SOW 586-26-100 Final.pdf

G.V. (Sonny) Montgomery VA Medical Center

Jackson, MS

March 25, 2026

Project No. 586-26-100

“RENOVATE RADIATION ONCOLOGY

DEPARTMENT”

STATEMENT OF WORK

FOR

DESIGN/BUILD DESIGN & CONSTRUCTION SERVICES

FOR

VA NRM PROJECT 586-26-100

“RENOVATE RADIATION ONCOLOGY DEPARTMENT”

TABLE OF CONTENTS

I. General Scope – Summary of Services

II. Time Schedules, Reviews and Submittal Requirements A. 35% Review B. 65% Review C. 95% Review D. 100% Review E. Final Submission

III. Construction Period Service Requirements

IV. Materials Furnished to Design/Build Team (D/B) by VA

V. General Guidelines

VI. References

VII. Records Management

VIII. Asbestos Warning Statement

IX. Other Requirements

X. Attachments

i. Exhibit 1 – Proposed Renovated Basement Space (2 pages)

ii. Exhibit 2- Spaces that must remain in current location or Preferred location

iii. Exhibit 3- Siemens CT SIM Prelim Layout (2 pages)

iv. Exhibit 4- Space Criteria

STATEMENT OF WORK

FOR

DESIGN/BUILD DESIGN & CONSTRUCTION SERVICES

FOR

VA NRM PROJECT 586-26-100

“RENOVATE RADIATION ONCOLOGY DEPARTMENT”

AT THE

G.V. (SONNY) MONTGOMERY VA MEDICAL CENTER (GVSM VAMC)

1500 E. WOODROW WILSON DR.

JACKSON, MS 39216

I. GENERAL SCOPE: The Design/Build (D/B) Contractor shall provide all architectural, engineering, and construction services to complete design and construction of the project defined herein:

A. Complete the design for the facility’s Radiation Oncology department. The project completely renovates approximately 13,508 square feet of basement space and replaces the first-floor air handling unit located on the roof area of the existing space on the first floor.

The air handling unit will serve approximately 5500 SF of first floor space. This project modernizes and enhances the overall efficiency of the existing department by improving access, quality of care, and staff environments in accordance with the latest established design criteria and guidelines published by Department of Veterans Affairs. This project shall include three distinct phases with the first phase involving the demolition of the basement space directly south of the new LINCA (Linear Accelerator) operating/viewing space which will be built out to serve as the companion CT Simulator machine and control/operations room. The coordination with the equipment manufacture for the complete installation of the new CT (Computer Tomography) Simulator will be required as a part of this first phase. The intent is to have this phase of the project completed within 90 to 120 days of issuance of the project Notice-to-Proceed date. The equipment purchase will be handled under a separate contract with the equipment manufacturer; however, close coordination will be required to provide all the equipment supporting utilities, room shielding, and installation support, all of which is part of this scope of work. Also included in the scope of work is the decommissioning of the existing CT Simulator and assisting with its removal and transport out of the hospital. The old machine will become the property of the Manufacturer for salvage. The new CT Simulator room will require the design and construction of a new 770 pound (minimum) rated Guldmann GH3+ full range, ceiling mounted, patient lift to facilitate patient access to the new CT equipment.

B. Contractor shall design and install New Liebert® HVAC (Heating, Ventilation, Air Conditioning) systems in the CT Room. Liebert® is the facility standard. No substitutions are allowed. Liebert® units shall provide the heating/cooling in CT rooms to meet anticipated heating and cooling loads. Verify HVAC loads and appropriately size the new Liebert® unit. The new Liebert unit shall be water-cooled. Chilled water supply and return connections for the new Liebert system are located within the pipe basement in the general vicinity of the new CT Simulator suite. New chilled water S&R connections shall be tapped after hours, include ball-type isolation valves on the S&R (Supply & Return) circuits at the tap location as well as at each new Liebert unit. Provide circuit setters on the new Liebert chilled water circuits. Piping connections the Liebert unit shall be a flush-mount wall box.

Contractor shall connect new Liebert unit to the existing Johnson Controls, Incorporated (JCI) MetaSys Extended Architecture building management system. Liebert units are required to provide the following control/status points to the JCI system: supply air temperature, status (run, ON/OFF, normal or alarm). The CT Simulator shall have N+1 cooling and the system shall meet the specified flow plus 30% over design requirements.

The selected CONTRACTOR shall provide all built-in millwork recommended by the Owner and Manufacturer to facilitate CT scanner workstation, CT equipment storage, and general storage. All countertops shall be Corian® or VA (Veterans Administration) approved-equal solid surfacing. As a minimum, provide all of the built-in countertops specified in the CT design guide (including sink & cabinetry the full length of the control room and CT Room to support staff & equipment work/storage requirements.) Under-sink plumbing shall be enclosed within cabinetry.

