design disciplines, as required for inspection of ongoing construction, including final tests and inspections.

(a) A site inspection report shall be furnished to the VA within three workdays following all site visits during the construction period.

(b) The site inspection report shall include the purpose of the inspection, items reviewed, deficiencies observed, recommendations and additional actions required.

d. Verification of as-built conditions from contractor-supplied marked up prints, and preparation of as-built documents to be provided to the VA.

C. Provide all necessary engineering and design services for architectural, interior design, site development, mechanical (plumbing, fire protection and HVAC), electrical, structural, asbestos abatement, signage, Physical Security Plan, and other specialty consultants within the limits of the project to support submissions as detailed in

Attachment A, Submission Requirements. Each discipline shall document and investigate the relevant existing conditions, review the building available information, and verify all essential elements pertinent to their discipline.

D. Design shall comply with the latest editions of all applicable VA guidelines (eg, Construction Standards, Design Guides, Master Specifications, Standard Details, Special

Design Criteria Physical Security and Resiliency Design Manual, NFPA, JC, Federal and State codes pertinent to the project scope. VA guidelines are available at http://www.cfm.va.gov/TIL/. In the event there are conflicts between this statement of work (SOW) and supporting documents, written notification to the VA Contracting

Officer for clarification/approval will be required prior to submittal.

E. In the design of new building and alteration work under this contract, consider all requirements (other than procedural requirements) of:

1. zoning laws;

2. laws relating to landscaping, open space, minimum distance of a building from the property line, maximum height of a building, historic preservation, and aesthetic http://www.cfm.va.gov/TIL/

Design Requirements, Page 3 qualities of a building, and similar laws, of the State and local political division which would apply to the building if it were not to be constructed or altered by the U.S.

Government; and the A/E shall provide prompt, written notification to the VA concerning conflicts with or recommended deviations from codes, laws, regulations, standards, and opinions of review officials as described above.

III. PROJECT SPECIFIC REQUIREMENTS

A. Specifications: VA Master Construction Specifications, available at http://www.cfm.va.gov/TIL/spec.asp, shall be the basis for the construction per specifications. However, these are a guide only and are written to cover a wide variety of project types and sizes. Each spec must be carefully edited for this project. The “track changes” tool in Microsoft Word shall be utilized when editing specifications so that VA reviewers can see the changes that have been made. Special note for keying: key system must use small format (7-pin) interchangeable cores.

B. The VA COR will prepare in MS Word following specifications and provide to AE for incorporation into specification package at each deliverable milestone:

a. 01 00 00 – GENERAL REQUIREMENTS

b. 01 01 10 SN – SPECIAL NOTES

c. 01 32 16.15 – PROJECT SCHEDULES

d. 01 33 23 – SHOP DRAWINGS, PRODUCT DATA, AND SAMPLES

e. 01 35 26 – SAFETY REQUIREMENTS

f. 01 57 19 – TEMPORARY ENVIRONMENTAL CONTROLS

g. 01 74 19 – CONSTRUCTION WASTE MANAGEMENT

h. 01 81 13 – SUSTAINABLE CONSTRUCTION REQUIREMENTS

i. 01 91 00 - COMMISSIONING REQUIREMENTS

C. Interior Design:

All interior design services for the project area shall be included and shall be coordinated with VA Interior Design staff. Interior design services include recommending and coordinating all finishes, preparing storyboards and color selections, and working with the VA interior designer making furniture selections to help ensure that the furniture is well-coordinated with the project.

2. Finishes and fixtures shall be in accordance with Attachment B, Finishes List, or

VA COR approved equals. Note: Exam Room walls will need (RWC) Rigid

Vinyl Wall Covering, 48in from the floor (all walls).

3. Signage shall be provided in accordance with Attachment C, Signage Requirements.

4. All items requiring wall mounting to fixed walls to be completed by contractor during construction to include at minimum, exam room equipment, decorations, and security and sanitary devices.

D. PACT Design: Ensure that the design complies with the VA PACT Space http://www.cfm.va.gov/TIL/spec.asp

Design Requirements, Page 4

Module Design Guide, available at https://www.cfm.va.gov/til/dGuide/dgPACT.pdf.

E. CBOC Design: Ensure that the design complies and utilizes the VA CBOC

Proto-type Design Guide available at https://www.cfm.va.gov/til/Prototypes.asp#CBOC

F. Patient/Visitor Access: Automatic door openers shall be provided at main entrance to facility, including vestibule area, to allow for ease of access for the mobility impaired. Auto door openers shall also be provided at bathrooms in waiting room area. Commercial grade handrails shall be provided and installed throughout the patient hallway areas, InPro Corporation 200w with stainless steel bracket.

G. Room Requirements

Entryway Vestibule

• One (1) Card Access power door operator at exterior double door set and one (1) power door operator at interior double door set.

• Alarm panel for arming/disarming building security alarm system. (Connected to central building system)

• Exterior doors shall be with dual locking hardware, but with a single action from inside to exit in emergency.

• Wall mounted heater for maintaining vestibule temperature.

• Provide canopy/covered walkway over patent entrance to the clinic, The canopy shall extend over car/truck/bus traffic area, provide 14 feet minimum vertical clearance for vehicular traffic.

Reception Area

• Separated from Waiting Area by full height constructed walls and three (3) sliding teller windows with solid surface counter between receptionist and waiting area.

• Soffit with dimmable LED can lights directly above the receptionist area.

• Wall mounted remote control of paging amplifier system.

