Rev FINAL SOW NOLA Estab Rad Onc Program - 12-31-24.pdf

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Department of Veterans Affairs Southeast Louisiana Veterans Health Care System (SLVHCS)

VA Medical Center 2400 Canal Street

New Orleans, LA 70119

STATEMENT OF WORK (SOW)

FOR DESIGN-BUILD SERVICES

December 31, 2024

Project Title: ESTABLISH RADIATION ONCOLOGY PROGRAM at SLVHCS Project Number: 629-335

1. GENERAL INFORMATION & PROJECT BACKGROUND:

1.1 Through the President’s Budget, the Department of Veterans Affairs is funded to establish high quality cancer initiatives, programs, and new services which meet the goals and objectives of the Cancer Moonshot. This includes expanding Radiation Oncology clinical services and improving existing services. This project is part of a national initiative to expand access for Veterans to receive high quality Radiation Oncology services throughout the Veterans Health Administration. It is a nation-wide initiative that will work with individual sites to support, plan, budget, and monitor the acquisition of capital assets required for program expansion in partnership with the National Radiation Oncology Program (NROP).

1.2 This project is for design, site preparation and construction of a Radiation Oncology Clinic at the main medical campus VA Medical center, in New Orleans, Louisiana.

1.3 This project involves the design and construction (Design/Build) of renovation and building expansion at the G building of the New Orleans VAMC.

1.3.1 A/E Services include site visits, field investigation, studies, and user interviews to prepare drawings, specifications, and cost estimates for all facets of work and disciplines/trades to facilitate a construction project to complete site preparation and implementation, of the following equipment purchases: two (2) Linear Accelerators, one (1) Computer Tomography (CT) based simulator, various computers and monitors for image display, dose calculations, medical documentation, and scheduling. Design work shall include new construction and existing spaces to be renovated.

1.3.2 Construction Services take place at the main campus (2400 Canal St.). The location is expected to encompass part of and adjacent to G Building of Diagnostic and Treatment.

Work will require phased construction to include but not limited to preparation of new space for displaced staff and renovation of vacated space to meet functional needs, structural reinforcement to ensure safety of occupied spaces, and coordination of utility tie ins. Physical security waivers and assessments will be needed as the space is expected to abut against newly constructed surface lot. Some of the parking spaces at the surface lot are expected to be dedicated for patient use for this clinical function.

2. GENERAL REQUIREMENTS:

2.1 Contractor shall provide all labor, materials, tools and equipment, and design-build

629-335 Establish Radiology and Oncology Program at SLVHCS Page 2 of 30 services necessary for design and construction of the project described above and other specific tasks as further defined by this SOW and specifications.

2.2 Both design and construction services are part of this project.

2.3 All design elements should meet, to the fullest extent possible, existing VA design guide requirements for radiation therapy spaces unless noted to be different in this SOW.

Based on the current program for design, the following work will occur, at a minimum:

2.4 Major Tasks

2.4.1 Radiation Oncology Suite

2.4.1.1 Brief Narrative

2.4.1.1.1 A radiation oncology suite shall be constructed on the first floor of the New Orleans VAMC, ideally in the 1G Area (zones G1 and G2) within the existing facility. To accomplish this, additional space will need to be built out to provide the necessary permanent location for relocation of staff to allow for the construction of this suite.

Suite construction shall include shielding considerations for all adjacent spaces and constructed to meet equipment and vault requirements typical of radiation therapy suite and linear accelerators. Dedicated HVAC shall be provided for specialized areas to ensure necessary air flow and pressure relationships. Clinical spaces shall have controlled access via card readers compatible with existing VA card reader system

2.4.1.1.2 Construction shall be inclusive of site preparation efforts to receive two (2) linear accelerators, one (1) CT simulator and noted ancillary equipment.

2.4.1.1.3 Spaces where interruption of power would be unacceptable/detrimental to patients, computers or equipment shall be fully backed up by emergency power. This emergency ower can be tied into the existing emergency power system. All power and load priorities shall meet NFPA, TJC, and TIL requirements.

2.4.1.2 Flow:

2.4.1.2.1 General flow of space should allow for dedicated and centralized waiting and reception. Patients should be escorted back to patient areas. The space shall be broken into two main areas, public and private where public flow is for patient checking and waiting and private is for all clinical and administrative services for the clinic.

2.4.1.2.2 Support space shall be centralized as much as possible to direct patient care spaces. Due to internal construction and limited expansion with new square footage, flexibility shall be allowed with this layout.

2.4.1.3 Entry/Exit:

2.4.1.3.1 Public/Patient entry to be on the first floor on the main entry off of the facility concourse.

2.4.1.3.2 .

2.4.1.4 Spaces/Rooms

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See Attachment O for the Program for Design (PFD). The provided PFD does not include potential utility space and some spaces noted in paragraph 2.4.1.6.1.3. A Standard Linear Accelerator vault is 3 to 8 feet thick with concrete which may change the Gross Square Feet of the building shown in the PFD. The Contractor’s Physicist is to design shielding based on design parameters provided below.

2.4.1.5 Area of Consideration

2.4.1.5.1 Radiation Oncology clinic space shall include a combination of existing structures and new construction. The contractor shall include existing space currently occupied as part of the design.

2.4.1.6 General Space Requirements.

2.4.1.6.1 While design manual and elements are identified for radiation oncology spaces, the contractor shall account for the following at a minimum:

2.4.1.6.1.1 Cubicle spaces

2.4.1.6.1.1.1 All cubicle spaces shall include floor accessible power and data when units are not located against walls.

2.4.1.6.1.1.2 All existing power and data counts for cubicles and offices in the same space shall be considered as standard and shall be provided for all relocated and new spaces either in the floor or in the wall if cubicle space is located along a wall. At a minimum, when applicable, a quadraplex floor outlet shall be provided for each cubicle and a quadplex of data shall be provided for every two cubicles. All offices shall have one (1) set of four data jacks collocated on a four-port face plate in the vicinity of the desk location. Duplex outlets shall be located on every wall (no more than four) with placement to match existing layouts.