C. Demolish and replace all existing electrical devices and faceplates with components meeting or exceeding current VA Design Guide requirements within the limits of construction. Provide hospital-grade wiring devices with stainless steel faceplates with built in labeling/engraving (NO STICKERS ALLOWED). Replace all light fixtures with new specification-grade, 2x2-foot, 5000K, LED-type, with dimming controls designed in conjunction with the staff/end-users. Dimming controls are required. Work shall include all new ceiling systems, floor systems, finishes, countertops, shelving, millwork, electrical, lighting and utility services, etc. Solid surface countertops are required for all millwork.

Additionally, provide ceiling-mounted, 4-panel 2-foot by 2-foot (4’x4’, total) LED (Light Emitting Diode) environmental scene lighting panel mounted for patient viewing above the CT machine. Coordinate installation of the CT Room ceiling grid with the environmental scene lighting panel.

D. The selected CONTRACTOR shall demolish and replace all plumbing and medical gas piping, devices and equipment within the limits of construction.

Provide new Medical Gas and plumbing as required to meet each manufacturer’s requirements and in compliance with the VA TIL (Technical Information Library) requirements.

NOTE: Medical gas outlets (OAV) (Oxygen Air Vacuum) shall be Amico Ohmeda. No substitutions allowed. Amico Ohmeda is the facility standard.

The selected CONTRACTOR is responsible to modify or replace existing sprinkler and fire alarm systems as needed to meet current physical space and current VA Design Guide requirements.

The selected CONTRACTOR shall remove, protect, relocate as necessary & re-install supportive systems such as telecommunication, individual medical and patient WiFi access points, and Real-Time Locating System (RTLS), Vicon Valerus Security Cameras and Software House software to match facility standards and any other active, existing, special system existing within the project limits. Provide new devices and ancillary components as required to meet new CT functional and Code requirements. A new Siemens FireFinder fire alarm equipment and system shall be designed and installed for the renovated space.

Protection, removal, and re-installation are the responsibility of the CONTRACTOR.

Professional design services are required to facilitate and ensure proper system re-connection and complete designs.

E. The D/B is responsible for all architectural, engineering, medical physics shielding design and construction services necessary to provide the complete and fully functional department described by this statement of work. The VA Radiation Safety Officer will provide direction and review of all shielding design and construction. The intent is to completely demo all the space in the basement and completely reconstruct all plumbing, electrical, sewer, HVAC ductwork, data and communication infrastructure and all other in wall/above ceiling infrastructure. The new air handling unit being installed for the PC (Patient Clinic) Blue Clinic renovation will serve this basement area. The renovated area shall meet all TIL requirements and new items must work with existing VA systems.

• The D/B is responsible to submit for VA approval detailed, accurate, and complete construction documents.

• The D/B is required to physically install the VA’s new CT Simulator and remove the VA’s existing CT Simulator as part of this project.

• All CT Simulator manufacturer’s demolition and installation requirements are required to be met by the D/B.

• The D/B is responsible to provide shielding designs using a credentialed medical physicist with prior VA design experience. (at least 3 prior CT shielding designs.)

• The D/B’s medical physicist shall have credentials acceptable to the VA and The Joint Commission (TJC.)

• The first floor space of the existing Radiological Oncology will require an evaluation for an ongoing moisture issue with its existing ductwork. The D/B team shall identify the moisture issues and design and install corrective measures which could involve insulation of the roof deck and/or duct work reinsulating or replacement along with the new air handling unit installation. Once completed, new ceiling tiles for the entire area shall be installed.

• Phases shall be as Follows:

a. Phase one demo and construct/install CT Simulator and Operator/Control rooms along with equipment installation including renovation of the hallway and access to this space. This is the area identified on the attached exhibit and does not affect the existing CT Simulator room or equipment which shall operate until completion and functioning new CT Simulator is in use.

b. Phase two Complete renovation of the basement space to include the program spaces. (see below) and remove existing CT Simulator.

c. Phase three replace the existing first floor air handling unit serving the area indicated. The existing air handling unit is located on the roof and is a Dx unit and can be replaced with a new Dx unit sized to serve the space, remedy moisture issue, replace ceiling tiles and implement moisture prevention items.

The basement Radiation Oncology space program may include. But not limited to the following spaces.

