View Application for a 2015 CIP Project

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AppID5172
I. Administrative Section 
1. Project Name: Sidewalk Replacement
2. Project Description (One Sentence): This project would provide for the replacement of the concrete sidewalk which parallels the entrance road in front of buildings 325, 335, and 345.
3a. Project Location: County: Washoe
3b. Project Location: City: Sparks
4. Department (department requesting project): DHHS
5. Division (division requesting project): Aging Services
6. Agency (agency requesting project): N/A
7. Agency contact person: Robert Forderhase
8. Contact phone: 775 688 1930 2123
9. Contact email: rforderhase@src.state.nv.us
The Department ranking of this project:
10. The Department will rank their projects 1 through the lowest ranked project (i.e., If 5 projects were submitted by the Department a ranking of 1 would be assigned to the most important or most needed project and a ranking of 5 would be the least needed project).
11. Has this project been previously requested in a prior CIP? Yes
12. SPWD 4 digit Building No. (for existing buildings) 1955, 0516, 0320
13. Facility Condition Analysis Project No. (if recommended) 9981SIT1
14. Is the property State Owned? Yes
15. If the facility is existing, is it State owned? Yes
II. Narrative Section 
1. Project Description: The concrete sidewalk which parallels the entrance road in front of buildings 325, 335, and 345 has settled to the point where there is a minimum of a 1" difference in elevation between the curb and walkway. This is a tripping hazard along the traveled walkway. This project would provide for the removal and replacement of 200 linear feet of concrete walk. The estimate included removal and disposal of the existing concrete.
2. Project Justification: Replacement of this sidewalk will remove a tripping hazard and improve the safety of people served by the agency, its residents, and employees.
3. Project Background Information: This project is recommended by State Public Works and is a level 1 priority.
4. Mechanical and/or Electrical Equipment Replacement Projects:
a. Type of equipment to be replaced: N/A
b. Year existing equipment was installed: N/A
c. Manufacturer of existing equipment: N/A
d. Model of existing equipment: N/A
e. Are there any known hazardous material abatement? No
5. Ramifications if the Project is not Approved (short essay): If this project is not approved, the people served by the agency, its residents, and employees would remain at risk due to tripping. This would have a detrimental effect on the life, health/safety of these individuals.
Health, Life Safety, and/or Legal Issues
6. Please describe any health, life safety, and/or legal issues that will be resolved by completing this project (Short Essay): The concrete sidewalk which parallels the entrance road in front of buildings 325, 335, and 345 has settled to the point where there is a minimum of a 1" difference in elevation between the curb and walkway.This is a tripping hazard along the traveled walkway. This project would provide for the removal and replacement of 200 linear feet of concrete walk. The estimate included removal and disposal of the existing concrete. Replacement of this sidewalk will remove a tripping hazard and improve the safety of people served by the agency, its residents, and employees.
7. Proposed Project Schedule Impacts/Issues
a. Will this project require relocating personnel or vacating the building for any period of time? No
Explain:
b. Has any design work been completed on the proposed project? Unknown
c. What is the latest date this project could be completed without disrupting your program? 6/30/2017
d. What is the driving proposed completion date?
III. Preliminary Construction and Funding Sources Section 
Preliminary Construction Cost Estimate and Funding Sources (The SPWD will prepare all final cost estimates. This schedule is for preliminary purposes only.)
1. Land (if land must be purchased):
2. Off-site construction:
3. On-site Development: 8000
4. Utility connection fees:
5. Water rights deeded:
6. Furniture, Fixture and Equipment:
7. Specialty equipment:
8. Data and network equipment:
9. Telephone equipment costs:
10. Moving:
11. Renovation of vacated space:
12. Correction of known deficiencies:
(describe deficiencies)
13. Any known commitments:
(describe commitments)
14. Known hazardous material abatement:
(describe hazardous materials)
15. Total project costs:
NOTE: COSTS FOR EXTENDED LEASE AGREEMENTS MUST BE INCLUDED IN YOUR OPERATING BUDGET
16. Proposed funding of total project cost:
a. Agency:
b. Federal
c. Other/Donor
d. State 8000
(describe source of 'Other/ Donor' funding):
Total:
17. Agency point of contact for outisde funding if 16a, 16b, or 16c funding sources are providing funds.
a. Name
b. Phone Number
c. Email Address
IV. Site Analysis Section 
Site Analysis (New construction only)
1. Estimated land area to be acquired (acres)
2. Will this project require new parking spaces? No
3. Are utilities available to site? Yes
4. Will project require relocation of existing utilities? No
5. Are there any required off-site improvements (or right-of-way dedications)? No
6. Is the site in a flood plain? No
7. Is the site in an airport impact zone? No
8. Does the site contain any underground storage tanks? No
9. Does the site contain any adverse soil conditions? No
10. Will the site require an environmental assessment? No
11. Will rezoning or a special use permit be required? No
12. Will any Utility connection fees need to be paid? No
13. Will any water rights need to be deeded? No
14. Will construction traffic degrade existing access or facilities? No
15. Will the site require any hazardous material abatement? No
16. Other site considerations affecting cost? (describe): No
Describe Site Considerations:
V. Programming Section 
Programming (New construction, building remodels, and building additions only)
1. Has any architectural programming occurred?
(Programming is an architectural definition of the needs/problems that must be addressed by the project)
2. Has any advanced planning occurred in previous CIPs? Unknown
3. Usable Square footage required (including storage space)
a. New Construction SF:
b. Remodel/Renovation SF:
c. Addition SF
d.Total project SF:
4. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) : Business
5. Approximate number of staff to occupy facility: 70
6. Approximate number of visitors per day: 50
7. Will this project require funding for any furnishings, fixtures and equipment? No
8. For existing facilities, are there any known hazardous materials? (i.e., Asbestos, lead paint or underground storage tanks): No
9. How many years of future growth will this project accommodate? 0
10. List of required facilites (laboratory space, classroom space, office space, conference rooms, cafeterias, maintenance shops, garages) and any unusual related equipment required for your project:

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NOTE:  AFTER SUBMITTING THE COMPLETED APPLICATION, A PROJECT MANAGER FROM THE PUBLIC WORKS DIVISION WILL CONTACT YOU TO REVIEW THIS APPLICATION.