• Three (3) Duress Alarms, mounted under counter at each workstation location.

• Door from Reception to Patient hallway shall be standard swinging door with storeroom lockset and card access.

Waiting Area

• Two (2) elevated television bracket within wall data cabling and duplex electrical receptacle.

• Chair rail around perimeter – Acrovyn product or as approved by VA COTR.

• Refrigerated Duplex Drinking fountain with water bottle fill station (ADA).

• Data outlets and duplex receptacles for two queuing terminals.

• Door from Waiting area to patient hallway shall be standard swinging door with storeroom lockset, card access, and auto door operators.

Unisex Rest Rooms

• All restrooms are to be ADA compliant and shall include stainless steel grab bars at stool location.

• Floors shall be ceramic tile, with ceramic tile walls floor to ceiling. Power door operator.

https://www.cfm.va.gov/til/dGuide/dgPACT.pdf https://www.cfm.va.gov/til/Prototypes.asp#CBOC

Design Requirements, Page 5

• All doors shall have lockset including red “in-use” and green “vacant” indication, including emergency key, or approved equal.

• Two stainless steel coat hooks on interior of door, with wall mounted stainless steel shelf near sink, approx. 18”x5”.

• Wall-mounted baby changing units, Koala Kare KB101, or approved equal.

• Soap, paper towel, toilet paper dispensers, sanitary napkin dispensers, waste bin, and feminine product disposal.

• Nurse call button with cord.

• Floor mounted toilet. (Main waiting area bathroom to have Bariatric floor mounted toilet min 2,000lb capacity) (toilet/urinals to have auto-flush sensor)

• Provide stainless steel specimen pass-through cabinet on wall in Lab toilets, Bobrick B-505 or approved equal.

Exam/Consult Rooms & Telehealth Exam Rooms

• Door to patient hallway and Teamlet space shall be sliding barn door style. Barn door shall be AD

Systems ExamSlide, with ADA thumb turn lock and occupancy indicator, with soft-close dampening system, or VA-approved equal. (door into Teamlet requires keyed lockset and indicator)

• Duress alarm at workstation location.

• Room status indicator flags above each door to Teamlet area.

• Sink and casework with drawers, high pressure laminate surface counters, and locking upper cabinets.

• Soap, paper towel, and Purell dispensers provided by VA.

Procedure/Treatment Room

• Door to patient hallway and Teamlet space shall be sliding barn door style. Barn door shall be AD

Systems ExamSlide, with ADA thumb turn lock and occupancy indicator, with soft-close dampening system, or VA-approved equal. (door into Teamlet requires keyed lockset and indicator)

• Duress alarm at workstation location.

• Room status indicator flags above each door to Teamlet area.

• Sink and casework with drawers, high pressure laminate surface counters, and locking upper cabinets.

• Soap, paper towel, and Purell dispensers provided by VA.

• Above ceiling rail structure for 1000 lb. bariatric lift, with rail and lift provided by VA, contractor to install and include structural support.

• Exhaust fan and switch for negative pressure room capability.

Blood Draw

• Provide storeroom lockset and card reader.

• Duress alarm at wall location.

• Sink and casework with drawers, high pressure laminate surface counters, and locking upper cabinets.

• Soap, paper towel, and Purell dispensers provided by VA.

• Special dedicate power outlet for refrigerator.

• Nurse call button with cord.

Lab Processing

• Provide storeroom lockset with card reader.

• Duress alarm at workstation location.

• Sink and casework with drawers, high pressure laminate surface counters, and locking upper cabinets.

• Soap, paper towel, and Purell dispensers provided by VA.

• Special dedicate power outlet for refrigerator.

• Sink mounted eye wash.

Design Requirements, Page 6

Clean Clinical Supply

• Provide lockable door hardware, card reader, and door closer with 90 degree hold open on door.

• Provide floor to ceiling adjustable shelving system along one wall surface, wall to wall.

• Room must maintain 70 degrees F year-round, with a dedicated DX cooling system.

Sterile Supply

• Provide floor to ceiling adjustable shelving system along one wall surface, wall to wall.

Soiled Utility

• Provide flush rim sink with splash guard and faucet with spray.

Equipment Storage

Teamlet Space and Clinical Staff Work Areas

• Provide card readers and storeroom function lockable door hardware at each door.

• Duress alarm at each workstation location.

• Two (2) stainless steel coat hooks on inside of each door.

Conference Room

• Provide classroom function lockable door hardware.

• Duress alarm at wall location.

• Wall mounted video display system with external PTZ camera connected to computer on conference table including microphone(s) and speaker(s) to be wall/ceiling/table mounted.

• AV equipment would interface with existing VA approved computers and software.

• TAA compliant electronic equipment.

• In floor electrical and phone/data outlet box in center of room.

Staff Break Room

• Provide card access reader, storeroom function door hardware, and door closer on all doors.

• Duress alarm at wall location.

• Laminated cabinetry (upper and lower) with sink (~10 ft. total Length)

• Solid surface countertop.

• 25 ½ size lockable staff lockers with a coat hook, along one wall.

• Power outlets for 2 refrigerators, microwave, coffee maker, IT Closet

• Two (2) dedicated 20-amp circuits minimum, plus other power requirements for miscellaneous systems.

• Phone/Data rack and patch panels are to be provided by contractor.

• Refer to Structured Wire Installation Specifications (S02-Structured_Wire_Spec.doc)

• Access shall be via electronic door strike hardware, PIV card compatible reader, and Pin keypad.

