Children’s National Medical Center (CNMC or Children’s National) has embarked on major facility upgrades, both clinical and research enterprise expansion, and will continue this trend over the next five to ten years. One of Children’s National strategic approaches is the improve the current state of the main hospital facility located in Washington, DC and its 40+ off-site facilities. Children’s National has engaged the services from GES to provide engineering services under a three-year Master Service Agreement. GES is working closely with CNMC Facilities/Engineering and Construction Department to determine the engineering scope for various project assignments.