Organization Name: Family Medical Center (FMC)
Project Type: Construction/Expansion of an Existing Facility
Project Name: Expansion of Family Medical Center
Total CPF/CDS Funding Request = $490,000
Total Project Cost = $1,303,100
Our proposed Community Project Funding/Congressionally Directed Spending (CPF/CDS) project will renovate 1,400 square feet within the existing health center. It will include a 4,700 square foot addition.
Additionally, we will:
- Reconfigure space to provide a more controlled waiting area with better circulation and improved access to the exam rooms, records rooms, and patient services.
- Renovate the restrooms to comply with requirements of the Americans with Disabilities Act and local building codes.
- Add examination rooms, offices, health care support functions, communications, and mechanical spaces.
- Replace the roof above the existing main building.
- Install an FMC sign at the facility entrance.
- Purchase moveable medical and office equipment.
The project will result in a larger and better organized facility, well suited to delivering services to our patients.
The FMC project cost is $1,303,100. With this application, we’re requesting $490,000 to support construction and equipment cost. FMC will pay the balance of $813,100.
The project will begin within 30 days of award. We’ll ensure it’s complete and occupied by August 2025.
| Line Number | Allowable Costs—ARP-Capital | Unallowable Costs |
|---|---|---|
| Line 1—Administrative and legal expenses |
$13,600 for a portion of FMC’s staff/project manager (work related to the construction project). $29,500 for environmental analysis and costs associated with evaluation of the environmental effects of proposed activities and producing an Environmental Statement to the local authorities. Total administrative cost: $43,100 |
|
| Line 2—Land, structures, right- of-way, appraisals, etc. | FMC owns the facility. We don’t need additional land for this project. | |
| Line 3—Relocation expenses and payments | Although this project requires temporary relocation, we don’t anticipate any costs. | |
| Line 4—Architectural and engineering fees |
Covers:
Total architectural and engineering fees: $139,000 |
|
| Line 5—Other architectural and engineering fees | Don’t anticipate any | |
| Line 6—Project inspection fees |
Includes:
Total = $12,000 |
|
| Line 7—Site work |
Includes:
Total: $75,000 |
$5,000 for ornamental landscaping at the building entrance |
| Line 8—Demolition and removal |
Includes removing:
Total: $80,000 |
$20,000 in unallowable costs related to removing and disposal of asbestos containing materials in duct insulation and floor tile |
| Line 9—Alteration/ Renovation (Construction) |
$840,000 is the total construction cost to renovate the existing 1,400 square feet, including installation of new walls and building services and to build the 4,700 square feet addition to the clinic. $213,900 is the cost of the alteration and renovation. $626,100 is the total cost to construct an addition of 4700 square feet. This renovation cost is derived from the following cost breakdown:
The master format divisions costs are: $75,373 total general requirements
$687,786 total facility construction
$48,106 total facility services
$23,735 total process equipment
$5,000 total other project costs
Grand Total Construction = $840,000 |
$10,000 is an allowance for a wall mural in the waiting room. |
| Line 10—Equipment |
$14,000 to procure three exam tables for the exam rooms at $2,000 each (3 x $2,000=$6,000) and two beds with wheels height adjustment at $4,000 each (2 x $4,000=$8,000) for the isolation rooms. $20,000 to purchase office equipment:
Total = $34,000 |
|
| Line 11—Miscellaneous | Don’t anticipate any | |
| Line 12—SUBTOTAL (Allowable and Unallowable Costs) |
$1,223,100 total allowable costs (Sum of Lines 12 through 13) |
$35,000 total unallowable costs (Sum of Lines 12 through 13) |
| Line 13—Contingencies | $45,000, which is less than 5% of the sum of Lines, 7, 8, and 9. | |
| Line 14—SUBTOTAL | $1,268,100 total allowable costs (Sum of Lines 12 and 13) |
$35,000 total unallowable costs (Sum of Lines 12 and 13) |
| Line 15—Project (program) income | Doesn't apply | |
| Line 16—TOTAL PROJECT COSTS (Allowable and Unallowable) |
$1,303,100 (Sum of allowable and unallowable costs from Line 14 above) |
|
| Line 17—GRANT funding requested (Note: round to the nearest whole dollar amount) |
$490,000 | |
SEE APPENDIX B: Allowable and Unallowable Costs in the guidance documents.