Exhibit C- Program for design Rev 1.pdf

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RLP. 36C24W26R0013 (New Replacing Lease) CBOC in Horizon City, Texas
Solicitation number
36C24W26R0013
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This is a Statement of Work for a Community-Based Outpatient Clinic (CBOC) lease for the El Paso VA Healthcare System located in Horizon City, Texas. The Government seeks to lease a minimum of 23,814 square feet of gross building area (17,640 square feet of contiguous net usable clinical space) in a quality, sound building that complies with Federal laws, building and fire codes, and the Americans with Disabilities Act. The space must be new, modernized, or rehabilitated and meet current VA Technical Information Library standards. The lease shall be fully serviced following GSA Global Lease or Simplified Lease specifications. Space must be located on the ground floor in a prime commercial office area with ground-level parking for approximately 40 vehicles (including 10 ADA accessible spaces), utility connections, and proximity within 0.10 mile of public transportation.

The facility must accommodate multiple clinical functions organized into 14 functional areas totaling 17,640 square feet of net usable space, including a lobby/reception area, Patient Aligned Care Team (PACT) clinic with eight exam rooms, mental health clinic, audiology, eye clinic, physical medicine and rehabilitation, prosthetics, laboratory, pharmacy, management offices, logistics, police service, canteen, and support areas. The Lessor is responsible for providing a fully serviced lease including all utilities, janitorial services, building maintenance, pest control, snow removal, waste disposal, and a comprehensive security system with alarm monitoring, intrusion detection, video surveillance, physical access control, duress alarms, and nurse call systems. Tenant improvements must include security office construction, data closet with specified IT infrastructure, furniture procurement with interior designer coordination, exterior signage (minimum 4 feet by 8 feet), flagpole installation, wayfinding design, emergency power and lighting, and compliance with Joint Commission accreditation standards. All records created during the contract period belong to the El Paso Veterans Affairs Health Care System and must be returned or destroyed according to VHA Record Control Schedule upon contract conclusion.

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El Paso VA Healthcare System Horizon City CBOC As-Built Lease

P a g e 1 | 15

STATEMENT OF WORK

I. SCOPE OF WORK

The El Paso VA Healthcare System is proposing to lease a minimum of 23,814 square feet Gross Area of the Building / 17,640 square feet (contiguous) net usable square feet of clinical space for a Community-Based

Outpatient Clinic (CBOC) in Horizon City, Texas. The space shall be located in a quality building, constructed of sound and substantial construction, and shall be in compliance with Federal Laws & Regulations governing federal leases, building & fire codes, and the American with Disabilities Act (ADA). In addition, the space offered must be either new, modernized building, or one that has undergone restoration or rehabilitation for the intended use. All design and construction shall meet the most current VA Technical Information Library (TIL) standards. Attachments provided herein are for informational purposes only.

Space shall be available for use by Tenant (VA) for personnel, furnishings, and equipment to meet the needs for a CBOC. Space design will provide maximum co-location of the staff providing services to our patients.

The space shall be of contiguous office space in a professional and aesthetically pleasing building. Space shall be located in a prime commercial office space with attractive, professional surroundings. Streets and public walkways shall be well maintained. Buildings must have all utility providers connected such as Water, Sewer, Electrical, Natural Gas, etc. Temporary utility services such as septic tanks, water tank storages, etc. are NOT acceptable. Space shall be located on the ground floor.

The lease shall be full serviced and follow the standard specifications and requirements for a New/Replacing

Lease as per the GSA Global Lease or Simplified Lease.

