Technical proposal lowrez

TECHNICAL PROPOSAL

Project No. / ENT 10102 Design-Builder ID / VCMC-HRW-06

Ventura County Medical Center

hospital replacement wing

July 31, 2012

Project No // ENT10102 Hospital Replacement Wing

TABLE OF CONTENTS

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Executive Summary

01

Tab 01

Architectural Design

03

Tab 02

Landscape / Site Design and Civil Design

015

Tab 03

Project Program Compliance

029

Tab 04

Health Care Low Voltage / IT Integration

033

Tab 05

Medical Equipment

039

Tab 06

Life Cycle Cost Analysis and Features Incorporated Into Design

045

Tab 07

Structural Design

055

Tab 08

Plumbing and HVAC Design

059

Tab 09

Electrical Design

069

Tab 10

Mitigation of Subsurface Conditions and Negative Construction Impacts

075

Tab 11

Project Enhancements and Added Value

081

Tab 12

Deviations from Request for Proposal

091

Tab 13

Quality Control Plan

093

Tab 14

Project Work Plan / Schedule

109

Boards Perspectives Drawings

EXECUTIVE SUMMARY

EXECUTIVE SUMMARY

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 01

EXECUTIVE SUMMARY

Hillmont

“The VCMC Hospital Replacement Wing (HRW) project poses the challenge of expanding the Medical Center on a tight site, with difficult soil, to achieve the program that will take it into the future in a safe building. We approached the competition with a simple philosophy—apply top quality talent to think deeply and proactively about challenges and propose innovative solutions that will give VCMC the best value within the Maximum Allowable Cost (MAC).

Loma Vista

02 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Vision for Design of the HRW Project We are very excited by the design we are proposing to Ventura County. A design that transforms the campus with a patient- and staff-friendly building that offers many features beyond the requirements of the RFP.

Key attributes of the design are:

• A contiguous First Floor plate containing Imaging,

Surgery and ED diagnostic and treatment functions, arranged efficiently with streamlined circulation and operations. This enables VCMC to operate these functions on one floor, with daylit waiting areas and high throughput.

• Our Basement contains no public uses, enabling VCMC to segregate most loading, food distribution, central sterile, materials management, security and maintenance functions from the public.

• A rich design aesthetic that draws inspiration from

the existing Café/Lab and Clinic, providing high quality, durable materials like low-E glass, porcelain tile, metal panels and terrazzo.

• A straight, daylit north-south concourse on the First Floor that connects the HRW entry to Fainer, making wayfinding easy for the public.

• Daylit east-west public circulation spines on the First and Second floors making wayfinding easy for patients and visitors.

• We have oriented almost all lower acuity patient rooms to distant views of nature.

• Same-handed rooms for all lower acuity patient rooms minimizes staff errors.

• Direct staff circulation paths on patient floors for easy wayfinding and staff efficiency.

• A beautiful campus central outdoor area between

Café/Lab, HRW, and the Clinic, marked by a dramatic two-story tile and glass entry pavilion.

• Beautifully designed roofscapes and Third floor that is set back more than 40' the from view line.

• Timelessly designed and furnished interior spaces

are not only welcoming and nurturing for patients, families, and staff alike, but are also efficient and durable, utilizing materials that are cost effective and easily maintainable over the life of the building.

• Large patient rooms with silver high performance low-E glass windows.

First Floor

• A Variable Air Volume mechanical system that

conserves energy and saves VCMC $235,000/year over a Constant Air Volume system.

Innovation in Response to the Challenges:

• Save millions—performed our own site soil testing that reduced the depth of soil mixing required.

• Save the existing Connector Building—saves VCMC

the costs of relocating the staff and avoids potential risks of construction delays.

• Save Multi-phase Costs—a single-phase Fainer ED renovation to minimize VCMC operational issues and avoid the costs of a multi-phase approach.

• Efficient and Adaptable—well-organized floor plans using 30' by 30' structural grids on an irregular site.

Beyond the Requirements of the RFP:

• An additional 12-bed Med-Surg shell space that can

This proposal is organized to clearly reflect Ventura County’s criteria, and provide responses succinctly with graphic illustration. In addition, we have developed symbols for four types of information, which should make it easier for stakeholders to find items that are of interest to them. The types of information are:

be built-out by VCMC to serve patients in the future.

• A Basement Connector Tunnel for service access between HRW and Fainer.

• A dedicated Food Service Elevator between Café-Lab and HRW that provides a non-public path to serve HRW and Fainer through the Basement Connector Tunnel.

• Two additional observation bays in the ED. • An additional Angio Suite shell space.

• Larger Family Waiting spaces on the First, Second and Third floors.

• Two additional ICU shell rooms.

• Most Patient Rooms are larger than required.

Patient Experience

Facility Engineering

Efficient Care Model

Cost Savings

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

Things that enable VCMC to save money or reduce energy consumption.

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

01

TAB 01

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

ARCHITECTURAL DESIGN

ARCHITECTURAL DESIGN

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 03

ARCHITECTURAL DESIGN

Hillmont

“VCMC HRW is designed to be an ergonomic healing instrument providing an optimal setting for advanced medical treatment in a humanistic environment. While the HRW sets the tone for the future of the hospital, its design makes reference to the key existing campus characteristics inside and out forming a coherent campus theme. This design approach reinforces that Ventura County Medical Center is a progressive, forward-looking pioneer and caregiver that consistently develops innovative practice methods that are recognized by its peers.

Loma Vista

04 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

• The design celebrates a healing partnership between

VCMC and patients within an inspiring environment that embraces the key design values of the existing campus.

Hillmont

Hillmont

Item A // A building that contributes to a feeling of compassionate care for patients and families (exterior)

Loma Vista

Loma Vista

• The high performance building facade complements the cutting edge medical care provided, while the elegant architectural spaces create a humanistic environment centered around the patient experience.

• The design provides ideal natural light exposure to all occupants and uses architecture and its surrounding environment as a wayfinding device to minimize disorientation and reduce stress.

• Abundant green spaces are created between buildings to allow access to nature and serene views.

• The healing process begins with a welcoming arrival

experience as the ribbon of glass guides approaching visitors to the entrance. As one arrives at the entry plaza, the undulating building façade provides a human scaled backdrop to the garden-like drop-off space.

• The ribbon of glass on the building alludes to natural

View of healing garden towards Café/Lab

View of HRW with Café/Lab at left

Hillmont

elements such as water waves and rolling hills, capturing the spirit of the site and the community of Ventura.

Loma Vista

View of outdoor dining with existing building at right

Second Floor

On the second floor concourse, an intimate and sheltered garden provides a welcome and calming respite for adults and children.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 05

Item A // A building that contributes to a feeling of compassionate care for patients and families. (Interior)

• Building on cues from the exterior, HRW interior design First Floor

Second Floor

is firmly rooted in Ventura. At the place where warm earthiness and the verdant green of the surrounding hillsides meets the bright sparkling sea, interior colors, materials, and finishes were selected to reflect the natural colors, textures, and richness of the surrounding environment.

• Connected to nature and following the inspirational

mantra of “The Path to Wellness,” all interior spaces have been designed with patients, families, and caregivers in mind.

• Paying attention to the requirements of durability,

Colorful seating, expansive views, and sculptural feature lighting animate the main public spaces on the first floor.

Welcoming, comfortable waiting spaces along the second floor concourse provide a sense of identity and entry for each patient care unit.

functionality, cleanability, and long-term maintenance, HRW is infused with natural and visually textured materials, including wood grille screens and ceilings, thermoplastic resins incorporating prairie and sea grasses, and easily updated painted drywall accents.

• Understanding the need to provide places for patients

and visitors to rest, reflect, and recuperate, benches and built-in seating features throughout the building are integrated into the overall design. Furnishing solutions address the needs of a diverse population through the use of varied seating types.

• Nurse stations identified with color and floor patterning Second Floor

Patient Room

reduce stress for families and visitors while creating functional and intuitive workplaces for caregivers.

• Patient rooms take advantage of abundant natural lighting and views while benefitting from extensive studies to reduce glare and radiant heat gain.

• Clearly identifiable zones for caregivers, patients, and families make for comfortable and highly functional patient rooms.

Patient Experience Clearly articulated nurse stations, softly colored floor patterns, and room signage assist visitors and families with wayfinding within patient care units.

Highly functional patient rooms with extensive access to natural light and views feature comfortable and flexible places for families and visitors to experience in healing and wellness.

HRW interiors have color, warmth, and visual interest, while maintaining the required rigors of healthcare with durable, easily cleanable, non-toxic and hypoallergenic materials.

06 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item B // The establishment of consistent architectural themes and materials on the Ventura County Medical Center (VCMC) campus (e.g., including contextual consistency with the VCMC Clinic Building and the adjacent Laboratory and Cafeteria Building)

Arrival Quad Town Square Healing

• To create a progressive aesthetic yet cohesive campus

bridging new and old, HRW has three essential architectural design elements: consistency of material palette, a string of interrelated open spaces, and connection of HRW building geometries with existing site patterns.

3

• The design of HRW references the existing hospital

Massing—Site Contours

architecture to form a coherent architectural theme between old and new buildings. This is done through the use of representative building materials of the existing campus palette such as the tones of glass and warm and earthy plaster colors. It also repeats the color of signage of the existing campus. All new exterior materials are selected to fuse into the family of color and texture of the existing campus.

Open Space Campus Quad North Facade Facing Clinic

Material Mapping

White mullions to match existing Clinic and Café/Lab

• The building massing is carved to mimic the contours of

• The massing is formed to frame open spaces along

the campus axis. These formalized open areas create a gradation of indoor and outdoor interaction which enhances patient healing. With various scales of open areas, a sequence of public to more private uses extend from the western to northern areas of the site.

landscaping and creates a visual connection to the existing context.

South Facade Facing Fainer

• An extension of the campus grid translates into the site’s

y

Patient Experience HRW’s warm earth tone material vocabulary fits well with the existing campus and will please the neighbors.

Existing Materials

facades

18" deep frit glass fin attached to curtain wall system;

fins alternate every other mullion until curved elevation, where they exist on every mullion on the south elevation

the rolling hillsides in tribute to the essence of Ventura.

Context Grid Extension

New HRW Materials

y

Colored spandrel glass Colored shadow box spandrel glass y Vision glass Warm earth tone porcelain tiles Aluminum composite panel system fascia Portland cement plaster 2' deep aluminum sunshade to reduce heat gain Board-formed concrete site wall

Project No // ENT10102 Hospital Replacement Wing

Lo ma Vi sta Rd .

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 07

Item C // A clearly identifiable building entrance and wayfinding in and around building(s) The building facade is designed to be the main wayfinding device guiding the arrival sequence of visitors as they approach the hospital from a distance. Similar to the current campus entry markers, the building continues to use exterior glass elements as focal beacons, drawing visitors to the hospital entrance during the nights. These beacon elements create an entrance sequence starting with:

• The southwest corner of the Third Floor, as most visible corner on Loma Vista, is visible to the vehicular traffic on the main drive.

• The southern rounded end of the HRW patient wing acts as a visual extension Hil

Public Vehicle Access Service Vehicle Access Vehicular Arrival Sequence

Identifiable building entrance from Hillmont Ave.

jewel during the day and a lantern of hope at night.

• The points of entry are marked by the continuing use of blue colored signage that the hospital patrons are already acquainted with.

The building itself is a wayfinding device. Recognizing the challenge of an entry set deep within the site, we sculpted the shape of the HRW to promote a highly visible entry.

Loma Vista

Public Access Staff Access Public Entry

Patient Experience

Hillmont

• The ribbon of glass guides the visitors to the double height arrival lobby as a

Pedestrian Arrival Sequence

to sway visitors into the grand entry plaza.

ve . nt A l mo

Approach into grand entry plaza

Lobby entry beacon

08 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Basement

Item D // Project design that contributes to VCMC’s efficient delivery of services and provides circulation/spaces appropriate for the various user groups (patients, staff, support, visitors, etc.)

Second Floor

• Patient/staff and public circulation to first floor Med-Surg is clearly isolated for privacy and security.

• Basement level is only for staff and service to clearly separate public and in-house circulation.

• The existing Building 306 connector is maintained, saving time for staff and construction while eliminating hundreds of thousands of dollars of non-project costs for VCMC for staff relocation during the four years of the HRW project.

• There is a clear control point for Surgery, with separate paths for clean and soiled uses ‘behind the red line’.

• A dedicated food elevator is provided to connect the

Basement

existing Café/Lab to HRW basement for inpatient food distribution.

First Floor

Second Floor

Third Floor

Efficient Care Model HRW Basement contains no public uses, enabling VCMC to segregate most loading, food distribution, central sterile, materials management, security and maintenance functions from the public. This enhances infection control and increases security for sensitive functions like pharmacy.

Patient Experience Public and clinical circulation has been separated on all patient floors. This provides privacy for patients as they are transported within or between departments. Distinct and visible entries at all departments allow staff to easily control public access and provide patients a secure environment.

Public Circulation/Elevator Landing/Entry Service & Patient Circulation/Elevator Landing Central Sterile Service (OR Red Zone)/Elevator Landing Egress Stairway Landing Ambulance Entry Public Entry

First Floor

Third Floor

Project No // ENT10102 Hospital Replacement Wing

Vertical Circulation

Vertical Egress

F3

F3

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 09

Item D // Project design that contributes to VCMC’s efficient delivery of services and provides circulation/spaces appropriate for the various user groups (patients, staff, support, visitors, etc.)

• Sterile and soiled elevators provide direct vertical access to central service core to reduce travel distances for materials and staff.

• A dedicated food service elevator is provided that

separates food deliveries and waste removal from all public spaces.

• The sterile elevator runs from basement central sterile

through the first floor OR suite and up to the second floor C-section.

F2

F2

F1

F1

B

B

Vertical Circulation

entry, visible along the concourse connecting to Fainer, and open onto waiting areas in upper floors that orient visitors to all the units.

Public Elevator/Landing

Emergency Exit

Service & Patient Elevator/Landing

Stairway Landing

Food Service Elevator/Landing Public Elevator / Landing Service & Patient Elevator / Landing Food Service Elevator / Landing Central Sterile Service Elevator / Landing

• Dedicated public elevators are easily seen from the main

Central Sterile Service Elevator/Landing

010 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item E // Functionality of interior spaces, including interior circulation and wayfinding

• Tab 3, Project Program Compliance, shows key functional planning, space adjacencies, and operational advantages of HRW interior spaces.

• The new two-story entry lobby is connected to Fainer by a direct, straight, and wide concourse with natural light along the entire building, seamlessly connecting the two entities with one circulation system.

Item F // Identifiable wayfinding within hospital

• Key signage is strategically located (1) high at Loma Vista, (2) at Hillmont curve, and (3) at entry lobby structure, to promote wayfinding.

• The first floor has an east-west concourse serving Med

Comfortable and flexible seating is immediately adjacent to lobby elevators.

Natural light and rich materiality combine to infuse the main circulation artery with warmth and comfort.

Restrained yet vibrant uses of color enliven patient care units and assist in wayfinding.

Surg and Pre-Op testing, and a north-south concourse connecting HRW to Imaging, the Healing Garden, the ED and Fainer.

• The second floor has an east-west concourse with

daylight at both ends and ‘waiting nodes’ at key points. This makes it easy for the public to find all the departments on this floor, and provides nurturing places for families to reside while in anticipation of their loved ones.

• Holistically designed into all interior spaces, easily

identifiable signage is integrated into the overall finish and material palette. Through the thoughtful use of color, finish, and pattern, the building is easily navigated and intuitively understood by all users, including patients, visitors, and staff.

Patient Experience Orientation and wayfinding are done primarily by the building, then reinforced with graphics. The HRW first floor has north-south and east-west concourses, and our second floor one east-west concourse, that are both daylit along their entire lengths. This makes visitor wayfinding clear and easy.

Public Circulation Service/Patient Circulation

First Floor Circulation Spine

Public Circulation Service/Patient Circulation

Second Floor Circulation Spine

1

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 011

Item G // Other architectural design and aesthetic considerations

• The HRW exterior envelope system was designed for optimal durability, constructability and performance.

• The materials are selected based on mapping the level Watt hours/ Square meter

280

High Traffic

5

Low Traffic

Solar Analysis as Input to Material Mapping

Mapping Materials to Functional Needs

Facade Type 1 Facade Type 2 Materials Mapping

of susceptible abuse around the building, to ensure the longevity of the building and minimize maintenance.

This preventative measure will save VCMC maintenance costs, which can fund patient care initiatives.

» On the ground level, durable porcelain tiles are

used. On the upper and less vulnerable areas for vandalism, glass and plaster systems are used.

» The entry facade, the most exposed portion of

the building, uses state-of-the-art unitized curtainwall system. This is a durable system that requires little maintenance over its life span.

• With limited construction laydown area, the unitized

curtainwall system can be manufactured off site with quick on site assembly.

• The curved glass entry wall with glass fins, responding to solar orientation, introduces a new, energetic, and transformative design vocabulary for the campus.

North wall at drop off loop

HRW view showing facade expression of material mapping

South wall at Fainer

012 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item H // Use of natural light and healing environment.

• All patient rooms have abundant daylight without liability

of overheating from solar heat and glare, and the majority of lower acuity rooms have views.

• Patient rooms on the north façade have windows across

the width of the room to offer panoramic views of the mountain and sky to the north. The glare from the afternoon sun is filtered out with the exterior vertical translucent glass fins. This provides the occupants of the facility uninterrupted view of the ever changing sky of Ventura.

• Patient rooms on the south and west facades are sized

to maximize natural daylight into the room but minimize solar heat gain and reduce mechanical cooling loads.

• The third floor north ICU rooms are angled to face

mountain views, while south ICU rooms face the campus.

• The second floor lower acuity rooms (Med-Surg, Ante

and Post Partum) are oriented to mountain and ocean views. LDR rooms have distant views, and NICU have campus views and plenty of natural light.

• All Med-Surg, Post Partum, Ante Partum and Telemetry rooms are same-handed, for the primary reason they capture the best views. An additional benefit is the Evidence Based Design theory of reducing medical errors due to staff being familiar with rooms all oriented the same way.

Patient Room

View from second floor patient room

• A daylit interior ‘arcade’ is created along the First

Floor HRW main circulation artery to provide pleasant wayfinding and continue the culture of ‘arcades’ on campus for comfortable indoor/outdoor environment.

• A daylit east-west concourse is created along the second floor for waiting and public access to the patient units.

Patient Experience We have designed generous windows for all patient rooms, and have oriented all lower acuity rooms toward external views of mountains and the ocean.

Access of patients to light and views of nature are proven by evidence to reduce average length of stay and medication consumed.

Patient Room

Section through patient room

Garden/Landscape Views Ocean/Landscape Views Abundant Natural Light

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 013

Actual building height above sea level < Height limit agreed with neighbors Roof Screen 218.5 ft < 223 ft Third Floor Roof Parapet 204.5 ft < 209 ft Second Floor Roof Parapet 189.5 ft < 194 ft

HRW

Existing Clinic

Existing Café/Lab

HRW is below the agreed heights for lower roof, upper roof and equipment screen.

Hillmont

Item I // Building height and configuration that minimizes view impacts to the neighbors

The design meets all height requirements within contextual fit and as agreed with the neighbors.

The entire third floor is set back 40' from view line,

not just an average, to provide the community with unobstructed views to the ocean beyond.

•

Loma Vista

Neighbors from Agnes Street will not see very much of HRW, preserving their current views toward the ocean.

Neighbors’ View

40'

The required Central Plant expansion is completely incorporated into building containing boilers, chillers and cooling towers, all hidden from view.

An air handler is recessed in a well below the second

floor roof, with ventilated screen slats over the void, so the mechanical equipment is not seen by neighbors or patients in their rooms. This cost saving configuration of shafts and air intakes kept the equipment below the levels agreed with the neighbors.

HRW is set fully 40', not just an average of 40', from the agreed view corridor line.

014 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item I // Building height and configuration that minimizes view impacts to the neighbors (continued)

Frit glass in lobby to mitigate light glare

• HRW windows are largely oriented toward views (see Item H in this section), so relatively few windows are oriented toward Agnus St.

• ICU and PICU rooms oriented toward West are shielded from Agnus St. view by the existing “Cube” (current VCMC entry).

HRW lobby west windows face Agnus St. To mitigate light from this space at night: (1) ceiling downlights are directed downwards; (2) upper portion of glass is 75% ceramic frit to minimize transmittance; and (3) windows are equipped with shades which VCMC may operate at night.

HRW north facade has some windows which are visible, tangentially and at a distance, from Agnus St. We are mitigating light with vertical glass fins at these windows, which have 75% ceramic frit.

Facade fins for light mitigation // North Facade

70% opaque ceramic frit

Neighbor’s View Unitized aluminum Window shade

Patient’s Room Illuminance 30 f.c

0 f.c

Patient’s Room

Unitized 18" deep 75% opaque ceramic fin

LANDSCAPE / SITE DESIGN AND CIVIL DESIGN

02

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

LANDSCAPE / SITE DESIGN AND CIVIL DESIGN

Patient Experience

TAB 02

Tab

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 015

LANDSCAPE/SITE DESIGN AND CIVIL DESIGN

Hillmont

â&#x20AC;&#x153;The HRW project unifies the VCMC campus, clarifies site wayfinding and service, and beautifies the campus through architecture, landscape and hardscape. The graceful, curved shape of HRW makes the new VCMC entrance visible from Hillmont Avenue, welcoming visitors to the heart of the campus. The two-story entry is a lantern which marks the campus center, and planting, landscape and hardscape are sensitively arranged to allow people to gather in the central area. We have thought carefully about circulation of patients, staff, visitors, and service so these are separated where necessary, and things are easy to find for everyone. There is also a healing garden between HRW and CafĂŠ/Lab, and a rooftop outdoor garden, as places of respite for patients, visitors and staff to relax from the stresses of everyday life. Planting, paving, and hardscapes are thoughtfully designed of selected materials and are chosen to be appropriate to Ventura and Southern California, easy to maintain, and sensitive to the fact that this is a hospital.

Loma Vista

016 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // A hospital and campus environment that is a resource to community, patients and staff

• HRW creates a strong, identifiable campus “center,”

anchored by a glass lobby tower reminiscent of a town square, with outdoor dining and gathering space nearby.

• Care has been taken to think of the rhythm of outdoor

spaces, common materials, visual cues, wayfinding and flow of functions between buildings.

• Connections between Café/Lab, Clinic and HRW through outdoor space are easy and direct, with places designed for pausing, meeting a friend or eating.

• The design weaves new colored concrete and pavers, site walls, planting and stairs with existing sitescapes to create a multi-layered rich, warm, earth tone-based campus environment.

Hillmont

Patient Experience The strong entry loop and central pedestrian spaces create a true heart for the VCMC campus. The open design makes it easy for the public to find, and it forms a natural path connecting parking to the Clinic, HRW, Café-Lab and Fainer.

Loma Vista

The entry loop off Hillmont is VCMC's primary approach to its new Front Door. We created an "intimate sense of drama," reflecting the high quality of healthcare provided to the Ventura community.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Hillmont

Loma Vista

Loma Vista

Site and HRW building were designed together, expressing similar emotions. Curves loosely refer to the nature found in the surrounding areas.

“Meet me at the courtyard, then let’s have lunch.” Landscape, hardscape and architecture combine to create a campus community space. The former Hospital Entry at Café/Lab is to the left in this view.

• The drop off loop is emotionally significant for VCMC’s

• Vehicular traffic is kept to the perimeter to maintain a

customers as a place to bring patients as they arrive and pick them up as they go home.

• The access and openness of Ventura County’s

public healthcare is expressed by high visibility and transparency in design of the building and sitework.

// 017

Hillmont

Project No // ENT10102 Hospital Replacement Wing

• To maintain openness and visibility, we provided large

expanses of glass in the public spaces, carved an opening in the building framing the sky, and chose simple paving and low planting species.

• HRW makes the space more public by holding it back and curving it out. The building actually opens itself to patients and their families, which is reinforced by a hairpin-shaped drop off path and the canopy design.

pedestrian core within the campus.

• The central area from the clinic to Café is strengthened by the placement of the new HRW, and is made more generous by carving building out from under the cantilevered second story.

• A continuous glass wall to the concourse within HRW

(connecting it to Fainer at First Floor) connects indoors and outdoors, and easily allows first-time visitors to find their way, reducing stress.

• While many of HRW building volumes are straight-

forward and functionally driven, the carving out of open spaces in this portion of the building creates a special outdoor space fitting for the center of campus.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Hillmont

Hillmont

018 //

Loma Vista

The healing garden space, seen here with existing Café/Lab glass ‘cube’ in the background, is intimate and lush for staff, patient or family to enjoy quiet time.

Item B // Making optimum use of outdoor spaces to take advantage of the southern California climate

• The healing garden to the east of HRW is a contemplative space that connects the Café/Lab, connector, Fainer, and HWR and achieves required exiting from existing hospital buildings to the east of HRW and HRW basement.

• Paving, precast benches, and trees are provided as

amenities for this space, so people can enjoy it during most of the mild Southern California year.

Loma Vista

The Café/Lab-HRW court, shown here looking toward the existing VCMC Clinic, anchors a strong pedestrian path running north-south through the campus.

• The outdoor dining area will be in sun most Ventura

summer days, and is protected from wind on all sides, so it will be useful for all days when there is not inclement weather.

• This area is paved with patterned concrete, extending

and complementing the existing patterns by the Clinic.

Plantings and outdoor furnishings may be placed here, which will soften the space without affecting access of the sun.

Patient Experience The HRW design creates four distinctive outdoor spaces—heart of the campus outdoor dining, healing garden, hospital entry plaza, and the outdoor rooftop garden. Each of these has been designed to be used extensively during beautiful California weather and plantings have been selected to maximize sun in enclosed areas.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 019

Hillmont

Project No // ENT10102 Hospital Replacement Wing

Second Floor

Loma Vista

An outdoor rooftop garden is created on level 2 roof that is open to the sky, protected from wind and completely secure.

The drop off loop, north of the two-story portion of HRW, will be sunlit most of the time, and features low, open landscaping.

• The garden is accessed off the main second floor

• Bird control and drainage will be provided to ease

• The HRW entry has low plantings and minimal hardscape

• While bringing natural light deep into the second floor

• In front of first floor Med Surg rooms, there is a welded

concourse, surrounded by Med Surg, Labor, Post Partum, NICU and PICU.

• The garden has features that allow children to pass time, including an artificial turf play area and a chalkboard coated wall for drawing that can be erased.

• There is an artificial tree that does not need maintenance, but provides a natural form to complement the architecture.

maintenance concerns.

concourse for all to enjoy, the intimate outdoor garden functions both as a space for activity and for quiet reflection.

so it is easily maintained with minimal trimming.

wire mesh green screen that achieves two things—it screens patient rooms from being seen by pedestrians passing by, and it screens pedestrians and cars in the loop from being viewed by patients in their rooms. It does not screen views of the distant hills, so the patient room views are filled with nature.

Facility Engineering Throughout the project we have tried to identify outdoor space upkeep issues, and have provided for those in our proposal. We have noted those where they occur, and are committed to listening to VCMC facility engineering personnel post-award, and incorporating their input within the agreed project scope.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item C // Consideration of vehicular (emergency, service, patient, staff, visitors) and pedestrian traffic flows connecting new and existing.

During HRW construction period:

• At the Café/Lab there will be a temporary hospital main

VEHICULAR AND PEDESTRIAN TRAFFIC FLOWS DURING HRW CONSTRUCTION PERIOD

HILLMONT AVE.

020 //

Parking

405

400

HRW Construction Area Construction only immediately prior to HRW opening

Clinic Loading

Public Vehicular

entrance with canopy, drop off loop, and handicapped accessible parking.

• Temporary loading into Fainer will be from existing east

Temporary Fire Lane

dock and through the existing buildings.

Public Pedestrian

Hospital Main Entrance

Disabled Patient Access

Public Entry Standpipe

• Temporary ambulance entry will be to right of MRI,

Service Vehicular

through Fainer. We are extending the future-existing canopy, and have created a back-in parking area capable of three ambulances. Ambulances can also park in the nearby lot after they have loaded patients.

Food Cart Access Demolition of Hillmont site work and utilities

• Courtyard will have a standpipe installed and a temporary Fire Lane in the construction site will be provided to allow Ventura City Fire Department access during construction.

Replacement Hospital Wing

403

404

• For approximately the first year of HRW construction

Fainer Loading Access

period, Fire Department access to and exiting from the courtyard (including exiting from West of existing 305 and 306) will be through Fainer. After that time, we will have this access and exiting opened to the north with a safe construction barricade.

Existing generator bldg. to be moved, continuous service maintained

• The Behavioral Health recreation yard exits out and to

the south. Food cart access to this building is through the service drive, and can originate either from the north or south of campus.

399

Efficient Care Model We have reviewed construction phase access and circulation with VCMC, City Fire and OSHPD. We have devised a simple three phase approach- Make-Ready, HRW, and Fainer Renovation- which is described in detail in the Work Plan. This will minimize disruption of hospital operations at all stages of the project.

306

304

305

LOMA VISTA RD. Emergency Walk-In Entry

Vehicular Fire Access Vehicular and Pedestrian Traffic Flows During HRW

Ambulance Entry

Vehicular Fire Access HRW construction area

Public Entry

Ambulance/Fire/Police

HILLMONT AVE.

Project No // ENT10102 Hospital Replacement Wing

VEHICULAR AND PEDESTRIAN TRAFFIC FLOWS WHEN HRW IS COMPLETE

Public Access from Parking Parking

405

Public Vehicular

400

Service Vehicular Ambulance/Fire/Police Service Vehicular/Ambulance Only

Hospital Public Entrance

Hospital Main Entrance

Disabled Patient Access

Public Pedestrian Service/Staff Pedestrian Connections to Existing Facilities Public Entry Service/Staff Entry

Replacement Hospital Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item C // Consideration of vehicular (emergency, service, patient, staff, visitors) and pedestrian traffic flows connecting new and existing. (continued) When HRW is complete:

• Patient drop off loop is easily seen due to building curve and contains large capacity for vehicles.

• For emergency vehicles, there is a loop at Fainer for

Ambulances with drive-through drop off as is currently done.

• For emergency pedestrians—in addition to refurbished

Fainer entry—there is a direct concourse through HRW so Emergency can receive them quickly.

• For service, clinic loading is relocated so it is not at 403

Hospital Entry and is near the CUP.

404

• Patient disabled parking is provided very near HRW to the north of Café/Lab, with a ramp to HRW entry.

• For service, all HRW, Fainer and existing buildings loading (except food) is done via ramp into HRW basement with a screened gated entry.

306

399

304

305

LOMA VISTA RD. Loading Dock Access

Public Vehicular Drop- Off

Fire Access to HRW Emergency Service and Walk-In Entry Ambulance Access Through Site Ambulance Entry

// 021

022 //

Project No // ENT10102 Hospital Replacement Wing

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Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

HILLMONT AVE.

Project No // ENT10102 Hospital Replacement Wing

Parking

405

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 023

Item D // Entrance off of Hillmont Avenue identification and campus orientation.

400

HRW can be seen over the Behavioral Health Clinic

and signage on Hillmont will direct drivers to the entry loop or parking beyond.

The Hillmont Avenue edge of HRW is curved, leading drivers to a monument sign in the landscaping, to clearly show where vehicles will turn into the main entrance. Low landscaping just before the loading gate will prevent anyone from thinking that is a visitor entrance.

Hospital Public Entrance 3

Replacement Hospital Wing

403

The two story glass volume, the opening in the building

404

and upper roof, and the canopy design make the VCMC entry clear from a distance. As people turn in from Hillmont they will be easily oriented and will not be in doubt where to go.

306

2

399

304

305

1

LOMA VISTA RD.

Public Vehicular Public Entry Public Vehicular Wayfinding

Public Vehicular Public Entry

024 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item E // Other landscape/site design and civil design and aesthetic considerations.

In order to create a cohesive and sustainable landscape design in keeping with both the existing VCMC’s flora and the County’s environmental goals, we sought to retain as many of the healthy and mature plant species on site as possible. The new landscape design will be consistent with the site’s existing planting areas. As safety is a key component for the campus, Community Prevention Through Environmental Design (CPTED) practices will be employed in order to retain sight lines into the property and to create landscaped areas that are safe and nonhazardous to visitors and staff.

The landscape features for each area of the HRW site are described on the facing page.

Hillmont Avenue

Loma Vista Street

Project No // ENT10102 Hospital Replacement Wing

VCMC Drop Off Loop and Plaza—Announcing the

Lantana

Foxtail Agave

entry to VCMC, swathes of bold and stately succulents such as Agave and Aloe species extend the forms and lines of the architecture. Under plantings of flowering ground covers such as Lantana montevidensis provide color and seasonal interest. In order to ensure campus safety, planting materials are kept low in order to mitigate visual obstructions and to provide open lines of sight. Winding through the planted area is a lined swale, aiding bio-filtration and mitigating stormwater run-off.

Salvia

Olea

Bambusa ‘Alphonse Karr’ or Phylostachys nigra (Black Bamboo) form a dramatic green wall to create a terminus to the dining area. Enhanced paving materials and patterns assist in visually differentiating the space.

Black Bamboo

Alphonse Karr Bamboo

Loading Dock Area—California native trees including

Firecracker Penstemon

Western Hackberry

Bougainvillea

Italian Cyprus

Celtis reticulata (Western Hackberry) and Heteromeles arbutifolia (Toyon) create an informal entryway into the Loading Dock area. Flowing ground covers of Cotoneaster horizontalis (Rockspray Cotoneaster), Arctostaphylos ‘Howard McMinn’ (Manzanita) and Leymus condensatus ‘Canyon Prince’ (Wild Rye) reinforce the native planting theme. Plantings will be layered approximately 15' behind the curb and shall not exceed 36" in height to allow for proper line of sight. Stormwater management will be mitigated via a vegetated swale within the planting beds that will aid in minimizing run-off contaminants and pollutants.

the stairs between clinic and HRW entry to allow for occasional seating and additional planting opportunities. In-built planters, filled with flowering Lagerstroemia indica (Crape Myrtle) create a colorful alley to the building and create an anchor to the existing stately palm trees. The grand stairs will be flanked by ornate, evergreen Olive trees under planted with drought tolerant Salvias, Rosemary and Manzanita.

