S02-Agency Space Requirement - Frankfort CBOC Exhibit B.pdf

AGENCY SPECIFIC REQUIREMENTS

PAGE 1 LESSOR: GOVERNMENT:

36C24926R0002 EXHIBIT B

VAMC LEXINGTON – FRANKFORT COMMUNITY

CLINIC LEASE

Agency Specific Requirements

VHA

The Agency Specific Requirements (ASRs) do not reduce the minimum requirements contained within the Lease. These ASRs provides specific agency requirements, which may be complementary, more specific, or more stringent than those of the Lease minimum requirements.

EXHIBIT B

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SECTION 1 ROOM SCHEDULE AND DETAILS

1.01 ROOM SCHEDULE

1.02 SPACE DETAILS

SECTION 2 DESIGN SCHEMATIC LAYOUT

2.01 DESIGN SCHEMATIC

SECTION 3 ADDITIONAL SPECIAL REQUIREMENTS AND DETAILS

3.01 ADDITIONAL CONSTRUCTION DETAILS

3.02 SECURITY REQUIREMENTS

DETERRENCE TO UNAUTHORIZED ENTRY

ACCESS TO UTILITY AREAS

MECHANICAL AREAS AND BUILDING ROOFS

EMERGENCY POWER

SHATTER-RESISTANT WINDOW PROTECTION REQUIREMENTS

POSTING OF GOVERNMENT RULES AND REGULATIONS

TEMPORARY SECURITY UPGRADE DUE TO IMMEDIATE THREAT

PARKING SECURITY REQUIREMENTS

ENTRY SECURITY: SECURITY GUARDS

ENTRY SECURITY: INTRUSION DETECTION SYSTEM WITH CENTRAL MONITORING CAPABILITY

SECTION 4 GENERAL REQUIREMENTS

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SECTION 1 ROOM SCHEDULE AND DETAILS

1.01 ROOM SCHEDULE

The VA Medical Center Lexington is seeking to lease approximately 20,751 ABOA square feet, 28,014 rentable square feet for a Primary Care center, in the medical center district, Frankfort – Franklin County area. This need is currently partially met by an existing space at the Frankfort Community Clinic; this lease provides the space needed for Primary Care that is not available currently. Rentable space must yield a minimum of 20,751 ABOA square feet of established space for use by Tenant for personnel, furnishings, and equipment. The lease may be for either an existing building space or new build-to-suit building. This space must be ground level entry/exit, no stairs or elevators, one contiguous space. The space/building shall meet all current building, seismic, and ADA code requirements. A minimum of 125 parking spaces (5 Government and 120 employee/patient) is required with 3 percent of the 125 parking spaces closest to the building being designated for use by the physically handicapped. Parking shall be within 0.1 miles of the building. The lease is to be a 10-year Firm Term with (2) five 5-year Non-Firm Terms. The required space configuration includes;

Primary Care Clinic supports a one (2) PACT sized for two (4) Teamlets Model with Specialties which needs to accommodate the following: 1 Reception, 1 Waiting area, 1 Family waiting area, 1 vending area, 4 restrooms, 2 staff restrooms, 2 height/weight stations, 2 consult rooms, 12 exam rooms, 2 women health exam rooms, 2 women health restrooms, 3 Specialty care exam rooms, 3 Tele-Health rooms, 4 Mental Health Consult rooms, 6 Teamwork areas, 1 procedure room, 1 procedure room restroom, 1 staff lounge, 3 medical equipment storage rooms, 1 shared medical appointment, 1 shared medical appointment storage, 1 Tele-Retinal room, 3 clean utility rooms, 3 Work rooms, 1 Audiology exam room, 1 Hearing Aid fitting room, 1 Hearing/screening booth, 1 eyeglass fitting, 1 Optometry Exam room, 1 optometry imaging room, 1 Chiropractic patient care room, 1 Physical therapy gym, 1 Physical therapy restroom, 1 PT storage, 1 Home based primary care teamwork area, 1 mental health teamwork area, 1 Lab, 1 blood / specimen collection room, 1 lab storage, 1 lab restroom, 2 Offices, 3 work stations admin and logistics, 1 conference room, 1 lactation room, 1training room, 1 general storage room, 1 Medication Room, 1 soiled linen closet, 2 workstation/patient education areas, and 1 Telecommunications closet

The required space configuration shall be as indicated in the space plan below.

