The East Redundancy Loop (ERL) is part of the National Institutes of Health Campus’ chilled water and steam distribution system. Unlike a typical underground tunnel distribution of utilities, the ERL project required the installation of an above-ground, elevated utility structure which provides an enhanced level of reliability for the Clinical Center Complex. NIH engaged EBA for all phases of the design services and documents production, risk assessment and construction administration services for the ERL. The project required a high level of integration with multiple facility groups, subcontractors, and several other projects in the vicinity of construction.