II. SPACE REQUIREMENTS

Functional Area: 1 - LOBBY / RECEPTION AREA

Qty Room

Code

Room Name Unit Area

QTY Net Area

1 LOB02 Vestibule 200 1 200

1 SRLW1 Alcove, Wheelchair 90 1 90

1 WTPC1 Waiting, PACT 1 1,000 1 1,000

1 RCP03 Reception 385 1 385

1 NCWD4 Alcove, Volunteer 120 1 120

1 CLSC2 Workstation, Patient Education 30 2 60

1 TNPG1 Toilet, Public 60 2 120

1 TNPM1 Toilet, Male 205 1 205

1 TNPF1 Toilet, Female 205 1 205

Functional Area: 2 - PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1

Room Name Unit

Area

QTY Net

Area

P a g e 2 | 15

1 PEHW1 Alcove, Height / Weight Station 30 1 30

1 PEHW2 Alcove, Height / Weight Accessible Station 40 1 40

1 OFDC2 Consult Room, Patient Aligned Care Team (PACT) 125 4 500

1 EXPA1 Exam Room, Patient Aligned Care Team (PACT) 125 8 1,000

1 TPG01 Toilet, PACT Patient 60 1 60

1 EXW01 Exam Room, Women's Health 125 2 250

1 TPG01 Toilet, Women's Health Exam Room Patient 60 1 120

1 TRPR1 Procedure Room, General 180 1 180

1 TPB01 Toilet, General Procedure Room Patient 75 1 75

1 WRTM2 Tele-Health Room 125 1 125

1 WRTM3 Tele-Retinal Room 125 1 125

1 CLSC4 Shared Medical Appointment Room 400 1 400

Qty Room

Code

Room Name Unit Area

QTY Net Area

1 SRE01 Storage, Shared Medical Appointment Room 100 1 100

1 RCA06 Alcove, Medication 20 1 20

1 RCA01 Alcove, Resuscitation Cart 20 1 20

1 WRTM1 Teamwork Area 240 4 960

1 OFA07 Workstation, Extended Team 56 4 224

1 WKTM3 Workroom, Patient Aligned Care Team (PACT) 100 1 100

1 CFR01 Training Room, Staff 240 1 240

1 OFA07 Workstation, Administrative 56 1 56

1 CFR01 Conference Room 240 1 240

1 UCCL1 Utility Room, Clean 60 1 60

1 SRE01 Storage, Medical Equipment 120 1 120

1 SL001 Lounge, Staff 220 1 220

1 LR001 Locker, Staff Personal Property 60 1 60

Functional Area: 3 - AUDIOLOGY AND SPEECH PATHOLOGY CLINIC

Room Name Unit

Area

QTY Net

1 HAFR1 Hearing Aid Fitting Room 125 1 125

Functional Area: 4 - EYE CLINIC

Room Name Unit Area

QTY Net

1 EYOT2 Tele-Retinal Room 150 1 150

P a g e 3 | 15

Functional Area: 5 - MENTAL HEALTH CLINIC

Room Name Unit

Area

QTY Net

Area

1 OPMH1 Group Therapy Room, Mental Health 300 1 300

1 OFDC1 Consult Room, Mental Health 125 5 625

1 SRS01 Storage, General 100 1 100

Functional Area: 6 - PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC

Room Name Unit Area

QTY Net Area

1 DR001 Dressing Room 60 1 60

1 OFA09 Office, Therapist 100 1 100

1 PTEA1 Treatment Exercise Area 220 1 220

1 SRE01 Storage, Equipment 100 1 100

1 TPG01 Toilet, PM&R Patient 60 1 60

Functional Area: 7 - PROSTHETICS AND SENSORY AIDS CLINIC

Room Name Unit Area

QTY Net Area

1 OFA03 Workstation, Dispensing Prosthetic Clerk 60 2 120

1 SRCS1 Storage, Prosthetic Appliances 100 1 100

1 WTG03 Sub-Waiting, Prosthetics Patient 80 1 80

Functional Area: 8 - PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE

Room Name Unit Area

QTY Net Area

1 LBVP1 Blood Specimen Collection Room 80 2 160

1 LBGM1 Laboratory, General 150 1 150

1 TPSP1 Toilet, Specimen Collection 60 1 60

Functional Area: 9 - PHARMACY SERVICE

Room Name Unit

Area

QTY Net

Area

1 PHOD4 Automated Drug Dispensing System 100 1 100

Functional Area: 10 - CLINIC MANAGEMENT

P a g e 4 | 15

Room Name Unit Area

QTY Net Area

1 OFA09 Office, CMO 100 1 100

1 OFA09 Office, Nurse Manager 100 1 100

Functional Area: 11 - LOGISTICS SERVICE

Room Name Unit Area

QTY Net

1 SRLG1 Storage Area, Logistics PACT 1 540 1 540

Functional Area: 12 - POLICE SERVICE

Room Name Unit Area

QTY Net

1 OFA09 Office, Police Service 100 1 100

Functional Area: 13 - CANTEEN SERVICE

Room Name Unit Area

QTY Net

1 BX002 Vending Machine Area 150 1 150

Functional Area: 14 - SUPPORT AREA

Room Name Unit Area

QTY Net Area

1 COMC1 Communications Room 110 1 110

1 JANC1 Housekeeping Aides Closet (HAC) 60 1 60

1 USCL1 Utility Room, Soiled 80 1 80

1 UTC01 Utility Room, Recycled Material 80 1 80

50% Circulation/Fit Factor

Total Net Usable Sq. Ft. 17,640

Gross Net Area 23,814

P a g e 5 | 15

III. ROOM REQUIREMENTS

A. WAITING AREA

1. Four (4) quad electrical outlets, location as determined by VA.

2. Two (2) Telecommunication outlets, location as determined by the VA.

3. All walls to have Chair Rail and corner guards, mounted at height determined by VA.

4. Direct window access to waiting area.

5. Restricted access or lockable door to clinic area.

