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23 <br /> 1 a pediatric facility would have a different set of priorities and needs to meet than a facility for <br /> 2 adults. She described some of the ways a pediatric facility differs from adult facilities. She said <br /> 3 while they can prioritize Orange County residents, it is important to accept out of county residents <br /> 4 to keep every bed filled. <br /> 5 Commissioner McKee said the residency factor needs to be there, but it needs to be <br /> 6 applied with common sense. <br /> 7 Chair Bedford said that Commissioner Portie-Ascott shared that it was important to her <br /> 8 that the facility be welcoming for families and patients. <br /> 9 Chair Bedford said she supported Option C. <br /> 10 Vice-Chair Hamilton said UNC and Duke are building new children's hospital in Apex and <br /> 11 they will have beds for pediatric behavioral health. <br /> 12 Commissioner Greene said there will be a separate wing for behavioral health. <br /> 13 Vice-Chair Hamilton said she supported Option C. <br /> 14 Commissioner Greene said she supported Option C, but would have been happy with the <br /> 15 original design. <br /> 16 Chair Bedford reviewed the recommended actions. She asked if it would be possible to <br /> 17 find out what an additional $200,000 of architectural features would bring. <br /> 18 Travis Myren said they can build in alternatives for a base guaranteed maximum price <br /> 19 (GMP). <br /> 20 Vice-Chair Hamilton said it's important to consider how people are treated when they are <br /> 21 in a building rather than what the building looks like. <br /> 22 Chair Bedford noted that data supports a garden and a required courtyard. <br /> 23 <br /> 24 A motion was made by Commissioner McKee, seconded by Commissioner Fowler, to <br /> 25 select Option C for alternative design options, and evaluate additional architectural features with <br /> 26 the costs associated, and finalize the design with the architect and construction manager in order <br /> 27 to prepare a guaranteed maximum price (GMP) for Board consideration <br /> 28 <br /> 29 Commissioner Greene asked if they would accept a friendly amendment to include options <br /> 30 for natural light. <br /> 31 <br /> 32 Commissioner McKee said he would accept that and understood the need for natural light. <br /> 33 Commissioner Fowler also agreed to accept the friendly amendment. <br /> 34 <br /> 35 VOTE: UNANIMOUS <br /> 36 <br /> 37 b. Discussion of the Draft School Construction Interlocal Agreement <br /> 38 The Board discussed and provided feedback to the Manager on the draft School Construction <br /> 39 Interlocal Agreement (ILA) with both School Districts. <br /> 40 <br /> 41 BACKGROUND: During the 2024 bond process, the Board of County Commissioners reviewed <br /> 42 its policies and procedures around school capital funding, updating the School Capital Funding <br /> 43 Policy and the Major Project Planning Addendum. The Board requested staff review and propose <br /> 44 an ILA to strengthen accountability and transparency for upcoming school construction and <br /> 45 renovation projects. Staff reviewed similar arrangements in other counties with active school <br /> 46 construction, including an ILAfrom Wake County. The draft ILA codifies a joint school construction <br /> 47 Core Team comprised of staff from all three entities. This Core Team will have assigned roles, <br /> 48 meet quarterly and more often as needed, and report back to the Joint Meeting of the Board of <br /> 49 Commissioners and School Boards at least once per year.Additionally, there are provisions in the <br /> 50 agreement that school staff report on the alignment with County policies, that the Team maintain <br />