CLINIC DESIGN CLINIC DESIGN

ARCHITECTURE | PLANNING

PETERS AND ASSOCIATESARCHITECTS, P.C.

2

PETERS AND ASSOCIATES, ARCHITECTS, P.C. has built a reputation designing practical, no nonsense, and cost effective solutions for our clients. We do not design monuments to ourselves. Our professional staff realizes that each project must be designed to meet specific project goals, to satisfy the needs of our client, and to meet established budgets.

We pride ourselves on our reputation of providing responsible design solutions, with the best interest of our clients of primary importance.

3

“Peters & Associates is a hightly professional firm and personable. They were a pleasure to work with and I would hightly recomend them to anyone. From the plan design to the contract administration, I would not hesitate to choose Peters & Associates again.”

Bruce W. Allen, Health Administrator

Flandreau Santee Sioux Tribe

“Peters and Associates, Architects, P.C., has always represented the owner’s best interest throughout the project(s) to include respect for budget and their effectiveness in contract administration.”

Mike Henry, Health Director

Santee Health Center

4

5

ABOUT US

Peters and Associates, Architects, P. C. is a highly experienced firm, which has a diversity of professional experience. Founded in 1983, the firm has served a variety of clients, including municipalities and political subdivisions, corporations, private individuals and developers. The projects we have done are located throughout a ten-state area in the Midwest and Southwest.

Our firm’s success with clinic projects has taken a giant step forward with the completion of the Santee Sioux Tribe Health Center. Our completed works include two (2) clinic projects for the Santee Sioux Tribe in Nebraska and two (2) projects for the Flandreau Tribe in Flandreau South Dakota. Three other projects have been taken through the schematic design with the Stuart Clinic proposed to be constructed once financing is secured. Each of these facilities are full service community Care, Wellness and Clinic facilities. Exam rooms, spaces for therapy (physical and occupational) have been provided. Emergency response and managment facilities have also been included in some of the program requirements. Our experience with these projects has made us keenly aware of the unique requirements of each project, and how to resolve those issues in the best interest of our clients.

We also have the personnel and experience for LEED design and certification, life-cycle cost analysis, and master planning. The most important element of our service is our continuity of personal contact with our Client, which is essential to the successful completion of your projects.

Our project team consists of a multi-discipline group of professionals that take pride in providing planning, architecture, and engineering services second to none. We have developed an excellent working relationship with our consultants to provide a cohesive project team from project onset through completion.

Peters and Associates, Architects, P. C. has demonstrated a consistent ability to represent the best interest of our clients, to design our projects within established budgets, and to perform our service in a timely and professional manner.

6

4. Design Development

5. Construction

Sustainable DesignThe project team is dedicated to innovative, environmentally sensitive design solutions and we recognize that saving energy begins with teamwork. We have learned that a significant reduction in energy consumption can be achieved by involving our clients in the initial establishment of the project’s energy goals and in the examination of decisions made during the design process. We realize the significance of “green” concepts and will provide the necessary leadership in order to take advantage of such concepts. The project team will identify and recommend sustainable concepts, allowing the client to make informed decisions relative to the planning of various facility components.

1. Owner/Client has idea for project

2. Client/Owner Architect selection process3. Preliminary Design

AM

OU

NT

O

F

IN

VO

LV

EM

EN

TO

WN

ER

/C

LI

EN

TA

RC

HI

TE

CT

OW

NE

R/C

LIE

NT

RE

VIE

W

OW

NE

R/C

LIE

NT

RE

VIE

W

OW

NE

R/C

LIE

NT

RE

VIE

WAR

CH

ITEC

T IN

TER

NAL

REV

IEW

25

% D

ESIG

N T

EAM

REV

IEW

50

% D

ESIG

N T

EAM

REV

IEW

75

% D

ESIG

N T

EAM

REV

IEW

7

PROJECT APPROACH/ PROJECT TIME LINE

PROJECT APPROACH

Documents

BIM ProcessPeters and Associates, Architects, P. C. has adopted the Building Information Modeling (BIM) process as a standard of practice to provide our clients with the best possible solutions on schedule and within budget. This process has proven to reduce coordination issues by modeling facility components in a comprehensive, three-dimensional virtual environment. The BIM process is no longer a linear, top-down organizational method like that of its predecessors, but an integrated process through which information is continuously shared between all disciplines.

