Submitted Application for a 2019 CIP Project

AppID19040
I. Administrative Section 
1. Project Name: Belrose - Carpet, tile and Vinyl Composite Tile (VCT) replacement
2. Project Description (One Sentence): The carpet, VCT and Tile are in poor condition and need to be replaced throughout the building.    
3a. Project Location: County: Clark
3b. Project Location: City: Las Vegas
4. Department (department requesting project): Administration
5. Division (division requesting project): Buildings & Grounds
6. Agency (agency requesting project): N/A
7. Agency contact person: Ron Cothran & Michael Johnson
8. Contact phone: Ron (775) 690-8207 & Michael (775) 684-1816
9. Contact email: rbcothran@admin.nv.gov & mljohnson@admin.nv.gov
The Department ranking of this project:
10. The Department will rank their projects 1 through the lowest ranked project (e.g., 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). 2
11. Has this project been previously requested in a prior CIP? No
12. SPWD 4 digit Building No. (for existing buildings) 0286
13. Facility Condition Analysis Project No. (if recommended)
14. Is the property State Owned? Yes
15. If the facility is existing, is it State owned? Yes
II. Narrative Section 
16. Project Description: The VCT and carpet in the building are damaged and have reached the end of their useful life. It is recommended that the flooring be replaced. This project would provide for removal and disposal of the existing flooring and installation of new 12x12 VCT with a 6" cove base and heavy duty commercial grade carpet.
17. Project Justification: It is beyond its useful life expectancy and is a trip hazard.   
18. Project Background Information: The carpet, tile and VCT are over 20 years old. They are in very poor condition and the seams are worn and are a trip hazard. This creates a unsafe environment for the staff and the general public.
19. Mechanical and/or Electrical Equipment Replacement Projects:
19a. Type of equipment to be replaced: Carpet, VCT and Tile
19b. Year existing equipment was installed: 1994
19c. Manufacturer of existing equipment: Unknown
19d. Model of existing equipment: Unknown
19e. Are there any known hazardous materials? No
Environmental Considerations
20a. Hazardous Materials (Asbestos, Lead Paint, etc.):
20b. Will the site require any hazardous material abatement? No
21. Ramifications if the Project is not Approved (short essay): Due to the flooring never being replaced, this project is too large for B&G’s current budget authority. The current flooring is unsafe for the building occupants and is a trip hazard. This request will replace all the flooring in the building. The future plan will be for B&G to place the flooring on a preventative rotation plan and to continually maintain and replace as needed.
Health, Life Safety, and/or Legal Issues
22. Please describe any health, life safety, and/or legal issues that will be resolved by completing this project (Short Essay):
23. Proposed Project Schedule Impacts/Issues
23a. Will this project require relocating personnel or vacating the building for any period of time? No
23b. Explain:
23c. Has any design work been completed on the proposed project? No
23d. What is the latest date this project could be completed without disrupting your program? FY19
23e. What is the driving proposed completion date? The current flooring is unsafe for the state employees and the general public due to the trip hazards it poses.
III. Preliminary Construction Cost Estimate 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.)
24. Land (if land must be purchased):
25. Offsite construction:
26. On-site Development:
27. Utility connection fees:
28. Water rights deeded:
29. Furniture, Fixtures and Equipment:
30. Specialty equipment:
31. Data and network equipment:
32. Telephone equipment costs:
33. Moving: 100,000
34. Renovation of vacated space:
35a. Correction of known deficiencies:
35b. (describe deficiencies)
36a. Any known commitments:
36b. (describe commitments)
37a. Known hazardous material abatement:
37b. (describe hazardous materials)
38. Total project costs: 657,200
NOTE: COSTS FOR EXTENDED LEASE AGREEMENTS MUST BE INCLUDED IN YOUR OPERATING BUDGET
39. Proposed funding of total project cost:
39a. Agency:
39b. Federal
39c. State 657,200
39d. Other/Donor
39e. (describe source of 'Other/ Donor' funding):
39f. Total: 657,200
40. Agency point of contact for outisde funding if 39a, 39b, or 39c funding sources are providing funds.
40a. Name
40b. Phone Number
40c. Email Address
IV. Site Analysis Section 
Site Analysis (New construction only)
41. Estimated land area to be acquired (acres)
42. Will this project require new parking spaces? No
43. Are utilities available to site? Yes
44. Will project require relocation of existing utilities? No
45. Are there any required offsite improvements (or right-of-way dedications)? No
46. Is the site in a flood plain? No
47. Is the site in an airport impact zone? No
48. Does the site contain any underground storage tanks? No
49. Does the site contain any adverse soil conditions? No
50. Will the site require an environmental assessment? No
51. Will rezoning or a special use permit be required? No
52. Will any Utility connection fees need to be paid? No
53. Will any water rights need to be deeded? No
54. Will construction traffic degrade existing access or facilities? Yes
55. Will the site require any hazardous material abatement? No
56a. Other site considerations affecting cost? (describe): No
56b. Describe Site Considerations:
V. Programming Section 
Programming (New construction, building remodels, and building additions only)
57. Has any architectural programming occurred?
(Programming is an architectural definition of the needs/problems that must be addressed by the project)
58. Has any advanced planning occurred in previous CIPs? No
59. Usable Square footage required (including storage space)
59a. New Construction SF:
59b. Remodel/Renovation SF: 41,075
59c. Addition SF
59d.Total project SF:
60. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) :
61. Approximate number of staff to occupy facility:
62. Approximate number of visitors per day:
63. Will this project require funding for any furnishings, fixtures and equipment? No
64. For existing facilities, are there any known hazardous materials? (e.g., Asbestos, lead paint or underground storage tanks): No
65. How many years of future growth will this project accommodate?
66. 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: Office & meeting rooms

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NOTE:  IF YOU ARE THE “AGENCY CONTACT PERSON”, AND HAVE NOT BEEN CONTACTED BY THE ASSIGNED PROJECT MANAGER BY APRIL 16, 2018, PLEASE CONTACT THEM.