Replacement Critical Access Hospital and Clinic

Lafayette County, Wisconsin, through Memorial Hospital of Lafayette County (MHLC), is soliciting proposals for a Construction Manager as Constructor (CMc) to provide pre-construction and construction management services for a replacement critical access hospital and clinic project. The proposed facility will be approximately 80,000 square feet, located in Darlington, Wisconsin, and will include 24 beds with dedicated areas for administration, clinics, diagnostic imaging, emergency services, laboratory, nursing, pharmacy, rehabilitation, and surgical services. The project timeline includes design from October 2021 through October 2022, construction from October 2022 through March 2024, with planned occupancy by March 2024. Proposals were due on September 13, 2021, with potential interviews scheduled for September 16-29, 2021, and CM selection estimated by October 11, 2021. Key selection criteria include demonstrated ability to work collaboratively, competence in healthcare project delivery, proven track record of on-time and on-budget completion, proposed fees, and financial ability with acceptable safety records. The selected CMc will not self-perform work and will be responsible for managing subcontractors selected through competitive bidding using the lowest responsible bidder process.

The procurement encourages participation from minority and women-owned businesses, with specific provisions for diverse contractor involvement. Pre-construction services will be compensated with a fixed fee of $20,000, while construction phase compensation will be structured as a cost-of-work-plus-fee arrangement with a Guaranteed Maximum Price (GMP). The project's financial viability is contingent on securing adequate USDA financing and completing property purchase, with the potential that either the hospital project, the concurrent Lafayette Manor project, both, or neither may be executed depending on financing availability. The contract will utilize the AIA Document A133-2019 Standard Form Agreement with General Conditions A201-2017. The fee proposal process includes separate pricing for the hospital project and combined pricing if the CMc bids on both hospital and Lafayette Manor projects, potentially offering cost savings with a single contractor. The CMc's fee for construction services will be calculated as a percentage of actual cost of work, with additional costs for payment and performance bonds and insurance also calculated as percentages of actual work cost.