request for qualifications – architectural design …
TRANSCRIPT
1 AState.edu NYIT.edu
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, 4-story 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
2 AState.edu NYIT.edu
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
3 AState.edu NYIT.edu
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
4 AState.edu NYIT.edu
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
20 pts
2. Demonstration of similar projects of aggressive schedule 20 pts 3. Staff resources, experience, and team qualifications 20 pts 4. Demonstration of project cost containment 20 pts 5. Demonstration of leading a project from remote location 20 pts 6. Demonstration of good design in renovated spaces 15 pts 7. Other factors – Use of technology, understanding of new teaching methods, etc.
10 pts
TOTAL 125 pts
5 AState.edu NYIT.edu
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 Pre-
Integrator 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
6 AState.edu NYIT.edu
• 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
7 AState.edu NYIT.edu
APPENDIX A
FLOOR PLANS OF EXISTING AND PROPOSED PROGRAM
850 SF
Classroom103
594 SF
Classroom125
118 SF
Office124A
119 SF
Office124B
117 SF
Office124C
988 SF
Classroom124
1046 SF
Classroom123
1605 SF
IT Store110B
120 SF
Mechanical110
97 SF
Office102
76 SF
Office103D
83 SF
Office102A
74 SF
Office103C
134 SF
Office103E
145 SF
Computer Lab103B
346 SF
Computer Lab103A
186 SF
Office104
130 SF
Office105
1782 SF
Mechanical101
131 SF
Office106
140 SF
Office107
138 SF
Office108
151 SF
Office109E
159 SF
Office111
135 SF
Office112
134 SF
Office113
133 SF
Office114
135 SF
Office115
135 SF
Office116
357 SF
Vending117
212 SF
Office109
102 SF
Office109C99 SF
Office109D
161 SF
Office109B
115 SF
Office109A
128 SF
Office Storage110C
167 SF
Men121
166 SF
Women120
96 SF
Office126A
100 SF
Office126B
141 SF
Office126C
90 SF
Office126D
89 SF
Office127
88 SF
Office128
127 SF
Office126E
325 SF
Mechanical118
20 SF
StairsEES01
1415 SF
CorridorAAC01
841 SF
CorridorBBC01
770 SF
CorridorCCC01
107 SF
CorridorEEC01
105 SF
CorridorJJC01
332 SF
CorridorDDC01
119 SF
CorridorFFC01
42 SF
ElevatorAAE01
256 SF
StairsAAS01
255 SF
StairsBBS01
258 SF
StairsCCS01
260 SF
StairsDDS01 33 SF
Janitor119
105 SF
CorridorKKC01
259 SF
Office122
517 SF
Storage110D
89 SF
Mechanical110E
317 SF
IT Store110A
SCA
LE:
DAT
E
DATE
REV
.
DWN
1/1
6" =
1'-0
"
JRC
4/22
/201
4W
ilson
Hal
lA-
1Le
vel 1
Flo
o r P
lan
1030 SF
Classroom206
600 SF
Classroom218
193 SF
Office219
151 SF
Office220
129 SF
Office221
248 SF
Office220A
76 SF
Office Storage220B
61 SF
Office Storage220C
41 SF
Office ServiceFFC02
87 SF
Office221F
84 SF
Office221G98 SF
Office221H
115 SF
Office221B
23 SF
Office Storage220D
11 SF
Office Storage221C
8 SF
Office Storage220E
96 SF
Office221E
92 SF
Office221D
377 SF
Seminar217C
403 SF
Mechanical212
514 SF
LobbyAAL02
139 SF
VestibuleAAV02
201 SF
Office202
83 SF
Office Storage203A49 SF
CorridorGGC02
7 SF
Office Storage203B
8 SF
Office Storage201C
6 SF
Office Storage201D
232 SF
Office201A
259 SF
Office203
130 SF
Office201
78 SF
Computer Support201B
1032 SF
Classroom204
775 SF
Classroom205
180 SF
Office205A
166 SF
Office205C
374 SF
Mechanical210
28 SF
Janitor210A
147 SF
CorridorEEC02
193 SF
Class Storage205B
134 SF
Office209
201 SF
Women208
547 SF
Mechanical207
118 SF
Office207A 2490 SF
Storage211A
3200 SF
Auditorium211
582 SF
Classroom217A
355 SF
Classroom217B
1030 SF
Classroom216
199 SF
Men214
111 SF
Office213
148 SF
CorridorDDC02
80 SF
Office Storage215B
77 SF
Office Storage215C
169 SF
Office215A
236 SF
Office215
746 SF
CorridorBBC02
796 SF
CorridorCCC02
255 SF
StairsBBS02
260 SF
StairsDDS02
256 SF
StairsAAS02
258 SF
StairsCCS02
19 SF
StairsEES02
42 SF
ElevatorAAE02
MAPS
555 SF
CorridorAAC02
747 SF
CorridorHHC02 160 SF
CorridorJJC02
SCA
LE:
DAT
E
DATE
REV
.
