SOW - Att 2 - Facility Condition Assessment (FCA)- Station Binder - PB Seismic.pdf

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101PR2283B | VA CFM

VA Facility Condition Assessment VISN 15 Wichita | Marion | Poplar Bluff | Columbia | Kansas City | Topeka

St. Louis – John Cochran | Leavenworth | St. Louis – Jefferson Barracks

October 5, 2020

405.842.6100

312 SW 25th Street

Oklahoma City, OK 73109

816.214.8730

11020 King Street

Overland Park, KS 66210

602.584.5010

4747 S. Lakeshore Dr. #201

Phoenix, AZ 85282

A Service-Disabled Veteran-Owned Small Business

VISN 15 Facility Condition Assessment 2020

INTENTIONALLY BLANK

VA Construction Facility Management

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Acknowledgements

VA Office of Construction and Facility Management (CFM) Santiago Montalvo FCA Program Manager (COR)

Amy Fleming Program Analyst (COR II)

Susan Lam-Sinclair Contracting Officer

Veterans Integrated Service Network 15

Pat Landon

Greg Massey

Capital Asset Manager

Deputy Capital Asset Manager

Craig Hansen Deputy Capital Asset Manager

Veterans Integrated Service Network 15 Stations

Connie Drake Wichita VAHCS, Kansas

Jeff Schmitt

Keith Andrews

Josh Blackburn Marion VAHCS, Illinois

Mallory Bradley

Wade Reichert

Shayne Minton Poplar Bluff VAHCS, Missouri

Lance Cravens

Gary Robertson

Donald (Mike) Wright

Clay Atherton Columbia VAHCS, Missouri

Wayne Hogan

Ryan Brown

Jim Burns

Darren Grayson

Jeff Hernbloom Kansas City VAHCS, Missouri

John Wymore

J. Preston White III

Brett Twaddle

Mary Lowe

Dane Laing

John Keys Topeka VAHCS, Kansas

Dan Ball

Delrey Pearson

Andy Taylor

Wes Sargent St. Louis – John Cochran VAHCS, Missouri

Chris Keuss

Lydia Oswald

Darren Reeves

John Keys Leavenworth VAHCS, Kansas

Stephen Lefebvre

Leroy James

Robert Armstrong

Wes Sargent St. Louis – Jefferson Barracks

Chris Keuss

Brad Petrovic

Lydia Oswald

John Wehlermann

Acknowledgements

Facility Assessment Team

Jacob Hunt Team Lead/Project Manager Spur Design

Dustin Kurle Team Lead/Project Manager Spur Design

Andy Morris Project Architect Spur Design

David Dorman Cost Estimator Spur Design

Taylor Smith Cost Estimator Spur Design

Ross Myles Mechanical Engineer Spur Design

Elijah Knight Electrical Engineer Spur Design

Diana Barr Admin Support / Data Entry Spur Design

John Woodard Data Entry Spur Design

Bret Cavin Transport Engineer LerchBates

Greg Gordon Structural Engineer Calibre

Michael Thompson Structural Engineer Calibre

Jennifer Harvey Apogee Project Manager Apogee

Walter Van Scoter Project Architect Apogee

Cullen Keen Project Architect Apogee

Larry Witkowski Project Architect Apogee

Paul Holloway Mechanical Engineer Apogee

William Xia Mechanical Engineer Apogee

Robert Armbrester Mechanical Engineer Apogee

1.0 – Introduction

1.1 – Facility Assessment Process

Introduction

This book is the product of a Facility Condition Assessment (FCA) conducted by Spur Design and a team of engineers and subject matter experts between September 2019 and October 2020 for Veteran Integrated Service Network 15 (VISN 15). It is intended to provide an overview of the technical condition of the facilities as they currently exist.

The VISN 15 Facility Condition Assessment began with a kick-off meeting at the Wichita Dwight D.

Eisenhower Campus system where the team met with VA staff to discuss station general conditions, existing issues, and team approach to the Wichita station and then we subsequently spent four days surveying every building on the respective medical center campus and the associated site. After Wichita, the team visited in order: Marion (3-days), Poplar Bluff (2-days), Columbia (5-days), Kansas City (5-days), Topeka (5-days), St. Louis – John Cochran (5-days), Leavenworth (5-days) and St. Louis – Jefferson Barracks (5-days) campuses throughout the VISN.

Spur Design managed the process and did the electrical reviews and cost analysis, as well as various architectural and mechanical reviews. Our team included Apogee for various architectural and mechanical reviews, Lerch Bates for elevator and transport review, and Calibre for structural reviews.

At all campuses, personnel from the engineering office or the shops assisted our team. Their input was critical because of the limited time we were on-site and the wealth of prior knowledge of the campus and its systems.

The report structure is based on an assessment format provided by the VA in FCA 101 dated March 27, 2019. Using this structure, each VA Medical Center has a summary report stating its overall condition and outlining the top 10 items for the facility as well as a detailed report of each individual building’s condition including its systems and sub-systems.

A facility list outlining the locations, buildings, and systems to be assessed was issued by the VA. The Spur Design team toured each facility’s buildings, systems, and overall site and issued a grade, A through F, based on their condition. Any system receiving a D or F grade has been provided with an estimated correction cost.

The book has been broken into sections by each VA Medical Center. Section 1 contains an introduction, Super Summary, the FCA Scoring Criteria, and Risk Assessment Criteria. Sections 2 through 10 contains the individual VA Medical Centers. Each section begins with a site map, the list of buildings assessed, the Top Ten Deficiencies, the FCA – Corrections Summary Report, and the FCA Basic Report. The first report, the FCA-Corrections Summary Report, is a summary of all the D and F rated deficiencies and their correction estimates. The FCA Basic Report is a comprehensive listing of all entries in the database with each building broken down by system and sub-system, listing their condition, their ratings, and correction costs.

The Top Ten Report is a prioritized list of deficiencies at each location. Each discipline was asked to bring their various top items for possible inclusion on the list. The items on these lists are based on the professional opinion of the Spur Design team and consultants using a few factors, most notably the health, safety, and welfare of the patients, guests, and staff. Other factors were cost, energy efficiency, and general condition of the station and its systems. The final determination of the order of the Top Ten was done by Spur Design. These Top Ten items were shared by the team in a presentation to the VA.