6. Front and back entrances to check-in area.

7. Duress alarm.

8. One (1) dimmer light switch.

9. Wall Mounted coat rack.

10. LVT, ceramic, or laminate wood flooring to be selected per Medical Center.

11. Centralized check-in/check-out for efficient utilization of staff.

12. Waiting area shall be strategically located to give the office manager and/or team leader clear observation of waiting areas.

13. A wall hung stainless Bottle Filling Station & Single ADA Cooler will be provided in the suite waiting room.

14. Lessor shall provide and pay for basic cable at two locations in the leased property. Cable

TV audio/video wall jack required backing and mounting materials for connection to a VA furnished television.

A. RESTROOM (MALE AND FEMALE)

1. All bathrooms shall meet handicap accessibility codes and will include grab bars at commode.

2. All bathrooms shall have a power assisted door that is operatized by a push pad.

3. Minimum one (1) accessible wall hung water closet and wall hung lavatory.

4. Toilet paper dispenser shall be provided by the lessor installed within easy reach.

5. Mirror over lavatory, minimum of 24"x 36", with a shelf shall be provided by the lessor shall be installed above each sink.

6. Wall Mounted Soap Dispenser: Sinks shall be equipped with a wall mounted soap dispenser provided by the lessor.

7. Paper Towel Dispenser shall be provided by the lessor shall be installed near the sink.

8. Built-in waste receptacle.

9. Wall mounted coat rack shall be installed on inside face of door.

10. Baby changing station.

11. One (1) GFCI electrical outlet.

12. Duress Alarm.

13. Ceramic flooring to be selected per Medical Center.

B. GROUP COUNSELING ROOM/ CONFERENCE ROOM

1. Sound Transmission Class (STC) rating of 50 shall be achieved. The sound resistant enclosures shall be designed to assure speech privacy and achieve an STC rating of 50.

2. Eight (8) Electrical outlets.

3. Three (3) Telecommunication outlets.

4. One (1) additional Telecommunication outlet located by COR for conference call system

P a g e 6 | 15

(Possible location: Floor center of room).

5. Vtel Equipped.

6. TV/Cable Outlet and separate electric outlet.

7. Wall mounted TV holder.

8. Duress Alarm.

9. One (1) Dimmer light switch.

10. LVT, ceramic or laminate wood flooring to be selected per Medical Center.

11. Moveable/operable partition installed to separate the room into two.

12. Lessor shall provide and pay for basic cable at two locations in the leased property. Cable

TV audio/video wall jack required backing and mounting materials for connection to a VA furnished television.

C. OFFICES (TEAM LEADER, OFFICE MANAGER, COUNSELORS)

1. Sound Transmission Class (STC) rating of 50 shall be achieved. The sound resistant enclosures shall be designed to assure speech privacy and achieve an STC rating of 50.

2. Four (4) double electrical outlets – One (1) per wall.

3. Two (2) telecommunication outlets.

4. Coat hooks on back of doors.

5. Door window glass panels shall be frosted for privacy (or other method of privacy as accepted by CO).

6. Duress Alarm and duress pendants (portable, remote access, key fob style device).

7. One (1) Dimmer light switch.

8. One (1) 20-amp electrical outlet.

9. LVT, ceramic, or laminate wood flooring to be selected per Medical Center.

10. Shall have glass pane adjacent to door frame, in the door, or in the office with frosted glass for secure view of visitors.

D. EMPLOYEE BREAK ROOM

1. All perimeter walls shall extend from floor slab to six inches above the ceiling grid and filled with fiberglass bat insulation to ensure acoustical privacy.

2. Two (2) GFCI Electrical outlets.

3. Two (2) Telecommunication Outlets.

4. Minimum of ten (10) feet of counter with base and overhead cabinets; double compartment sink.

5. Full size refrigerator.

6. Built-in Convection Microwave Oven.

7. Dishwasher.

8. LVT or ceramic tile flooring to be selected per Medical Center.

E. Janitorial/Utility Closet

1. Mop Sink.

2. Two (2) Electrical outlets.

3. Adjustable shelving on two walls.

4. LVT or ceramic tile flooring to be selected per Medical Center.

F. SUPPLY/STORAGE ROOM

1. Four (4) Electrical outlets. One (1) per each wall.

2. Two (2) Telecommunication Outlets.

P a g e 7 | 15

3. Adjustable shelving on two walls of each storage room - 3 shelves per wall with a depth of

15”.