Mount new controller panel(s) with power supply panel on wall in this room. Unit shall be fully programmed and connected via VA network to VA Hospital Cure Server and be fully operational.

Design Requirements, Page 7

• No suspended ceiling in this room. Provide painted drywall at roof deck, open below to room, with pendant or wall LED ceiling lights.

• Mortise Lockset

• Duress alarm at wall location.

• Motion intrusion detector.

• Must meet all requirements of: Physical Security and Resiliency Design Manual, VA FSL II requirements.

Mental Health

• Door to patient hallway shall be standard swinging door with privacy lock.

• Duress alarm at workstation location.

• Room status indicator flags above each door.

• Plumbed for Sink.

• Special note: Rooms connected to Teamlet area will have the following in lieu of swinging door with privacy lock:

• Door to patient hallway and Teamlet space shall be sliding barn door style. Barn door shall be AD Systems ExamSlide, with ADA thumb turn lock and occupancy indicator, with soft-close dampening system, or VA-approved equal. (door into Teamlet requires keyed lockset and indicator)

• Room Status indicator flags above each door to Teamlet area.

Security

• Provide card access reader and storeroom function door hardware, Trilogy

DL2700, and door closer.

• Walls to have security glass window to overlook the waiting room and front entrance.

• Security camera feeds & panic alarm feeds to be routed to this room with a monitor, computer, and associated intrusion/panic alarm systems. (Note: server and connection to

Milwaukee, Green Bay, and Appleton VAPD can be located in IT closet if necessary)

Housekeeping Aid Closet

• Provide storeroom lockable door hardware

• Exhaust Fan

• Floor basin sink with faucet (to handle housekeeping equipment filling/cleaning, ex: mops, mop buckets, cleaning bottles.)

• Wall mounted suspended supply storage cabinets.

H. Intercom/Paging/Radio System: A local intercom/paging/radio system shall be provided and installed, to audibly communicate throughout the VA leased space, and shall be incorporated for use with VA provided telephone system. Unit shall be TOA Model A-706 Amplifier, rack installed in IT Closet, with Bogen Digital

Stereo Tuner, Model DST1 or equivalent. Speakers shall be Bogen Model

CSD2X2 or equivalent and shall be installed in each exam/procedure/telehealth room, in each office, in conference room, staff lounge, VIC room, patient intake room, and waiting area. Remote control of system on/off and system volume adjustment shall be provided at reception area, security room, and each speaker

Design Requirements, Page 8 location shall also have wall-mounted volume control. Provide tamper proof/inadvertent activation switches for emergency situations with pre-recorded audio activation. (ie; fire drill, tornado, physical lockdown)

I. Drinking Fountain: An ADA-style water fountain with filtered water bottle fill shall be provided and installed in the main patient waiting room for use by patients/visitors.

J. Patient Privacy: Provide and install two (2) ceiling mounted cubicle tracks (one at each door location) in each exam room and one (1) at each Blood Draw station, to provide visual privacy, as manufactured by On the Right Track

Systems. Contractor shall also provide curtains, with style/color coordinated with VA Interior Designer. Provide quantity of curtains that is twice the number installed, to allow for full cleaning/swap out of curtains at one time.

K. Parking: The lessor shall provide minimum 58 parking spaces for staff and patients, of which 6% of the total required spaces are designated handicap unless more are required by local code. Must meet all requirements of: Physical

Security and Resiliency Design Manual, Veteran Police Department to review building-parking distances.

L. Fire Safety: The lessor shall have the building sprinklered throughout with fire suppression, in addition to have portable fire extinguishers that are monitored regularly per regulatory requirements.

M. Electrical The lessor shall be responsible for meeting the applicable requirements of the NFPA, NEC, the National Electric Safety Code, and local codes and ordinances, and shall be inspected for compliance in the NFC and local code by the local authority having jurisdiction. A certificate of compliance shall be furnished to the VA. Distribution panels must be circuit breaker type with 25 percent square power load and circuits. All electrical equipment shall be U.L.

Listed.

a. Outlet Distribution - Quad floor and wall electrical outlets shall be provided in a ratio of one (1) for every 50 gsf of space. Quad floor outlets in rooms over 400 gsf shall be provided on the basis of one (1) per twelve

(12) linear feet of wall surface. Quad utility outlets shall be provided in toilets, corridors, and dispensing areas for maintenance purposes. Outlets are to be circuited separately from the lighting with not more than nine such outlets on one circuit. Switchgear and circuit breakers shall be plainly marked or labeled to identify circuits or equipment supplied through them. If the electrical outlet is within 24” of a sink, then it shall be Ground Fault Interrupting type. Emergency outlets shall be red in color.

Design Requirements, Page 9

N. Physical Security:

1. Designer shall ensure that the facility design complies with ISC, VA Lease

Security Requirements For Level (FSL) II, as per Exhibit C, and Physical

Security and Resiliency Design Manual, and VA handbook 0730/4. Offers are to work/collaborate/consult with Johnson Control/Johnson Control authorized dealer for section “N. Physical Security”.

2. Card reader access shall be provided for exterior staff and exterior main entrance doors, the IT closet, the clean supply and soiled/utility rooms, and for all doors from the public areas (i.e. waiting room) into the clinical areas (containing the exam rooms) and staff only spaces. Card readers shall be fully compatible with existing

VA PIV cards and shall report back to the Software House C-CURE Physical Access

Control System at the VA Hospital, via hospital computer network. Security must meet requirements to be added to existing service contract following warranty period.

