Webinar Slides presented on 20241219.pdf

VA JOHN J COCHRAN DIVISION, ST LOUIS, MO

REPLACE BED TOWER, CLINICAL EXPANSION, & PARKING GARAGES

AE SATOC Industry Webinar

Kansas City District Hamze Fares, PMP VA Program Manager

David Walsh Contracting Officer Chief, Military Contracting

December 2024

Controlled by: USACE Controlled by: CENWK-PMG POC: Hamze Fares, 816-389-3306

2VA JOHN COCHRAN DIVISION, ST. LOUIS, MO

REPLACE BED TOWER, CLINICAL EXPANSION & PARKING GARAGE

VA PROGRAM OVERVIEW

VA St. Louis Health Care System is a full-service health care facility providing inpatient and ambulatory care in medicine, surgery, psychiatry, neurology, and rehabilitation, as well as over 65 subspecialty areas.

It is a two-division facility that serves veterans and their families in east central Missouri and southwestern Illinois.

The John Cochran (JC) Division is located in midtown St. Louis at 915 N Grand Blvd near its affiliated medical schools - St. Louis University and Washington University. It has all of the medical center’s operative surgical capabilities, the ambulatory care unit, and a six-story Clinical Addition that includes surgical facilities, intensive care units, outpatient psychiatry clinics, and expanded laboratory.

The DVA Major Project 657-309 at the JC Division will address a variety of issues including: patient safety and privacy, physical security, mission critical mandates, building seismic deficiencies, facility condition deficiencies, and lack of on-site parking; all working to improve and “right-size” the medical center. Many existing inpatient functions will be relocated into a new seismically designed bed tower.

Scope: New work includes a Seismically Designed Inpatient Tower, Central Energy Plant, IT/Engineering/Admin Facilities, Substance Abuse Clinic, Elevated Parking, Water Storage (96hr Supply) and Demolition of Aged/Deficient Ancillary Buildings.

SD

-1

S ite

P la n

PROJECT AUTHORIZATION

2010 Requirements Gathering $43.34M

2022 CA $92.00M

Pending FY26 Appropriation $1.6B

KEY MILESTONES

Advertise AE SATOC 4QFY25

FY26 VA Appropriation 2QFY26

FY26 VA Authorization 4QFY26

IDaC Solicitation 4QFY26

IDaC Award Design Resumes 3QFY27

JC

D iv is io n

-9

N G ra nd

B lv d

KEY DESIGN EFFORTS

Project Book 2019 Economic Analysis (TO1) 2020 Concepts (TO2) 2021 Schematic Design Level 1 (SD-1, TO3) 2022 Hazardous Material Surveys (TO4) 2022 Early Work Items (TO5) 2023 EWI AE Services during construction (TO7) 2024 NE Parking Structure DB RFP Development (TO8) 2025

3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

Real Estate Demo

Relocation 54" Waterline

Utilities & Streets

ICT Swing Space

Temp Govt Facilities

VA Swing Space

West Campus Demo

Opioid Treatment Clinic

East Site Work

Construction:

Acquisition:

Design:

RLF SATOC:

Activation:

Award:

FY24

New A/E SATOC

ID

aC

(P ha se

Pre-Construction Services &

Construction Options

Sm al l B us in es s

Co ns tru ct io n se

A)

Sm al l Bu si ne ss

Co ns tru ct io n se

B)

Northeast Parking Garage

FY26 FY31 FY34

FY34

FY30FY25 FY32 FY33

FY24 FY25 FY33FY27 FY28 FY29 FY30 FY31 FY32FY26

FY27 FY28 FY29

SD-

Waterline Relocation

Impacts & Ameren

DD-2 CDs

CLIN0002 CUP & Motor Pool & Eng Bldg.

CLIN0004 South Garage

Temp

ICT

VA Sw ing

West Campus

Design NE Prk Grg

OTP

East Sitew eork

CLIN0003 Bed Tow er

Design

Design

- FY26 Authorization & executed 7600b.- RLF 5 year SATOC base expires.

- FY26 Approriation

AdverPlan

AdvertisePreco

VA JOHN COCHRAN DIVISION, ST. LOUIS, MO

PROGRAM SCHEDULE

COA - Hard Stop

HARD STOP COA - PROJECT SCHEDULE

Fiscal Year FY23 FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Quarter 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

USACE Temp Space Lease

RLF SATOC

Small Business Construction (Phase 1) Real Estate Demo

Relocation 54" Waterline

Utilities & Streets

Temp Govt Facilities

ICT Swing Space

VA Swing Space Facilities

West Campus Demo

Small Business Construction (Phase 3) NE Garage and Paving

Opioid Treatment Program

East Site Work

FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Construction :

Acquisition :

Design :

RLF SATOC :

Activation :

Award :

- RLF 5 year option SATOC expires.