4. LVT or ceramic tile flooring to be selected per Medical Center.

G. SECURE FILE ROOM

1. Room shall not be accessible through the ceiling to prevent up and over access.

2. Metal frame and door with dead lock pin, automatic locking upon entry and exit using

Electronic Physical Access Control Systems (PACS).

3. Intrusion Detection System with Alarm.

4. Room to have dedicated quad 120 outlets and two CAT 6 data cables required between building demarcation point and data closet, each to be marked with an identifiable number on both ends.

5. Door hinges inside the room door.

6. No windows or other openings.

7. Overhead lighting.

8. Fire Extinguisher required.

9. Four (4) Electrical outlets. One (1) per each wall.

10. Two (2) Telecommunication Outlets.

11. Room will be outfit with cabinetry.

12. Ceramic or LVT tile flooring to be selected per Medical Center.

H. DATA CLOSET

1. Minimum of 110 square feet.

2. All perimeter walls shall extend from floor slab to structural system (deck) to prevent up and over access.

3. No windows or other openings.

4. Room must be protected from weather.

5. Overhead lighting.

6. Metal frame and door with dead lock pin, automatic locking upon entry and exit for a secure room.

7. The data closet shall be secured to VA access only and not be shared with any other tenant.

Core should be locked to the VA OIT closet key (3SKL2)

8. Room shall have stand-alone temperature controlled and maintained at 69 degrees. ONLY cooling. No heating unit.

9. Data racks shall have space to mount patch panels, data equipment, PBX and UPS.

10. The contractor shall provide and install 2 relay racks “19 inch” width, with vertical cable management in between the racks. The racks should be seismically bolted to the floor and grounded with wire #6. The contractor shall install all patch panels on one side of the relay rack, leaving the secondary vacant and room for IT equipment.

11. The contractor shall provide and install an APC model UPS with NIC card, that is rack mountable, sufficient to support all OIT equipment.

12. Data racks shall have vertical and horizontal organizers affixed. The contractor will provide and install cable ladder within the Data Closet from the wall to the top of the relay racks, allowing for a pathway to conduits and 110 blocks.

13. The contractor will provide and install conduit pathways from the Data Closet, to connect the building with AT&T or the local telephone company vaults.

14. The contractor will work with AT&T or the local exchange carrier (LEC) to bring in both fiber and copper infrastructure into the Data Closet.

15. Access to the closet will be restricted to include only those persons specifically authorized by

VA OI&T, including facility lessors.

P a g e 8 | 15

16. Please refer to the OIT Enterprise Facility IT Support Infrastructure Standards for details.

VA Enterprise

Facility TI Support Infrastructure Standard

OIT CABLING NEW

CONSTR

OIT INSIDE PLANT

ITS SPEC

IV. DATA JACKS (TO CONNECT INTO THE VHA NETWORK)

1. There must be a minimum of four data location in each room (excluding bathrooms and to be based on tenant furniture layout).

2. Standard Data Outlets: Each data outlet/device location will have four (4) cable runs that terminate on the high- density rack mounted patch panel. Each typical data outlet will be on a six-port base plate.

3. Wall Mounted Phones: Any jacks for wall mounted phones should have 1 data cable to support VoIP, and be on a 1 port metal plate, and accommodate RJ45.

Jack Conventions

(VoIP)

4. Cabling must be installed according to BISCI standards.

5. All cabling shall be continuous runs with no splices and be less than 328’.

6. Patch Panels, jacks and cable shall all be rated at Cat 6A or higher and be tested and certified with a passed rating. A copy of the test results will be provided to the COR as a deliverable.

7. Must have the capability to add additional data locations as determined by occupants to be provided by the lessor within ten days from request.