Radiation Oncology Renovation Project Rooms Required & “Special Equipment per Room” Dual Computer Workstations = (2 Computers – 1 Aria & 1 CPRS)

• (Reception Area)

MSA Clerk Requires 1 Dual computer workstation PSA Requires 1 Dual computer workstation, 1 shared printer

• (Copy/Printer Area)

Network printer

• (Vital Signs Area) Vital Signs Machine, Wall Mounted O2 & Suction, Patient Standup Scales

• (Nurses Area) Nurse 1 Requires 1 Dual computer workstation & 1 scanner Nurse 2 Requires 1 Dual computer workstation & 1 scanner Crash Cart

• (Patient Holding Area) Vital Signs Machine Wall Mounted O2 & Suction

• (Consult Room)

Requires 1 desktop computer workstation

• (Exam Room 1) Requires 1 computer workstation, Exam Table, Sink

• (Exam Room 2) “H/N Room”

Requires Olympus Scope System, Clean Utility Cabinet for Scope storage, 1 computer workstation, 1 Dental Exam Table, Sink

• (Exam Room 3) “Bariatric/Procedure Room”

• (Exam Room 4)

• (Break Room)

Requires Refrigerator, Ice Machine, & Sink

• (AO Office)

Requires 1 computer workstation

• (Conference Room) Requires 1 Dual computer workstation

• (Service Chief Office)

• (Radiation Oncologist Office)

• (Radiation Oncologist Office)

• (Dosimetrists Office) Requires 2 Dual computer workstations

• (Chief Radiation Therapist Office)

• (Physics Storage) 3D Tank Scanner 7 Reservoir Storage Needs multiple wall outlets

• (Chief Physicist Office) Requires 2 Dual computer workstation Scanner

• (Community Office) Requires 3 Dual computer workstation

• (CT Control Room)

Requires Siemens Workstation Medrad Contrast Injector Control Dual Computer Workstation

• (CT Vault) Siemens Somatom Go Open Pro CT Simulator Medrad Contrast Injector 4D Respiratory Gating System

• Storage Closet for Physics equipment – can be open with tall countertop so equipment on wheels can store underneath, other phantoms on top. Will need multiple wall outlets as some items require electrical power.

F. In addition to the architectural, medical physics, and engineering services indicated above, the D/B is required to provide the following:

1. A third party licensed Fire Protection engineer for documented review and P.E stamped certification of all contract documents.

2. The design for the renovated area shall be 30% more energy efficient than required by ASHRAE 90.1 if life cycle cost efficient in accordance with EISA 2007 and U.S.

Department of Energy’s Guiding Principles for Sustainable Federal Buildings.

3. Update of the facility’s BIM model to the completed “as-built” condition of all new building systems and utilities. This work will be performed in accordance with the VA’s BIM Standards. Multiple site visits to capture this data are anticipated (above-ceiling, in-wall, pre-ductwork installation, etc.)

G. The following items are required to be included in the project.

1. Provide a ceiling-mounted Guldmann 770 lb. Patient lift in the CT Simulator treatment room.

2. Any items not specifically included in this scope of work but required to maintain full functionality of existing VA facilities and meet the VA design and space requirements.

II. TIME SCHEDULE, REVIEW, AND SUBMITTAL REQUIREMENTS: The following specifies the documents / materials to be submitted by the D/B to the VA COR for each scheduled review and due dates. D/B shall develop, execute, and demonstrate that project plan and specifications have been thoroughly reviewed, are constructable, and are complete.

A. Proposed Schedule: (D/B to submit detailed schedule) TOTAL Project 365

CALENDAR DAYS

1. Ten (10) calendar days after contract award, submit a detailed and project specific schedule including design and construction milestones for COR and CO review/approval.

2. The schedule shall have the New CT Simulator room and operator room Designed and Constructed during the first 120 calendar days of the schedule following issuance of Notice to Proceed.

B. Reviews:

NOTE: All VA Reviews will be due back to the D/B Team 10 calendar days from receipt of material form the D/B Team and all work should advance to the next review level and incorporate all comments from the previous review.

1. 35% Reviews – Digital set of documents only. Drawings: The drawings will be complete, at least to the extent that the following are shown on the documents:

a. General requirements:

1) Verification and recommendations resulting from site visits conditions in all disciplines.

2) Demolition requirements.

3) Sizes of pipes, ducts, wiring, etc., are not required at the review.

4) Some details are required in this review.

5) All drawings shall not be less than 1/8” scale.

6) Several meetings between the D/B and the VA may be required to determine room sizes and layout for 35% submission (all space layout required at 35% Review and Prefer within first 14 days).

7) Project shall meet all local, state, and Federal Code requirements, such as NFPA, NEC, ASHRAE, etc.

b. Architectural:

(1) Submit a 1/8” scale layout of the floor plans. These drawings will show all affected rooms, doors, corridors, exits, electrical and mechanical rooms, stairs, and elevators.

