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MAY 2009SOLICITATION FOR OFFERS OUTPATIENT CLINIC <strong>SFO</strong> NO. VA-101-XX-RP-XXXX[INSERT LOCATION OF FACILITY]C. Life-Cycle Cost (LCC) Analysis (Requirements)If additional 30% reduction in energy consumption were not life-cycle cost-effective, the A/Emust evaluate alternate designs at successive decrements (25%, 20%, or lower) in order toidentify the most energy efficient design that is life-cycle cost-effective. And in so doing, allreadily available energy conservation measures, with which the industry is generally familiar,should be considered and evaluated.DOE further stipulates that the "agencies must estimate the life-cycle costs and energyconsumption <strong>of</strong> the planned building as designed and an otherwise identical building justmeeting the minimum criteria set forth in the applicable baseline ASHRAE or IECC standard."This measure is meant to demonstrate and record the mandated compliance and the extent <strong>of</strong>it.D. Life-Cycle Cost Analysis (Methodology)LCC shall be performed in accordance with the procedure outlined by the Department <strong>of</strong>Energy (DOE) in the National Institute <strong>of</strong> Standards and Technology (NIST) Handbook 135dated February 1996 (or the latest version) – Life-Cycle Costing Manual for the FederalEnergy <strong>Management</strong>.E. ConflictsShould a conflict exist between VA requirements and VA-adopted nationally recognized codesand standards, the conflict shall be brought to the attention <strong>of</strong> VA. The resolution <strong>of</strong> theconflict shall be made by the authority having jurisdiction for VA to ensure system-wideconsistency.4.2.2 SPECIAL BUILDING REQUIREMENTSA. Isolation Exam Room Requirements:Facility must comply with requirements <strong>of</strong> Center for Disease Control (CDC) "Guidelines forPreventing the Transmission <strong>of</strong> Mycobacterium Tuberculosis in Health-care <strong>Facilities</strong>,"MMWR, October 28, 1994, Vol. 43, No. RR-13. Lessor shall provide isolation exam roomswith the capability to treat undiagnosed patients who have symptoms <strong>of</strong> TB. Quantity andlocation <strong>of</strong> isolation exam rooms are indicated on the conceptual layout.HVAC systems and monitoring shall be as specified in Paragraph 6.4 MECHANICAL.B. Isolation Exam Room CertificationDuring HVAC systems balancing and/or commissioning, Lessor is responsible for certification<strong>of</strong> isolation exam rooms and the associated cost <strong>of</strong> certification <strong>of</strong> rooms. The Testing andBalancing report shall serve as certification that isolation rooms are under negative pressure.C. //Sterile Compounding Area////The sterile compounding area in //Pharmacy// //Chemotherapy Agent Preparation// room[insert room numbers here] shall comply with the requirements <strong>of</strong> United States Pharmacopeia(USP) . Specific features are shown on the conceptual drawings; Special Equipmentrequirements are in Schedule B; and special finishes are in Schedules C and E.HVAC system requirements are in Paragraph 6.4. Electrical requirements are in Paragraph6.7.//Part I: Basic Solicitation Requirements – Page 54 <strong>of</strong> 196Lessor __________ Gov’t. ____________________ <strong>of</strong> __________ Pages

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