Exhibit Q- Notes and Sample Floor Plan.pdf

Lease Space for Grayson Outpatient Clinic

Louisville VA Medical Center

GENERAL NOTES:

1. The design and construction shall c:omply with the requirements of tha VA Technical Information library located at htlps:llwww.cfm.va.gov/tillindex..asp. In particular the design shall comply with the Community Based Outpatient Clinic (CBOC) Prototype located at hltps:/JWWW.c1m.va.govAJI/Prototyp&s.asp#CBOC.

Notes and Sample Floor Plan

13. The use of themed Artwork of local sites to aid in waylinding is encouraged.

14. The lessor shall provide and Install full-length stalnless-steel comer guards In the main and public spaoes.

15. The l8880r shall provide and Install hsndralle In main publlc corrtdora and patient access corr1dars. Utlllze ligature resistant hand rals were applicable.

16. lnpro-Formatrac Bendable Cublcle curtain track and components are preferred for Patient Exam and Procedure Rooms 2. The VAMC offe15 lhe notes and drawings contained herein to aid the lessor in developing a VA Outpatient Clinic proposal that will be reflect the most recent advances in Patient Centered Care. The VA as an organization is moving to U,ese concepts in order to provide timely and efficient health care to our Veterans. The lessor is encouraged to incorporate ideas

TELECOMMUNICATIONS NOTES:

found herein and to develop their own recommendations to improve the performance of their proposed space in order that the

1. �el�mmuni�tians design shal� meet the requirements provided at the Ts/ecom Data Canter and lnfrastructura

VA may Utlmately provide the best care possible. Engtn9811ng Design Standards SeMCS Cstsfog located et https://www.cfm.va.gov/til/lslecom.aep.

3. The lessor shall be responslble for design, supply, lnstallatlon, and maintenance of all exterior and Interior slgnage

2. The l�r shal provi?e an� install a complete and functional Telecommunications Infrastructure Plant (TIP) for the required for the space. Slgnage shall be designed and consbucted In accordance wttt, the VA Slgnage Design Gulde located commumcatio�s system including telephone end data. The l�r shall provide and install all cable, data outlets, patch at htlps:/twww.cfm.va.gov.nllldManual/dmSlgnage.pdf. An exterior llumlnated monument type sign using message layout F panels, conduit, raceways, and cable trays. The lessor shal install a minimum of two floor mounted racks, es required to sign designation El-01.03, page 552, shall be included in the design package. Also, an illuminated exterior dimensional sign' support the system.

designation El-09 shall be included in the design package, page 580, message to read "Outpatient Clinic" after the VA ' 3. The lessor shal perfonn certification testing of each outlet/cable, correct any deficiencies, and provide the testing resuts symbol. Building Main entrance sign similar to those shown on page 653 shall also be included. Additional exterior signaga to the VA• . . _ _ . _ may be needed based on the overall design to inform patients and visitors where to park and how to get to the main entrance. 4. The VA will 1nsta_ll switches 1n t�e Telecommun1�ns _rack and connect the patch panels to the switches.

4. Ten (10) percent of all parking spaces shall be designed and constructed as handicap parking spaces. Acoeas alsles shall 5. The lessor shal install two dedicated 208V power circu1ts/ outlets in the telecommunications closet to provide power to the be located on each side of acceslble parking space and be 5 feet In width. Layout of handicap parking spaces wll account for switches. This requirement may be changed to 120V outlets during the design pending VA conftnnatlon of avalabllty of adequate handicap parking for staff located near the primary staff entrance. appropriate switches.

5. The VA Site Development Design Manual states the following: "Walks shall be at least 6'-6" (2m) wide, and 6'-6" (2.5m) B. The �9COmmunications closet should have dedicated cooling or environmental controls that will ensure heat is not wide where walks abut parking stalls. All walks shall be designed to accommodate people with rnoblllly Issues• (paragraph pumped into the closet 4.6.3.1, Page 4-20, htlps:ttwww.cfm.va.gov/lll/dManualfdmSlte.pdf). The VA encourages owners to Include In their proposals

7. The telecommunications closet wals shall extend to the deck to ensure that their is not up and over access. The door and subsequent design ways to improve their site to accommodate the VA's patient mobility needs 88 necessary. should be a solid core wooden door with controlled keycard access.

