Exhibit A ASR

JOHN J. PERSHING VA MEDICAL

CENTER

FARMINGTON, MO COMMUNITY BASED OUTPATIENT CENTER

AGENCY SPECIFIC REQUIREMENTS (ASR)

GENERAL OVERVIEW:

The Department of Veterans Affairs is interested in leasing a minimum of 19,000 (contiguous) net usable square feet of clinical space for a Community Based Outpatient Center (CBOC) in the city of Farmington, Missouri.
Space will be available for use by Tenant (VA) for personnel, furnishings, and equipment to meet the needs and requirements for an Outpatient VA Clinic in the Farmington, MO area. The leased property will be within the boundaries specified below: North Boundary: Hunt Rd.
South Boundary: Korber Rd.
East Boundary: Schwartz Rd.
West Boundary: Bray Rd.

Buildings with Property boundary(ies) on the boundary streets are deemed to be within the delineated area of consideration.

LEASED PROPERTY MINIMUM CRITERIA:

The space will be of contiguous office space in a professional and aesthetically pleasing Building. Space offered must be in a quality seismically compliant building of sound and substantial construction, either a new, modernized building, or one that has undergone restoration or rehabilitation for the intended use. Space will be located in a prime commercial office space with attractive, professional surroundings. Streets and public walkways will be well maintained. Space will be located on the ground floor. Submitted designs must meet Patient Aligned Care Team (PACT) design guide philosophy. Patient Centered Care (PCC) and the PACT model have transformed the way the Department of Veterans Affairs, Veterans Health Administration, provides care to our nation’s Veterans. PCC and PACT require focus on the Veteran. Lean operations thinking and lean design combine to support a proactive Veteran-focused approach to aligning operations and space. Lean management ideas must be used to center on the Veteran’s needs, increase quality, and decrease waste.

JJP VAMC Farmington, MO CBOC
Agency Specific Requirements
(Rev: 08/21/2025)
Space design will provide maximum co-location of the staff providing services to our patients. It will bring the service to the veterans, reduce the number of steps required to deliver services, and simplify the Veteran’s experience.
Design must maximize co-location of the care teams. The team requires a space where they can function as teams. Staff need to be able to see each other, to frequently interact, share information, coordinate care, plan work, and hand-off patients and tasks. They need to be able to see each other in an