REQUEST FOR QUALIFICATIONS – ARCHITECTURAL DESIGN SERVICES Arkansas State University – Jonesboro, in accordance with the policies of the Board of Trustees, is soliciting response from qualified architects for the renovation of Wilson Hall. Project Description Arkansas State University has partnered with New York Institute of Technology to deliver a NYIT College of Osteopathic Medicine at the Jonesboro campus. Wilson Hall was selected for the host building due to the transfer of current occupants to the new Humanities and Social Sciences building, and for the ideal building size and campus location. Wilson Hall is an 86,188 gross square feet, 4story concrete and masonry structure constructed in 1932, with major renovations and investments in the 1960’s and within the last decade. The project will include major architectural renovations for specialty labs, with general renovations for classrooms, offices and other support spaces. It is anticipated all areas of the building, except the IT Store on the first level, will be utilized for the Osteopathic program. Appendix A presents the current floor plans and draft renovated program floor plans. Current planned renovation project budget is $5,000,000. NYIT budget scope specialty equipment & supplies, technology, program specific FFE is in excess of $10 million. Submission The deadline for responses is 4:00 PM CDST on Friday, May 1, 2015. Respondents will provide (10) published copies and an electronic copy (PDF format, less than 10mb required file size) to: David Handwork, P.E. Director of Planning Design and Construction Arkansas State University 2713 Pawnee Street Jonesboro, AR 72401 Email:
[email protected] Phone: (870) 680-4691 Cell: (870) 897-2613
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Professional Services Required The project committee will be comprised of ASU-J and NYIT constituents. Architect will work with representatives of this team and Facilities Management Planning Design and Construction for principle responsibility of: • Program development / refinement • Schematic Design, Design Development, and Construction documents • Critique of Construction Management (CM) Contractor budget submittals at Schematic Design, Design Development and 90% Construction documents • All inclusive lab design services, including equipment lists and specifications • All inclusive Low Voltage (IT, A/V, security) design services (with input from ASU-J and NYIT technical staff) • All inclusive interior design services and non-lab FFE design services • Production of bid documents for Construction Manager procurement • Construction administration • Commissioning services for labs, specialty equipment / systems, and low voltage systems • Project close out • Warranty administration and 1-year post occupancy inspection and review NOTE: A Technology Integrator Professional will be selected separately from the Architectural Design Services Professionals. The Integrator professional will work direct with NYIT and concurrent with the Architect on coordinating the specialty education systems (i.e. simulation labs, etc.) in the design, construction and commissioning phases. This will be separate from the Low Voltage sub consultant services under the Architect scope. Statement of Qualifications Format and Content A selection committee comprised of ASU-J and NYIT constituents will review Statements of Qualification. To aide committee review of competing firms, the SoQ document should be structured in the following order and content: 1. Lead Firm Base Information a. Name and address of firm b. Primary contact telephone numbers and email addresses c. Web page address, and any social media addresses 2. Brief History of Lead Firm a. Size of firm (staff numbers) b. Number of years in business c. Organization chart of firm