8. VAMC can suggest a cable contractor if necessary.

9. Medication area with data port to support Ominicell of approximately 20 square feet.

10. Location of Data Outlets:

a. If the construction at the location of the data outlet is drywall, provide flush-mounted single-gang outlet boxes with six-port base plates and applicable wall device faceplates

(cable to be installed behind drywall).

b. If the construction at the location of the data outlet is a solid wall, provide surface-mounted single-gang outlet boxes with six-port base plates and applicable wall device faceplates (cable to be installed in plastic wall mold equipped with protective insulator or sleeve).

c. Where modular furniture is used, the location of the data outlet will be in the baseboard of the furniture, where the networked equipment (computers, printers, etc.) will be located. Provide flush-mounted single gang outlet boxes with six-port base plates and applicable wall device faceplates. If flush-mounted single-gang outlet boxes cannot be used, then modular surface mount boxes will be used with six-port inserts. All cable runs in modular furniture will be through furniture wire baseboard ducts/conduit.

d. The contractor shall follow VA naming conventions attached at both the patch panel and wall plate. All labeling shall be easily visible and printed, handwritten labeling is prohibited.

V. SECURITY:

P a g e 9 | 15

A. Provide a level of security which reasonably deters unauthorized entry during regular and non-duty hours. The Government considers a security alarm reasonable. Overall security shall also include deterring loitering or disruptive acts in and around the space during duty hours. Tenant shall have security within the tenant space, separate from that of the general building security.

Keys/cipher locks OR key fob/card reader capability for employee access. No public access to the offices will be allowed.

B. Security Alarm: The Lessor shall provide a security system, (at lessor’s expense) to alarm upon illegal entry or loitering in the leased space and to prevent unauthorized entry 24 hours per day, 7 days per week that alarms locally at the site and to a remote monitoring location. Alarm sensors required on all exterior doors and windows. A motion detector will be provided in the waiting rooms and the main corridor. The remote monitoring company shall be in the business full-time, shall be approved by the LCO, with all monitoring costs borne by the VA for the term of the lease. Updates for codes or names are included in the lease and shall be coordinated with the LCO or authorized representative. The lessor shall install a keypad to disarm the building as directed by the VA COR. The cost of security services will be factored into the lease. The security system will be completely tested at least once per month by the lessor with a copy of the testing report sent to VA.

C. Duress alarm - Button wireless duress / panic button each duress button is to be supplied a mounting clip to be installed by the lessor. Supply and install a wireless receiver to interface with panel. Each duress button is to be an individual zone. Provide and install group rooms with hard-wired duress alarms.

D. Security Closet - Door shall have an automatic closure installed and deadbolt lock according to

VA security regulations. Security closets shall be independent from IT closets.

E. OTHER REQUIREMENTS:

1. Fully Serviced Lease.

2. Cable Television Service paid for/provided by the lessor through the annual rent.

3. Suite Security Alarm System and Monitoring paid for/provided by the lessor through the annual rent.

4. Corridors shall be at minimum of 6 feet in clear width.

5. Front entrance door shall have a power assisted door that is operated by a push pad.

6. All rooms (except IT Closet) should be master keyed, locking mechanism should be on the inside of the frame, and locking mechanism must be approved by the VA.

7. DRINKING FOUNTAIN: A wall hung stainless Bottle Filling Station & Single ADA

Cooler will be provided in the suite waiting room. Complete cooler and bottle filling station in a consolidated space saving ADA compliant design.

8. EXTERIOR SIGNAGE: Lessor must provide, approved by the VA, an internally lighted sign with VA logo and words "Medical Center" on sign a minimum of 4 ft by 8ft legible from main serving road. Sign shall be a minimum of 24 inches above finished grade. Lessor shall develop and provide a complete exterior signage plan 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. Lessor shall provide signage on the building/ door.

9. INTERIOR SIGNAGE: Lessor shall provide interior signage for and 10 x 2 inch standard aluminum wall sign (holder) for slide in name plates. Signage must state room number only.

10. SITE FLAGPOLE: A flagpole will be provided and installed by the Lessor at a location to be

P a g e 10 | 15 approved by the LCO. The flagpole will be 25 foot (minimum height). Flagpole shall include adequate lighting to illuminate flag between dusk and dawn. Flagpole shall be protected from vehicular traffic. Lighting shall be controlled by a photocell device. The flag will be provided by the Government.

11. INTERIOR DESIGN: The Lessor shall provide an Interior Designer to coordinate with VA

Staff for the configuration, color pallet/finishes, layout and furnishings for the designated space. Once the Government agrees to the configuration, color choices and furniture, the lessor shall include the value of the designed layout to the cost of the tenant improvements.

12. Since this acquisition does NOT require services that involve connection of one or more contractor-owned IT devices (such as a laptop computer or remote connection from a contractor system) to a VA internal trusted network, Certification & Accreditation (C&A) requirements do not apply, and an information security accreditation package is not required.