1.2 – Super Summary

System Wichita Marion Poplar Bluff Columbia

Access $1,660,567 $4,989,889 $3,090,795 $2,092,555

Architectural $15,583,295 $12,635,203 $7,152,617 $6,476,428

Electrical $10,550,730 $16,068,957 $4,718,263 $5,973,527

Energy $11,294 $2,573,561 $539,399 $0

Hazmat $1,083,095 $2,179,572 $7,511,510 $0

Historic $0 $0

$0

Information Technology

$5,527,063 $1,490,856 $1,434,466 $155,948

Mechanical $6,934,103 $9,357,078 $22,495,406 $3,600,548

Plumbing $6,543,658 $2,090,239 $4,061,772 $436,410

Sanitary $1,551,764 $63,488 $558,900 $0

Steam Gen.

$96,290 $6,548 $242,868 $0

Storm Water $27,824 $151,028 $232,544 $0

Structural $7,240,345 $10,342,108 $1,513,161 $2,045,891

Transport $2,311,304 $2,805,292 $98,241 $196,482

Water

$906,683 $1,368,539 $134,003

Correction Costs $59,121,332 $65,660,502 $55,018,481 $21,111,792

System Kansas City Topeka John Cochran Leavenworth

Access $3,543,991 $6,995,870 $2,313,194 $23,402,663

Architectural $20,084,611 $42,349,039 $23,786,990 $44,038,894

Electrical $13,235,077 $36,723,277 $10,372,592 $63,554,811

Energy $59,027 $4,002,496 $0 $0

Hazmat $63,727 $0 $0 $185,490

Historic $0 $0 $0 $3,437,389

Information Technology

$228,824 $3,525,528 $6,695,760 $5,147,480

Mechanical $42,675,444 $24,932,359 $46,826,259 $18,278,347

Plumbing $4,835,297 $15,132,024 $45,325,781 $8,218,224

Sanitary $251,186 $2,952,947 $394,075 $1,511,763

Steam Gen.

$102,642 $3,024,535 $1,682,106 $1,014,686

Storm Water $327,666 $0 $369,950 $0

Structural $983,754 $57,593 $142,194,504 $17,078,801

Transport $4,904,681 $5,361,820 $0 $3,454,099

Water $3,696,305 $0 $663,147 $2,944,810

$94,992,232 $145,057,488 $280,624,358 $192,267,457

System Jefferson Barracks

Access $8,071,835

Architectural $29,012,650

Electrical $9,074,291

Energy $5,423,612

Hazmat $4,843,623

Historic $0

Information Technology

$4,713,034

Mechanical $33,579,009

Plumbing $23,125,522

Sanitary

Steam Gen.

$9,994

Storm Water $2,090,230

Structural $8,265,700

Transport $5,197,842

Water $6,154,184

$139,561,526

1.3 – FCA Scoring Guide

CSS Facility Condition Assessments

Scoring

Guide

Costs are based on like kind replacement or current industry standard.

General Condition Grades

A = Like new condition. Majority of useful life span remains. "Excellent"

B = Good condition. Over half of useful life span remains. "Good" or B+ "Very

Good"

Over 1.0 = Costs More to Repair than to Build New

C = Average condition. Less than half of useful life span remains. "Average", "Fair", or C+ "Above Average"

C- = Workable Condition. May be past assigned useful life, but still working.

"Keep an eye on it"

D = Poor condition. Past assigned useful life. Failure is not critical. "Poor" or

"Problematic"

F = Critical condition. Needs immediate attention. "Failing" or "Critical"

Cost Ratios

Only subsystems graded as "D" or "F" can be given correction costs.

Building correction costs also include total project costs with all mark-ups except for escallation to mid-point of construction, phasing and any 8A program mark-ups.

.30 to .99 = Costs Less to Repair than to Build New

0 to .29 = Minimal Repair Cost

Building replacement costs include total project cost for a building of the same size and type without escalation or demolition of existing building.

1.4 – FCA Risk Level Criteria Chart

Risk Criteria

Facility primary infrastructure 4 5 5 1 3 1 5 5 5 5 5 4 5 4 5

Building main infrastructure/structure 4 5 5 1 3 1 5 5 5 5 5 4 5 4 5

Building section infrastructure/structure 3 3 4 1 3 1 3 3 3 3 3 3 5 3 N/A

Patient, employee safety/life safety/life support 5 5 5 1 3 1 5 5 5 5 5 5 5 4 5

Patient/Employee amenity/convienience 2 1 3 1 3 1 2 2 2 2 2 2 2 2 2

Patient/Employee access 3 3 4 1 3 1 2 2 2 2 2 2 4 2 N/A

Securtiy 4 3 4 1 3 1 3 3 3 3 3 3 4 3 3

A cc e ss

A rc h it e ct u ra l

E le ct ri ca l

E n e rg y

H a zm a t

H is to ri c

In fo rm a ti o n t e ch

M e ch a n ic a l

P lu m b in g b u ild in g

S a n it a ry si te

S te a m g e n e ra ti o n

S to rm W a te r

S tr u ct u ra l

T ra n sp o rt

W at e r

(s it e

Priority

1 Low

2 Medium low

3 Medium

4 Medium high

5 High

Facility primary infrastructure

Building main infrastructure/structure

Building section infrastructure/structure

Patient, employee safety/life safety/life support

Patient/Employee amenity/convienience

Patient/Employee access

Securtiy

Systems

Systems or equipment that accommodate security such as fencing, cameras, access systems etc.

Site utilities such as main switchgear, steam tunnels and piping, boiler plants, campus chiller piping and chiller plants, Oxygen tanks, Roads and water including water towers and treatment plants.

Definitions

The buildings themselves and the primary infrastructure and systems within the building, such as plumbing, electrical, medical Gas HVAC etc

Sections or floors of the building and the branch infrastructure such as plumbing, electrical, medical Gas HVAC etc.

