EH Location: Health Center Site: 123 Main Street, City, State, Zip Code
Total EH minor A/R funding request: $100,000
Total funding from other sources: $35,000
Total Project Cost: $135,000
For our minor A/R project, we propose converting an existing large meeting room into two new exam rooms and one office, and removing a wall to create a counseling space for mental health services. It also will include minor cosmetic work, including new tile flooring in the new exam rooms, and new carpet in the counseling space and office. We will repaint the spaces, and replace the lighting with more energy efficient lighting throughout the 1,000 SF space.
In addition, we will purchase clinical and non-clinical equipment. We expect to begin renovation activities within 60 days of obtaining all local approvals. We expect to complete the work no more than 3 months after it begins.
Sample minor A/R budget justification
Line Item | Allowable Costs | Unallowable Costs |
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Line 1— Administrative and legal expenses | $6,000 to pay administrative staff costs directly related to this project. | |
Line 2—Land, structures, right- of-way, appraisals | ||
Line 3—Relocation expenses and payments | $500 to move existing clinic equipment and furniture to completed spaces. | |
Line 4— Architectural and engineering fees | $5,000 for the architectural and engineering fees, which will cover the following: mechanical and electrical design; bid construction documents (plans and specifications); and assistance during the construction bidding (answer questions presented by the contractors). | |
Line 5—Other architectural and engineering fees | ||
Line 6—Project inspection fees | $3,500 for project inspection fees. The inspections will be conducted in accordance with the local Department of Public Works standards and building codes. | |
Line 7—Site work | $3,000 for the purchase of a large exterior sign to install on the building next to the entrance door. No construction site work (work outside of the building) is allowed or anticipated. | |
Line 8—Demolition and removal | $4,000 for removal and disposal of interior partitions and materials in the interior of the existing building. | $1,000 for abatement of asbestos insulation on existing steam pipes in ceiling. |
Line 9— Alteration and Renovation |
$45,000 to renovate 1,000 square feet of existing space. This renovation cost is derived from the following cost breakdown: structural ($8,000), architectural ($16,000), mechanical ($8,500), and electrical ($12,500). The structural cost of $8,000 includes metal studs and floor walls. The mechanical cost of $8,500 covers the following: water and piping systems (plumbing fixtures and equipment - water closet, sinks, electric water heater, funnel drain); cold water, hot water, water storage tank, and piping insulation; oxygen piping lines and accessories; and fire protection system (fire sprinkler system-steel piping, sprinkler heads, steel hose, and inspector test valve). The electrical cost of $12,500 includes the following: installation of security system (monitors and cameras); electronic access systems at entrances; lighting system (PVC conduit, electric metallic tubing (EMT) conduit, lighting fixtures and wiring, light switches and lighting control, wall outlets, and wiring); communication system (PVC conduit, EMT); computer data networking system (outlet, conduit and CAT 5E cabling), telephone outlet, CA TV outlet, PA intercom system (conduit and wiring); and fire sprinkler system (fire alarm cable, fire alarm heat detector, fire alarm control panel). |
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Line 10— Equipment |
$65,000 for loose, movable equipment items. $40,000 for clinical equipment; $25,000 for non-clinical items. See itemized equipment list for additional information. |
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Line 11— Miscellaneous | ||
Line 12— SUBTOTAL | $131,500 | |
Line 13— Contingencies | $2,000, which is less than 5% of lines 7, 8, and 9. | |
Line 14— SUBTOTAL | $133,500 | $1,500 |
Line 15—TOTAL PROJECT COSTS | $135,000 (Sum of allowable and unallowable costs from Line 14 - SUBTOTAL) |
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Line 16— EH one- time funds | $100,000 |
Sample allowable and unallowable costs
The following table lists sample allowable and unallowable costs for the proposed minor A/R project.
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.
Refer to the cost principles in 45 CFR Part 75 for details on allowable costs.
Fixed equipment includes items that require you to modify the facility for its satisfactory installation or removal. Include them in the construction contract: for example, HVAC units, ductwork, generators, fume hoods, sinks, fixed shelving, built-in sterilizers, built-in refrigerators, and wiring or cabling inside walls or above ceilings.
Moveable equipment is a non-expendable item with a useful life of more than one year and a unit cost of $5,000 (or equal to your capitalization threshold) or more.
Cost Categories | Allowable Costs | Unallowable Costs |
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Administrative and legal expenses |
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Relocation | Costs to move and store furnishings temporarily during renovations | The cost of moving furnishings back into the renovated areas |
Architectural and engineering fees |
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Project inspection fees | Clerk-of-the-works, inspection fees, structural certification, etc., to be provided by architectural engineering firm or applicant’s staff | Fees not directly related to the project |
Site work | Minor alteration at entrances and adjacent sidewalks as required for ADA compliance |
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Demolition and removal | Costs of demolition or removal of structures for improvements such as wall finishings and fixtures (reduce the costs on this line by the amount of expected proceeds from the sale of salvage) |
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Alteration and renovation |
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Equipment | Moveable equipment that is pertinent to the project (include details on Equipment List form) |
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Contingencies |
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Contingency costs above the allowable percentage |