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3. Design Team Background a. Architecture Team i. Principle In Charge ii. Director of Design for Osteopathic programs iii. Project Manager iv. Project Architect(s) v. Lab Designer(s) (Gross Anatomy, OMM, ICC, etc.) vi. Interior Designer vii. Construction Administration Manager viii. Other b. Partnered Firm (non-design lead), if utilized i. Partnered firm manager c. Consultants i. Structural Engineer ii. Mechanical Engineer iii. Electrical Engineer iv. Low Voltage Consultant (IT, A/V, security infrastructure) v. Other d. Resumes of Team Members (Architecture Team, Partnered Firm, Consultants) 4. Representative Projects / Project Experience– List a minimum of five (5) projects completed by your firm that best represents a similar scope, budget, program and complexity. Projects can be renovations or new construction. For each project, include: a. Name and Location b. Owner Representative name and contact information c. Project Description (include any unique aspects) d. Photographs e. Total Square Footage i. New construction / additions ii. Renovations f. Project Schedule i. List initial program or Conceptual Design Date ii. List the Substantial Completion Date g. Cost Effective Design i. Initial Budget ii. Bid Amount iii. Final Construction Cost iv. List any changes in scope if applicable h. Cost per Square Foot i. Construction only – excluding site cost ii. Total cost, including FFE and all soft cost 5. Proof of Licensure or Eligibility a. Architects: All firms will be licensed, or eligible for licensure, in the State of Arkansas. Eligible firms not currently licensed must send a AState.edu
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letter to the Arkansas State Board of Architects, Landscape Architects, Interior Designers (501-682-3171) stating their intent to respond to an RFQ issued by Arkansas State University. Please include project name, submittal date, and proof of valid NCARB certification in the letter. Consulting and joint venture firms are also required to be licensed by the Arkansas State Board. Notification to the State Board must be made PRIOR to responding to this solicitation, and A COPY OF EITHER A VALID ARKANSAS LICENSE OR THE QUALIFYING LETTER FOR ALL TEAM MEMBER FIRMS MUST BE INCLUDED WITH SUBMITTALS. The final selected firm will have 30 days to make application for corporate licensure after they are awarded the contract. 6. Proof of current professional liability insurance coverage ($1,000,000 minimum required). 7. Disclosure Forms (See Appendix B) Selection Criteria and Process The selection committee will review Statement of Qualifications documents and grade upon the following point criteria. The (3) highest scored firms will be notified for interview by noon Tuesday May 5, 2015. Unsuccessful firms will be notified same day via email and/or phone call. Interviews for firms will occur on Wednesday and Thursday May 13 & 14, 2015 (times TBD). Interview format will be communicated prior to interview date. RFP RANKING CRITERIA
WEIGHT
1. Prior and quantity similar experience for developing a new Osteopathic medical programs 2. Demonstration of similar projects of aggressive schedule 3. Staff resources, experience, and team qualifications 4. Demonstration of project cost containment 5. Demonstration of leading a project from remote location 6. Demonstration of good design in renovated spaces 7. Other factors – Use of technology, understanding of new teaching methods, etc. TOTAL
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20 pts 20 pts 20 pts 20 pts 20 pts 15 pts 10 pts 125 pts
4
Project Special Requirements and Schedule The project scope of renovation of Wilson Hall will have an aggressive schedule. Pursuant to Arkansas Code §19-4-1415, ASU-J will utilize construction procurement delivery method of construction manager (CM) with agreed guaranteed maximum price. The use of a CM will afford constructability input, pricing, and scheduling of advance work scope at all design stages. The design team should be advised the following project schedule is reflective of imperative milestone dates, the most important being the May 15, 2016 substantial completion. • • • • • • • • • • • • • • • • • • • • • •
April 20-22, 2015 - List advertisement Request for Qualifications for Design Professionals April 22, 2015 - List advertisement Request for Qualification for Construction Manager April 27, 2016 – List advertisement Request for Qualifications for AV Integrator May 1, 2015 - Design Professional RFQ submittal due May 1, 2015 - Construction Manager RFQ submittal due May 8, 2015 – AV Integrator RFQ submittal due May 11-15, 2015 - Interviews and selection of Design Professionals, Issue Pre-design Services PO May 11-15, 2015 - Interviews and selection of Construction Manager, Issue Pre-Construction Services PO May 11-15, 2015 – Interviews and Selection of IV Integrator, Issue PreIntegrator PO May 21 & 22, 2015 - Design Charrette June 9, 2015 - Post Schematic Design / Early Design Development budget delivered to NYIT/ASU June 10, 2015 - Method of Finance and Professional Services Contracts submitted