Systems and equipment that are safety related such as fire alarm, fire suppression, nurse call, fire doors and barriers, stair wells etc

Systems or equipment that are primarily amenity such as floor tile, paint, ceiling tile, etc

Systems or equipment that provide access such as elevators.

4.0 – Poplar Bluff, MO

4.1 – Overview

4.2 – List of Buildings

4.3 – Top Ten Deficiency List

V

IS

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

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F a c ili ty C o n d it io n A s s e s s m e n t

N

F a c ili ty C o n d it io n A s s e s s m e n t

4.4 – Corrections Summary

Poplar Bluff VAMC

Report Parameters: Program = VHA, District = 3, VISN = 15, Station = 657A4

657A4 - Poplar Bluff SUMMARY Kansas City MO 15

Building Site Bldg Correction Bldg Replacement Bldg Ratio GSF

Site Utilities $14,474,814 $10,715,027 1.35

Condition Correction Description

Accessibility D $52,870 Previous assessment correction and has not been done. Provide 500 l.f. of detectable warning stripping at various locations. Provide 7 signs for accessible route. * 10 van accessible spots have been provided, these tie in to an accessible route at the North entry.

Curb & Gutter D $62,153 Provide 600 l.f. of concrete curb and gutter at East entrance. * Lot H replace We asphalt curb with new concrete curb/gutter - 200 l.f. * Assume 600 l.f. for spot repairs, various locations - mostly west lots.

Fencing D $2,320,345 Install 5000LF perimeter crash resistant fence, gates and check points at 4 entries per VA criteria for a secure perimeter.

Landscaping D $197,797 Rework drainage around buildings 2,3,4, and 5. Swale 600 l.f. New subsurface drains for building 2,3,4, and 5. (20) locations - assume 30 run to day light each location

Parking D $0 This item covered in FCA 79138, one way road condition no longer exists. Estimator Note: Cost covered in 79138

Parking D $379,551 West lot - new asphalt paving, base and top course - approx. 42,000 s.f. All parking lots and roadways to be re-sealed and restriped - approx. 300,000 s.f.

Parking D $58,189 * Road from Lot F to Back Entrance: the asphalt is sliding down the hill. Replace with concrete, 1200

sf. * Road from road Southwest of Bldg 1 to Lot F: the asphalt is sliding down the hill. Replace with concrete, 1200 sf. * Provide 4 bollards at each of approx 10 fire hydrants or water valves around the site.

Roads D $0 This item covered in FCA 79138.

exists. Estimator Note: Cost covered in 79138

Walks D $19,890 Replace concrete walks around rear of building 6 and the north side of building 1 - approximately 1500 s.f.

Fire Alarm D $834,612 The campus Fire Alarm System was replaced with a Simplex 4100ES System.

*However, the Fire Alarm System upgrade was a one for one replacement of existing devices.

*Smoke Detectors in corridors do not meet code spacing requirements.

*Code required Pull Stations, Smoke Detectors and Horn/Strobes are missing from horizontal exits *Strobes missing from some bathrooms.

*A complete code assessment should be performed on the fire alarm system by an independent third party. *Refer to individual buildings for associated costs. *Estimator's Note: Recommend study to determine code compliance and solutions. Priced a campus wide Fire Alarm upgrade to code cost.

Primary Switchgear D $43,789 Replace obsolete 1978 GE Magnablast MV switchgear with air circuit breakers in a 13.8 kV 1200A lineup in metal switchgear building. Two (2) main (preferred and standby) breakers and five (5) feeder breakers. Relays tested in 2008. System is typically primary selective, except that chiller plant has radial feed. Replacement parts becoming problematic.

Site Lighting D $122,415 Replace site lighting fixtures and underground circuits: HID fixtures on 10 ft and 30 ft poles. 30 ft poles have cobrahead type mounting. Roadways, parking lots, and building entries are generally well illuminated. Several fixtures have been purchased. A contract will be issued to install

Site Lighting F $55,464 The north entry drive is very dark and a hazard to pedestrians. Several fixtures have been purchased.

Contractor required to install.

Steam Distribution D $470,756 [ Field Engineer Review Completed on 12/14/2019 by VHAPOPWrighD.]

[ Auto Generated Project Pending on 12/14/2019 for Project Number 657A4-18-403 created by vhapopwrighd.]

Low pressure steam distribution and condensate return system in non walking tunnels is 63 years old and has exceeded its projected service life. Replacement of this piping and insulation should be undertaken immediately. Per VAMC after system was converted to Low Pressure Steam, system is becoming more problematic due to chemicals being added to the system.

Steam Distribution D $185,490 Low pressure steam and condensate distribution system in walkthrough tunnels was replaced in the 80s and is in poor condition. Estimator Note: A Mechanical Study recommended to determine the extent of this work.

Asbestos D $7,511,510 * The comprehensive survey was updated recently. Two buildings are asbestos free. Asbestos is managed in place and ongoing remediation is accomplished only during renovation, and only as absolutely necessary. Asbestos is in tiles, mastic, caulking and pipe insulation. * Lead based paint is also prevalent at the Main Hospital wood window frames which have been encapsulated during the last window replacement project. Estimator Note: Recommend a study for an environmental consultant to determine the scope of the work and provide pricing. Pricing is typical provided with each project in the affected areas. Priced site wide remediation.

VA Capital Asset Inventory

FCA - Corrections Summary

Mains D $461,507 Per VAMC the mains for the site include 6in, 8in, and 10in cast iron piping; branches to buildings are cast iron. All piping is in poor condition and needs to be replaced.

Outflow D $97,393 Sanitary outflow is to the east through an 8 inch main to the city utilities. No issues noted. Average condition. *Sanitary piping routed past the helipad backs up into a nearby manhole and into the basement of Building 1. Helipad expected to be relocated for building addition which may revise pipe routing and correct the issue. There are backups on occasion, and pipe mains in basement have to be snaked.

Inlets D $58,357 Approximately ten (10) catch basins and curb inlets are in poor condition, with damaged inlet tops requiring replacement.

Inlets D $665 There is a 4" diameter open yard drain in the Building 1 courtyard that has no cover. Cover/grate needs to be installed.

Inlets D $10,456 There are no area drains in the cooling tower courtyard. Need (2) 6" area drains, routed to nearby storm main.