3. Provide a security system to alarm upon illegal entry in the leased space and to prevent unauthorized entry 24 hours, 7 days per week. The preferred system will have intrusion/motion detectors at each entrance to the clinic space that alarm locally at the site and to a remote monitoring location. A review shall be approved by the Contracting Officer, with All monitoring costs provided by the landlord for the term of the lease. Lessor shall install keypads to allow for arming/disarming the building at two separate location(s) as directed by VA COR.

4. Provide and install a hard-wired duress alarm button in each exam/procedure room, at each office workstation, in the reception area workstations, at the blood draw stations, in Group Meeting/Conference room, and as directed by

COR. Needs to meet requirements for the (C-CURE 9000) Duress buttons shall be compatible with C-CURE 9000, non-latching with LED, connected to supervised control panel, and programmed by contractor into software package. Contractor shall provide to COR a device directory, with specific room locations, for each installed device, including control panel terminal numbers.

5. Single button lockdown feature to be installed in Security room, MSA Desk, and Main Administration office. Intent is to initiate a full exterior building lockdown at all exterior entrances with single press. Button to be installed in a manner that prevents inadvertent activation.

6. Security Cameras – required – Interior cameras to cover all critical area and common space. Exterior cameras to be post mounted when available (ex:

parking lot lighting posts exterior structures) and well lit per building/security guidelines. The CCTV system will support time lapse digital color video recording, and shall provide unobstructed coverage of designated pedestrian entrances, exits, and parking areas, to include all interior common areas.

Quantity of interior cameras is expected to be minimum 3-4, and exterior cameras is minimum 4-5. Cameras are to provide full 360 degree coverage of interior common areas as well as entire building perimeter with view of all exterior doorways. Parking lot to be viewable by exterior cameras.

Design Requirements, Page 10

7. All Physical Security systems need to be integrated with and monitored by existing VA systems to include VAPD at Milwaukee, Green Bay, and

Appleton location as well on-site and Current VAPD monitoring source.

O. Telephone/Data Requirements:

Telephone/data outlets will be provided on the basis of one (1) per twelve (12) linear feet of wall surface.

Coordinate outlet locations with electrical outlets for computer equipment. Outlets will be served by

¾” conduit through walls, stubbed above ceiling height, with two (2) Category 6E 4 Pair data cables and two (2) Category 6E 4 Pair voice cable at each location, running back to the data closet, terminated by OEM Certified contractor at the jack location and on contractor provided patch panel(s) and data rack(s). Cabling shall be 4 individually twisted pair 24 AWG insulated copper conductors, voice=green color; data=yellow color.

(Panduit) Cat6E 4 PAIR PVC CABLE BULK GREEN PUR6004GN-L 1000’

(Panduit) Cat6E 4 PAIR CABLE BULK YELLOW 1000’

Contractor shall provide and install a suitable (L5-20, L6-30, etc) receptacle, mounted in or near the rack space in the data closet for VA provided UPS connection. Provide and install sheets of ¾” fire rated plywood from floor to 6’-0” high along one wall of IT closet. VA IT staff will provide specific guidance on power plug connectors/terminations/patch panels, etc. The government reserves the right to provide its own telephone service in the leased space. Conference room data jacks will be provided on the basis of one (1) every six (6) linear feet of wall surface.

General Requirements:

All telecommunications cabling and telecommunications physical space must conform to established industry standards (NEC, NFPA, OSHA, IEEE, EIA/TIA, etc.) including the following practices:

• Telecommunications equipment and other equipment supporting the building’s security or communications interfacing may be located in wiring closets. Electrical service panels, HVAC equipment, natural gas or water control valves, etc. must be located elsewhere.

• Length of any UTP cable run from patch panel in wiring closet to RJ-45 data jack at wall plate must not exceed 90 meters. If contractor cannot meet this requirement with a centrally located wiring closet, contractor must provide additional wiring closets conforming to the specifications outlined in this document.

Environmental/Electrical:

A telephone/data wiring closet must be provided, with dimensions of at least 10’ x 10’ in size. The floor must be sealed concrete or low static tile. It must have lighting controlled by a wall switch directly inside the closet by the entry. Lighting fixtures shall be surface-mounted LED, and shall ensure a lighting level of 100 foot-candles on working surfaces with a near (natural) light color rendition. A dedicated cooling system shall be provided in the closet to ensure 70 degrees F. 20-amp duplex or quad electrical receptacles must be located on each wall and each receptacle must be connected to one or more circuits that are isolated from receptacles outside the closet. Two of the receptacles must provide emergency power, and the receptacle should be red. The door must open

Design Requirements, Page 11 outward to avoid collisions with network equipment or, if inward opening, provide at least five feet of clearance between the door and any network equipment. All perimeter walls for the IT closet shall extend from floor to roof deck above to prevent entry.

Equipment Mounting Hardware:

At the end of the room opposite from the entry, a contractor-provided 96”H x 24” W x 30” D four-post equipment rack made with 16 gauge steel components, supporting 52 rack spaces, UL Listed for

2,500 lbs. (Panduit CMR4P96) must be installed at a 90-degree angle to the wall. Vertical cable management must be provided by contractor and attached to each side of the rack (Panduit Patch

Runner PRV8). Contractor must also provide horizontal cable management (Panduit SRBCT, Panduit NCMH2, Panduit NCMHAEF2, Panduit NCMHAEF4). VA OI&T staff will mount horizontal cable management after network electronics have been installed in the rack. The contractor will provide at least one two post standard rack(s) 96”H x 20.3” W x 6” D 6” channel steel for a UL Listed of 1,500 lbs load rating (Panduit R2P96S). The standard rack must be interoperable with the horizontal and vertical cable management supporting the 4 post equipment rack. The rack must be bolted to the floor for stability and oriented for easy access from front and back (ideally this would be at least 4-foot clearance, front and back). Racks must also be connected by grounding strip (Panduit CGK630U) and grounded to building ground through a busbar (approx

¼” x 4” x 12”) of copper with tin plating which meets BICSI and J-STD-607 (Panduit

GB4B0612TPI-1) and self-laminating labels to identify busbar to the building ground. All components are required to be installed by OEM certified installer of items provided for telecommunications closet.