for July Arkansas Legislative Review June10, 2015 - Long lead items specified for ASU procurement to be contractor installed at later date June 24, 2015 - Design Development Documents complete, review meeting July 1, 2015 - Arkansas Legislative Review, Deadline for Wilson Hall occupant vacancy July 6-24, 2015 - Asbestos Floor Tile Abatement July 22, 2015 - 90% Construction Documents Review, Early Demolition / Infrastructure Bid Package Due August 5, 2015 - 100% Construction Documents, Demolition Bid Opening August 17, 2015 - Contractor mobilization, begin demolition scope September 2, 2015 - Construction GMP Submitted September 21, 2015 - Demolition complete, Construction Scope begins (9) months to 100% substantial completion Progress meetings will occur weekly, onsite when possible with video conferencing to NYIT staff
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• • • • • •
May 1, 2016 - Critical areas / offices substantially complete, begin commissioning of systems / labs May 15, 2015 - Begin partial occupancy with critical staff / programs June 1, 2016 - Project substantially complete, building ready for full occupancy June 15, 2016 - Post occupancy review and punch list, staff training July 1, 2016 - Complete final punch list. Begin project close-out process August 2016 – First class, NYIT Osteopathic School of Medicine at Arkansas State University
Other unique project requirement is the location of Wilson Hall in the heart of the central campus core, with no direct adjacencies of streets or parking lots. It is imperative the design team assist the owner and construction manager with logistical planning of means and methods during demolition and construction phases. Campus and Building Tour Availability – Pre and Post RFQ Submission Tours of the Wilson Hall building will be available on a limited, first scheduled basis. To schedule tours, contact David Handwork at phone numbers listed on page 1, or Janis Cook at (870) 680-4730. Spring 2015 semester classes will be in session with finals pending. Therefore, dead-day and weekend hours are the only available time for tours. Each firm will be allotted no more than (2) hours of building touring time. Friday April 24 – 3:00 – 5:00 PM Saturday April 25 – 9:00 AM-11:00 AM; 2:00- 4:00 PM Sunday April 26 – 2:00 – 4:00 PM Tuesday April 28 (Dead Day) – 7:00 AM – 9:00 AM; 9:30 AM – 11:30 PM; 1:30 PM – 3:30 PM; 4:00 PM – 6:00 PM End of RFQ Body
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APPENDIX A FLOOR PLANS OF EXISTING AND PROPOSED PROGRAM
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1/16" = 1'-0"
SCALE: Office
83 SF
126C
90 SF
141 SF
126E 127 SF
Computer Lab
103
103A
850 SF
346 SF
Corridor
Office
Corridor
Mechanical
FFC01
126B
KKC01
101
119 SF
100 SF
Computer Lab
125 594 SF
1782 SF
105 SF
103B
Office
145 SF
Classroom
DWN
Classroom
Office
Office
Office
102
128
127
103D
97 SF
88 SF
89 SF
4/22/2014
74 SF
Office
126D
102A
DATE
134 SF
Office
Office
REV.
103C
DATE
Office
103E
JRC
Office
Office 126A
76 SF
96 SF
Corridor AAC01 1415 SF
Janitor
Office Stairs DDS01
116
Mechanical
119
135 SF
118
33 SF
Stairs Office
325 SF
260 SF
Vending Office
117
115
357 SF
Office
Office
AAS01 256 SF
124A
124B
124C
118 SF
119 SF
117 SF
135 SF
Office 104 186 SF
Office
Corridor
114
CCC01
133 SF
Office
770 SF
Corridor
105
Office
DDC01
130 SF
332 SF
Corridor
113
BBC01
134 SF
841 SF
Classroom
Office
124
106
Office
131 SF
112
988 SF
135 SF
Elevator AAE01
Office 140 SF
111
42 SF
159 SF
Mechanical Office
110E
138 SF
EEC01
89 SF
107 SF
Women Office 109E
Office
151 SF
109
120 166 SF
212 SF
Corridor
Office Storage
JJC01
110C
105 SF
128 SF
Storage 110D
Men
517 SF
121
Classroom 123 1046 SF
167 SF
Office 109D 99 SF
Office
Office
109C
109B
102 SF
161 SF
Wilson Hall
108
Corridor
Level 1 Floor Plan
Office
Office 109A 115 SF
Office
Stairs
122
EES01
259 SF
20 SF
IT Store 110A
Stairs
Mechanical
CCS01
110
258 SF
120 SF
317 SF
IT Store 110B
Stairs
1605 SF
BBS01 255 SF
A-1
107
1/16" = 1'-0" 221C
201D
11 SF
Vestibule
Office Storage
Office Storage
203B
201C
7 SF
8 SF
204
Office
221D
115 SF
92 SF
220D
221E
23 SF
Office
Office Storage
248 SF
220A
96 SF
201
220E
130 SF
1032 SF
Office
Office Service
221
FFC02
129 SF
41 SF
8 SF
Office
Classroom
219
218
193 SF
600 SF
Office Corridor GGC02 49 SF
Office
Office Storage
202
203A
201 SF
83 SF
Office
Computer Support
221H
201B
98 SF
78 SF
Lobby
220
Office
Office
151 SF
Office Storage
221G
221F
220C
84 SF
87 SF
61 SF
4/22/2014
259 SF
232 SF
221B
REV.