DWN
1/1
6" =
1'-0
"
JRC
4/22
/201
4W
ilson
Hal
lA-
2Le
vel 2
Flo
o r P
lan
580 SF
Classroom301
402 SF
Classroom302
461 SF
Classroom303205 SF
Office304
175 SF
Office305
187 SF
Office306
165 SF
Office307
177 SF
Office308
174 SF
Office309
176 SF
Office310
176 SF
Office311
134 SF
Copy Room312
300 SF
Office313
584 SF
Seminar Lab314
312 SF
E&P Lab315
436 SF
Classroom316
1034 SF
Language Lab317
209 SF
Office318
223 SF
Women319
112 SF
Office320
394 SF
Mechanical321
1113 SF
Storage322
382 SF
Mechanical323
104 SF
Office324
192 SF
Men325
173 SF
Office326
279 SF
Office327
424 SF
Classroom328
526 SF
Classroom329
372 SF
Classroom330
195 SF
Office313A
83 SF
Office313B
84 SF
Office313C
101 SF
Office313D
132 SF
Office Storage313E
69 SF
Copy Room313F
565 SF
Classroom316A
97 SF
Office318A
133 SF
Office318B
98 SF
Office318C
13 SF
Janitor321A
86 SF
IT322A
43 SF
Storage322B
93 SF
Office327A
68 SF
Office327B
75 SF
Office327C
71 SF
Office327D
80 SF
Office327E
311 SF
Seminar327F
219 SF
Office326A
184 SF
Office326B
884 SF
CorridorAAC03
708 SF
CorridorBBC03
781 SF
CorridorCCC03
260 SF
StairsDDS03
258 SF
StairsCCS03
255 SF
StairsBBS03
256 SF
StairsAAS03
42 SF
ElevatorAAE03
136 SF
Mechanical318D
828 SF
CorridorDDC03
SCA
LE:
DAT
E
DATE
REV
.
DWN
1/1
6" =
1'-0
"
JRC
4/22
/201
4W
ilson
Hal
lA-
3Le
vel 3
Flo
o r P
lan
207 SF
Office401
211 SF
Office402
431 SF
Classroom403375 SF
Seminar404
205 SF
Office405
424 SF
Classroom406210 SF
Office407
207 SF
Office408
181 SF
Office409
523 SF
Classroom410
429 SF
Classroom411
599 SF
Classroom412
223 SF
Men413
119 SF
Office414
400 SF
Mechanical415
167 SF
Office416
143 SF
Office417
135 SF
Office418
135 SF
Office419
143 SF
Office420
111 SF
Office421
383 SF
Mechanical422
123 SF
Women423
808 SF
Politiki424
430 SF
Classroom425
525 SF
Classroom426
376 SF
GA Office427
105 SF
Office424A
84 SF
Office405A
200 SF
Office405B
17 SF
Janitor415A
177 SF
Office409A
106 SF
Class Storage412A
853 SF
CorridorAAC04
746 SF
CorridorBBC04
776 SF
CorridorCCC04
256 SF
StairsAAS04
260 SF
StairsDDS04
258 SF
StairsCCS04
255 SF
StairsBBS04
42 SF
ElevatorAAE04
9 SF
Utility424B
794 SF
CorridorDDC04
SCA
LE:
DAT
E
DATE
REV
.