6. Bidding Process

7. Building Construction

8. Project Closeout 9. Owner/ Client Occupys Building

10. One Year Follow-up by Architect

P R O J E C T T I M E L I N E

8

TEAM DEDICATION TO PROJECT

Peters and Associates, Architects, P.C. takes pride in its consistent reputation for client service. Being a small firm with a commitment to client service, we realize that each of our projects must be fulfilled with the highest possible degree of responsiveness on all levels of design and administration services. It is our intention that, upon the completion of a project, our client should feel that it has received the highest attainable degree of professional services.

The timely completion of projects is also a major component of our professional reputation. We are sensitive to the concerns of our clients that a project be completed on time, and we have succeeded in meeting even our own stringent schedules on past projects. Our Team can be selected with full confidence in our ability to deliver responsible services, on time and within established budgets.

Our reputation has been enhanced further through our consistent ability to design projects within established budgets. Our track record in this area is significant for all clients who are accountable for the expenditure of funds, be they public or private. We know that cost overruns are undesirable for all concerned, and we have proven our commitment to bringing projects in on budget. We use a specialized consultant to do project cost estimating for our projects.

Peters and Associates, Architects, P. C. has been extensively involved with meeting facilitation throughout our 29 years in the architecture and design industry. As meeting facilitators we are able to help clarify concise, meaningful, and achievable goals. We have the experience necessary to keep public discussions on task and on time.

The projects we have done represent a broad range of building types from extensive renovations to complete new facilities. Our clientele includes such varied entities as municipalities, political subdivisions, corporations, developers, and private individuals. The fact that we have served well the needs of such disparate clients as these testifies our commitment and ability to represent each client’s interests.

9

PROJECT TEAM LEADERS

Donald S. Peters founded Peters and Associates in 1983 as a continuation of nine years experience in the Architectural profession. His diverse experience includes multiple project types and all facets of the design and construction process.

• Architectural Degree: Bachelor of Architecture University of Nebraska, 1974• Architectural Registrations: Nebraska, Kansas, Missouri, Colorado, South Dakota, Iowa, and National Council of Architectural Registration Boards (NCARB). • Professional Experience: 37 years

Since receiving his master’s degree from the University of Nebraska - Lincoln, Jonathan Bell has been an active team member and Project Manager for a wide variety of project types. His experience includes religious, financial, civic, and health care facilities. These projects include major renovation and new construction ranging from $50,000 to $13,000,000. Jonathan has extensive experience in graphic rendering from a background in Art that compliments his abilities as a designer. His expertise includes coordination of projects with design architects, direction of consulting engineers, and compliance with building, fire and safety codes.• Architectural Degree: Master of Architecture, University of Nebraska - Lincoln, 1995• Professional Experience: 16 years

Jesse McConnell has been an active team member for a wide variety of project types. His experience includes religious, civic, and health care facilities. These projects include major renovation and new constructionwith budgets from $30,000 to $13,000,000. Jesse has extensive experience in computer rendering that compliments his abilities as a planner and designer. His expertise includes production of promotional materials to aid our clients in fund raising and cummunity support.• Architectural Degree: Master of Architecture, Master of Community & Regional Planning University of Nebraska - Lincoln, 2009• Professional Experience: 12 years

DONALD S. PETERSPresident, Architect of Record

JONATHAN BELLProject Architect, Designer

JESSE MCCONNELL, LEED BD+C, ASSOCIATE AIAProject Manager, Designer, Planner

10

SANTEE SIOUX TRIBE HEALTH CENTER - ADDITION/RENOVATION

The project consists of renovation of an existing clinic of 7,000 square feet and an addition with lower level totaling 64,000 square feet. The addition houses a primary care clinic, dental operatory suite, mental health department and administrative offices. Special features include a wellness center, therapy department and a therapeutic pool and whirlpool. Lower level accommodates a large training ar`a and employee lounge which double as a storm shelter, and maintenance/receiving area. EMS quarters, a 2-bay ambulance garage and helipad were also provided.