203
201A
Office
DATE
Office
Office
JRC
Office
Office
DATE
Office Storage
AAV02 139 SF
DWN
6 SF
Classroom
SCALE:
Office Storage
Office Storage
AAL02
Office Storage
514 SF
Corridor
Corridor
220B
HHC02
AAC02
76 SF
747 SF
555 SF
Corridor JJC02 160 SF
Janitor 210A
Stairs
Stairs
205C
205A
166 SF
180 SF
AAS02
Seminar
256 SF
217C
Mechanical
Mechanical
377 SF
212
210
403 SF
374 SF
MAPS
Classroom 217B 355 SF
Classroom 205 775 SF
Elevator Classroom
AAE02
582 SF
Corridor
Class Storage
Corridor
205B
CCC02
193 SF
796 SF
EEC02 147 SF
Corridor
Auditorium
DDC02
211
148 SF
3200 SF
Office
Office
Corridor
209
213
BBC02
134 SF
111 SF
746 SF
Classroom
Men
206
Classroom
214
Women
1030 SF
216
199 SF
208
1030 SF
201 SF
Office Storage
Office Storage
215C
215B
77 SF
80 SF
Level 2 Floor Plan
217A
42 SF
Stairs EES02
Office
19 SF
215A 169 SF
Mechanical 207 547 SF
Stairs
Office
CCS02
207A
258 SF
118 SF
Storage 211A 2490 SF
Stairs Office 215
BBS02 255 SF
236 SF
A-2
260 SF
28 SF
Office
Office
Wilson Hall
DDS02
1/16" = 1'-0"
SCALE: 83 SF
195 SF
Office 313D 101 SF
314 584 SF
Office
Office
Office
Office
Office
Office
Office
Office
Office
311
310
309
308
307
306
305
304
176 SF
176 SF
174 SF
177 SF
165 SF
187 SF
175 SF
205 SF
Classroom
Classroom
Classroom
301
302
303 461 SF
580 SF
402 SF
DWN
Seminar Lab
313
Office Storage
Copy Room
300 SF
313E
312
132 SF
134 SF
4/22/2014
313A
84 SF
DATE
Office
REV.
313B
DATE
Office
313C
JRC
Office
Copy Room 313F
Corridor
69 SF
Corridor
DDC03
AAC03
828 SF
884 SF
IT
Storage
Stairs DDS03
Janitor
E&P Lab
260 SF
315 312 SF
Mechanical
322B
322A
43 SF
86 SF
Stairs AAS03
Classroom
321A
Mechanical
330
13 SF
323
372 SF
256 SF
382 SF
321 394 SF
Storage 322 1113 SF
Corridor
Classroom 316
BBC03
436 SF
708 SF
Classroom 329 526 SF
Elevator AAE03
Classroom Corridor
565 SF
CCC03
Classroom 328
781 SF
Office Office
Office
320
Office
327
327C
279 SF
75 SF
324
112 SF
104 SF
Office 327A
Men Women
325
317
319
192 SF
1034 SF
223 SF
Language Lab
318A
Office 327D 71 SF
Seminar 327F 311 SF
Office 97 SF
93 SF
Office
Office
Office
327B
326B
68 SF
Wilson Hall
424 SF
Level 3 Floor Plan
42 SF
316A
Office 327E 80 SF
184 SF
318B 133 SF
Office 326 173 SF
Office
CCS03 258 SF
Office 318C 98 SF
209 SF
Mechanical
Stairs
318D 136 SF
Office 326A
BBS03 255 SF
219 SF
A-3
318
Stairs
1/16" = 1'-0"
SCALE: 407
Classroom
Seminar
210 SF
406
404
Classroom
424 SF
375 SF
403
Office
402
401
211 SF
207 SF
431 SF
4/22/2014
Office
408 207 SF
DATE
84 SF
REV.
