BROWARD HEALTH Chris Evert Children’s Hospital Phase 2 Project Narrative

2937 W. Cypress Creek Rd. | Suite 200 | Fort Lauderdale, FL 33309
BROWARD HEALTH
Chris Evert Children’s Hospital
Phase 2 Project Narrative
EXHIBIT A
THE CHRIS EVERT CHILDREN’S HOSPITAL MASTER PLANNED DEVELOPMENT
The new Children’s Hospital is being developed as part of a series of master planned phases through a
number of strategic alterations to the existing South Tower and Robinson Wing of the current Broward
Health Medical Center Campus along with enabling works that will be required in order to implement the
primary functional program. The overall Master Plan was approved by the Building Committee during its
meeting held on May 13, 2010 and includes approximately 218,000 total square feet of work with
additional areas which may be added as they are identified.
Summary of Work Completed in previous Phase 1A– Not in Contract
Phase 1A work including renovations to 4 West Wing, 6 North Tower and 3 and 4 South Tower have
been completed and are not a part of this project. Also, Phase 1 of the Central Energy Plant (CEP)
Improvements have been completed.
Summary of Scope of Work – Phase 2
Chris Evert Children’s Hospital (CECH) Phase 2 Program (The Project) includes 101,778 SF of
renovation and expansion. This project is not to be LEED certified, but the OAC team will consider
best practices and the relative value of first cost and life-cycle cost as part of the design process.
The Project starts with the renovation of 3 MOB caged storage to house the existing administrative
departments currently occupying 2 MOB and 7E and 8E South Tower offices and storage areas. The
relocation of existing materials stored in the 3 MOB caged storage areas will be completed by the hospital
outside the scope of this project.
The Project includes the heavy renovation of Levels 7 and 8 of the South Tower (ST) and 2 and 4 of
Robinson Wing (RW). 8ST will house 12 Pediatric Oncology and 10 Pediatric Med/Surg beds. 7ST will
house a 12 bed Pediatric Intensive Care Unit (PICU) and a 10 bed Pediatric Step-Down Unit.
Levels 8ST and 7ST will be done in two sequences, starting with Phase A - renovation of the stacked
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east half of 7ST and 8ST. Once the east half of 7 and 8 are constructed, the west half of 7 and 8
floor (Phase B) will be renovated. Some temporary construction of access corridors between the main
elevator lobby and construction vestibules will be required to maintain patient occupancy on the
remaining half of the floor during construction.
The Robinson Wing will include heavy renovations to the former Pediatric unit on 2 Robinson Wing to
house 36 private Level II NICU patient rooms and renovation and expansion of 4 Robinson Wing to house
31 private NICU Level III patient rooms in place of the existing open bay NICU. Each neonate will be
cared for in a 160 square foot private room, a “pod” which will offer needed critical care support
technology while permitting parents to remain with their baby and participate in its care.
To capture inpatient and outpatient pediatric specialty cases, the second floor of the existing Medical
Office Building (MOB) will be converted to leasable MOB space for pediatric sub-specialists which will
facilitate a one-stop-shop for children with complex medical needs.
CM @ Risk ROLE DURING DESIGN PHASES
The role of the Construction Manager at Risk will include a collaborative effort to participate in the design
and construction phases of the work with the Owner, Architect, Consulting Engineers and Medical
Equipment planning consultants. The CM at Risk will attend design meetings with the team at least
monthly to summarize the progress of the work as described in the pre-design scope of services listed
BROWARD HEALTH
Chris Evert Children’s Hospital
Phase 2 Project Narrative
Exhibit A
elsewhere in this RFP. The CM at Risk firm will lead pull planning meetings and provide preliminary
budget reviews as scheduled with Broward Health and the design teams.
The CM at Risk will provide input on the selection of major building systems in preliminary design
meetings and assist in the evaluation of the impact of the selected design systems on project budget and
schedule as part of the review of Design Development phase documents for each project.