2.4.1.6.1.2 Patient Check in spaces

2.4.1.6.1.2.1 The primary patient check in space will be an administrative area. A secondary patient check in space will be a kiosk.

2.4.1.6.1.2.2 Power and data shall be provided on a wall at the location where a check-in kiosk will be place for veteran self-check-in.

2.4.1.6.1.2.3 Check-in areas shall be semiprivate with clear lines of sight to waiting space from staff area. Staff side of check in shall not be accessible by patients and will have certain features including plexiglass or glass screening in light of recent COVID restrictions. At least one (1) desk shall be wheelchair accessible.

2.4.1.6.1.2.4 The contractor shall account for two outlets and two data jacks per seat for the check in spaces.

2.4.1.6.1.2.5 Check in space shall be a combination of built out case work and modular furniture (to be contractor provided). Chairs are excluded.

2.4.1.6.1.2.6 Countertops shall be easily wipeable with no seams (Corian or solid surface material to be used)

2.4.1.6.1.3 Supplemental Spaces

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2.4.1.6.1.3.1 Supplemental associated spaces shall accommodate crash carts, computer on wheels (COW), blanket warmers, uninterrupted power, medicine cabinets/refrigerators (controlled and uncontrolled), and power conditioning among other typical operational components. These spaces will require power, data, and temperature monitoring as applicable for that space.

2.4.1.6.1.4 Room Numbers

2.4.1.6.1.4.1 All room numbers shall coincide with the existing G Building numbering nomenclature. Room numbering conventions shall match in accordance with the building which the main entrance/entry point is placed. The contractor shall provide new naming conventions as part of the design for all rooms, alcoves, and cubicle spaces.

2.4.1.6.1.5 General Structures

2.4.1.6.1.5.1 The contractor shall incorporate the use of natural lighting wherever possible. As the expected area of consideration include existing panels and windows, the contactor shall allow for relocation and placement of windows where feasible for extended areas. This shall not be allowed in exam or patient spaces where privacy must be maintained.

2.4.1.6.1.5.2 Lead shielding shall be incorporated in this design and is expected in areas encompassing CT simulator.

2.4.1.6.1.6 General Lighting

2.4.1.6.1.6.1 Lighting circuits shall be suite connected. All lighting fixtures shall be LED with tie in to existing building lighting controls. Fixture housing shall match existing fixtures in comparable areas (sconce, spot, office, etc.) in the area. If fixture is no longer available by manufacturer they shall match the general design of existing fixtures. Occupancy sensors shall be installed to assist with energy savings in all rooms and open spaces.

2.4.1.6.1.7 General Power

2.4.1.6.1.7.1 Naming conventions for all circuits shall match that of the existing facility.

Contractor shall plan on new electrical with dedicated electrical closet for space.

Three (3) branches shall be represented (life safety, critical and equipment) and shall adhere to electrical code for emergency and normal circuit requirements.

All new panels shall not be filled over 80% usage. Any new circuits installed shall be appropriately labeled on the necessary junction boxes and within the panel schedule.

2.4.1.6.1.7.2 Emergency power shall be tied into existing emergency substations (EUSS02) and normal power with connections to normal substation (USS02). Substation cabinets shall be expanded if unable to tie into existing cabinetry. Each substation carries 13.3KV. Contractor shall ensure any ties required to the substation levels shall also include the necessary ancillary equipment for step down to necessary voltage and amperage.

2.4.1.6.1.7.3 Any tie ins to substation shall include programing on emergency and normal power system back to the central energy plant. Systems shall be commissioned on electrical system with testing conducted on electrical system network to ensure no deviations or issues concerning communications traffic and programming exist.

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2.4.1.6.1.7.4 The contractor shall provide an uninterruptible power supply for the radiation oncology suite capable of carrying on critical equipment and controls for no fewer than 20 minutes when fully loaded.

2.4.1.6.1.7.5 All exam rooms shall have duplex outlets on every wall and additional duplex or quad outlets where to accommodate room function and equipment.

2.4.1.6.1.8 General Data

2.4.1.6.1.8.1 All data lines shall be renamed in accordance with the new space. All new data lines shall be Cat 6a.

2.4.1.6.1.8.2 All exam rooms shall have two (2) four port data drops installed.

2.4.1.6.1.9 General Plumbing

2.4.1.6.1.9.1 Bathrooms shall be included in this installation. The contractor shall utilize to the fullest extent possible, existing plumbing lines for tie in. All bathroom fixtures shall be low flow fixtures.

2.4.1.6.1.9.2 Every exam room shall have a hand washing sink with built in cabinetry above and below the sink.

2.4.1.6.1.10 General IT

2.4.1.6.1.10.1 The exiting IT closet in Wing G and adjacent Wing F are at full capacity. A new IT closet is to be incorporated into the design to support this project.

2.4.1.6.1.11 General HVAC & Support Systems

2.4.1.6.1.11.1 The ductwork of the Radiation Oncology suite (renovated and new) is to be isolated from adjacent spaces. Any duct work on existing variable air volume (VAV) boxes that extend beyond and into the area of renovation shall be truncated.

2.4.1.6.1.11.2 VAV’s shall be specific to the suite they serve. The contractor shall provide a fully conditioned renovated space with zones VAVs and thermostats. Each office shall have a VAV with no more than two offices sharing a single VAV. Every exam room shall have its own VAV.

2.4.1.6.1.11.3 HVAC shall utilize to extend possible a balance of recirculated (no 100% outside air/ 100% exhaust) except in areas where mandated by VA design.

2.4.1.6.1.11.4 All existing HVAC systems (AHUs, chilled water lines, etc.) currently serving Wing G and the adjacent Wing F of the facility do not have the capacity to add any additional heat/cool load. The new HVAC systems for this project will have to be independent of the existing HVAC systems.