The Government’s normal hours of operations are established as 7:00 AM to 7:00 PM, Monday through Friday, with the exception of Federal holidays. Services, maintenance, and utilities shall be provided during these hours. The Government shall have access to the Premises and its Appurtenant Areas at all times without additional payment, including the use, during other than normal hours, of necessary services and utilities such as elevators, restrooms, lights, and electric power. Cleaning shall be performed during normal hours.

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1.02 SPACE DETAILS

Please refer to the Lease document for the construction standards applicable to the interior tenant area build-out.

These standards provide a general outline of the interior build-out requirements. For a complete list of requirements refer to the Lease document. NOTE: Carpeted floors are not authorized in the leased space.

Open Office Area

· Flooring –, Ceramic tile, or LVT per Lease paragraph FLOOR COVERINGS AND PERIMETERS

· Walls – Per Lease paragraph PARTITIONS: SUBDIVIDING with finishes according to Lease paragraph PAINTING

· Doors – Per Lease paragraph DOORS: INTERIOR with hardware per Lease paragraph DOORS: HARDWARE

· Ceiling – Per Lease paragraph CEILINGS

· Lighting – Per Lease paragraph LIGHTING: INTERIOR AND PARKING – SHELL and

LIGHTING: INTERIOR AND PARKING

· Electrical, Data, Voice – One duplex electrical receptacle and one combination data/voice jack per 80 ABOA SF on walls per Lease paragraph ELECTRICAL: DISTRIBUTION and TELECOMMUNICATIONS: DISTRIBUTION

AND EQUIPMENT

· Window Coverings – Mini-blinds per Lease paragraph WINDOW COVERINGS for all windows

Enclosed Rooms

· Flooring – Ceramic tile, or LVT per Lease paragraph FLOOR COVERINGS AND PERIMETERS

· Walls – Per Lease paragraph PARTITIONS: SUBDIVIDING with finishes according to Lease paragraph PAINTING

· Doors – Per Lease paragraph DOORS: INTERIOR with hardware per Lease paragraph DOORS: HARDWARE

· Ceilings – Per Lease paragraph CEILINGS

· Lighting – Per Lease paragraph LIGHTING: INTERIOR AND PARKING

· Electrical, Data, Voice – Four duplex electrical receptacles and two combination data/voice jack on walls per Lease paragraph ELECTRICAL: DISTRIBUTION and TELECOMMUNICATIONS: DISTRIBUTION AND

EQUIPMENT

· Window Coverings – Mini-blinds per Lease paragraph WINDOW COVERINGS for all windows

Break Room and Kitchenette Areas

· Flooring – Commercial grade linoleum flooring (such as Marmoleum or equivalent)

· Walls – Per Lease paragraph PARTITIONS: SUBDIVIDING with finishes according to Lease paragraph PAINTING

· Door – Per Lease paragraph DOORS: INTERIOR with hardware per Lease paragraph DOORS: HARDWARE

· Ceiling – Per Lease paragraph CEILINGS

· Lighting – Per Lease paragraph LIGHTING: INTERIOR AND PARKING

· Electrical, Data, Voice - Provide three duplex electrical receptacles and one wall combination data/voice jack.

Provide two dedicated duplex electrical receptacles for refrigerators and two dedicated duplex electrical receptacles for vending machines. Provide two dedicated electrical receptacles for microwave ovens above the counter. Provide two additional duplex electrical receptacles above the counter (GFI as required by code).

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· HVAC (Only if enclosed room) - Independent HVAC zone on thermostat in this room and provide means to ensure negative pressure for this room to avoid odors from escaping this room. Provide filters to remove odors from any air being mixed back into the supply air for the remainder of the building or exhaust directly to the outside.