INFECTION CONTROL RISK ASSESSMENT
The Owner will convene an Infection Control Risk Assessment (ICRA) committee for each construction
package that will assess the project scope and determine appropriate infection control measures for this
project. It is understood that the conclusions and standards set forth by the committee, and the directive
measures developed, will remain the responsibility of the Owner. The Architect, Engineers and CM at Risk
(The Team) involvement in this process, whether directly or through consultants, may include consultations
with the ICRA Committee to the extent that the design team will demonstrate aspects for the architectural,
mechanical, electrical and plumbing scopes that appear to need consideration from the committee and
provide engineering input to facilitate the development of appropriate infection control measures.
Information provided to the team for the implementation will be considered “Owner Furnished Information”
and as such, the team will not have any responsibility for its accuracy or effectiveness. Specifically, the
committee to establish items normally expected for such a project such as levels of negative air pressure
in construction zones, quantity of air exchange rates, acceptable points of air discharge, etc. Once
established, the design team will, through the consultants’ actions, provide the effort necessary to define
this work on the construction documents.
PHASE 2 SCOPE OF THE WORK
The project is generally found within the interior envelope of the named areas, with impact of the
surrounding areas, both vertically and horizontally, as necessary by the individual task and installations.
The work is all classified as a complete gut/restoration with heavy remodeling of the space. Each major
package defined below will be separately designed, permitted and constructed, with the exception of 7
and 8 South Tower which will be a single package with 2 phases. The expected sequence of project
delivery is as follows:
A. Renovation of 3MOB suite to house the non-patient care areas currently on half of 8ST and 7ST
plus tenant offices moving up from 2 MOB floor – all Business occupancy without AHCA review.
B. North CEP - Installation of one additional generator, gear, and demolition of selected generators
and HVAC systems in the original South CEP, all to be operational by the time Phase A of 8ST
and 7ST take occupancy.
C. Renovation of 8 ST and 7ST floors as one design package, built in two phases to allow for partial
occupancy during construction. Following Phase A and B Completion and the moves of PICU,
Step Down, Pediatric Hem/Onc and Pediatric Med/Surg to completed 7ST and 8ST, work moves
to Robinson Wing.
D. Renovation of 2MOB for a Pediatric Sub-specialty Center – Business occupancy without AHCA
review to be remodeled for exam rooms and administrative offices.
E. Renovation of 2 Robinson Wing to house 36 private NICU Level II patient rooms.
F. Renovation of 4 Robinson Wing to house 27 private NICU Level III patient rooms.
G. Expansion of 4 Robinson Wing over 5,000 SF of existing roof area to include shell and structural
envelop package, MEP and finishes to accommodate additional NICU support space and 4
Level III NICU patient rooms.
3 MOB Storage Area Conversion to Office Renovation
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Approximately 16,000sf of renovation of the north and south portions of the 3 floor MOB for nonpatient care areas being relocated from the east half of 7ST and 8ST and 2 MOB. Occupants
include Biomed storage, EMS storage, plus new office space and cubicle work spaces for Clinical
Education, Human Resources, Physician Offices, Marketing/Physician Relations, and
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BROWARD HEALTH
Chris Evert Children’s Hospital
Phase 2 Project Narrative
Exhibit A
Marketing/Financial Processing/Media Relations and Patient Outcome. Work includes selective
demolition, including the removal of existing storage cages, the renovation of two public toilet
rooms near the elevators, construction of two new private rest rooms and construction of a new
doorway between 3 MOB and 3 North Tower access corridor.
The architectural finishes in the office suites will include upgraded vinyl flooring (i.e. luxury vinyl
tiles or faux wood planks), painted gypsum partitions to deck, and an acoustical ceiling system.