2.4.1.6.1.12 General Steam

2.4.1.6.1.12.1 Facility generates steam from the Central Energy plant with entry from 4th floor interstitial.

2.4.1.6.1.13 Fire Alarm System

2.4.1.6.1.13.1 Devices: New fire alarm devices (speakers/strobe combinations) shall be installed in the new spaces and tie into the existing fire alarm system. If panel expansion is needed to complete the necessary installation, the contractor shall provide all materials necessary to accomplish this. Programming of the system

629-335 Establish Radiology and Oncology Program at SLVHCS Page 6 of 30 shall include considerations for the crossing of building structures. Note that area of renovation crosses building envelope to include building G and building A (concourse). Reprogramming for fire alarm system and all adjacent spaces may be needed to ensure appropriate room locations are identified.

2.4.1.6.1.13.2 Sprinkler: The new spaces and renovated spaces shall be fully sprinklered.

Contractor shall ensure the system is a complete system inclusive of necessary tampers and flows for the space.

2.4.1.6.1.14 Finishes

2.4.1.6.1.14.1 All finishes shall match existing surrounding spaces on level of finish (paint, flooring, ceiling).

2.4.1.6.1.14.2 Contractor shall adhere to design guide recommendations unless noted differently in this SOW.

2.4.1.6.1.14.3 Flooring

2.4.1.6.1.14.3.1 Existing Flooring Repairs/Patching: As multiple areas of the existing facility include flooring that may no longer be in production, the contractor shall repair/patch as needed flooring to ensure color match occurs. The contractor shall purchase the required amount of flooring plus an additional 10% attic stock to ensure no deviations in dye lots. Current corridors in building F and G are VCT. All corridors leading to Concourse shall be replaced to ensure match. VCT in elevator lobby for DS 11 and DS 12 shall be replaced.

2.4.1.6.1.14.3.2 New Construction:

2.4.1.6.1.14.3.2.1 Vinyl Composition Tile (VCT) is no longer allowed in new construction in VA hospitals. Flooring in corridors, exam rooms, treatment rooms, and most other spaces that typically receive VCT shall be Luxury Vinyl Tile (LVT).

Flooring in the vaults shall be Vinyl Sheet Flooring (VSF).

2.4.1.6.1.14.3.2.2 Carpet to be located only in offices, consulting/education room, and sitting area in the reception area waiting room.

2.4.1.6.1.14.3.2.3 Cove base shall be used in all areas where floor is not epoxy or vinyl sheet flooring. Base shall be roll up for vinyl and epoxy.

2.4.1.6.1.14.3.2.4 Excluding the public waiting space, the reception area flooring shall be ceramic tile.

2.4.1.6.1.14.4 Paint

2.4.1.6.1.14.4.1.1 All paint shall include at a minimum three coats (primer and two base coats).

2.4.1.6.1.14.4.1.2 For all areas under construction, the entire wall shall be repainted (no touch up accepted). For any area where doorways are being created, the entire wall in which the doorway sits shall be repainted.

2.4.1.7 Specific Space Requirements (updated design requirements not in current TIL)

2.4.1.7.1 CT Simulator

2.4.1.7.1.1 The DB shall conduct an area radiation survey by a Qualified Shielding Expert (QSE) of the room design to ensure adequate shielding is designed. A post-installation radiation safety survey must also be performed by the DB by a Qualified Medical

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Physicist (QMP) to ensure the space and shielding have been constructed properly.

All reports and certifications to be provided to the Government.

2.4.1.7.1.2 The space shall include a sink, a wand type eye wash and an IV injector.

2.4.1.7.1.3 The floor trench from the control room to the CT machine shall be situated as close to the equipment as allowed by the manufacturer. This is to provide sufficient space for the installation of modular storage cabinets that are not on top of the trench floor box.

2.4.1.7.1.4 This space will include a ceiling mounted bariatric patient lift.

2.4.1.7.2 Procedure/Exam Rooms (CRT08) and Exam Rooms (CRT06)

2.4.1.7.2.1 Rooms shall have oxygen, medical air, and vacuum.

2.4.1.7.2.2 Power and data shall be located to accommodate a scope chair and equipment tower in one Exam Room CRT06. This room is to have power on both sides of the scope chair. One side of the equipment tower will have two (2) double stacked quad outlets.

2.4.1.7.2.3 Two (2) of the rooms will include a ceiling mounted bariatric patient lift; one (1) in Exam Room CRT06, and one (1) in Exam Room CRT08.

2.4.1.7.2.4 All of the exam rooms will have a monitor and monitor arm adjacent to the exam bed or chair. Power and data is to be provided at 48” AFF. This is so the physician can show them electronic files while on the exam bed or chair. There will be an HMDI cable from the location of the computer in the room to this monitor.

2.4.1.7.3 Linear Accelerator Rooms (each with one Control Room)

2.4.1.7.3.1 The DB shall conduct an area radiation survey by a Qualified Shielding Expert (QSE) of the room design to ensure adequate shielding is designed. A post-installation radiation safety survey must also be performed by the DB by a Qualified Medical Physicist (QMP) to ensure the space and shielding have been constructed properly.

All reports and certifications to be provided to the Government.

2.4.1.7.3.2 Both rooms shall have a ceiling mounted bariatric patient lift.

2.4.1.7.3.3 Rooms will contain cabinetry along walls to house all equipment used in the space (molds, physics monitoring, etc.).

2.4.1.7.3.4 All vault walls shall have finished drywall, including behind casework.

2.4.1.7.3.5 The final vault door and ductwork shielding design must be reviewed by a the DB's qualified medical physicist.

2.4.1.7.3.6 The sizing of the vault wall penetration for conduits, piping, HVAC, etc., shall be sized 15% larger than needed to allow for future conduits as machine technology is continually changing.

2.4.1.7.3.7 The counters in the control room shall be at standing height. DB to verify with

COR.