VI. LOCATION REQUIREMENTS

A. The space must be location within 0.10 mile from access to public transportation

VII. PARKING REQUIREMENTS

A. The space shall provide a parking area for approximately 40 vehicles, including 10 dedicated

ADA accessible spaces to be utilized by patients and staff. ADA accessible parking spaces must be located immediately adjacent to the building’s main entrance (s). All other parking spaces shall be located within 100 feet of the main entrance (s).

B. The parking area shall meet the following requirements:

a. The parking area shall have appropriate vehicular circulation, access from main thoroughfares, emergency vehicle access and entry, barrier free access to public entrances, safe passage for pedestrians, adequate lighting, and security monitoring.

b. The parking area shall be paved and striped.

VIII. ADDITONAL REQUIREMENTS

A. Utilities

a. The Lessor shall ensure that public utilities are available and operable at the site at the time of inspection before acceptance. VA does NOT accept septic tanks, water tanks as utilities. The Lessor is responsible for all connection and impact fees to public utilities, including but not limited to, any and all tap fees associated with public utilities. The

Lessor shall provide separate meters (exterior electric, gas and water) to measure VA usage versus Lessor usage.

B. Housekeeping (cleaning janitorial) Service

a. The Lessor shall furnish all supplies, materials machinery, appliances, supervision, and labor necessary to provide complete janitorial services for the clinic. Services shall be provided in all interior areas of the leased premises to provide a clean, neat, and attractive appearance. The Lessor shall consider the clinical environment and ensure that the janitorial staff is instructed on applicable safety precautions and special requirements. Lessor shall provide disposal of general waste and trash. It is the Lessor's responsibility to maintain the clinic in a condition that meets all housekeeping and sanitation requirements of this solicitation and the current standards of the Joint

Commission for the Accreditation of Hospitals and Outpatient Clinics (JCAHO).

C. Building Maintenance Service

a. Maintenance of the building, building systems, equipment and grounds is the responsibility of the Lessor. The Lessor shall submit a Building Operations and

P a g e 11 | 15

Maintenance (O&M) Plan with the offer to include factors relevant to the Lessor’s proposed ongoing maintenance and repair of the facility. The plan shall include a schedule of startup and shutdown times for operation of each building system, such as lighting, cooling, ventilation, plumbing, and worn floor or wall coverings necessary for the operation of the building. The O&M plan shall be in operation on the effective date of the lease. HVAC system shall not be shut down after normal hours. The Lessor must have a building superintendent or a local, designated representative available to promptly correct deficiencies or attempt to correct deficiencies upon written notice of such condition from VA within the timeframes specified in the O&M Plan. The Lessor shall provide the labor, material, and supervision to adequately maintain the structure, the roof, the exterior walls, windows, doors, and any other necessary building appurtenances to provide watertight integrity, structural soundness, and acceptable appearance. The Lessor's maintenance responsibility includes initial supplies of all items, materials, and equipment necessary for such maintenance. All maintenance work will be done in accordance with applicable Federal, State and local Building Codes & ordinances. Inspection certificates will be displayed as appropriate. Maintenance by

Lessor includes, but is not limited to, interior and exterior care of the building and the site; all sidewalks, parking areas, driveways, private access roads, lawns, and shrubbery;

utilities; and building service equipment; including all repairs and replacements. All equipment and systems shall be maintained to provide reliable service without unusual interruption, disturbing noises, exposure to fire or safety hazards, or unusual emissions of dirt. Lessor shall maintain the Essential Electrical System as required by NFPA and the Joint Commission, including, but not limited to, weekly, monthly, annually, and triennial tests and activities.

D. Pest Control Service

a. Lessor shall provide interior and exterior extermination of insects and rodents on a regular basis (minimum of every three (3) months), and upon any sign of infestation.

Use of chemicals shall conform to EPA and state requirements. If any signs of re-infestation appear, additional service shall be provided by the Lessor at the request of

VA. Pest management is to be done using an integrated pest management approach that minimizes the use of toxic chemicals. Pesticide shall only be applied by persons deemed qualified by EPA and state requirements. Lessor shall coordinate application of pesticide with the Government and only apply pesticide in a manner that VA agrees is protective of the health of patients, employees, and visitors.

E. Snow Removal Service

a. Lessor shall remove snow and ice from all entrances, sidewalks parking lots, and approaches. In the event of snow or freezing rain during working hours, removal must occur within one hour from receipt of notification by VA staff. Chemicals or sand may be used to reduce safety hazards.