Outdoor Dining Area—Bamboo species such as

plantings of flowering Tabebuia (Trumpet Tree), and silver-grey Olea Europaea (Olive)trees underplanted with colourful Salvias, Ceanothus (California Lilac), Arctostaphylos (Manzanita), and Pittosporum tenuifolium create a seasonally changing, vibrant entryway to the plaza, while creating a screen to the parking beyond.

Trumpet Tree

// 025

Grand Stairs—We have widened and re-oriented

Temporary/Staff Entry—Lush drought tolerant

California Liliac

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Healing Garden—We have designed a protected space

Lambs Ear

Strawberry Tree

Thyme

French Lavender

where patients, visitors and staff can reflect peacefully within a series of semi-enclosed, inter-connected outdoor rooms. Evergreen trees such as Arbutus unedo (Strawberry Tree) provide constant interest and shade to the area while the deciduous Cercis occidentalis (Western Redbud) provide seasonal flowers and color.

Plant species such as Salvias, Lavandula dentate (French Lavender), Stachys byzantine (Lamb’s Ear), Rosmarinus officinalis (Rosemary), Penstemon, Thyme, are chosen to create sensory appeal and to attract fauna throughout the year. Raised bio-filtration planters filled with riparian plant species such as ferns, Achillea millefolium (Yarrow) and Miscanthus sinensis (Maiden Hair Grass) mitigate roof run-off.

026 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item E // Other landscape/site design and civil design and aesthetic considerations. (continued)

5

HRW vegetated planter detail 10

9

11

3 4

7

14

13

Item F // Use of low maintenance, sustainable landscape.

12 6

2

• In keeping with the sustainability goals for the project,

1

all areas of the site have been designed with California native or drought tolerant plant species. These plantings provide a context appropriate, low water use and low maintenance plant palette.

8

HRW bioswale detail

• In addition to adhering to all State and Federal requirements, on HRW project will:

The HRW civil 3-D Revit model, shown above, is coordinated with site utility relocation in both Make-Ready and HRW construction phases, with our soil mixing plan, so immediately upon selection we can proceed with site work and maintain the schedule. Tab 14, Project Work Plan/Schedule, shows this work in detail for each utility.

» Reduce site disturbance. » Minimize the landscape water use by using stateof-the-art irrigation design.

» Use context and climate appropriate plant species 1 South Construction Area

5 Temporary Canopies

10 As Built Existing Steam

2 North Construction Area

6 As Built Existing Electrical

11 As Built Existing Gas & Oxygen

3 HRW Building Footprint

7 As Built Existing Water

12 As Built Existing Cable

4 Temporary Fire Lane Access

8 As Built Existing Sewer

13 As Built Existing Communication

9 As Built Existing Storm

14 As Built Existing Telephone

such as drought tolerant and California native species.

» Consider contract-growth method for local plant seed sources.

» Design for low maintenance. » Manage stormwater run-off through bioswales or vegetated planters. » Improve site permeability through use of permeable pavers and materials.

Cost Savings State-of-the-art irrigation and low water plant species will reduce VCMC’s water costs over time.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item G // Compliance/Mitigations of the community issues identified in the RFP.

• HRW achieves VCMC’s goal of “protecting the visual

• Warm, earth tone campus materials are compatible

• HRW’s third floor is fully 40'-0" from the view line, not

• We have provided the concrete masonry wall east of the VCMC campus as agreed with the neighbors.

Hillmont

an average of 40'-0" as required by the Agreement, so the requirement is exceeded by being further back than allowed.

with the existing campus, and provide a rich, textured, appropriately scaled design which enhances the neighborhood.

Hillmont

corridor and defending neighbors’ views” by staying within the agreed height limits as shown in Tab 1, Architectural Design, Item I.

Loma Vista

HRW complies with the height limits agreed with the neighbors, and we kept HRW third floor 40'-0" away from the view line, not an average of 40'-0". HRW will have minimal view impact on the neighbors.

Loma Vista

HRW contains a screen for the upper roof equipment, a louvered well with one air handler below lower roof, patterned stone aggregate at lower roof, and a trellis over the transformer yard. As a result, no HRW mechanical equipment will be seen by neighbors from a distance.

// 027

028 //

Project No // ENT10102 Hospital Replacement Wing

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Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

03

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

PROJECT PROGRAM COMPLIANCE

TAB 03

PROJECT PROGRAM COMPLIANCE

PROJECT PROGRAM COMPLIANCE OR Program – 600 Actual – 637 OR Program – 600 Actual – 637

Third Floor – 36,232 BGSF

Second Floor – 69,852 BGSF

Basement – 35,380 BGSF (Building Gross Square Feet)

First Floor – 79,015 BGSF

ITEM A // Project gross square footage ITEM B // Specific room net square footage - a reduction in the net square footage greater than 5% of the rooms noted with the “ * “ in the space program will render the proposal nonresponsive

The Program Compliance Matrix is included in the Appendix and demonstrates compliance with the RFP program.

Project No // ENT10102 Hospital Replacement Wing

Hybrid OR Program – 1000 Actual – 1050

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 029

“Early in the process, our team developed dozens of alternate layouts that enabled us to create a building plan that fits nicely within the site, adjacent building and neighbor constraints. Early decisions such as not demolishing the connector building, and rotating the Med-Surg/Post Partum wing to make the entry visible from Hillmont Avenue, allowed us to make an efficient building, largely oriented toward views, with a regular 30’ x 30’ grid through most of it. The lower net to gross resulting from this enabled us to achieve higher program areas for key driver and support spaces, additional program areas, and lower non-value-added space like circulation.

Efficient Care Model HRW is a program-compliant building that is very efficient with relatively few square feet of circulation.

This enables us to provide more patient care spaces within the project budget.

030 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item C // Functional space requirements including special acoustical or lighting requirements

• All functional and space requirements including

HRW Department Areas Based on Alternate Program, Addendum No. 1 Final, dated May 15, 2012 Basement

acoustical and lighting are met per the RFP.

• Our acoustical consultant has recommended specific

mitigation measures to achieve the RFP requirements:

» The second floor mechanical well has one air handler,

First Floor

mounted on vibration isolators, with 75 pounds per square foot of concrete mass under it to mitigate vibration at the Angio Suites that are nearby under it, and are the most vibration sensitive rooms in that area.

5,025

Central Supply

2,969

Building Support

14,148

Inpatient Imaging

10,578

ED (HRW)

10,823

Common

Inpatient Surgery

Inpatient Surgery – Pre/Post Second Floor

Specimen Collection

16,007

4,970 1,592

Neonatal Intensive Care Unit 1 and 2

11,080

Labor, Delivery and Recovery Unit

Acute care unit (18 beds)

Shell Space (Future Acute Care or ICU Option) Intensive Care Unit – 3 Intensive Care Unit – 2 Intensive Care Unit – 1

Total Departmental Gross Square Feet (DGSF) Building Gross Square Feet (BGSF) Basement – Main

Basement – Chiller

Basement – Tunnel

11,388

10,173

248

10,103 7,400 7,191

8,190

6,366

170,577

220,929 30,192

4,054 1,584

Basement – Total

35,830

First Floor – Total

79,015

Second Floor – Total

We have added functional enhancements to many clinical care areas, dramatically enhancing the VCMC patient experience.

11,793

14,035

Satellite pharmacy – NICU/PICU

Patient Experience

4,629

Post Partum Unit

Pediatric Intensive Care Unit

Third Floor

1,869

Sterile Processing

Acute Care Unit (20 Beds)

» Recommendations for partition configurations and

equipment isolation are carried within subcontractor scopes for HRW.

Inpatient Pharmacy

Second – Fainer Bridge

Second – Mechanical Well (Not included in BGSF) Second – Total Third – Total

68,516 1,336 5,047

69,852

36,232

HRW – BGSF

220,929

Project BGSF

230,119

ED (Fainer)

9,190

Project No // ENT10102 Hospital Replacement Wing

Second Floor

Third Floor

Pediatric Med-Surg (Fainer)

C-Section

Space adjacencies in the HRW have been carefully considered to optimize staff efficiencies, minimize patient travel times and enhance the experience of patients, public and staff.

ICU 3 ICU 1

L&D

// 031

Item D // Space adjacency

NICU PICU

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Basement:

Share Support

• Tunnel access from loading dock to Fainer to optimize ICU 2

materials flow.

• Central Supply is optimally located between new loading dock, HRW, Fainer, and 305.

• Sterile processing located close to loading dock for

Ante and Post Partum

convenient deliveries and vendor access.

• Inpatient pharmacy located close to loading dock for secure deliveries and access to natural light.

First Floor:

• All inpatient imaging on level 1 and close to OR and ED. • Inpatient imaging is within 150' of outpatient imaging.

First Floor

Second Floor

Basement

Outpatient Imaging

• L&D, Post Partum and NICU are contiguous to facilitate security and patient experience.

305

Inpatient Imaging

• Close connection from C-Section to NICU. • PICU and NICU close to Fainer PEDs. • NICU can operate as two separate or one single unit.

Fainer

Emergency Department

Third Floor

• ICU can operate as one contiguous unit or be run

Sterile Processing

Inpatient Surgery

separately.

• Option to centralize or distribute visitor access.

Central Supply Inpatient Pharmacy

Loading Dock

Efficient Care Model Adjacencies such as the large first floor imaging/ surgery/interventional/ED platform enhance throughput and decrease waiting and staff times.

032 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item E // Design quality of interior space – Design quality is critical to the development of interior spaces and contributes to the overall experience and success of the building space.

• A narrative of HRW interior space design quality is

given in Tab 1, Architectural Design, Item A, “A building that contributes to a feeling of compassionate care for patients and families (interior).”

Patient Experience The beautiful interior spaces are designed using elegant, functional, and durable materials, incorporating daylight as much as possible into the interior of the building.

View of VCMC main lobby, Waiting and Admitting

View of comfortable seating adjacent to main entry and reception desk

w View of VCMC second floor public concourse

View of VCMC patient room looking south

First Floor

Second Floor

04

TAB 04

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

HEALTH CARE LOW VOLTAGE / IT INTEGRATION

HEALTH CARE LOW VOLTAGE / IT INTEGRATION

HEALTHCARE LOW VOLTAGE/IT INTEGRATION

Project No // ENT10102 Hospital Replacement Wing

Proposed timeline for VCMC Low Voltage activities

ITEM A // Clear understanding of process and commitment of HC IT integrations, responsibilities.

ITEM B // Commitment to completion of program requirements within allocated budget and conducting necessary user meetings.

• We are committed to early scoping of all the systems and definition of inter-system communications required.

• Low Voltage Consultants and Contractors are serving

together as the single Integrator. Together they cover all the scope, and have complete responsibility for design and installation of all systems.

Low-Voltage systems commissioning, testing, adjustment, sign-off ,and licensing

Adjust Low-Voltage system design as necessary and within budget

Monitor, review, and approve equipment procurement

Monitor, review, and approve installations

Coordinate Low-Voltage systems with new HRW MEP systems and architectural features

Coordinate Low-Voltage systems details with Cerner interfaces and EHR technology

Update Low-Voltage systems master log per usergroup meeting

Review initial Low-Voltage systems layouts and designs

CONSTRUCTION PHASE

DESIGN/BUILD TEAM SELECTION

Validated and aligned proposal

DESIGN PHASE

Coordinated with medical equipment list / medical equipment planner, VCMC/County IT requirements

Developed initial Low-Voltage systems master log

PROPOSAL PHASE

• Our key Integration Specialists have been meeting with

our team throughout the proposal process. There is a detailed plan for this process to continue through design and construction.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 033

“We have created an integrated team of experts in the design, coordination, procurement and installation of Low Voltage systems. Our team has thoroughly digested the RFP, met with Cerner and VCMC, proactively suggested refinements to the VCMC matrix, and created a proposal which achieves high value. We are committed to early scoping of these systems immediately after Notice to Proceed, and working with VCMC and RGG to take this process through occupancy with no surprises, a highly functional result, and within budget.

Cost Savings Early scoping and integration of systems into HRW design will minimize VCMC costs for late changes.

Our team has created a timeline for HRW that will manage the process with successful results.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

3.

4.

5.

6.

Cost Savings We have carefully assigned detailed responsibilities within our team for Low Voltage coordination and design. Immediately upon selection we will develop these, with no scope gaps or surprises.

VCMC HRW IT-LV Resp Matrix Page 1 of 11

ITD/EC ITD/EC

X

X X X X X X X X

X X

X

X

X

X X

X

X

X

X

X

ITD

ITD/EC GC ITD/EC

X

X X X X X

X X

X X

X X

V V V V V V V V V V V V V V V V V V V

MC EC EC EC X EC EC MC

X X

X

X

X

GC GC GC EC EC GC GC GC

X X X X

EC EC EC EC

A

X

X

A A

X X

X X

ME EC EC EC X EC EC ME

MC EC EC EC X EC EC MC

X X X X X X X X X

X X X X X X X X

A

X X X X X X X X X X

X X X X X X X X X X

X

X X X X

X

A A A A X A A A A A A A A A A A

SYMBOL LEGEND: V is for CONFIRMED X is for RESPONSIBLE A is for ASSISTANCE

Cerner EMR iBus Connectivity (See Note 7)

X X

Owner's Staff / Owner Directed Vendor

A A

Medical Equipment Vendor

X X

X

V V V V V V V V

X X X X X X X X X

X X

V

ME/MC EC EC EC X EC EC MC

X X X X X

GC

DB - Testing/Certification/Commissioning

X X

X V X V V X

DB - Operational Comfiguration

ITD/GC

DB - Data Communication Interface

X

DB - Logical / IP Connection

V V

DB - Data LV Connection

X X

DB - Installation Coordination

X

DB - Rough-in / Site Readiness

X X

DB - Install (and/or Relocate)

2.

ANESTHESIA EQUIPMENT a.

Anesthesia Machines b.

Anesthesia Columns ALSO SEE "LIGHTS AND BOOMS" AUDIO / VISUAL SYSTEMS & EQUIPMENT a.

Portable b.

Projection Screens - Fixed c.

Projection Screens - Movable d.

A/V Systems e.

Video Projectors - Fixed f.

Video Projectors - Movable g.

Television / DVD Carts (see CARTS) AUDIOLOGY EQUIPMENT a.

Portable b.

Booth BIO-MEDICAL / MAINTENANCE a.

Bio-Medical Maintenance Carts (see CARTS) b.

Misc Hand Tools c.

Test Equipment BUILDING SYSTEMS a.

Building Automation System / Energy Mgmt System b.

Fire Alarm System c.

Fire Alarm System - Area of Refuge Comm. Devices d.

Smoke Detectors, Signal Lights, Annunciators & Cabling e.

Pneumatic Tube System f.

Low Volt Light Control Relays, Pwr Supplies & Switches g.

Light Fixtures - Room, Reading, and Night Lights h.

Medical Gas Alarms CARTS a.

Anesthesia Carts b.

Audio Visual Carts c.

Bio-Medical Maintenance Carts d.

Surgical Case Carts e.

Cast Carts f.

Crash Carts KEY g.

Food Service / Dietary Carts h.

Endoscopy Carts i.

Svcs AEnvironmental = Architect j.

Gas Cylinder Carts - See line item 44.e below GC = General Contractor k.

Gift Shop (Hospitality) Carts l.

Infectious Waste Carts EC = Electrical Contractor m.

Linen Carts MC = Mechanical/Plumbing Contractor n.

Maintenance Carts o.

Medication Carts ITD = Low Voltage/IT Designer p.

Miscellaneous - Furniture EE = Electrical Engineer q.

Supply Carts r.

Surgical Video Carts ME = Mechanical/Plumbing Engineer s.

Trash Carts t.

Television / DVD Carts

Installation / Receiving / Warehousing / Unpacking & Cleanup / Placement / Set-up / Integration

Procurement by Owner

1.

Procurement See Note 2

Design Builder Team

refine this matrix so lines of responsibility are clear at the onset of the project.

Owner - See Note 1A

• Upon selection, we will meet with VCMC and RGG to

Design Builder Team

.

Critical Path

suggestions for refining and completing it (suggestions are noted in red on matrix). The entire matrix is included in the Appendix.

Architecturally Significant

• We have taken the VCMC matrix and provided proactive

IN THE MAC

Ventura County Medical Center Hospital Replacement Wing IT & LV Responsibility Matrix

Item B // Commitment to completion of program requirements within allocated budget and conducting necessary user meetings.

Drawings (Obtain Site-Specific Vendor Dwgs where applicable)

Budget Allocation

Owner

Planning/Budget Confirmation See Notes 1, 1A, 1B

Design Builder Team

Item A // Clear understanding of process and commitment of HC IT integrations, responsibilities

Owner's Procurement & Activation Budget

Project No // ENT10102 Hospital Replacement Wing

Design Builder's Construction Budget Equipment Budget Healthcare Tech & IT/LV Budget

034 //

X X

LSBPPS 11.3

Not planned for this project

MC EC EC EC X EC EC MC X X X X X X X X X X X X X X X X X X X

X

X

X

X

X

X

X

X

X X X X

X

X

X

X

X

X

X

X

X X X X

X

X

X

X

X

X

X X X

X

X X X X X

5/14/12

Project No // ENT10102 Hospital Replacement Wing

Proposed process to design, integrate, procure and install low voltage and IT equipment for the VCMC HRW project.

RGG

VCMC Staff

VCMC IT

County IT

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 035

Item A // Clear understanding of process and commitment of HC IT integrations, responsibilities (continued)

Cerner

Item B // Commitment to completion of program requirements within allocated budget and conducting necessary user meetings. (continued)

VCMC/COUNTY KEY STAKEHOLDERS

• During the proposal process, we met with RGG, Cerner, VCMC staff, and County to define scope, functionality, and system integration requirements so our proposal covers the desired scope.

• Our team is familiar with existing conditions and

REVIEW / INPUT

VCMC Make-Ready IT project scopes that have been coordinated during the proposal period with our project scope.

• Through design and construction, we will schedule

regular user meetings to develop the systems in detail and coordinate procurement and installation.

• Key VCMC and County stakeholders will be identified for final approval of design.

VCMC HRW RFP

REQUIREMENTS

LV/IT CONSULTANTS + Design & IDeas, Innovations Construction DAS, OSHPD Review + Purchasing & Submittal Review/Input + Installation & Site Permitting + Integration & Technical Assistance

LV/IT CONTRACTORS + Design & IDeas / Cost Review + Purchasing & Submittals + Installations & Procurement + Integration & Coordination of all vendors, systems, commissioning

REVIEW / INPUT

DESIGN-BUILD TEAM

FULLY OPERATIONAL & LICENSED FACILITY

• We will track rapidly evolving technologies and

associated costs to ensure maximum value of Low Voltage/IT systems within the MAC.

• Our team will ensure that no gaps in the final design

integration will occur between the parties under agreement to this team and under agreement with VCMC.

036 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item C // Process for quality control during design phase of IT/LV for VCMC HRW project.

Overview of Quality Control Through All Phases A project specific quality control program has been established to ensure all Low Voltage and Healthcare IT Systems are in compliance with the design intent, RFP, project specifications, drawings, and codes with respect to the furnished equipment, materials, workmanship, construction, finish, functional performance, and identification. Designed around a team approach, the quality control program outlines the expectations of each member of the project team throughout the various phases while highlighting the key elements of the low voltage and healthcare IT systems. By using proprietary metrics designed specifically for the measurement of quality, we will maintain high level of performance throughout the major phases of procurement, fabrication, construction, and commissioning.

To supplement the team-wide quality control effort and measure quality against the prescribed metrics, a full-time Project Quality Engineer will be assigned to the project beginning in the design phase and will be dedicated to the Quality Control and Assurance Process. In addition to administration of the project specific Quality Control Plan, the Project Quality Engineer will focus on five major elements of the project: 1. Design, 2. Trade Coordination, 3. Procurement, 4. Construction, and 5. Commissioning/ Turnover. Through each phase the Project Quality Engineer will identify the key performance indicators for the phase, track the performance of the team, report progress and lead mitigation measures when necessary.

• Coordination of system interdependencies and interfaces to ensure product selection, purchased items, installed infrastructure and physical space do not conflict.

• Verify all procurement needs are identified by both the

D-B team and agency to ensure no scope gaps remain and the built systems will be fully functional.

Ongoing Coordination/Procurement

• The focus of the quality control process during the trade

coordination phase will be the identification of system interdependencies. Each Low Voltage and Healthcare IT System must interface with multiple other systems for a variety of reasons and the means of the interface will be identified and optimized. Examples of LV & Healthcare IT interdependencies with other systems include “connected medical equipment”, Electronic Medical Records (Cerner), building management systems, Real Time Locator System, Security and Access Control, etc. Particular attention will be paid to sequence of construction and commissioning to identify system drivers and areas of focus during subsequent phases.

A proprietary software tool will be utilized to identify and manage all interdependencies throughout the project.

Validation Process Validation will consist of regular meetings with stake holders of all disciplines and user groups. The process is designed to focus on the following elements:

• Confirming the design meets the end-users operational/ clinical needs, budget, and schedule constraints.

• Confirming the design is comprehensive and

interdependencies amongst systems are identified and addressed.

• The system responsibility matrix that was developed as

part of the project pursuit phase will evolve to become a coordination and tracking tool for procurement.

Scheduling, responsible parties, and line item cost information will be incorporated to ensure predictable and trackable execution of all systems and sub-systems to be procured.

Quality Control

• Because of the interoperability and complex functionality of modern healthcare technology, the most effective QC program is cyclical and comprehensive. Through the ongoing collaboration of project stakeholders throughout the design process, design intent, intersystem integration locations and methods, design and integration documentation, and ongoing interpretation of the design can be discussed and verified as a team.

This team approach ensures common understanding of the objectives, expectations, and techniques for the technology package.

FEBRUARY 2013

OCTOBER 2012

VCMC DESIGN PHASE & ONGOING QC COORDINATION

Develop baseline design for all systems

Review baseline design

IT/LV Consultants & Contractor

A&E

Submit baseline design to user groups/medical equipment for validation IT/LV Consultants & Contractor

Validate systems meet intent/needs Validation Team // VCMC Facilities // Cerner // Med Equip Planner/Med Equip Manufacturer // A&E // VCMC IT/ISD // D-B Team Trades // RGG // VCMC Clinical User Groups

Validation Comment Incorporation

Develop final design documents incorporating validation determination for submission to OSHPD IT/LV Consultants & Contractor

SEPTEMBER 2013 Complete BIM, produce construction details/ tools

Re-engage validation groups to address BIM issues as needed

IT/LV Contractor IT/LV Consultant D-B Team/Trades

Equip Planner/Med Equip Manufacturer // A&E // VCMC IT/ISD // D-B Team Trades // RGG // VCMC Clinical User Groups

Validation Team // VCMC Facilities // Cerner // Med

Finite BIM Model IT/LV Contractor General Contractor

Reincorporate affected validation issues

Re-engage validation groups to review OSHPD comments Validation Team // VCMC Facilities // Cerner // Med Equip Planner/Med Equip Manufacturer // A&E // VCMC IT/ISD // D-B Team Trades // RGG // VCMC Clinical User Groups

OSHPD Backcheck/ Approval

Project No // ENT10102 Hospital Replacement Wing

Item D // Process for quality control during construction for IT/LV subcontractor.

• Our Field Management and Project Quality Engineer will hold pre-installation meetings with each crew prior to the commencement of a new activity, to reiterate project requirements and to highlight areas of concern with each segment of work to ensure full understanding of all requirements by all parties.

• Performed prior to beginning each feature of work, this

includes the daily inspection of all installation practices for compliance to the NEC, CEC, contract documents, and OSHPD standards.

• All installations not conforming to the required standards shall be documented, corrected, and confirmed.

• The quality control team, directed by the Project Quality

Engineer, will pre-inspect random segments of each type and/or area of work on the project prior to an IOR Inspection. The Project Quality Engineer will also engage the Validation Team for periodic inspections of the installations to ensure the work conforms to the Team’s expectations.

Budget

• We will focus on several critical activities: compliance

• Using tools we have developed during dozens of other

• Because the implementation is determined by a logical

sequence of one system being integrated upon another, compliance reviews will continue throughout construction.

These reviews will be punctuated by recurring, guided user reviews of installed systems to ensure familiarity and acceptance.

• Document controls will be centralized and carefully

applied to all team communications, compliance reports, status reports, submittals, owner reviews/requests, and will be managed by a web-based system.

• Field reviews by the IT/Low Voltage Consultant will involve ongoing assessment of install status and compliance with project vision and goals.

large healthcare projects we are able to identify cost impact with tremendous granularity and report, in real time, on the potential effects of design, coordination, procurement and construction decisions prior to implementation.

package and included in the vendor’s purchase agreement to memorialize any determinations made during the process.

• Following the pre-purchase analysis and issuance of a

purchase agreement to a vendor, we will obtain product data and/or shop drawings from each vendor for review and have all these reviewed and approved by the validation team.

• This process saves money and time allows us to make

more effective decisions for the long-term outcome and life cycle of the facility.

• Procurement culminates in Acceptance, with the turnover of a functional product to a trained user staff. To achieve this we will engage the same user groups continuously from design through installation, allowing them to assimilate information over a longer period, and give their input along the way to meet their operational needs.

This continuity will ensure their satisfaction and shorten the amount of time needed to train them to operate the systems.

Item E // Process for quality control during procurement phase of IT/ LV.

• Prior to any procurement, we will thoroughly review

all potentially available manufacturers and products including line item specification comparisons from both vendors and subcontractors to guarantee conformance to the design intent and applicable codes.

JUNE 2016

SEPTEMBER 2014

VCMC CONSTRUCTION PHASE

Develop system master procurement matrix & identify interdependencies for construction D-B Team

Monitor, review, & approve installations in process IT/LV Constultant & Contractor D-B Team RGG Validation Team

Monitor & participate in ongoing procurement validation & scheduling efforts Validation Team

Identify constructability issues & field concerns requiring end-user input

Validate D/B recommendations for issue mitigation

D-B Team

Validation Team

Develop “Go-Live” plan & validate responsibilities vs. master matrix Validation Team

Prepunchlist process IT/LV Contractor

Develop turnover/ licensing plan and validate vs. matrix Validation Team

JANUARY 2017

JUNE 2016

VCMC ACCEPTANCE PHASE

// 037

• A compliance matrix will be developed for each purchase

Compliance and Control with VCMC technology vision, compliance with design intent and documentation, and user engagement.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Prepunchlist

Prepunchlist

Pre-punchlist

DesignBuilder

A&E

Medical Equipment Cerner VCMC

OSHPD acceptance OSHPD

Go-Live preplan

Turnover / licensing preplan

Validation Team // VCMC Facilities // Cerner // Med Equip Planner // Med Equip Manufacturer // A&E // RGG // VCMC Clinical User Groups

Final punchlist Validation Team

Training IT/LV Contractor to all users

Go-live implementaion User Groups (Clinical) VCMC Facilities VCMC IT/ISD

Training/ warranty checkup IT/LV Consultant & Contractor

038 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item F // Coordination with owner on all systems and procurement.

HEALTHCARE LOW-VOLTAGE / IT TEAM CHECKS & BALANCES

Item G // Coordination with owner on purchasing of systems and equipment.

• After proper scoping above, we will identify options for

functionality and protocols, and ‘last responsible moment’ for final decisions on equipment.

RGG

VCMC Staff

VCMC IT

County IT

Cerner

• As Integrator, we will facilitate both owner and DesignBuilder purchased equipment within the project’s schedule. We will ensure that owner and Design-Build systems are compatible and communicate with each other.

• We will also develop a change management process,

similar to Medical Equipment, for late changes to evaluate both equipment cost impact, but also construction time and cost impact, prior to approving a change.

VCMC/COUNTY

• During design, we will select IT systems with owner input, and clear delineation of what is in current scope.

• We will actively engage Cerner (in addition to VCMC) throughout the equipment selection to ensure compatibility and vet integration issues.

VCMC HRW Requirements & Scope

Efficient Care Model One-on-one meetings with Cerner and VCMC Facilities during the proposal phase has ensured that our proposal includes operational input, based on VCMC’s model of care for low voltage support systems.

LV/IT CONSULTANTS

Coordination relationships between our team and the owner for VCMC HRW

VCMC HRW Project Schedule

VCMC HRW LV/IT Budget

LV/IT CONTRACTORS

MEDICAL EQUIPMENT

05

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

MEDICAL EQUIPMENT

Patient Experience

TAB 05

Tab

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 039

MEDICAL EQUIPMENT

â&#x20AC;&#x153;We have taken time during the proposal process to design a complete system for the VCMC project that outlines how we will integrate with VCMC, RGG and Ventura County to design, select, procure, and install the medical equipment into the HRW project. Our medical equipment consultant and medical planners will begin this process immediately after Notice to Proceed, engaging the users, with accountable leadership for required scheduling, coordination with planning and engineering disciplines, cost control personnel, and the procurement assistance team.

Example of rendered 3-D coordination model of an Operating Room

040 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // Process included in DB Team services for refining Medical Equipment List and Assessment

• We are submitting to VCMC an initial list of all new

equipment in the Appendix to this proposal, reflecting VCMC preferred vendors and/or our unbiased recommendations.

• Upon Notice to Proceed (NTP), we will prepare a

responsibility matrix for Medical Equipment and related systems for review by VCMC and RGG review. This will echo the requirements of Addendum No. 1 to the RFP and confirm that all roles are very clear.

• At NTP, we will also initiate a process to review our recommended manufacturers.

• During DD phase, will gather invaluable input from VCMC users to finalize the Medical Equipment list.

•

At 50% CD phase, we will conduct an existing equipment inventory, to see if any equipment with remaining useful life and recently purchased equipment can be reused to lower the Medical Equipment budget.

• At 100% CD, equipment list will have new and existing

noted, all manufacturers selected with VCMC, RGG, and Ventura County concurrence.

Example of rendered 3-D coordination model for interventional radiology room

Project No // ENT10102 Hospital Replacement Wing

EQUIPMENT PROCUREMENT FLOWCHART

I // PROCUREMENT ENGAGEMENT KICK-OFF

1 Approved Medical Equipment Database End Users & Team Hospital Validates Options & Accessories (Signed & Approved)

2 Procurement Schedule Long, Medium, Short Lead Times

3 Method of Procurement RFP, Sole Sources, GPO Contracts, Lease, Reagent Rentals

4 Equipment Categories and/or Big Packages

1

• Single Source + Justification Letter • Sole Source + Justification Letter 2d Enter Contract Number/Price from Vendor’s Contract

2c Check If Product Can Easily Be Added On To 3

9 Enter Into SAP System Reference PO# Procurement Approves 10 Prepare preliminary equipment delivery receiving schedule and coordinate mounting plates and loaner product.

2b County Counsel Approves Supporting Documents “For Single or Sole Source”.

Team Prepares/Approves RFP Document & Scoring Document • Add Special Terms & Conditions • Add Anticipated Delivery Schedule

III B // RFP FORMAL BIDDING

IV // PO CREATION 1 Create Standard PO

2

Encumbrance Funds Purchase/Lease

3 County Counsel Approves Supporting Documents

4 County Procurement Approves Supporting Documents

5

Enter + Post Into Bidsync Minimum of 2-weeks

6 Conduct Pre-Proposal Conference/Site Inspection Optional

7 Receive Responses

8

Comparative Vendor Data

Create & Enter Requisition SAP

9a Evaluate Responses Evaluation Committee Staff

• Approve & Release • Attach Supporting Documents

10 Completion of Evaluation + Recommendation

7

Issue/Create Standard PO If Vendor Has Contract

13 Approval Recommendation

8

Review + Sign-off Purchase Order • Add Special Terms & Conditions • Add Delivery Phasing Schedule with Procurement Director Signature

Suggested HRW Medical Equipment procurement process which will be refined with VCMC and RGG upon selection.

Evaluation Committee

14 Award Protest Waiting Period 15 Prepare Requisition

• Enter Info SAP System • Add Special Terms & Conditions • Add Delivery Phasing Schedule 2 Review PO + Approval Sign-off With “Procurement Director” 3 Issue Purchase Order

Forward to Project Office Assign WBS and B Number & Encumbrance of Funds

6

1

Obtain Vendor Quote

4 Fill Out Fixed Asset Form Material Request Form 5

OPTION B

Procurement Team and/or Resource Management

2a Review Single or Sole Source (Contracts)

// 041

Item B // Coordination with VCMC on the scheduling, procurement, installation and integration medical equipment in bid Groups 1,2, 3 and 4 equipment, such as but not limited to washers and sterilizers, headwalls surgical lights & booms, and imaging systems.

• At NTP for the VCMC HRW we will allocate all Medical

OPTION A II // SOLE SOURCE

5 Create Preliminary Requisitions • RFP & Specification Templates • Special Terms & Conditions + Exhibitions

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

9b Identify Lowest Responsive, Responsible Bidder Evaluation Committee 11 Obtain Documents Required Prior to Award

12 Final Negotiations Best/Final Offer

4 Schedule Equipment for Delivery

Equipment items into 4 groups within the Design-Build schedule: (1) early purchase (mockup items, anchorage and bracing items), (2) long lead items > 12 months (imaging) (3) medium lead time 6-12 months (anesthesia, OR tables, stretchers), (4) short lead time < 6 months. We will also account for County procurement requirements and adjust schedule.

• Concurrent with scheduling, we will develop terms

& conditions for each type of purchase- RFP, Group Purchasing Organization, local contracts, sole/source, and review with VCMC, County, and RGG.

• We will break the equipment list into bid packages and achieve best single volume purchase results.

• During DD and CD, all architecturally significant

equipment (ASE) will be created in 3-D and integrated into the building model. Planning, structure, power, plumbing, anchorage, and HVAC attributes will be integrated to facilitate design between Medical Equipment planning and engineering.

• At 100% CD, we will confirm Group 1-4 allocations and adjust as necessary.

• Installation, complete delivery, and receiving process

for new equipment will be scheduled based on overall lead times. We will define and communicate installation requirements of new and existing medical equipment into the schedule.