`

Santee, Nebraska

11

Mental health and social work departments are located on the lower level. An elevator and grand staircase provides access to this area of the clinic. The stairway atrium features large windows and skylights, which flood the space with natural light. At the lower level, large borrowlights and windows to the exterior allow natural light to filter into the conference rooms and offices of these departments.

12

SANTEE SIOUX TRIBE HEALTH CENTER - ADDITION/RENOVATIONSantee, Nebraska

MAIN LEVEL

EXISTING NEW

13LOWER LEVEL

14

15

16

SANTEE SIOUX TRIBE HEALTH CENTER

This new free standing Tribal Health Clinic building of approximately 7,000 square feet, with a construction cost of approximately $500,000 provided clinic exam and work space for various Tribal health programs including a dental suite with three dental exam spaces adjacent to lab and work spaces, x-ray, a pharmacy, Lab, and Optometry.

This project demonstrates our ability to effectively program and design clinical spaces. This project had clinical exam rooms and a full service dental suite along with the required support spaces. The facility was completed in 1993.

Santee, Nebraska

17

18

STUART CLINIC

This new free standing Rural Health Clinic will be a building of approximately 5,600 square feet. It will serve as the main clinic and office for rural health practioner, Dr. John Tubbs, MD. As well as providing the clinic exam needs for the community, this facility will also include IV therapy, Urgent Care, and Tele-Pharmacy services. The Rehabilitation and Phycial Therapy Area will also be accessable to the local Nursing Home and will accomodate the community’s outpatient therapy needs. This project is in the funding phase.

Stuart, Nebraska

REF.

REF.

REF.

Toilet

Exam

EKG

Therapy

Exam

Mechanical

CentralStorage

Hall

Hall

OfficeOfficeProcedureExam

HallVitals

Room

Room

RoomStaff Toilet

Room

EmployeeBreakroom

Tele-Conf /Consult

Stress TestExamOfficeServer /

Records

Office

Hall

Toilet

Waiting

Vest

PrivateCheck-In

Reception

Toilet

CIRCULATION AND WAITING

EXAMS AND TREATMENT

OFFICE AND ADMINISTRATION

PHARMACY AND CLINICAL

STAFF, MECHANICAL, UTILITY

AND TOILETS

19

20

FLANDREAU TRIBAL HEALTH CLINIC

Our firm designed the original Flandreau Clinic in 1995, and was retained to design the addition four years later. The addition provided much needed office and administrative spaces, plus a dedicated area for the Clinic’s computer systems. A computer center featured a computer training room with adjacent spaces for network administrator and site manager. A wellness center was included to be used by clinic patients, and was designed to accommodate after hours use by residents of the community.

Flandreau, South Dakota

NEW ADDITION

21ORIGINAL CLINIC

22

TARKIO COMMUNITY CARE CLINIC

This project was designed to be located on the site of the Owner’s existing Skilled Care Facility. The facility was designed as a single physician facility, with four exam rooms, radiology and laboratory. The concept allowed the Owner to offer clinical services to compliment the Care Center services in this rural setting.

Tarkio, Missouri

23

TOLEDO COMMUNITY CARE CLINIC

Our firm designed this project for Community Care Center of Toledo to be located in a vacant wing of an existing Skilled Care Facility. The clinic featured its own entrance and waiting area, and offered a full service primary care clinic. The design accommodated two physicians, and included twelve exam rooms, a procedure room, radiology and a laboratory.