Mains D $113,345 Storm mains across the campus are in poor condition, need to be replaced. There are sinkholes around Building 6.

Outflow D $49,721 Storm sewers discharge to the east to two onsite locations within property boundaries and conveyed to southeast via natural channels. No capacity issues noted. Average condition, but should be replaced when mains are replaced.

Fire Protection D $548,580 Separate fire loop, but still fed from same city service as domestic service loop. Fire hydrants are dry barrel and replacement parts are no longer available. Over-all, system is poor condition. Cast-iron mains have had several main leaks. Loop last changed in 1979. Approximately 2000 linear feet of 8" pipe.

Mains D $702,126 Loop system. Generally 8 inch and 6 inch steel. Mains and isolation valves are in poor condition and need to be replaced. Isolated with a dual back-flow preventer. City water pressure approximately 72- 75 psig. *Main water supplies 250,000 gallon reservoir which is primarily emergency water supply.

Water from reservoir can be back-fed through Bldg 1 and fire pumps to supply separate fire loop. The new loop needs to be extended to all the out buildings, as those buildings are currently fed by the fire loop. *Estimator Note: A mechanical study recommended to be able to determine the scope of work.

Sources D $117,833 There is a 10 inch main that supplies the station. Back flow prevention devices installed. Main from city to the backflow preventer needs to be replaced. Estimator Note: Priced to replace 1500 LF of Main. Recommend a study to determine exact length of pipe needing replacement.

$0

Building 02 Bldg Correction Bldg Replacement Bldg Ratio GSF

Learning Resource Center and SIM Lab

$0 $0 0.00 5,101

Condition Correction Description

$0

Building 1 Bldg Correction Bldg Replacement Bldg Ratio GSF

Outpatient/Inpatient/Admin/Menta l Health

$36,273,541 $145,771,261 0.25 181,589

Condition Correction Description

$0

Accessibility D $879,242 * Provide detectable warning strips where walks abut roads/lots as follows: South Entrance 8 lf x 3 locations, West Main Entrance 60 lf at drop-off. Provide a ABAAS compliant ramp to 13 Audiology Booth Booths. At each floor, provide HC area of refuge with 2-way communication and sign per 2012 IBC, 1007.6.$64303 * Reception counters do not have wheelchair access heights at the majority of locations throughout Building 1.

Exterior Walls D $75,685 Tuckpoint brick at numerous locations - approximately 500 s.f. Fix cracked brick at stairwells.

Replace cracked/spalling precast concrete panels, approx 250 s.f. Loading Dock: paint 50 l.f. ledge angle and 60 l.f. rail at ramp.* North Emergency Room Entry: provide 4 pipe bollards to protect brick canopy columns and pedestrians. * South Elevation at HC parking, provide wheelstops at 4 parking spaces to protect building. The current parking arrangement would require wheelchairs to move behind parked cars. Provide a designated route to the door in front of the parking spaces.$25007 * Replace exterior double-doors to Room 44A.$4466

Exterior Walls D $35,960 Repaint pavilion and repair = approx. 2,000 s.f., replace 440 sf cracked concrete slab.

Interior Finish/Door D $104,124 Ground Floor D-Wing: Replace ACT in Corridors. 2nd Floor Corridors: refinish interior doors and frames. 5th Floor Corridors: replace old wall mounted handrails with ABAAS compliant handrails.

Life Safety D $227,870 Restrooms (continued) 4th Floor Patient Rooms: some (assume 50%) need AccHi, PI, 3x3 ft showers should be 4x4 and include horizontal & vertical grab bars per VABFDG. 4001: PI, DrClr add auto-opener 4002: is not HC, provide a sign directing to HC accessible restroom. 4034: GB36, NoSpc, and sink is out in the ""Living Room"" which is not convenient for a clean-up. 4057: AccHi, PI, GB36, GB42 4081: PI, provide HC sign 5003: is not HC, provide a sign directing to HC accessible restroom 5021. 5021: provide grab bars at 1 ambulatory stall per VABFDG. 5060: AccHi, PI 5077: AccHi, MirHi, PI, GB36, GB42

Life Safety D $568,846 Included in cost in previous record Restrooms (continued) 1060: PI, GB36 1090: AccHi, MirHi, PI, GB36, GB42, StlSpc, DrClr add auto-opener 1091?: 1090: AccHi, MirHi, PI, GB36, GB42, StlSpc, DrClr add auto-opener, UrnHi 1149: is fully compliant 1158: locker room is not ABAAS compliant, provide accessible locker room. 1169: is fully compliant 2009: AccHi, MirHi, PI, GB36 2011: MirHi, GB36, GB42, DrClr add auto-opener 2025: DrClr add auto-opener 2031: MirHi, DrClr add auto-opener 2055A: AccHi, MirHi 2081: AccHi, PI 2083: AccHi, PI, GB36, StlSpc, widen 30"" door to corridor. 2089: is fully compliant 2092: DrClr add auto-opener, StlSpc make room a single use restroom and remove toilet partitions. 2115: StlSpc, provide vertical grab bars in shower per VABFDG. 3rd Floor Patient Rooms: none are ABAAS compliant, all to be compliant per VABFDG Perform study to analyze. 3rd Floor Monitored Care Unit: all swing out cabinet toilets are not HC compliant 3001: MirHi, PI, GB36, StlSpc, DrClr add auto-opener Re-use existing mirror and install at ADA compliant height. Install new sink plumbing insulation. Remove all existing grab bars and install new 36,348, & 18V. Install new automated door operator. 3035: PI, provide HC sign Install new piping insulation at sink. Provide and install new HC sign. 3036: provide vertical grab bars in 2 showers per VABFDG 3060: Remove existing tub and toilet. Remodel room – install new ADA compliant sink and toilet, complete with all accessories. 3088: HC accessible lockers/restrooms are not provided; 3088 has 30 inch door, Recommend study. 3119: PI 3122: is signed HC and it is not, replace sign 3156: Remove existing mirror and grab bars. Install new ADA compliant mirror. Install new 36”, 48”, & 18”V grab bars. *Estimator's Note: Recommend a study for 3rd floor patient room restrooms to determine best solution.