2.4.1.7.3.8 DB shall verify location of isocenter with their physicist.

2.4.1.7.3.9 The vault must be equipped with a TV system for remote viewing of the patient.

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2.4.1.7.3.10 A “Beam On” indicator light must be installed over the entrance door and one inside the room.

2.4.1.7.3.11 The entrance door shall be interlocked so that if the door is opened the accelerator cannot be turned on.

2.4.1.7.3.12 An intercom system shall be provided to maintain voice contact with the patient.

2.4.1.7.3.13 During linac commissioning, a comprehensive radiation area survey shall be conducted by the DB. The survey results should be documented to verify that the shielding requirements have been met.

2.4.1.7.3.14 A physics port must be installed and shall be a 4” lead lined conduit running between the control room and treatment room for placement of physics equipment cables. The conduit is to be located through a secondary barrier wall and must be angled into the room approximately 45 degrees and placed in the corner of the treatment room. Before concrete pour, verify position with the DB’s physicist. Cabinetry design in the treatment room shall be designed such that the conduit terminates inside a closed cabinet where the physicist equipment will be housed. The elevation of the conduit shall be just below counter height so that equipment cables can be run up through a counter or cabinetry and placed on the surface.

2.4.1.7.3.15 A rigging path study shall be conducted after 35% design to assure door sizes are adequate and all turns can be accomplished.

2.4.1.7.3.16 Vault Design Parameters: Radiotherapy treatment vaults must be designed to accommodate any state-of-the-art radiotherapy delivery equipment. The wall penetrations for HVAC and conduits for QA /IT cables are typically determined after the selection of equipment. However, the difference in the requirements from vendor to vendor and type and brand of equipment are minimal. The vault will be constructed using regular density concrete (typically, 143 lbs./cubic foot).

The use of high density concrete due to space limitation is also acceptable. The basic requirements for the vault are as follows;

- Maze less vault with electrically operated shielded door

- Highest photon beam Energy; 15 MV

- Highest electron beam energy; 18 MeV

- Photon beam dose rate range; 600-2400 MU/min

- Largest field size at isocenter; 50 cm diameter

- Finished wall/ceiling dimensions at isocenter; 28 feet wide, 26 feet deep, and 12 feet height.

- Vault shielding to comply with permissible radiation levels in controlled and uncontrolled spaces around the wall.

2.4.1.7.3.17 The Government is currently procuring the Linear Accelerator equipment. The purchase of the Chiller and power conditioner for the equipment will be included .

The DB is required to work closely with the manufacturer to coordinate all aspects of the design of the vault to accommodate this equipment. The DB will be providing and installing the conduits and wiring for this equipment as required by the manufacturer. The contractor is required to make all final connections.

The manufacture will provide and set the mounting bases when the site is ready for its installation. The construction contractor is required to grout all base frames.

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2.4.1.7.3.18 The manufacture will have Construction Guidelines/Requirements, Pre- Installation Checklists, etc. that the DB must adhere to. These documents are very similar from manufacture to manufacture. The Government will provide these after the equipment is purchased.

2.4.1.7.3.19 A network of cameras and laser positioning systems will be part of the manufacturers equipment.

2.4.1.7.3.20 The manufacturer will not install their equipment until the vault construction is complete and building systems are operational and the vault space is a dust free environment. Other requirements may be contained in the typical manufacture Pre-Installation Checklist. The DB is to prioritize the completion of the vaults and control rooms so that the manufacturer can start installation as soon as all building systems are commissioned.

2.4.1.7.3.21 Due to the continual rapid change in technology and high-tech equipment, such as with the linear accelerator and its cameras and positioning system, conduit and wiring requirements can change between the time the space is designed and constructed. Contractor is responsible to coordinate with manufacturer for currently known pending design changes in the industry.

2.4.2 OIT Space Relocation and Expansion

2.4.2.1 Narrative

2.4.2.1.1 To accommodate the location of the expected future radiation oncology clinic, a portion of the Office of Information Technology (OIT) space shall be renovated for the oncology clinic. The OIT staff will be relocated to the newly constructed OIT expansion. OIT provides repairs for all OIT managed equipment on site including but not limited to monitors, computers, telephones, servers. General space use includes seating for technicians completed onsite repairs and troubleshooting as well as onsite customer service actions and recovery actions for VA entities. Key elements of the space include heightened security elements including but not limited to two (2) factor authentication for spaces (key and card reader access), segregated customer and technical space, storage capable of receiving numerous pallets of equipment while staging fleet replacement and turn ins. The new constructed OIT space is to accommodate 26 employees, see attachments for breakout of number of offices and cubicles.

2.4.2.1.2 Existing OIT space layout is shown in ATTACHMENT A.

2.4.2.2 Portion of OIT space for the oncology clinic.

2.4.2.2.1 The area that has been identified in the existing OIT space to be allocated for the radiology oncology space is shown in ATTACHMENT B.

2.4.2.2.2 The OIT staff in that area will be relocated to the newly constructed space . The required non-office workstation space for the relocated and future employees is 56 SF per the TIL and should be configured as L-shaped desks. The preferred space requirements for the three (3) relocated staff in offices is 120 SF per office. The relocated customer service work area should be sized to accommodate three (3) L-shaped workstations, each with a 56 SF work area and a storage area. The customer service area is to accommodate a two-person waiting area.

2.4.2.3 Space requirements for new OIT spaces

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2.4.2.3.1 While design manual and elements are identified for OIT spaces, the contractor shall account for the following at a minimum:

2.4.2.3.1.1 Cubicle spaces:

2.4.2.3.1.1.1 All cubicle spaces shall include floor accessible power and data when units are not located against walls.

2.4.2.3.1.1.2 All existing power and data counts for cubicles and offices in the same space shall be considered as standard and shall be provided for all relocated and new spaces. At a minimum, when applicable, a quadraplex floor outlet shall be provided for each cubicle and a quadplex of data shall be provided for every two cubicles. All offices shall have one (1) set of four data jacks collocated on a four-port face plate. Duplex outlets shall be located on every wall (no more than four) with placement to match existing layout.