Toledo, Iowa

24

PROFESSIONAL SERVICESCHEMATIC DESIGN

Review of building program with OwnerAnalysis of project requirementsSchematic DesignSubmit Statement of Probable Construction CostOwner review and approvalDevelop and explore possible phasing plans

CODE REVIEWGeneral and broad based code review done at the start of every projectDesign work is checked for code compliance throughout the entire design phase and production of construction documentsPositive line of communication between our staff and numerous code officials in our multi-state work areaCode documents and Drawings listing applicable code requirements from appropriate Building Codes, Life Safety Codes, and others as required

DESIGN DEVELOPMENTDefinition of building finish materials and systemsDesign of building structural systemDesign of building mechanical and electrical systemsPreliminary project review with regulatory agenciesRevise Statement of Probable Construction CostOwner review and approval

CONSTRUCTION DOCUMENTSPreparation of construction documents that include working drawings and specificationsPreparation of Bid Package, information to bidders, bid form, contract forms, and conditions of the construction contractRevise Statement of Probable Construction CostOwner review and approval

••••••

•

•

•

•

••••••

•

•

••

Peters and Associates, Architects, P. C. provides a full range of Architectural and Planning services. Our staff gives each project personal attention and involvement from inception through closeout. We believe that continuity of personal contact with the Client is essential to the successful completion of our projects. Our projects also have the attention of the principals and/or key personnel of the consulting civil, structural, and mechanical/electrical engineering firms. Each of these individuals is highly qualified and experienced, and offers the best of professional services in their respective discipline.

BIDDING AND NEGOTIATIONIssue of final bid documents to appropriate regulatory agencies for approvalDistribution of construction documents for bidIssue necessary addendums and clarificationsEvaluation of qualifications of prospective subcontractors

CONTRACT ADMINISTRATIONPreparation of construction contractsConduct Pre-Construction ConferenceReview of contractor’s schedule of valuesReview of shop drawings and samplesAdministration of construction contractConstruction observation, periodic site visits appropriate to the construction phase to review progress, quality of the work and compliance of the work with contract documentsReview of contractor’s application for payment and issuance of certificates for payment

PROJECT CLOSEOUTPrepare punch list inspection reportDetermination of dates of substantial completion and final completion, and issuance of certificates for sameReview of written guarantees and warrantiesCertify final application for payment

MASTER PLANNINGObjective and independent analysisInterview of User GroupsEstablish overall project parametersIdentify general goalsPrioritize specific goalsDetermine fiscal responsibility / concernsDevelop Master Plan

•

•••

••••••

•

••

••

•••••••

25

ES OUR FIRM PROVIDESPROGRAMMING

Review of project design goalsInterview of User GroupsEstablish specific project goalsIdentify adjacency requirementsReview budgetary concernsDevelop Building Program

PLANNINGCommunity Involvement workshopsInterview of User GroupsPublic SurveysIdentify possible funding available and how to access itFeasibility StudiesSpace Needs Assessments

USE OF DIGITAL TECHNOLOGYOur Design Team has made a commitment to serve the needs of our clientele, wherever their projects are located. Our personnel and each of our consulting engineers utilize digital technology in our communication, design and production services. This is an every day part of our process of doing business at a distance. Our entire design team, together with our consulting engineers and our clients, are linked by our ability to transmit drawings and information.

All design and drafting done with AutoCAD, REVIT ArchitectureAll consultants fully integrated with our digital systemsElectronic transfer of design and drawing images between Architect and consultantsDigital interface with clients who have capabilityWeb-based project management and communicationMarketing Graphics Development

••••••

••••••

•

••

•••

LEED CERTIFICATIONLEED Accredited Professional on staff Mechanical and Electrical Consultants are LEED Accredited Professionals. Direct the project team gathering the documentation required for the building certification review. Provide guidance in selecting building systems and materials to provide a Energy Efficient building.