405A
200 SF
DATE
Office
JRC
Office
Office
405B
DWN
Office
Office 405 205 SF
Corridor Corridor
AAC04
DDC04
853 SF
794 SF
Mechanical
Stairs Office
Mechanical
Office
409
409A
181 SF
177 SF
AAS04
383 SF
415
Janitor
Office
Office
Office
Office
Office
Office
GA Office
400 SF
415A
416
417
418
419
420
421
427
135 SF
143 SF
111 SF
376 SF
17 SF
167 SF
143 SF
135 SF
256 SF
Corridor BBC04 746 SF
Classroom
Classroom
426
410
525 SF
523 SF
Corridor CCC04 776 SF
Elevator AAE04
Classroom
Classroom
425
411
430 SF
429 SF
Women 423 123 SF
Office 414 119 SF
Men 413 223 SF
Level 4 Floor Plan
42 SF
Wilson Hall
Utility 424B 9 SF
Politiki 424 808 SF
Classroom 412 599 SF
Class Storage Stairs
412A
CCS04
106 SF
258 SF
Office 424A 105 SF
Stairs BBS04 255 SF
A-4
260 SF
Stairs
422
DDS04
SCALE: 1/8"=1'
Mechanical Space
Adjunct Faculty
Learning Lab 3
105
Learning Lab 2 104
Learning Lab 4
Learning Lab 5
Flexible Learn Lab 6
103
102
Mechanical
125
124
123
558 SF
441 SF
432 SF
500 SF
101
447 SF
433 SF
594 SF
DATE
3-16-15
REV.
Learning Lab 1
PAC
Basic Science Suite
DWN.
DATE
Legend
1782 SF
Storage 126
IT Store
96 SF
Common Space Corridor AAC01 1415 SF
DDS01
118
260 SF
325 SF
Basic Science Staff Meeting
119
Stairs
33 SF
AAS01 256 SF
Vending 117
111
357 SF
400 SF
Flexible Office 106 185 SF
Corridor CCC01 910 SF
Faculty 7
Corridor
107 130 SF
DDC01
Faculty 8
Corridor
332 SF
112
BBC01
134 SF
841 SF
Faculty 6 108
Faculty 9
131 SF
113
Year 1 & Year 2 Classroom 122
135 SF
1963 SF 15.1 sf/student @ 130 students
Elevator AAE01
Faculty 5 109
Faculty 10
140 SF
114
42 SF
159 SF
Mechanical 110E
Work
Storage
Corridor
110A
110B
EEC01
82 SF
52 SF
107 SF
89 SF
Women 120
Department Chair Office
Admin. 110
166 SF
MEDICINE at A-State
Mechanical
NYIT COLLEGE OF OSTEOPATHIC
Janitor Stairs
115
266 SF
212 SF
Storage Storage
122A
127D
Men
517 SF
121
394 SF
167 SF
110D
115B
102 SF
161 SF
Faculty 1 115A 115 SF
Office
Stairs
127A
EES01
259 SF
20 SF
IT Store Stairs
Mechanical
CCS01
116
258 SF
127C
IT Store
317 SF
127
Stairs BBS01
1605 SF
255 SF
120 SF
127B
DRAWING NO:
Faculty 2
4
99 SF
Faculty 3
1
110C
OF
Faculty 4
SCALE: 1/8"=1' 38 SF AAV02
Campus Dean
Meeting Room 202G
Student Administration
Future Office 202F
Future Office 202E
Future Office 202C
119 SF
157 SF
120 SF
Planning & Assessment 202A
139 SF
201A
Coffee 201B
264 SF
Registrar
Admissions
Admissions
223C
223D
222A
114 SF
91 SF
96 SF
38 SF
131 SF
Storage 201D
391 SF
Corridor 202
OMM Lab