Doors will be solid core wood veneer in hollow metal frames, with tempered sidelights at selected
doors. The hospital may bid an add-alternate to remove 1,200 SF of perimeter CMU knock-out
panels and install aluminum window system with impact rated laminated glazing at all exposed
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walls on 3 floor suite, from window sill height to ceiling height. Finishes in the large storage
rooms will be vinyl composition tile, painted gypsum board partitions to structural deck, with no
ceiling system.
MEP/FP systems will include replacement of the existing AHU serving this area and all new
insulated metal ductwork system with new diffusers and grilles. Electrical systems will include all
new lighting, power, life-safety lighting, and low voltage tele/data system in the project area.
Plumbing systems will include new plumbing fixtures, miscellaneous countertop sinks, two
drinking fountains and the reconfiguration of the existing fire sprinkler system to accommodate
the new plan. The construction must accommodate in place a number of existing fire rated
vertical chases passing through the space that serves the fume hoods in the laboratory spaces
below. The existing materials in the storage cages will be moved off site outside the scope of
Phase 2 CECH project.
North CEP – Phase 2 of 4 Post Design Services - One new generator and gear installation
Installation of one new generator and gear and associated MEP/FP system improvements for the
equipment as part of the previously designed CEP project at CECH, to be in service by the end of
Phase A renovations to 8ST and 7ST listed below. The Construction Manager at Risk will submit
updated design drawings to the City for permit and to AHCA for approval based on phased
implementation of the total generator project previously designed as part of Phase 1A CECH.
The work also includes the decommissioning and removal of four existing generators and remote
radiators on the roof of the south CEP and the conversion of this generator room to a general
storage room. An alternate will include the removal of the existing AHU and rooftop cooling tower
with its associated piping that formerly served the Generator Room. The storage room work will
include removing a bank of existing interior windows units and replacing with one-hour fire-rated
CMU, adjustments to the general light fixture pattern, fire-sprinklers and fire alarm systems in the
generator room and a new packaged AHU for the former generator room to be used as general
storage.
8 South Tower – Pediatric Hem/Onc and Med Surg nursing unit.
Approximately 21,745 SF full-gut renovation in two phases, starting with the east end of the floor
that currently houses storage areas, while the Pediatric Hem/Onc Unit remains on the balance of
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the 8 floor. The CM must protect this 14 bed Hem/Onc unit in place during the first Phase
construction. After the first phase, 12 Hem/Onc beds will be relocated to the renovated areas and
the balance of the floor will be renovated for 10 Pediatric Medical/Surgical beds. 7 and 8 ST
floors will be divided into two smoke compartments with a 1-hour smoke barrier to deck and
smoke dampers at penetrations as required by the mechanical zones.
Exterior scope of work on level 8 only shall include saw-cutting punched openings in selected
CMU exterior walls and adding exterior aluminum impact rated windows with laminated glass to
the façade in six perimeter bays to add windows for the total bed count shown on the conceptual
plans.
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BROWARD HEALTH
Chris Evert Children’s Hospital
Phase 2 Project Narrative
Exhibit A
Existing exit balconies on 7 and 8 ST will be renovated to include four 40SF NOA rated aluminum
wall louvers to achieve 50% free air at exit balcony facades affected by enclosing portions of the
balconies for occupied space. Work will also include the removal of abandoned HVAC ductwork
and minor wall finish repairs on the façade of the hospital at three levels above the fourth floor.
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The phased construction on 8 floor will require construction of a temporary access corridor from
the main elevator lobby to the South Tower to separate the construction traffic from active patient
units on these floors. The work will also include a temporary 8 story construction lift to be added
to the east end of the South Tower for construction access and debris removal during Phase A of
the project. During Phase B, the contractor will use the patient elevator on the west end of the
South Tower, with discharge onto level two, and internal access though the West Wing corridors
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to a construction dumpster area along 17 Street.