Life Safety D $83,898 Public Restrooms: Most of the restrooms have one or more non-ADA compliant issues. Restrooms not required to be HC accessible are not listed (other compliant restrooms are nearby). For brevity, the following abbreviations are used: PI = Provide pipe insulation under the lav AccHi = Soap/towel dispensers mounted too high MirHi = The mirror is mounted too high UrnHi = Urinal is mounted too high GB36 = A 36 in grab bar is req'd behind the toilet GB42 = A 42 in grab bar is req'd on 1 side of toilet StlSpc = Not enough floor space in stall DrClr = Not enough clearance at door swings NoSpc = There is not enough floor space in the room VABFDG = VA's Barrier Free Design Guide -------------------------------------------------- * There are many small mirrors which are hinged to allow wheelchair access; however, there is no way a person in a wheelchair can operate the tilting mirror.

Replacement included in itemized list below. 17A: AccHi, MirHi 46: MirHi 55: is fully compliant 071: AccHi, MirHi, PI, GB36 79: add an auto-door opener at corridor, swing door the other direction on the stall. 79A: is fully compliant 1004: MirHi, PI, GB36 1005: AccHi, MirHi, GB36, GB42 1010:

AccHi, MirHi, PI, GB36, StlSpc, widen the 30 inch door. 1011: is signed HC and is not, replace sign.

1029: MirHi, PI, DrClr add auto-opener

Life Safety D $974,504 3rd Floor C & D Wings have dead end corrdiors which exceed code limits. Exterior stairs from Northeast Entry to Parking Lot E needs additional handrail. Egress ramp from Ground Floor D-Wing into Courtyard needs 2 ABAAS compliant handrails. Egress from 1st Floor needs a landing at the stair, Basement egress has a step down/out. * South Basement egress from Compressor Room needs an illuminate Exit sign, the ship ladder does not meet code, needs 1 Exit sign to Stair 6. * North Basement egress from Mechanical Room needs an illuminated Exit wign, there is a step down/out the egress door, exterior stairs need 1 more handrail, infill 40 lf of open guardrail with balusters, this egress door is half-glass where someone could easily break into a critical area, replace with solid metal door. * North Exterior Courtyard Stairs need 1 more handrail at 2 flights. * North Basement egress from Laudry to Courtyard: door swings in and needs panic at 2 doors in series. * North exterior stairs from Loading Dock to Bldg 16: infill 40 lf open guardrail with balusters. * Infill open guardrails with balusters at all exterior locations as follows: North Elevation 60 lf, West Elevation 120 lf, East Elevation 120 lf. * East Loading Dock exterior stairs need 1 more handrail, provide 2 handrails at ramp, infill 80 lf open guardrail with balusters * South egress from Pharmacy Ground Floor needs an interior landing at the stair, the egress door is too narrow, widen to minimum 36 inches, provide 1 more handrail at the interior stair, there is a step down/out the egress door.

Life Safety D $193,914 Non-compliant egress stairs: Provide luminous egress path markings at all exit stairways/ passageways (IBC 2012, Section 1024). Stair 1: Inside handrail is not continuous, provide panic hardware at 5th floor, exterior egress door has a step down/out (surfaces on each side of door shall be flush). Stair 2: Inside handrail is not continuous, provide panic hardware at 4th, 5th floor, exterior egress door has a step down/out. Stair 3: Inside handrail is not continuous. Stair 4: Inside handrail is not continuous, provide panic hardware at 4th floor. Stair 6: Inside handrail is not continuous, provide a landing at the exterior egress ramp. Stair 7: Inside handrail is not continuous, exterior egress door has a step down/out. Stair A: Provide panic hardware at Floors 1, 2, 4. Exterior egress door has a step down/out. At 4th Floor, exterior route has 15 ft of open floor grate and no landing at the interior door.

* Stair B: Provide panic hardware at Floors 2 and 4 (at 2 locations). The exterior egress door has a step down/out. * Stair C: Provide panic hardware at 2nd Floor. * Stair D: Exterior egress door needs panic hardware and has a step down/out.

Roof D $26,621 Replace roof, insulation, membrane, and coping. 588 SF

Roof D $1,335,832 Roof in poor condition, aged and numerous leaks, replace. Estimator Note: This cost is for the membrane only and a 2.0 multiplier was added for any insulation replacement or repairs since the thickness of insulation was unknown. The multiplier also accounts for the height of the building and numerous levels.

Signage / Wayfindg D $15,975 Approx 10% of building signs do not have Braille characters; replace signs. Need room signs at 2nd Floor E-Wing Director's Suite at approx 6 locations.

Windows D $121,320 [ Field Engineer Review Completed on 08/10/2016 by vhaleazinsem.] [ Auto Generated Project Pending on 08/10/2016 for Project Number 657A4-13-107 created by vhaleazinsem.] Reseal and paint interior side of windows. * This work appeared to be complete at the 2014 FCA; however, this record could not be deleted due to an open project. Upon completion of associated projects, this record needs to be deleted. Refer to Window Record 78945 for recommended window replacement.

Elec/Tele Closets D $147,509 Elec/Telecomm Closets do not meet VA standards for space and clearances.

*Elec Closet 5010: Panels 5A3 and C5E have inadequate spares and spaces. There is no circuit identification on junction boxes.

*Elec Closet 5045: Clearance issue between Buss Duct Riser and Panel 5A2. There is no circuit identification on junction boxes.

*Elec Closet 5A1: Only 2 spares on Panel 5A1 and 6 spares on Panel C5W. There is no circuit identification on junction boxes.

*Elec Closet 4054B: New Panel E4A3 for ICU AC has no spares or spaces. Panel 4A2 has clearance issue.

*Elec Closet 4031A: Clearance issue between Nurse Call cabinets and Panel 4A3 and C4E. Both panels only have 4 spaces.

*Elec Closet 4041: Panel 4C only has 5 spaces.

*Elec Closet 3076: Panel S3 has steam and condensate lines routed over it. ATS-5 has hot water supply and return routed over it.

