TEMPLATE Project Scope.doc

Project Abstract Template Project Name:

Date:

Location:

PROJECT OVERVIEW: NEW CONSTRUCTION, BED REPLACEMENT, RENOVATION, SAFETY

The project scope includes:

A. New Construction or Bed Replacement:

Complete A1-13 of the grant application checklist (VA Form 10-0388-14) Provide project site description, including county (VA Form 10-0388-1; Sec.II).

Provide total bed count, total square footage, total cost, cost per bed and cost per sq./ft.

Describe new construction concept (small house, duplexes, multi-floor, etc) with total nursing beds, domiciliary beds, ADHC, Alzheimer’s beds, and/or couples rooms.

Describe any agreements affecting construction with local VA medical center.

List types of facility spaces; total square footage and bed numbers.

List types of non-bed spaces w/ approx. square footage: administrative; community center, maintenance; chapel, etc.

List any demolition and site work with estimated cost.

Bed Replacement: Describe Veteran’s living environment (e.g., room occupancy, bathrooms) For Bed Replacement: Describe where displaced veterans will be housed during the interim.

For Bed Replacement: List any prior VA state home grants affected by bed replacement project.

B. Renovation and/or Safety:

Complete A1-7 of the grant application checklist (VA Form 10-0388-14).

Describe all project renovation work by category and location.

Provide the reason for replacement and major equipment needs.

Identify any work associated with inspection citation.

Identify any safety project work with separate costs (1.1.1, 1.1.2, 1.1.3, etc). Completed project work is not eligible for VA grant funding.

Note: Safety projects remedy a condition or conditions at an existing facility that have been cited as threatening to the lives or safety of the residents in the facility by a VA Life Safety Engineer, a State or local government agency (including a Fire Marshal), or an accrediting institution (including the Joint Commission on Accreditation of Healthcare Organizations). This categorization does not include applications for the addition or replacement of building utility systems, such as heating and air conditioning systems or building features such as roof replacements. Projects classified as "Safety” will be further prioritized in the following order: seismic; building construction; egress; building compartmentalization (e.g., smoke barrier, fire walls); fire alarm/detection; asbestos/hazardous materials; and all other projects.

SAMPLE

1. Replace Fain Coil Units, Building #7. Replacement of 138 fan coil units which are over 15-years old, design is outdated, in poor condition and are inefficient. Work includes replacement of valves and piping. All of the resident rooms in the personal care building rely on these fan coil units for heating and cooling.

2. Nursing Care Unit Roof Replacement. Replacement of an EPDM Roofing Membrane (5500 sf) with flashings and accessories. Current roof system is 31-years old and in poor condition.

Renovation Project Cost