• During installation of all Group types (1 through 4) of

medical equipment, we will lead the process for VCMC of scheduling, delivery, commissioning, training and start up. We will support VCMC if there is any off site storage or installation of existing equipment being relocated to HRW.

042 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Excerpt from actual HRW schedule showing equipment procurement. Full schedule is provided in Tab 14, Project Work Plan/Schedule

Project No // ENT10102 Hospital Replacement Wing

Item C // Outline process changes between OFCI, OFVI, and CFVI and what will be required from Agency.

Our team will integrate with the owner, RGG and the

user groups to coordinate the Medical Equipment planning for the project. This process is different in that we are now responsible for both the design of the building and the sourcing of the equipment. Our support role in the sourcing of the equipment will include advising VCMC on timing of procurement, technology changes, and coordination with you and the vendors for successful project delivery with no scope gaps.

We will require that the agency support this effort with an individual(s) who can provide to the team early information on equipment preferences, treatment modalities, work practices and expected future treatment modalities. This will allow us to:

•

•

•

We will manage change by understanding total project cost (equipment + construction impact + delay including agency) before approving a change and not just equipment cost.

VCMC and RGG will to decide if changes will be funded by an HRW project contingency, the department, the Health Agency or some combination, as a means to control excessive motivations to make changes.

Our team will prepare a matrix of “latest responsible dates” to change equipment which will have no cost or time impact on the process.

RFP Package: GSO1 Tandem Boom for Critical Care Rooms Vendor

Berchtold

Modular Services Company

Maquet Critical Care(Getinge)

Proposal or Quotation No

QQQ04

QQQ05

QQQ06

Terms

10% deposit required within 10 days of PO

Net 30 from date of invoice

Quotation Expiration Date

April 14, 2011

April 14, 2011

April 14, 2011

Tandem Boom for Gas Services and Equipment Vendor

Berchtold

Modular Services Company

Maquet (Critical Care) (Getinge)

Model

Teletom TS 520 Series

Stratus II

Modutec MM 9.6

Part Number

TT-52C-6 and TB 52C-6

Item Cost

$48,132.00

$41,748.00

$52,703.10

Warranty Period and Terms

4 months warranty, void if installed by anyone other than the seller

TBD

12 months, (see page 13 of proposal)

Freight

FOB destination

FOB destination

Included

Installation

5 days, add $2,300 per boom

Price included with main unit

Takes 10 days, add $5,348. per each room

N505 and Q402

Shop Drawings

Example of Comparison Matrix for Groups 1 and 2 Equipment Selection

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 043

044 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item D // Process for making final selection of Medical Equipment, Imaging Equipment, etc. and incorporation of equipment requirements into the design and construction of the project.

• We will design for the largest of each type of

Architecturally Significant Equipment so there are no built in constraints in the building.

• We will provide power and cooling capability in the areas affected by major Architecturally Significant Equipment.

• Final equipment selection will be managed by the list and the scheduling process described in Item B. Changes will be taken into account whenever they occur, and a full impact study and cost allocation will be done for each change prior to approval.

Item E // Coordination with VCMC on the management and procurement of Medical Equipment Groups 1, 2, 3 & 4.

Please refer to Item B for an overview of this process.

• Upon selection, we will put all these items in the

Design-Builder’s schedule in Four groups= (1) early purchase (mockup items, replacement items to be moved), (2) long lead items > 12 months (imaging, headwalls) (3) medium lead time 6-12 months (anesthesia, OR tables, stretchers), (4) short lead time < 6 months.

• At Notice to Proceed, will learn of County

procurement requirements and adjust schedule.

• After scheduling, will develop terms & conditions for each type of purchase- RFP, Group Purchasing Organization, local contracts, sole sourced.

• Will break into bid packages to achieve best volume purchase results.

• We will administer a rigorous sign off and documentation process for VCMC, County, RGG or other stakeholders as required, so a clear record exists of approved final equipment selection.

Example of plan and rendered 3-D coordination model of an interventional radiology room

06

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

LIFE CYCLE COST ANALYSIS AND FEATURES INCORPORATED INTO DESIGN

TAB 06

LIFE CYCLE COST ANALYSIS AND FEATURES INCORPORATED INTO DESIGN

LIFE CYCLE COST ANALYSIS & FEATURES INCORPORATED INTO DESIGN 1 Daylight and views from patient rooms

11

Patient-view friendly cool roof

2 Post occupancy evaluation

12

Low flow water fixtures

3 CO2 sensors and alarms

13

Minimize potable water use for medical equipment

4 Low emitting materials

14

Additional water metering

5 Patient rooms with independent thermal controls Eco-charrette integrated in project design with 6 client participation

15

Climate-friendly refrigerants in mechanical systems

16

Mechanical systems with clean combustion process

7 Green power

17

VAV system reduces energy cost by 26.05%

18

Shading system modulates light and heat

19

High performance low-e glazing

20

Native plant species with low watering requirements

8

Life cycle cost analysis integrated in the design process

9

Alternative transportation options promoted (bike, low emitting vehicles, etc.)

Project No // ENT10102 Hospital Replacement Wing

10 Bio-filtration systems

15 16 11

9

18

19

1

2

5

4

3

17 3

8

6

12

13

20

14

10

7 HWR Possible Points: 65 LEEDTotal Certification Level: Silver Definite / Gold Posible

HRW consumes 26% less energy than Title 24 2005 and 40% less water than EPACT (Energy Policy Act) of 1992 while generating only 24% of the greenhouse gas emissions.

REGIONAL PRIORITY INNOVATION AND DESIGN PROCESS INDOOR ENVIRONMENTAL QUALITY MATERIALS AND RESOURCES ENERGY AND ATMOSPHERE WATER EFFICIENCY SUSTAINABLE SITES

4/4

6/6 12/18 10/16

18/32 5/9 10/18 0

10

20

30

40

50

CERTIFIED SILVER

60

GOLD

70

80

PLATINUM

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 045

â&#x20AC;&#x153;The HRW design gives VCMC immediate value and achieves long term savings, while being environmentally friendly and healthy for patients and staff. Mechanical system options were studied and ultimately almost $1 million was invested in a VAV system that will pay VCMC back its cost in energy savings in less than five years while avoiding maintenance and infection control issues associated with alternative systems. HRW includes other features which save cost over time, such as terrazzo floors, a high quality exterior envelope, shading devices, and low-E glazing. Life cycle costs were analyzed to select the best materials and systems for HRW to achieve LEED Silver, and possibly Gold certification, that provides long term savings to VCMC.

046 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // Building features that reduce the building’s carbon footprint

• The two diagrams to the right illustrate five features in our VCMC design that reduce HRW’s carbon footprint. We have quantified their effect and together these envelope and mechanical features reduce the building’s carbon footprint by 76% compared to a similar hospital built to Title 24 2005 as defined by the RFP.

Cost Savings Our proposed high performance windows, VAV mechanical system, shading system and cool roof will provide VCMC with significant energy savings with a lower carbon footprint.

Item B // Alternative means and methods to provide building performance

• The first diagram to the right shows alternative means and methods to provide HRW building performance.

• Life Cycle Cost Analysis improves the quality of the

building design while performance feedback loops improve building design, construction and operation.

Examples are additional water meters and post occupancy evaluation checklists that maintain optimum building performance and user satisfaction.

• To improve and optimize energy performance, the team

used the state of art BIM technology and Energy model.

Features that reduce HRW’s carbon footprint:

Carbon footprint effect of HRW mechanical system options

u R21-metal frame wall v High performance low-E VNE 1-63 windows w VAV mechanical system x Shading System y R-30 rigid insulation cool roof

1. Title 24 baseline: 9828k lbs CO2e/yr 2. Proposed envelope: 9401k lbs CO2e/yr 3. Proposed envelope + VAV: 7149k lbs CO2e/yr 4. Proposed envelope + VAV Green Power: 2268k lbs CO2e/yr

Means and methods our team has studied which will be refined after Notice to Proceed.

Optimization process Examples of building performance enhancing HRW means and methods after HRW energy performance is operational.

u User controlled lighting v 20% recycled content materials w Daylight and view to outside x High efficiency VAV system y Low emitting materials Post occupancy evaluation checklist

Project No // ENT10102 Hospital Replacement Wing

Item C // Identification of design elements, systems and materials which would qualify the building for a LEED Health Care silver designation or equivalent Our team developed the VCMC HRW proposal design with input from all design, engineering and subcontracting disciplines. When considering LEED 2009 Healthcare points, we carefully balanced costs, performance, program and code. Our proposed VCMC solution will certainly achieve LEED Silver (50 points), and quite possibly achieve LEED Gold (60 points), depending on some decisions we must make with VCMC, County and RGG. We have identified 65 possible points in the following categories: Sustainable Sites Category

• The VCMC site offers many opportunities to achieve

LEED credits. Our proposed project has incorporated: bicycle storage, showers, low emitting parking spaces, and vanpool/carpool parking spaces.

• Bio-filtration is also integrated in the landscape design to achieve a stormwater quality control credit.

• To reduce the heat island effect, we have a patterned aggregate cool roof design on the lower roof.

Water Efficiency Category

• Incorporating low flow plumbing fixtures, HRW will

consume 40% less water than EPACT 1992 based on our preliminary calculation.

• Our proposal also includes additional water meters, dry

vacuum pumps and compressors. The additional meters will enable VCMC to measure and verify its water usage.

Energy and Atmosphere Category

• After analyzing and studying several different mechanical systems, the team selected a VAV system that performs efficiently with easy maintenance.

• Other systems such as under floor distribution and

chilled beams have been analyzed. Both systems cause infection control issues, and chilled beams disrupt patient care because the filters must be periodically cleaned in patient room ceilings, so these systems were not selected.

• Based on the initial calculation, the integration of our

envelope, lighting and mechanical system results in a high efficiency building. HRW performs 26.05% better than the baseline and achieves 13 possible points.

HRW Sustainable Site Strategies

• During construction, our Design-Build team will provide

70% of the required energy as green power to the project for two years. The strategy will provide two points and reduce the carbon footprint of the building.

HRW Energy and Water Conservation Strategies

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 047

048 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item C // Identification of design elements, systems and materials which would qualify the building for a LEED Health Care silver designation or equivalent (continued) Material and Resources Category

• HRW design incorporates several exterior and interior materials with recycled content.

• We will use at least 20% local/regional products and

based on our previous projects, we are targeting an additional 10%. The strategy to use local/regional products reduces the environmental impact and supports local/regional businesses.

• For furnishings and medical furnishings, HRW has

incorporated sustainable materials and the team will assist the owner to choose products that will achieve LEED points.

• We reduced usage of persistent bio-accumulative toxins

such as mercury, lead, cadmium and copper and earned three points.

Indoor Environmental Quality Category

• To enhance indoor environmental quality, low emitting materials have been incorporated in HRW. The construction process will implement best practices for construction in indoor environments.

• To enhance the patient experience, we have integrated daylighting and thermal control strategies, tailored to room locations and orientations, into the design.

Certification success depends on the collaborative participation of VCMC, RGG, and our team. The team will provide a LEED expert to ensure LEED points are pursued, validated and submitted to the appropriate party and to respond to any GBCI review comments.

Additionally, our LEED expert will be available to assist and advise the owner on questions related to the certification process and LEED credits under owner responsibility. The team confirms we will comply with ASHE Health Facility Commissioning Guidelines.

Indoor Environmental Quality and Material Strategies

Patient Experience We have done a detailed thermal and luminous analysis of HRW patient rooms so they will be well designed, comfortable healing indoor environments with views to the outdoors, many of them to nature, accelerating recovery rates, reducing medication, and reducing stress for the patients.

We have responded to the context of VCMC while designing the HRW building envelope. Its design features, such as window dimensions and shading systems, are aesthetically pleasing and have been designed to achieve optimum performance with maximum patient comfort.

We have designed HRW to be a highly functional, healthy, environmentally friendly, LEED Silver— possibly Gold—building that heals both the citizens of Ventura County and the environment.

Design Process

Project No // ENT10102 Hospital Replacement Wing

LEED Checklist

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 049

050 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item C // Identification of design elements, systems and materials which would qualify the building for a LEED Health Care silver designation or equivalent (continued) Fainer Renovation

â&#x20AC;˘ The Fainer renovation is designed with sustainability in

mind. If VCMC decides to achieve full certification, the Fainer renovation will achieve LEED Silver Commercial Interiors 2009 certification.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 051

Item D // Identification of systems and materials which decrease life cycle cost–5 years.

Item E // Life Cycle Cost information/analysis of HVAC, exterior materials, water utilization, electrical use for 15 years or more This chart shows options for HRW envelope, mechanical, lighting and water systems as analyzed for LEED and life cycle cost to a Title 24 2005 baseline, as LEED requires, slightly more stringent than ASHRAE 90.1 2007.

Envelope—The glazing, roof and wall materials with a simple payback of 5 years or less are:

• VNE 1-63 (glazing option 3) has 3.9 years and exterior

shading (glazing option 4) has 3.1 years. These and a partial fritt are combined in glazing option 5 which has a payback of approximately 7 years. The exterior overhangs reduce direct light inside HRW patient rooms and nighttime light pollution to the neighbors.

•

An R-30 rigid insulation cool roof was selected from all the options as this has the best life cycle cost saving after 25 years ($85,388).

• Two wall systems were studied, both of which had simple

payback below 5 years. R-21 option is proposed because it saves more in 25 years.

• The integrated envelope that combines all of these strategies has a simple payback of 7.17 years.

Mechanical—In addition to those required in the RFP, the team studied several systems. CAV options 2, 4 and 5 perform worse than the baseline. Within VAV systems, option 13 has a greater simple payback than option 8, but, unlike options 6 and 8, option 13 has an emergency powered chiller which cools ORs and communication rooms in a power outage. Option 13 is proposed for HRW, which has a simple payback of 6.2 years.

Life Cycle Cost Analysis over 25 years and Simple Payback Analysis of overall HRW project.

Lighting—We considered two options using the new IES requirement for illuminance levels for people age 65+.

Baseline is T5 and T8 fixtures LED for accent, exterior, and exit lighting. The LED as the main lighting fixture option has a long payback and a higher replacement cost.

Water—Low flow fixtures provide less than one year simple payback and result in a large life cycle cost savings over 25 years.

052 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item E // Life Cycle Cost information/analysis of HVAC, exterior materials, water utilization, electrical use for 15 years or more. (continued)

Life Cycle Cost Analysis data showing Energy Use Intensity of HRW project elements.

Project No // ENT10102 Hospital Replacement Wing

Life Cycle Cost Analysis data showing Utility Costs of HRW project elements.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 053

054 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item E // Life Cycle Cost information/analysis of HVAC, exterior materials, water utilization, electrical use for 15 years or more. (continued) The result of our comprehensive energy calculations and life cycle cost analysis of HRW over 25 years, calculation parameters, and the energy model are all provided in the Appendix.

Before analyzing life cycle cost, the impact of different options was studied using Carbon Dioxide (CO2e) emissions, EUI (Energy Unit Intensity (kbtu/sf/yr) and the annual utility cost. The CO2e analysis results are explained in Item A of this section.

The Envelope study shows that most of the strategies undesirably increase the EUI, because heating usage increases due to higher insulation. However, the HRW proposed envelope still performs very well with 7.07% savings. In the mechanical options, most of the options reduce the EUI of HRW except option 4 and 5. After assessing the life cycle cost of each option, the available budget and the operation and maintenance of the building, option 13 is proposed, which reduces EUI by 29.75%.

Almost all the mechanical system options show significant improvement over the baseline except option 2, which performs slightly lower because the chiller system uses different temperatures than 40 degrees Fahrenheit despite the economizer. The selected mechanical system performs 26.05% better than the baseline, and HRW will earn 13 LEED points for this system.

By using the NIST (National Institute of Standards and Technology) standards, HRWâ&#x20AC;&#x2122;s overall cost savings from baseline is approximately $6,570,067 over a 25 year period. The envelope and mechanical systems contribute $2,423,090 and $3,400,272 respectively, while the plumbing system contributes $746,705. Additionally, based on the preliminary calculation using Title 24 2008, we estimate VCMC will receive $500,000 from the Savings by Design program, which will increase the overall savings to $7,057,067 over 25 years.

For lighting, there are no additional life cycle cost savings because the proposed lighting system is equal to the baseline. However, VCMC will receive a facility with enhanced illumination that complies with the latest IES standard for occupants age 65+.

HRW annual utility costs were carefully analyzed because of their long term financial impact to VCMC. The team chose enhanced envelope options for wall, glazing and roof materials in order to help make HRW less costly for VCMC to maintain and operate. The total integrated envelope performance of HRW is 7.58% better than the baseline.

Life Cycle Cost Analysis Savings over 25 years of selected HRW design.

07

TAB 07

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

STRUCTURAL DESIGN

STRUCTURAL DESIGN

Project No // ENT10102 Hospital Replacement Wing

STRUCTURAL DESIGN

Current 3-D model of HRW showing structural elements.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 055

“Our structural design was done handin-hand with Medical Planning, Soils Engineering, and all other disciplines. A regular 30’ x 30’ grid was established early on, with key locations where moment frames can be uninterrupted from foundation to roof with simple spread footings sitting on treated soil. We decided to hold the HRW footings a safe distance from Fainer and Café/Lab footings, so we do not affect their foundation bearing, and cantilever the HRW structure to those buildings where they meet HRW functionally.

Finally, we minimized any transfer girders to a few which were necessary at loading dock.

Early thoughts to do a Sideplate system were re-examined due to OSHPD feedback, and we settled on an RBS moment frame, which has been used many times on OSHPD buildings and is free from some restrictions that come with Sideplate. We truly believe our structure has hit a ‘sweet spot’ of high safety, vibration control and stability, while achieving the building’s design, constructability, and future flexibility goals.

056 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

09

I. Agency’s requirements will be met or exceeded Here is how we have met or exceeded the Agency’s requirements:

08

07

06

05

04

03

02

01

FOR PRICING

Existing Fainer Building (partial)

Team VCMC HRC 06 SM

• We have designed to a minimum floor Live load of 80 psf J

J

(plus 20 psf partition load) at areas other than corridors, exceeding the Agency requirements.

• Design is based on Occupancy Category IV and Seismic Design Category F.

H

H

• A complete three-dimensional dynamic modal response spectrum analysis will be performed.

• Designated areas of the floor such as patient rooms, OR’s and Imaging & Radiology are designed for restrictive vibration criteria, exceeding Agency requirements.

G

G

• Transfer girders are avoided wherever possible. Where unavoidable, transfer girders and associated framing layout considered repetitive framing and economical member selection.

F

Fainer piles

F

• Exterior skin of the building is designed to a live load

Current 3-D model of HRW structure showing existing Fainer building and its pile foundations.

Café/Lab footings

deflection limitation of L/600 for brittle/stucco finish and L/360 for flexible finish, exceeding Agency requirements.

E

E

• The special steel moment resisting frame is one of the most ductile and redundant structural systems with a response modification factor R of 8.

• There are no in-plane discontinuities in vertical lateral D

D

force-resisting elements. All vertical elements of the lateral force resisting system continue to the foundation, exceeding OSHPD requirements.

Consultant Seal

C

Agency Approval

FILE NO.

C

VCMC  HRW Z:\_BD\BD1108Ventura County Hospital\01MODEL\1405_S12 _Central.rvt

3291 Loma Vista Road Ventura, CA 93003

B

B

(805) 6526000 www.vchca.org No.

Pricing Set

Description

Date 06/22/2012

Drawing Title:

A

A

3D VIEWS "FOR REFERENCE ONLY"

HRW is designed to vibration criteria for all structural slabs as required by the RFP, so sensitive procedure rooms have minimal vibration. Criteria for all slabs are in the submitted Structural package. STMOD.1 Architect's Seal

Project No.

1405001000

Scale:

Drawing No.

09

6/28/2012 2:51:56 PM

08

07

06

05

04

03

02

01 PLEASE RECYCLE

20120622

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

II. Proposal for the structural system

•

Foundation designed for a differential settlement of L/600.

•

The steel moment frames are located so as to provide maximum redundancy and maximum flexibility for interior space planning, allowing unobstructed perimeter windows.

HRW Structure Setback

We are holding HRW structure away from Fainer and

other existing buildings to avoid impacts to the existing building foundations. This mitigates the risk of delays by eliminating the need for lengthy justification with OSHPD.

u

Simple spread footings over enhanced soil, eliminates

need for expensive 8' diameter piles with mat. Shorter schedule, easier to coordinate utilities.

Grade beams under moment frames.

Reduced Beam Section (RBS) moment frame.

Connection non-proprietary, used extensively on OSHPD hospital projects. No surprises. No issue with OSHPD approval.

Steel superstructure with mostly 30' x 30' grid—very

SOIL IMPROVEMENT AWAY FROM EXISTING FAINER PILES

Section showing HRW structure held back from Fainer and cantilevered to avoid disturbing Fainer piles.

regular and cost effective. Concrete over metal deck.

Floor slabs modeled as Semi-Rigid Diaphragm to

properly account for the diaphragm openings, reentrant corners and diaphragm flexibility relative to the stiffness of the moment frames.

Cost Savings Despite challenging soil and an irregular site, HRW’s structure is regular, simple and efficient. This enables more of the project budget to go to providing VCMC with valuable enhancements.

Current 3-D model of HRW foundations

Current 3-D model of HRW framing and decking

// 057

058 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

III. Coordination with OSHPD permitting of all projects and increments We have provided an OSHPD permitting and increment plan on this page, and a detailed project schedule in Tab 14, Project Work Plan/Schedule. To keep the schedule, we are proposing the following distinct permits for Structural items:

•

» Make-Ready = shoring, cube mods, temp canopies » Foundation and utilities permit » Superstructure permit » Fainer ED remodel, stair addition, new ED canopy » Temporary utility routing over Building 404

VCMC HRW Document Packaging Strategy Project No. 1 // Site Make-Ready

• Make-Ready Work (OSHPD Approval) » Utility relocations limited to Fire Water supply. » Main hospital entrance relocation improvements including temporary canopies.

» Ambulance entrance relocation improvements including temporary canopies.

» Interim campus Fire Exiting plan and pathways and canopies.

• Our team has committed to an early design development start, after award but prior to the Ventura County Notice to Proceed in early December 2012.

• In October and November 2012, we will develop the

Structural packages for early permits- Make-Ready, Foundation and beginning of Superstructure, so when NTP is awarded, we will have a headstart and can submit per the schedule.

• We have validated this packaging approach and

preliminary timing with OSHPD during the proposal period. We know there may be challenges with OSHPD’s funding and/or workload in fulfilling the VCMC MOU.

• This team has extensive experience with the OSHPD

permitting process and incremental phased review, both as part of the design team and as contract plan review for OSHPD. This team has successfully delivered multiple projects on time. We are confident that we have a strong ability to navigate this process with VCMC, RGG and OSHPD, and provide documents that can be reviewed and approved by OSHPD per the schedule.

» Civil Grading plans associated with works of improvement • Make-Ready Work (Ventura Approvals) above. » Site walls and foundations » MEP Plans for lighting, drainage associated with works of » SWPP Plan improvements above. » Site Utilities from POC to Building » Existing facility load, shoring and underpinning criteria, » SCE Services lateral support systems approach. » Shoring design for building excavation. » Re-routing of existing utilities that require OSHPD approval.

Project No. 2 // Hospital Replacement Wing

• Increment No. 0 - Design-Build modifications to Geotech report (replace GEOR) with updated recommendations.

» Building loading diagrams and detailed approach to soil treatment.

» Test program for ground improvements. » Test results and documentation. » Ground improvement methodologies approved for construction.

• Increment No. 1, Structural framing package with related architectural plans.

» Segment (01A), Detailed approach to design (Basis of Design)

/ Detailed approach to design, basis of design (ASMEP) narrative with diagrammatic approach for all building systems / Loading criteria & map

» Segment (01B) Code analysis for entire facility all systems. • Increment No. 3, Building shell/enclosure. / Fire/Life Safety Analysis » Segment (01) - Exterior Envelope curtain wall, exterior / Project Fire life safety plan, exiting, and campus fire life safety plans / Existing facility study, foundations, surcharges and extents of existing facilities.

» Segment (02), Building computer models for gravity and lateral and related documents.

Shell

• Increment No. 4, Interior construction (includes architecture and MEP, low voltage and life safety/fire protection, elevators, finishes, etc.)

connection design, base plate design etc.

design. Also stairs, canopy, screen wall & rail design.

» Segment (03), Mech, electrical, plumbing, security, fire

specifications, general notes & typical details for Increment 2 and incorporating all of the previous segment items.

» Segment (04), Structural » Segment (05), Anchorage and SSC

» Segment (04), Structural diaphragm, chord, and collector » Segment (05), Final increment 2 package including • Increment No. 2, Foundation and underground utility package.

foundation design, foundation specifications & general notes and related MEP systems below grade.

Project No. 3 // Fainer Building Related Renovations and Selected Upgrades

renovation.

» Segment (02) - Structural package related to Core and

» Segment (01), Elevators » Segment (02), Architectural floor plans and reflected

» Segment (03), Gravity and lateral design along with

» Foundation design, drawings, typical details related to

• Increment No. 1, Fainer emergency department

framing, roofing, waterproofing

• Increment No. 2, Fainer related upgrades.

ceiling plans

alarm, low voltage/IT, fire protection

• Increment No. 6, Medical planning and technology. » Segment (01), Basis of design and medical planning. » Segment (02), Infrastructure and related support systems.

PLUMBING AND HVAC DESIGN

08

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

PLUMBING AND HVAC DESIGN

Patient Experience

TAB 08

Tab

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 059

PLUMBING AND HVAC DESIGN

View of a 3-D coordination model of a typical plumbing room

VCMC HRW boiler room current 3-D design model

â&#x20AC;&#x153;HRW Plumbing and HVAC designs are based on commonly used systems, with innovative ideas that achieve superior function, energy efficiency and reduced costs. The proposed VAV air system will enhance patient comfort and saves VCMC more than $19,000 per month in energy costs for the life of the building. Innovative plumbing ideas, such as 3" waste water pipes and siphonic roof draining, allowed for the location of plumbing facilities in a manner to orient lower acuity patient rooms to views, enhancing healing and providing the operational benefit of same-handed rooms. Innovative heat trace water heating and low flow/low cycle duration faucets allow HRW to consume 40% less water than EPACT (Energy Policy Act of 1992).

060 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // Plumbing Design Narrative 1. Identity systems design

• Piping will be copper tubing type L. Where it occurs,

Domestic Water

• Ultra high efficiency fixtures will be provided to

• Domestic water will be supplied to HRW from the

relocated utility mains through a central backflow preventer. Cold water will be pumped to serve the fixtures throughout HRW. Domestic water pumps will be arranged in a triplex n+1 configuration with VFD drives.

• Domestic water will be softened with an ion cylinder

piping below grade will be type K wrapped with no fittings. In general, this only applies to trap primers.

maximize water savings based on the LEED 2009 water efficiency calculation. Water closets will be 1.1 GPF battery operated sensor valves, urinals will be pint-flush sensor valves (waterless are not allowed in Patient care environments), and lavatories will have 0.4 gpm laminar flow restrictors. Other fixtures have been selected with appropriate flow restrictors to maximize water savings.

Sanitary Waste and Vent

• All plumbing fixtures will be provided with sanitary waste and vent piping connected to the relocated site sewer system. Ejector pumps will be provided in the HRW Basement for fixtures that cannot drain by gravity, and connected to the gravity system. All fixture vents will be collected and discharged at appropriate roof locations.

• Sanitary waste will slope at ¼" per foot (2%). Where

structural and site conditions dictate, drains 4” and larger pipe will slope at 1%.

exchange manifold in the basement of the HRW. This system will replace the central system presently located in Building 328 that serves the campus. Soft water will be pumped to serve the central steam-fired water heaters in the HRW Basement. Water will be heated to 140F to eliminate the potential for Legionella and then tempered to 120F prior to distribution. Hot water heaters will be provided with a high temperature alarm set to 125F.

• Both cold and hot water will be looped throughout

HRW to deliver water to all fixtures while minimizing friction losses and pressure fluctuations. Hot water will be circulated back to the water heaters to maintain the temperature of the hot water supply. Soft water will be back-fed to the Fainer building to serve its hot water supply as well as the relocated main.

• Piping will be sized per Code utilizing Hunter’s Curve

and the appropriate flush valve and flush tank diversity curves. Hot water branch sizes will be minimized to reduce hot water delivery times. Maximum water velocity will be 8 ft/sec for cold water and 5 ft/sec for hot water.

The residual pressure will be maintained at 35 psi minimum.

• Service valves will be provided for fixture groups with

individual supply/stops at each fixture. Tempering valves will be provided for fixtures requiring tempered water.

Water will be metered as required in conjunction with the LEED building program for measurement and verification purposes.

We will model domestic and sanitary plumbing and attachment to structure for VCMC to this level of detail

• Floor drains and floor sinks will be provided for all areas

and fixtures requiring drainage (air handlers, sterilizers, trash areas, etc.). Trap primers will be provided for drains that do not receive water flow on a regular basis, such as toilet rooms and other general purpose floor drains.

• Heavy duty couplings will be provided for piping that must cross sensitive areas.

• Drainage will be provided where required for test and drain of the automatic fire sprinkler system.

• Sanitary waste piping will be replaced throughout the Fainer building above grade.

Project No // ENT10102 Hospital Replacement Wing

Storm Drain System All roof areas will be provided with storm drains connected to a gravity storm drainage system. Overflow drains will be provided where required and will spill to grade in a visible location. The design will be based on Table D1 of the California Plumbing Code, or 3" per hour rainfall rate.

Siphonic roof drainage is provided for economy and to ease ceiling congestion. Heavy duty couplings will be provided for piping that must cross sensitive areas.

Fuel Gas System Gas service will be provided to HRW from one of the nearby relocated gas mains. Gas will be served by a Utility meter and pressure regulator, as well as a seismic shut-off valve. Gas will be piped to all required equipment, including the boilers and certain medical equipment.

Medical Gas Systems The HRW will include Oxygen, Medical Compressed Air, Medical Vacuum, Waste anesthetic gas disposal (via the medical vacuum system), Nitrous Oxide, Nitrogen and Carbon Dioxide medical gas systems.

Oxygen will be provided from a central bulk oxygen tank (vendor supplied) along with an emergency connection, and will be back-fed into Fainer. Temporary oxygen supply will be provided as part of Make-Ready work.

Medical air and vacuum will be provided by equipment located in the basement. Both sets of equipment will be deigned to n+1 criteria, and will be back-fed to Fainer.

Nitrous oxide, nitrogen, and carbon dioxide will be provided by exchange cylinders located in the basement. Nitrous oxide will be back-fed to Fainer.

Oxygen, air and vacuum will have two main riser locations, one serving the 2-story portion of HRW and the other serving the 3-story portion. The surgical gases, nitrous oxide, nitrogen, and carbon dioxide will only have one riser location in the 3-story portion of HRW since that is where surgery is located.

Seismic Bracing Seismic bracing will be provided as required by CBC and OSHPD, and will be carefully coordinated with all disciplines to avoid conflicts.

Current 3-D model of HRW Med Gas and Transformer Yard. Actual required clearances and separations between equipment are provided as required by NFPA. The steel trellis screens this equipment from patient view, but allows SCE removal of transformers.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 061

062 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // Plumbing Design Narrative 1. Identity systems design a. Design and location of additional 10% capacity over current design loads Equipment and piping will be designed with 10% spare capacity factored into sizing criteria. Source equipment will allow 10% additional capacity than that determined by system calculations. Piping will be provided with future valves to allow for 10% additional system connections at a future date. These valves will be provided at strategic junctures where future demand might be anticipated.

Item A // Plumbing Design Narrative 2. Identify fixtures to be furnished Plumbing fixtures are called out on the drawing fixture schedule and specifications. Here is a summary of fixture types:

• Water closets will be 1.1 GPF battery powered sensor piston valves.

• Patient room water closets will be provided with bedpan washers.

• Urinals will be pint-flush with battery powered sensor piston valves.

• Lavatories will be wall mounted with battery operated

Item A // Plumbing Design Narrative 3. Identify Energy Conservation measures included VCMC HRW is designed with UHE (Ultra High Efficiency) plumbing fixtures to maximize water savings, minimize waste effluent, and achieve the relevant LEED points. Our HRW plumbing design has been calculated to achieve 40% water savings below EPACT 1992 (base for LEED). One reason for this excellent performance is our use of sensor lavatory faucets with an adjustable run time cycle. We recommend VCMC set the HRW faucets to a 7.5 second run cycle, which has been shown to minimize water waste after a user has walked away from the fixture, or while they are applying soap to their hands. In addition, HRW will achieve energy savings because of the variable frequency drives on the water pumps.

Cost Savings VCMC HRW will consume approximately 40% less water than EPACT 1992, using several ideas. In addition to UHE (Ultra High Efficiency) plumbing fixtures, the low flow rate (0.4 gpm) and flow cycle duration (7.5 seconds) of our lavatory faucets significantly reduces water waste and associated waste effluent.

sensor faucets, 0.4 gpm.

• Sinks will be 10 gauge stainless steel with wrist blade handles, 1.5 gpm.

• Showers will have pressure balanced valves with ADA compliant hand showers, 1.75 gpm.

• Housekeeping rooms will have floor mounted mop sinks with all the usual accessories.

• Soiled utility will have clinical sinks with bed pan washers and a traditional sink.

• Scrub sinks will be either single or double station, stainless steel with sensor faucets.

• Emergency showers and eye washes will be provided where required with tempered water.

Item A // Plumbing Design Narrative 4. Future flexibility The 10% spare capacity noted in Item 1a will allow for certain future plumbing flexibility. Where we have provided n+1 redundancy at source equipment, the future flexibility far exceeds the 10% spare.

We have also routed HRW piping systems through corridors wherever possible, with valves located in serviceable areas. This enhances HRW future flexibility, enabling pipe additions or changes to be made with little to no interruption to hospital operations.

Our VCMC Design-Build subcontractor will model HRW plumbing in 3-D, including OSHPD required attachment, and coordinate plumbing with all disciplines during the design phase.