DWN
1/1
6" =
1'-0
"
JRC
4/22
/201
4W
ilson
Hal
lA-
4Le
vel 4
Flo
o r P
lan
1605 SF
IT Store
127
120 SF
Mechanical
116
130 SF
Faculty 7
107
1782 SF
Mechanical
101
131 SF
Faculty 6
108
140 SF
Faculty 5
109
159 SF
Faculty 10
114
135 SF
Faculty 9
113
134 SF
Faculty 8
112
357 SF
Vending
117
Department Chair
Office
102 SF
Faculty 3
110D
99 SF
Faculty 4
110C
161 SF
Faculty 2
115B
115 SF
Faculty 1
115A
167 SF
Men
121
166 SF
Women
120
325 SF
Mechanical
118
20 SF
Stairs
EES01
1415 SF
Corridor
AAC01
841 SF
Corridor
BBC01
Corridor
CCC01
107 SF
Corridor
EEC01
332 SF
Corridor
DDC01
42 SF
Elevator
AAE01
256 SF
Stairs
AAS01
255 SF
Stairs
BBS01
258 SF
Stairs
CCS01
260 SF
Stairs
DDS01
33 SF
Janitor
119
259 SF
Office
127A
517 SF
Storage
127D
89 SF
Mechanical
110E
317 SF
IT Store
127C
Admin.
394 SF
Storage
1963 SF
15.1 sf/student
@ 130 students
Year 1 & Year 2
Classroom
558 SF
105
441 SF
104
432 SF
103
500 SF 447 SF
125
433 SF
124
594 SF
123
Adjunct
Faculty
400 SF
Basic Science
Staff Meeting
Learning Lab 3Learning Lab 2
Learning Lab 1
102
185 SF
106
Flexible Office
111
82 SF
Work
110A
52 SF
Storage
110B
266 SF
110
212 SF
115
122
122A
Learning Lab 4 Learning Lab 5 Flexible Learn Lab 6
127B
910 SF
96 SF
Storage
126
Legend
Basic Science Suite
Mechanical Space
IT Store
Common Space
DW
N.
RE
V.
DA
TE
DA
TE
SC
AL
E:
DR
AW
IN
G N
O:
OF
PA
C3-16-15
1/8
"=
1'
NY
IT
C
OL
LE
GE
O
F O
ST
EO
PA
TH
IC
ME
DIC
IN
E at A
-S
tate
14
NYIT College of Osteopathic MedicineFirst Floor
Unassigned
Office
Unassigned
Room
Unassigned
Room
Unassigned
Room
Unassigned
Office
11 SF
403 SF
Mechanical
212
514 SF
Lobby
AAL02
139 SF
Vestibule
AAV02
Waiting
Campus
Dean
78 SF
Computer Support
201
374 SF
Mechanical
210
28 SF
Janitor
210A
147 SF
Corridor
EEC02
201 SF
Women
208
Mechanical
3200 SF
Auditorium
211
199 SF
Men
214
OMM
Lab
148 SF
Corridor
DDC02
746 SF
Corridor
BBC02
796 SF
Corridor
CCC02
255 SF
Stairs
BBS02
260 SF
Stairs
DDS02
256 SF
Stairs
AAS02
258 SF
Stairs
CCS02
19 SF
Stairs
EES02
42 SF
Elevator
AAE02
555 SF
Corridor
AAC02
747 SF
Corridor
HHC02
160 SF
Corridor
JJC02
Admin Assist
Future
Office
Planning
&
Assessment
Coffee
Storage
Meeting
Room
Coffee
Work/Copy
Storage
264 SF
Admissions
Assistant
Dean
164 SF
Registrar Interview
Admin
Assistant
Waiting
Admin
Assistant
Work
Copy
Storage
Coffee
Coffee
Student
Life
Alumni
Learning
Specialist
Private
Restroom
Private
Restroom
Restroom Restroom
Women
Men
Women
Men
I.T. Integrator
Curriculum
Curriculum
Storage
Work/
Copy
Admin
Assistant
Meeting
Room
Restroom
Coffee
Assistant
Dean
Admin
Assistant
Waiting
Mechanical Chase
Coffee
Storage
645 SF
Student
Affairs
Meeting
Financial Aid 1
1 2 3
4 5
6 7
8 9 10
OMM Control Room
Storage
Instruct
106 SF 122 SF
114 SF
108 SF