Waiting
Unassigned Space
Corridor 223
35 SF
283 SF
Coffee 202H
Restroom 202J
Restroom 202K
59 SF
34 SF
32 SF
Assistant Dean 222B 164 SF
Admin Assist
90 SF
Registrar
Interview
223B
223A
97 SF
83 SF
201
201
202L 59 SF
201 SF
78 SF
Student Life
Admin Assistant
Alumni
221B 97 SF
Corridor 221 183 SF
Admin Assistant
Waiting
Work Copy Storage
Auditorium Mechanical Space Common Space
Stairs
Media Specialist
Faculty Specialist
DDS02
203B
203A
260 SF
106 SF
122 SF
Men 221E 50 SF Coffee 221G 51 SF
221A 71 SF
AAL02
Women 221F 64 SF
Corridor
514 SF
Corridor
221D 123 SF
124 SF
Lobby
Academic Affairs
Learning Specialist
221C
222 512 SF
Computer Support
Work/Copy
Coffee 222C 44 SF Private Restroom 222D 46 SF
Corridor
HHC02
AAC02
747 SF
555 SF
JJC02 160 SF
Janitor 210A 28 SF
Student Affairs Meeting
Stairs
220
AAS02 256 SF
312 SF
Mechanical
Mechanical Media Specialist 203C
Corridor
210
203
374 SF
212 403 SF
247 SF
Coffee 203L
114 SF
59 SF
Financial Aid 1 Financial Aid 2 Financial Aid 3
Women 203K
I.T. Integrator 203D
50 SF
108 SF
217
218
219
96 SF
96 SF
140 SF
1
2
3
4
5
Men 203J 50 SF
Curriculum 203E
Storage 203H
114 SF
Elevator
53 SF
AAE02 42 SF
Curriculum 203F 131 SF
Work/ Copy 203G
Corridor
100 SF
CCC02
Corridor EEC02
Admin Assistant
213 SF
DDC02
211
147 SF
796 SF
Assistant Dean 204B
Corridor
Auditorium
148 SF
3200 SF
Unassigned Office
Storage
Storage
Waiting
209
208C
208B
204
134 SF
41 SF
40 SF
OMM Lab 213 110 SF
397 SF
Corridor
OMM Control Room
BBC02 746 SF
Instruct
6
7
MEDICINE at A-State
Legend
DATE
11 SF
Vestibule
REV.
6 SF
NYIT COLLEGE OF OSTEOPATHIC
6 SF
3-16-15
202A
PAC
202D
Private Restroom 201C DATE
Storage
DWN.
Storage
216 159 SF
214 1216 SF
Men
Storage
201 SF
Meeting Room 204A
8
Admin Assistant
EES02 19 SF
45 SF
Unassigned Room
10
215 235 SF
Unassigned Room
Stairs
294 SF
9
208 1791 SF
207 317 SF
Unassigned Room
258 SF
205 117 SF
208A 645 SF
Mechanical 206
Stairs BBS02
117 SF
255 SF
Mechanical Chase
DRAWING NO:
CCS02
Unassigned Office
4
Stairs
2
Restroom 204D
199 SF
208
OF
46 SF
214
Women
Coffee 204C
SCALE: 1/8"=1' 36 SF
Second Year
305
Surgical Sim w/ Scrub 304
584 SF
437 SF
Faculty/ Staff Training Room
Simulation Control Room 303
Auditorium
Storage
Storage
325B
325A
30 SF
43 SF
Sim ER
Skills Lab
Learning Lab 1
Learning Lab 2
Learning Lab 3
302
301
326
325
324
448 SF
206 SF
513 SF
512 SF
446 SF
145 SF
DWN.
51 SF
Learning Lab 4
Learning Lab 5
323
322
446 SF
551 SF
DATE
322A
REV.