LIFE-CYCLE COST ANALYSISCoordinate with consultants to provide a life-cycle analysis of building components. Submit documentation for review to local and state code officials, when applicable. Provide documentation for client to make an educated choice of products/systems.

PROJECT RECORDSProvide final as-built drawings in digital/ CADD format. Provide final as-built specification and other documents.All records will be in both paper and digital formats.

WARRANTY PHASEProvide continuing professional architectural and engineering services as required to insure compliance with warranty previsions by contractor.

BUILDING INFORMATION MODELING (BIM) TECHNOLOGYProvide final as-built BIM model of actual final construction conditions, to be used by Client. Train Facility Manager on use of BIM Model.

••

•

•

•

•

•

••

•

•

•

•

26

Peters and Associates, Architects, P. C. has provided professional services for several clients for multiple projects. The most sincere compliment we have received is to be asked by a former client to provide services for additional projects. The following is a partial listing of clients who have utilized our services on multiple projects:

The Evangelical Lutheran Good Samaritan Society Sioux Falls, South Dakota 20 Design Contracts

Community Care of America, Inc.Naples, Florida 16 Design Contracts

Careage ManagementSioux City, Iowa 12 Design Contracts

Bethesda Care Centers Colorado Springs, Colorado 7 Design Contracts

Beverly Enterprises, Inc. Fort Smith, Arkansas 7 Design Contracts

Life Care Centers of America, Inc.Cleveland, Tennessee 4 Design Contracts

Village of Stuart, NebraskaStuart, Nebraska 2 Design Contracts

Community Memorial Health CenterHartley, Iowa

4 Design Contracts

Louisville Care CenterLouisville, Nebraska 2 Design Contracts

Russel and Sandy AndersonElkhorn, Nebraska

3 Design Contracts

Char-Mac Assisted LivingLawton, Iowa

2 Design Contracts

Region IV Office of Developmental DisabilitiesWayne, Nebraska

7 Design Contracts

Santee Sioux Tribe of NebraskaNiobrara (Santee) Nebraska

7 Design Contracts

Winnebago Tribe of NebraskaWinnebago, Nebraska

3 Design Contracts

St. John’s Catholic ChurchValley, Nebraska

3 Design Contracts

Flandreau Sioux Tribe of South DakotaFlandreau, South Dakota

2 Design Contracts

United Methodist ChurchGretna, Nebraska

2 Design Contracts

Springfield Public Library Springfield, Nebraska

2 Design Contracts

REPEAT CLIENTS

”Peters and Associates are timely in responding to our needs and have kept our interests first and foremost. ”

Kari A. Wockenfuss, AdministratorLouisville Care Center

27

GEOGRAPHICAL AREA OF PRACTICEPeters and Associates, Architects, P.C. has provided

professional services for multiple projects at a distance. Our completed works are located throughout Nebraska, each surrounding state, as well as other distant states.

To effectively respond to our large market area, we operate a company aircraft, which has greatly enhanced our mobility. The efficiency that private flying affords our personnel has enabled us to maintain the control over projects located at a distance, which is critical to their successful completion.

We provide complete architectural services for all of our projects, including administration of the construction contract. Periodic site observations are generally made at ubtervaks as required for each project. The use of private aviation has made it practical for our firm to pursue projects at a distance. Drive times of 5 hours are normally reduced to less than 1½ hours by flying, allowing more efficient use our time, and significantly expanding our market area.

OMAHA , NEBRASKACOLORADO SPRINGS, COLORADO

28

29

REFERENCES

Peters and Associates, Architects, P. C. takes great pride in the reputation we have established with the clients we have served. We offer the following individuals as references for our personal and professional qualifications and credibility. We invite you to contact these individuals directly for personal verification.

