Middlesex Hospital contracted with GEi to evaluate the economic feasibility of a natural gas-fired combined heat & power (CHP) plant, and based on the study engaged GEi to design a 2 megawatt CHP plant to be constructed on the hospital campus. This facility will be integrated with multiple existing heating, cooling, and electrical systems to provide maximum utilization of available waste heat. The CHP building’s location on the existing campus close to property lines required extensive attention to aesthetics and acoustics in order to ensure a successful project. Project design also required extensive coordination with Connecticut Light & Power to replace the existing spot network serving the Hospital with a new service configured for compatibility with distributed generation while retaining the reliability of the existing configuration. Giuffrida Engineering provided full construction management services for this project, including bid solicitation & review, cost tracking and management, coordination of work of all trades, and extensive commissioning.