ATTACHMENT A1 - IOTA TO1 Performance Work Statement - St. Louis

PERFORMANCE WORK STATEMENT

(Attachment A1)

DEPARTMENT OF VETERANS AFFAIRS

Veterans Affairs St. Louis Health Care System
John Cochran Veterans Affairs Medical Center
New Bed Tower

INITIAL OUTFITTING, TRANSITION, AND ACTIVATION SERVICES (IOTA)

INDEFINITE DELIVERY INDEFINITE QUANTITY (IDIQ)

IDIQ # TBD

Task Order #1 Project Management & Pre-Planning Services Date:
10/26/2026

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PWS Version September 2026

1.0. Background

The VA St. Louis Health Care System - John Cochran Division (VA STLHCS-JC), located at 915 North Grand Boulevard, St. Louis, Missouri, is part of a two-division health care system that also includes the Jefferson Barracks VAMC approximately 18 miles south of the John Cochran campus. These facilities serve Veterans in metropolitan St. Louis, Missouri, southwestern Illinois, and the broader Veterans Integrated Service Network (VISN) 15 service area. The John Cochran campus is in a highly constrained urban setting in midtown St. Louis. The existing hospital infrastructure includes Building 1, constructed in 1953, and the Clinical Addition constructed in the mid-1980s. The campus requires modernization to address functional adjacency, physical security/force protection, aging infrastructure, seismic compliance, parking, and clinical capacity concerns. The Department of Veterans Affairs Office of Construction and Facilities Management (CFM), VA St. Louis Health Care System, and the Kansas City District (NWK) U.S. Army Corps of Engineers (USACE) are partnering to provide new and replacement facilities for the John Cochran Division. The John Cochran Major Project will relocate inpatient functions to a new seismically compliant Bed Tower, add new functionality, improve departmental adjacencies, replace aging utility infrastructure, and address physical security requirements. The John Cochran Major Project includes campus-wide expansion. Planned new facilities include, but are not limited to, parking garages, a Central Utility Plant, the Bed Tower, an Engineering/Administration building, a motor pool building, and supporting structures. The project includes more than 700,000 net usable square feet of new space. Clinical and administrative services anticipated to be supported include surgery, radiology, pharmacy, surgical services, spinal cord injury inpatient and rehabilitation services, emergency services, engineering, police, nutrition and food services, dialysis, and additional services as refined by the Government-approved program and design documents.