Horizontal Cable Raceways:

All horizontal wire and cabling shall be installed in a raceway system within the telecommunications closet. This raceway should be supported from above the rack area with enough vertical space to allow for easy access to both the raceway and top of the rack system and a graceful entry from the above raceways to the equipment within the racks below. Waterfall devices provide the soft transition from the raceway above the racks to the devices below and should be installed in adequate numbers to facilitate the network hardware being deployed and additional waterfall devices provided to IT for current and future needs. The raceway must run across the top of the rack in four directions each point meeting in the near center. Racks are shown in the center of the diagram below with raceway running across the top to the full extent of the room, and two offset raceways tying into the main trunk of the raceway at one point left and one point right of the rack space.

Illustration: Example of raceway position in Telecommunication Closet

VA OI&T staff will be responsible for the purchase and installation of network electronics and uninterruptible power supplies.

Design Requirements, Page 12

Adjacent to the T-style equipment rack, one or more walls must be covered with ¾-inch fireproof plywood and painted white. A remote telephone switch requiring wall mounting will be provided and installed in this area by VA OI&T staff. Ideally, this should be the same or adjacent wall to where the Local Exchange Carrier point-of-presence equipment is or will be installed.

UTP Telecommunications Cabling:

Sufficient angled patch panels must be provided to match the number of UTP data/VOIP cable home runs from the new wiring closet to individual room locations, plus 10% for growth. These angled patch panels must be mounted with top panel starting at approximately 5.5 foot height of the contractor-provided equipment rack(s). The patch panels must be 48-port angled high-density patch panel with labels (Panduit Part No. CPPLA48WBLY), supplied factory installed CFFPL4 type front removable snap-in faceplates, of cold rolled steel construction, able to accept modules for Cat5e and

Cat6e, Fiber Optic and Coax with snap-in feature to allow for easy moves, adds and changes. Items ordered need to match our VA OI&T standard infrastructure and meet VA requirements for Quality

Assurance of installation.

All UTP data/VOIP cable home runs must be terminated in the wiring closet in patch panels using the 568-A standard.

The provision of both data/VOIP cable runs and analog/digital voice cable runs provides flexibility for the location to support a mixture of PBX, VOIP and POTS voice services over time.

Cat 6E cabling should be used for all UTP cabling home runs (voice and data) (Panduit

PUR6004GN-UY; PUR6004YL-U7). This cabling must meet or exceed the current industry standards for voice/data cabling and must be certified together with the telecommunications infrastructure installed by contractor to meet the VA Quality Assurance requirements. (Section 27

00 11 Communication Equipment Room Fittings). Contractor must also include in the procurement the necessary patch cabling to support each network jack that is installed. These cables should be green 7’(station) and yellow 10’ (closet) cables supporting both the station side and the telecommunication closet.

Once terminated, UTP cabling must be capable of supporting 10/100/1000-BASE-TX Ethernet traffic that will meet the VA requirements for signal level, signal speed, impedance, and system data error (Section 27 00 11 Communication Equipment Room Fittings). All UTP cabling home runs must be terminated by 569-B modular RJ-45 jacks that meet or exceed ANSI and IEEE Class E channel standards and that meet requirements of IEEE 802.3af and IEEE 802.3 for PoE applications

(Panduit CJ688TGYL) yellow color jack for data, green color jack for voice in single gang, sloped vertical faceplate accepting 4 modules (Panduit CFPSL4EIY). The standard network drop consists of two phones and two data jacks. A typical room requires one standard network drop per 50 nsf of space. Coordinate outlet locations with electrical outlets for computer equipment. Outlets will be served by ¾” conduit through walls, stubbed above ceiling height, with two (2) Category 6 data cables and two (2) Category 6 voice cable at each location.

Labeling of Cabling Runs:

For ease of tracing, troubleshooting or relocation, cable jacket colors must be green for the voice jacks, yellow for the data jacks with corresponding color jacks in sloped wall plate. Each cable voice/data pulled to the telecommunications closet must be identified in the telecommunications closet to the corresponding room number.

Room numbers will be assigned by VA staff in advance of any cabling pulls.

Design Requirements, Page 13

Analog/digital and data/VOIP jacks are labeled alphanumerically based on the level location of the patch panel and the port number on the patch panel that corresponds to the room/jack in associated inside the telecommunication closet. Multiple installs of the 48 angled patch panels should be labeled with capital letters A-Z from the top of the rack down. A label below each jack must indicate the room number and sequential jack position within the room. As an example, upon entering a room, the first quad receptacle would be labeled room #-seq. #, such as 101-1, and continue around the room in clockwise order incrementing the sequence until all wall jacks are labeled. Further each jack within the quad receptacles will also need to be identified by identifying the panel and associated jack on that patch panel for each jack (Section 27 00 11 Communication

Equipment Room Fittings).