Facility Engineering In areas required by LEED verification to be metered, we will use a hybrid hot water temperature maintenance system. This hybrid hot water system will be circulated up to the metered area (such as Central Sterile) and will be ‘dead ended’ after the water meters, then heat trace cable will be used to maintain water temperature, minimize wait time for users, and minimize water waste. While not traditionally used in hospitals, we have confirmed with OSHPD that heat trace cable is acceptable in non-patient areas.

Project No // ENT10102 Hospital Replacement Wing

Item B // HVAC Design Narrative 1. Identify air conditioning and exhaust systems General In designing the HRW HVAC system, our goals are to provide VCMC with the following:

• Occupant comfort • Acceptable indoor air quality • Acceptable noise levels • Energy efficiency • Reliable operation with ease of maintenance • Redundancy • Additional spare capacity over current design loads • Future flexibility • Optimized infection control We are designing all prime moving equipment to be isolated to prevent transmission of vibrations to the structure. Air conditioning, heating, ventilation, inside temperature, humidification, filtration and air change rates for all spaces in the hospital will comply with CMC Table 4A and 315 and room data sheet criteria listed in the RFP.

Emergency Power

Steam Plant

The following equipment will be connected to the emergency power system:

• There are three boilers in the HRW basement with direct

• All air handler units • All exhaust fans • Fan coil units serving electrical rooms, elevator machine

rooms, MRI equipment room, and CT scanner equipment room

• Computer room air conditioning units, CRAC’s, serving CMP02 IS room

• Booster air cooled chiller and its associated pumps • Boilers • Deaerator DA-1 • Surge tank ST-1 • Boiler feed pumps BFP-1, BFP-2, and BFP-3 • Boiler transfer pumps TP-1 and TP-2 • Condensate pumps • Fuel oil pumps serving the boilers • Building automation and control system

access to the loading dock, with double doors opening to the outside for ease of access to the tube bundles, service and replacement. These boilers have sufficient capacity per the RFP and Code to serve HRW as well as the existing buildings.

• The boilers are CBEX firetube boiler, the latest design

available by Cleaver-Brooks manufacturer. They are designed around the oversized furnace volume and riffle tubes to improve NOx performance, achieve 82% efficiency, and reduce footprint. The oversized furnace can capture 70% of the burner energy in the first pass, which leads to lower combustion temperatures. The boiler incorporates the Cleaver-Brooks integral NT burner design for Ultra-Low NOx performance, and has a certified 5 ppm NOx burner / trim package with 4:1 turndown.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Cost Savings

Our 5 ppm NOx emissions limit exceeds AQMD’s current requirement of 9 ppm. In the future, VCMC will not have to replace the HRW boiler burners when AQMD adopts more stringent criteria.

Facility Engineering HRW boiler plant can be fully operational during the boiler, surge tank, and DA tank maintenance due to our valving and boiler arrangement.

• The boiler package uses the standard trim for efficiency

and Ultra-Low NOx performance: Parallel Positioning, O2 Trim, VFD, and Modulating Feedwater Valves. Based upon the oversized furnace volume and riffle tube design, the CBEX boiler is capable of achieving and independently certified to 5 ppm NOx which exceeds AQMD’s current requirement of 9 ppm.

• Two steam to hot water heat exchangers will provide

Outside Conditions:

space heating hot water to the reheat coils.

Summer

• Two clean steam generators will provide clean steam to

89 °F Dry Bulb

the humidifiers. These will be equipped with an automatic surface blow down system.

68 °F Coincident Wet Bulb

72 °F Design Wet Bulb for Cooling Tower Selection

• The dearator and the surge tanks will be designed with

Winter

special valving arrangements to allow either one to feed the boilers during maintenance.

34 °F

Design temperatures for VCMC HRW

In addition to the above criteria and recommendations obtained in the Wind Study Report, appropriate filtration, clearances and automatic operational strategy will be incorporated into the HVAC system design to avoid any fumes migrating to the building through the HVAC system.

All exhaust fans will be located 25' from building openings and outside air intakes.

Current 3-D model of VCMC HRW emergency generator room

// 063

VCMC HRW boiler room current 3-D design model

064 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item B // HVAC Design Narrative 1. Identify air conditioning and exhaust systems Cooling Plant

• The chiller room is located in the HRW basement with

direct access to the loading dock. Our two proposed centrifugal chillers are located in front of double doors open to the outside for ease of access to the tube bundles, service and replacement.

• The chillers are sized to maintain required temperature ranges specified in CMC Table 315 during periods of breakdown or maintenance of any one chiller.

• A booster air cooled chiller is provided with sufficient

capacity to lower the supply air dew point of the air handling unit serving the operating rooms. This arrangement will allow the main chillers to operate more efficiently. The booster chiller will be on emergency power and is sized to provide cooling to the operating rooms, IR rooms, Angio rooms and communication rooms in case of emergency. A special valving arrangement is provided to allow for the emergency switchover.

• The HRW chilled water system is based on all Variable

Frequency Drives (VFD) for the chillers, cooling towers, chilled water pumps and condenser water pumps. The chillers are high efficiency type meeting minimum of 0.55.

KW/ton, 0.35 IPLV and all the motors are of premium efficiency type. The proposed chilled water pumping system is a Primary Variable Flow (PVF) system with pressure independent control valves on the cooling coils.

The proposed PVF design uses fewer pumps and fewer piping connections than primary-secondary systems and will reduce VCMC’s energy cost.

• The PVF coupled with pressure independent control

valves at the chilled water coils maintains the desired chilled water delta T at all time and eliminates the inherent problem of low delta T that occurs with a primary-secondary pumping system.

• In addition, Johnson Controls Central Plant

Optimization™ 10 (CPO 10) is included in the base bid.

A system utilizing CPO 10 can operate up to 15% more efficient than a basic automation approach. CPO 10 utilizes programmatic set point adjustments to reach an enhanced efficiency.

• There will be two cooling towers on the roof of stainless

steel structure with casing panels constructed of corrosion and UV-resistant fiberglass reinforced polyester (FRP). The cooling tower fans will be of quiet type and have variable frequency drives. A sand separator will be provided next to the cooling tower and chemical tanks will be located in the chiller room so the chemicals are not delivered to the roof.

Current 3-D design model of VCMC HRW Chiller Room

Facility Engineering

Cost Savings

In the event of breakdown or maintenance, HRW can run on one of two chillers, and temperatures will be maintained in the key building spaces such as Surgery, Imaging, Interventional and Patient Rooms.

Johnson Controls Central Plant Optimization™ 10 (CPO 10) with all Variable Frequency Drive are provided to optimize the chillers. This system can operate up to 15% more efficiently than the basic automation approach and it will save VCMC considerable energy costs over the life of the building.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 065

Item B // HVAC Design Narrative 1. Identify air conditioning and exhaust systems Air Handling and Distribution During the proposal period, we studied several air distribution systems and compared energy use, life cycle and maintenance costs, and other issues for the HRW design. Energy models of each of these are being submitted with our proposal.

System

Displacement Ventilation (DV): Although successfully implemented in some education and commercial buildings, this technology is less proven on hospital projects. The June 2011 ASHRAE monthly journal article. “Displacement Ventilation in Hospital Environments”, and “Healthcare Ventilation Research Collaborative: Displacement Ventilation Research-Phase ll Summary Report” (Dec. 2009), both are cautious about using DV. Our energy model for this system is based on displacement ventilation in the patient rooms and variable air volume systems with return air and economizer elsewhere.

Chilled Beam: We considered using chilled beams in Med-Surg patient rooms.

This system has favorable energy savings, however initial costs and maintenance are higher than VAV or a CAV system. This system has been used in laboratories with high internal sensible load, not typically in healthcare facilities.

Advantages

• Lower fan energy.

Disadvantages

• Technology not yet proven in a large number of California hospitals.

• Performance affected by glazing, continuous adjustment to the window • •

• Lower energy costs than a VAV system.

• Coils in patient rooms must be cleaned often, causing maintenance cost • • •

100% Outside Air: Our decision for not choosing this option includes references from the 2009 CSHE Engineering News article, “Should My Hospital Use 100% Outside Air or Recirculated Air? Absolutely YES!” written by Robert L. Scott, PE. We performed energy modeling for 100% outside air system with and without heat recovery. The 100% outside air system with heat recovery provided 1% more energy savings when compared to the system without heat recovery. However, the system with heat recovery would have higher maintenance costs and lower lifecycle costs.

• Reduced initial cost due to supplying lower air changes than a VAV or Constant volume system.

cost to cool air.

• VCMC’s environment has higher moisture and salt and will corrode • • • • •

Variable Air Volume (VAV) System with Return Air System and Economizer: The energy model is based on variable air volume air handler units with economizer, terminal boxes with re-heat coils for supply, terminal boxes on return air for each zone, and ducted return air. The OR rooms are modeled with occupied/ unoccupied controls.

• Proven technology, low maintenance cost, reduced heating input.

• Ability to return air or use 100% outside air depending on outside air conditions.

• Cleaner indoor air due to multiple passes through the air handling unit filter system.

Less particulate build up on filter compared to 100% outside air system.

Better control over indoor humidity with less humidification required.

• • • Proven technology, better control over indoor humidity, less humidification required.

• Lowest heating input, self balancing, less particulate build up than 100% outside.

• Lower energy cost than 100% outside, can operate as 100% outside when favorable.

and possible patient medical issues with dust.

Higher first and energy costs than a VAV system.

These units do not have filters. Alternate method of compliance from OSHPD would be required.

Hydronic piping would run above the ceiling that could leak water and cause damage.

• Enthalpy (outside temperature and/or humidity is high) = higher energy

•

Constant Air Volume (CAV) with Return Air System and Economizer: Compared to 100% outside air distribution system. The energy model is based on constant volume air handler units with economizer, terminal boxes, reheat coils and ducted return air to each zone. The OR rooms are modeled with occupied/ unoccupied controls.

shading device, location of furniture, location of heat-producing equipment are difficult to manage.

A supplemental heating system would be required in Ventura.

Higher first, maintenance and life cycle costs than a VAV system.

metal air handling units and ductwork.

High humidity can wet air handling system and cause bacteria growth both at the air handling unit and in the patient rooms.

Low humidity requires humidifiers; will increase risk of virus infection.

Reduces filter life and increases long-term maintenance cost.

Moisture and dirt combined become microbial amplification sites within the air handling system.

Cannot recirculate air in case of bio-terrorism, wildfires, chemical spills, or exhaust fumes from Fainer.

Cannot recirculate air unless all ventilation and cooling are also shut down.

• Higher initial cost than 100% outside air.

• Air handling units run at constant maximum fan speed whether required or not.

• Higher energy cost than VAV system.

• Higher initial cost than constant volume system with economizer and 100% outside air.

• Air terminal box required on each return box increases first cost.

• Higher energy cost than VAV system.

066 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item B // HVAC Design Narrative 1. Identify air conditioning and exhaust systems Air Handling and Distribution Based on the previoius page comparison, we recommend the use of a Variable Air Volume (VAV) air distribution system with return air, economizer and OR rooms set back control.

Cost Savings We have invested almost $1 million of the budget to upgrade to a Variable Air Volume HVAC system. This will save VCMC approximately $235,000 per year in energy costs over a conventional Constant Air Volume system, for the entire life of the HRW building and exceeds the energy saving goal of the RFP. There will be four air handler units serving HRW. As required by Alternate No. 5, sufficient space is provided on the roof for an additional air handler unit to serve Fainer.

The air handler units are zoned as follows:

• Zone 1: AHU-2-1 located on the two story mechanical

well and serves the basement, 1st and 2nd floors of twostory portion of the building.

• Zone 2: AHU-4-1 located on the roof of the three story

tower and serves the Surgery Suite, IR rooms, and two Angio rooms.

• Zone 3: AHU-4-2 located on the roof of the three story

tower and serves 2nd and 3rd floors of the three-story portion of the building. This unit is sized to have sufficient capacity to serve the third floor shell area. Supply and return ducts will enter the shell area and will be capped for future air distribution.

• Zone 4: AHU-4-3 located on the roof of the three-story

tower and serves the 1st floor of the three-story portion of the building and the first floor remodel area of the Fainer building. This unit will be sized larger (an additional 20,000 CFM) if Alternate No. 1 is accepted.

• Zone 5: AHU-F-1 located on the roof of the three story

tower and serves the existing Fainer building if Alternate 5 is acceptable. Alternate 5 will provide an allowance of 40,000 CFM.

Cost Savings We are providing air handler capacity and supply and return ducts to our third floor shell space. This enhancement can be fit out by VCMC in the future to achieve an additional 12 Med-Surg beds beyond the required program.

Each air handler unit will have the following components:

• Carbon filters on minimum outside air section.

• Sound traps.

• Moisture eliminator.

• Pre filters.

• Cooling coil.

• Ultra Violet Lights.

• Heating Coil for OR air handler unit only, allowing for closer humidity control of the operating rooms.

• Economizer section.

• Final filters.

• Multiple fan-array type supply and return fans. To provide continuity of service, the fan arrays will have built-in redundancy and be sized to maintain design airflow in the event that one fan fails, providing concurrent maintainability.

Separate minimum outside air dampers with carbon filters. These will be supplied to the outside air section if required by the Wind Study Report. Pending results of the wind study, the control system will be design to set the air handler units at their minimum outside air position during helicopter landing and pass the outside air through the carbon filters to avoid fume migration to the building via the air handler units.

Patient Experience All HRW air intakes will have separate carbon filters, which will be activated during helicopter landings and prevent fumes from entering the building.

• A dedicated exhaust fan will be provided for pharmacy

chemo room, cart wash exhaust in the central supply area, hot lab, MRI room, and Isolation rooms. Each isolation room exhaust fan will be provided with bag in/ bag out pre filters and HEPA filters.

• Each floor will be designed with one or more dedicated

general exhaust fans. This arrangement, coupled with having terminal boxes on the supply and return ducts for each zone, will allow for shut down of air flow to each floor and critical area without affecting adjacent spaces and maintain proper pressurization.

• There will be a dedicated exhaust fan in the loading area.

• Low silhouette exhaust fans will be designed on the

roof of the two story building to comply with the projects height limitations. All other exhaust fans will be utility vent set type and will have variable frequency drives.

• Humidifiers will be provided for each operating Fan coil units will be provided to serve the following spaces, sized based on the actual heat dissipation from the equipment.

• Elevator Machine Rooms.

• Communication Rooms.

• Large Electrical Rooms, MRI, CT Scanner Equipment

room, Angio room, IR room, C-section room, Trauma room, Cardiac room, MRI room and CT scan room.

Humidification for several zones in the same exposure will be provided for the NICU rooms, ICU rooms, PICU rooms and LDR rooms. Clean steam with all stainless steel distribution piping system will be supplied to the humidifiers.

Room.

• Chiller room.

• Plumbing room.

• Mechanical rooms.

Air will be distributed via fully ducted systems. Each zone will be served by a pressure independent, single duct Variable Air Volume terminal unit with HW reheat coil and a pressure independent return terminal box.

• IV and chemo rooms located in the pharmacy will be

Facility Engineering In the event of fan breakdown or maintenance, HRW can run air handlers without reducing airflow to any of the spaces.

designed per USP 797.

• Split cooling unit will be provided for the Data Center in Building 404.

• Stair-pressurization will be provided for the new Fainer stairs.

• Each NICU room will have low-return air distribution.

VCMC HRW upper roof air handlers current 3-D design model

Project No // ENT10102 Hospital Replacement Wing

Item B // HVAC Design Narrative 1. Identify air conditioning and exhaust systems Air Handling in Operating Rooms The following enhancements will be incorporated to the operating room air handler units:

• Control Systems are provided to provide night set-back/ afterhours set-back strategy to reduce air flow when the OR room is not in use.

• The supply air will be sufficiently cooled to remove the moisture prior to being reheated. A reheat coil will be designed in the OR air handler unit to provide precise humidity control.

// 067

Item B // HVAC Design Narrative 1. Identify air conditioning and exhaust systems a. design and location of additional 10% capacity over current design loads (continued)

• Clean steam humidifiers are provided for each zone.

• Laminar flow air distribution with non-aspirating air

diffuser and HEPA filters is provided for the operating rooms, IR rooms and Angio rooms. Sufficient diffusers will be provided to cover the surgery theater as recommended by ASHRAE Standard 170 and NIH. All return air will be removed at low level.

Steam Plant

Air Handling and Distribution

• Use of two pieces of equipment for the space heating

• All air handler units will have an additional 10% extra

• Boilers are sized to have 10% future capacity.

• Use of three boilers allows for one to be under

• Each shaft is sized with 20% additional capacity for future

heat exchangers and the clean steam generators provide redundancy and maintenance flexibility.

maintenance, one on stand-by, and one operational.

Cooling Plant

• There will be two centrifugal electric chillers, each sized

to meet 60% of the load. This will provide more than 10% extra cooling capacity.

• Chillers and cooling towers will have 10% extra capacity.

Fluid dynamic modeling of laminar flow in an Operating Room

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

VCMC HRW Operating Room current 3-D design model

capacity over current design loads and an additional 5% extra capacity for duct leakage. expansion and renovation.

• AHU 4-2 has sufficient capacity to serve the shell area on the third floor.

068 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item B: // HVAC Design Narrative 2. Energy conservation measures

Air Handling and Distribution

• To maintain pressurization between the spaces, reduce

air flow at part load condition, save energy and maintain CMC required air changes, pressure independent terminal boxes are provided on the supply and the return duct for each zone.

Steam Plant

• Variable volume hot water pumping system reduces pump energy.

Cooling Plant

• Air handling unit design will utilize face velocities of 450

FPM across the filters and coils versus the industry standard of 500 fpm and cooling coils will be selected for a maximum of 8 fins per inch versus 10 to 12 fins per inch to reduce coil pressure drop and save energy and maintenance.

• Variable primary chilled water pumping system reduces pump energy.

• High delta T chilled water system (18 degree) reduces pump energy.

• High efficiency chillers with all motors (all pumps, cooling control system can be 15% more efficient than a basic automation system.

• We are providing an air cooled booster chiller for the ORs.

• Chillers and cooling coils will accept higher temperature drop/rise (18 degrees instead of 12 degrees), which will result in less water flow and lower pump energy.

• Pressure-independent two-way control valves will be

used for the chilled water coils; heating hot water coils and terminal reheat units. These are self-balancing and maintain required pressure drop across the coils at all times. This strategy avoids over pumping which results in pump energy savings, will provide a complete selfbalancing water system, and saves maintenance cost.

• Chilled water and hot water piping will be designed for maximum velocity of 6' per Second (FPS) or 4' loss per 100' inside the building and 10 FPS to meet the acoustical criteria of the RFP.

• Chilled water pumps, condenser water pumps, and

hot water pumps have spare capacity to meet the N+1 requirement of the RFP.

air leakage from normal industry acceptable practice of 10% to approximately 5%. The supply ductwork located in both the inside and outside space, and all return and exhaust ductwork, will be sealed to meet Class A as defined in ASHRAE/IESNA Standard 90.1.

• All main ducts and duct risers will be sized to maintain

maximum velocity of 2000 FPM or not greater than 0.15" of static pressure drop per 100 linear feet. The low duct pressure drop design will reduce fan energy and energy cost. The ductwork for all other areas will be sized to comply with sound criteria required by RFP.

handling units allows supply of 100% outside air to HRW if total energy of the outside air is less than the total energy of the return air.

Ductwork HRW ductwork will be designed with low pressure loss and low air leakage to lower fan energy usage as follows:

•

Round, smooth radius elbows with full length turning vanes will be used versus mitered elbows with shortturning vanes. This reduces duct pressure drop and solves the problem of collecting lint on the short-turning vanes.

• The proposed boilers not only meet the current AQMD

requirements of 9 ppm NOx emission limit, but also possible future regulations down to 5 ppm NOx emission limit.

• Stub out with shut-off valve will be provided on the main

steam header to allow connection to a rental boiler in the event of an emergency.

• Each hot water coil will have pressure independent control

outage, an on-site fuel oil tank can provide fuel to the burners.

in high-occupancy areas such as conference rooms, greater than or equal to 25 people per 1,000 SF. strategy for operating rooms.

Steam Plant

• The boilers have dual fuel burners. In case of natural gas

• CO2 sensors for reset/ventilation control will be located • We will use a night set-back / after-hours set-back control

Item B: // HVAC Design Narrative 3. Future Flexibility

valves. This feature provides a self-balancing hot water system. Any future modifications will not require system balancing.

• Enthalpy controlled airside economizers for all air

towers, and chillers) with variable frequency drives.

• Johnson Control Central Plant Optimization (CPO 10 )

• Ductwork will be sealed and pressure tested to minimize

Cooling Plant

Facility Engineering Our 5 ppm NOx emissions limit exceeds AQMD’s current requirement of 9ppm. In the future, VCMC will not have to replace the HRW boilers when AQMD adopts more stringent criteria.

• Each chilled water coil will be provided with a pressure

independent control valve, providing a self-balancing chilled water distribution system. Any future addition will not require rebalancing the entire system.

• Spare pumps are provided.

• Stub out with shut-off valves will be provided for the

temporary chillers on the main supply and return chilled water headers to allow connection to a rental chiller in the event of an emergency.

• Three chilled water pumps, condenser water pumps and hot water pumps will be provided. These pumps will be sized to have a stand by pump and provide N+1 redundancy.

• To reduce system effect, straight ducts will be placed at each fan inlet and outlet before the elbow.

Air Handling and Distribution

• Forty-five degree entry branch tees will be used for the supply, return and exhaust duct systems.

• Each zone is provided with pressure independent supply

• To save energy and reduce sound, ductwork in occupied

and return terminal boxes. This system is self-balancing and there will be no need for balancing the entire system due to any remodeling or addition of a new zone.

areas will be sized with low-pressure drop and low velocity (.08" of water per 100' of duct) and comply with sound criteria listed in the RFP.

• Sufficient air is provided to serve the future shell area on the

• Use of flexible duct will be limited to the last 5' to 7' of

third floor.

duct connection to the air outlets.

• Air handler units fan-arrays (multiple fans), provide continuity VCMC HRW second floor mechanical well current 3-D design model

of service. The fan arrays will have built-in redundancy and sized to maintain design airflow in the event that one fan fails. This arrangement provides concurrent maintainability.

09

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

ELECTRICAL DESIGN

TAB 09

ELECTRICAL DESIGN

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 069

ELECTRICAL DESIGN â&#x20AC;&#x153;HRW electrical service will enter the site via Loma Vista, a line we will install under Hillmont, and a new transformer yard we are creating next to HRW loading. New transformers are provided for Building 399 and Med Gas in that location. A new generator north of building 403 will provide emergency power. Distribution throughout the building is through electrical rooms on each floor. HRW lighting systems conserve energy, and we are providing capacity for the Med-Surg shell space on third floor, basement shell alternate space, and 10% additional capacity throughout the building.

Current 3-D model of transformer yard which has HRW transformers, HRW switchgears and Building 399 transformers, all screened from view by a surrounding wall, landscaping on the HRW patient room side, and a steel trellis where it does not impede Southern California Edison overhead access of certain equipment.

070 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Electrical Design narrative shall included the content as described below: 1. Identify power systems design

General:

• VCMC HRW has reliable, efficient, expandable,

affordable and readily maintainable power delivery and distribution systems.

• We will organize and coordinate the work with Southern California Edison and VCMC staff to allow for an orderly installation of new utility services while protecting the existing facilities.

• All necessary power crossovers will be scheduled

ahead of time and all proper temporary measures will be taken to prevent unscheduled outages and assure safe, continued VCMC operations.

• The existing VCMC Emergency Power Supply System

will be expanded and upgraded to provide the required power for all Life Safety, Critical and essential Equipment Branch loads.

• The electrical design will include additional capacity for

• VCMC Electrical Systems design will: » Minimize noise and vibration levels by use of vibration

isolation systems and low noise producing equipment.

» Maximize Energy Efficiency in all systems and

F3

equipment.

» Optimize the use of natural lighting. » Maximize system reliability by use of redundancy and prioritizing ease of maintenance.

» Select systems and equipment to maximize the LEED certification program.

» Participate with the SCE Savings by Design program.

Fainer Renovation F2

• Normal power loads in the Fainer ED expansion will be

fed from the existing Fainer distribution equipment in the basement. There will be no cross connection between HRW service and the existing facility service.

Electrical Design

• An emergency power is fed from the enhanced generator

building (400) as per the RFP and our total system emergency load requirement.

Typical Normal Power Distribution Path Typical Emergency Power Distribution Path Normal Power Sub-Electrical Room Emergency Power Sub- Electrical Room

future expansion.

• Both essential and selected non-essential patient comfort

and care loads will be backed up by the enhanced emergency power system. The system will allow for selected load shedding in the event of high demand on the essential system.

F1

Electrical Design Second floor secondary branch 1 circuit normal and emergency Typical power distribution path power rooms Typical emergency power distribution path Rerouted Building 399 normal 2 and emergency power feeders Normal power sub-electrical room

Second floor secondary branch circuit and 399 emergency power 4 normal Building generator yardrooms

B

sub-electrical Incomingpower SCE utility service room 3 Emergency from Hillmont Ave. Rerouted Building 399 normal and

power feeders 5 emergency Utility transformer yard with HRW and relocated Building Incoming SCE utility service from399 Hillmont electrical service

399 generator yard 6 Building Main incoming utility feeds fromtransformer transformeryard yardwith HRW and Utility relocated Building 399 electrical service

Main HRW emergency power electrical room Main incoming utility feeds from transformer yard Main HRW utility power 8 Main HRW emergency power electrical room electrical room

HRW utility power electrical room 9 Main Emergency power feed from Building 400. power feed from Building 400 Emergency

Project No // ENT10102 Hospital Replacement Wing

Item A // The Electrical Design narrative shall included the content as described below: 1. Identify power systems design a. Circuiting Circuiting

• Compact “Integrated Facility System” switchgear will

be utilized in electrical rooms to minimize equipment footprints and maximize efficiency. These units consist of 480Y/277V,3Ph,4W panelboards unitized with a transformer and one or more 208Y/120V,3Ph,4W branch circuit panels in the same enclosure. This minimizes floor and wall space needed and makes equipment maintenance and future changes and additions much easier.

• Circuiting of patient rooms and patient care and treatment areas will be accomplished with a multi-tiered approach.

Not only will the code mandated dedicated circuits per bed and all equipment in the room be fed, but additional circuits will be included to allow multiple circuit sources to be present at each patient bed location. In case of loss of any circuit, patient care can continue until the problem is resolved.

• All circuiting homeruns will be installed in conduit for ease of tracking, maintenance and future remodel access.

• The assignment and layout of circuitry will consider future adjustments. In critical areas, dedicated circuits will be provided to avoid affecting multiple areas by the need to shut down a single circuit.

• Conduit pathways will be installed to allow access to shelled spaces.

• The circuiting will flow from “upstream” facilities that will include:

» Electrical Service-Utility Power: HRW siting presents challenges and opportunities for the service design. The new incoming service will be from an existing SCE vault in Loma Vista Street and fed underground via Hillmont Avenue to the new Utility and Switchgear yard adjacent the loading dock. This yard will be screened from view of patient rooms by an overhead trellis, which will allow future equipment removal. Our team analyzed several options to supply new normal power to the HRW. We believe providing a new SCE service dedicated to the HRW and Building 399 is less disruptive to the campus and is best for future flexibility and expansion.

We realize that the SCE yard must be completed very early in HRW construction to free the building 399 area for demolition. In order to accomplish this, this team will start work before the NTP, and will submit documents to OSHPD for review the day the NTP is issued. This will insure that Make-Ready will not delay the HRW. Because of these schedule restrictions, we will need to construct the Utility/Switchgear yard in phases. We will install the building 399 service equipment and generator before demolition, and the HRW service transformers and switchboards later when HRW is submitted to OSHPD. Construction of the Utility/Switchgear systems for building 399 will also require that all feeds to panels inside 399 will be back-fed from the new switchgear oneby-one to minimize the impact to building 399 operations and patient care. Once all of the building systems are connected and tested, the existing equipment can be demolished and HRW construction can proceed.

» Electrical Service – Normal Power.

The HRW loads will be served by a pair of SCE owned 2500 kVA pad mounted, non-flammable, mineral oil filled transformers. These will feed into two 4000 Amp, 480Y/277V, 3Ph,4W main utility service switchboards consisting of a utility metering section and a main circuit breaker in the outdoor yard. These in turn will feed into the two utility service switchboards in the basement main electrical room.

/ A new 96-hour on-site fuel supply for the generator system.

This will be equivalent to the existing systems and will be installed prior to the demolition of the existing equipment to allow for an orderly transition with minimal down time and operational disruption.

Normal Power Electrical Room

Emergency Power Electrical Room

For the HRW emergency power supply system, we will add the following to the existing system in the central utility plant (Building 400): / A third generator set alongside the two existing units, matching the existing units’ ratings. It will be a 1500 kW unit generating 1875 kVa of power at 4160 Volts, 3 Ph,4W.

Item A // 1. Identify power systems design b.Design and location of additional 10% capacity over current design loads The power systems are sized to feed all the current design loads of the HRW, including the Basement Alternate 1 shell, the Alternate 5 Air Handler, and our Third Floor Med Surg shell space. Additionally, the VCMC requirement for a 10% future load capacity will be included in the building services, equipment ratings at the main utility service switchboards, main distribution panels and all electrical rooms. Both load capacity, and physical space in each electrical room allows for this future expansion capability (See below).

•

» Electrical Service – Emergency Power: A new generator, fuel tank and series of transfer switches will be provided for the re-feed of the Building 399 emergency power system.

/ The EPSS will provide power to the fire pump and four automatic transfer switches-one each for code required life safety power, critical power, equipment power and non code required power for patient comfort and care (non-essential system).

/ Accompanying accessories such as a neutral ground resistor, day tank, battery charger and all necessary connections and controls have been included.

Typical Distribution Boards

4000A Utility Service USS-1 ATS: Life Safety/Critical/Equipment/Non-Essential HRW Emergency Power Substation EPSS Typical Space for Future Equipment Typical Emergency Distribution Boards 4000A Utility Service USS-2

VCMC HRW main electrical room current 3-D model

// 071

/ The 4.16 kV feed will enter the HRW basement emergency power supply system electrical room and feed into the emergency power system substation.

This will transform the power to the utilization voltage of 480Y/277V, 3Ph,4W (EPSS).

/ Circuit breakers and control system will be added to the existing generator control and paralleling switchboard for the connection of the third generator.

/ Reprogramming of the existing load shedding system to selectively shed the non-essential loads across the campus including the HRW in the event of high demand on the critical systems.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

072 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Electrical Design narrative shall included the content as described below: 2. Identify Lighting Systems Design HRW Lighting Approach HRW lighting should serve the demands of the medical staff, but also promote patient and visitor comfort. In designing HRW lighting, our team considered:

• Quality of Light: A properly lighted medical environment, providing layers of light for visual interest and clarity is important when using both natural and electric light sources. These layers should support the healing environment, architectural and programmatic intent and the visual tasks to be performed. Luminaires will satisfy the lighting intent and mitigate glare.

• Quantity of Light: Visibility is the ability to extract

information from the field of view, and is necessary for good quality lighting. We will use metrics for creating visibility as in the recommended practice guidelines published by the Illuminating Engineering Society of North America (IESNA) 10th Edition. IESNA RP-29-06 Lighting for Hospitals and Health Care Facilities will be used.

• Sustainability: HRW lighting systems will optimize

energy efficiency and maintainability as well as provide user friendly lighting. For the exterior, HRW uses a sustainable approach to minimize light spill or light pollution toward the neighbors.

HRW utilizes the following best lighting practices:

• Use of high color rendering lamp sources with a

color rendering index of 82 CRI or higher and with a color temperature rating in keeping with HCA Design Criteria in patient rooms and corridors. We recommend consideration of the use of 3000 to 3500 degrees Kelvin sources for the main public areas, such as main lobby, waiting rooms, elevator lobbies, and public corridors.

• Use of energy efficient compact and linear fluorescent

sources, as well as ceramic metal halide sources and LED systems where appropriate. Incandescent sources will not be used.

• Lighting systems are designed to comply with applicable energy code requirements as well as Savings by Design Healthcare and Electrical and applicable Supplemental Design Criteria provided by the Ventura County Heath Care Agency. Additional lighting energy reduction shall be considered where possible.

• Lighting features and concepts are repeated in concert

with the architecture for ease of recognition and to assist in wayfinding. Light level transitions are gradual and smooth in order to eliminate contrast fatigue and to enhance visibility.

Main Lobby and Public Waiting Areas

Target Illuminances and Lighting Power Densities

• Lighting will be adequate for reading, but subdued. Points

Lighting Power Densities for the Interior will be designed to meet Savings by Design Healthcare Whole Building Method (1.21w per square foot); Exterior lighting to be designed to comply with California Title 24 2010.

of interest such as artwork and feature elements will be emphasized. Decorative light poles can enhance the ‘outdoor-indoors’ quality of the main atruim space, while indirect lighting and miniature architectural downlighting will provide a warm ambience and help achieve a restful atmosphere.

Patient Corridors Careful consideration was given to the design and selection of general illumination lighting in the patient corridors. The use of recessed indirect fixtures will be used to provide a diffused, yet even distribution of lighting in these areas.

• HRW illuminance recommendations are based on the Illuminating Engineering Society of North America (IESNA) 10th Edition as well as the IESNA RP-29-06 Lighting for Hospitals and Health Care Facilities.

Item A // The Electrical Design narrative shall included the content as described below: 3. Low Voltage Systems

• All light fixtures will be readily accessible for

maintenance, and the number of different types of luminaires and lamps shall be minimized.

Low Voltage Systems Executive Summary

• VCMC HRW will provide a new standard-setting,

HRW Lighting Design Concepts

integrated network of systems for VCMC in the modern day healthcare environment. Collecting digital information across all platforms and departments, VCMC will be empowered to enhance patient care with full integration to Cerner HER and maximize operational efficiencies.