(2) Indicate the net area contained in existing renovated areas.

(3) Submit a title sheet with drawing index.

c. Structural:

(1) D/B will indicate if any structural modifications will be required with this project.

(2) If present, show location and nature of structural modification.

(3) Show location of expansion joints.

d. Air Conditioning: Provide a written description and indicate on the drawing the required changes for this project.

e. Heating: Provide a written description and indicate on the drawings the changes for this project.

f. Plumbing and Sanitary: Provide a written description of verification of existing conditions and description of proposed system.

g. Electrical:

(1) Submit a preliminary basis for design, including a written description of electrical work required for this project.

(2) Request to VA for special receptacles; telephone and computer outlets will be required at this time.

The requirements listed above will be reviewed by the VA Project Team and affected staff. All comments and recommendations will be returned to the D/B within ten calendar (10) days.

2. 65% Review: – Two (2) sets of half-size and an electronic PDF file document are required.

a. Drawings: The drawings will be complete, at least to the extent that the following are shown on the documents:

b. General requirements:

i. Verification and recommendations resulting from site visits of existing conditions from all architectural, engineering, and construction disciplines.

ii. Demolition requirements.

iii. Multiple meetings between the D/B and the VA may be required to determine final site and facility configurations in support of the 65% submission.

iv. Project shall meet all local, state, VA and other Federal Code requirements such as NFPA and ASHRAE.

v. All drawings shall be thoroughly detailed, showing structural design, mechanical and electrical equipment details, pipe, duct, conduit, and wiring sizes, including all pertinent construction details. All drawing details shall be field verified by the appropriate discipline representatives of the D/B Team.

vi. Any deviation requests shall be thoroughly evaluated by the D/B in collaboration and conjunction with the VA COR.

c. Architectural:

i. Submit complete floor plans, details, schedules, and large-scale plans.

ii. Provide room titles, numbers, door & window sizes and types swing on floor plans.

iii. Provide general and key notes.

iv. Indicate all fire partitions, smoke partitions, and safety and protective elements.

v. Show reflective ceiling plans, indicating all ceiling mounted equipment, air diffusers, registers, existing and relocated sprinkler heads, etc.

vi. The D/B shall provide finish boards with samples, manufacturer names, series, colors, etc. for easy clarification. The design shall have modern finishes selected in coordination with the VA’s Interior Designer. Finishes shall incorporate recycled materials as required by VA TIL. Project design will require contractors to recycle demolished material such as flooring and ceiling tile, document quantities, denote disposal method, and certify documents noting that demolition materials have properly been recycled. Design shall also require contractor to provide manifest of any hazardous materials to be abated.

d. Mechanical, Electrical, Plumbing, Telecommunications, Special Systems, etc.

i. Floor plans shall have room titles and area function shown.

Location of mechanical, plumbing, electrical & lighting systems, ductwork, plumbing, outlets, power, and signal systems shall be shown.

ii. Duct layout, piping systems, and 95% layout of heating, air conditioning, and ventilation should be shown. Locate all fire and smoke dampers.

iii. Show building automation and control diagrams. Include on the diagrams, where applicable, air-conditioning systems, equipment cooling water, exhaust air systems, and heating systems. Diagrams shall be complete with legend and description of operations.

Automation and controls shall match existing Jackson VA control sequences for similar equipment (for uniformity) and provide pandemic mode operation. All building automation and controls equipment, programming, and installation shall be Johnson

Controls MetaSys and be provided & performed by the local JCI Branch office in Ridgeland, MS.

iv. Major details, elevations, sections, and legends on the drawing are to be complete. Show drawing sections of all corridors indicating the location and space allocation intended for all ducts, piping, and large conduits. Indicate consideration of phasing schedules for changeover from existing to new equipment. Note that minimal interruption of patient care services are allowable. Coordination with the VA COR for all outages is required.

v. Provide cutsheets, calculations

e. Plumbing:

i. All plumbing piping, fittings, fixtures, etc., should be shown.

ii. Provide cutsheets, schedules

f. Electrical:

i. Show locations of new or existing panel boxes and indicate available, as well as additional, power requirements.

Specifications: Provide a full set of assembled edited project specifications in CSI format. The above will be submitted to the VA for approval.

The requirements listed above will be reviewed by the VA Project Team and affected staff. All comments and recommendations will be returned to the D/B within ten calendar (10) days.

3. 100% Review: Two (2) sets of half scale plans and one (1) electronic copy of contract documents are required.

