Attachment 1 - Draft DBnC Scope_20250812.docx

INTRODUCTION

The VA requires multiple indefinite-delivery, indefinite- quantity (IDIQ) Multiple Award Task Order Contract (MATOC) type contracts to provide construction services enterprise wide.

The objective of this procurement is to award multiple IDIQ MATOCs for construction services nationwide within specified pools. These pools will meet the VA infrastructure needs for construction, renovation, maintenance, and repair within the 50 United States and its territories.

The MATOC will consist of three (3) Regional Pools with a minimum of ten (10) awardees each and one (1) National Unrestricted Pool with a minimum of ten (10) awardees. The Regional Pools will be set-aside for Service-Disabled Veteran Owned Small Business. The Regions have been divided into the following:

SDVOSB Pool 1 (Eastern Region):

AL, CT, DC, DE, FL, GA, KY, ME, NJ, NH, NY, MA, MD, NC, PA, PR, RI, SC, TN, VA, VT, & WV

SDVOSB Pool 2 (Central Region):

AR, IA, IL, IN, LA, MN, MS, ND, NE OH, OK, SD, NE, KS, OK, MI, MN, MO, MT, WI, & WY

SDVOSB Pool 3 (Western Region):

AK, AZ, CA, HI, NM, NV, OR, WA, Guam, American Samoa, & Philippines

UNRESTRICTED POOL: Nationwide and territories

Each resultant IDIQ MATOC contract will include a one (1) year base period and four (4) one-year option years. The minimum guarantee for each individual contract will be $3,000.00. The anticipated total capacity for all contracts within all Pools is a shared ceiling of $7,500,000,000 inclusive of the 1-year base and four 1-year options.

SCOPE

The scope encompasses the full range of design, construction, and engineering activities necessary to meet the VA’s enterprise construction requirements across:

· VHA Minor Construction Program

· VHA Non-Recurring Maintenance Program

· VA Major Construction Program

· VA Super Construction Program

The CFM Healthcare Design-Build & Construction (DBnC) MATOC is available for use by all VA enterprise, and Non-Departmental Federal Entities (NDFE). Projects will be located at various locations nationwide, to include US territories. The contractor functions as an integral team member in support of the VA, to include sharing information with other contractors and cooperation with communities and other Government entities.

Note: Project cost limits do not include outfitting (Activations), or funds provided from other VA appropriations such as, but not limited to information technology (IT) and other low voltage systems furnished and installed by VA. If a piece of equipment is hardwired, plumbed, or similarly “attached” to a facility it would be considered that the contractor would acquire and install that equipment.

DELIVERY METHODS AND REQUIREMENTS

Task Orders (TOs) under this contract will be executed through either Design-Build (DB) or Design-Bid-Build (DBB) delivery methods. Each method has specific requirements that must be met to ensure successful project delivery:

Design-Build Requirements: The contractor shall provide integrated design and construction services under DB task orders. For DB projects, contractors must demonstrate design management capability through dedicated design managers with healthcare facility experience, when applicable. Design requirements include BIM execution at LOD 300 minimum, coordination of medical equipment planning, and integration of facility requirements. The contractor must maintain in-house or consultant architectural/engineering capability throughout contract performance. Design reviews shall be conducted at concept (35%), design development (65%), and construction documents with government acceptance required at each stage. The contractor is responsible for design quality control including peer reviews, constructability reviews, and interdisciplinary coordination.

Design-Bid-Build Requirements: For DBB task orders, the contractor shall execute construction from government-furnished 100% construction documents. The contractor must demonstrate capabilities in constructability review, value engineering when requested, and construction coordination. While design services are excluded, the contractor shall maintain technical capability to review and validate design documents, recommend improvements, and coordinate resolution of design issues during construction. The contractor is responsible for identifying conflicts or issues in furnished documents prior to construction commencement.

Common Requirements For both delivery methods, the contractor shall:

· Maintain dedicated project management teams with relevant healthcare construction experience

· Implement quality control programs specific to healthcare facilities

· Provide construction scheduling demonstrating critical path and resource loading

· Execute stakeholder coordination including medical center operations

· Maintain safety programs meeting OSHA and VA standards

· Implement infection control and interim life safety measures

· Coordinate furniture, fixtures, and equipment (FF&E) to include medical equipment installation and utilities

· Document control and management systems for all project records

· Provide monthly progress reports including earned value analysis

· Maintain environmental compliance programs

· Execute commissioning support activities

Specific requirements for individual TOs will be detailed in the TO RFP.

TASK ORDER MANAGEMENT AND EXECUTION

TOs will be issued for either (1) Design-Build (DB) Construction or (2) Design-Bid-Build (DBB) Construction. Standalone design services without accompanying construction services are excluded from the services to be provided in this contract. The scope encompasses the full range of methods, technologies and supporting activities necessary to conduct a DB or DBB construction requirement in accordance with technical and regulatory requirements at VA Medical Centers and other VA sites. This includes comprehensive project management utilizing Building Information Modeling (BIM) for design coordination and clash detection, along with detailed project schedules, progress reporting, and milestone tracking. Contractors must adhere to established submittal processes with specified review periods for shop drawings, samples, and technical documentation. Risk management protocols require regular assessment, mitigation planning, and status updates. Performance will be measured through established metrics and Key Performance Indicators (KPIs) tracking cost, schedule, quality, and safety compliance. Clear communication protocols must be maintained through regular project meetings, documented correspondence, and structured reporting channels between all stakeholders including VA personnel, design professionals, and construction teams.