303A
3-16-15
Storage
PAC
Storage
DATE
Legend
Storage Storage
Gross Anatomy Scrub
Storage
323A
326A
324A
36 SF
30 SF
43 SF
Mechanical Space Corridor
Common Space
DDC03
Corridor
828 SF
AAC03 884 SF
Exam Room 308H
260 SF
117 SF
121 SF
312A 13 SF
Storage
IT
313A
313B
43 SF
86 SF
Stairs AAS03 256 SF
Mechanical Mechanical
314
312
382 SF
Corridor BBC03 150 SF
394 SF
Auditorium Balcony
Exam Room 308F
313 1113 SF
95 SF
Exam Room 308J 99 SF
Exam Room 308E 120 SF
Exam Room 308K
Gross Anatomy Lab 319
102 SF
1927 SF
Elevator AAE03
Exam Room 308D 122 SF
42 SF
Exam Room 308M
Corridor
100 SF
CCC03 781 SF
Corridor 315 619 SF
Exam Room 308N
Exam Room 308C
97 SF
97 SF
ICC Office 4
Women's Locker Room
308B
311
315A
Gross Anatomy Cold Room 319B
283 SF
112 SF
291 SF
199 SF
ICC Control Room
MEDICINE at A-State
DDS03
Exam Room 308G
NYIT COLLEGE OF OSTEOPATHIC
Janitor Stairs
Receptionist
Women Standardized Patients Showers, Lockers and Restrooms 308A
308
310
638 SF
223 SF
Prep. Lab 319A
Patient Waiting
223 SF
ICC Office 3
262 SF 309D 97 SF
ICC Office 2 309C 133 SF
Men's Locker Room 315B 298 SF
ICC Common Area
98 SF
Storage
309B
315C
136 SF
256 SF
Stairs BBS03 255 SF
DRAWING NO:
258 SF
309A
Mechanical
4
CCS03
ICC Office 1
209 SF
3
Stairs
OF
309
Faculty Office 4 402E
Faculty Office 5 402F
Faculty Office 6 402G
Faculty Office 7 401D
214 SF
97 SF
97 SF
97 SF
103 SF
100 SF
117 SF
118 SF
94 SF
3-16-15
REV.
Faculty Office 3 402D
PAC
402A
Faculty Office 2 402C
DATE
SCALE: 1/8"=1'
Clinical Adjuncts
Faculty Office 1 402B
Department Chair
Clinical Meeting Room 403
Faculty Office 9 401B
DWN.
Faculty Office 8 401C
DATE
Legend
129 SF
427 SF
Opti Department 402
Reference
Work/ Copy 402K
406 SF
Admin Assist
88 SF
Silent Study
Storage 402J
Storage 402H
41 SF
51 SF
111 SF
Corridor DDC04
853 SF
Research
794 SF
Mechanical
366 SF
410
Janitor
400 SF
410A 17 SF
Student Fellows' Office 411 167 SF
Research Office 2 412 143 SF
Research Office 3 413 135 SF
Research Office 4 414 135 SF
Research Office 5 415 143 SF
Research Office 6 416
Mechanical
111 SF
383 SF
256 SF
Flexible Space
417
423 376 SF
1
Silent Study
2
3
405
Corridor
523 SF
BBC04
Adjunct Professors 422
746 SF
525 SF
6
5
4
Corridor CCC04 776 SF
Elevator AAE04
Opti Director 421B
Administrative Assistant
42 SF
128 SF
Silent Study
421
406
Work/ Copy 421A
195 SF
429 SF
95 SF
Waiting
Women 418 123 SF
Office
MEDICINE at A-State
404
NYIT COLLEGE OF OSTEOPATHIC
AAS04
409 119 SF
Men 408 223 SF
Library 419
Silent Study
818 SF
407 599 SF
Storage CCS04
106 SF
258 SF
Stairs Librarian Office
BBS04
419A
255 SF
103 SF
DRAWING NO:
407A
4
Stairs
4
260 SF
Stairs
Silent Study
OF
Stairs DDS04
Common Space
182 SF
Corridor AAC04
Mechanical Space
401
Faculty Office 10 401A
APPENDIX B ARKANSAS DISCLOSURE FORMS
AState.edu
NYIT.edu
8
CONTRACT AND GRANT DISCLOSURE AND CERTIFICATION FORM Failure to complete all of the following information may result in a delay in obtaining a contract, lease, purchase agreement, or grant award with any Arkansas State Agency. SUBCONTRACTOR:
Yes
SUBCONTRACTOR NAME:
No IS THIS FOR:
Goods?
