ENS Location: Health Center Site, Street Address, City, State, Zip Code
Total ENS Minor A/R Funding Request: $102,500
Total Funding from Other Sources (State Grant and Private Contributions): $7,500
Total Project Cost: $110,000
Our minor A/R project will create a food garden to support patient access to nutritious foods. We propose converting an existing storage facility into a space for nutrition education and produce distribution. We will install handwashing stations and fixed shelving for non-perishable food, upgrade lighting for safety and energy efficiency, and add electrical connections for fixed refrigeration units to store harvested produce. We will also install raised planters on existing landscaped areas around the facility. No excavation or new paving will occur. We expect to start these activities within 60 days of obtaining all local approval and complete the work no more than 3 months after it begins.
Sample minor A/R budget justification
| Line Item | Allowable Costs | Unallowable Costs |
|---|---|---|
| Line 1 - Administrative and Legal Expenses | $10,500 to pay administrative and project management staff costs directly related to this project. | |
| Line 2 - Land, Structures, Right-of-Way, Appraisals | ||
| Line 3 - Relocation Expenses and Payments | $3,500 to temporarily relocate supplies from the storage facility during renovation. | $3,500 to return supplies to the storage facility after renovation. |
| Line 4 - Architectural and Engineering Fees | $5,500 for architectural and engineering fees, including: mechanical and electrical design; bid construction documents, such as plans and specifications; and assistance during the construction bidding. | |
| Line 5 - Other Architectural and Engineering Fees | ||
| Line 6 - Project Inspection Fees | $1,500 for project inspection fees. We will conduct inspections in accordance with the local Department of Public Works standards and building codes. | |
| Line 7 - Site Work | $5,500 to install raised planters on existing landscaped areas around the facility. | $2,500 for landscaping. |
| Line 8 - Demolition and Removal | $5,000 for removal and disposal of existing shelves and fixtures to reconfigure storage space. | $1,500 for abatement of asbestos insulation on existing steam pipes in ceiling. |
| Line 9 - Alteration and Renovation |
$67,500 to renovate 1,000 square feet of existing space. We derive this cost from the following: $7,500 in structural costs includes metal studs and concrete column footing. $10,000 in architectural costs includes wood and plastic for shelving, tabletops, and countertops. $17,500 in mechanical costs covers oxygen piping lines and accessories; heating, ventilation, and air conditioning (HVAC) equipment; and a fire protection system with steel piping, sprinkler heads, steel hose, and inspector test valve. $10,000 in plumbing costs includes water and piping systems with plumbing fixtures and sinks; and cold water, hot water, water storage tank, and piping insulation. $22,500 in electrical costs includes a lighting system with PVC conduit, EMT conduit, lighting fixtures, light switches and control, wall outlets, and wiring; and a fire protection system with fire alarm cable, heat detector, and control panel. |
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| Line 10 - Equipment | ||
| Line 11 - SUBTOTAL | $99,000 | |
| Line 12 - Contingencies | $3,500, which is less than 5% of Lines 7, 8, and 9. | |
| Line 13 - SUBTOTAL | $102,500 | $7,500 |
| Line 14 - TOTAL PROJECT COSTS |
$110,000 (Sum of allowable and unallowable costs from Line 13 - SUBTOTAL) |
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| Line 15 - ENS One-Time Funds | $102,500 |
Sample allowable and unallowable costs
The table lists sample allowable and unallowable costs for a minor A/R project. Refer to the cost principles in 2 CFR Part 200 for details on allowable costs.
The total federal and non-federal cost of your minor A/R project must be less than $1,000,000, excluding the cost of moveable equipment. Moveable equipment is an item with a useful life of more than one year and a unit cost of $10,000 or more.
Fixed equipment is an item that requires you to modify the facility for installation or removal. Include them in your construction contract. Examples include ductwork, generators, fume hoods, sinks, fixed shelving, built-in sterilizers, built-in refrigerators, and wiring or cabling inside walls or above ceilings.
| Cost Categories | Allowable Costs | Unallowable Costs |
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| Administrative and Legal Expenses |
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| Relocation |
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| Architectural and Engineering Fees |
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| Project Inspection Fees |
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| Site Work |
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| Demolition and Removal |
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| Alteration and Renovation |
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| Equipment |
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| Contingencies |
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