1. Submission Requirements:

a. The plans and specifications shall be complete with all previous review comments acceptably answered and/or incorporated for use as final contract documents. All drawings field verified by D/B.

b. The specifications will be in final format, including front-end documents provided by the Contracting Officer.

c. The final review and review comments must be approved prior to submission of the Final Construction Documents.

2. The above will be reviewed by the project team and staff and returned to the D/B within ten (10) calendar days.

4. Final Submission: After VA-accepted completion and incorporation of the 100% review comments, coordination, including field verification, the final contract documents shall be prepared and include the following:

1. Three (3) complete sets of half-size drawings.

2. One (1) complete set of specifications.

3. A complete set of CADD drawings on CD. These CADD files shall be in AutoCAD

2025 DWG format.

4. BIM drawings incorporated into GVSMVAMC’s existing BIM model (to include all wall and utility systems – Revit 2025 rvt format.)

5. A final set of technical design data.

6. Complete set of contract docs in .pdf on CD.

7. Provide a checklist of all submittals, certifications, tests, and inspections required per drawing and specification section. Checklist shall be produced on Microsoft EXCEL and shall be delivered hard copy and electronic.

III. CONSTRUCTION PERIOD SERVICE REQUIREMENTS:

A. D/B Team shall complete all required construction and equipment installation services in strict compliance with the D/B team approved designs. D/B Team is responsible for all project management, scheduling, quality control, Infection Control (ICRA) TIL requirements and subcontractor supervision to complete the project including testing and Air/Water Balancing (TAB) shall be provided by the D/B Contractor.

B. Commissioning will be provided by D/B team with direct reporting to the VA COR.

C. All D/B design, Construction and Project closeout shall be completed within 365 days following receipt of the notice to proceed.

IV. MATERIALS FURNISHED TO THE DESIGN BUILD TEAM BY VA:

A. Station as-built drawings of existing construction drawings including any available BIM/ CAD files. Accuracy to be verified by D/B.

B. Unedited copy of the applicable sections of the VA master construction specifications, including front-end documents (available on the VA TIL.)

C. VA design manuals, standard details, and construction standards (available on the VA

TIL.)

D. Copy of the program report prepared for the VA for a Minor categorized project that was for a new building square footage plan.

E. 35% drawings prepared for the VA for the above stated program. Both items are provided for information only and in no way represents the preferred option for the NRM project layout.

F. Facility’s latest Asbestos survey report if requested.

V. GENERAL GUIDELINES:

A. As required for this project only, D/B will field verify accuracy of VA as-built drawings, existing dimensions, and existing conditions, and will certify this verification in writing to Engineering as a part of the 35% Submission. D/B will assume liability for working drawings produced for this medical center that are based on VA as-built originals, existing conditions, and existing dimensions.

B. D/B will perform field survey of existing dimensions, existing conditions, existing systems, and will verify accuracy of VA as-built drawings, as required for this project, using D/B staff and equipment. VA staff and equipment is unavailable for D/B use.

C. An evaluation of D/B’s performance during preliminary, design, and construction phases of this project will be made by Engineering as part of the Final Progress Payment and will be entered into the completed project file.

VI. REFERENCES

A. Submit the complete design review package in accordance with the following requirements and guidelines outlined below. As appropriate, depending upon the complexity of the design, the D/B may elect to delete individual submissions where not required with prior approval by the COR. The D/B shall document these deletions as a part of the appropriate submission package.

B. The D/B shall include all information required for each submittal as outlined in the VA

Minimum Requirements for A/E (D/B) Submissions. The D/B shall provide a checklist of all submittals, certifications, tests, and inspections required per drawing and specification section.

C. At a minimum, all designs shall be accomplished in accordance with VA Directives, VA Design Manuals, and VA Guidelines which are available at the OCFM’s website http://www.cfm.va.gov/til/ (TIL). The D/B Team should demonstrate a minimum of Three (3) VA CT projects completed successfully within the last 5 years.

VII. RECORDS MANAGEMENT

a. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

b. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the http://www.cfm.va.gov/til/

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

c. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created while performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

d. G.V. Sonny Montgomery VAMC (GVSMVAMC) and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of [Agency] or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to [Agency]. The agency must report promptly to NARA in accordance with

36 CFR 1230.

e. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. Contractor personnel shall sign VA Form 10-0708 “Employee Clearance from Indebtedness” before resigning or termination from Contractor working for GVSMVAMC and Facility Records Officer must sign form. A copy of completed signed VA Form 10-0708 (Contractor personnel and Facility Records Officer signatures) shall be place in each competency folder. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to [Agency] control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

f. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and [Agency] guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

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

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

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

j. The GVSMVAMC owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S.