6. Water fountains instaled on the site should have a minimum of one at each location that allows for bottle filling. 6. Typical data telecommunlcatlons outlets lndudes 2 category 6 cables, 2 category 6 Jacks, and 1 - 4 Port Flush Mount

7. All public restrooms in common areas shall include automatic door opanais with minimum 4-inch by 4-inch stainless steel Faceplate. In some locatlon designated 3 cables and Jacks wll be required.Data Jacks should be Ortonlcs/SystemMax RJ-45.

push plate wall switches, recessed type. Push plate shall include handicap symbol and •Press to Operate" or •Push to Open•. 9. Cable and Jack colors: Jack A-Blue, Jack B-Red, Jack C-Yellow, Jack C Is only needed If a analog phone Hne Is required

The system shall include presence sensors on pull side of door to detect any person standing in the door swing path and In that area. These are used for fax and designated phone Hne.

prevent door from opening. 10. The general locatlons and quantity of data Jacks required Is shown on the Sample Floor Plan. This provides reference to

8. In addition to Iha plumbing shown in the examfrooms, appropriatefixlures and piping are required in the soiled utility room, wh� wll be needed !or proposal �nd design p�rposes. The lessor wlll need to adjust the locatlons during the design to flt break rooms, janitor's closets, restrooms, and toilets. A lavatory and a dinic service sink with a flushing rim is required in the their space, and fum1b.Jre and equipment locations.

soiled utllty room. 11. Patch panels requested to be separate panels for Blue/Red wires and Ortonics system Max.

12 Provide industry standard type 110 (minimum) punch blocks for voice or telephone, and control wiring instead of patch

ARCHITECTURAL NOTES:

1. The space shall be designed to accommodate the Program For Design (PFD) in accordance with the design and operational concepts depicted in the Sample Floor Plan. Refer to the Agency Specific Requirements for instructions on calculation of Net Departmental Gross Square Foot (DGSF) and Useable Square Foot (NUSF).

2. All doors used by patients and visitors shall be a minimum of 42• in width unless agreed to otherwise. Doors used exclusively by staff shall be a minimum of 35• in width.

3. All doors to exams room shall have locklng capabllty.

panels, each being certified for category 6, yellow cables wil tenninate on Iha Type 110 punch blocks.

13. The lessor shal provide and install a VVireless Local Area Network (WLAN) in conformance to TIA TSB-162-A. VA Telecommunications and Special Telecommunications Systems Design Manual. This system is for VA use only, and is referred to as the medlcal wireless system.

14. Separate from the VA network systems, the lessor shall provide patlentfpubllc Internet service. This shal lndude wireless network connectivity in public areas of the dinic and wired access to the Mental Health Clinic TSES Computer Lab. This public system shall have the ablllty for access and content control, and monitoring by the VA, and meet VA requirements for the specific systems. The equipment, wiring, and ports for the publlc system shall be easlly ldentlflable from the VA Network. 4. The doors Indicated by slldlng door graphics on the VASample Floor Plan shall be high performance slldlng exam room doors capable of locking for privacy and meeting the required sound transmission a>efflclent.

5. The lessor shall design and lnstal door hardware In accordance with VA Program Gulde (PG) 16-14 Room Finishes, SECURITY NOTES:

Door, & Hardware Schedule unless speclflcally stated otherwise herein or n the Agency Specific Requirements. The lessor 1. Security design should meet the VA Physical Security and Resiliency Design Manual, October 1, 2020 (Revised May 1, shall have full "Hardware Responelblllty" for the design, consbuctlon, and lnetallatlon In contract to PG-16-14 Section II 2024, located at htlps://www.cfm.va.gov/tillPhysicalSecurity/dmPhySac.pdf.

Subsection B which Implies the posslblllty of the government lncludlng a separate "Hardware consuttant". The VA wll review 2. The lessor shal provide and install the security system for the space, and fully integrate it into the Louisvile VAMC's the design and provide comments. PG-18-14 is located at https:/lwww.cfm.va.govftil/spclRqmts.asp#room. Electronic Security System (ESS) using a certified technician. All sacurity system components shall be FIPS-201 and

8. The lessor shall key all cylinders into the Louisville VA Medical Center's existing Best carmax"' SFIC Great Grand Master Key HSPD-12 compliant, and fully compatible with Louisvile VAMC's existing system.

System. Provide removable core cylinders that are remOYllble only with a special key or tool without disassembly of knob or lockset. 3. The leased space &ecurity system shall be designed, installed, and maintained by the lessor. The system shoUd include

Cylinders shall be 7 pin type. The VA will provide specific keying information during the design phase. Physlcal Access Control System (PACS); Intrusion Detection System (IDS); Video Assessment and Survellance System

7. Patient corridors shal be a minimum of 6' in width. Primary staff corridors/circulation pathways shall be a minimum of 5• in (VASS); and Duress, Security Phone, and Intercom System (DSPI).

width. The lessor must ensure that egress routes meet code requirements. 4. The leased space does not require a full Detection and Saeenlng System (DSS), however, per the Design Manual the

8. Sample floor plans are considered a starting point that meets the general VA requinmants; however, the lessor is lesSDr shall at a minimum, provide power and communications rough-Ins for future Installation of DSS equipment at an responsible for providing a design that will meet VA design requirements, and federal, state, and local codas and regUations. appropriate location at the main entrance.