*Elec Closet 3063: Closet is very cramped and does not meet VA Standards. Clearance issues for Panel's 3DA, LS3A, 3D and C3NE. Panel's have little or no space.

*Elec Closet 2072: Panel's 2D2 and 2D3 located behind door swing.

*Elec Closet 2D: Panel 2D1 is 42 circuit, but has no spaces.

*Elec Closet 2014: Clearance issues for Panel's 2X1, 2X2, E2B, H2B, 2B3 and UPS. Panel's 2B and 2BS have hot water lines routed over them.

*Nurse Station 3022: Panel C3ICU is 1950's vintage and replacement parts are difficult to obtain.

*3rd Floor Elevator Machine Room: Elevator 4 has inaccessible electrical panel. Panel has no designation.

*Main Elevator Machine Room: No covers on motor circuits. The elevator controller is installed under mechanical duct. There are no circuit labels for new elevator circuits.

*Penthouse: GE Buss Duct and MCC-2 are in fair condition. There is a steam line routed over two VFD's. There are water lines routed over the GE Buss Duct. Panel 6P1A has a fire protection line running thru clearance space. Fire Alarm conduit is not painted red per VA Standards and there are no circuit labels on junction boxes.

Elec/Tele Closets D $28,177 Data closet on ground floor in telephone switch room is exceedingly small and cramped.

Emerg Elec Sys. D $79,057 Replace (4) Zenith 600A 208V transfer switches in poor condition with bypass isolation type.

Fire Alarm D $728,902 The 2013 Fire Alarm System upgrade was a one for one replacement of existing devices, but did not address all code deficiencies.

*Smoke Detectors in corridors do not meet code spacing requirements.

*Code required Pull Stations, Smoke Detectors and Horn/Strobes are missing from horizontal exits *Strobes missing from some bathrooms.

*Provide emergency lighting in Room 81. (Location of Main Fire Alarm Control Panel) *The circuit breaker that serves power to the Main Fire Alarm Control Panel should be painted red and have a lock.

*A complete code assessment should be performed on the fire alarm system by an independent third party.

Lighting & Power D $546,676 [ Field Engineer Review Completed on 08/11/2016 by VHAPOPJamesL.] Renovation of the laundry/linen area corrected 10% of the FCA discrepancies for this area. *Estimator's Note:

Recommend a study to determine exact scope.

Lightning Protect D $117,059 The existing lightning protection system on the mechanical/elevator penthouse has not been replaced and is in poor condition. No lightning protection has been installed on the rest of the building.

Secondary Dist. F $54,996 Room 3063 = Steam Sterilizer Room - all electrical panels should be rated NEMA 4X (heat, water, steam). Project is in design to remove the sterilizer equipment - 2021 design in SCIP

Secondary Dist. F $59,068 Obsolete GE AV Line 480V motor starter panels with 1200A BPS main switch on 6th Floor.

Equipment and feeders have exceeded useful life but are still operational. Three (3) obsolete and corroded QMB motor starter panels in basement. Two (2) obsolete ITE 225A MLO panels in Room 3063. Cannot get parts.

Secondary Dist. D $300,000 [ Field Engineer Review Completed on 12/14/2019 by VHAPOPWrighD.]

[ Auto Generated Project Pending on 12/14/2019 for Project Number 657A4-16-101 created by vhapopwrighd.] ITE Gear needs partial rebuild/remanufacture.

Three (3) obsolete 1981 ITE 1600A 208Y/120V power circuit breakers with one (1) tie breaker, each fed from secondary of two pad-mounted transformers. Each breaker serves an obsolete 1981 ITE Type FC-1 1600A 208Y/120V fused switch switchboard. Gear is located in separate Building 20. Gear was IR scanned March 2008.

Transformer D $12,218 Room 30-078 Step up transformer - GE 150kVA 208V to 480V to run elevators - not properly grounded per NEC252

Air Handling Equip D $27,193 *Venmar ERV unit serving Lab installed 2009. Mfr: McQuay, Mod: None listed, Ser: SO009985-01 CW Coil, DX Coil Back Up, Heat Recovery Wheel, HW Re Heat, Constant Volume, 7.5hp SF, 5hp EF, 1/4hp wheel. Per VAMC, unit is in poor condition despite being relatively new. Unit has constant problems and is not in accordance with VA standards. Proper zoning is not provided in the lab.

Condensing unit installed in 2009 is in fair condition. McQuay Model RCS20F240C

Air Handling Equip D $124,916 A study needs to be done to determine the which satellite SPS closets require cooling/ventilation and humidification in order to maintain the required temperature, humidity and positive pressurization requirements.. Currently, only some have a dedicated terminal unit, and none have a humidifier. Four rooms were examined. Only two of them had a dedicated terminal unit (low airflow on one of them).

One only had a portable AC unit. One room had IT equipment in it. Estimator Note: Recommend a study for this item per description, however, priced to remedy all (assumed 8).

Air Handling Equip D $13,550 Return fan for AC-7 is in poor condition. Floor-mounted utility vent set, 5 hp motor.

Air Handling Equip D $406,121 AC-4 serves the south side of the hospital Floors 2 through 6. This unit is a VAV unit with a relief, return, and supply fan, economizer section, cooling coil, heating coil, and post cooling coil. VFDs on supply and return fan. 31,025 CFM rating on supply fan. Supply fan replaced with fan array in 2011.

VFDs were manufactured in 2003. UV lights don't operate. The entire system is in poor condition.

Per VAMC, the supply ductwork serving this unit is undersized, as the fan is running at 5.5" external static pressure. Unit needs to be upsized to approximately 40,000 cfm, as rooms toward the end of the duct runs have low airflow.

Air Handling Equip D $405,950 AC-5 serves the south side of the hospital Floors 2 through 6. This unit is a VAV unit with a relief, return, and supply fan, economizer section, cooling coil, heating coil, and post cooling coil. VFDs on fans. Exhaust/relief fan VFD does not work. 31,025 CFM rating on supply fan. Supply fan replaced with fan array in 2011. The entire system is in poor condition. Unit does not supply sufficient air flow to reach ends of system at full capacity. Unit running at 6" external static pressure, meaning ductwork is undersized. Unit needs 40,000 cfm capacity.