Patient Room Design: The patient room lighting design will reconcile multiple lighting needs as simply and as economically as possible. The patient, the patient’s family, doctor, nurse and housekeeping personnel each require different illumination levels. The range of lighting needed for a variety of nursing services should be provided in a way that is also comfortable for the patient. We are using a multi-function wall mounted lighting system for HRW, incorporating the following functions:

• All low voltage systems will be designed, installed and

commissioned with the ultimate goal of providing VCMC with a set of highly flexible and expandable technologies that will be the new standard for the future of the campus at large.

• Indirect lighting reflected off the ceiling produces a

• Infrastructure will be put in place for tie-in of existing

diffused and comfortable canopy of light that can be controlled by the patient in their bed.

facilities to allow for future improvement of technologies campus wide.

• Soft, direct light for the patient that produces comfortable

• All systems adhere to the RFP requirements using the

illumination for functional tasks such as reading and writing can be controlled by the patient in their bed.

most stringent and latest adopted editions of the codes, standards and guidelines.

• Family and visitor areas will include comfortable lighting

Structured Cabling

capable of separate control from patient bed light.

• The telecommunications network will be comprised of

• LED chart lighting and staff-controlled exam lighting will

EIA/TIA 568B compliant cabling and infrastructure to support data rates of 1Gbps (IEEE 802.3ab 1000Base-T Gigabit standard) to the end user at staff workstation terminals.

be shadow-free and color-calibrated.

3-D photometric lighting studies of HRW lobby and waiting area

Project No // ENT10102 Hospital Replacement Wing

• Focusing on reaching 100% network uptime, fully

redundant fiber optic backbone networks complying with IEEE 802.3z 1000Base-X Ethernet Gigabit Standard will be routed to each Telecommunications Room (TR) within the HRW Project from VCMC’s MDF and adjacent IT Hub.

• Copper voice backbone cabling will extend from VCMC’s MPOE to each Telecommunications room with pair counts to accommodate a 35% growth for copper voice connections.

• This robust network will provide a highly reliable highway of data transport for all of the HRW’s vital electronic medical information, departmental programs and facility monitoring technologies.

Wireless LAN

• VCMC will be equipped to maximize staff and patient

mobility with 802.11 connectivity throughout the HRW with a ubiquitous and pervasive 802.11 Wireless network to support high density levels of data transfer, wireless voice (VoIP) and other evolving wireless technologies.

• The WLAN will support mobility applications for clinical

equipment, communications utilities, data connectivity, operational administration, facilities management, as well as patient- and guest-focused services.

• A segmented VLAN will be commissioned to allow

secured network connectivity for both internal VCMC staff and the public as well.

Nurse Call

• The integrated audio-visual Nurse Call communications system combines traditional nurse call with a variety of complimentary communications technologies and management tools as a vital component of the HRW project.

• The Nurse Call system will incorporate features to

improve efficiencies in staffing, responsiveness, and attention to patients. Enhanced features will be leveraged to the greatest extent possible for improvements in staff and patient comfort, safety, and satisfaction with the facility.

• By including EMR HL7 and ADT system integration, along with wireless VoIP interfaces, VCMC will provide high level patient care and operational efficiencies.

Cable TV

• Going beyond standard Cable Television access for

patients and families in the typical hospital environment, the VCMC HRW project will include network connectivity as part of the design.

• VCMC will be furnished to provide the ultimate patient experience with such functions as On-demand entertainment, Patient Education, in-room internet access, dietary services, scheduling and VCMC facility information.

Integrated Electronic Security System (IESS - Closed Circuit Video, Access Control & Intercom)

• VCMC HRW requires a cohesive security plan, both in

terms of staffing, procedures, and electronic and physical controls.

• The integrated electronic security system will be

integrated and universal across the enterprise to maximize the efficiency of the security staff. Utilizing the latest IP based technologies, the IESS will support hospital risk mitigation in several ways:

» Perimeter Access Control, Alarm, and Control for exterior and internal perimeters. / Point Protection and Control / Forensic Information through CCTV

• The system will be used for code-compliant priority

announcements only. General paging, or localized group paging, is expected to utilize the voice-over IP (VoIP) telephony system to enhance the quiet hospital environment.

Fire Alarm System

• HRW has a fully addressable and expandable fire alarm

system that will provide a basic interface into the existing campus system.

• The system is based on an area detection methodology that will allow for precise locating of a potential urgent event.

• In the event of an emergency, the system will signal

the staff with both audible (chimes) and visual (strobes) notifications.

Public Address

• HRW paging system will be designed for providing

coverage of all of public and departmental areas listed in the RFP. All patient care areas will remain ‘quiet’ and limited only to paging calls that warrant a higher level of alarm.

• Paging calls will be initiated via the VoIP handsets by

dialing an access code that will connect the VoIP phone system to the paging system to allow hospital wide paging.

• Paging will be selected via multiple zones established

throughout the hospital, based on department and floor number.

// 073

be provided.

• Multi-level switching will be provided in areas such as

patient rooms, treatment rooms, offices, corridors and similar locations so that lighting levels can be reduced for the necessary applications.

• LED lighting is provided in certain locations such as the main lobby, Outdoor Garden and the exterior.

• After selection, the team is committed to continuing to refine the lighting design and to incorporate as many energy efficient lighting options as possible within the budget.

Item A // The Electrical Design narrative shall included the content as described below: 5. Future flexibility

• The system will report back to both the security room and the PBX to notify the staff of any events.

• A non-proprietary system will be selected to allow the staff to use a variety of vendors for both service and expansion needs.

Item A // The Electrical Design narrative shall included the content as described below: 4. Identify energy conservation measures

/ Video Management Software Analytics / Video Content Analysis

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

• High performance light fixtures to reduce the overall wattage required to produce the necessary lighting levels.

• Daylight sensors with dimming ballasts in the main lobby

area, allow the lights to gently dim as the ambient natural light increases in the area.

• All rooms such as offices, public restrooms, custodian

closets, linen rooms, conference rooms, etc. will be provided with a combination of wall and ceiling mounted occupancy sensors to automatically shut the lighting off when not in use.

• All exterior lighting will be controlled with the use of both automatic lighting control and photo sensors.

• High efficiency transformers as required by Title 24 will

HRW design for electrical systems will allow VCMC to update its equipment and technology easily. We have:

• Included pathways from all branch panels to accessible ceiling spaces.

• Included additional distribution panel capacity so that the future addition of high demand equipment such as imaging, surgical or other treatment areas can be accommodated without routing feeds across the HRW facility.

• Included circuit breaker spaces in all distribution and

branch circuit panelboards to minimize the need to add major distribution equipment, while allowing for them if an extreme condition warrants them in the future.

• Included spare conduit in selected major feeders to allow upgrading them in the future if needed.

• Provided floor space in electrical rooms for the addition of future equipment.

• Utilized and expanded the existing emergency system to allow for the flexibility of adding load and adjusting nonessential demands via the load shedding system.

• Provide robust low voltage systems design to create a new “hub” for these systems which will allow for expansion into other areas of the campus.

• Selected a non-proprietary fire alarm system to allow

for open competition for service contracts and future expansions.

074 //

Project No // ENT10102 Hospital Replacement Wing

This page left intentionally blank.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

10

TAB 10

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

MITIGATION OF SUBSURFACE CONDITIONS AND NEGATIVE CONSTRUCTION IMPACTS

MITIGATION OF SUBSURFACE CONDITIONS AND NEGATIVE CONSTRUCTION IMPACTS

MITIGATION OF SUBSURFACE CONDITIONS AND NEGATIVE CONSTRUCTION IMPACTS

Example of shoring similar to what will be installed between HRW and the Café/Lab ‘cube’ structure.

We will mix HRW site soil with cement to provide sufficient bearing capacity for the building while preventing liquefaction in a seismic event.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 075

“We have teamed with a high quality geotechnical engineer and an experienced soil-mixing subcontractor to provide the most responsible yet cost effective design. Our team invested its own money in Cone Penetration Testing on the site during the proposal period, so we could do our own analysis and propose a soil mix design that we are confident will be approved by OSHPD, but which requires less depth of treatment than the previously contemplated scheme. We have also held our building structure a distance from Fainer and the Café/Lab, enabling our soil mixing to occur without interference to the existing foundations, saving time and risk to the existing facilities and the schedule.

The result of these efforts has saved the project millions of dollars of cost, which has been reallocated to provide SIGNIFICANT added value enhancements to the project that provide patient experience, facility engineering, and cost savings for VCMC.

076 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

ITEM A // Excavation including proposed shoring and monitoring of existing structures

Item B // Underground Utilities

• We have carefully studied HRW sequencing including

• During the proposal period, we held coordination

shoring and excavation, and have provided plans for this work in Tab 14, Project Work Plan/Schedule.

• The only shoring and underpinning provided is at the

Café/Lab cube, and a small amount at the tunnel into Fainer basement.

• All existing structures surrounding HRW will be fully

monitored with periodic licensed surveys from Notice to Proceed until HRW structural concrete is complete.

• Excavation is planned to begin at Hillmont Avenue and

proceed to the east, with early creation of a utility trench.

meetings and created a 3-D model of existing utilities, existing shoring, new utilities, HRW soil mix and foundation, and new shoring.

• Underground utilities are routed so as to minimize the potential for field conflicts and required lift stations.

• Most new utilities are routed between HRW and the Café/ Lab, however at Fainer we have gone under HRW to avoid excavating near or exposing Fainer piles.

• Electrical, low voltage and steam are being passed over the Café/Lab roof to avoid any excavation, and to allow them to be serviced more easily.

• Tab 14, Work Plan/Schedule shows a detailed

construction sequence of HRW Underground Utility work.

Efficient Care Model

Facility Engineering

The HRW structure is held away from adjacent buildings, Fainer, and the ‘cube’, cantilevering HRW structure wherever they join (see structural section for drawing).

This means we are not affecting the soil bearing of any of these foundations, and OSHPD will not request justifications that could cause schedule delays that may affect VCMC’s scheduled use of HRW.

We have routed certain electrical, low voltage, and steam utilities over the Cafe/Lab building, saving time and money on underground construction, and making these utilities very accessible to VCMC in the future without excavation.

South Construction Area North Construction Area HRW Building Footprint Temporary Fire Lane Access Temporary Canopies

Project No // ENT10102 Hospital Replacement Wing

Foundation Solution

OSHPD Considerations

Installation Considerations

Geotechnical Considerations

Cast In Place Piles

Allowed by Initial Criteria

• Difficult to control quality • Functionally impossible to install • Cost prohibitive

• Soil Porosity, compressibility and

• Vibration of piles may cause settlement

• Have been allowed on OSHPD projects • High fines content in the soil makes this

Rock Columns

Auger Cast Piles

Allowed but not in Criteria Report

Allowed but not in Criteria Report

and undermine adjacent structures and cause soil to migrate towards areas of new installations

• Control of Placement and Quality may be difficult given length.

• Subject to same considerations as for

cast-in-place piles; installation of re-bar cage must be made after concrete/grout is placed that is extremely difficult for long pile lengths

Soil Mixing

Allowed by Criteria Report; is being used at nearby Community Memorial Hospital in Ventura

• Our team understand the requirements for OSHPD

liquefaction potential will induce large down drag loadings; requires long pile lengths

solution unfeasible

• Integrity testing needed to assure

concrete uniformity and lack of voids or soil inclusions

• Capacity must account for large down

drag forces from hydro-collapse and liquefiable material (in excess of 100'); pile depth estimated to be greater than 150'

• Supplemental testing program confirms approach.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 077

Item C // Existing geotechnical conditions including the presence of collapsible soils, liquefaction, and other soil characterization issues.

Existing Geotechnical Conditions

• The upper 35' of soils (to Elevation 127) are considered

susceptible to hydro-collapse. The settlement from hydrocollapse was estimated by Fugro to be 4" to 6".

• Soil Mixing treatments are confined to the within the

perimeter of the HRW structure without need to extend it 10' outside the structure. This strategy avoids impacts to the adjacent existing buildings and conforms to the strategy approved and now in use at Community Memorial Hospital.

• The soils above groundwater level (Elevation 125) are

considered susceptible to seismic settlement of about 3" to 5" as a result of strong ground shaking according to Fugro.

• The soils between groundwater level (Elevation 125) to

a depth about 90' to 95' (Elevation 69) are susceptible to liquefaction. The liquefaction-induced settlement at ground surface could range from 12" to 15" according to Fugro. Our team’s re-evaluation of Fugro’s data and supplemental cone penetration tests performed by our team at the site indicates that liquifaction-induced settlement at the ground surface would be less than 9".

• Fugro’s estimated total seismic-induced settlement is up to 20" as a result of strong ground shaking. Our team’s estimate is up to 14" to 15".

Cost Savings We invested in cone penetration and shear wave velocity testings on site during the proposal period to confirm that our approach to soil mixing was feasible and approvable. The savings from this enables us to provide other valuable enhancements to VCMC such as the Third Floor Med-Surg Shell and the Basement Connector.

078 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item D // Existing groundwater conditions. Description includes discussion of potential mitigation of groundwater conditions including the need for dewatering and the potential use of excavated soils as backfill.

Existing Groundwater Conditions

• The existing groundwater is estimated to be 38' below the ground surface (Elevation 122) based on Fugro reports.

• The historical high groundwater table, which is used for

seismic hazards evaluation, is assumed to be at elevation of Elevation 125.

• Therefore, groundwater is not expected during HRW

basement excavation. A dewatering system will not be required during construction.

• Excavated soils may be used as backfill.

In order to do a more detailed analysis of the soils, we invested $25,000 and performed Cone Penetration Testing on the HRW site on June 30, 2012.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 079

Item C // Existing geotechnical conditions including the presence of collapsible soils, liquefaction, and other soil characterization issues. (continued) Item D // Existing groundwater conditions. Description includes discussion of potential mitigation of groundwater conditions including the need for dewatering and the potential use of excavated soils as backfill. (continued)

Selected HRW Strategy

• We have conducted our own geotechnical investigation

to supplement the Fugro investigation. We have reevaluated seismically-induced settlements and adjusted the estimates of settlement based on the additional data obtained from the supplemental geotechnical investigation.

• HRW soil mixing treatments are confined to within the

perimeter of the structure without need to extend outside the structure (Fugro recommendation). This strategy avoids larger impacts to the adjacent existing buildings and conforms to the strategy approved and now in use at Community Memorial Hospital.

• A continuous (tangent columns) soil mix will be placed at HRW as needed to an adequate depth.

• This soil mix system has been approved by OSHPD

recently on nearby Community Memorial Hospital that is now under construction.

• A total allowable seismic settlement of 5" (per Fugro’s 3-D model of HRW proposed soil mixing scope. This continuous tangent columns strategy is cost-effective and has been proven with OSHPD on other projects.

report and acceptance by the owner) as well as 0.5" over 30' calculated seismic settlement are being used for acceptance criteria.

• We have reviewed this design for VCMC with OSHPD during the proposal period and incorporated their recommendations for this approach.

080 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item E // Subsurface contamination

• We believe we will not encounter contamination based on the Fugro reports, and we will confirm this with our own investigation. We have included the prescribed allowance required by the RFP.

Item F // Mitigation of construction noise, vibration, dust, etc., affecting surrounding facilities

• The diagonal connector will remain, avoiding any

potential unforeseen subsurface issues at that location.

• Deep soil mixing does not produce significant vibration

or noise, compared with deep pile driving or rock column systems.

• Deep soil mixing is a wet process which occurs below grade and does not produce dust. We will use normal dust control procedures for rough and fine grading for HRW.

• Injection grouting, rather than driven piles, will be used

next to the existing acute care facility. The only place we are installing shoring is at the cube which is not a patient care area.

• Dust will be controlled as appropriate for each phase of

construction, including constructing temporary barriers.

More information on dust and infection control is provided in Tab 13, Quality Control Plan.

Efficient Care Model Photos above show a soil mixing process very similar to what will be done for HRW.

We have selected strategies such as soil mixing, injection grouting and shotcrete, in order to avoid pile driving or other loud construction methods. This will result in less interruption and less noise affecting VCMC operations during HRW construction.

Dust control and Stormwater Pollution Prevention Plan (SWPPP) best practices will be used during HRW construction.

PROJECT ENHANCEMENTS AND ADDED VALUE

11

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

PROJECT ENHANCEMENTS AND ADDED VALUE

Patient Experience

TAB 11

Tab

PROJECT ENHANCEMENTS AND ADDED VALUE

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 081

“HRW design contains SIGNIFICANT added value to the base bid requirements. These value added features are: • Additional Shell space (12-bed Med-Surg unit).

• Connection between HRW and Fainer with a

service tunnel.

• Two additional observation stations, two shell

ICU rooms, one Angio suite shell.

• More area within patient rooms.

• Porcelain tile at HRW exterior.

• Generous glazing for daylighting and views.

• Terrazzo flooring at heavy traffic public areas.

• Warm materials (porcelain tile, wood grid

ceilings, artistic laminated resin walls).

• Variable Air Volume HVAC system.

• Additional storage in basement.

• HRW’s third floor is set back from the view

line more than the required distance.

Numerous additional enhancements are detailed on the following pages.

HRW third floor, 12-bed Med-Surg shell (shown in orange) can be built out by VCMC in the future to add significant patient care capacity.

082 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Basement

A basement connector from HRW to Fainer will make

movement of food and waste more efficient—saving VCMC staffing costs. And, separating the public from service is a more effective way of controlling infection.

Large loading docks will accommodate semi-trucks with full turn-around capability.

MED GAS

OFFICE

Dock width is 15' for operational benefit.

1,000 SF of additional storage is being provided in the basement.

CHILLERS

ELEV CTRL UNEXCAVATED

BOILER ROOM MECHANICAL

07 PUBL EL

MAIN POWER

PLUMBING

EMERGENCY POWER 08 PUBL EL

CENTRAL SUPPLY

BIO HAZARD

ELEV CTRL

HD STORAGE

TL LOUNGE

MENS LOCKER NARCOTIC

CHEMO HOOD

OFFICE TECH PREP

RX WRK

INPATIENT PHARMACY

IV STOR

CLEAN LINEN STOR

ANTE

09 FOOD

GENERAL STORAGE

LOCKERS

WOMENS LOCKER

IV HOOD

SECURITY CENTER

CLEAN LINEN RECEIVE

CORRIDOR

01 SOIL EL

02 CLN EL

LOCKERS

TL ST

ELEV CTRL

RECY B

SUB ELEC B1

TL ST

03 P/S EL

04 P/S EL

SUB ELEC B2

FIRE PUMP

MTR

CORRIDOR

STER PROC: REC/DECON

PLMG

LINEN CHUTE/ SOIL HOLD

05 P/S EL

06 P/S EL

TR 0.1

MECH SHAFT

BMS

ALTERNATE #1 SHELL (FUTURE USE: ADMINISTRATIVE, SUPPORT OR PATIENT CARE)

Efficient Care Model The tunnel connector from HRW to Fainer allows all service to be separated from public traffic.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 083

First Floor

Two additional observation stations per the HRW

WAITING

program prior to Addendum No. 1.

A second Angio suite, per Alternate No. 2, integrated as

ENTRANCE LOBBY

a shell room into the base imaging department plan.

SURG WAITING

BUILDING ABOVE

WAITING

PTS

PHLB 4

PHLB 3

PHLB 2

PHLB 1

REC 2 REG

PHLEB P

M/S 20

REG

REC 1

CORRIDOR

M/S 19

WAITING SPECIMEN

BUSINESS

M/S 18

REG

SURG WAITING

PHLEB P

TL ST

TL PT

TL PT

and will orient visitors.

GIFT SHOP WORK AREA

PROCESSING

TL PT

REG

REG

REG

REG

REG

OFFICE M/S 17

A generous, two-story lobby that will be easy to find

WAITING AREA

X BSMT M/S 16 WRK CARE

M/S 15

CORRIDOR CASHIER

CONFERENCE

DIETARY

MEDS

M/S 11

CLEAN

EQUIP

PP 12

PP 13

LOUNGE

PP 15

PP 16

TL PT

PTS

TL PT

HSKP

M/S 05

M/S 04

M/S 03

M/S 02 ADA ISO

OFFICE

ELEC

LOCKER & WORKROOM

TL PT

CT PROC 2

OFFICE

STAIR CT CTRL

DIET

R FLUORO

OFFICE

TL ST

DICT

outpatient as well as inpatient to use the space.

08 PUBL EL

MRI PROCEDURE

HSKP

PP 19

PP 01

TL

TL MEETING

CC MEDS

PP 07

07 PUBL EL

MRI CTRL

OFFICE

PP 18

Imaging waiting is larger than program to allow for

R FLUORO EQUIP MRI

CC

CLEAN

EQUIP

MEDS CTR

M/S ISO 10

INTERVIEW

STAGING MEDS

ANES OFFICE

M/S 01 ADA

daylit, and connects the new HRW lobby with Fainer.

MECH

WRK RAD GEN RAD 2

CORRIDOR

SOIL

M/S 06

ADMIT SUPER

PP 17

WRK

MECH

PP 08 M/S 07

WAITING IMG

CONSULT

TR 1.2

MECH

WRK CARE

ANTE M/S 08

UNAS

GURNEY

PP 09

STAIR 01

PP 14

GEN RAD 1 TL ST

WRK CARE WHEELCHAIR

HSKP PP 11

TL ST SOIL

ED waiting is larger than program.

MEDS

CORRIDOR

CORRIDOR TL/SHWR PP 06

PP 05

PP 04

PP 02

PP 03

LOUNGE

TL / SHWR PLMG

M/S 12

PP 10

LOCKER

CLEAN

North-south concourse is 13' wide (code is 8'), straight,

FIRE CTRL

ELEC

M/S 14 M/S 13

CORRIDOR

COORDINATOR OFFICE

WORK ADMIT

TL ST

SOIL

CLEAN

SCHED

PAT TL

DR 1

DR 2

PREP MRI

NRS COORD

ANES WRK

F LOCKERS

CTRL CENTER

HSKP

PAT TL

SCRUB PYXIS

CORRIDOR

SLEEP

M LOCKERS

ST TL

WRK

PREP CT

PACS READING

SCRUB PYXIS

STOR

09 FOOD

ST TL

HSKP PTS

CTRL ANGIO

ANG EQUIP

ANG EQUIP

CTRL ANGIO

US 1

CORRIDOR TL GAS STOR

OFFICE MGR

TRASH

CLEAN

OR 01

01 SOIL EL

EQUIP STO (OR)

ANGIO 2 (SHELL)

ANGIO 1

SOIL WRK

SOIL HOLD

SHAFT

02 CLN EL

SCRUB

03 P/S EL

SUB EL 1A

ST TL

MECH

04 P/S EL

SUB EL 1B

CORRIDOR

CONTAMINATED MATERIAL

OR 02 MEDS

NUCLEAR

PLMG

MEDS

EQUIP

SCRUB

RECYC 1

LINEN CHUTE

05 P/S EL

SPIRITUAL

TL HOT

HOT LAB

EQUIP STO (OR)

OR 04

NUCLEAR

INJECT PREP

RECYC 1

CLEAN SUPPLY CORE

US 2

06 P/S EL

FAM TLT

CORRIDOR

MECH

TR 1.1

TOILET

TOILET

TREADMILL SHAFT

POC

CRASH

CT PROC 1

OR 03

TL

CLEAN

GEN RAD CT CTRL

IR

LG MTG ROOM

ON CALL

HSKP

EXAM 01

HYBRID OR CARDIAC CORRIDOR

C ARM

CTRL IR

IR EQUIP

EXAM 06 EQUIP STO (OR)

STAIR 02

CC ST TL

EQUIP-RT

CC TRAUMA

CORRIDOR

OFFICE OTHER

LOUNGE

SCRUB

IMAG WRK

IMAG WRK

IMAG WRK C WRK

EXAM 03

WRK MULTI

CASE

SERVERY

A/V IMAG WRK

EXAM 07

BW

EQUIP HYB CTRL HYB

XRAY

EXAM 02

BUSINESS

CARDIAC

IR

CLEAN

TL

STR

OFFICE MGR

OFFICE DIR

EXAM 08 EXAM 04

PTS

EXTERIOR STAIR

CORRIDOR EXAM 09 LOCKER BUSINESS CTR

BUSINESS CTR

TRAUMA

ANTE

TL

EXAM 10 ANTE

STAFF SHWR

TL

MED PREP EXAM 05

EXAM 11

PBX

SOIL

SECURITY/

WRK EMS

TL

STR

EQUIP CORRIDOR

TL ST

TL PT

TL PT

WRK MULTI TL ST

EXAM 12

RAPID

CONF

MED PREP

EQUIP

TL PT RAPID

TL

ANTE ALCOVE

RAPID

SOIL

EXAM 18

OBS 01

CLEAN

RES WORK

EXISTING ROOMS

RESULTS RAPID

TL OBS 02

EXAM 17

EXAM 16

WRK/ CARE

EXAM 15

RAPID

ANTE RAPID

EXISTING ROOMS

OBS 03 CORRIDOR

PLB/EKG

OBS 04

TOILET PUB

Patient Experience

OBS 05

OBS 06

EXAM 13

EXAM 14 PLB/EKG

QUIET

TR 1.3

DISCHARGE

WRK, SCREEN

TOILET PUB

ACUTE WAITING

SECURITY WALK-IN ENTRANCE

WRK, REGISTRATION

MSE SUB WAIT STAIR 04

Two additional observation stations and an additional Angio Suite shell will enable VCMC to provide additional patient care.

The continuous, 13' wide concourse connecting HRW with Fainer will make it easy and pleasant for patients and their families to find their way around the hospital.

084 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Second Floor

We are providing a dedicated Food Service elevator to

OPEN TO BELOW

the basement, so food can be delivered from Café/Lab to HRW and Fainer through basement space, separate from public traffic.

ROOF

Second floor east-west concourse is anchored by

waiting at either end, illuminated with natural light, and makes the patient units on this large floor easy to find.

PP 01

Many of our patient rooms are larger than program.

We have added family breakout space in Post Partum.

• An outdoor rooftop garden is created on level 2 roof that is open to the sky, protected from wind and completely secure.

M/S 01

M/S 02

M/S 04

M/S 03

M/S 05

M/S 06

M/S 09

M/S 08

M/S 07

M/S 10

M/S 13

M/S 12

M/S 11

M/S 15 ADA

M/S 14

PP 02

M/S 16 ADA

PP 03 PP 04 CORRIDOR PP 05

EXAM LACT

EQUIP

LOUNGE

DIETARY

CLEAN

SOIL

PTS

MEDICATION HSKP

WRK CARE

DIETARY

EQ STOR

STAFF T STAFF T

SOILED

CLEAN

WRK CARE WRK PHARM

MEDS

NEWBORN NURSERY

WORKROOM TL ST

PP 10

M/S 17

HSKP

LOCKER

WRK CARE

PP 08

X BSMT

TR 2.2

TL ST

PP 07

PP 09

PP 11 ADA

WRK CARE

WRK CARE

HSKP

PP 06

ELEC

BUSINESS

MEDICATION

M/S ISO/ADA 18

WRK

LACTATION

MECHANICAL

CORRIDOR

ANTE 07 PUBL EL

PP 12

PP 13

PP 14

PP 15

PP 16

PP 17

PP 18

PP 19

PP 20

PP 21

PP 22 ADA

CONF

PEDS GARDEN

WRK CARE STAIR 01

08 PUBL EL

ANTE

WRK PRIV

M/S WAITING

WAITING PP

OFFICE WRK PRIV

ANTE P 01 LOUNGE STAFF

LOCKERS M

TL

CORRIDOR

WRK CARE

OFFICE NEO

OFFICE NEO

PLMG

WAITING L&D

TRIAGE

TRIAGE

TL PUB

TL STAFF

TRIAGE

PTS

BUSINESS

BUSINESS

SLEEP L&D

PROCEDURE PARENT

STOR RESP NICU

SCRUB SUB STER

DICT

OR C-SEC/PRE-OP

QUIET

PARENT PICU 01 ADA / ISO

OFFICE HSKP

X ISO

ALCOVE

TL STAFF

PT TUB SHWR

TL STAFF

SHAFT

LOCKER

SHAFT

M SHAFT

02 CLN EL

DICT

CORRIDOR

01 SOIL EL

OR C-SEC

LDR 03

BRIDGE

MECH

DICT

ANESTH

CC LDR 02

STOR RESP PICU DICT

LDR 01

MEDS

09 FOOD EL

TRIAGE

CORRIDOR

WRK CARE

CONF

WRK RESD SLEEP PICU

FAMILY

PTS

CORRIDOR

TL STAFF

WAITING PICU

HSKP

TL PUB

SLEEP NICU

NOUR

ANTE P 02 LOCKERS F

STAIR 03

LOBBY

LOCKER

ELEC

03 P/S EL

CONFERENCE

CHANGE

04 P/S EL

MEDICATION

ANTE ANTE

SOILED SUB ELEC

WRK CARE

MECH

PICU 02 ISO

SLEEP RECYC 2

CC

LOUNGE STF

HSKP

EXHA

EQUIP

PICU 03 CORRIDOR CORRIDOR LDR 04

CLEAN

SOIL BREAST FEED

MECH OFFICE MGR

WRK CARE

LDR 05

PLMG

NOURISH

HSKP

DIETARY

LINEN CHUTE

WAITING NICU

05 P/S EL

06 P/S EL

SAT PHARM

MECH

TR2.1

REHAB GYM

PICU 04

DICT DICT PTS

Efficient Care Model Our dedicated Food Service Elevator provides a separated path of travel for food so it does not have to go through ANY public spaces within HRW building.

FORMULA

EQUIP

EQUIP

RESOURCE

BUSINESS

CLEAN

LOCKERS M

TL ST

LOCKERS F

TL ST

QUIET/ MP

REHAB STOR

PICU 05

LDR 06 CORRIDOR

WRK CARE

HALLWAY PLAY SCRUB

NICU 07

NICU 08

ANTE

ANTE

MEDS

STAIR 02

WRK

NICU 09

NICU 10

PICU 06

SOILED

CLEAN PHARM

DIET WRK

NICU 11

NICU 12

SCRUB WRK CARE

CORRIDOR GURNEY

NICU 14 SEMI

NICU 01

NICU 02

NICU 03

OFFICE HOSP

CORRIDOR

WRK CARE

CRASH

GURNEY

NICU 04

NICU 05

NICU 06

NICU 13 SEMI

WRK CARE

PICU 07

CRASH HSKP

CLEAN

PICU 08 CORRIDOR

STAIRS

ELEV

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 085

Third Floor 07 PUBL EL

WAITING

TL

Med-Surg shell space on the third floor for 12-beds will enable VCMC to treat many additional patients in the future.

08 PUBL EL

STAIR 03

TL

ANTE

VCMC could have our team fit-out the shell if additional funds are available, and it could open the same time as HRW.

S/D 01

S/D 02 S/D 03 ADMIN/BUSS CTR S/D 04

OFFICE

S/D 05

CORRIDOR

Two additional ICU patient rooms, per the HRW

DIET

program prior to Addendum 1, as shell space for VCMC to build out in the future.

CORRIDOR

S/D 06

SOIL TL

ICU 01 ADA CLEAN

TL ICU 02 WRK CARE

ICU 03

NURSE

HSKP

SHELL 12

EQUIP

MEDS

SHELL 11

SHELL 10

QUIET/ MP SHAFT

PTS ICU 04 M SHAFT ICU 05

PT T/ SHWR

SUB ELEC

03 P/S EL

SHELL 09

04 P/S EL

SUB ELEC

MECH

CORRIDOR

ICU 06

PTS

UNASSIG

UNASSIG

RECYC 3

EXHA

OFFICE

TL

ICU 07

SHELL 08

CORRIDOR

OFFICE TL

MECH

HSKP

ICU 08

PLMG

SOILED UTILITY

MEDS

M SHAFT

LOUNGE

MONIT/ WRK

LINEN CHUTE

BUSINESS

05 P/S EL

06 P/S EL

ICU unit.

CORRIDOR

ADMIN/BUSS CTR

Additional spaces for Resident Physicians in each

TR 3.1

Many patient rooms are larger than program.

Waiting area is larger than program.

SHELL 07

MED SURG SHELL

DIET

ICU 09

TL

ON CALL SHELL 06

EQUIP PT T/SHWR CONF/MP OFFICE

MEDS

ICU 10

TL

RESP STOR

CLEAN TL

RESIDENT

INTENSIVIST

CLEAN

PTS

RESIDENTS/ PHARM WRK

NURSE

PT T/SHWR

NURSE

HSKP

MEDS

SHELL 05

ADMIN/BUSS CTR.

BUSINESS

CORRIDOR

STAIR 02

WRK CARE

CORRIDOR

WRK CARE

SHELL 04 ANTE

ANTE

ANTE

ICU 11

ICU 12

ICU 01

ICU 02

ICU 03

ICU 04

ICU 05

ICU 06 ADA

ICU 07

ICU 08

ICU 09

MECH

ICU 10 SHELL 01

SHELL 02 SHELL 03

Patient Experience The additional shell space for 12 Med-Surg beds will give VCMC future capacity, and can be built out by VCMC at a later date for a comparably low cost. This will enable VCMC to provide more patient care to the community in the future.

086 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Program Flexibility

• •

All beds in all Med-Surg are Telecapable.

Pre- and Post-Op stations can flex as each other depending on case load.

OR

We have a ‘Sally Port’ from ED Trauma to surgery enabling direct transfer of patients if needed.

IR

OR

IR rooms are behind the red line in the OR block and they have direct access to the hybrid OR to allow for patient transfer during a procedure.

IR Hybrid OR

Work cores in in-patient imaging enhance collaboration and maximizes staff efficiency.

Centralized patient prep reduces patient travel time and increases safety.

ORs, Trauma/Cardiac rooms, CT, and X-Ray are on

Trauma

the same floor and very close to each other with the Trauma elevator centrally located to all.

Trauma Elevator

X-Ray

OR

CT

PACS viewing centralized and close to work cores Workroom centrally located

Trauma Cardiac Work Room

PACS

Ambulance Entry

¬

Project No // ENT10102 Hospital Replacement Wing

To Outpatient Imaging

Central reception/registration consolidates registration for imaging and surgery and for inpatient admitting.