· Window Coverings – Mini-blinds per Lease paragraph WINDOW COVERINGS for all windows

- Provide floor drains in breakrooms/kitchens for icemaker drain

· Millwork - Provide 50 LF of solid surface counter with integral back splash with double basin stainless steel sink and all associated plumbing. Provide 50 LF of solid surface counter commercially available base cabinets with concealed hinges and staple pulls. Provide 50 LF of solid surface counter commercially available wall cabinets with concealed hinges and staple pulls.

-A sterile storage room: Independent HVAC zone on thermostat in this room and provide means to ensure minimum 0.1” wc positive pressure for this room. This room must follow VA HVAC design guide for sterile storage. Temperature range 66F – 72F with a RH 30%-60%. (https://vatilms.va.gov/vatilms/criteria-viewer/93686?type=application%2Fpdf&title=HVAC&name=dmHVAC-2025-09.pdf).

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvatilms.va.gov%2Fvatilms%2Fcriteria-viewer%2F93686%3Ftype%3Dapplication%252Fpdf%26title%3DHVAC%26name%3DdmHVAC-2025-09.pdf&data=05%7C02%7C%7Cfe28d39dec48486f7ba208ddf54a0bde%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638936420558990616%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=uSrDKs99s0FmHrOswIgPVhlNc62BhKLYp02wL1%2Bu81Y%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvatilms.va.gov%2Fvatilms%2Fcriteria-viewer%2F93686%3Ftype%3Dapplication%252Fpdf%26title%3DHVAC%26name%3DdmHVAC-2025-09.pdf&data=05%7C02%7C%7Cfe28d39dec48486f7ba208ddf54a0bde%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638936420558990616%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=uSrDKs99s0FmHrOswIgPVhlNc62BhKLYp02wL1%2Bu81Y%3D&reserved=0

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SECTION 2 DESIGN SCHEMATIC LAYOUT

2.01 DESIGN SCHEMATIC

A rudimentary layout of the space is shown below; this layout must be further refined and adapted to the actual lease space as appropriate. The Lessor is responsible for using the room schedule in section 1.01 and this layout to adapt the Government’s requirements to the Space. Specific questions and coordination regarding the layout should be directed to the Lease Contracting Officer for resolution. The Government shall not be responsible for errors, omissions, or assumptions made by the Lessor in the adaption of the Government’s requirements to the Lessor’s Space.

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SECTION 3 ADDITIONAL SPECIAL REQUIREMENTS AND DETAILS

3.01 ADDITIONAL CONSTRUCTION DETAILS

All constructions shall be in accordance with the VA standards https://www.cfm.va.gov/til/dGuide/dgPACT.pdf and IBC.

3.02 SECURITY REQUIREMENTS

DETERRENCE TO UNAUTHORIZED ENTRY

The Lessor shall provide a level of security that reasonably prevents unauthorized entry to the space during non-duty hours and deters loitering or disruptive acts in and around the space leased. The Lessor shall ensure that security cameras and lighting are not obstructed. See FACILITY SECURITY LEVEL II included in the exhibits.

ACCESS TO UTILITY AREAS

Utility areas shall be secure, and only authorized personnel shall have access.

MECHANICAL AREAS AND BUILDING ROOFS

A. Keyed locks, keycards, or similar security measures shall strictly control access to mechanical areas. Additional controls for access to keys, keycards, and key codes shall be strictly maintained. The Lessor shall develop and maintain accurate HVAC diagrams and HVAC system labeling within mechanical areas.

B. Roofs with HVAC systems shall also be secured. Fencing or other barriers may be required to restrict access from adjacent roofs based on a Government Building Security Assessment. Roof access shall be strictly controlled through keyed locks, keycards, or similar measures. Fire and life safety egress shall be carefully reviewed when restricting roof access.

EMERGENCY POWER

Lessor shall provide emergency power backup for the leased space.

SHATTER-RESISTANT WINDOW PROTECTION REQUIREMENTS

A. The Lessor shall provide and install wet-glazed or mechanically attached, shatter-resistant material not less than 0.18 millimeters (7 mil) thick on all exterior windows in Government-occupied space. The Offeror shall provide a description of the shatter-resistant window system in the attached “Pre-Lease Building Security Plan” for evaluation by the Government.