2.4.2.3.1.2 Room Numbers

2.4.2.3.1.2.1 All room numbers associated with OIT shall change. Room numbering conventions shall match in accordance with the building which the main entrance/entry point is placed. The contractor shall provide new naming conventions as part of the design for all rooms, alcoves, and cubicle spaces.

2.4.2.3.1.3 General Structures

2.4.2.3.1.3.1 The courtyard is to be built out. At least half of that area does not presently have a ceiling. The constructor shall ensure that a structurally sound structure is included in building to create a fully enclosed occupiable space. Modifications or consideration for the existing ceiling structure on the other half of the courtyard shall be considered. Because of the presence of nuclear medicine, the contractor shall ensure that shielding is incorporated to the design to meet necessary requirements for safe occupancy in the area immediate area below it.

2.4.2.3.1.4 General Lighting

2.4.2.3.1.4.1 Lighting circuits shall be reestablished in new OIT spaces and be interconnected.

The newly established suite, which is separate and apart from OIT, shall have different lighting layout, switches, etc. completed. All lighting fixtures shall be LED with tie in to existing lighting controls. Fixture housing shall match existing in comparable spaces if still manufactured. Otherwise, they shall match the general design of existing fixtures. Occupancy sensors shall be installed to assist with energy savings.

2.4.2.3.1.5 General Power

2.4.2.3.1.5.1 Naming conventions for all circuits shall match that of the existing facility. If existing panels cannot accommodate necessary circuitry for installation, the contractor shall provide the necessary panels, transformers, electrical equipment etc. to allow for circuit installation with 20% retainage for expansion and load peaks. Any new circuits installed shall be appropriately labeled on the necessary junction boxes and within the panel schedule.

2.4.2.3.1.5.2 All offices shall have one (1) set of four data jacks collocated on a four-port face plate in the vicinity of the desk. Duplex outlets shall be located on every wall.

2.4.2.3.1.6 General Data

2.4.2.3.1.6.1 All data lines shall be renamed in accordance with the new space. All new data lines shall be Cat 6a. Data lines shall be installed in groups of four (quad).

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2.4.2.3.1.7 General HVAC

2.4.2.3.1.7.1 Any duct work on existing variable air volume (VAV) boxes that extend beyond the area of relocation shall be truncated.

2.4.2.3.1.7.2 VAV’s shall be specific to the suite they serve. The contractor shall provide a fully conditioned renovated space with zone VAVs and thermostats. Each office shall have a VAV with no more than two offices sharing a single VAV.

2.4.2.3.1.7.3 The HVAC in the area shall be rebalanced (air and water) with balancing occurring on all supplies, returns, exhausts, air handling units, dedicated outside area units, VAVs, HVAC dampers, etc. impacted by or within the perimeter of the renovation (i.e., the entire existing OIT space and future OIT space). Balancing requirements shall match existing design requirements for the space with consideration toward meeting current VA design criteria. For existing area, air flows shall be plus/minus five (5) percent. The balancing company shall be a s direct contractor of the general contractor and shall carry ABB of NAEB certification.

2.4.2.3.1.8 Fire Alarm System

2.4.2.3.1.8.1 Devices: New fire alarm devices (speakers/strobe combinations) shall be installed in the new spaces with tie into the existing fire alarm system. If panel expansion is needed to complete the necessary installation, the contractor shall provide all materials necessary to accomplish this. Programming of the system shall include considerations for existing hospital standards for designation.

2.4.2.3.1.8.2 Sprinkler: Newly renovated space shall be fully sprinklered. Contractor shall ensure the system is a complete system inclusive of necessary tampers and flows for the space.

2.4.2.3.1.9 Finishes

2.4.2.3.1.9.1.1 All finishes shall match existing OIT space finishes (paint, ceiling).

2.4.2.3.1.9.1.1.1 Exception: No carpet. Flooring finishes shall be luxury vinyl tile (LVT).

2.5 Modifications to Police Suite (1G)

2.5.1 Narrative

2.5.1.1 Minimal renovation is needed in the police suite. Immediately adjacent to the space is an exterior courtyard, a partition of which will be built out to accommodate OIT relocation and expansion. The OIT expansion does not encompass the entire interior courtyard/patio. During the creation of the radiology suite, it will be necessary to relocate the existing police training space (1G131 and 129). This space shall be relocated to the courtyard space and shall include the spaces eliminated to create inner suite connections (i.e., corridors, etc.). The Training area is a wide-open space where mats and physical training occurs. Allocations for data and power shall be provided but shall be minimal (enough for three workstations in each space, and one electronic monitor for display.

2.6 Project Phasing

2.6.1 New OIT and new Police space must be complete prior to tie-in to existing facility, relocation of services, and interior renovations of existing facility, respectively.

2.6.2 Logistically, some aspects of the phasing must be completed first before others can start

629-335 Establish Radiology and Oncology Program at SLVHCS Page 12 of 30 based on requirements to continue facility functions and to sequence activities that have to occur. DB Team shall suggest proposed phasing plans to the COR for consideration, discussion, and approval. Egress points shall not be blocked. If egress points must be impeded, the contractor shall propose an interim life safety measure (ILSM) sufficient to provide safe egress for occupants through other portions of the facility).

2.7 General circulation

2.7.1 The contractor shall ensure that general circulation within the space is allocated as part of the design and construction.

2.8 General Comments/Unique elements concerning spaces

2.8.1 1G Space

2.8.1.1 Expansion of 1G to include expansion project east of G building toward staff garage and expansion project south of G building toward newly constructed surface lot.

2.8.1.2 Physical security barriers shall be incorporated within encroachment on vehicle areas.

AE understands and acknowledge that physical security waiver may be required to encompass proposed space.

2.8.2 1F Space

2.8.2.1 Complete renovation of existing interior patio, inset space to allow for room construction and occupancy.

2.8.2.2 The patio is subdivided into two areas with a concrete wall to subdivide though the wall does not span the entire width of the space.

