You are the director of engineering for the Antonia Novello Medical Center (ANMC)
which was originally constructed in 1963. The hospital is a beautiful example of the
Spanish Colonial architecture and is listed on the state and federal historic building
registers. However the hospital does not meet current seismic standards and by law must
be brought up to standards. Asbestos containing materials were used in the original
construction and the retrofit design and construction will have to properly abate these
materials. ANMC has completed the planning process, identified the general scope of the
project and developed a program cost. The scope includes:
• Seismic upgrade, program cost: $15 million
• Asbestos abatement, program cost: $5 million
• Historic facade restoration: $7-10 million depending on extent of restoration
• Expansion/upgrade of the MRI/CAT Scan imaging center. $3-6 million depending on
size of expansion
All of the program cost estimates are based on total design and construction costs
(TDCC). The seismic upgrades and asbestos abatement are essential to the project. The
facade restoration and imaging center expansion are highly desired by ANMC but not
essential; this work could be completed later under a separate project, but that would
increase costs.
ANMC currently has an approved bond issue totaling $25 million. In addition, ANMC is
trying to get a special $10 million grant from the state. If the State grant is received,
ANMC's total budget for the project would be $35 million. However, to receive the state
grant, ANMC must be ready to let a construction contract in 18 months. This is a very
aggressive schedule. Historically ANMC has used a traditional Design-Bid-Build project
delivery method which generally takes 2-3 years to get from the end of the planning
phase to the start of construction.
Through extensive meetings with the ANMC board of directors, you have established the
following goals for this project, in priority order from highest to lowest:
1. Hire qualified designers and builders who will deliver high quality work
2. Ensure critical seismic upgrades and asbestos abatement are completed
3. Get the state grant
4. Complete as much of the facade restoration and imaging center expansion as funds
allow
Your meetings with the ANMC board have narrowed the potential delivery methods to:
Design- Bid-Build, Design/Build Best Value, and Design/Build QBS. The board has
asked you to bring a final recommendation for the best delivery method to the board
meeting next week.