CONTRACTOR CAPABILITIES AND REQUIREMENTS

All Offerors must be able to provide all required personnel, facilities, equipment, and materials for multiple and concurrent task orders within the respective pools across the United States and its territories. Offerors shall maintain dedicated Quality Control personnel and implement comprehensive QC programs including inspection protocols, testing procedures, and documentation systems. Safety programs must be led by qualified Safety Officers with OSHA certifications, supported by site-specific safety plans, training programs, and incident reporting procedures. The awardees shall ensure that all activities performed by its personnel, subcontractors, and suppliers are executed in compliance with all applicable environmental and safety laws and regulations, including implementation of environmental protection plans addressing waste management, erosion control, and pollution prevention. Contractors must utilize specified project management and collaboration platforms, maintaining compatibility with VA systems for document control, scheduling, and reporting. Subcontractor management requirements include prequalification processes, performance monitoring, and compliance verification for all quality, safety, and environmental standards. Personnel requiring access to VA facilities must obtain and maintain appropriate security clearances in accordance with VA security protocols. Specific requirements will be detailed in each task order general requirements, specifications, and drawings. The description of these requirements will vary for each acquisition dependent upon the needs of the requiring entity.

TECHNICAL EXECUTION REQUIREMENTS

Requirements include efficient management of TOs, encompassing the submission of accurate, on-time, quality and technically sufficient contract deliverables with timely identification and solution of impediments to successful project completion. Technical requirements include development of cost-effective and technically sound approaches that incorporate sustainability and energy efficiency measures meeting Federal Guiding Principles for high-performance buildings. Contractors must implement comprehensive commissioning processes throughout design and construction, coordinating with medical equipment planning to ensure proper integration of specialized healthcare systems. Projects require strict adherence to infection control requirements including ICRA protocols, containment measures, and monitoring procedures. BIM coordination must follow VA standards for model development, clash detection, and systems integration, supporting both construction coordination and long-term facility management. All project documentation must comply with VA digital documentation standards, including BIM deliverables, commissioning reports, medical equipment coordination plans, and as-built documentation. The Government will rely on the contractor's expertise in recognizing and addressing problematic issues, maintaining required sustainability and performance standards, and successfully executing each TO while meeting all healthcare facility requirements.

MEDICAL CENTER OPERATIONAL REQUIREMENTS

All work under this contract shall be performed in active medical center environments requiring specialized planning and execution to maintain continuous patient care operations. The contractor shall coordinate and execute all construction activities to minimize disruption to medical center operations through the following requirements:

Infection Control Risk Assessment (ICRA) and Prevention: The contractor shall implement comprehensive ICRA programs for all work in or adjacent to patient care areas. This includes developing and maintaining ICRA plans, installing and maintaining appropriate containment measures, conducting daily inspections, and immediate remediation of deficiencies. All personnel shall complete ICRA training prior to working in contained areas. The contractor shall coordinate with the medical center's infection control team for approval of all ICRA measures before beginning work and maintain documentation of compliance.

Interim Life Safety Measures (ILSM): The contractor shall develop and implement ILSM plans for all work affecting life safety systems or requiring alternate egress routes. This includes maintaining fire protection systems, providing temporary fire protection when systems are impaired, maintaining clear and marked egress paths, conducting additional fire watches when required, and coordinating all life safety systems outages with medical center safety officers. Daily ILSM inspections shall be documented and deficiencies immediately corrected.

Utility Systems and Service Continuity: The contractor shall maintain continuous operation of all critical medical center utilities. This requires:

· Detailed shutdown planning and coordination submitted 30 days minimum prior to any utility outage

· Development of contingency plans for all utility work

· Scheduling of utility interruptions during off-hours or lowest impact periods

· Provision of temporary utilities when required to maintain operations

· Coordination with medical center facilities engineering for all utility work

· Emergency response planning for unexpected utility interruptions

Operational Coordination: The contractor shall integrate construction activities with medical center operations through:

· Weekly coordination meetings with medical center stakeholders

· Two-week look-ahead schedules highlighting operational impacts

· Noise and vibration control measures coordinated with affected departments

· Dust control measures exceeding standard construction requirements

· Maintenance of clean and clear access routes to all medical center areas

· Protection of sensitive medical equipment from construction impacts

· Coordination of construction deliveries and waste removal to minimize operational impacts

· Implementation of wayfinding and signage for temporary routes

· Communication protocols for emergency situations

Department-Specific Requirements: The contractor shall coordinate with individual departments to address unique operational needs including but not limited to:

· Operating room and procedure room schedule coordination

· Critical care area access and protection requirements

· Laboratory and diagnostic area sensitivity to vibration and EMI

· Mental health unit security and safety requirements

· Emergency department continuous accessibility

· Loading dock and materials management coordination

· Pharmacy and sterile processing environmental requirements

Documentation and Reporting: The contractor shall maintain detailed documentation of all operational coordination including:

· Daily logs of operational impacts and mitigations

· Weekly coordination meeting minutes

· Utility outage planning and execution records

· ICRA and ILSM inspection records

· Incident reports and corrective actions

· Updated coordination schedules and plans

The contractor shall immediately notify the Contracting Officer and medical center leadership of any construction activities that could potentially impact patient care or staff safety. The Government reserves the right to stop work that poses unacceptable risk to medical center operations.