114 SF
131 SF
Corridor
213 SF
294 SF
134 SF
117 SF
317 SF
1791 SF
110 SF
159 SF
235 SF
96 SF 96 SF 140 SF
312 SF
120 SF157 SF119 SF
391 SF
59 SF
131 SF
114 SF
97 SF
91 SF
83 SF
96 SF
97 SF
124 SF
123 SF
201
201 SF
201A
38 SF
201C
38 SF
201B
35 SF
201D
202
202A
202A202D
202C
Future
Office
202E
Future
Office
202F
202G
202H 202J 202K
202L
203C
Media
Specialist
Corridor
203
203A
Faculty
Specialist
203B
Media
Specialist
203D
203E
203F
203G
203H
203J
203K
203L
204
204B
204A
204C
204D
205
117 SF
206
207
208
208A
208B
Storage
208C
209
213
216
215
214
217
Financial Aid 2
218
Financial Aid 3
219
220
Corridor
221
222
Corridor
223
222B
222C
222D
223A223B
Registrar
223C
223D
Admissions
222A
221A
221B
221C
221D
221E
221F
221G
247 SF
59 SF
45 SF
46 SF
100 SF
53 SF
50 SF
50 SF
397 SF
512 SF
44 SF
46 SF
51 SF71 SF
64 SF
50 SF
183 SF
90 SF
283 SF
59 SF 34 SF 32 SF
6 SF 6 SF
Storage
41 SF 40 SF
1216 SF
Legend
Student Administration
OMM Lab
Unassigned Space
Academic Affairs
Auditorium
Mechanical Space
Common Space
DW
N.
RE
V.
DA
TE
DA
TE
SC
AL
E:
DR
AW
IN
G N
O:
OF
PA
C3-16-15
1/8
"=
1'
NY
IT
C
OL
LE
GE
O
F O
ST
EO
PA
TH
IC
ME
DIC
IN
E at A
-S
tate
24
NYIT College of Osteopathic MedicineSecond Floor
584 SF
Faculty/ Staff
Training Room
117 SF
209 SF
223 SF
Women
310
112 SF
ICC Office 4
394 SF
Mechanical
312
1113 SF
Auditorium Balcony
313
382 SF
Mechanical
314
619 SF
315
291 SF
315A
97 SF
133 SF
98 SF
309A
13 SF
Janitor
312A
86 SF
IT
313B
43 SF
Storage
313A
884 SF
Corridor
AAC03
150 SF
Corridor
BBC03
781 SF
Corridor
CCC03
260 SF
Stairs
DDS03
258 SF
Stairs
CCS03
255 SF
Stairs
BBS03
256 SF
Stairs
AAS03
42 SF
Elevator
AAE03
136 SF
Mechanical
828 SF
Corridor
DDC03
Surgical Sim
w/ Scrub
Skills Lab
Sim ER
551 SF
322
446 SF
323
513 SF
326
512 SF
325
446 SF
324
448 SF
145 SF
206 SF
437 SF
ICC Office 3
ICC Office 2
ICC Office 1
ICC
Common
Area
Gross Anatomy
Cold Room
199 SF
1927 SF
Gross Anatomy
Lab
Prep. Lab
223 SF
256 SF
95 SF
99 SF
120 SF
102 SF
100 SF
122 SF
97 SF
97 SF
ICC Control Room
283 SF
Standardized
Patients Showers,
Lockers and
Restrooms
262 SF
Patient Waiting
Receptionist
Learning Lab 1
303
302 301
304
305
308F
308
308A
308B
308C
308D
308E
Exam Room
308J
308K
308M
308N
309
309B
309D
309C
311
319A
Storage
315C
319
319B
Learning Lab 2Learning Lab 3
Learning Lab 4
Learning Lab 5
Corridor
121 SF
Scrub
Simulation
Control Room
Storage
51 SF
303A
43 SF
325A
36 SF
322A
Storage
Storage
43 SF
324A
Storage
30 SF
325B
Storage
30 SF
326A
Storage
36 SF
323A
Storage
638 SF
308G308H
Exam RoomExam Room
Exam Room
Exam Room
Exam Room
Exam Room
Exam Room
Exam Room
Exam Room
Legend
Second Year
Mechanical Space
Auditorium
Common Space
Gross Anatomy
Women's
Locker Room
298 SF
315B
Men's Locker
Room
DW
N.
