This design-build project consisted of design work for paving and flatwork repairs/improvements to the VA Sioux Falls Medical Center followed by construction of the engineered design. The work was spread out across the VA campus in 9 separate phases and consisted of removal and replacement of existing paving and sidewalks as well as installation of new sidewalks across campus to facilitate easier access to the hospital from parking areas. Additional work included installation of signage, striping, handrails and seeding at multiple locations across the campus.