9. Appropriately design and constructed casework is expected for all exam rooms, Tele-health room, laboratory, blood draw, 5. The lessor shal install the Video Assessment and Surveillance System (VASS) system with the system being based out restrooms, break rooms, reception, and for the check-in kiosk. Design should be coordinated with the VA to accommodate of the security closet with access and viewing capability from the security closet, and viewing only from the business office use and equipment needed. The lessor is responsible for confinning that proposed configurations are accurate and take into workroom and one of the offices, unless otherwise agreed. The system does not need to transmit videos to the Medical account buldlng elements that may be unknown to the VA. Canter's location as the bandwidth required could limit other needs. The VA Police will review and copy video when needed

10. The proposal and design ehal Included as much nab.Jral llght as posslble Into the teamwork areas and Mental Health from the leased location.

ConSUt rooms. Natural light is also desirable into the lobby, wailing areas, lounges, offices, and reception. 6. Approval of VA Police Chief is required prior to final design and construction of the security system.

11. The SDund resistant enclosures (partitions, doors, duct system) of the following spaces shall be designed and consbucted 7. The lessor shall ensure exterior site lighting meets requirements,especially illumination levels, of chapter 3 of the VA to a minimum Sound Transmission Claes (STC) rating of 45: A/C and other mechanical rooms, emergency generator rooms, Lighting Design Manual, htlp:flwww.cfm.va.gov/tilfdManual/dmLighting.pdf.

multipurpose rooms, Mental Heatth Group Therapy rooms, and Shared Medical Appointment Rooms. 6. The sample floor plan indicates locations that proximity card readers are required. VA employees are provided Peraonal

12. The sound resistant enclosures of the following spaces shall be designed to assure speech privacy and achieve an STC Identity Verification (PIV) cards. The lessor installed system shal accommodate the use of these VA issued cards.

rating of 40: conference rooms, consultation rooms, examination and treatment rooms, offices, tale-health rooms, tele-relinal rooms _ telemental heatth rooms, Behavioral Health Testing rooms, laboratory, blood specimen collection, and VA Pollce operations.

INTERIOR DESIGN NOTES:

1. The lessor shall design and install finishes in accordance with VA Program Guide (PG) 16-14 Room Finishes, Door, & Hardware Schedule unless specifically stated otherwise herein or in the Agency Specific Requirements. The VA will review the design and provide comments. PG-18-14 is located at https://www.cfm.va.gov/tillroomfRoomFinishes.pdf.

2. Team Areas and offices to receive Kinetex textile Analog f Analog Mona composite flooring available through J & J Flooring Group. Klnetex offers one the highest Noise Reduction Coefficients and Impact lnsiAaUon Classlllcatlon of any commerclal flooring product The desired result is a dramatic reduction in both airborne and strucb.Jre borne noise.

3. Conidars, waiting and exam rooms to receive Mohawk group Clic Step Urban Patina Hard&cape.

4. Wall and accent cok>rs will be determined during the design. Paint should be Sherwin Williams.

5. The lessor shall provide end Install wall protection wainscoting for exam, procedure and waiting rooms. The wall protection should be Wolf Gordan Rampart. Color and pattern to be determined during the design.

6. The lessor shall provide end Install wall base. Wall base chair re.II end corner guard should be Johnsonna Mlllwork contoured type.

7. Slgnage shall be lnduded with Iha project to provide wayllndlng for the established team areas. Room designation should coincide with team conidars. Example: rooms in the Team A area designation A-100.

Pod B designation B-001 and so forth. Some corrtdors share Team exam room loadlng. The Team room number designation to provide directional aHistance. Currently, the VAMC is considering Teams A, B. and C. With A being the first Primary Care Team, B the second, and Ch Mental Health team area.

8. Painted wall dlrecllanal mural to lead patients down the hallways to Check Out ellmlnatlng exiting concerns.

9. Wood plank flooring throughout two tones ta permit directional assistance and wayfinding. Establish a ground color to be utlized throughout the dlnlc but designate an aooentwaod for each Pad to carry out dlrectlanal aid throughout by utlllzlng oalor and texture.

10. The use of accent walls shall be included to aid in way finding. Each team mad!Ae should have a designated accent wall color.

11. Caseworkcorlan hard surface tops with laminate base. Color and pattern to be determined as design progresses.

12. The use of ceiling and wall mounted acoustical baffles above the work team areas is encouraged. An example of this item is Whisperwave® Ceiling Clou"8.

Scale: 1/8"=1'-0"

TABLE OF CONTENTS

rawln • nae

1 Tide Sheet and Notes 2 Sam e Floor Plan 3 Sam a Floor Plan wtth Data and Power

Drawing TIiie Data 10/07/2024

TiUe Sheet and Notes

;======= 3 Pn,ject Title Lease Space for Grayson

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J ra

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D I Outpatient Clinic . .

Louisville VA

Medical

Center

� 0f-'1)71tll7Pt7t Of � Vc-'1PI 717'-; Arf111s

Exhibit Q- Notes and Sample Floor Plan