RE
V.
DA
TE
DA
TE
SC
AL
E:
DR
AW
IN
G N
O:
OF
PA
C3-16-15
1/8
"=
1'
NY
IT
C
OL
LE
GE
O
F O
ST
EO
PA
TH
IC
ME
DIC
IN
E at A
-S
tate
34
NYIT College of Osteopathic MedicineThird Floor
Research
Office 2
Research
Office 3
Research
Office 4
Research
Office 5
Research
Office 6
Silent Study
404
523 SF
Silent Study
405
429 SF
Silent Study
406
599 SF
Silent Study
407
223 SF
Men
408
119 SF
Office
409
400 SF
Mechanical
410
167 SF
Student Fellows'
Office
411
143 SF
412
135 SF
413
135 SF
414
143 SF
415
111 SF
416
383 SF
Mechanical
417
123 SF
Women
418
818 SF
Library
419
376 SF
Flexible Space
423
103 SF
Librarian Office
419A
17 SF
Janitor
410A
106 SF
Storage
407A
853 SF
Corridor
AAC04
746 SF
Corridor
BBC04
776 SF
Corridor
CCC04
256 SF
Stairs
AAS04
260 SF
Stairs
DDS04
258 SF
Stairs
CCS04
255 SF
Stairs
BBS04
42 SF
Elevator
AAE04
794 SF
Corridor
DDC04
401D
401C
401B
401A
Storage
Work/ Copy
Department Chair
Clinical
Meeting
Room
Admin Assist
Adjunct Professors
21 3
56 4
Administrative
Assistant
Waiting
Work/ Copy
Opti
Director
97 SF 97 SF 97 SF 103 SF 100 SF117 SF 118 SF
94 SF
129 SF
111 SF
214 SF
366 SF
427 SF
525 SF
128 SF
95 SF
Faculty
Office 1
401402
402A 402B 402C 402D 402E 402F 402G
402H
Storage
402J
402K
421
421A
421B
422
403
195 SF
406 SF
88 SF
41 SF 51 SF
182 SF
Faculty
Office 2
Faculty
Office 3
Faculty
Office 4
Faculty
Office 5
Faculty
Office 6
Faculty
Office 7
Faculty
Office 8
Faculty
Office 9
Faculty
Office 10
Legend
Clinical Adjuncts
Opti Department
Reference
Silent Study
Research
Mechanical Space
Common Space
DW
N.
RE
V.
DA
TE
DA
TE
SC
AL
E:
DR
AW
IN
G N
O:
OF
PA
C3-16-15
1/8
"=
1'
NY
IT
C
OL
LE
GE
O
F O
ST
EO
PA
TH
IC
ME
DIC
IN
E at A
-S
tate
44
NYIT College of Osteopathic MedicineFourth Floor
8 AState.edu NYIT.edu
APPENDIX B
ARKANSAS DISCLOSURE FORMS
Rev. 08/20/07
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: SUBCONTRACTOR NAME:
Yes No
IS THIS FOR:
TAXPAYER ID NAME:
Goods? Services? Both? YOUR LAST NAME:
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 O R I 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:
Position Held Mark (√) Name of Position of Job Held
[senator, representative, name of board/ commission, data entry, etc.]
For How Long? 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.]
Current Former From MM/YY
To MM/YY 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.
Position Held Mark (√) Name of Position of Job Held
[senator, representative, name of board/commission, data entry, etc.]
For How Long? What is the person(s) name and what is his/her % of ownership interest and/or what is his/her position of control?
Current Former From MM/YY
To MM/YY Person’s Name(s) Ownership
Interest (%) Position of
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._____