David Henry Santee Sioux Tribe of NebraskaTribal Vice Chairman 108 Spirit Lake Avenue West Niobrara (Santee), Nebraska 68760 (402-857-2772)

Steve Hallgren NW Iowa Planning & Develop. CommissionPlanner 217 West 5th Street Spencer, Iowa 51301 (712-262-7662)

Russel & Sandy Anderson Bavarian Meadows Assisted Living Owners 1208 S 193rd Street Omaha, Nebraska 68022 (402-763-8875)

Jeannine Bunge Community Memorial Health CenterAdministrator 231 North Eighth Avenue West Hartley, Iowa 51346 (712-728-2428)

Wendy Nelson Prairie View HomeAdministrator 610 Eastern Street Sanborn, Iowa 51248 (712-729-3228)

Dr. Craig Bartruff, M.D. K.C. Healthcare Enterprises, Inc. Owner Post Office Box 389 Gothenburg, Nebraska 69138 (308-537-3673) Pat Zaugg West Bend Care Center Administrator 203 Fourth Street West Bend, Iowa 50597 (551-887-4071)

Jim Warren The City of Gretna Mayor (former) 204 North McKenna Avenue Gretna, Nebraska 68028 (402-332-3336)

Donna Steinneke Gretna Public LibraryCommittee Chairperson 736 South Street Gretna, Nebraska 68028 (402-332-4480)

Wendy Deane Valley Public Library Library Foundation 207 Spruce Street Chairperson Valley, Nebraska 68064 (402-660-7040)

Jeff Warren Warren Garage DoorOwner 1400 Square Turn Blvd. Norfolk, Nebraska 68702 (402-371-7755)

John Meis City of Le Mars Director Community Development P.O. Box 1130 Le Mars, Iowa (712-548-4972)

Santee Sioux Tribe Health Center - Santee, Nebraska Mike Henry Santee Sioux Tribe Health Clinic Tribal Health Director 110 South Visiting Eagle Street Niobrara (Santee), Nebraska 68760 (402-857-2300)

Stuart Clinic - Stuart, Nebraska Jon D. Schmaderer Stuart Development Corporation President C/O Tri-County Bank Post Office Box 10 Stuart, Nebraska 68780 (402-924-3502)

Flandreau Tribal Health Center- Flandreau, South Dakota Bruce Allen Flandreau Siioux Tribal Health Center Tribal Health Director P.O. Box 283 Flandreau, South Dakota 57028 (605-997-8922)

Rev. James Kramper St. Patrick’s Catholic Church Pastor (former) 1323 R Street Tekamah, Nebraska 68061 (402-626-7605)

Larry Clay Graves Library FoundationChairman 408 Maple Street Wakefield, Nebraska 68784 (402-287-2077) Dan Myers Careage Management, L.L.C.President 1512 Pierce Street Sioux City, Iowa 51105 (712-293-0117)

Merritt C. Warren Creighton Public LibraryFoundation Director 701 State St. Creighton, Nebraska 69729 (402-358-5115)

Lydell Woodbury First Nebraska BankExec. Vice President 232 North Spruce Street Valley, Nebraska 68064 (402-439-2168)

Judy Sealer Life Care Center of Elkhorn Administrator (Ret.) 315 Hopper Street Elkhorn, Nebraska 68022 (402-779-3420)

Wendy Anderson The Bess Johnson Elkhorn Public Library Library Director 100 Reading Road Elkhorn, Nebraska 68022 (402-289-4367)

Dorothy Foged Springfield Library Foundation Foundation Chairperson 840 Elm Street (Former) Springfield, Nebraska 68059 (402-253-2633)

Carol Barnes Springfield Library Foundation Foundation Chairperson Springfield, Nebraska 68059 (402-253-2077)

Featured Projects References

Other References

30

31

ARCHITECTURE | PLANNING

PETERS AND ASSOCIATESARCHITECTS, P.C.

14217 Dayton Circle, Suite 1Omaha, Nebraska 68137

402.895.2292

1491 Tuskegee Place, Suite CColorado Springs, CO 80915

719.258.9772

OMAHA COLORADO SPRINGS

WWW.PETERSARCHITECTS.COM