Inpatient Imaging

The direct adjacency of Imaging and the Emergency

Department(ED) allows for efficient management and utilization of the dedicated CT and X-Ray for ED.

Inpatient Imaging

Direct access from ambulance bays to one ED

X-Ray

isolation room.

CT

Close proximity from specimen collection to X-Ray to facilitate any required Pre-Admit imaging needs.

Central Reception/ Registration Emergency Department Hospital Main Entry

ED Isolation

X-Ray

Ambulance Entry

Central Reception/ Registration

// 087

Building or VCMC Site Enhancements

Inpatient Pre-Op/Post-Op

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Specimen Collection

088 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Program Flexibility

The three ICUs can function as individual units

Public entry points

or be operated as one large unit. The contiguous arrangement allows for higher staff efficiency and flexibility in utilization of patient rooms.

ICU

The two NICUs can function as individual units

ICU

or be operated as one large unit. The contiguous arrangement allows for higher staff efficiency and flexibility in utilization of patient rooms and greater security for patients.

NICU West

The adjacency of Postpartum and the 18 bed Med-Surg

Shared Support

ICU

unit allows for postpartum overflow if the need arises.

NICU East

The direct connectivity from the 20 bed Med-Surg

unit to Pre-Post and Surgery allows for efficient communication between the care teams and very short travel distances for patients.

OR

Pre-Post

Med-Surg

Post Partum

Med-Surg

Project No // ENT10102 Hospital Replacement Wing

HVAC Performance (Life Cycle Analysis)

• HVAC system exceeds energy goal stated in the RFP by exceeding Title 24 requirements by 26%.

• Variable Air Volume distribution system saves

approximately $235,000 per year in energy costs over a traditional Constant Air Volume system.

• To enhance the humidity control in the surgery suite, in

addition to the reheat coils at each terminal unit a heating coil is provided in the main air handler unit (AHU 4-1).

• Variable frequency drive on all utility vent-set exhaust fans.

• Primary variable chilled water pumping system.

• All variable frequency drives on the chilled water system motors.

• Boilers will have 5 PPM NOx emission limit instead of 9 PPM.

• Bag-In / Bag-Out HEPA filters are provided for the isolation rooms exhaust system.

• Sound traps are provided in the air handler units.

• Higher quality duct construction will reduce the air duct leakage to 5% instead of 10% as allowed by the RFP.

Performance Post Seismic

• We have held HRW soil mixing extents and footings

approximately 14'-0" away from the Fainer pile foundations, and cantilevered HRW structure to connect to Fainer. The Second Floor bridge connector is also cantilevered. This avoids introducing any additional loading to Fainer and the associated OSHPD risk.

• This achieves two things: (1) during design and

permitting, OSHPD will not question whether we are undermining the piles, request extensive calculations or reject the design; and (2) post-seismic event, our HRW will be on firm soil mix and will not be negatively affected structurally by any settlement in Fainer.

VCMC HRW 3-D model of OR room showing ductwork. This area will have advanced humidity control as described above.

// 089

Cost Savings HRW is separated from Fainer and Café/Lab except where absolutely necessary to connect. HRW structure is held 14' from Fainer pile foundations. These strategies reduce possible damage after an earthquake, saving VCMC money in the future.

• We are aware that existing VCMC buildings were

designed to previous codes and will behave differently in a seismic event. Café/Lab is more recent, but Fainer and 305 both are on piles and are showing signs of settlement. Separating these buildings seismically from HRW except where they absolutely must connect will minimize damage after an earthquake.

SOIL IMPROVEMENT AWAY FROM EXISTING FAINER PILES

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

14'

VCMC section at HRW and Fainer interface showing separate structures.

090 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Mitigation of Community Concerns

Neighbors’ View

40'

Greater setback than required in the RFP. The entire HRW Third Floor is 40'-0" behind the view line, not an average of 40'-0" as required in the RFP. This means the Agnus Street neighbors will have a better view beyond the HRW building.

Others that would be beneficial to VCMC

• We are not demolishing the diagonal connector at

Building 306, so VCMC can continue to use that space and not incur move and possible rent costs.

• The RFP required an SD level deliverable. To fully

understand costs and minimize risk to the project for both VCMC and the Design-Builder, we selected the most DIFFICULT conditions of the project and developed them further than SD in our Revit model. We are showing double line HVAC, coordinated underground utilities, more defined structure, and soil mixing extents. We were able to include more value in the proposal because we studied conditions thoroughly and mitigated our bid risks.

• HRW plumbing design achieves water savings of

approximately 40% below EPACT 1992, by using UHE (Ultra High Efficiency) plumbing fixtures, and low flow rate (0.4 gpm) and flow cycle duration (7.5 seconds) lavatory faucets.

• In areas required by LEED verification to be metered, we

are using a hybrid hot water temperature maintenance system. Hot water will be circulated up to the metered area (such as Central Sterile) and then we will dead end the hot and cold water after the water meters. For the dead-end hot water, heat trace cable will be used to maintain water temperature, minimize wait time for users, and minimize water waste. We have confirmed that heat trace cable is acceptable to OSHPD in non-patient areas.

• LEED Silver with potential for LEED Gold on HRW and LEED Silver for Fainer renovation.

Patterned stone roof aggregate. HRW second floor roof is covered with several types of stones, so both patients and neighbors who are high enough on Agnus Street will see the attractive pattern instead of roof membrane. We selected aggregate colors that reduce glare and minimize the ‘heat island’ effect.

• Up to $500,000 in Savings by Design credits to VCMC

our experience tells us that OSHPD will require these rooms.

• Green Power purchase during construction will reduce

• One general OR can be expanded by up to 400 SF to

• Because HRW has large roof areas, we are proposing a

• There are high windows that allow natural light in the

from local utilities.

the energy impact of HRW on the environment.

siphonic roof drainage system. This system uses smaller diameter stormwater pipes and siphonic action such that the piping can run flat. In addition to economy, this reduces congestion in the ceiling, allowing for easier future renovation by VCMC.

• A staff lounge has been provided for both Med-Surg units, exceeding program.

• An additional NICU isolation and ante room have been

provided. This is beyond the program requirements but

allow for future technology.

OR access corridor to provide a better environment for patients and staff.

• In the event your new building experiences a power loss

from the utility, we have included an Uninterrupted Power Supply system (UPS) for the OR suite that will engage and provide a seamless transfer to and from generator emergency power. Due to this cutting edge technology, the new VCMC OR suite will be immune to disruptive power fluctuations.

12

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

DEVIATIONS FROM REQUEST FOR PROPOSAL

TAB 12

DEVIATIONS FROM REQUEST FOR PROPOSAL

Project No // ENT10102 Hospital Replacement Wing

DEVIATIONS FROM REQUEST FOR PROPOSAL

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 091

092 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // Deviations Matrix to summarize each instance where the Lump Sum Base Price Proposal deviates from the requirements established in the Proposal Documents.

Failure to specifically list any proposed deviations in the Deviations Matrix may negatively impact proposal scoring.

Absent an appropriate reference in the Deviations Matrix, the Agency will assume that the Design-Builder will comply with the specific requirements of the Proposal Documents during both the design and construction phases of the project.

The Lump Sum Base Price Proposal shall include the cost of all proposed deviations from the Proposal Documents.

Deviations from the Proposal Documents will not be allowed without prior written approval from Agency. After the Award of Contract, proposed product substitutions shall be made according to Division 01, General Requirements, Specification Section 01 01600, Product Requirements.

Our teamâ&#x20AC;&#x2122;s lump sum base price proposal does not deviate from the requirements established in the proposal documents, however, we have identified a significant number of cost saving opportunities for the Agency to consider post award. We believe that many of these would significantly reduce costs without significant impact to the Agency and the patients.

The potential cost savings associated with these minor deviations could potentially fund the build-out of the shell spaces provided in our design, upgrade or enhance medical equipment, or be available for changes the Agency may need to fund in the future.

13

TAB 13

Tab

Patient Experience

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

QUALITY CONTROL PLAN

QUALITY CONTROL PLAN

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

QUALITY CONTROL PLAN KEY QUALITY ACTIVITIES

Preconstruction

Construction

Success Definition

Project Procedures Meetings

Our integrated approach to quality results in real value: For Ventura County:

A/E Document Expectations

Submittals

• Value through clear design documents. • Value through a project that meets • Integrated construction quality activities needs without delays or nuisance eliminating rework.

Document Reviews

Project Quality Plan

Front Ends & Subcontractors

Mock-Ups / Sample Construction

Pre-Installation Meetings

Quality Verification

• Less risk of schedule delays.

• Effective use of the County’s initial investment in HRW.

• Reduced long term operating costs for HRW.

For VCMC Facilities Engineers:

• HVAC, Plumbing, Electrical and Subcontractor Buyouts

3rd Party Inspection Start-Up, Documentation & Training Punchlist & Close Out

Warranty

For VCMC Clinicians:

Low Voltage systems which operate effectively and energy-efficiently.

• Tested and verified system and

assembly performance, eliminating risk of issues like water intrusion, flooring delamination, etc.

• Higher quality electronic As-Built Documents for future facilities management uses.

• Less likelihood of “call backs” during warranty period for improper or defective materials or installations.

issues.

• Positive impressions of the project.

• Less interruptions to operations,

mitigated noise and infection risk through well managed construction phasing.

• Quicker and more effective licensing and move-in processes.

• Less risk of future clinical interruptions due to “call backs” for defective work.

“Quality is how we do our job every day, and how we imagine the finished product as we work. This is as true of VCMC’s patient care as it is of our designing and building. Our design and construction firms, subconsultants, subcontractors, and individual team members, have a track record of high quality work on similar projects. We will bring that experience to VCMC, and use the systems and practices described in this section to check and ensure that the work we do for VCMC is proper, compliant, and satisfying to the stakeholders.

// 093

094 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Proposer will provide a narrative that complies with Division 01 General Requirements, Section 01 01400, Quality Requirements, and address the following items: 1. The organization and reporting relationships of the project team members responsible for quality control.

Provide a table showing quality control resource loading through completion of the project.

The following represents the teams’ roles and responsibilities related to quality:

• Design-Builder: Has overall responsibility for quality

during design and construction. We will work hand in hand with VCMC to ensure that all of the project requirements are incorporated into the documents and that the permit set issued to OSHPD for approval contains the level of detail necessary to minimize clarifications during construction. During construction, the Quality Control Manager for the Design-Builder will validate that the work installed is in conformance with the plans and specifications and to the satisfaction of OSHPD and the Inspector of Record.

• Architect of Record: Has responsibility for producing

and coordinating a complete set of documents to efficiently obtain OSHPD approval. This includes close collaboration with all consultants and Design-Build subcontractors to include the appropriate level of detail required to minimize clarifications during construction.

The AOR is also required to set the standards for quality for the finished product.

• Design Consultants: Along with the Architect of Record, the design consultants are responsible for coordinating a thorough and detailed set of documents such that OSHPD can efficiently approve and allow construction to proceed. Working with the appropriate Design-Build and design-assist subcontractors, the design consultants will incorporate the appropriate level of detail in their documents to minimize clarifications during construction.

• Subcontractors: During the completion of the design

and permitting, select Design-Build and Design-Assist subcontractors will work side by side with the Design Team to ensure that the appropriate level of detail and shop drawings are incorporated into the OSHPD permit

set of documents. This approach eliminates deferred approvals and associated cost and schedule impacts.

All subcontractors will be required to provide project specific QC plans, attend pre-installation meetings, and participate in mock-ups ahead of starting their work.

During construction, the subcontractors will coordinate inspection of their work with the Design-Builder’s QC Manager and the IORs.

• Inspectors of Record: The IORs are OSHPD’s eyes and ears during construction of the new hospital. As such, the Design-Builder will coordinate all inspections with the IORs during the course of the project to demonstrate compliance with the approved plans and specifications.

The Quality Control Manager will work closely with the IORs to ensure all inspections are scheduled in a timely manner to allow the next phase of work to begin.

• OSHPD: OSHPD’s role is to verify that the design and

construction conforms to all applicable codes and regulations. The Design-Build team will work closely with OSHPD’s plan-checkers during the permitting phase of the project to provide timely information and clarifications as necessary. During construction, the Design-Build team and IORs will meet weekly with the three field officers (Area Compliance Officer – ACO, District Structural Engineer – DSE, Fire Life Safety Officer – FLSO) to update and verify the progress of the work. Because of the extensive amount of hospital design and construction performed by the Design-Build team, we have excellent relationships with OSHPD personnel at all levels to help smooth the path to a successful project.

• Ventura County Medical Center: VCMC, along with

the Department of Public Works and RGG, plays an important role in the Quality Control process for the new hospital. The first step to a quality project is defining and communicating expectations, which has already begun during the proposal phase. This will continue through the design process as the program and equipment are finalized and on to the various mock-ups where users have the opportunity to visualize the end product and make adjustments as necessary. VCMC will also be heavily involved in interactions with OSHPD to develop a true team atmosphere and ensure that the Owner’s objectives are represented.

QUALITY CONTROL RESOURCES LOADING DESIGN PHASE

% OF TIME COMMITTED TO VCMC

Design Manager

100%

QC Manager Design-Builder

25%

QC Manager Design Team Architect Structural Mechanical Electrical Low Voltage Medical Equipment Civil

25% 10% 15% 10% 15% 15% 10%

Project Director

100%

Project Manager

50%

Project Superintendent

30%

MEP Manager

50%

BIM Manager

100%

CONSTRUCTION PHASE

% OF TIME COMMITTED TO VCMC

QC Manager Design-Builder

100%

Project Director

40%

Project Manager

100%

Project Superintendent

100%

MEP Manager

100%

BIM Manager

100%

Design Team Construction Administration & QC

100%

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

• The Design-Builder has overall responsibility for Quality Control.

• The HRW Project Quality Control Manager has a

reporting structure to the Divisional Quality Control Director as a check and balance to the team.

• Our team’s collective healthcare experience is brought forward to support the Quality implementation with design and construction.

Design-Builder Corporate Quality Structure

• We will establish a robust BIM platform at the start of

design. The BIM Manager will transition to construction.

Our BIM management process will set up the documents for a high level of coordination and quality.

VCMC HCA

County of Ventura

OSHPD

RGG

Design/Builder

Chief Operating Officer Inspectors of Record VP, Quality and Sustainability

Project Director

Division Quality Director

QC Manager

Design

Design Manager

Design-Build Subcontractors

BIM Manager

Design-Assist Subcontractors

Other Subcontractors

Other Subcontractors

Construction

Architect of Record

Design Consultants

Design/Pre-Construction Team Transitions into Project Support Role During Construction Phase for Continuity

Other Specialty Consultants

Design-Builder Quality Control Staff

Architect of Record

Design-Build Subcontractors

Design Consultants

Design-Assist Subcontractors

All Other Subcontractors

// 095

096 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Proposer will provide a narrative that complies with Division 01 General Requirements, Section 01 01400, Quality Requirements, and address the following items: 2. Quality control during design and construction document development (internal QC including CDA process) The following Design and Preconstruction phase activities are accomplished to help assure quality outcomes: A/E Deliverable Requirements:

• Once agreement is reached on what information

and level of detail is required, the team can properly plan work activities and know when to expect the necessary information.

• Agreeing on this information prior to delivery of a

design submission enables the Project Team to identify, discuss and resolve critical issues as early as possible.

DESIGN TEAM QA/QC FLOW CHARTS FOR HRW PROJECT

MILESTONE PHASE START

DOCUMENT DEVELOPMENT

DRAFT INTERNAL MILESTONE DELIVERABLE

DRAFT EXTERNAL MILESTONE DELIVERABLE

FINAL MILESTONE DELIVERABLE

QUALITY CONTROL MEASURES

Finalize

Internal Project Reviews

Overall Project Reviews

Basis of Design Design Criteria Work Plan Conformed document package

Project Manager Review Principal In Charge Review Independent Internal Peer Review

Project Manager Review External Peer Review Over-the-Shoulder Review

Final Project Manager Review

Coordination Meetings

Project Review Meetings

D/B Team Review Meetings

D/B Team BIM Validation and CDA Process Implemented

Update Deliverables

Update Deliverables

QUALITY ASSURANCE MEASURES

Independent Peer Reviews:

Owner Review for Program Compliance

Lessons Learned

• During preconstruction, we will utilize independent

peer reviewers for critical areas such as the exterior skin.

• Peer reviews provide additional focused input to achieve the best design to meet all HRW requirements.

Building Information Modeling (BIM):

PROJECT START

PREPARE QA/QC PLAN

Project Specific

ENGINEERING/ DESIGN/ DRAFTING

Issue Logs Client Visualizations

• Our team has already developed a Level of

Development (LOD) matrix and coordinated it among design team and subcontractors. On day one of the VCMC project, we will start with a full understanding how our BIM work fits together between the team members.

• Design-Build delivery affords our team the unique opportunity to work in one model platform. This avoids duplicative work efforts when compared to implementing a separate design and construction model under a non Design-Build delivery.

DISCIPLINE DETAIL CHECK

Assigned Checker Detailed Check Lists Mandatory Field Verification Clash Logs

TEAM ASSURANCE REVIEW SIGN-OFF

Engineering Discipline Leads Owner’s/Client’s Team

QA REVIEW QA Reviewer Detailed Check Lists Random & Critical Items QA Completion

ISSUE FOR CONSTRUCTION

QA/QC Step 01

QA/QC Step 02

QA/QC Step 03

QA/QC Step 04

Are quality issues fully addressed?

Have all check criteria been met?

Is the package fully endorsed?

Have the QA criteria and quality goals been met?

CLIENT FEEDBACK

QA/QC LESSONS LEARNED

Project No // ENT10102 Hospital Replacement Wing

Constructability Reviews:

Staffing and Quality Team:

• The Design-Builder will continuously review the

• The quality team will be led by the Design-Build

documents from the perspective of a builder—critiquing the design for such issues as completeness, availability of materials and labor, and efficient and effective construction details.

• The involvement of the HRW field staff and

subcontractors at this stage allows them to incorporate their lessons learned and hit the ground running once construction begins.

• BIM enhances the visualization needed to provide a more thorough constructability review.

Representative and includes the following:

» The Design-Builder’s Design Manager, QC Manager, MEP/Commissioning Manager and Project Manager

» Design Partners » Subcontractors » Design-Build Trades » 3rd Party Consultants Issue Tracking Log:

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 097

• Challenges identified during design could include work

• Provide validation through BIM and the design team for

Coordination and Detailing Activity (CDA) Process

• Along with the traditional above ceiling CDA, we will also

requiring multiple teams for a complete design on a single element (exterior), requirements for construction of mock-up and samples to determine final product prior to design completion or sequences and/or layouts and coordination of areas that required VCMC input.

all Owner furnished equipment, to support the medical equipment planning process during CDA. Advise on how the equipment planning will be “dropped into” the BIM platform and how the CDA process will be utilized to confirm equipment compatibility within the building. prepare in wall CDA documents for those areas that require detailed coordination of metal framing systems, plumbing, conduit and backing during the design development.

• The CDA process will start with the notice to proceed

and will continue as the documents are prepared, plan checked and during construction. Key aspects of our CDA process will include:

• Develop overall campus BIM model with verified survey in order to locate and tie down the existing facilities in one cohesive BIM platform.

• Regular meetings with the Design Team and trade

contractors to work through and resolve clashes between building systems. Managing the model content between all parties, assigning of clash resolution and functionally resolving all clashes will be the role of the Design-Builder.

Front End Documents:

• Verification that all identified comments have been

• Front End Documents are a comprehensive set

• The architect’s Project Manager will maintain the Issue

• Coordinate an overall approach to BIM clash resolution

• All items, across all trades, are identified and tracked

VENTURA COUNTY MEDICAL CENTER ISSUES

of documents that the Design-Builder will prepare to supplement HRW’s specifications to detail all subcontractor scope and responsibilities.

• Any special requirements of the Quality Program, such as Subcontractor Quality Plans, involvement in mock-ups, and procedures for resolving non-compliance notices, are included in the Front End Documents.

Construction Transition:

• Continuity of information from design to construction is critical.

• Key personnel involved in the management and

completion of the design will transition to supervision of the construction.

addressed is critical.

Tracking Log with input from the Design Manager, all other discipline project managers, and other team members. through resolution.

Quality Challenges (in Site Specific Quality Plan):

• During the design phase, elements or portions of HRW

that are unique will be identified and tracked by our QC Manager.

• Challenges are also identified as the design is finalized

and the design team recognizes that quality during construction is better served with advance notice to the construction team.

logs, schedule, protocols and reporting the result in ‘flattened’ 2-D CDA drawings for review and submission.

Initial

Due

Building No. / Area

Category

Discipline

11/04/11

Site

Consultants

Low Voltage

11/04/11

Site

Consultants

Low Voltage

Medical Equip & Health Care Low Volt / IT Integration

Structural Design 06/01/12

Site

Consultants

Structural

05/18/12

06/01/12

New Tower

Consultants

Structural

05/18/12

06/15/12

New Tower

Consultants

Structural

06/04/12 06/04/12 06/06/12

06/07/12 06/07/12 06/08/12

New Tower New Tower New Tower

Consultants Consultants Consultants

Structural Structural Structural

03/16/12

10/31/11

Electrical Design 11/01/11

Item Relocate IT infrastruct feeding 304, 305, 403, 404 from footprint of RHW. Can use temp as final?

Relocate Tel/Data and fiber from bldg 367 before demo.

Provide 75#/sf total mass under 2nd flr AHU’s Design connection between Fainer and HRW to move differentially, approx. 1'0", a "boot" connection Prove removing elevator walls at Fainer first floor does not cause more than 10% increase in stress over original design Verify soil mixing extent at loading dock Sketch Alt 1 basement for price Frame cantilevered ambulance canopy, temp Café Lab canopy

New Tower

Consultants

Electrical

11/04/11

Generator Bldg

Consultants

Electrical

11/04/11 11/04/11 06/04/12 07/02/12

06/07/12 07/06/12

New Tower New Tower New Tower New Tower

Consultants Consultants Consultants Consultants

Electrical Electrical Electrical Electrical

Do study of E-power loads needed Relocation of generator fuel tanks to a location South of Alquist Priolo limit line if existing two generators are used to power new bldg.

Required participation in SCE "Savings by Design" Program Required participation in SCE Ventura County Partnership Program Sketch Alt 1 basement for price Recommend UPS solution, proposal to address power outages

05/16/12

05/24/12

Fainer Building

Consultants

Electrical

Show conduit to future Fainer transformer in healing garden

Status

Ball in Court

Pending Pending

Pending Pending Pending Pending Pending Pending

Pending Pending Pending Pending Pending Pending Pending

The HRW Issue Tracking Log will identify and track design issues, including Quality challenges from the SSQP and the Lighting No glare at night into sky from parking Pending 10/17/11 New Tower Consultants Quality through completion. used by our teamandduring the proposal period to do the samePending thing. This Lighting Mech enclosure helipad lighting only on when needed 10/17/11 Managers, bothNew Tower Consultants It was format allows all team members to understand all issues, and ensures that no issues are forgotten or unresolved.

098 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Proposer will provide a narrative that complies with Division 01 General Requirements, Section 01 01400, Quality Requirements, and address the following items: 3. Tracking and Compliance Log to assure the incorporation of Agency comments during the review and approval process Our team’s extensive OSHPD experience allows us to understand what elements are required to achieve successful approvals of all the Increments. We will begin by defining these, and seeking OSHPD input prior to submittal.

We have internal checklists from past experience, which will help us anticipate OSHPD comments and address some of those prior to the initial submittal.

• Review Constructability of Drawings: Confirms that the design can be efficiently built. This involves the Design-Build team and key subcontractors.

• Check Code Compliance: Review drawings to confirm

compliance with codes to expedite OSHPD reviews. Our review sessions with OSHPD during the HRW proposal period clarified and confirmed our approach to plan check and permitting.

• Agency Review Log: The Design-Build team will

manage the schedule and review process for each

Before completion of each OSHPD submittal the following will be evaluated for quality assurance and quality control:

• Review Checklist: Adjust quality assurance checklist for specific package, review procedures and audit points to support quality design development.

• Set up Peer Reviews: Critical building elements and systems will be reviewed to confirm they meet the standards of quality and code compliance.

• Review Scope: Check that the document meets the required scope of the package.

• Review Quality of Drawings: Confirms that information is correct, easy to understand, and able to be built.

Sample OSHPD Plan Review Log

• Review Drawing Communication: Check information

and references to make sure they delineate how drawings are tied together and how specifications are tied to the drawings.

• Perform Coordination Checks: Review and analyze

possible conflicting elements. This involves all consulting engineers and key subcontractors. The methods used include clash detection BIM analysis and interface between trades.

Sample OSHPD Plan Review and Backcheck Schedule

Agency. We will maintain a Log of all applicable permits, such as OSHPD, Ventura County Public Works, AQMD, OSHA, Utility Companies, etc., showing dates and status of every submittal. This Log will ensure that all permits are obtained per schedule.

• OSHPD Plan Review and Backcheck Schedule:

The Architect will also maintain a Log showing each OSHPD Permit and Increment, dates of submittal and each backcheck, and color coded status. We have found this to be of value to OSHPD as well as our team, and having them know priorities for approvals helps them

work in partnership with us to guide their review efforts in ways that support the project. We find OSHPD to be an excellent partner in navigating multiple permit projects when they are kept informed and clearly understand the organization and priorities of approvals.

• OSHPD Plan Review Log: For each permit and

increment, the Architect will maintain a log of OSHPD comments and responses, and will use this log with OSHPD to track and sign off items raised by them in plan review.

Project No // ENT10102 Hospital Replacement Wing

Item A // The Proposer will provide a narrative that complies with Division 01 General Requirements, Section 01 01400, Quality Requirements, and address the following items: 4. Configuration control to assure compliance with program requirements and avoid scope expansion.

After award of the project, our team will use two primary tools for configuration control: (1) the Revit model, and (2) the Program Compliance Matrix.

Our Managers and Planners are thoroughly familiar with the RFP and Program, and will have reconciled versions of these documents handy. In meetings with VCMC, users, RGG and County Public Works, there will be discussions to refine the design. In the meeting, if options are being considered which expand scope, we will notify RGG at that moment and a decision will be made whether to abandon the item or consider the scope change.

If potential scope change items need to be studied or discussed after the meeting, we will record them in minutes and enter them into the Issues List to track. We will pursue any study required by the Design-Build team for design impact, configuration and cost, and get back to VCMC and RGG with proposed solutions. Our Revit model automatically tracks Program to Actual area, and we will continue to update the Program Compliance Matrix.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

If proposed revisions are within the project program, we will demonstrate that with the updated Program Compliance Matrix, make the revision and proceed. If a proposed revision is a scope change, we will identify the timeline required for a decision, cost if applicable, and work with RGG in a controlled change approval process.

PP 06

PP 08

PP 10

9.01 275 SF PGM 283 SF ACTL

PP 09

9.01 275 SF PGM 287 SF ACTL

9.01 275 SF PGM 284 SF ACTL

9.01 275 SF PGM 287 SF ACTL

PP 07

9.01 275 SF PGM 287 SF ACTL

CORRIDOR 0 SF PGM 3709 SF ACTL

WRK CARE 9.02 150 SF PGM 195 SF ACTL

Example of HRW floor plan where underlying Revit model tracks program versus actual area.

// 099

MEDICATION 110 SF 160 SF Actual Program Compliance matrix used during the HRW Proposal period. We will continue to maintain this through the life of the project.

100 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Proposer will provide a narrative that complies with Division 01 General Requirements, Section 01 01400, Quality Requirements, and address the following items: 5. Mock-ups: Quality control procedures to provide for mock-ups to be used by the Agency to make final materials selections and to establish the quality of construction that will be incorporated into the work We view mock-ups and sample construction as a critical part of the Quality Program. The primary reason for this is that they allow us the opportunity to document not only the sequence of installation, but to also functionally test the systems and assemblies. The mock-ups and sample construction are also used as the standard for the remaining work. We have reviewed and included the mockups required by Section 01 0142.

Mock-ups save time and money by enabling the project team to determine how best to build something once before doing it multiple times. This process includes virtually documenting the ‘what’ (3-D) and the ‘how’ (4-D) of the mock-up’s construction, as well as testing it to verify its performance.

We will use BIM in the HRW mock-up process, building mock-ups virtually before building them physically. This approach identifies and resolves significant issues that can lead to physical and sequencing clashes, while also creating clear documentation of a project’s “what” and “how.” Because the project team focuses on the virtual model’s outcome and incorporating that into a physical mock-up, team members have much higher overall confidence in the final solutions.

Any lessons learned or changes made through the mockup process will be subsequently integrated into the mockup and project models, helping facilitate the transfer of these lessons to the field crews responsible for actual project construction. The creation of a virtual mock-up prior to a physical mock-up magnifies the value of real-world physical testing and translates into significant construction quality improvements that benefit VCMC and the DesignBuilder alike.

Example of exterior mock up and water testing

Example of interior finish mock up

Example of wall assembly mock-up

Exterior skin mock ups serve many purposes:

Interior, or finished material, mock ups are primarily constructed for the benefit of the design team and user groups so that the expectations for quality can be fully understood by all involved, including the tradesmen installing the work. The interior mock up also confirms spatial layouts and code required clearances.

Functional mock ups, such as this through-wall UL assembly mock up, will confirm for the IOR and OSHPD that the Design-Builder and its subcontractors understand the installation instructions and strict tolerances associated with hospital construction. There will be thousands of pipe penetrations through rated walls in the HRW and incorrect installations will cause inspection issues and schedule delays.

• Aesthetic review • Means & methods/sequencing confirmation • Water testing For the HRW, we will construct a full-size mock up of the exterior skin per Specification Section 01 0142 to ensure the selected materials comply with the design intent, are installed properly, and will leave VCMC with a water-tight building.

Project No // ENT10102 Hospital Replacement Wing

Example of a ‘projected’ mock-up.

Virtual mock-up of a typical patient room using 360.

Example of Physical walk through mock-up in the ‘CAVE’.

“Projected” Mock Ups: A hybrid of physical mock ups and the use of BIM to review spatial restrictions, a “projected” mock up is simply “to scale” projection of the model onto a blank wall. This is a cost-effective way to allow end users the opportunity to roll in beds, carts, and other mobile equipment, tape out borders of fixed equipment, and visualize how a space will look upon completion. The Design-Build Team will encourage VCMC to participate in these reviews early in the HRW project.

360 is a software that provides a visual representation to the client of what the final product will look like before the project is even permitted. This product allows the user to “walk” through any space in the hospital via a computer monitor to understand finishes, placement of equipment, and relative spatial constraints prior to pouring the first footing. It also has the ability for the user to point to an object, finish, or piece of medical equipment and have additional data provided instantly about the manufacturer, color, and other pertinent information. The Design-Builder can provide this service should VCMC determine that it is feasible and beneficial to the HRW project.

One step beyond the use of the 360 website to virtually tour the finished space would be the use of a virtual ‘lifesize’ mock-up. There are two different products on the market that will facilitate this effort. One is the use of a physical “cave” with 3 walls and another is a mobile head mounted viewing system. The “cave” is an immersive booth that projects the design model image on walls, floor, and ceiling, and allows the user to navigate through the model with special glasses on and inspect the virtual product from any angle. The head mounted system costs less and has the added benefit of being mobile which will make the interface with user groups more viable. The Design-Builder has evaluated this technology and believes it would be of value to some users, for example surgeons reviewing the layout of the operating rooms or nurses reviewing the layout of patient rooms or nurses’ stations.

This technology could have the ability to prevent costly user change orders that are common near the end of most healthcare projects. The Design-Builder can provide this service should VCMC determine that it is feasible and beneficial to the HRW project.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 101

Patient Experience Our team will build mockups early in the process, so we can gain the benefit of full input and buy-in from all VCMC stakeholders. This will avoid late discovery of design and construction issues, will result in a higher quality end product, and will ultimately enhance the patient and staff experience of the project.

102 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Proposer will provide a narrative that complies with Division 01 General Requirements, Section 01 01400, Quality Requirements, and address the following items: 6. Quality control procedures during construction

Quality initiatives:

The following activities will be accomplished during the construction phase of the HRW project as part of the Design-Builder’s quality program:

• The Design-Builder has initiated several company-wide

Quality Initiatives to provide additional resources and support to areas of critical importance to HRW’s quality.

The following is a summary of these initiatives:

Site Specific Quality Plan (SSQP):

• We will create an SSQP for the VCMC HRW that includes all requirements of the Quality Control Plan described in Section 01 01400.

3-D model

• The primary focus of the SSQP is to fully explore the

contract documents, identify the project’s unique Quality Challenges, and identify how our Team will overcome these challenges.

Program

» Flooring Coordination Program Project Procedures Meeting:

Subcontractor Quality Plans:

• A successful quality plan requires buy-in from all team members and each subcontractor will be required to submit a Site Specific Quality Plan for their scope of work.

• The procedures inherent to the subcontractor’s cultures play a role in the success of the program on a project.

The HRW BIM Execution Plan establishes the rules and expectations for each party to create a useful model.

The model is a significant component of the SSQP and allows the team to virtually construct the HRW and identify potential conflicts. BIM is also used for coordination, planning, safety, and scheduling on the project.

• The specifics that define their base programs are

implemented with appropriate modifications, developing a cohesive SSQP.

begin immediately with the relocation of the site utilities for HRW.

• Mock-ups allow us the opportunity to document not only

to insert decks, establish elevations of systems and to confirm all routings.

expended during the proposal period.

subcontractors working hand in hand with the designers will streamline the submittal process and eliminate deferred approvals.

Mock-ups and Sample Construction:

• Our team will utilize the Trimble system for all coordinates

• A significant amount of BIM effort has already been

• Our team set-up with Design-Build and Design-Assist

for approval, we minimize the number of rejected submissions—thus speeding up the review and approval process.

• The utilization of the model in field quality control will

the Trimble information is correct prior to placing of any concrete.

Submittals and Shop Drawings:

• By performing thorough internal reviews prior to sending

Building Information Modeling (BIM):

• An independent layout check will be done to confirm

job site to review their scope of work, provisions of the Front End documents, and other project management issues.

be utilized to allow the design team sufficient time to respond to submissions.