- FY26 Authorization & executed 7600b.

- RLF 5 year SATOC base expires.

SD-2

Demo

Waterline Relocation

Impacts & Ameren

DD-2

CDs

CLIN0001 CUP & Motor Pool & Eng Bldg.

CLIN0003 South Garage

Temp Gov't

ICT Swing Space

VA Swing Space

West Campus Demo

Design

NE Prk Grg

OTP

East Siteweork

CLIN0002 Bed Tower

DO NOT EXERCISE

Temp Gov't Leased Space

Design

Design

- FY26 Approriation

COA - SATOC

HARD STOP COA - PROJECT SCHEDULE

Fiscal Year FY23 FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Quarter 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

USACE Temp Space Lease

RLF SATOC / New SATOC

Small Business Construction (Phase 1) Real Estate Demo

Relocation 54" Waterline

Utilities & Streets

Temp Govt Facilities

ICT Swing Space

VA Swing Space Facilities

West Campus Demo

Small Business Construction (Phase 3) NE Garage and Paving

Opioid Treatment Program

East Site Work

FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Construction :

Acquisition :

Design :

RLF SATOC :

Activation :

Award :

- RLF 5 year option SATOC expires.

- RLF 5 year SATOC base expires.

SD-2

Demo

Waterline Relocation

Impacts & Ameren

DD-2

CDs

CLIN0001 CUP & Motor Pool & Eng Bldg.

CLIN0003 South Garage

Temp Gov't

ICT Swing Space

VA Swing Space

West Campus Demo

Design

NE Prk Grg

OTP

East Siteweork

CLIN0002 Bed Tower

Advertise

Temp Gov't Leased Space

Design

Design

SATOC Plan

COA - NE Garage

HARD STOP COA - PROJECT SCHEDULE

Fiscal Year FY23 FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Quarter 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

USACE Temp Space Lease

RLF SATOC / New SATOC

Small Business Construction (Phase 1) Real Estate Demo

Relocation 54" Waterline

Utilities & Streets

Temp Govt Facilities

ICT Swing Space

VA Swing Space Facilities

West Campus Demo

Small Business Construction (Phase 3) NE Garage and Paving

Opioid Treatment Program

East Site Work

FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Construction :

Acquisition :

Design :

RLF SATOC :

Activation :

Award :

SD-2

Demo

Waterline Relocation

Impacts & Ameren

DD-2

CDs

CLIN0001 CUP & Motor Pool & Eng Bldg.

CLIN0003 South Garage

Temp Gov't

ICT Swing Space

VA Swing Space

West Campus Demo

Design

NE Prk Grg

OTP

East Siteweork

CLIN0002 Bed Tower

Temp Gov't Leased Space

Design

Design

- RLF 5 year option SATOC expires.

- FY26 Authorization & executed 7600b.

- RLF 5 year SATOC base expires.

Advertise

SATOC Plan

COA - ICT

FY23 FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33 FY34

3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

New A/E SATOC

Small Business Construction (Phase 1A) Real Estate Demo

Relocation 54" Waterline

Utilities & Streets

ICT Swing Space

Northeast Parking Garage

Small Business Construction (Phase 1B) Temp Govt Facilities

VA Swing Space

West Campus Demo

Opioid Treatment Clinic

East Site Work

FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33 FY34

Construction:

Acquisition:

Design:

RLF SATOC:

Activation:

Award:

Waterline Relocation

Impacts & Ameren

DD-2

CDs

CLIN0002 CUP & Motor Pool & Eng Bldg.

CLIN0004 South Garage

Temp Gov Office

ICT

VA Swing Space

West Campus Demo

Design

NE Prk Grg

OTP

East Siteweork

CLIN0003 Bed Tower

Design

Design

- FY26 Authorization & executed 7600b.

- RLF 5 year SATOC base expires.

- FY26 Approriation

Advertise

Plan

Advertise

Precon Plan

COA - SD2

HARD STOP COA - PROJECT SCHEDULE

Fiscal Year FY23 FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Quarter 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

USACE Temp Space Lease

RLF SATOC

Small Business Construction (Phase 1) Real Estate Demo

Relocation 54" Waterline

Utilities & Streets

Temp Govt Facilities

ICT Swing Space

VA Swing Space Facilities

West Campus Demo

Small Business Construction (Phase 3) NE Garage and Paving

Opioid Treatment Program

East Site Work

FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Construction :

Acquisition :

Design :

RLF SATOC :

Activation :

Award :

Demo

Waterline Relocation

Impacts & Ameren

DD-2

CDs

CLIN0001 CUP & Motor Pool & Eng Bldg.

