1. 1 NYP BEST PRACTICES EXISTING CONDITIONS SURVEYS Presentation to Approved A/E Vendors to NYP June 17, 2013

2. 2 We Put Patients First “…as we know, there are known knowns; there are things we know we know. We also know there are known unknowns; that is to say we know there are some things we do not know. But, there are also unknown unknowns – the ones we don’t know…” Donald Rumsfeld

3. 3 We Put Patients First Create an accurate basis for developing scope, cost, schedule and design, Identify non-compliant conditions Minimize unknown project conditions Minimize change orders

4. 4 We Put Patients First Scope: Existing Conditions Boundaries 1.Projects NOT requiring DOH approval  Project limits,  Adjacent spaces (6 sides) as they are impacted by the limits of the base project,  Potential decanting spaces 2.Projects requiring DOH approval  Project limits,  Adjacent spaces (6 sides) as they are impacted by the limits of the base project,  Potential decanting spaces,  Life safety code compliance: project limits plus entire smoke/fire compartment and egress path to public way  FGI Guidelines: project limits plus entire smoke/fire compartment. Project limits Smoke/fire compartment Egress path to the public way

5. 5 We Put Patients First Deliverables FEASIBILITY PHASE 1.General for all trades Review existing documentation, Walk the total site, adjacent areas and ancillary spaces impacted by the project, Outline of assumptions. 2.Architecture Field survey, measurement and verification of existing architectural conditions, Identification of areas requiring replacement or remediation, Assessment of scope of work required in areas outside the project limits that will support the project such as decanting space, mechanical rooms, IT rooms, etc, Identification of building envelop components requiring remediation, Identification of code upgrades within the project limits, smoke/fire compartment and the egress path (as applicable to each project) 3.Infrastructure (MEP, FP, IT, AV, Structural) Assessment of existing equipment condition and systems capacity, Documentation of existing building systems, Definition of spatial requirements for new equipment, Identification of areas requiring replacement or remediation. 4.Furniture/Finishes/Equipment Assessment and documentation of furniture and equipment scheduled for reuse. 5.Hazardous materials Identify requirement for environmental surveys.

6. 6 We Put Patients First Design Document Phase Verification of existing conditions as applicable to the development of the design. Construction Document Phase Conditions assessments should be complete prior to this phase. Construction Administration Phase Verification of existing conditions that could not be accessed during the feasibility and design phases. Concealed and Inaccessible Conditions Assume the “worst case” based on prior experience and professional judgment and request unit pricing where possible, Provide an appropriate opportunity in the construction phase to assess and re-evaluate conditions concealed during the documentation phases,

7. 7 Roles + Responsibilities Owner: New York Presbyterian Hospital 1.Facilities Design & Construction a.Manage process, b.Set expectations, c.Obtain commitments, d.Verify that commitments have been met, e.Provide requested reference material with respect to our facility (to the extent available), f.Retain appropriate consultants Hazardous Materials Consultant: abatement scope/cost/schedule, Contractor/CM: support conditions investigations, Commissioning Agent: Liaise with Facility Operations to provide information relative to existing infrastructure systems. 2.Regulatory Compliance/Life Safety : a.Provide baseline life safety drawings, a list of deficiencies (PFI’s) and waivers for non-compliant spaces. 3.NYP/IT, AV, Security, BioMed, Signage, Environmental Services, Safety, Food Service, and the like a.Provide information regarding existing equipment (to the extent available). Consultant Team 1.Provide a list of required information, 2.Develop a probe plan, 3.Present document assumptions related to existing conditions, 4.Identify inaccessible areas that will require surveying during prior to final shop drawings or construction, 5.Create existing conditions documents in the form of drawings, narratives and reports.

8. 8 We Put Patients First The Take Away 1.Project Limits do not equal Limits of the Work, 2.Existing conditions must include decanting areas and 6-sides impacted by the project 3.Existing conditions must be fully documented during the Feasibility Phase of the project, 4.Appropriate allowances and strategies must be developed to mitigate the cost and design impact of concealed conditions. QUESTIONS / COMMENTS