Air Handling Equip D $41,186 AC-6 is an Engineered Air system installed 2001 serving SPD; 4,350 CFM 100 percent outdoor air, hot water coil and heat wheel, chilled water cooling coil, direct injection humidifier. The chilled water coil is a ducted coil in a mechanical room below the unit. Heat wheel has a hole in it. Unit is in poor condition and does not supply sufficient air to maintain space temperatures. Undersized.

Air Handling Equip D $1,037,171 IT Department Personnel indicated there have not been any temperature alarms in recent history.

However, one Liebert unit is operating in cooling mode (setpoint 74F) while the other is operating in heating mode (setpoint 71F). Units are fighting each other, though setpoints are reasonable. *IT data closets (14) do not have adequate cooling. *A study to determine the current heat load in the server room and all data closets should be completed and new units installed to carry that heat load and maintain redundancy. The two existing units are not the same size and therefore do not provided redundancy. There is a small area that has very poor airflow from the underfloor air distribution system.

Air Handling Equip F $118,796 AC-9 King serves Dental area and Director's Suite. Model Number CS-11-20-08-07-8 Serial Number 87-E-3233A. 545mbh steam coil, 11,200 cfm. Single wall unit with exposed insulation, unit is in very poor condition and should be replaced .Unit is composed of a chilled water coil, steam coil, pneumatic VAV's. Not enough airflow for telephone room at end of run.

Ducts & Water Dist D $10,452,795 [ Field Engineer Review Completed on 12/14/2019 by VHAPOPWrighD.]

[ Auto Generated Project Pending on 12/14/2019 for Project Number 657A4-18-403 created by vhapopwrighd.]

The majority of the ductwork is over 28 years old, in poor condition, and needs to be replaced. 80% of this ductwork is existing and 20% is new.

*There are approximately 200 VAV's that need to be replaced with DDC VAV's.

*Chilled water piping is approximately 28 years old and the steam piping is the original 50 plus years old. The piping is in poor condition and needs to be replaced.

Ducts & Water Dist D $1,837,394 The areas served by AC-4 and AC-5 (floors 2 thru 5) have a return plenum. This is not permitted.

The return system needs to be fully ducted completely back to the return fan.

Ducts & Water Dist D $863,867 Approximately 85% of chilled water and heating hot water insulation is in poor condition and in need of replacement.

Engr. Control syst. D $2,708,374 The existing pneumatic controls are 1977 vintage, in poor condition, and need to be replaced. Provide a complete new direct digital control system. DDC is installed as various renovation projects take place, but a comprehensive replacement has not yet taken place. *Ground floor, Eye Clinic, and portions of 2nd and 3rd floors have electronic thermostats.

Heating System D $146,236 There are three (3) hot water converters and six (6) pumps installed approximately 1977. The equipment has exceeded its useful life, is in poor condition and needs to be replaced.

*Converter #1, Mfr: Bell and Gossett, Fact: 125700, Cat: SU-65-2 with two (2) 3hp inline pumps *Converter #2, Mfr: Bell and Gossett, Fact: Q-60117, Cat: SU-146-2 with two (2) 10hp base-mounted pumps Mfr: Taco, 10Hp, 330GPM, 70' *Converter #3, Mfr: Bell and Gossett, Fact: 125708, Cat: SU-86-2 with two (2) 1.5hp base-mounted pumps

Heating System D $6,643 (3) steam unit heaters in the penthouse are in poor condition.

Heating System D $68,689 Duplex steam condensate pump package next to new heating equipment, in poor condition. (2) 1.5 hp pumps, motors replaced recently. Duplex 1/3 hp condensate pump package in main mechanical room in poor condition. Duplex 1 hp condensate pump package in basement in poor condition. Motors have been replaced recently. (2) stacked duplex steam condensate pump package in basement in poor condition. (2) 2 hp motors and (2) 3 hp motors, approximately 45 gallon receiver.

Heating System D $11,090 A heating air curtain and a steam unit heater in the kitchen loading dock area are in poor condition.

Heating System D $5,179 A 16 kW air curtain at the exit door by room GA-01D is in poor condition.

Primary chilled sys. D $50,152 (2) 5 hp inline pumps, one at each ground floor chiller, are in poor condition.

Refrigeration Equip D $556,236 *One (1) 275 Ton water-cooled chiller installed in ground floor chiller room in 2006 is in fair to poor condition Mfr: Trane, Mod: RTHDUCIFXGOUAE1A, Ser: U06206650 *One (1) 325 Ton water-cooled chiller installed in ground floor chiller room in 2006 is in fair to poor condition Mfr: Trane, Mod: RTHDUC2FXEOUAAF2A, Ser: U06605744

Refrigeration Equip D $10,839 Window AC units in rooms GD050 and GD048 are in poor condition.

Refrigeration Equip D $5,419 One window AC unit visible in the courtyard is in poor condition.

Refrigeration Equip D $12,431 Approximately 50 feet of refrigerant piping insulation between the Venmar unit and its condensing unit is failing and needs replacement. Approximately 75 feet of refrigerant piping insulation on the roof near the closed circuit coolers is failing and needs replacement.

Refrigeration Equip D $202,785 There are evaporators and condensers along with a complete piping system serving the Dietetics and the other walk-ins within the main hospital building. (4) evaporators and (4) condensers. (2) serve the freezers, (2) serve the refrigerators. The equipment is in poor condition. This system includes a Sherlock Refrigerant Leak Alarm System with audible and DDC alarms. The station experiences many refrigerant leaks and problems with this equipment.

Refrigeration Equip D $5,130 Kitchen refrigeration equipment compressor room does not have any exhaust capability. There is an exhaust grille high on a wall that probably has no airflow. The refrigerant (R-507) is heavier than air, so a low exhaust system is needed. Room is approximately 10' x 5' with 9' ceiling. CPC Refrigerant Leak Monitor with Audible and DDC alarms is in good to fair condition.

Room Air Dist/Term D $4,666,764 [ Field Engineer Review Completed on 12/14/2019 by VHAPOPWrighD.]

[ Auto Generated Project Pending on 12/14/2019 for Project Number 657A4-18-403 created by vhapopwrighd.]