Architectural finishes will include sheet vinyl flooring or upgraded vinyl flooring tiles or planks in
multiple patterns, painted paperless gypsum board partitions to deck, and high performance
acoustical ceiling systems throughout. Four feet tall rigid sheet vinyl wall protection and full
height corner guards will be provided in all patient care areas and public corridors. Vinyl
handrails will be provided at all patient corridors.
Two negative pressure Isolation rooms on each floor will have painted gypsum board ceilings in
patient room and toilet room. Toilet rooms will be ceramic tile floor and walls with glass partitions
at showers. Patient rooms will include solid surface countertop and sink, plastic laminate
headwall panels and footwall construction in various patterns and glass trim accent panels in
each room. Accessories will include cubical curtain tracks at each patient room and exam room
doors. Owner will provide and contractor will install selected accessories including soap and
paper towel dispensers, glove boxes, sharps boxes and room signage. Work will include
providing and installing mirrors at all patient sinks, fire extinguisher and fire hose cabinets, towel
bars, grab bars, toilet tissue dispensers, shower seats, robe hooks, soap dishes, shower curtain
tracks and miscellaneous division 10 accessories. Provide a line-item budget for 1400 SF of
back-lighted photo-scenic ceiling panels to be dispersed between the 22 patient rooms and public
spaces on each of 8ST and 7ST. (allow 50 SF per patient room and 300 SF at public spaces per
floor).
The HVAC system will be new with a roof-top AHU to serve 7 and 8 floor east side as part of
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Phase A. A new AHU in the 9 floor penthouse will be sized to serve the 7 and 8 South Tower
West side as part of Phase B. A new AHU will also be required on each floor adjacent to the
main elevator lobby on levels 7 and 8 in phase A. The MEP scope will include all new systems
from the existing mains and risers located on the floors being served. Low voltage will include
tele/data system and cabling installation, nurse call system, CCTV, security system for access at
unit entry vestibule, and security cameras at selected locations. CM shall contract a BH
approved low voltage subcontractor.
The CM shall include an allowance of $100,000 per floor slab for scanning structural slabs,
modifying slab reinforcement and core drilling for pipe penetrations of the existing flat beam
construction on 7 floor, 8 floor and 9 (roof) slabs.
7 South Tower – Pediatric ICU and Step-down units
Approximately 21,745 SF full-gut renovation in two phases, starting with the east end of the floor
that currently houses storage areas, while the Pediatric ICU Unit remains on the balance of the
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7 floor. Special care regarding construction noise and vibration with intermittent construction
work stoppage will be required to accommodate this patient area during construction. The 12
PICU beds will be relocated to the renovated areas and the balance of the floor will be renovated
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BROWARD HEALTH
Chris Evert Children’s Hospital
Phase 2 Project Narrative
Exhibit A
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for 10 Pediatric step-down beds. Phased construction work for construction access below the 7
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floor slab will be required on the occupied 6 floor to be coordinated with the Owner.
ICU rooms will have a minimum 6 foot wide pair of glazed aluminum entry doors. A recessed
alcove with nurse work counter will be provided outside selected ICU patient rooms, to include a
solid surface countertop with power and data services, and access to an aluminum double paned
observation window with integral blinds at each ICU patient room. Refer to the 8 ST project
above for detailed description of phasing, architectural finishes and MEP/FP systems for both
floors.
2 MOB Pediatric Sub-specialty Center
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Approximately 7,000sf of renovation of the 2 floor north MOB suite to house an outpatient
center to include 18 exam rooms, staff offices, reception and business office, patient waiting and
play space, and clinical support spaces. Work will include full gut demolition and replacement of
architectural, MEP/FP and low voltage systems in the area, including a new AHU in an existing
mechanical room. New security will include controlled entry lock on suite door, and cameras in
the suite for patient safety in public corridors and transaction station. Architectural finishes will
include patterned sheet vinyl floors, painted gypsum board partitions to deck, and highperformance acoustical ceiling panel system throughout. Casework will be premium grade plastic
laminate with solid service countertops through-out, with integral sinks at each exam room. The
public toilet rooms will have ceramic tile floors, base and walls to ceiling. Doors will be solid core
wood veneer in painted hollow metal frames. Provide safety glazed sidelights at six department
entries.