TAXPAYER ID NAME: YOUR LAST NAME:
Services?
Both?
FIRST NAME:
M.I.:
ADDRESS: CITY:
STATE:
ZIP CODE:
---
COUNTRY:
AS A CONDITION OF OBTAINING, EXTENDING, AMENDING, OR RENEWING A CONTRACT, LEASE, PURCHASE AGREEMENT, OR GRANT AWARD WITH ANY ARKANSAS STATE AGENCY, THE FOLLOWING INFORMATION MUST BE DISCLOSED:
F
I
O R
N D I V I D U A L S
*
Indicate below if: you, your spouse or the brother, sister, parent, or child of you or your spouse is a current or former: member of the General Assembly, Constitutional Officer, State Board or Commission Member, or State Employee:
Mark (√)
Position Held
Current
Former
Name of Position of Job Held [senator, representative, name of board/ commission, data entry, etc.]
For How Long? From MM/YY
To MM/YY
What is the person(s) name and how are they related to you? [i.e., Jane Q. Public, spouse, John Q. Public, Jr., child, etc.] Person’s Name(s)
Relation
General Assembly
Constitutional Officer State Board or Commission Member State Employee None of the above applies
F
O R
A
V
E N D O R
( B
U S I N E S S
) *
Indicate below if any of the following persons, current or former, hold any position of control or hold any ownership interest of 10% or greater in the entity: member of the General Assembly, Constitutional Officer, State Board or Commission Member, State Employee, or the spouse, brother, sister, parent, or child of a member of the General Assembly, Constitutional Officer, State Board or Commission Member, or State Employee. Position of control means the power to direct the purchasing policies or influence the management of the entity. What is the person(s) name and what is his/her % of ownership interest and/or Mark (√) For How Long? Name of Position of Job Held what is his/her position of control? Position Held [senator, representative, name of Ownership Position of From To Current Former board/commission, data entry, etc.] Person’s Name(s) MM/YY MM/YY Interest (%) Control
General Assembly
Constitutional Officer State Board or Commission Member State Employee None of the above applies
Rev. 08/20/07
Contract and Grant Disclosure and Certification Form Failure to make any disclosure required by Governor’s Executive Order 98-04, or any violation of any rule, regulation, or policy adopted pursuant to that Order, shall be a material breach of the terms of this contract. Any contractor, whether an individual or entity, who fails to make the required disclosure or who violates any rule, regulation, or policy shall be subject to all legal remedies available to the agency. As an additional condition of obtaining, extending, amending, or renewing a contract with a state agency I agree as follows: 1. Prior to entering into any agreement with any subcontractor, prior or subsequent to the contract date, I will require the subcontractor to complete a CONTRACT AND GRANT DISCLOSURE AND CERTIFICATION FORM. Subcontractor shall mean any person or entity with whom I enter an agreement whereby I assign or otherwise delegate to the person or entity, for consideration, all, or any part, of the performance required of me under the terms of my contract with the state agency. 2. I will include the following language as a part of any agreement with a subcontractor:
Failure to make any disclosure required by Governor’s Executive Order 98-04, or any violation of any rule, regulation, or policy adopted pursuant to that Order, shall be a material breach of the terms of this subcontract. The party who fails to make the required disclosure or who violates any rule, regulation, or policy shall be subject to all legal remedies available to the contractor. 3. No later than ten (10) days after entering into any agreement with a subcontractor, whether prior or subsequent to the contract date, I will mail a copy of the CONTRACT AND GRANT DISCLOSURE AND CERTIFICATION FORM completed by the subcontractor and a statement containing the dollar amount of the subcontract to the state agency.
I certify under penalty of perjury, to the best of my knowledge and belief, all of the above information is true and correct and that I agree to the subcontractor disclosure conditions stated herein. Signature___________________________________________Title____________________________Date_________________ Vendor Contact Person________________________________Title____________________________Phone No._________ Agency use only
Agency Agency Agency Contact Contract Number______ Name___________________ Contact Person________________Phone No.___________ or Grant No._____
Rev. 08/20/07