B. Alternatively, the Lessor shall provide certification from a licensed professional engineer that the window system conforms to a minimum glazing performance condition of “3B” for a high protection level and a low hazard level. Window systems shall be certified as prescribed by WINGARD 4.1 or later software to have satisfied the specified performance condition using the test methods provided in the US General Services Administration Standard Test Method for Glazing and Window Systems Subject to Dynamic Overpressure Loadings or ASTM F1642-04 Standard Test Method for Glazing and Glazing Systems Subject to Airblast Loadings.

POSTING OF GOVERNMENT RULES AND REGULATIONS

Lessor will permit the Government to post applicable Government rules and regulations at the entrance to any Government-occupied space for such things as, but not limited to, barring the unauthorized possession of firearms and dangerous weapons. The Government will coordinate with the Lessor to ensure signage is consistent with the Lessor’s standards.

https://www.cfm.va.gov/til/dGuide/dgPACT.pdf

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TEMPORARY SECURITY UPGRADE DUE TO IMMEDIATE THREAT

The Government reserves the right, at its own expense and with its own personnel, to temporarily heighten security in the building under lease during heightened security conditions due to emergency situations such as terrorist attacks, natural disaster, and civil unrest.

PARKING SECURITY REQUIREMENTS

Government parking areas or spaces shall be assigned and marked as “reserved.”

ENTRY SECURITY: SECURITY GUARDS

Lessor shall permit security guards provided by the Government or VA Police to be stationed at public lobbies and public entrances/exits, for such purposes as ID/pass control, staffing of x-ray and magnetometer equipment, and enforcement of VA regulations and Federal/State laws. The number of security guards or VA Police required will be based on the Government’s building security assessment, which will address the quantity and location of security equipment as required below. Appropriate lobby and entrance/exit space shall be made available for this purpose.

ENTRY SECURITY: INTRUSION DETECTION SYSTEM WITH CENTRAL MONITORING CAPABILITY

The Lessor shall provide installation of a perimeter intrusion detection system (IDS) to be operated and maintained by the lessor.

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SECTION 4 GENERAL REQUIREMENTS

4.01 Provide a 24/7 centrally monitored perimeter openings intrusion system.

Provide a 24/7 centrally monitored fire detection and alarm system with audible and visual alarms.

Provide a 24/7 recordable exterior/interior surveillance system.

Provide a 24/7 Patient/Staff Panic System.

Provide Noise Cancellation Privacy throughout the Building.

Provide overhead paging system

Provide PACS in accordance of HSDP-12 requirements (minimum Med Rooms, Lobby Doors, Building entrance, PACT team locations, Storage, etc.). PACS must be compatible with existing system -- Johnson Control/TYCO For the Door entry controls the software system is Software House CCURE 9000. All controls are inside of Software House ISTAR panels. The camera system software is the American Dynamics Victor Unified Client. Consult with the VA if the Avigilon Motorola system is acceptable as an alternative.

Provide public Wi-Fi and TV within Lobby/Waiting Room.

Add Ambulance entrance in the back of the clinic off the staff corridor with automatic opening double doors.

REFERENCES

PHYSICAL SECURITY & RESILIENCY DESIGN MANUAL

https://www.cfm.va.gov/til/spclRqmts.asp#PHS

VA Fire Protection Design Manual HTTPS://WWW.CFM.VA.GOV/

TIL/DMANUAL/ DMFIRE.PDF

PG-18-13, VA Barrier Free Design Guide HTTPS://

WWW.CFM.VA.GOV/TIL/ETC/ DSBARRFREE.PDF

Infrastructure Standard for Telecommunications Spaces (July 2021)

HTTPS://WWW.CFM.VA.GOV/TIL/DGUIDE/OIT-

INFRASTRUCSTDTELECOMSPACES.PDF

https://www.cfm.va.gov/til/spclRqmts.asp#PHS https://www.cfm.va.gov/TIL/DMANUAL/ https://www.cfm.va.gov/TIL/ETC/ https://www.cfm.va.gov/TIL/DGUIDE/OIT-