2.8.2.2.1 Area 1: One area has slab installed, but the slab does not go from edge to edge of the interior. The space sits beneath a nuclear medicine section. Additional shielding will be required to ensure the safety of staff occupying the space below. Testing of shield and installation shall be incorporated in the design. No fire sprinkler or lighting is present in the patio. Limited drainage present in slab. The space is not presently conditioned.

2.8.2.2.2 Area 2: No slab is present. In this area, there are various plants and greenery that will need to be demolished as part of site preparation. This includes removal of drip lines/irrigation and greenery. Site utilities may be present and should remain. Utility boxes should be lifted and continue to be made accessible for staff usage, maintenance, etc.

2.8.2.3 Interior patio is surrounded by glass panels spanning the height of the corridor.

Structural columns are in the area and located on the adjacent corridor. Access to the courtyard is given from two area with double glass swinging doors.

2.8.2.4 Green space between G Building and the surface parking lot has several utilities present, including clean outs for elements such as grease trap, etc. Of any installation or design to take place in this area, site assessment shall be included with all utilities identified via the assessment and per instruction from VA shall be made readily available for maintenance.

2.8.3 MRI Quench access.

2.8.3.1 MRI quench duct is located on west side of G building between G and staff garage.

Access to service must be maintained as well as general safeties in place in event of

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MRI quench. It must be accessible from the exterior and lift accessible. Encasing of diversion of gases should building be constructed immediately below.

2.8.4 Natural light should be used whenever feasible.

2.8.5 There shall be two (2) patient access points for Radiation Oncology clinic as follows:

2.8.5.1 From existing surface parking lot.

2.8.5.2 From existing hospital concourse

2.8.6 All new public restrooms shall include baby changing tables and feminine product dispensers.

2.8.7 A block graphic showing space 1G and 1F(renovated and new) is shown on ATTACHMENT C and identifies the boundaries of the areas below:.

2.8.7.1 New OIT space

2.8.7.2 Renovated OIT space for Radiology Oncology Suite

2.8.7.3 New Police Conference Room

2.8.7.4 New Linear Accelerator Vaults

2.8.7.5 New Radiation Oncology spaces

3. DESIGN & BUILD SCOPE:

The design shall be in accordance with and capture the following requirements:

3.1 Design Development (DD): The Design Build Contractor shall develop space programming, basis of design, 35%, 65%, and 100% plans and specifications for review and approval by the VA. All dimensions must be field verified to determine final building addition, renovation and placement.

3.2 The design documents shall incorporate proper construction phasing of work where required within the project period of performance.

3.3 Design drawings shall include all demolition and new work in sufficient detail to provide for a thorough review by the VA.

3.4 The work (design and construction) shall include, but not limited to, structural, electrical, mechanical, plumbing, architectural elements, considerations, design, testing and analysis in support of this addition and renovation in occupied space.

Design considerations shall also include all phasing necessary to complete the work. Construction work and renovation work may not be completed all at once but must be phased.

3.5 Design submission shall include proposed design, fencing product and performance data. The Final design documents shall be stamped by a registered Professional Engineer for each discipline.

3.6 Design shall include all site investigation, site survey, measurements, calculations and testing for documents to construct the subject project.

3.7 Materials and equipment brought to the site shall be verified to have available space to maneuver to the site. Maximum dimensions of sections or pieces of

629-335 Establish Radiology and Oncology Program at SLVHCS Page 14 of 30 materials may be necessary as part of the design.

3.8 The Design Build Contractor shall include in their total proposal price the scope of work for all items listed.

3.9 Design shall be in accordance with the VA Master Specifications and the following provided specifications with this solicitation and shall become a part of this contract and design documents. The Design Build Contractor shall develop all other applicable project specifications.

3.10 The Master Construction Specification site is https://www.cfm.va.gov/til/spec.asp.

3.10.1 The following specifications are attached:

00 10 00 VA Master Specs Table of Contents 01 11 21 Request for Proposal to Design Build 01 00 00 General Requirements 01 32 16.16 Network Analysis Schedules - DB 01 33 23 Shop Drawings, Product Data & Samples 01 35 26 Safety Requirements 01 42 19 Reference Standards 01 45 00 Quality Control 01 45 29 Testing Laboratory Sciences 01 45 35 Special Inspections 01 57 19 Temporary Environmental Controls 01 58 16 Temporary Interior Signage 01 74 19 Custom Waste Management 01 91 00 General Commissioning Requirements

3.11 The following documents are being provided:

3.11.1 Documents Referenced in SOW above:

ATTACHMENT A Existing OIT Space ATTACHMENT B Portion of OIT Space Allocated for Radiation Oncology ATTACHMENT C Block Graphic of Preliminary Layout

3.11.2 Existing Facility design drawings and information provided are:

ATTACHMENT D Google Map Views of Facility and Construction Area (3 sheets)

ATTACHMENT E Geotechnical Engineering Reports (251 sheets incl. divider pgs.)

- Bidder Information 00 31 00

- Soils Report – Phase 1, dated 10/16/2009

- Soils Report Letter, dated 11/30/2009

- Soils Report Pile Foundation Recommendations, 12/03/2009

- Soils Report Addendum #1R, dated 6/09/2010

- Soils Report Addendum #2R, dated 5/21/2010

- Soils Report Addendum #3, dated 1/12/2011

- Soils Report Addendum #4R, dated 3/24/2011

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- Soils Report Addendum #5, dated 5/04/2011

- Soils Report Addendum #6, dated 4/08/2011

3.11.2.1 ATTACHMENT F DRAWING INDEX (for reference - 10 sheets plus cover sheet)

- G1001 Civil – Drawing Index (2 pages)

- G1001 & G1002 Structural – Drawing Index (2 sheets)

- G1001-21 & G1002-22 Architectural – Drawing Index (2 sheets)

- G1001-24 Mechanical – Drawing Index (1 sheet)

- G1001-25 Electrical – Drawing Index (1 sheet)