Illustration 1: Sample sloped wall plate Illustration 2: Example of jack identifiers NOT wall plate

Contractor must clearly label all patch panel jacks, 110-panel positions and cross-connects to match the labeling of the wall plate jacks.

Testing of Completed Cabling:

Once UTP data cabling has been pulled and terminated at both ends, the contractor must test each cable run to confirm that it is capable of supporting data transmission rates indicated above and conforms to cabling standards listed above. The contractor must supply a report documenting the test results. The report should be submitted in electronic format.

Wireless Infrastructure: The listing below is the requirements that must be provided to address wireless infrastructure for a new construction or renovation project.

1. Dimension of the building: This must be the longest length and largest width of the building or section of the renovated space.

2. Total Square Feet of the building: This must be the total foot print square foot of the new building or renovated space.

3. DWG document created from the engineering staff’s AutoCAD application: The document must include the room numbers as well as the total dimension of the building. The AutoCAD DWG drawing must not be in design mode and must be attached to the Service Request ticket as well.

4. Ceiling height of the building: This is normally 10 feet, in some cases ceilings may be higher than normal and must be identified.

5. Clinical Services: List if inpatient mental health will be located in the new building or renovated space.

6. Specialized construction: Identify any areas where there will be specialized construction, such as

18” reinforced concrete walls.

7. Construction start date: The date the construction is to begin on the new building or renovated space.

Design Requirements, Page 14

8. Estimated construction completion date.

9. Wireless Clients: Types of wireless clients expected to be used at the new building or renovated space including Wireless VOIP clients. Total number of wireless clients expected to be deployed.

The System Contractor or subcontractor shall submit certified documentation that they have been an authorized distributor and service organization for the OEM for a minimum of three (3) years. The

System Contractor shall be authorized by the OEM to certify and warranty the installed equipment.

In addition, the OEM and System Contractor shall accept complete responsibility for the design, installation, certification, operation, and physical support for the System. This documentation, along with the System Contractor and OEM certification must be provided in writing as part of the

Contractor’s Technical Submittal.

P. Sustainability: Ensure that the design complies with the applicable sections of the

VA Sustainable Design Manual, available at http://www.cfm.va.gov/til/sustain.asp.

Q. Acoustics: The design shall carefully consider and address acoustics, with the goal of reducing sound transmission between spaces for patient privacy and providing a work environment free of unnecessary distractions.

1. Walls shall extend from floor to deck, utilize metal studs, and contain sound absorbing insulation.

2. Sound masking shall be utilized throughout the space. The lessor shall provide sound masking system with speakers throughout the clinic space, utilizing Cambridge Model

Qt100 sound management system, or equivalent.

3. Additional measures shall be taken to improve audible privacy in the open-office-style teamwork area. The design team shall present options and a “pros/cons” analysis of the options to the VA for input.

R. Telehealth: Plan exam, consult, and conference room layouts to accommodate telehealth equipment. Specific information on telehealth equipment will be available from the VA during design.

S. Designer Response: The required response time for all VA requests, unless otherwise stated by the VA, shall be 10 calendar days. If the scope of the required action is extensive, the A/E shall notify the VA and request additional time.

T. Construction Document Requirements:

1. Provide in accordance with Supplement “B” sets of both drawings (AutoCAD and PDF) and specifications (MS Word and PDF).

2. Drawings shall be compatible with most current version of AutoCAD.

Specifications shall be developed utilizing MS Word 2016.

U. Operation and Maintenance Plan:

1. Lessor will provide exterior maintenance, including landscaping and grounds, trash removal and recycling, exterior lighting (programable), http://www.cfm.va.gov/til/sustain.asp

Design Requirements, Page 15 parking lot, pest control, window washing, general litter pick up. Interior maintenance shall be described, including HVAC, plumbing, electrical, pest control, flooring.

IV. A/E SUBMISSIONS OF DESIGN REVIEW MATERIAL

A. First Review: 35% Submittal - Schematics

• 6 Sets of reduced size and PDF preliminary/schematic layout plans

B. Second Review: 65% Submittal – Design Development (DD)

• 1 Set of AutoCAD & PDF Design Development drawings

• 2 Sets of full-size bound DD layout plans/details

• 2 Sets of half size bound DD layout plans/details

• 1 Set of MS Word draft specifications

• 2 Sets of daft specifications in 3-ring binders

C. Final Review: 100% Submittal – Final Construction Documents

• 1 Set of AutoCAD & stamped (by registered architect or PE) PDF final construction drawings

• 1 Set of approved full size bound final construction drawings with PE stamps

• 1 Set of approved half size bound final construction drawings with PE stamps

• 1 Sets of MS Word final specification sections

• 1 Set of Adobe PDF final specification sections merged

• 1 Set of final specifications paginated front to back in 3-ring binders.