There are approximately 270 induction units, and 50 percent of the units are pressure dependent.

There are approximately 500 of the original steam convectors still in use. The majority of the induction units and convectors are in poor to failing condition and need to be replaced.

Ventil (O.A. & Exh) D $21,015 Patient Isolation rooms in ICU are served by two exhaust fans on roof (4th floor) near AC-3. These fans are not large enough to operate all four isolation rooms at negative pressure simultaneously.

*These fans also do not have stacks to 10' above roof level per code. *These fans are near AC-3 which serves ICU and could experience re-entrainment of exhaust air into AC-3 outdoor air intake.

Ventil (O.A. & Exh) D $4,845 There is an outside air damper in the medical gas compressor and vacuum pump room that is stuck open. Damper and actuator should be replaced. Approximately 48" x 48".

Ventil (O.A. & Exh) D $5,801 There is very low exhaust airflow in Men's 3060 (bathroom in SPS). There is no cooling in this room.

The room has an exterior wall and window. Estimator Note: The cost for a new exhaust fan is covered in New Record M27.

Ventil (O.A. & Exh) D $10,069 There is no ventilation or cooling in the sterilizer room. The room is very hot, and the existing air device is in poor condition.

Ventil (O.A. & Exh) D $371,484 Per VAMC, bathroom exhaust is in poor condition. New individual ceiling exhaust fans should be added, or new ductwork provided and routed to the existing exhaust fans to ensure 10 air changes per hour in each bathroom.

Exhaust Fans D $5,130 Exhaust needs to be installed in the gun cleaning room in the police department.

Exhaust Fans D $5,345 Rooftop exhaust fan outside the AC-5 penthouse is in poor condition. (4) large roof relief vents are in poor condition.

Exhaust Fans D $3,314 A rooftop exhaust fan on the same roof as AC-9 (Dental) is in fair condition. The curb cap for the fan is in poor condition.

Fire Sprinkler / Pump D $25,493 There is a wet pipe sprinkler system in the server room. This should be removed, and a chemical suppression system installed in its place.

Fire Sprinkler / Pump F $6,630 Two (2) gate valves on fire protection main supply around fire pump installation do not have monitor switches, and may be closed without signaling an alarm to the fire alarm system. This is a code violation.

Fire Sprinkler / Pump D $36,959 Firepump is in poor condition and needs to be replaced. Allis-Chalmers 30 hp, at least 23 years old.

Victaulic fittings. 2 hp jockey pump is in good condition.

Fixtures / Piping D $1,828,969 [ Field Engineer Review Completed on 08/10/2016 by vhaleazinsem.] [ Auto Generated Project Pending on 08/10/2016 for Project Number 657A4-13-107 created by vhaleazinsem.] CW/HW piping is all mostly original yellow brass and in average condition. Where renovations have occurred, piping replaced with copper. Riser valves replaced 1977. *There is an existing 5,000 gallon expansion tank designed to maintain constant water pressure via an air compressor system. Tank is in poor condition.

*Standby water booster pumps (for site or building) take suction of existing 250,000 gallon reservoir if city pressure is lost to supply fire loop. One (1) pump 1992 20 hp Peerless and one (1) pump 1941 vintage 20 hp Chicago pump. Pumps are in poor condition. Estimator Note: Recommend a study be priced to determine the extent of this work.

Fixtures / Piping D $448,376 [ Field Engineer Review Completed on 08/10/2016 by vhaleazinsem.] [ Auto Generated Project Pending on 08/10/2016 for Project Number 657A4-13-107 created by vhaleazinsem.] Most branch shut-offs for CW/HW/HWR in chases are inoperable, except in areas where renovated. *Sanitary lateral main is mostly original cast iron. Risers are galvanized with threaded fittings, original to the building and in poor condition. *Storm drain risers are original to the building and are in poor condition. *20 hp Chicago booster pump of 1941 vintage should be replaced due to parts availability.

*Floor drains located in Mechanical Rm. 61 have collapsed and need replacing. Estimator Note:

Recommend a study to determine the extent of this work.

Fixtures / Piping D $35,449 The cystoscopy room (3A-003) does not have a floor drain. The VA Plumbing Design Guide requires a floor drain.

Fixtures / Piping D $19,837 The incoming domestic water entrance piping and valves are in poor condition. 8" piping

Medical Gases D $2,983 There is a duplex 7.5 hp medical air compressor in the penthouse that is in poor condition, but it is no longer needed due to the new units recently units. Old system should be removed.

Medical Gases D $956,683 Generally, the medical gas piping system is in poor condition. There is a project under design to replace a lot of the medical gas system, but funding has not yet been received. Estimator Note:

Recommend a study be priced for this item as the scope needs to be further defined and is currently in design.

Medical Gases F $5,861 The new dental vacuum pump needs an amalgam separator to prevent solid particles from clogging the pump.

Medical Gases D $118,437 A separate dental air compressor system is needed. Currently the dental equipment gets compressed air from medical air compressor.

Medical Gases D $50,777 [ Field Engineer Review Completed on 12/14/2019 by VHAPOPWrighD.]

[ Auto Generated Project Pending on 12/14/2019 for Project Number 657A4-18-405 created by vhapopwrighd.]

Duplex 4hp liquid ring medical vacuum pump is in poor condition and won't run for a full day without experiencing a controls problem.

*Ingersoll Rand duplex 10hp medical air compressor is in fair condition but compressor heads are causing problems.

Non Structural Components & Equipments-Seismic

D $58,336 Cabinet doors and drawers shall have latches to keep them closed during an earthquake.

Non Structural Components & Equipments-Seismic

D $11,390 Equipment mounted on vibration isolators shall be equipped with restraints or snubbers. Ex: Roof mounted fans adjacent to Room 4018, several pumps in basement.

Non Structural Components & Equipments-Seismic

D $6,216 Equipment weighing over 400lbs shall be anchored to the structure or foundation. Ex: Tank in Room 6001, Several items in Kit 2071 & 1094.

Non Structural Components & Equipments-Seismic

D $84,691 Electrical equipment and associated wiring shall be laterally braced to…