Provide a total of $60,000 allowance for fiberglass themed art elements at six
department entries in the suite
2 Robinson Wing – Level II Neonatal ICU (36 private rooms)
Approximately 17,221sf second floor of the Robinson Wing will be gutted and reconfigured for
private NICU beds and associated support areas. This will take place once the present Pediatric
beds are relocated to the South Tower. Work will require extensive renovation of the MEP
systems for the NICU environment, and the installation of infant abduction deterrent system in
addition to the typical security systems on the unit. Accommodations will be made to double up
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the NICU beds on the floor to temporarily house the 4 floor NICU patients on 2 floor while
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renovations are completed on the 4 floor. The work will be done in one phase on this level.
Interior glazing will be required at various areas of the NICU patient rooms to assure that each
patient space has access to natural light from the existing perimeter windows. Finishes will
include 3mm rubber sheet flooring, painted paperless gypsum board partitions to deck, and high
performance acoustical ceiling system throughout. Four feet tall rigid sheet wall protection and
full height corner guards will be required in all patient care areas, and vinyl hand rails will be
required at patient corridors. Nurse stations, rest rooms, and clinical support rooms will be
included in the new NICU floor plan.
New MEP/FP systems will be required in this renovation to include a new AHU and distribution
system, new plumbing fixtures including a scrub sink at the unit entry, new medical gas systems
to each head wall and exam room, new electrical room with normal, critical and life-safety branch
panels and distribution system, new tele/data, nurse call, infant abduction system, CCTV, entry
door security, and security cameras at selected public places. Electrical system shall have
dimmable LED lighting in the NICU patient care areas. CM shall include an allowance of
$100,000 per floor for scanning structural slabs, modifying slab reinforcement and core drilling for
pipe penetrations of the existing concrete frame construction on 2nd floor slab.
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BROWARD HEALTH
Chris Evert Children’s Hospital
Phase 2 Project Narrative
Exhibit A
4 Robinson Wing Renovation - Level III Neonatal ICU (27 private rooms)
Approximately 13,067sf fourth floor of the Robinson Wing will be gutted and reconfigured for
private NICU beds and associated support areas. Work will require extensive renovation of the
MEP systems for the NICU environment, and the installation of an infant abduction deterrent
system in addition to the typical security systems on the unit. Interior glazing will be required at
various locations in the NICU patient rooms to assure that each patient space has access to
natural light from the existing perimeter windows. Finishes will include 3mm sheet rubber
flooring, painted gypsum board partitions to deck, and high performance acoustical ceiling system
throughout. Solid sheet vinyl wall protection and corner guards will be required in all patient care
areas. Vinyl had rails will be provided in all public corridors. Nurse stations, rest rooms, and
clinical support rooms will be included in the new NICU floor plan.
New MEP/FP systems will be required in this renovation to include a new AHU and distribution
system, new plumbing fixtures including a scrub sink at the unit entry, new medical gas systems
to each head wall and exam room, new electrical room with normal, critical and life-safety branch
panels and distribution system, new tele/data, nurse call, infant abduction system, CCTV, entry
door security, and security cameras at selected public places. Electrical system shall have
dimmable LED lighting in the NICU patient care areas. CM shall include an allowance of
$100,000 per floor for scanning structural slabs, modifying slab reinforcement and core drilling for
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pipe penetrations of the existing concrete frame construction on 4 floor slab.
4 Robinson Wing Expansion – Level III Neonatal ICU (4 private rooms and NICU support)
Approximately 5,000 SF building expansion over the existing roof adjacent to 4 RW to house 4
private NICU rooms and expanded NICU support spaces. This work will be scheduled
concurrently with the renovation of the 4RW project, and will include connection of existing exit
stairs on the roof to meet life-safety exit requirements for the area.