D. Project Close-Out Submittal – As-Built Construction Documents

• 1 Set of AutoCAD & stamped (by registered architect or PE) PDF As-Built drawings

• 1 Set of approved full size As-Built drawings with PE stamps

V. SCHEDULE

ID Milestone Task Description Duration Schedule

Date

1 Preliminary Investigations/Develop Draft

Conceptual/Schematics and proposed options

As Needed

Design Requirements, Page 16

2 Initial User Group Meeting – review Draft

Conceptual/Schematics and proposed options

Notice to

Proceed

(NTP) + 14

3 Submit First Review – 35% Schematics 7 days NTP+21

4 VA Review 14 days NTP+35

3 Submit 65% Design Development Submission 14 days NTP+49

4 VA Review 14 days NTP+63

5 Submit 100% Construction Documents 14 Days NTP+77

Attachment A

A/E SUBMISSION INSTRUCTIONS

Table-of-Contents

I. GENERAL

A. INTRODUCTION

B. A/E RESPONSIBILITIES

C. SUBMISSION POLICY

II. SUBMISSIONS

A. SITE DEVELOPMENT

B. ARCHITECTURAL

C. FIRE PROTECTION

D. INTERIOR DESIGN

E. STRUCTURAL

F. PLUMBING

G. HVAC

H. ELECTRICAL

I. EQUIPMENT

J. ASBESTOS ABATEMENT

K. ENERGY

L. SPECIFICATIONS

M. FINAL BID DOCUMENTS

Attachment A, Page i

Attachment A, Page 1

A/E SUBMISSION INSTRUCTIONS

Community Based Outpatient Clinic in Cleveland, WI

I. GENERAL

A. INTRODUCTION

1. This document contains information and minimal submission requirements for the design of the Department of Veterans Affairs (VA) Community Based Outpatient Clinic (CBOC) in Cleveland, WI.

2. Coordinate all activities with the Clement J Zablocki VA Hospital and

Green Bay Health Care Center. Hold informal meetings (upon mutual consent of the VA and the A/E) at the hospital to discuss the design and related issues.

3. Final approved Schematic documents shall be the basis for the development of the Design Development phase. Likewise, final approved Design Development documents shall be the basis for the development of the Construction Documents phase. The VA COR must approve any changes from each set of documents before the A/E proceeds to the next phase.

4. VA will review all submittals for functional and aesthetic relationships. However, no further functional decisions are anticipated after the Design Development phase.

5. Provide computations and sizing calculations for electrical, mechanical (HVAC, plumbing, and steam), sanitary, structural and fire protection designs. For computerized calculations, submit complete and clear documentation of computer programs, interpretation of input/output, and description of program procedures.

6. Submit final drawings compatible with most recent version of AutoCAD.

B. A/E RESPONSIBILITIES:

1. Contract documents shall meet or exceed the requirements of this document.

2. The A/E is responsible for producing a complete set of drawings, design narrative/analysis, calculations, sample boards, and specifications in accordance with professional standard practices and VA criteria. Each A/E discipline shall receive a copy of their respective VA design manuals, standard details, construction standards, and VA National CAD Standard Application Guide. The AE is responsible for obtaining the NCS.

3. A/E shall conduct coordination meetings between A/E technical disciplines before submitting material for each VA review and provide minutes of the meetings to

VA COR.

Attachment A, Page 2

4. The A/E shall conduct interim fire protection installation inspections and witness final fire protection equipment testing.

C. SUBMISSION POLICY:

1. There is a 35% Schematic* submission, a 65% Design Development (DD**) submission, and a 100% Construction Document (CD***) submission indicated in this guide.

2. At each submission, the A/E shall date all material and present the designs on

VA standard size drawings that are appropriately labeled, "SCHEMATIC

SUBMISSION", “DESIGN DEVELOPMENT SUBMISSION”, OR “CONSTRUCTION

DOCUMENT SUBMISSION”, in large block letters above or beside the VA standard drawing title block. In each submission, the A/E shall incorporate the corrections, adjustments, and changes made by VA at the previous review.

II. SUBMISSIONS

A. SITE DEVELOPMENT: Submit the following:

Site Development: Schematics* DD** CD***

Layout plan showing location of:

• Building and structures ✓ ✓ ✓

• Roads ✓ ✓ ✓

• Fire Access ✓ ✓

• Parking ✓ ✓ ✓

• Accessible spaces ✓ ✓

• Van spaces ✓ ✓

• Mechanical and electrical equipment on grade

• Off-site roads (if applicable) ✓ ✓ ✓

• Off-site utilities (if applicable) ✓ ✓ ✓

• Entrances and exits ✓ ✓

• Walks ✓ ✓

• Inlets ✓ ✓ Signage plan and schedule ✓ ✓ Specifications ✓ ✓

Attachment A, Page 3

B. ARCHITECTURAL: Submit or show the following:

Architectural: Schematics* DD** CD***

Location of:

• Rooms1,3 ✓ ✓ ✓

• Doors4 ✓ ✓ ✓

• Corridor(s)3 ✓ ✓ ✓

• Basic column grid/sizes ✓ ✓ ✓

• Expansion and seismic joints ✓ ✓ ✓

• Electrical closets ✓ ✓ ✓

• Equipment rooms ✓ ✓ ✓

• Signal and telephone closets ✓ ✓ ✓

• Mechanical shafts and space ✓ ✓ ✓

• Stair(s) ✓ ✓

• Ramp(s) ✓ ✓

• Elevator(s) ✓ ✓ ✓ Floor Plans/Drawings:

• Roof plan (if applicable) ✓ ✓ ✓

• Reflected ceiling2 ✓ ✓

• Equipment floor plans 1:50 (1/4 inch) scale5

• Demolition plans ✓ ✓ Room names and numbers4 ✓ ✓ Program net/designed net ✓ ✓ ✓

Dimensions of leased space/Net useable square footage

Finish floor elevations ✓ ✓ ✓ Door locations, sizes, and swings ✓ ✓ Wall thickness and chase walls ✓ ✓ Handrail location/dimensions ✓ ✓ Fixed equipment ✓ ✓ Equipment elevations and details3 ✓ Plumbing fixtures ✓ ✓ Wheelchair accessible facilities ✓ ✓ Wall sections1 ✓ ✓ Building sections1 ✓ ✓

