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| Our
experience has shown us that the most efficient method of undertaking a
project is Design and Build. It allows for an integration of the Design,
Cost Determination, and Construction phases of a project.
In the Design then Build scenario, an architect is employed first. His work involves determining the floor plan and equipment requirements, generating schematics (working drawings), projecting costs, and ultimately creating construction drawings. |
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Time must then be allowed for the bidding process: typically thirty to sixty days. Often, especially in today's escalating labor and materials market, bids are significantly over budget; and a rebid, subsequent to value engineering, becomes necessary.
Once construction begins, changes to the project, which for reasons of cost and expediency are generally numerous, must be submitted to the architect. He then obtains approval from the owner. If an on-site determination is required, the architect or his representative must come to the site. This can result in project delays.
When the designer/architect is also the builder, communication and change order determinations are done more quickly. Additions and changes are far fewer in number, because specifications will have resulted from value engineering done prior to the generation of construction drawings.
The emphasis from the onset in a design/builder and owner relationship is one predicated on value engineering. Give us a budget and we will tell what it will buy.
The bottom line is
more clinic or hospital for dollar spent.