Program, detailed field procedures for activities from material procurement to pre-inspection are followed:

footings, anchor bolts, deck edge, walls, and doors.

• Meetings will be conducted with all subcontractors at the

• A prioritized approach to remaining submittals will

• As a subset of the subcontractor established QC

• The model will also be utilized in the layout of the walls

» Building Enclosure Coordination Program (BECP) » Water Infiltration Prevention Program (WIPP) » Mechanical, Electrical, and Plumbing Coordination

Use of Trimble technology transfers the data directly from the coordinated model to the field. This increases efficiency and acts as a Quality Control tool to confirm accurate layout of footings, anchor bolts, walls, and MEP systems.

the sequence of installation, but to also functionally test the systems and assemblies to verify they achieve the required contract characteristics.

Project No // ENT10102 Hospital Replacement Wing

Pre-Installation Meetings:

Commissioning:

• We will engage the trades and subcontractor supervision

• Building and systems commissioning will be a verification

in pre-installation meetings for all work.

• These meetings allow those actually accomplishing the

work to understand the contract documents and our expectations, to review the mock-up, and to become prepared for any verifications, inspections or tests to be accomplished.

1st Installation Verifications:

• Once the first portion of work has been completed, our Major components of the MEP systems will be fabricated in a controlled environment off-site and delivered to HRW inspected and ready for installation. This improves the level of quality and the HRW schedule.

QC Manager, Superintendent, and Trade Manager will meet with the subcontractor, A/E, and IOR to review compliance to contract documents, accomplish any testing possible, and resolve issues prior to proceeding with subsequent work.

• These 1st Installation Meetings will assure that the actual

of the quality installed throughout the construction process.

• The test engineers identified for each system will be

involved in the quality documentation for the installed systems.

• Knowledge of the installation and prior verification of

functional compliance will provide a transition for the final functional testing and sign off.

• All of the systems identified for commissioning have established procedures in the SSQP.

• The combination of the QA/QC plans and the

Commissioning Plan finalized with the Commissioning Agent(CxA) will provide the confirmation and verification of the quality of work.

trades doing the work can achieve plans, specifications, and the expectations approved in the mock-ups and sample construction.

Prefabrication:

• BIM will be utilized to establish the elements of work to

be built in a shop and transported complete and tested to the field.

• Examples of work that will be fabricated in a controlled environment and delivered to site inspected:

Composite assemblies, such as headwalls or unitized curtainwall, can be mass produced and installed more efficiently and with greater quality.

» Headwall Assemblies » Trapeze supports for overhead utilities » Pipe and duct runs » Underground stub-ups for electrical rooms » Power outlet boxes within stud walls » Unitized curtain wall assemblies » Repetitive patient bathrooms

Commissioning will verify that all components and systems are installed properly and functioning according to the design intent. Commissioning is also a major component in achieving LEED certification.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 103

104 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Quality challenges during construction of HRW. 1 Dust Control: Mitigation of dust and fumes from air intakes on operational buildings

1

3

1

2

2 Monitoring: Licensed survey to monitor existing structures during excavation and shoring 3 Uninterrupted Services: Finite investigation and scheduling of utility relocations to avoid service interruptions

5

4 Prefabrication: Redundant components like headwalls, unitized curtainwall, and MEP systems can be prefabricated to improve quality and schedule 5 Mock-ups: Exterior skin and other repetitive and aesthetically sensitive components will be mocked-up for review 6 Commissioning: Building systems to be commissioned in accordance with VCMC and LEED standards 7 Infection Control: Construction barriers and negative pressure to be applied for renovation and tie-in work 8 Dust Control: Mitigation of dust to avoid helicopter downwash

4

6

5

7

8

Project No // ENT10102 Hospital Replacement Wing

On-Going Verifications and Testing:

• We will institute an on-going verification and testing

approach throughout construction to build in quality, identify issues, and resolve as soon as possible in accordance to Section 01 041400.

• An inspection and tracking procedure will be established

CHALLENGE AND RESOLUTION

CHAMPION

FOCUS PERIOD

Challenge — Utilize WIPP to manage water infiltration prior to full building enlosure. This includes weather and pressurized water systems within the building.

Quality Control Manager/Project Superintendent

Beginning of drywall installation through building enclosure

Challenge — Critical Utility Systems: There are a number of vital utility systems within the campus serving various buildings that must remain operational throughout construction. Any potential outage must be strictly limited in nature or a temporary bypass system in place to allow for uninterrupted service. This operation will be carefully planned and coordinated with the Agency’s team.

Project Superintendent

Construction duration

Challenge — Unforeseen Conditions: Examples of unanticipated problems may include unknown utilities creating conflicts, underground obstructions, and undocumented facility construction. Pre-construction activities will identify potential field problems along with mitigation strategies to avoid associated delays to ensure project success.

Project Superintendent

Make-Ready scope through structure completion

Challenge — SWPPP: Dust and errosion control during site Make-Ready, excavation and soil mixing activities will be utilized to minimize impact to facility air intakes and runoff outside the project site.

Project Superintendent

Make-Ready through hardscape completion

Challenge — Infection Control: Appropriate construction barriers, negative pressure, and debris removal methods will be used during tie-ins and renovation of Fainer.

Project Superintendent

Fainer Renovation

to document the inspections and track sign off.

• All tests required by code will be tracked with a

Verification Report and OSPHD Testing Inspection and Observation (TIO) form.

• Inspection requests will be transmitted to the Agency IOR 48 hours in advance.

• We have included costs to utilize a proprietary software

system that is web based and provides sufficient licenses for VCMC, IOR, RGG, subcontractors and the design team to access the quality database. Within the database, inspections can be initiated by any user of the system and input in to a customizable workflow to follow an inspection or quality issue through to resolution. It also provides location based reporting and tracking keyed to the floor plans. Numerous reports and sorts are available to allow all stakeholders to efficiently track quality levels, compliance, percentages, status maps, etc.

• The Design-Builder, along with the Agency IOR, will

finalize the call out system to be used for inspections.

This will assure that all of the elements that the Agency IOR requires for sign off will be systematically tracked during the course of the work.

• The Design-Builder also tracks all quality incidents that

occur on projects throughout the company nationally, tabulates them in a database and utilizes them as part of the program in lessons learned.

• The quality incident form is completed for all significant

quality incidents that occur on a project. The issues are tracked through resolution.

Design-Builder Cost

Design-Builder Quality Incident Form - This form is used to share lessons learned across the company to avoid repetitive mistakes.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Quality challenges (from SSQP) during construction phase of HRW.

RESOLVED

// 105

106 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // The Proposer will provide a narrative that complies with Division 01 General Requirements, Section 01 01400, Quality Requirements, and address the following items: 7. Infection Control Plan The focus areas of infection control during the construction of HRW are:

• Dust control during Make-Ready, excavation, and soil mixing.

• Tie in to Fainer at Basement, First Floor and Third Floor.

• Tie in to Café/Lab at “cube” connector.

• Temporary exiting of internal hospital areas during construction.

• Issues during Fainer renovation phase after HRW is complete.

The implementation of proper infection/dust control measures will be essential during all phases of HRW construction. Successful program measures will ensure a safe environment for all high-risk patient populations.

Although the amount of construction activity to be performed inside the existing facility while operational is minimal, we have included the following general infection control measures as a guideline. It is essential that this process be coordinated with the VCMC’s Infectious Control Officer and conform to their established policies, including the Infection Control Risk Assessment.

Dust Control

• Construction barriers will be installed prior to the start

of any construction as necessary. All partitions will be sealed from floor to ceiling and ceiling to structure.

• Cleanliness of new materials in HRW.

• Signs will be posted at the construction entrance(s)

We have included general infection control measures as a guideline, but a comprehensive, site specific Infection Control Plan for HRW will be developed in conjunction with VCMC’s Infection Control Officer and RGG.

• Where work outside of the construction barriers will be

The key to developing an effective infection control program is communication and pre-planning well before work actually takes place. Each member of the Project Delivery team will be bought into all aspects of the program with the objective. We will have frequent discussions with VCMC and RGG to ensure our program meets VCMC’s needs.

Construction barricades will be installed to separate construction from occupied areas during renovation.

stating that only authorized persons may enter the area. performed, temporary plastic enclosures will be installed for protection.

• Site watering will be critical during the Make-Ready,

excavation, and soil mixing. In addition to water trucks, we will install aggregate base at temporary drives to control dust.

• A plan to monitor and provide protection to air intakes

on existing air handlers will be coordinated with VCMC facility managers.

Site watering during grading operations will be critical to control dust migration from the wind.

Temporary plastic enclosures will be used for isolated work outside of the construction barriers.

Project No // ENT10102 Hospital Replacement Wing

Debris

• Debris will be removed through a predetermined route designated by the facility.

• All debris resulting from construction will be removed daily from the construction zone(s).

• No debris associated with the primary construction zone

will be transported through active hospital, patient care or plant process areas.

• Remote construction “zones” shall transport debris in sealed containers through existing corridors, or pathways.

• A dumpster will be located at the loading dock or other All ductwork will be cleaned and sealed upon arrival at HRW and also capped during the progress of the installation.

agreed location. This dumpster shall be designated for the specific project construction debris only and will be isolated from general pedestrian traffic.

• Tacki-mats, or some other cleaning method for shoes,

shall be used at each construction entrance into occupied space.

HVAC

• All vents will be either blocked, sealed or filtered prior to construction start-up and prior to each shift.

• The primary construction area will be continuously

supplied with a negative air unit that shall exhaust air at a rate 25% greater than the rate of the air supply unit and powered on the emergency circuit or alternative backup power supply.

In renovation areas such as the Fainer Emergency Department, we will install temporary barriers with negative pressure and monitoring.

Tools and debris transported through existing VCMC corridors will be in sealed containers.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 107

• A secondary (back-up) negative air unit will be available and located on-site.

• Air filters will be monitored daily with changes of the

filters occurring as needed. Filters will be disposed of in the designated dumpster.

• A visual, or other type of confirmation, will be made

from directly outside the “containment area” indicating negative airflow.

• The air exhaust will be located at a minimum of 75’ from the air intake unless HEPA filtered.

• The air exhaust air duct shall be constructed with

accordion style flex duct, and unless HEPA filtered, will be exhausted outside.

• All new ducts arriving on-site for the project shall be

sealed at each open end until installed. Upon installation, any open end(s) of the duct shall remain sealed until ready for use.

Item B // The Proposers will provide a Revised Edition of the Specification 2-16 with all the deviations identified by “Track Changes”. Failure to identify the deviations with “Track Changes” may negatively impact proposal scoring.

The Revised Edition of the Specification Sections 2-16 are included in the Appendix in Volumes 4 and 5. The modifications noted therein do not represent deviations from the project design criteria.

108 //

Project No // ENT10102 Hospital Replacement Wing

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Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

PROJECT WORK PLAN / SCHEDULE

14

Attributes of the design that deliver superior patient care, or a better environment for patients, families, and staff.

Facility Engineering

Items that reduce or simplify maintenance needs, show how maintenance will be done, or how maintenance support will function.

Cost Savings

Things that enable VCMC to save money or reduce energy consumption.

Efficient Care Model

Aspects of the design that promote efficiencies for patient care or improved health outcomes.

PROJECT WORK PLAN / SCHEDULE

Patient Experience

TAB 14

Tab

PROJECT WORK PLAN / SCHEDULE

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 109

“Our team organization benefits VCMC with one entity responsible for the design and construction of HRW. In this plan, the primary subcontractors retain Design-Build responsibility with one Mechanical/Electrical Engineer of record, providing a cohesive design between all parties, enabling us to obtain approval of OSHPD increments with no deferred approvals, and with advanced level construction documents that are constructable.

Our plan has the following attributes that will repeat throughout the Work Plan and embodies our approach to the project to date:

• Understanding VCMC’s operational needs and concerns as our first priority.

• Partnering with the agencies (OSHPD, County of Ventura, Ventura Fire Department) to ensure they remain a partner throughout the project.

• Focus on a collaborative environment, with a co-located team, that can make decisions in the co-located environment to ensure the best outcome under the scope and terms of the proposal and contract.

• Provide flexibility, but require decisions be made in a timely manner, to support the needs for document development and related permitting and construction activities.

Project No // ENT10102 Hospital Replacement Wing

110 //

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

• Our design team will be staffed with experienced OSHPD

Key Personnel:

Item A // Project Approach: Each Proposer shall describe its overall approach to accomplishing the project. Identify opportunities for improvement, project constraints, mobilization, and potential obstacles that may be associated with each phase of the project and how the Proposer will address each of these challenges. The project approach shall be consistent with and supported by the other elements of the Work Plan that are listed below: 1. Approach to key elements of project management and administration (staffing plan).

• Our project team key personnel will transition from the proposal phase to the design and construction phase. This provides a seamless transition to VCMC with knowledgeable individuals on both the design and construction teams of your project.

• Our team will be staffed with OSHPD experienced design and construction professionals who have worked together before.

designers and engineers who understand the project design parameters and requirements. They have a working relationship with the OSHPD LA and Sacramento plan check personnel.

• Our Geotech consultant has successfully implemented soil improvement programs on a number of OSHPD projects, including our proposed approach for soil mixing in the same locale of this project.

• Our project staff will be co-located with VCMC to support timely and efficient decision making for the project. Use of BIM to facilitate decision making is a key attribute of our combined team.

• Our field staff will be engaged during the design. Their

input is paramount to having the design support the field operations.

Administration:

• Our Project Director will have full authority for the project and

County of Ventura

is able to make binding decisions for our Design-Build team.

• Our Director of Design Management will remain engaged in a design oversight role.

VCMC HCA

RGG

Design/Builder

• Our Design Manager will be engaged full-time throughout the design and construction phases to lead the design team and ensure continuity through construction.

Lead Architect & Consultants

(Design, Program, Interiors, Medical Planning, Architecture) • Structural • Code • Medical Equipment • Lighting • Central Sterile Materials Management • Vertical Transport • Civil Design • Acoustical Consulting • Landscape Design • Food Service Consulting

Design-Build Electrical/Low Voltage Subcontractor

Design-Build Mechanical Subcontractor

• Mechanical/Plumbing/ Fire Protection Engineer

Soil Remediation

Geotechnical Engineer of Record (Supplants Bridging Geotechnical Engineer)

Other Subcontractors Vendors Medical Equipment

• Electrical Engineer • Low Voltage Engineer

Division Quality Director

Quality Control Manager

Project Director

• We will coordinate with Ventura County on the use of electronic project documentation as required by the RFP.

• Along with the meeting structure identified in the General Requirements, our team will conduct monthly executive review meetings in order to facilitate open communication at the highest levels.

• Our internal project management systems (accounting, project controls, scheduling and cost management) are web based. This allows for consistent applications for all our projects.

Director of Design Management

• A Site Specific Quality Program will be established for the project. This program includes lessons learned from all our healthcare projects, thereby benefitting VCMC with a large breadth of experience. Our QC program reports to the highest level at our company.

Senior Project Manager Project Manager/ Design Manager

• We will establish a safety program that proactively manages the safety of our project as well as the patients, staff, and visitors on the VCMC campus.

General Superintendent

Safety Manager

Asst. Project Manager

MEP/VDC Manager

Assistant Superintendent (MEP)

Project Engineer (Cost)

Project Engineer (Trade No. 3)

Assistant Superintendent (Concrete)

Project Engineer (Trade No. 1)

Project Engineer (Trade No. 4)

Assistant Superintendent

Project Engineer (Trade No. 2)

Project No // ENT10102 Hospital Replacement Wing

Item A // 2. Proposed strategies for addressing project constraints and overcoming potential challenges that may be associated with each phase of the project and how the Proposer will address each of these issues (Include a graphic plan).

There are a number of unique challenges associated with this project. We have identified five major challenge areas that require our team to be very proactive and functioning at a high level in order to ensure delivery within the contractually mandated 1528 calendar days.

We graphically present the challenges associated with site Make-Ready, confined site logistics, and maintaining continuous VCMC operations on the following pages. We also address soils mitigation and relocation of Building 399 electrical services and extension of permanent power for HRW as two key site challenges.

• Challenge—Soils Mitigation: The existing soils

conditions require an extensive program including supplanting the Geotechnical Engineer of Record, engineering the mitigation approach, testing the methodology and obtaining approvals from OSHPD. Our proposed solution includes Design-Build input from both our geotechnical engineer and the soil enhancement subcontractor to ensure a workable solution. Along with the additional on-site sampling our team completed, we are confident our approach is sound.

• Challenge—Relocation of Building 399 Electrical Services and Extension of Permanent Power for

HRW: Providing new electrical service to Building 399 early in the project will minimize this logistics challenge.

Our plan calls for installation of a new electrical service yard to provide a seamless transition of power to Building 399 as well as new power for HRW.

• Challenge—Site Make-Ready: The relocation of utilities that service existing facilities includes steam supply and return, domestic and fire water supply, sewer, electrical and low voltage systems. These systems will need to be relocated and re-routed in order to avoid any unplanned shutdowns. Establishing temporary entrances and emergency department access will also be required. We have planned for this work to occur at the very earliest possible time (and are proposing a phased approach to site access that accommodates the needs of VCMC to keep Hillmont facility open longer). It is likely that unforeseen conditions will be discovered during early site Make-Ready. Early identification of these will help us mitigate potential delays to the construction of HRW.

Soils Mitigation Challenge HRW soils mitigation approach incorporates the best ideas of our talented team. Over the past six months, we have previewed our approach with OSHPD in order to get their concurrence with engineering solutions for the soil stabilization program.

Our design and approval plan is to utilize an early increment with OSHPD and CGS (California Geotechnical Services) to implement our program. We will introduce an Increment ‘0’ ahead of our OSHPD submittal sequence. As

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

we discussed with OSHPD on June 22 2012, this approach will allow us to confirm the Deep Cement Soil Mixing (DCSM) and maintain the five increments indicated in the preliminary MOU. It also allows for the team to perform our CDSM ‘test section’ early in the design phase to lock down not only the treatment depths, but to confirm that our Alternate Means of Compliance (AMC) for testing and site verification are approved well before the start of treatment.

We plan on performing new soils samples (both hollow stem and Updated CPT tests), in conjunction with our replacement of the Geotechnical Engineer of Record.

• Challenge—Confined Site and Project Logistics:

We have identified logistics challenges associated with relocation of Building 399 electrical services, foundation shoring and soils mitigation sequences, erection of structural steel and related superstructure deck placement sequences, and renovation preparation associated with Fainer Emergency Department expansion.

// 111

Schedule summary for Geotechnical testing, design, and permitting for HRW.

• Challenge—Maintaining Continuous VCMC

Operations: Uninterrupted patient care is a priority for both VCMC and the Design-Builder. This is an underlying element of each challenge and our project approach.

Establishing temporary entrances and emergency department access while maintaining patients, staff, and visitors safety is of paramount importance.

Summary level schedule for production soils mixing. As noted in Tab 7, Structural Design, and Tab 10, Mitigation of Subsurface Conditions, we have elected to keep the new HRW basement well away from the existing Fainer Building.

112 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // 2. Proposed strategies for addressing project constraints and overcoming potential challenges that may be associated with each phase of the project and how the Proposer will address each of these issues. (Include a graphic plan) [continued]

Relocation of Building 399 Electrical Services and Extension of Permanent Power for HRW In order to maintain continuous operations, support the site logistics, and get an early jump on the permitting for the building electrical system, we have planned for a new service yard next to the planned loading dock. Our approach accomplishes three major project needs:

• Provides a new location for Building 399 electrical

services by allowing us to build the new service location first, and cut over the power over without disruption

• Provides a location for all med gas systems and bulk O planned for HRW.

2

• Provides a location for the new SCE point of connection and allows us to pull construction power from the utility once we have the new service installed.

Our approach to the schedule for this area includes in integrated permit from both OSHPD and SCE design along with the construction. In our most recent meeting with SCE, they indicated design and permitting durations similar to our schedule.

The new utility yard will be constructed early in the construction sequence in order to facilitate the cut over of power for Building 399.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item A // 2. Proposed strategies for addressing project constraints and overcoming potential challenges that may be associated with each phase of the project and how the Proposer will address each of these issues (Include a graphic plan) [continued]

3. Early approval of the utilities relocation and plan and “Make-Ready” work.

4. The sequence of work to relocate utilities and “Make-Ready” work with minimal service interruption for affected members of the VCMC community (Include a graphic plan)

VCMC Composite Site Utility Plan

Cable and Communications

5

5

5

10

8 9

11

4 12

3

4

13

3

4

7 14

21

23

4 22

6 2

1

2

1

1

South Construction Area

8 As Built Existing Sewer

15 Demo Existing Electrical

22 VCMC Make-Ready Demo of Existing Communication

2

North Construction Area

9 As Built Existing Storm

16

Demo Existing Water

23 VCMC Make-Ready Demo of Existing Telephone

3

HRW Building Footprint

10 As Built Existing Steam

17

Demo Existing Sewer

24 New Electrical

4

Temporary Fire Lane Access

11 As Built Existing Gas & Oxygen

18

Demo Existing Storm

25 New Water

5

Temporary Canopies/Entrances

12 As Built Existing Cable

6

19

Demo Existing Steam

26 New Sewer

As-Built Existing Electrical

13 As Built Existing Communication

7

As Built Existing Water

20 Demo Existing Gas & Oxygen

27 New Storm

14 As Built Existing Telephone

21 VCMC Make-Ready Demo of Existing Cable

28 New Steam 29 New Gas & Oxygen

• Our site perimeter will be coordinated with VCMC before we begin work. Full site access will not be established before July 15, 2013.

• Per RFI No. 302, we will coordinate our temporary

entrances and site investigation phase so as not to disturb the privacy of the residents at Hillmont House.

• Many utilities cross the HRW site. These utilities will be re-routed as necessary and re-connected to support existing services.

• VCMC’s Make-Ready project will include abandonment of the existing telecom lines.

• Our team will coordinate the timing of the removal as instructed by the RFP.

• Vaults and conduits will be removed with our contract demolition work.

• During the proposal period, we invested in creating a coordinated BIM model of all the utilities that require removal and reconfiguration. These images were generated from the site mapping as-builts and our proposed HRW model.

// 113

114 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Electrical Services

Water Systems

5

5

5

5

16

15 4 4

3

4

2

4

7

24

6

3 25

2

1

1

1

South Construction Area

8 As Built Existing Sewer

15 Demo Existing Electrical

22 VCMC Make-Ready Demo of Existing Communication

2

North Construction Area

9 As Built Existing Storm

16

Demo Existing Water

23 VCMC Make-Ready Demo of Existing Telephone

3

HRW Building Footprint

10 As Built Existing Steam

17

Demo Existing Sewer

24 New Electrical

4

Temporary Fire Lane Access

11 As Built Existing Gas & Oxygen

5

18

Demo Existing Storm

25 New Water

Temporary Canopies/Entrances

12 As Built Existing Cable

6

19

Demo Existing Steam

26 New Sewer

As Built Existing Electrical

13 As Built Existing Communication

7

As Built Existing Water

20 Demo Existing Gas & Oxygen

27 New Storm

14 As Built Existing Telephone

21 VCMC Make-Ready Demo of Existing Cable

28 New Steam 29 New Gas & Oxygen

• Relocation/abandonment of the electrical feeds to the site lighting will occur early in the Make-Ready phase.

• Our plan also includes relocation of the transformer and switch at the Behavioral Health Building.

• The on-site water feeds that cross the site will be rerouted and re-fed to existing structures.

• We suggest that this work commences before July 15, 2013. We understand this would need to be mutually agreed with VCMC.

Project No // ENT10102 Hospital Replacement Wing

Campus Steam

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Storm Drain System

5

5

28

28

19 18

3 4

3

4

28

9

18

2 27

2

1

1

1

South Construction Area

8 As Built Existing Sewer

15 Demo Existing Electrical

22 VCMC Make-Ready Demo of Existing Communication

2

North Construction Area

9 As Built Existing Storm

16

Demo Existing Water

23 VCMC Make-Ready Demo of Existing Telephone

3

HRW Building Footprint

10 As Built Existing Steam

17

Demo Existing Sewer

24 New Electrical

4

Temporary Fire Lane Access

11 As Built Existing Gas & Oxygen

18

Demo Existing Storm

25 New Water

5

Temporary Canopies/Entrances

12 As Built Existing Cable

19

6

Demo Existing Steam

26 New Sewer

As Built Existing Electrical

13 As Built Existing Communication

7

As Built Existing Water

20 Demo Existing Gas & Oxygen

27 New Storm

14 As Built Existing Telephone

21 VCMC Make-Ready Demo of Existing Cable

28 New Steam 29 New Gas & Oxygen

• The campus steam reorganization is our largest challenge, with respect to utility re-routing.

• Our solution to this challenge is to route the steam across the roof of Building 404 as reviewed with OSHPD. This will minimize impact to the campus.

• With the re-route in place we would then tie in the system to the existing steam away from the new building. We have previewed this approach with OSHPD and they generally agreed to our plan.

• Once the new lines are in, the existing steam lines, vault and condensate return can be removed.

• Our plan provides for a new storm drain outfall to connect all the existing buildings and the new HRW in one cohesive approach.

• The existing storm drain from the Café/Lab building will

be re-routed along with Fainer and the new HRW building to the system.

• We have previewed this approach with the County of

Ventura and have accounted for the requirements for Stormwater discharge.

// 115

Project No // ENT10102 Hospital Replacement Wing

116 //

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Sewer

11

Medical Gas System

5

5

5 5 17

3

4 8

20

4

4

3

26

2

4

2

1

1

1

South Construction Area

8 As Built Existing Sewer

15 Demo Existing Electrical

22 VCMC Make-Ready Demo of Existing Communication

2

North Construction Area

9 As Built Existing Storm

16

Demo Existing Water

23 VCMC Make-Ready Demo of Existing Telephone

3

HRW Building Footprint

10 As Built Existing Steam

17

4

Demo Existing Sewer

24 New Electrical

Temporary Fire Lane Access

11 As Built Existing Gas & Oxygen

18

5

Demo Existing Storm

25 New Water

Temporary Canopies/Entrances

12 As Built Existing Cable

6

19

Demo Existing Steam

26 New Sewer

As Built Existing Electrical

13 As Built Existing Communication

7

As Built Existing Water

20 Demo Existing Gas & Oxygen

27 New Storm

14 As Built Existing Telephone

21 VCMC Make-Ready Demo of Existing Cable

28 New Steam 29 New Gas & Oxygen

• We are relocating the discharge from Fainer, Café/

Lab, and Clinic Building with the new outfall sewer, the discharge is south-north.

• We propose capturing the bulk of the existing discharge

in a new combined sewer line and redirecting the flow to the street.

• Upon completion of the owner’s Make-Ready project, the existing medgas lines can be abandoned.

• HRW includes a stand alone medgas system as part of the project.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 117

Item A // 2. Proposed strategies for addressing project constraints and overcoming potential challenges that may be associated with each phase of the project and how the Proposer will address each of these issues (Include a graphic plan) [continued]

5. Maintaining emergency service, and patient/family vehicle access during construction. (Include a graphic plan) 6. Maintaining pedestrian traffic and exits around the construction fence and access to adjacent buildings during construction. (Include a graphic plan)

HILLMONT AVE.

HRW Site Overview

Parking

405

400 Clinic Loading

4 5

2

Hospital Main Entrance

Disabled Patient Access

Temporary Fire Lane

Food Cart Access Demolition of Hillmont site work and utilities

1

Replacement Hospital Wing

403

404

Fainer Loading Access

3 Existing generator bldg. to be moved, continuous service maintained

1 South Construction Area

399

306

304

VEHICULAR AND PEDESTRIAN TRAFFIC FLOWS DURING HRW CONSTRUCTION PERIOD

305

HRW Construction Area

2 North Construction Area

Construction only immediately prior to HRW opening

3 HRW Building Footprint 4 Temporary Fire Lane Access

4

5 LOMA VISTA RD.

5 Temporary Canopies Emergency Walk-In Entry

Ambulance Entry

Public Vehicular Public Pedestrian Public Entry Standpipe

Service Vehicular

• Our proposed site and emergency access during

• This plan can be modified with Ventura County and

• This strategy allows Ventura Fire Department to obtain

• Temporary access points at Building 403/404 and Fainer

construction is noted above.

clear access during site improvements.

• Roads will be maintained to provide all weather access.

VCMC.

will be coordinated with VCMC. We suggest this work occurs prior to July 2013 in order to establish a safe site.

Vehicular Fire Access Vehicular and Pedestrian Traffic Flows During HRW Construction Period

Ambulance/Fire/Police

Vehicular Fire Access HRW construction area

Public Entry

Construction only immediately prior to HRW opening

Standpipe

Public Vehicular

Service Vehicular

Public Pedestrian

Ambulance / Fire / Police

118 //

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Item B //

Design Management:

Permitting Summary

Preliminary Construction Schedule (5 pages) Submit a Preliminary Schedule and supporting narrative for the project following Notice to Proceed that are consistent with its Work Plan and that: 1. Describes the Proposer’s approach to the fast-track design and construction of the project on a 50 month schedule from contract award to substantial completion.

• We have developed a BIM execution plan and Level of

In our one-on-one meeting with OSHPD on June 22, 2012, our team presented our approach to design packaging and overall review dates. While OSHPD generally concurred with our approach and rationale, they indicated at that meeting that they could not commit to either the VCMC MOU dates or proposed plan by the Design-Builder pending State of California budget resolution.

We have noted in this section a summary approach to fast track design and construction within the 50 month schedule. Key elements of that approach include: Design Packaging

• Confirmation of the design packaging will be determined

upon NTP and recommendations from our team will be offered for joint consideration and approval. Our proposed design packaging takes into consideration different approving entities (OSHPD and Ventura County) and who will review different scopes for permitting.

This will determine package overlaps that need to be coordinated.

• Development of a geographically accurate campus

grid and verification of that grid to established survey points will be developed. This will ensure that all new construction relates properly to existing structures for areas of adjoining improvements.

• We will employ a robust BIM program to perform CDA

during the development of the design documents.

Fundamentally we can expect a highly coordinated project that is submitted for plan check with no deferred approvals.

• Focused work groups will be developed to support

the major categories of design effort. This will include “package managers” responsible for the implementation into the field.

• Our project team would suggest three distinct OSHPD projects be introduced. Each project and respective breakdown to the design packages are shown on the adjacent page.

Detail Matrix (LODM) between our parties. This plan directs how the documents are prepared in BIM and “flattened” for package submissions to OSHPD. A key component of our plan includes one shared model with all the design entities. This eliminates separate design and construction model interfaces that are prevalent on non Design-Build projects.

• All team members, including VCMC and RGG, will have

access to the model. We will set up and manage an electronic plan room at the co-located office. This will ensure all design and field personnel have the latest information in both the job offices and in the field. Our field teams will use electronic plans and portable tablets with the model and drawings to ensure the installed work conforms to the approved documents.

• We will produce a conformed document package as the

result of any post bid award negotiations. The conformed documents will be utilized as our base line package for design effort.

• Managing user group input will be accomplished via both BIM efforts and progressive mock-ups at the project site. We distinctly want to “use the user” to translate the proposed program into the documents in order to minimize any design or construction rework. BIM supports this effort very well.

In our last one-on-one meeting of July 19, 2012, we were requested by RGG to prepare for this Tab 14, Project Work

Plan/Schedule, a comparative evaluation of the two work plans and schedule for the project. This was requested in an effort to understand the differences between the current OSHPD MOU (dated June 30, 2012) and the Design-Build team proposed or suggested deliverable package(s) and dates, and to allow for a review in an effort to deem the submission of our proposed work plan to be consistent with the intent of the RFP. In keeping with that request, our team has prepared two schedules. A summary of the comparisons are included in the chart below:

OSHPD Increment Designation MOU Designation

Design-Builder Proposed Designation

Increment 0

Not Shown

Soils Report (Supplant Geotech of Record)

Increment 1

Foundations/Shoring

Structural Frame

Increment 2

Structural Frame

Foundations/Shoring and UG Utilities

Increment 3

Building Shell/Enclosure

Building Shell/Enclosure

Increment 4

Interiors/MEP

Interiors/MEP

Increment 5

Anchorage

Medical Equipment and Anchorage

Make-Ready

Make-Ready

Make-Ready

Fainer Upgrades2

Not Noted

Separate Project Proposed by Design-Builder

Major Schedule Milestones

MOU Schedule

Design-Builder Proposed Schedule

Test Section for Soil Mixing

10/2013 (Appr w/ Inc #1)

02/2013 – 4/2013

Start Utilities

05/2013

05/2013

Start Soil Mixing

10/2013

05/2103

Start Foundations

10/2013

10/2013

Start Steel Erection

02/2014

02/2014

Building Enclosure

02/2015

02/2015 1

OSHPD Review Time Frames

MOU Schedule

Increment 0

Not Noted

Increment 1

05/2013 – 10/2013

Increment 2

Design-Builder Proposed Duration Schedule

Delta in Duration

12/2012 – 03/2013

4 months

N/A

5 months

01/2013 – 01/2014

12 months

+7 months

05/2013 – 10/2013

5 months

02/2013 – 11/2013

9 months

+4 months

Increment 3

05/2013 – 11/2013

6 months

04/2013 – 06/2014

14 months

+8 months

Increment 4

02/2013 – 01/2014

11 months

07/2013 – 05/2014

10 months

-1 months

Increment 5

09/2013 – 06/2014

9 months

03/2014 – 011/2014

8 months

-1 months

Make-Ready

02/2013 – 05/2013

3 months

02/2013 – 05/2013

3 months

0

05/2014 – 11/2014

6 months

N/A

Fainer Upgrades2

Not Noted

Duration

Assumes one backcheck; Proposed Separate Project by Design-Build Team

1

2

Project No // ENT10102 Hospital Replacement Wing

Item B // Preliminary Construction Schedule: Submit a Preliminary Schedule and supporting narrative for the project following Notice to Proceed that are consistent with its Work Plan and that: 2. Indicates significant contract activities including submittals, Agency reviews, and procurement activities and durations, including the activities required to complete the Schematic Design, Design Development and Construction Documents and obtain required approvals.

