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