F. Site and Grounds

a. Exterior space cleaning will be the responsibility of the Lessor to trim and maintain onsite landscaping as required. Lessor shall maintain the leased exterior premises to provide a clean, neat, and attractive appearance. Activities to include cleaning of building entrances and gazebo; landing, steps and sidewalks; mowing and edging lawns;

removal of weeds from around the building, parking areas, all landscaped areas and fence borders; trimming and pruning shrubbery and trees. Lessor shall provide collection, disposal, and recycling for all other waste materials generated by VA.

Recycling of paper, aluminum, plastic, and cardboard is required. The Lessor shall provide and maintain adequate quantity of trash container(s), including compacting equipment as required, based on volume of waste and frequency of collection.

G. Waste

P a g e 12 | 15

a. The Lessor shall provide a dedicated space for both Trash and Recyclable containers within the Area of the Building and shall be in accordance with Security Requirements.

H. Hazard Waste

a. The Government will be responsible for the disposal of hazardous or pathological waste, which has been properly stored in the designated storeroom.

I. Security

a. The Government shall provide security personnel to prevent illegal entry or loitering in the leased space and to prevent unauthorized entry during duty hours. The Lessor shall be responsible for providing security to prevent unauthorized entry after normal working hours. All lessor staff and other non-VA staff requiring access to the facility will be required to obtain P.I.V. cards authorized by the VA police.

IX. ACCREDITATION

A. The CBOC will be subject to full accreditation by The Joint Commission. The accreditation process includes a review of the facility that could include a review and inspection of the Life

Safety systems (fire alarms, sprinklers, emergency exits, etc.) Lessor participation in the accreditation process will be required.

X. TENANT IMPROVEMENTS

A. The facility may require tenant improvements to meet the requirements of the PACT CBOC.

Tenant improvements may include, but not limited to, the installation and/or modification of wall partitions, ceilings, bathrooms, doors and door frames, fire sprinkler systems, telecommunication ports & cables, and monitoring systems (video/audio).

1. Security Office: Weapon storage/Armory will be used as the Security Office to house two police officers. Security Office/Weapon Storage walls shall be of brick and masonry construction. Walls, which are composed of wood frame & siding, will require an interior backing of steel security screen wire mesh.

a. Doors and doors locks required for Security Office. - Doors shall be 45 mm (1-3/4 in.)

solid core hardwood or hollow steel construction. Dutch or half doors are unacceptable.

Removable hinge pins on door exteriors must be retained with set pins or spot welded, preventing their removal. This applies only if the hinge pins are on the outside of the doors and door frames. Hinge pins will be on the outside if the door opens outward. Doors set in steel frames must be fitted with a mortise lock with a deadlock feature.

b. Other room access means required in Security Office. - All vents, ducts, and similar openings in excess of 96 square inches (620 cm2) that enter or pass through space shall be protected with either bars or grills. If one dimension of the duct measures less than six inches (150 mm) or duct is less than 96 square inches (620 cm2), bars are not required; however, all ducts must be treated to provide sufficient sound attenuation. If bars are used, they must be 1/2 inch (12.7 mm) diameter steel welded vertically and horizontally six (6) inches (150 mm) on center; if grills are used, they must be of 9-gauge expanded steel.

c. Access Control for Security Office, IT Closets & Pharmacy.- Intrusion detection System

(IDS) to locally detect entry into these rooms with the ability to log into a the Physical

Access Control System (PACS). Lock on the main door must be automatically locking, with a minimum 19 mm (3/4 in.) dead bolt and inside thumb latch. Pharmacy to be secured with double lock procedure to access medication.

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2. Security Systems: shall be provided and installed by the Lessor. The Lessor shall ensure security systems are in accordance with VA standard operating procedures and standard contract language, conditions laws, and regulations. The Offeror shall follow all applicable

VA policies and procedures governing security, especially those that pertain to certification accreditation to ensure that appropriate security systems are in place.

a. VA standards for security systems: Offeror shall comply with:

http://www.cfm.va.gov/til/spclRqmts.asp#CBOC

b. Physical Security Design Manual – January 2015 for Life Safety Security Facilities refers to Security Systems to be incorporated in the facility.

c. VA Handbook Directive 0730 – Security and Law Enforcement 0730/4 – March 2013 describes construction standards to protect lives and property at different locations.