The work will require
extensive renovation of utilities in the plenum below the space, including the disruption of Labor
and Delivery and C-section rooms on 3 Robinson Wing. The Hospital will relocate C-section
functions to the surgery department during this construction period.
Exterior construction will be two hour fire rated steel structure with two hour concrete slab roof.
Exterior finish will be stucco over impact rated reinforced CMU partitions. Exterior windows will
be clear aluminum finish on impact resistant laminated glazed system. Roofing will be cold
applied single-ply TPO roof with impact resistance rating over a compatible insulated lightweight
concrete deck in compliance with the hospital’s insurance carrier.
New MEP systems will be required in this expansion to include a new AHU and distribution
system, new exhaust fans, new electrical room with normal, critical and life-safety branch panels,
new tele/data, nurse call, infant abduction system, CCTV, entry door security, and security
cameras at selected public places. Electrical system shall have dimmable LED lighting in the
NICU patient care areas. Finishes will match the balance of the 4 Robinson wing renovation
described above.
BIM SERVICES
Prior to beginning the BIM process for each Project Package described in the Scope of Work, the
Architect (ACAI) and its consulting engineers will meet with the Owner and the Construction Manager at
Risk (CM@Risk) to develop a BIM Project Execution Plan (BIMPxP). The BIMPxP will cover the BIM
protocols and deliverables for the Design Phase and also set up a workflow for the Designers of Record
to deliver Record BIMs at the end of construction. The BIMPxP will establish the Level of Development
(LOD) to be applied to each BIM deliverable using a Model Progression Schedule (MPS) to define what
components will be modeled at each LOD during each design and construction phase. The BIMPxP shall
include an Asset Matrix to include Construction Operations Building information exchange (COBie) data
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BROWARD HEALTH
Chris Evert Children’s Hospital
Phase 2 Project Narrative
Exhibit A
to help define the list of Assets that Broward Health is interested in tracking. Anticipate tracking up to 6
major MEP/FP asset groups with an average of 10 individual items in each asset group, a total of 60
items per project. The LOD definitions are in the BIM Forum LOD Specifications 2013 edition.
During the design phase, the project design team shall produce the BIMs using Autodesk Revit 13 (or
later) up to LOD 300 in accordance with the Model Progression Schedule (MPS). It is agreed that the
Design BIMs will depict design intent and modeled utilizing industry standard generic components for
materials and assets as a basis of design using non-proprietary specs (i.e. “or equal”) required by the
Owner.
During Construction, the Contractor shall be responsible for upgrading the BIMs to LOD 350. The
Contractor shall incorporate approved vendor-specific assets with predetermined COBie information
agreed upon in the BIMPxP. The File format shall be compatible with the design BIM authorized software.
After the construction team provides BIM as-built files, The project design team will compile Record BIMs
to hand over to the Owner based on federated BIM As-builts provided by the Contractor. The Record
BIMs will be in Revit 13 (or later), and the Federated Record BIM will be in Navisworks 13 (or later) for
each Project Package in accordance with the agreed upon BIMPxP. The Contractor shall provide as-built
BIMs in either IFC 2x3 or Revit 13 (or later) formats. The Design Team reserves the right to not accept
Construction team as-built BIMs that are incomplete (i.e. poor quality IFCs, or out of place Revit files etc)
from the Contractor.
The Contractor will be responsible for verifying the accuracy and completeness of the Trade Contractorprovided BIMs that will be incorporated by the design team into the record models. The Designers of
Record will not accept means and methods that deviate from the overall design intent. The Medical
Equipment BIM will include fixed medical equipment specified by the Medical Equipment Planner.
End of Document
S:\Projects\08-012 X101 CMr Assist\CECH Phase 2 CMr scope-Final copy Exhibit A.docx
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