Government for which GVSMVAC shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

k. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take [Agency]-provided records management training. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training. TMS (Talent Management System) course VA 4192704: “Records Management for Everyone” [Note:

To the extent an agency requires contractors to complete records management training, the agency must provide the training to the contractor.]

l. Flow-down of requirements to subcontractors:

i. The Contractor shall incorporate the substance of this clause, its terms and requirements including this paragraph, in all subcontracts under this [contract vehicle], and require written subcontractor acknowledgment of same.

ii. Violation by a subcontractor of any provision set forth in this clause will be attributed to the Contractor.

VIII. ASBESTOS WARNING STATEMENT FOR CONSTRUCTION

CONTRACTS IN ALL AREAS EXCEPT THE I BUILDING, WAREHOUSE,

CLINICAL ADDITION, M SECTION (RADIATION THERAPY), AND

OUTBUILDING STRUCTURES (Roads and Grounds, Mental Health Modular, Connex, Decon Building, Storage Sheds)

Due to the age of the facility, Contractor shall be aware of the potential for the existence of asbestos containing materials. The facility has an asbestos assessment prepared to EPA AHERA Standards. The Assessment can be reviewed during normal business hours by contacting the Facility Safety Section at ext. 51528 or 51329.

However, the Assessment does not look behind walls, above plaster or suspended ceilings, or underneath presently exposed roofing. Contractor will use caution when working in areas built prior to 1981 especially when breaching walls, hard ceilings, or sealed chases which are not surveyed during an AHERA Assessment

Should the Contractor encounter asbestos materials, the Contractor shall notify the facility Safety Section BEFORE proceeding. Asbestos related work EXCEPT removal identified in the initial project documents will be handled as a change order(s) to the existing contract or separate contract and the cost of such work is NOT to be included in the initial contract bid price.

Disturbance or removal any suspected asbestos containing material shall be in accordance with OSHA, EPA, and Mississippi Department of Environmental Quality protocols and done by properly qualified persons

Any release of asbestos shall cause contractor to immediately stop work and contact the Facility Management Office at ext. 51329 or 51528 during normal business hours or the Boiler Plant at ext. 51537 after hours.

IX. OTHER REQUIREMENTS:

a. Contract Administration: The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes that will affect price, quantity, or quality of performance of this contract. In the event the Contractor makes any such change at the direction of any person other than the Contracting Officer, this change shall be considered to have been made without authority, and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof. All changes to the contract will be issued via an amendment and/or modifications in writing from the Contracting Officer to the Contractor.

b. Invoicing and Payment: Contractor is authorized prompt payment IAW applicable regulation following the successful performance of work, execution of services, and completion of required deliverables. Contractor invoices shall be submitted IAW VAAR Clause 852.232-72 Electronic Submission of Payment Requests. Invoices submitted for payment must be detailed to the extent necessary to reflect the work done and the services performed during the time periods when completed so an accurate assessment can be made by the facility for certification of these invoices for payment. Advance payments are not authorized, and contractor is not authorized payment for future work not performed and/or for work that has not been successfully completed.

X. Attachments

i. Exhibit 1– Renovated Basement Space (2 Pages)

ii. Exhibit 2 – Spaces that must remain in current location or Preferred Location

iii. Exhibit 3 SIEMENS CT SIM Preliminary Layout (2 Pages)

iv. Exhibit 4 - Space Criteria

---END---

Scale: 3/32" = 1' Radiological/Oncology Renovation

Exhibit 1 - Total Renovation Space

Existing Basement

M-22

Radiological Oncology

M-21

Radiological Oncology

M-39

Radiological Oncology

M-38

Radiological Oncology

M-23

M-19

M-06

SAFETY OFFICE

M-41

M-40

M-36

M-17

M-16

M-15

M-03 Radiological Oncology

M-42

IT CLOSET

M-25

Common

M-44

M-35

M-26

M-32

M-24 Radiological Oncology

M-27

MECH ROOM

M-12

Radiological Oncology

M-14 Radiological Oncology

M-13

CORRIDOR

M02-M15

M-04

M-05

Radiological Oncology

Radiological Oncology M-33 Radiological Oncology Radiological Oncology M-29

Radiological Oncology M-13

OR -

M-11C on Radiological Oncology

M-02

IT ROOM

ELEVATOR

LOBBY

M-46

M-11B

Common UP

STAIR

M-11 Common

M-11A

P-9 Common

H/C TOILET

D-61A

Chemical Oncology BLOOD DRAW D-61

Chemical Oncology - D-60

Chemical Oncology

D-37

NURSE CHECK-IN

D-38

D-39

D35-D36

NURSE RM

D-36

RESPIRATORY EDUCATION

D-35

NURSE

CHECK-IN

D-34

D-62

Chemical Oncology

D-31

Chemical Oncology

D-32

D29-D30

TOILET

D-34A

D-28

D-30

D-24 Chemical Oncology

D-29

D-25

D27-D39

D-27

Match Line

ELECTRICAL

D-26

Scale: 3/32" = 1'