3. Electronic Security Systems: New and existing facilities are required to meet the integration and monitoring of the following security systems to be provided and installed by Lessor:

a. Physical Access Control System – Lessor shall install a PIV compatible PACS system. All PACS are required to be terminated in the network to provide local range coverage by Lessor with network capability for integration to remote transmission to

Main VA clinic to be done by others.

b. Intrusion Detection System – IDS consist of a minimal motion alarm system required to detect and “locally” annunciate unauthorized entry into a protected space with a private monitoring service capable of continuous operation and monitoring through the use of

UPS equipment.

c. Panic Alarm System – Alarm sensors/devices shall be hardwired, or wireless transmission directly connected to the data network without degrading the effective range of alarm.

d. Video Cameras Assessment Recording and Surveillance – VASS includes “digital IP video” cameras, monitors, controlling and recording equipment to archive minimum of 6 months of video recording, and centralized management and operations of the system.

Digital Video Recording (DVR) can terminate at the Police/Security Office. Cameras shall be color that allows for black and white application to support the exterior and interior to cover egress, public entrances, utilities, fire control room, lobby, main corridors, telecommunication and security rooms. VASS shall be supported by UPS equipment.

e. Duress, Security Phones and Intercom System – DSIP requires an intercom to be integrated with VASS. Lessor to provide Duress/Panic Alarms and Intercom Systems at locations where there is considerable public contact in isolated and pre-identified high-risk areas, such as the lobby reception desk, patient service areas, nursing stations, and isolated where VA personnel work.

f. Detection and Screening System – DSS location will be the entry point to the facility where Lessor shall provide space to locate a table and a walk-through metal detectors

(WTMD). Lessor shall provide a dedicated electrical circuit with a floor outlet with metal cover protection for Agency to provide and connect the WTMD.

g. IT Security Systems – Lessor/Landlord shall follow mandatory procedures stated under

VA Handbook Directive 0730 – Security and Law Enforcement 0730/4 –March 2013 to comply with physical security requirements for IT data centers, server room, telephone equipment room, storage areas, data connection closets, etc. Lessor/Landlord shall provide and install cable trays, data cable, telecommunications cable and terminating all connections. Refer to revised table below.

h. Nurse Call System – Lessor shall provide and install a Nurse Call System throughout the facility. Nurse Call System shall be complete with Push Buttons and lights. Location of http://www.cfm.va.gov/til/spclRqmts.asp#CBOC

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Nurse Call and accessories shall be in accordance with VA Guidelines for Community

Based Outpatient Clinics (CBOCs).

i. Emergency Power & Lighting – Lessor shall provide Emergency power throughout the building as required by local codes and as per VA Guidelines. Lessor shall also ensure the Emergency Lighting has an independent circuit so as to conduct lighting inspections without interrupting Normal Lighting Circuits.

j. Furniture Selection and Procurement – Lessor shall provide interior designer services to coordinate and prepare Furniture Selection in coordination to the VA’s Project Manager or COR. Design shall include drawings and specifications for the furniture. Lessor shall also include procurement services to purchase and install all the furniture selection, including final touch up.

k. Wayfinding Design and Procurement – Lessor shall include wayfinding design, procurement and installation, which shall include all interior signage as well signage to include Monument Sign and Building Wall Sign. Design shall follow VA Guidelines outlined at the link: https://www.cfm.va.gov/til/spclRqmts.asp#SIGN

XI. RECORDS MANAGEMENT LANGUAGE

A. All records (administrative and program specific) created during the period of the contract belong to EL Paso Veterans Affairs Health Care System (ELPVAHCS) and must be returned to

EL Paso Veterans Affairs Health Care System (ELPVAHCS) at the end of the contract or destroyed in accordance to the VHA Record Control Schedule (RCS)10-1.

B. Contractor shall comply with all applicable records management laws and regulations, as well as

National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR

Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

C. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of

44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

D. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for

Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law.

Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

E. ELPVAHCS and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of ELPVAHCS or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting

Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to ELPVAHCS records officer. The agency must report promptly to NARA in accordance with 36 CFR 1230.

F. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the contract. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the https://www.cfm.va.gov/til/spclRqmts.asp#SIGN

P a g e 15 | 15 security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to ELPVAHCS control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

G. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The

Contractor (and any sub-contractor) is required to abide by Government and ELPVAHCS guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

H. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with ELPVAHCS policy.

I. The Contractor shall not create or maintain any records containing any non-public ELPVAHCS information that are not specifically tied to or authorized by the contract.

J. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

K. The ELPVAHCS owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which [Agency] shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20

END OF STATEMENT OF WORK

III. ROOM REQUIREMENTS
a. WAITING AREA
1. Four (4) quad electrical outlets, location as determined by VA.

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