Primary Construction Areas

The primary construction areas associated with this SOW include, but are not limited to:

1. General healthcare facility construction and renovation,

2. Healthcare additions and upgrades,

3. Repairs, refits, maintenance enhancements, equipment and component replacement,

4. Parking garages, parking lots, roadways, bridges,

5. General office, conference, and meeting spaces,

6. Requirements to maintain on-going operations and prepare for larger efforts such as swing space or make-ready work,

7. Seismic retrofit of Existing facilities,

8. Utilities to include but not limited to water, electrical, sewer, and storm water,

9. Historic facility renovations,

10. General infrastructure to include but not limited to fencing, vehicle barriers, awnings, and signage.

11. Sustainable infrastructure requirements

12. Medical equipment installation

13. Technology infrastructure

14. Security infrastructure

TASK ORDER EXECUTION REQUIREMENTS

Pre-Solicitation Requirements

Government Documentation

The Government will prepare comprehensive project documentation prior to soliciting or issuing each Task Order (TO), including:

1. Project Definition Requirements

· Detailed performance specifications

· Aesthetic and architectural requirements

· Scope boundaries and limitations

· Project-specific criteria and constraints

· Medical center operational requirements

· Site access and security protocols

2. Performance Metrics

· Key Performance Indicators (KPIs)

· Quality benchmarks and standards

· Schedule milestones and deadlines

· Cost control metrics

· Safety performance targets

· Patient care impact measurements

3. Healthcare-Specific Requirements

· Infection Control Risk Assessment (ICRA) requirements

· Interim Life Safety Measures (ILSM) protocols

· Medical equipment coordination requirements

· Utility redundancy and reliability standards

· Patient care continuity requirements

· Department-specific operational constraints

Design-Build Task Orders

Two-Phase Selection Process

Design-Build TOs shall follow FAR 36.3 Two-Phase Design-build Selection Procedures unless One-Step design-build authority has been granted. The process may include:

1. Phase One Requirements

· Technical qualifications

· Healthcare project experience

· Past performance on similar projects

· Healthcare-specific certifications

· Key personnel qualifications

· Project approach methodology

2. Phase Two Requirements

· Detailed technical proposals

· Cost proposals

· Schedule development

· Risk management plans

· Quality control programs

· Medical center coordination plans

Government-Furnished Information For DB Construction TOs, the Government will provide:

1. Conceptual Requirements

· Program of requirements

· Space planning criteria

· Medical equipment requirements

· Departmental relationships

· Operational parameters

· Performance specifications

2. Technical Requirements

· Design criteria

· VA design standards (TIL.gov)

· Systems performance requirements

· Sustainability goals

· Life safety requirements

· Medical gas specifications

3. Documentation Requirements

· BIM execution requirements

· Deliverable formats and standards

· Submission schedules

· Review processes

· Approval milestones

· Quality control requirements

Design-Bid-Build Task Orders

Construction Document Requirements

For DBB Construction TOs, the Government will provide 100% Construction Documents including:

1. Drawing Requirements

· Complete construction drawings

· Coordinated interdisciplinary documents

· Phasing and logistics plans

· Medical equipment layouts

· Utility coordination drawings

· Life safety plans

2. Specification Requirements

· Technical specifications

· VA standards and guides

· Testing requirements

· Commissioning procedures

· Quality control requirements

· Safety protocols

Common Requirements for All Task Orders

Project Documentation

The Government will provide sufficient detail for accurate scope, cost, and risk assessment, including:

1. Coordination Requirements

· Stakeholder coordination protocols

· Communication channels

· Reporting hierarchies

· Meeting schedules and formats

· Documentation procedures

· Change management processes

2. Environmental and Safety Requirements

· Environmental compliance measures

· Safety program specifications

· VA safety standards

· Hazardous material procedures

· Waste management requirements

· Air quality monitoring

3. Quality Control Requirements

· Inspection procedures

· Testing protocols

· Documentation standards

· Acceptance criteria

· Corrective action procedures

· Quality assurance oversight

Healthcare Facility Requirements

1. Medical Center Operations

· Department-specific requirements

· Patient care impacts

· Staff coordination needs

· Service continuity plans

· Emergency protocols

· Access control measures

2. Construction Controls

· Infection control measures

· Interim life safety requirements

· Noise/vibration limitations

· Dust control procedures

· Utility interruption protocols

· Traffic control plans

3. Documentation and Reporting

· Daily activity reports

· Quality control documentation

· Safety inspection records

· Environmental monitoring logs

· Progress photography

· As-built documentation