M-15

Radiological Oncology

Radiological Oncology Radiological Oncology

M-24 adiological Oncology adiological Oncology

M-29

M-14 Radiological Oncology

Radiological Oncology

Radiological/Oncology Renovation

Radiological Oncology

M-02

IT ROOM

Exhibit 1 - Total Renovation Space (Cont...)

Chemical Oncology gy

NURSE CHECK-IN

D-31 Chemical Oncology

D-30

D-24 Chemical Oncology

D-29

D-25

D27-D39

D-27

Match Line

ELECTRICAL

D-26

D22-D26

CORRIDOR / E3 TO CHEMO

E03 - M11

ET

ncology

ATENDING

D-23

D-22 Chemical Oncology

TOILET

D-21A

D-47

Audiology

D-48

D-49

D-50

D21-D66

D-21

AN LINEN

D-20 al Oncology

SOILED LINEN

D-19

STORAGE

D-18

D-46

CONFERENCE

D-11

D17-D67

D-11A

STORAGE

D-16

OFFICE

D-17

D-15

D-45 Audiology

D-44

D-43A

D46-D51

D-51A

D-51C

Scale: 3/32" = 1'

Exhibit 2 Radiological/Oncology Renovation Spaces that must remain in current location or preferred location

Exhibit 2 - This Contract & By Others (Required) (Renovated space to be located in Area Shown).

Exhibit 2 - Access point to rooms (Phase 1)

Existing Basement

M-22

Radiological Oncology

Proposed Linac (By Others)

M-39

M-38

M-23

Radiological Oncology

Proposed Chiller Area

Observation Area (By Others)

M-41

M-40

M-36

M-15

M-42

IT CLOSET

M-25

Proposed CT Area (Required this Contractor)

Phase 1

M-44

M-35

M-26

M-32

M-24 Radiological Oncology

Radiological Oncology

M-14 Radiological Oncology

Radiological Oncology

Radiological Oncology M-33 Radiological Oncology Radiological Oncology M-29

Radiological Oncology M-13

VATOR

P-8 mmon

LOBBY

M-46

M-11B

Common UP

STAIR

Mech Room (Required this Contract) (Location to remain as Existing)

CORRIDOR

EHRM IT Room

M-02

IT ROOM

M-11A

H/C TOILET

D-61A

BLOOD DRAW

D-61 Chemical Oncology -

D-60

NURSE CHECK-IN

D-62

Chemical Oncology

D-31

Chemical Oncology

P-9

Exhibit 3 Siemens CT SIM Preliminary

PRELIMINARY

PREDECISIONAL

PRELIMINARY

PREDECISIONAL

Exhibit 3 Siemens CT SIM Preliminary

Exhibit 4 SPACE CRITERIA- VA Jackson MS Rad Onc

For Information only - To be verified by DB Team and VA Facility Planner DESIGN GUIDE PG-

18-9, CHAPTER 277

EXISTING

CONDITIONS

FACILITY RM. CODE ROOM DESCRIPTION QTY. NSF QTY. NSF

FA 1 RECEPTION AREA

SB003 Rad Thrpy Waiting, Building Support 100 1 330 SC183 Rad Thrpy Reception/Discharge, Clinical Support 85 1 60 SC172 Rad Thrpy Patient Education Workstation, Clinical Support 40 1 143 SB191 Rad Thrpy Visitor Toilet, Building Support 60

FA 2 PATIENT AREA

SC271 Rad Thrpy Consult Room, Clncl Sprt 120 CRT02 IMRT Linear Accelerator Room, Rad Thrpy Svc 1240 1 1181