CLIN0003 South Garage

Temp Gov't

ICT Swing Space

VA Swing Space

West Campus Demo

Design

NE Prk Grg

OTP

East Siteweork

CLIN0002 Bed Tower

Temp Gov't Leased Space

Design

Design

- RLF 5 year option SATOC expires.

- RLF 5 year SATOC base expires.

COA - IDaC PCS

HARD STOP COA - PROJECT SCHEDULE

Fiscal Year FY23 FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Quarter 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

USACE Temp Space Lease

RLF SATOC

Small Business Construction (Phase 1) Real Estate Demo

Relocation 54" Waterline

Utilities & Streets

Temp Govt Facilities

ICT Swing Space

VA Swing Space Facilities

West Campus Demo

Small Business Construction (Phase 3) NE Garage and Paving

Opioid Treatment Program

East Site Work

FY24 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 FY33

Construction :

Acquisition :

Design :

RLF SATOC :

Activation :

Award :

Demo

Waterline Relocation

Impacts & Ameren

DD-2

CDs

CLIN0001 CUP & Motor Pool & Eng Bldg.

CLIN0003 South Garage

Temp Gov't

ICT Swing Space

VA Swing Space

West Campus Demo

Design

NE Prk Grg

OTP

East Siteweork

CLIN0002 Bed Tower

Temp Gov't Leased Space

Design

Design

- RLF 5 year option SATOC expires.

- RLF 5 year SATOC base expires.

VA SWING

SPACE

CUP

IDaC Option 1

BED TOWER

IDaC Option 2

NE PARKING

GARAGE

EXISTING

NORTHWEST

PARKINGGARAGE

SOUTH PARKING

GARAGE

IDaC Option 3

OTPCLINIC

EXISTING HOSPITAL

EAST SITE

WORK

SPINALCORD INJURYCENTER

PARKINGGARAGEBELOW Small Business Set Asides

Integrated Design & Construction

WEST CAMPUS BUDILING DEMO

COMMERCIAL AND RESIDENTIAL PROPETY DEMO

AWARDED - UNDERWAY

WATERLINE RELOCATION

STREETS VACATED & REPAIR WORK

ICT SWING SPACE

EXISTING SITE & EARLY WORK

Small Business Set Asides – Early Work Items

SOUTHWEST AERIAL VIEW

VA JOHN COCHRAN DIVISION, ST. LOUIS, MO

SCHEMATIC DESIGN

TRADITIONAL VS ECI DELIVERY METHODS

AE

Bid

Fixed Price Incentive Construction

Finish

AE

PreCon Svcs

Firm Fixed Price Construction Finish

AE

PreCon Svcs Non-Traditional Administration Fast Tracking Cost Accounting Standards Earned Value Mgmt System

Firm Fixed Price Construction Bid

Bid

Traditional FFP Administration

Integration Collaboration Cost Schedule Quality Shared Risk

FinishFirm Fixed Price Construction

PRECONSTRUCTION SERVICES

-Preconstruction Services include:

-Consultation in construction methodology, current market conditions and identification of coordination issues;

-Construction cost estimates -to validate designer prepared estimates at each review phase -for alternative designs and materials -for changed market conditions

-Cost control when there is a significant difference or the construction estimate exceeds the target, the estimates will be examined to determine the cause for the differences and steps made to correct the Government or contractor estimates

NOTE: The contractor shall not be responsible for any design services.

The responsibility of the design will remain wholly with the Designer of Record.

AE Contract 15% Design 35% Review 65% Review 95% Review 100% Complete

Construction Contract … Issue RFP to convert Option

PreConst Services Construction

FIXED PRICE INCENTIVE CONCEPT

Government point of view As cost decreases, price to the

Government decreases Share the risk of cost increase Ceiling Price limits the

Government’s exposure

Contractor point of view Contractor can increase profit dollars and profit percentage by reducing cost below target cost

Share Ratio above target price provides risk mitigation to the Contractor

THANK YOU!

SOURCES SOUGHT CLOSES ON

JANUARY 6, 2025

What experiences or ideas do you have that may contractually encourage an A-E DOR to collaborate and be open to cost saving changes proposed by a third-party construction contractor?