3. Indicates significant contract activities required to obtain OSHPD permits for the various projects and increments of construction from â&#x20AC;&#x153;Make-Readyâ&#x20AC;? work through renovations.

We have included executive level schedule summaries for Design Increments and Construction on the following pages, but please reference the detailed Schedule included in the Appendix, Volume 1, for additional information.

DESIGN INCREMENTS

2012

2013

2014

2015

2016

Increment-0

Increment-1

Increment-2

Increment-3

Increment-4 Increment-5 Make-Ready

Design Increments and Schedule supports a construction duration of 43 months for HRW and Fainer Remodel.

2017

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 119

120 //

1.

Project No // ENT10102 Hospital Replacement Wing

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Make-Ready (7 Months) – Our approach to project Make-Ready work begins prior to Notice to Proceed with our Design-Build Team making preparation for User Group meetings to gain alignment of the building program with operational requirements. In addition, a 90 day discovery and investigation period will kick off at NTP to verify existing conditions are as contemplated by the program and continue until full site access is provided July 15, 2013. With full site access the utilities remaining in the area that will receive soil improvement will be relocated to allow the Deep Soil Mixing.

2. Soil Mixing (5 Months) – Following the 8 month approval process for the Increment 0 Geotechnical Investigations, the start of the soil improvement work is critical to starting the HRW foundation work and subsequent construction sequence. The early testing program for this work, combined with the use of three soil mixing crews, will provide certainty to the start of the work and minimize the schedule duration.

3. Foundations (5 Months) – To mitigate tough digging conditions in the cement treated soil produced by the soil mixing operation, the sequence of work for the foundation systems will chase the soil mixing operation from the first floor and complete with the foundation system in the basement level.

4. Superstructure (7 Months) – The building structure is a critical path scope of work which we have provided as Increment 1. The development of this design Increment relies on engineering determinations from the Increment 0 Geotechnical Investigations.

The successful start of the buildings superstructure starts with the steel mill order at the completion of the OSHPD review of Increment 1 Segment 4 in October 2013 with completion of fabrication in May 2014. Steel will be erected from south to north with 2-3 slab on metal deck pours per floor chasing the steel erection.

5. Exterior (Duration) – With completion of the building superstructure, work will begin on the exterior cladding and roofing systems to make the enclosure water tight.

The water tight integrity of this building system is critical to the ongoing operation of the facility and the comfort of patients and staff. Our team will implement a detailed Building Enclosure Coordination Program that involves modeling, shop drawings, mock-ups and thorough field testing to ensure a quality, leak free installation.

6. Interiors (16 Months) – The durations for the completion of the interior work on each floor varies with the sizes and different uses. The successful completion of the work on each floor is largely dependent on an efficient inspection process that assures quality and expedites the closing up of the ceiling and walls. To ensure an efficient process we will implement a collaborative Quality Assurance program which includes process management software to assist in the management of the inspection and TIO process.

6. Start-Up/Testing/OSHPD Inspection (13 Months) – Bringing systems online begins as permanent power sources become available to allow for the testing and operational verification of each building system. With the completion of OSHPD inspection of each building system our team will begin assisting the County with obtaining licensing for the new Hospital Replacement Wing.

7.

Fainer Building ED Remodel (5 Months) – As licensing is finished for Hospital Replacement Wing work will begin in the Fainer building by installing infection control measures as well as beginning to isolate the various Fainer building work areas from areas where continuous operation will be maintained during construction. Once systems and areas have been isolated work will begin with demolition using construction techniques to minimize dust, noise, and vibration. Once complete, temporary separation measures are removed to create one functional ED Department.

CONSTRUCTION SCHEDULE EXECUTIVE SUMMARY

2012

2013

2014

2015

2016

1 // Make-Ready

2 // Soil Mixing

3 // Foundations

4 // Super Structure

5 // Exteriors 6 // Interiors / Start-up/ Testing/OSHPD Inspection 7 // Fainer Remodel

Procurement of trades will correspond to the design completion of work contained in each design increment.

2017

Project No // ENT10102 Hospital Replacement Wing

Item B // Preliminary Construction Schedule (5 pages) Submit a Preliminary Schedule and supporting narrative for the project following Notice to Proceed that are consistent with its Work Plan and that: 4. Identifies the division of the Work by construction Drawing Packages that will be submitted to the OSHPD and Agency and provide the proposed breakdown of design packages, by discipline, with typical list of drawings and specification section sections to be included in each package. Description includes how the design package strategy contributes to successful schedule implementation.

Our proposed Drawing packages are separated by project, increment, and segment and has been developed with input from OSHPD and Ventura County. This approach allows for efficient review and permitting to contribute to a successful schedule implementation.

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

// 121

Project No. 1 // Site Make-Ready

• Make-Ready Work (OSHPD Approval) » Utility relocations limited to Fire Water supply. » Main hospital entrance relocation improvements including temporary canopies.

» Civil Grading plans associated with works of improvement above.

» MEP Plans for lighting, drainage associated with works of improvements above.

» Ambulance entrance relocation improvements

» Existing facility load, shoring and underpinning criteria,

» Interim campus Fire Exiting plan and pathways and

» Shoring design for building excavation. » Re-routing of existing utilities that require OSHPD

including temporary canopies. canopies.

lateral support systems approach.

• Make-Ready Work (Ventura Approvals) » Site walls and foundations » SWPP Plan » Site Utilities from POC to Building » SCE Services

approval.

Project No. 2 // Hospital Replacement Wing

• Increment No. 0 - Design-Build modifications to Geotech report (replace GEOR) with updated recommendations.

» Building loading diagrams and detailed approach to soil treatment.

» Test program for ground improvements. » Test results and documentation. » Ground improvement methodologies approved for construction.

» Segment (01B) Code analysis for entire facility all systems.

/ Fire/Life Safety Analysis / Project Fire life safety plan, exiting, and campus fire life safety plans / Existing facility study, foundations, surcharges and extents of existing facilities.

» Segment (02), Building computer models for gravity and

• Increment No. 3, Building shell/enclosure. » Segment (01) - Exterior Envelope curtain wall, exterior framing, roofing, waterproofing

» Segment (02) - Structural package related to Core and Shell

• Increment No. 4, Interior construction (includes

architecture and MEP, low voltage and life safety/fire protection, elevators, finishes, etc.)

» Segment (03), Gravity and lateral design along with

» Segment (01), Elevators » Segment (02), Architectural floor plans and reflected

Design)

» Segment (04), Structural diaphragm, chord, and collector

» Segment (03), Mech, electrical, plumbing, security, fire

/ Detailed approach to design, basis of design (ASMEP) narrative with diagrammatic approach for all building systems

» Segment (05), Final increment 2 package including

» Segment (04), Structural » Segment (05), Anchorage and SSC

• Increment No. 1, Structural framing package with related architectural plans.

» Segment (01A), Detailed approach to design (Basis of

/ Loading criteria & map

lateral and related documents.

connection design, base plate design etc.

design. Also stairs, canopy, screen wall & rail design. specifications, general notes & typical details for Increment 2 and incorporating all of the previous segment items.

• Increment No. 2, Foundation and underground utility package.

» Foundation design, drawings, typical details related to

foundation design, foundation specifications & general notes and related MEP systems below grade.

Project No. 3 // Fainer Building Related Renovations and Selected Upgrades

• Increment No. 1, Fainer emergency department renovation.

• Increment No. 2, Fainer related upgrades.

ceiling plans

alarm, low voltage/IT, fire protection

• Increment No. 6, Medical planning and technology. » Segment (01), Basis of design and medical planning. » Segment (02), Infrastructure and related support systems.

Project No // ENT10102 Hospital Replacement Wing

122 //

Activity ID

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Activity Name

Orig Dur

Start

Finish

1281

26-Jan-12 A

08-Feb-17

1774

02-Apr-12

08-Feb-17

509

02-Apr-12

31-Mar-14

222

26-Jan-12 A

17-Dec-12

375

26-Dec-12

13-Jun-14

13-Jun-14, VCMC Design

375

26-Dec-12

13-Jun-14

13-Jun-14, Memorandum - Basis of Design

99

26-Dec-12

14-May-13

6

26-Dec-12

03-Jan-13

15

31-Jan-13

20-Feb-13

6

27-Feb-13

06-Mar-13

72

04-Feb-13

14-May-13

375

26-Dec-12

13-Jun-14

375

26-Dec-12

13-Jun-14

60 110 274 110 214 169 45

26-Dec-12 02-May-13 17-May-13 30-May-13 21-Mar-13 09-Sep-13 17-Dec-12

20-Mar-13 07-Oct-13 13-Jun-14 01-Nov-13 22-Jan-14 06-May-14 21-Feb-13

20-Mar-13, All Increments 07-Oct-13, Increment 1 13-Jun-14, Increment 2 01-Nov-13, Increment 3 22-Jan-14, Increment 4 06-May-14, Increment 5 21-Feb-13, Mobilization @ Northwest Lot

317

17-Dec-12

14-Mar-14

14-Mar-14, Make Ready Work

66

17-Dec-12

22-Mar-13

38

22-Feb-13

16-Apr-13

16-Apr-13, Relocate Main Entry @ Bldg #330

38

22-Feb-13

16-Apr-13

16-Apr-13, Relocate Ambulance Drop Off @ Bldg #305

71

17-Apr-13

26-Jul-13

171

15-Jul-13

14-Mar-14

Sewer

20

15-Jul-13

09-Aug-13

Storm Drain

24

29-Jul-13

29-Aug-13

Steam / Condensate Return / Soft Water

55

15-Jul-13

30-Sep-13

Water

19

09-Aug-13

05-Sep-13

Natural Gas

10

20-Aug-13

03-Sep-13

Med Gas

5

15-Jul-13

19-Jul-13

Fainer Electrical

40

29-Jul-13

23-Sep-13

Building 399 Service Yard Relocate

171

15-Jul-13

14-Mar-14

79

15-Jul-13

01-Nov-13

50 16 17 13 141

15-Jul-13 24-Sep-13 01-Oct-13 16-Oct-13 26-Aug-13

23-Sep-13 15-Oct-13 23-Oct-13 01-Nov-13 14-Mar-14

607

04-Sep-13

21-Jan-16

138

04-Sep-13

19-Mar-14

1st Floor Demo & Excavation

21

04-Sep-13

02-Oct-13

1st Floor Deep Soil Mixing

48

03-Oct-13

12-Dec-13

VCMC HRW Hospital Project Phasing Schedule - Calendar Days Get Ready By Agency RFP Phase VCMC Design Memorandum - Basis of Design Phase 1 Increment 0 50% DD Development 100 % DD Development Make Ready Projects

Phase 2 100% CD Development All Increments Increment 1 Increment 2 Increment 3 Increment 4 Increment 5

Mobilization @ Northwest Lot Make Ready Work Exploration & Discovery Relocate Main Entry @ Bldg #330 Relocate Ambulance Drop Off @ Bldg #305 Set Up Main Builiding Site for Construction Relocate Underground Utiltiies

Service Yard Structure Earthwork / Foundations Wall Pour #1 Wall Pour #2 Wall Pour #3

Service Yard Electircal Buildout

New Hospital Shoring / Earthwork / UG Utilities

Run Date - 30-Jul-12 Start Date - 26-Jan-12 Finish Date - 08-Feb-17 Data Date - 01-Feb-12

Remaining Level of Effort Actual Level of Effort Actual Work Remaining Work Milestone

Summary

2012 J F M AM J J A S O N D J F

2013 2014 A M J J A S O N D J F M AM J J A S O N D J F

2015 2016 2017 A M J J A S O N D J F M A M J J A S O N D J F M AM J J A S O N D J F

2018 2019 A M J J A S O N D J F M AM J J

08-Feb-17, VCMC HRW Hospital 08-Feb-17, Project Phasing Schedule - Calendar Days 31-Mar-14, Get Ready By Agency 17-Dec-12, RFP Phase

14-May-13, Phase 1 03-Jan-13, Increment 0 20-Feb-13, 50% DD Development 06-Mar-13, 100 % DD Development 14-May-13, Make Ready Projects 13-Jun-14, Phase 2 13-Jun-14, 100% CD Development

22-Mar-13, Exploration & Discovery

26-Jul-13, Set Up Main Builiding Site for Construction 14-Mar-14, Relocate Underground Utiltiies 09-Aug-13, Sewer 29-Aug-13, Storm Drain 30-Sep-13, Steam / Condensate Return / Soft Water 05-Sep-13, Water 03-Sep-13, Natural Gas 19-Jul-13, Med Gas 23-Sep-13, Fainer Electrical 14-Mar-14, Building 399 Service Yard Relocate 01-Nov-13, Service Yard Structure 23-Sep-13, Earthwork / Foundations 15-Oct-13, Wall Pour #1 23-Oct-13, Wall Pour #2 01-Nov-13, Wall Pour #3 14-Mar-14, Service Yard Electircal Buildout 21-Jan-16, New Hospital 19-Mar-14, Shoring / Earthwork / UG Utilities 02-Oct-13, 1st Floor Demo & Excavation 12-Dec-13, 1st Floor Deep Soil Mixing

 

 

Date

Revision

Checked Approved

Project No // ENT10102 Hospital Replacement Wing

Activity ID

Activity Name

Orig Dur

Start

Finish

34

03-Oct-13

20-Nov-13

44

09-Oct-13

12-Dec-13

66

30-Oct-13

03-Feb-14

03-Feb-14, Basement Excavation

42

30-Oct-13

30-Dec-13

30-Dec-13, South East Quad Grid 9-13

30

16-Dec-13

28-Jan-14

42

05-Nov-13

06-Jan-14

30

20-Dec-13

03-Feb-14

56

31-Dec-13

19-Mar-14

111

21-Nov-13

29-Apr-14

1st Floor South Half - Footings

109

21-Nov-13

25-Apr-14

1st Floor North Half - Footings

40

13-Dec-13

10-Feb-14

Basement South Half - Footings

30

04-Feb-14

17-Mar-14

Basement North Half - Footings

56

11-Feb-14

29-Apr-14

46

14-Mar-14

16-May-14

Basement South Half - Deep Utilities

27

14-Mar-14

21-Apr-14

Basement North Half Deep Utiltities

31

04-Apr-14

16-May-14

141

18-Mar-14

03-Oct-14

124

18-Mar-14

10-Sep-14

19

18-Mar-14

11-Apr-14

11-Apr-14, Shotcrete Walls - South Half Pour 1

12

21-Mar-14

07-Apr-14

07-Apr-14, Shotcrete Walls - South Half Pour 2

12

26-Mar-14

10-Apr-14

10-Apr-14, Shotcrete Walls - South Half Pour 3

12

31-Mar-14

15-Apr-14

15-Apr-14, Shotcrete Walls - South Half Pour 4

40

16-Jul-14

10-Sep-14

126

08-Apr-14

03-Oct-14

12

08-Apr-14

23-Apr-14

19

11-Apr-14

07-May-14

07-May-14, Shotcrete Walls - North Half Pour 2

12

16-Apr-14

01-May-14

01-May-14, Shotcrete Walls - North Half Pour 3

12

21-Apr-14

06-May-14

06-May-14, Shotcrete Walls - North Half Pour 4

12

24-Apr-14

09-May-14

09-May-14, Shotcrete Walls - North Half Pour 5

12

29-Apr-14

14-May-14

14-May-14, Shotcrete Walls - North Half Pour 6

50

25-Jul-14

03-Oct-14

78

14-Apr-14

01-Aug-14

South Half (Elevation 156') North Half (Elevation 156')

Basement Excavation South East Quad Grid 9-13 South West Quad Grid 6-9 North East Quad Grid 9-13 North West Quad Grid 2-9

Deep Soil Mixing (Elev. 140')

Foundations

Deep U/G Utilities

Basement - Shotcrete Walls / Slab on Grade South Half Shotcrete Walls - South Half Pour 1 Shotcrete Walls - South Half Pour 2 Shotcrete Walls - South Half Pour 3 Shotcrete Walls - South Half Pour 4 Basement South Half-1 SOG

North Half Shotcrete Walls - North Half Pour 1 Shotcrete Walls - North Half Pour 2 Shotcrete Walls - North Half Pour 3 Shotcrete Walls - North Half Pour 4 Shotcrete Walls - North Half Pour 5 Shotcrete Walls - North Half Pour 6 Slab on Grade - North Half

1st Floor South Half-1 SOG 1st Floor North Half-1 SOG Superstructure

2012 J F M AM J J A S O N D J F

2013 2014 A M J J A S O N D J F M AM J J A S O N D J F

2015 2016 2017 A M J J A S O N D J F M A M J J A S O N D J F M AM J J A S O N D J F

12-Dec-13, North Half (Elevation 156')

28-Jan-14, South West Quad Grid 6-9 06-Jan-14, North East Quad Grid 9-13 03-Feb-14, North West Quad Grid 2-9 19-Mar-14, Deep Soil Mixing (Elev. 140') 29-Apr-14, Foundations 25-Apr-14, 1st Floor South Half - Footings 10-Feb-14, 1st Floor North Half - Footings 17-Mar-14, Basement South Half - Footings 29-Apr-14, Basement North Half - Footings 16-May-14, Deep U/G Utilities 21-Apr-14, Basement South Half - Deep Utilities 16-May-14, Basement North Half Deep Utiltities 03-Oct-14, Basement - Shotcrete Walls / Slab on Grade 10-Sep-14, South Half

10-Sep-14, Basement South Half-1 SOG 03-Oct-14, North Half 23-Apr-14, Shotcrete Walls - North Half Pour 1

03-Oct-14, Slab on Grade - North Half 01-Aug-14, 1st Floor South Half-1 SOG

50

08-May-14

18-Jul-14

18-Jul-14, 1st Floor North Half-1 SOG

08-Apr-14

07-Oct-14

07-Oct-14, Superstructure

76

08-Apr-14

24-Jul-14

51

08-Apr-14

18-Jun-14

26

29-May-14

03-Jul-14

25

19-Jun-14

24-Jul-14

62

11-Jul-14

07-Oct-14

1st Floor

34

11-Jul-14

27-Aug-14

27-Aug-14, 1st Floor

Pour #1 Pour #2 Pour #3

2nd Floor

34 22 22 42

11-Jul-14 18-Jul-14 25-Jul-14 22-Jul-14

27-Aug-14 18-Aug-14 25-Aug-14 18-Sep-14

27-Aug-14, Pour #1 18-Aug-14, Pour #2 25-Aug-14, Pour #3 18-Sep-14, 2nd Floor

Pour #1 Pour #2

22 24

22-Jul-14 29-Jul-14

20-Aug-14 29-Aug-14

20-Aug-14, Pour #1 29-Aug-14, Pour #2

Billboard Section #1 - South Billboard Section #2 - North Billboard Section #3 - Center

Deck Pours

Run Date - 30-Jul-12 Start Date - 26-Jan-12 Finish Date - 08-Feb-17 Data Date - 01-Feb-12

Remaining Level of Effort Actual Level of Effort Actual Work Remaining Work Milestone

Summary

2018 2019 A M J J A S O N D J F M AM J J

20-Nov-13, South Half (Elevation 156')

128

Structural Steel

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

24-Jul-14, Structural Steel 18-Jun-14, Billboard Section #1 - South 03-Jul-14, Billboard Section #2 - North 24-Jul-14, Billboard Section #3 - Center 07-Oct-14, Deck Pours

 

 

Date

Revision

Checked Approved

// 123

Project No // ENT10102 Hospital Replacement Wing

124 //

Activity ID

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Activity Name

Orig Dur

Start

Finish

22 22 22 42

05-Aug-14 12-Aug-14 19-Aug-14 25-Jul-14

04-Sep-14 11-Sep-14 18-Sep-14 23-Sep-14

04-Sep-14, Pour #3 11-Sep-14, Pour #4 18-Sep-14, Pour #5 23-Sep-14, 3rd Floor

32 22 22 22 22 32

25-Jul-14 08-Aug-14 01-Aug-14 15-Aug-14 22-Aug-14 22-Aug-14

09-Sep-14 09-Sep-14 02-Sep-14 16-Sep-14 23-Sep-14 07-Oct-14

09-Sep-14, Pour #1 09-Sep-14, Pour #3 02-Sep-14, Pour #2 16-Sep-14, Pour #4 23-Sep-14, Pour #5 07-Oct-14, Roof Level

32 28 144

22-Aug-14 28-Aug-14 08-Oct-14

07-Oct-14 07-Oct-14 30-Apr-15

Roofing & Equipmemt

144

08-Oct-14

30-Apr-15

Exterior Skin

85

05-Nov-14

06-Mar-15

North West East South Upper North Mechanical Well Fainer Connector

72

05-Nov-14

17-Feb-15

17-Feb-15, North

65

13-Nov-14

16-Feb-15

16-Feb-15, West

66

20-Nov-14

24-Feb-15

24-Feb-15, East

68

01-Dec-14

06-Mar-15

06-Mar-15, South

67

01-Dec-14

05-Mar-15

05-Mar-15, Upper North

40

20-Nov-14

22-Jan-15

22-Jan-15, Mechanical Well

22

15-Dec-14

19-Jan-15

19-Jan-15, Fainer Connector

Interior Buildout

354

30-Aug-14

21-Jan-16

21-Jan-16, Interior Buildout

345

13-Sep-14

21-Jan-16

21-Jan-16, Basement

35

13-Sep-14

31-Oct-14

22

01-Nov-14

03-Dec-14

133

03-Nov-14

11-May-15

31

03-Nov-14

18-Dec-14

Pour #3 Pour #4 Pour #5

3rd Floor Pour #1 Pour #3 Pour #2 Pour #4 Pour #5

Roof Level Pour #1 Pour #2

Building Enlcosure

Basement Partition Layout/Fireproofing Early Interference Wall Sequence Electrical & Telcom Rooms Mechanical Shafts Overhead MEP/Interference Wall Framing Production Framing / In-wall framing / Drywall Hard Lids & Soffits - Framing / MEPF Rough ins Interior Finishes

2012 J F M AM J J A S O N D J F

2013 2014 A M J J A S O N D J F M AM J J A S O N D J F

2015 2016 2017 A M J J A S O N D J F M A M J J A S O N D J F M AM J J A S O N D J F

07-Oct-14, Pour #1 07-Oct-14, Pour #2 30-Apr-15, Building Enlcosure 30-Apr-15, Roofing & Equipmemt 06-Mar-15, Exterior Skin

31-Oct-14, Partition Layout/Fireproofing 03-Dec-14, Early Interference Wall Sequence 11-May-15, Electrical & Telcom Rooms 18-Dec-14, Mechanical Shafts

63

03-Nov-14

06-Feb-15

116

09-Feb-15

22-Jul-15

06-Feb-15, Overhead MEP/Interference Wall Framing 22-Jul-15, Production Framing / In-wall framing / Drywall

98

02-Mar-15

17-Jul-15

17-Jul-15, Hard Lids & Soffits - Framing / MEPF Rough ins

155

12-Jun-15

21-Jan-16

21-Jan-16, Interior Finishes

Level 1

352

30-Aug-14

19-Jan-16

19-Jan-16, Level 1

Area 1

322

30-Aug-14

04-Dec-15

30 20 143 31 63 120 80 137 332

30-Aug-14 14-Oct-14 14-Oct-14 14-Oct-14 14-Oct-14 14-Jan-15 06-Mar-15 22-May-15 09-Sep-14

13-Oct-14 10-Nov-14 05-May-15 26-Nov-14 19-Jan-15 01-Jul-15 26-Jun-15 04-Dec-15 28-Dec-15

40 22 143 31 63 120 80

09-Sep-14 04-Nov-14 04-Nov-14 04-Nov-14 04-Nov-14 04-Feb-15 27-Mar-15

03-Nov-14 04-Dec-14 27-May-15 19-Dec-14 09-Feb-15 23-Jul-15 20-Jul-15

Partition Layout/Fireproofing Early Interference Wall Sequence Electrical & Telcom Rooms Mechanical Shafts Overhead MEP/Interference Wall Framing Production Framing / In-wall framing / Drywall Hard Lids & Soffits - Framing / MEPF Rough ins Interior Finishes

Area 2 Partition Layout/Fireproofing Early Interference Wall Sequence Electrical & Telcom Rooms Mechanical Shafts Overhead MEP/Interference Wall Framing Production Framing / In-wall framing / Drywall Hard Lids & Soffits - Framing / MEPF Rough ins Run Date - 30-Jul-12 Start Date - 26-Jan-12 Finish Date - 08-Feb-17 Data Date - 01-Feb-12

Remaining Level of Effort Actual Level of Effort Actual Work Remaining Work Milestone

Summary

2018 2019 A M J J A S O N D J F M AM J J

04-Dec-15, Area 1 13-Oct-14, Partition Layout/Fireproofing 10-Nov-14, Early Interference Wall Sequence 05-May-15, Electrical & Telcom Rooms 26-Nov-14, Mechanical Shafts 19-Jan-15, Overhead MEP/Interference Wall Framing 01-Jul-15, Production Framing / In-wall framing / Drywall 26-Jun-15, Hard Lids & Soffits - Framing / MEPF Rough ins 04-Dec-15, Interior Finishes 28-Dec-15, Area 2 03-Nov-14, Partition Layout/Fireproofing 04-Dec-14, Early Interference Wall Sequence 27-May-15, Electrical & Telcom Rooms 19-Dec-14, Mechanical Shafts 09-Feb-15, Overhead MEP/Interference Wall Framing 23-Jul-15, Production Framing / In-wall framing / Drywall 20-Jul-15, Hard Lids & Soffits - Framing / MEPF Rough ins

 

 

Date

Revision

Checked Approved

Project No // ENT10102 Hospital Replacement Wing

Activity ID

Activity Name

Orig Dur

Start

Finish

137 339

15-Jun-15 19-Sep-14

28-Dec-15 19-Jan-16

Level 2

48 22 142 31 63 120 80 137 337

19-Sep-14 26-Nov-14 26-Nov-14 26-Nov-14 26-Nov-14 25-Feb-15 17-Apr-15 07-Jul-15 03-Sep-14

25-Nov-14 29-Dec-14 17-Jun-15 15-Jan-15 02-Mar-15 13-Aug-15 10-Aug-15 19-Jan-16 29-Dec-15

Area 1

333

03-Sep-14

22-Dec-15

30 21 143 31 63 131 91 137 322

03-Sep-14 15-Oct-14 15-Oct-14 15-Oct-14 15-Oct-14 15-Jan-15 09-Mar-15 10-Jun-15 24-Sep-14

14-Oct-14 12-Nov-14 06-May-15 01-Dec-14 20-Jan-15 20-Jul-15 15-Jul-15 22-Dec-15 29-Dec-15

14-Oct-14, Partition Layout/Fireproofing 12-Nov-14, Early Interference Wall Sequence 06-May-15, Electrical & Telcom Rooms 01-Dec-14, Mechanical Shafts 20-Jan-15, Overhead MEP/Interference Wall Framing 20-Jul-15, Production Framing / In-wall framing / Drywall 15-Jul-15, Hard Lids & Soffits - Framing / MEPF Rough ins 22-Dec-15, Interior Finishes 29-Dec-15, Area 2

Level 3

30 22 143 31 63 120 80 137 322

24-Sep-14 05-Nov-14 05-Nov-14 05-Nov-14 05-Nov-14 05-Feb-15 30-Mar-15 16-Jun-15 04-Oct-14

04-Nov-14 05-Dec-14 28-May-15 22-Dec-14 10-Feb-15 24-Jul-15 21-Jul-15 29-Dec-15 11-Jan-16

04-Nov-14, Partition Layout/Fireproofing 05-Dec-14, Early Interference Wall Sequence 28-May-15, Electrical & Telcom Rooms 22-Dec-14, Mechanical Shafts 10-Feb-15, Overhead MEP/Interference Wall Framing 24-Jul-15, Production Framing / In-wall framing / Drywall 21-Jul-15, Hard Lids & Soffits - Framing / MEPF Rough ins 29-Dec-15, Interior Finishes 11-Jan-16, Level 3

Area 1

322

04-Oct-14

11-Jan-16

38 12 125 27 60 116 86 137 196

04-Oct-14 27-Nov-14 01-Dec-14 01-Dec-14 01-Dec-14 23-Feb-15 01-Apr-15 26-Jun-15 15-Sep-14

26-Nov-14 15-Dec-14 27-May-15 12-Jan-15 26-Feb-15 05-Aug-15 31-Jul-15 11-Jan-16 25-Jun-15

570

15-Sep-14

19-Dec-16

284

28-May-15

07-Jul-16

07-Jul-16, Start Up & Testing

284

28-May-15

07-Jul-16

07-Jul-16, MEP Testing & Inspections

MEP Start Up

70

28-May-15

03-Sep-15

HVAC Test & Balance

60

30-Oct-15

28-Jan-16

Pretest / QC

60

02-Dec-15

25-Feb-16

IOR Testing / Inspections

60

29-Jan-16

21-Apr-16

OSHPD Testing / Inspections

85

09-Mar-16

07-Jul-16

94

06-Sep-16

18-Jan-17

Interior Finishes

Area 3 Partition Layout/Fireproofing Early Interference Wall Sequence Electrical & Telcom Rooms Mechanical Shafts Overhead MEP/Interference Wall Framing Production Framing / In-wall framing / Drywall Hard Lids & Soffits - Framing / MEPF Rough ins Interior Finishes

Partition Layout/Fireproofing Early Interference Wall Sequence Electrical & Telcom Rooms Mechanical Shafts Overhead MEP/Interference Wall Framing Production Framing / In-wall framing / Drywall Hard Lids & Soffits - Framing / MEPF Rough ins Interior Finishes

Area 2 Partition Layout/Fireproofing Early Interference Wall Sequence Electrical & Telcom Rooms Mechanical Shafts Overhead MEP/Interference Wall Framing Production Framing / In-wall framing / Drywall Hard Lids & Soffits - Framing / MEPF Rough ins Interior Finishes

Partition Layout/Fireproofing Early Interference Wall Sequence Electrical & Telcom Rooms Mechanical Shafts Overhead MEP/Interference Wall Framing Production Framing / In-wall framing / Drywall Hard Lids & Soffits - Framing / MEPF Rough ins Interior Finishes

Elevators

Sitework Start Up & Testing MEP Testing & Inspections

Fainer Upgrades Run Date - 30-Jul-12 Start Date - 26-Jan-12 Finish Date - 08-Feb-17 Data Date - 01-Feb-12

Remaining Level of Effort Actual Level of Effort Actual Work Remaining Work Milestone

Summary

2012 J F M AM J J A S O N D J F

2013 2014 A M J J A S O N D J F M AM J J A S O N D J F

2015 2016 2017 A M J J A S O N D J F M A M J J A S O N D J F M AM J J A S O N D J F

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

2018 2019 A M J J A S O N D J F M AM J J

28-Dec-15, Interior Finishes 19-Jan-16, Area 3 25-Nov-14, Partition Layout/Fireproofing 29-Dec-14, Early Interference Wall Sequence 17-Jun-15, Electrical & Telcom Rooms 15-Jan-15, Mechanical Shafts 02-Mar-15, Overhead MEP/Interference Wall Framing 13-Aug-15, Production Framing / In-wall framing / Drywall 10-Aug-15, Hard Lids & Soffits - Framing / MEPF Rough ins 19-Jan-16, Interior Finishes 29-Dec-15, Level 2 22-Dec-15, Area 1

11-Jan-16, Area 1 26-Nov-14, Partition Layout/Fireproofing 15-Dec-14, Early Interference Wall Sequence 27-May-15, Electrical & Telcom Rooms 12-Jan-15, Mechanical Shafts 26-Feb-15, Overhead MEP/Interference Wall Framing 05-Aug-15, Production Framing / In-wall framing / Drywall 31-Jul-15, Hard Lids & Soffits - Framing / MEPF Rough ins 11-Jan-16, Interior Finishes 25-Jun-15, Elevators 19-Dec-16, Sitework

03-Sep-15, MEP Start Up 28-Jan-16, HVAC Test & Balance 25-Feb-16, Pretest / QC 21-Apr-16, IOR Testing / Inspections 07-Jul-16, OSHPD Testing / Inspections 18-Jan-17, Fainer Upgrades

 

 

Date

Revision

Checked Approved

// 125

Project No // ENT10102 Hospital Replacement Wing

126 //

Activity ID

Design-Builder ID // VCMC-HRW-06 Ventura County Medical Center

Activity Name

Orig Dur

Start

Finish

94

06-Sep-16

18-Jan-17

Temp Barricades

9

06-Sep-16

16-Sep-16

16-Sep-16, Temp Barricades

Overhead MEP

19

19-Sep-16

13-Oct-16

13-Oct-16, Overhead MEP

Production Framing / In-wall framing / Drywall

32

14-Oct-16

01-Dec-16

01-Dec-16, Production Framing / In-wall framing / Drywall

Hard Lids & Soffits - Framing / MEPF Rough ins

26

21-Oct-16

30-Nov-16

30-Nov-16, Hard Lids & Soffits - Framing / MEPF Rough ins

Interior Finishes

41

18-Nov-16

18-Jan-17

Final Inspections

11

04-Jan-17

18-Jan-17

18-Jan-17, Final Inspections

New Stair Tower

90

06-Sep-16

16-Jan-17

16-Jan-17, New Stair Tower

135

07-Jul-16

18-Jan-17

18-Jan-17, Completion

Fainer ED Renovation

Completion

Run Date - 30-Jul-12 Start Date - 26-Jan-12 Finish Date - 08-Feb-17 Data Date - 01-Feb-12

Remaining Level of Effort Actual Level of Effort Actual Work Remaining Work Milestone

Summary

2012 J F M AM J J A S O N D J F

2013 2014 A M J J A S O N D J F M AM J J A S O N D J F

2015 2016 2017 A M J J A S O N D J F M A M J J A S O N D J F M AM J J A S O N D J F

2018 2019 A M J J A S O N D J F M AM J J

18-Jan-17, Fainer ED Renovation

18-Jan-17, Interior Finishes

 

 

Date

Revision

Checked Approved

Ventura County Medical Center Hospital Replacement Wing

July 31, 2012 Design-Builder ID VCMC-HRW-06 Project No. ENT 10102