CRT03 Linear Accelerator Entrance Maze, Rad Thrpy Svc 140

CRT04 Linear Accelerator Control Room, Rad Thrpy Svc 120 1 232

SB201 Rad Thrpy Patient Toilet, Bldg Sprt 60 2 60

CRT06 Procedure / Exam Room, Rad Thrpy Svc 160

CRT08 Exam Room, Rad Thrpy Svc 120 1 120

SB201 Rad Thrpy Exam Room Patient Toilet, Bldg Sprt 60

SB137 Rad Thrpy Patient Dressing Cubicle, Bldg Sprt 35 2 50

SB254 Rad Thrpy Stretcher Holding Bay, Bldg Sprt 80 1 60

FA 3 TREATMENT PLANNING UNIT AREA

CRT11 CT Simulator Unit Room, Radiation Therapy Service 400 1 400 CRT12 CT Simulator Control Room, Radiation Therapy Service 120 1 120 CRT16 Film Process Room, Radiation Therapy Service 120 CRT17 Block/Mold Room, Radiation Therapy Service 220 CRT21 Ultrasound Planning Unit, Radiation Therapy Service 180 CRT26 Computer Room/Dosimetry, Radiation Therapy Service 300 1 110 SC243 Radiation Therapy Team Room, Clinical Support 180

FA 4 SUPPORT AREA

CRT31 Sealed Source Room, Radiation Therapy Service 120 CRT34 Physics Laboratory, Radiation Therapy Service 300 SB737 Rad Thrpy Clean Utility Room, Logistics Service 100 SB734 Rad Thrpy Soiled Utility Room, Logistics Serivce 100 1 20 SB244 Rad Thrpy Housekeeping Aides Closet (HAC), Building Support 60

SC467 Rad Thrpy Clean Linen Alcove, EMS 20 CRT36 PACS Quality Control Room, Radiation Therapy Service 100 CRT37 PACS Files Storage Room, Radiation Therapy Service 140 CRT81 Viewing / Consultation Room, Radiation Therapy Service 120 CRT82 Viewing / Consultation Room, Radiation Therapy Service 240 CRT41 3D Workstation, Radiation Therapy Service 120 CRT42 Computed Radiology (CR) Reader, Radiation Therapy Service 40 CRT46 Film Processing Darkroom, Radiation Therapy Service 100 CRT47 Daylight Processing Room, Radiation Therapy Service 100 CRT48 Film Sorting Room, Radiation Therapy Service 80 CRT51 Equipment Storage Room, Radiation Therapy Service 200 SB261 Rad Thrpy Wheelchair / Stretcher Storage Room, Building Support 40 CRT61 Film Files Storage Room, Radiation Therapy Service 250 CRT62 Film Storage Room, Radiation Therapy Service 60 CRT66 Chemical Storage Room, Radiation Therapy Service 40

FA 5 STAFF AND ADMIN AREA

SS204 Rad Thrpy Chief Office, Stff Sprt 100 SB003 Rad Thrpy Administration Waiting, Bldg Sprt 80 SS218 Rad Thrpy Administration Support Workstation, Stff Sprt 56 SS218 Rad Thrpy Staff Physician Workstation, Stff Sprt 56 SS218 Rad Thrpy Nurse Workstation, Stff Sprt 56 1 262 SS218 Rad Thrpy Professional Non-Physician Workstation, Stff Sprt 56 SS218 Rad Thrpy Physicist Workstation, Stff Sprt 56 SS218 Rad Thrpy Technologist Supervisor Workstation, Stff Sprt 56 SS218 Rad Thrpy PACS Administrator Workstation, Stff Sprt 56 SS218 Rad Thrpy Quality Assurance Workstation, Stff Sprt 56 SS218 Rad Thrpy Clerical Workstation, Stff Sprt 56 SS218 Rad Thrpy Data Processing Workstation, Stff Sprt 56 SS218 Rad Thrpy Scheduler Workstation, Stff Sprt 56 SS218 Rad Thrpy Transcriptionist Workstation, Stff Sprt 56 SC176 Rad Thrpy Patient Records File Room, Clncl Sprt 80 1 152 CRT71 Telehealth Workstation, Rad Thrpy Svc 120 1 40 SS101 Rad Thrpy Staff Conference Room, Educ Svc 240 SS272 Rad Thrpy Copy / Supply Room, Stff Sprt 80 1 134 CRT76 Storage Room, Rad Thrpy Svc 120

SS262 Rad Thrpy Staff Breakroom (Lounge), Stff Sprt 120 1 150

SS282 Rad Thrpy Female Staff Locker Room, Stff Sprt 150 SS282 Rad Thrpy Male Staff Locker Room, Stff Sprt 150 SB191 Rad Thrpy (Male/Female/Family) Staff Toilet, Bldg Sprt 60 1 60

SB191 Rad Thrpy Male Staff Toilet, Bldg Sprt 60

OUTSIDE OF RADIOLOGY THERAPY DESIGN GUIDE

Flex Office Head & Neck Exam Room 1 144

ENT Exam Room 1 178

Exam Office 1 117

Mechanical/Electrical 1 145

Mechanical Electrical Medical Director Office Medical Director Service Medical Director Residence CT Room CT Control Room Server 1 20

Janitor 1 20