Organization Name: Family Medical Center (FMC)
Project Type: Construction of a New Facility
Project Name: FMC New Facility
Total ARP-Capital Funding Request = $2,000,000
Total Project Cost = $8,302,100
Family Medical Center’s proposed ARP-Capital project will construct a new 3-story building on an existing site. The building will provide examination rooms, a waiting area, records rooms, patient services, provider offices, a special purpose room, restrooms, healthcare support function areas, communications, and mechanical spaces. The building will comply with all accessibility requirements of the Americans with Disabilities Act and local building codes. A FMC sign will be installed at the entrance of the facility, and moveable medical and office equipment will be purchased. The resulting facility will result in a larger and better organized facility, well-suited to deliver services to the patient population.
The total FMC project cost is $8,302,100. This application requests $2,000,000 to support the total construction and equipment cost. The balance of $6,302,100 will be using a loan backed by the loan guarantee program through HRSA. Should the loan guarantee program application not be approved, we will use $3,500,000 of program income. In addition, we will use venture capital financing from local investors for the $2,802,100, in which we have already received letters of support.
The project is anticipated to begin in within 30 days of award and completed and occupied by August 2024.
| LINE NUMBER | ALLOWABLE COSTS—ARP-Capital | UNALLOWABLE COSTS |
|---|---|---|
| Line 1—Administrative and legal expenses | $63,100 is the total administrative cost. $23,600 is allocated to pay a portion of FMC’s staff / project manager (for work directly related to the construction project). $39,500 is allocated for an environmental analysis and costs associated with evaluation of the environmental effects of proposed activities and producing an Environmental Statement to the local authorities. Total: $63,100 |
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| Line 2—Land, structures, right- of-way, appraisals, etc. | The current land is owned by FMC. No additional land is required for this project. | |
| Line 3—Relocation expenses and payments | Although temporary relocation will be required for this project, no costs are anticipated for this classification. | |
| Line 4— Architectural and engineering fees | $739,000 for the architectural and engineering fees, which will cover the following: mechanical and electrical design; bid renovation/construction documents (plans and specifications); and assistance during the construction bidding (answer questions presented by the contractors).
Total: $739,000 |
|
| Line 5—Other architectural and engineering fees | No other architectural or engineering fees are anticipated for this project. | |
| Line 6—Project inspection fees | $23,437 for inspections by the local department of building construction, shop drawing and submittal review; contractor payment certification; final construction inspection; project close out; fees for topographic survey; and the soil/foundation investigation. Total = $23,437 |
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| Line 7—Site work | $375,000 is the total site work, which includes: tree removal, grading, earthwork, exterior improvements, seeding of disturbed areas and connection to underground utilities. Total: $375,000 |
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| Line 8—Demolition and removal | None | |
| Line 9—Alteration/ Renovation (Construction) | $6,067,563 is the total construction cost to build the new building on the existing site. The total square footage is 17,358 square feet on 3 levels.
The master format divisions costs are: General Requirements total $540,012:
Facility Construction total $4,963,266:
Facility Services total $345,852:
Process Equipment total $169,891:
Other Project Costs total $48,542:
Grand Total Construction = $6,067,563 |
$10,000 is an allowance for a wall mural in the waiting room. |
| Line 10— Equipment | $704,000 is the total for equipment. $96,000 will be used to procure 24 exam tables for the exam rooms 24@ $2,000 each (24 x $2,000=$48,000) and 12 beds with wheels height adjustment @ $4,000 each (12 x $4,000=$48,000) for the isolation rooms. $38,750 will be used to purchase office equipment: $569,250 of clinical equipment. Total = $704,000 |
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| Line 11— Miscellaneous | No Miscellaneous costs are anticipated for this project |
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| Line 12—SUBTOTAL (Allowable and Unallowable Costs) |
$7,972,100 total allowable costs (Sum of Lines 1 through 11) |
$10,000 total unallowable costs (Sum of Lines 1 through 11) |
| Line 13— Contingencies | $320,000, which is less than 5% of the sum of Lines, 7, 8, and 9 will be included for contingency. | |
| Line 14— SUBTOTAL | $8,292,100 total allowable costs (Sum of Lines 12 and 13) |
$10,000 total unallowable costs (Sum of Lines 12 and 13) |
| Line 15—Project (program) income | Not Applicable | |
| Line 16—TOTAL PROJECT COSTS (Allowable and Unallowable) |
$8,302,100 (Sum of allowable and unallowable costs from Line 14 above) |
|
| Line 17— GRANT funding requested (Note: round to the nearest whole dollar amount) |
$2,000,000 |
SEE APPENDIX A: Allowable and Unallowable Costs in the Notice of Funding Opportunity