Finish grades at corners, entrances, exits, platforms and ramps

Fire and smoke rated partitions ✓ ✓ ✓ Fire extinguisher cabinets ✓ ✓

Attachment A, Page 4

Architectural: Schematics* DD** CD***

Spray-on fire proofing (see fire protection)

Construction details1,5 ✓ ✓

Drafting symbols, abbreviations, and general notes

Door, window, and louver schedules ✓ Interior details, elevations, sections ✓ Finish schedule ✓ ✓ Graphics and signage ✓

B. NOTES:

1. Use lines between spaces to indicate the centerline of the partition (for schematics only).

2. Indicate ceiling mounted equipment, lighting fixtures, air diffusers, registers, tracks, and other significant elements.

3. Identify all equipment for each room. Indicate and coordinate all equipment with the Equipment Guide List (Program Guide 7610) and Activated Equipment List. Use VA standard symbols and notation to distinguish between contractor-furnished and installed (CC), VA-furnished contractor-installed (VC), and VA-furnished and installed (VV).

4. Label as required for schematic drawings. Coordinate new room numbering with medical center.

5. If the project requires exterior work, show all facades indicating massing, proposed fenestration and the building relationship to adjacent structures and the finish grade.

Show all significant building materials, including their colors, any proposed roof top mechanical equipment, architectural screens, skylights, and stacks on the elevation drawings. If building is designed for future expansion (vertical and/or horizontal), delineate elevations with and without the future expansion. If project is an addition, show elevations of the existing building in sufficient detail to illustrate the relationship between the new and existing in terms of scale, material, and detail.

Attachment A, Page 5

C. FIRE PROTECTION: Submit the following:

Fire Protection: Schematics* DD** CD***

Fire protection narrative:1

• Fire and smoke separation ✓ ✓ ✓

• Fire sprinkler/standpipe system ✓ ✓

• Size of fire pumps (if applicable) ✓ ✓

• Water supply available/max.

demand

• Water flow testing results ✓ ✓

• Fire alarm systems2 ✓ ✓

Existing to be modernized ✓ ✓

Base loop system for interface of new construction

• Size of air handling unit ✓ ✓

• Exit paths from each zone ✓ ✓

• Distances to stairs ✓ ✓

• Occupancy of each area ✓ ✓

• Exit calculations for each floor ✓ ✓

• Smoke control features ✓ ✓ Floor Plans/Drawings:3 & 4

• Sprinkler zones ✓ ✓

• Fire alarm zones ✓ ✓

• Smoke zones ✓ ✓

• Building water supply ✓ ✓

• Interior sprinkler supply lines ✓ ✓

• Standpipes ✓ ✓

• Fire extinguisher cabinets ✓ ✓

• Fireproofing of structural members

• Sprinkler/standpipe riser supply piping

• Termination of sprinkler main and inspector test drains

• Sprinkler alarm valves ✓ ✓

• Waterflow and tamper switches ✓ ✓

• Sprinkler system fire department connections

• Sprinkler design hazards per

NFPA 13

• Exit signs and emergency lighting ✓ ✓

Attachment A, Page 6

• Occupied areas not protected by automatic sprinklers

Calculations ✓ ✓ ✓

Estimated capacities for proposed air handling units in cubic meters (cubic feet) per minute

Location of:

• Fire alarm system ✓ ✓

• Annunciator panels ✓ ✓

• Pull stations ✓ ✓

• Flow switches ✓ ✓

• Audio-visual devices ✓ ✓

• Smoke detectors ✓ ✓

• Duct smoke detectors ✓ ✓

• Smoke dampers ✓ ✓

• Fire dampers ✓ ✓

• Fire alarm risers5 ✓ ✓

• Exit signs ✓ ✓

• Emergency lighting ✓ ✓

• Fire sprinklers ✓ ✓

• Standpipes ✓ ✓

• Fire hydrants ✓ ✓

• Fire pumps (if applicable) ✓ ✓

• Post indicator valves ✓ ✓

• Sectional valves ✓ ✓

• Fire extinguisher cabinets ✓ ✓

• Electromagnetic door hold open devices

Wall sections indicating fire resistive ratings

Excavation plan signage ✓ ✓

Door and window schedule with fire rating or fire rated glazing

Zoning of each fire alarm initiating device

Details:

• Fire pump system (capacity and pressure), if applicable.

• Elevation and isometric view of fire pump, if applicable

Attachment A, Page 7

• Stairwell sign, if applicable ✓ ✓

• Annunciator panel ✓ ✓ Interconnection of fire alarm system with:

• Smoke dampers ✓ ✓

• Air handlers ✓ ✓

• Elevator controls, if applicable ✓ ✓

• Fire pump system, if applicable ✓ ✓

• HVAC system with smoke duct detectors

Single line riser diagram for fire alarm system

Height/configuration of storage racks and shelving

C. NOTES:

1. Indicate NFPA 220 and UBC fire resistive rating of the building, NFPA 101 occupancy type, and fire protection code analysis to access compliance with NFPA 101.

2. Determine type, features, age, reliability, compliance with present day codes, capacity, zoning, supervision, control panel and power supplies, initiating devices and circuits, and auxiliary functions for existing fire alarm system. Indicate manufacturer, model number, voltage, and wiring style of existing alarm systems and devices.

Provide recommendations for the proposed fire alarm work.

3. Provide information to meet JCAHO requirements; e.g.