- G1001-23 Plumbing – Drawing Index (1 sheet)

3.11.2.2 ATTACHMENT G SITE UTILITIES (49 sheets plus cover sheet)

- 13.2KV Campus Electrical Distribution Diagram – Level 1-Model

- LS101 Overall First Floor G - Site

- CU100 Overall Site Utility Plan

- CU107 Overall Utility Plan

- E.STE.N Electrical Site Layout

- E.STE.S Electrical Site Layout

- L020 Site Plan – Surface Parking Offset Distance

- L020 Site Plan Areas (location of Central Energy Plan indicated

- CK107 Utility Horizontal Control Plan

- CK108 Utility Horizontal Control Plan

- CK109 Utility Horizontal Control Plan

- CK110 Utility Horizontal Control Plan

- CK111 Utility Horizontal Control Plan

- CK112 Utility Horizontal Control Plan

- CU001 Notes and Finish Legend

- CU100 Utility Plans Area

- CU107 Overall Utility Plan

- CU108 Overall Utility Plan

- CU110 Overall Utility Plan

- CU111 Overall Utility Plan

- CU112 Overall Utility Plan

- CU113 Overall Utility Plan

- CU114 Overall Utility Plan

- L020 Site Plan Areas

- Sewage Treatment Appendage-GE – Google

- Surface Level Prkng Lot As-Built Drawings

3.11.2.3 ATTACHMENT H FOUNDATION PLANS (5 sheets including cover sheet)

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- LM111 Site Materials Plan

- LL111 Site Layout Plan

- LI111 Site Irrigation Plan

- 2SB100-G Bldg. 2 Foundation Plan – Area G

NOTE: It is not known if pilings/caissons have been installed in the areas where sections of the building was not constructed per the original design drawings.

3.11.2.4 ATTACHMENT I STRUCTURAL (5 sheets including cover sheet)

- 2SB101-G Bldg. 02 First Floor Framing Plan – Area G

- 2SF102-G Bldg. 02 Second Floor Framing Plan – Area G

- 2SF101i-G Bldg. 02 Interstitial 2 Interstitial Plan – Area G

- 2SF102i -G Bldg. 02 Interstitial 2 Framing Plan – Area G

3.11.2.5 ATTACHMENT J ARCHITECTUAL (8 sheets including cover sheet)

- 2AI101-G2 Bldg. 02 First Floor Plan – Area G

- 2AI101i Bldg. 02 First Floor Interstitial Plan

- 2AI102-G2 Bldg. 02 Second Floor Plan – Area G

- 2AI102i Bldg. 02 Second Floor Interstitial Plan

- R2AS211 Bldg. 02 Exterior Elevations (South-Shows Quench Vent Location)

- R2AS212 Bldg. 02 Exterior Elevations (West)

- R2AS213 Bldg. 02 Exterior Elevations (North)

3.11.2.6 ATTACHMENT K MECHANICAL PLANS (101 sheets including cover sheet)

ORIGINAL DESIGN PLANS: Note - The facility was not built entirely as the original drawings were drawn. Substantial changes were made via value engineering and the VA only has the original design plans Review of Shop Drawings and verification in the field is required.

- 0MH001 HVAC SYMBOLS

- 2MH101-G1 BLDG 02 FIRST FLOOR DUCTWORK PLAN - AREA G1

- 2MH101-G2 BLDG 02 FIRST FLOOR DUCTWORK PLAN - AREA G2

- 2MH101i-G1 BLDG 02 FIRST FLOOR DUCTWORK INTERSTITIAL PLAN - AREA

G1

- 2MH101i-G2 BLDG 02 FIRST FLOOR DUCTWORK INTERSTITIAL PLAN - AREA

G2

- 2MH102-G1 BLDG 02 SECOND FLOOR DUCTWORK PLAN - AREA G1

- 2MH102-G2 BLDG 02 SECOND FLOOR DUCTWORK PLAN - AREA G2

- 2MH304 BLDG 02 HVAC FLOOR SECTIONS - AREA G

- 2MH305 BLDG 02 HVAC SERVICE BAY SECTIONS

- 2MH306 BLDG 02 HVAC SERVICE BAY SECTIONS

- 2MH307 BLDG 02 HVAC SERVICE BAY SECTIONS

- 2MH308 BLDG 02 HVAC SERVICE BAY SECTIONS

- 2MH309 BLDG 02 HVAC PENTHOUSE MECHANICAL ROOM SECTIONS

629-335 Establish Radiology and Oncology Program at SLVHCS Page 17 of 30

- 2MH402 BLDG 02 FIRST FLOOR SERVICE BAY ENLARGED PLANS - AREA F

AND G

- 2MP101i-G1 BLDG 02 FIRST FLOOR PIPING INTERSTITIAL PLAN - AREA G1

- 2MP101i-G2 BLDG 02 FIRST FLOOR PIPING INTERSTITIAL PLAN - AREA G2

- 2MP102i-G1 BLDG 02 SECOND FLOOR PIPING INTERSTITIAL PLAN - AREA

G1

- 2MP102i-G2 BLDG 02 SECOND FLOOR PIPING INTERSTITIAL PLAN - AREA

G2

- 2MP701 BLDG 02 HVAC STEAM FLOW DIAGRAM

- 2MP702 BLDG 02 HVAC HOT WATER FLOW DIAGRAM

- 2MP703 BLDG 02 HVAC CHILLED WATER FLOW DIAGRAM

MECHANICAL SHOP DRAWINGS (Each listed item contains multiple sheets)

