Submitted Application for a 2019 CIP Project

AppID19153
I. Administrative Section 
1. Project Name: Lakes Crossing Center Modular Office Space
2. Project Description (One Sentence): Installation of Modular Office Space to provide additional office space and conference room for clinical staff
3a. Project Location: County: Washoe
3b. Project Location: City: Sparks
4. Department (department requesting project): DHHS
5. Division (division requesting project): Public & Behavioral Health
6. Agency (agency requesting project): Lakes Crossing
7. Agency contact person: Andy Chao
8. Contact phone: 775-688-2033
9. Contact email: ychao@health.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). 164
11. Has this project been previously requested in a prior CIP? Yes
12. SPWD 4 digit Building No. (for existing buildings) 0342
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: This project proposes to add modular office space for 6 clinicians and an additional conference room to accommodate out-patient evaluations, clinical and administrative meetings as well as professional development training sessions. No specific health, life safety or legal issue will be resolved with this project. This project was submitted as a 2007 CIP and is now being re-submitted. The modular office space will provide six individual offices for clinical staff and support staff now sharing office space within the facility with other clinical staff. An additional conference room will provide meeting space for training, out-patient evaluations and other facility needs.
17. Project Justification: There is an immediate need for six offices for clinical and support staff. there has been limited additional office space added to the facility since the original construction in 1976 despite the additional 12 bed expansion in 1998, an additional 20 beds added at the Annex building at Dini-Townsend Hospital and additional clinical staff providing out-patient services. In order to attain the goal of licensure as outlined in the MHDS Strategic Goals document and maintain the highest level of professionalism among clinical and forensic staff, more healthcare related in-service training must be provided and space to do this training is necessary.
18. Project Background Information: There is an immediate need for this modular office space due to the recent increased demand for the services provided by the facility and additional staff being added to meet the service demand.
19. Mechanical and/or Electrical Equipment Replacement Projects:
19a. Type of equipment to be replaced:
19b. Year existing equipment was installed:
19c. Manufacturer of existing equipment:
19d. Model of existing equipment:
19e. Are there any known hazardous materials?
Environmental Considerations
20a. Hazardous Materials (Asbestos, Lead Paint, etc.):
20b. Will the site require any hazardous material abatement?
21. Ramifications if the Project is not Approved (short essay):
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?
23b. Explain:
23c. Has any design work been completed on the proposed project?
23d. What is the latest date this project could be completed without disrupting your program?
23e. What is the driving proposed completion date?
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:
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: 140000
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
39d. Other/Donor
39e. (describe source of 'Other/ Donor' funding):
39f. Total:
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)? Unknown
46. Is the site in a flood plain? Unknown
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? Unknown
50. Will the site require an environmental assessment? Unknown
51. Will rezoning or a special use permit be required? No
52. Will any Utility connection fees need to be paid? Yes
53. Will any water rights need to be deeded? No
54. Will construction traffic degrade existing access or facilities? No
55. Will the site require any hazardous material abatement? Unknown
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:
59c. Addition SF
59d.Total project SF:
60. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) : Business
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? Yes
64. For existing facilities, are there any known hazardous materials? (e.g., Asbestos, lead paint or underground storage tanks):
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:

Submit


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.