- DNT_L01_F-G_DUCT_MCC_FAB

- DNT _L01 i_F-G_DUCT _MCC_FAB

- DNT _L01 i_F-G_M ECH Pl PE_MCC_FAB

- DNT _L02_F-G_DUCT _MCC_FAB

- DNT _L02i_F-G_DUCT _MCC_FAB

- DNT_L02i_F-G_MECH PIPE_MCC_FAB

- DNT_L05_F DUCT_MCC_FAB

- DNT_L05_F MECH PIPE_MCC_FAB

- DNT_L05_G_DUCT_MCC_FAB

- DNT_L05_G_MECH PIPE_MCC_FAB

- DNT _RISER_F-G_DUCT _MCC_FAB

3.11.2.7 ATTACHMENT L PLUMBING PLANS (5 sheets)

- 2MH101-G Bldg. 02 Underslab Plumbing Plan – Area G

- 2PL101-G Bldg. 02 First Floor Plumbing Plan – Area G

- 2PL102-G Bldg. 02 Second Floor Plumbing Plan - Area

- 2PL103-G Bldg. 02 Third Floor Plumbing Plan - Area G

- 2PL104-G Bldg. 02 Fourth Floor Plumbing Plan - Area G

3.11.2.8 ATTACHMENT M ELECTRICAL PLANS (11 sheets )

- 2EP100-FG Bldg. 02 Electrical Grounding Plan Part F and G

- 2EP101-G1 Bldg. 02 First Floor Power Plan – Area G1

- 2EP101-GE Bldg. 02 First Floor Power Plan – Area G2

- 2EP101i-G Bldg.02 First Floor Interstitial Power Plan G

- 2EP102-G1 Bldg. 02 Second Floor Power Plan – Area G1

- 2EP102-G1 Bldg. 02 Second Floor Power Plan – Area G2

- 2EP103-G1 Bldg 02 Third Floor Power Plan – Area G1

- 2EP103-G2 Bldg. 02 Third Floor Power Plan – Area G2

- 2EP104-G1 Bldg .02 Fourth Floor Power Plan – Area G1

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- 2EP104-G2 Bldg. 02 Fourth Floor Power Plan – Area G2

If the Radiology Oncology space requires a separate water meter or connection fee, costs of such are to be included in cost proposal.

3.11.2.9 ATTACHMENT N PROGRAM FOR DESIGN

4 SUMMARY OF SCOPE:

4.1 This section notes VA proposed solutions for the DB Contractor to consider:

4.1.1 Construction shall take place adjacent to and within an occupied building.

4.1.2 Renovation of existing spaces shall require phasing for cascaded internal moves prior to completion of other actions.

4.1.3 SLVHCS shall have certification that the system, within the area of this scope, meets or exceeds NFPA codes, VA directives, and all associated Building Codes.

4.1.4 Summary of existing systems

4.1.4.1 Existing Physical Access Security System: P2000. To be upgraded to CCure within next 365 days through alternate project

4.1.4.2 Existing Building Automation System: Johnson Controls Metasys

4.1.4.3 Electrical Gear: Eaton and Schneider

4.1.4.4 HVAC: Trane

4.1.4.5 Fire alarm: Honeywell

4.1.4.6 Locking system: BEST (IC Cores)

5 DESIGN DELIVERABLE REQUIREMENTS AND TASKS:

5.1 Design Submissions

5.1.1 Design submittals shall follow the requirements of Program Guide, PG-18-15, Volume DB, VA A-E Submission Instructions for Design-Build Projects dated 5/01/2024.

5.1.2 The A-E shall deliver design submittal documents that follow the iterative phase breakdown for design work in PG-18-15 VOL DB and as additionally specified below. Specific requirements for each discipline/work product listed under each phase can be found in PG-18-15. It is expected for the phase of design that each of the checked items in the SD/DD/CD columns will be completed for the submittal. The A-E shall attend a review meeting following each design submittal as indicated under the Project Schedule section of this Statement of Work. Each new submittal will incorporate all VA comments from the previous submittal.

5.1.2.1 The vault construction documents shall be shown on separate sheets in the applicable plan sections (Foundation, Structural, Architectural, HVAC, Mechanical, Plumbing, Electrical, etc.) at design development submission.

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5.1.3 The following submittals will be required for this project:

5.1.3.1 Quality Assurance/Quality Control (QA/QC) Plan

5.1.3.1.1 In an effort to reduce construction change orders due to design errors and omissions, the Office of Facilities Management has initiated a Quality Assurance/Quality Control program. The DB Team shall develop, execute, and demonstrate that the project plans and specifications have gone through a rigorous review and coordination effort. The requirements are as follows:

5.1.3.1.2 Provide an outline of the actions that your firm will take during the design process.

5.1.3.1.3 Two (2) Weeks after Receipt of the Notice To Proceed: Submit a detailed QA/QC Plan describing each step that will be taken during the development of the various phases of design. Each step should have an appropriate space where a senior member of the firm can initial and date when the action has been completed.

5.1.3.2 Space Programming: Prior to the initiation of any detailed design, the A/E shall, in conjunction with representatives of the Engineering Department, conduct department interviews of each future building user and tour their existing facilities. Next the A/E will develop a minimum of two (2) conceptual floor plan options, which will be presented to the Engineering Department for selection.

NOTE: Specifications are not required with the Space Programming submissions.

5.1.3.3 Basis of Design (BD) - 10% - In addition to the requirements in PG-18-15 VOL DB, a Basis of Design is required. Basis of Design is a design narrative presentation of facts, sufficiently complete, to demonstrate that the project concept is fully understood, and that subsequent design details and their ultimate presentation in the final drawings and specifications will be based on sound architectural and engineering decisions, applicable codes, regulations and design requirements. It will clearly present all findings and information obtained during site assessment and surveys and will address all design elements.

5.1.3.3.1 At this stage, the Basis of Design for the Linear Accelerator Vault shall be submitted in an independent section of the 10% BD submittal. It shall include all considerations made in its design and layout as well as the Contractor’s Physicist shielding design/report .

5.1.3.4 35% Schematic Development (SD)

5.1.3.5 65% Design Development (DD)

5.1.3.6 100% Construction Documents (CD)

5.2 The VA staff shall have the number of calendar days shown in section 9.1 to review and coordinate each design submission.

5.3 The Design Build team shall provide prompt, written notification to the Contracting Officer concerning conflicts with, or recommended…