Pt 02B--Schedule A MCW - Traverse City, MI.docx
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- Attached to
- TRAVERSE CITY, MI CBOC Clarification #1
- Solicitation number
- VA10115R0222
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COMMUNITY-BASED
MAY 2017
| SOLICITATION FOR OFFERS |
| OUTPATIENT CLINIC |
| SFO No. VA101-15-R-0222 |
TRAVERSE CITY, MI
FMA WORKSHEET
| 1. SOLICITATION FOR OFFERS |
| 2. BUILDING NAME AND ADDRESS (No., street, city, state, and zip code) |
| Part I – Annual Operating Expenses |
| Materials |
| Labor |
| Total |
A. Cleaning, Janitor and/or Char Service
3. Salaries (Enter on Line 5 GSA form 1217)
4. Supplies (wax, cleaners, cloths, etc.) (Enter on Line 6 GSA form 1217)
5. Contract Services (window washing, waste and snow removal) (Enter on Line 7 GSA form 1217)
B. Heating System Maintenance and Repair
6. Salaries (Enter on Line 8 GSA form 1217)
7. Filters, belts, lubricants, fluids, supplies
8. Labor (includes contracted work)
9. Subtotal Heating System (Add Lines 7 and 8. Enter result here and on Line 10 GSA form 1217)
C. Electrical System Maintenance and Repair
10. Bulbs, Tubes, Starters (Enter on Line 12 GSA form 1217)
11. Ballasts, fixtures, devices, etc.
12. Small tools and expendable supplies
13. Labor (includes contracted work)
14. Subtotal Electrical System (Add Lines 11 to 13. Enter result here and on Line 14 GSA form 1217)
D. Plumbing System Maintenance and Repair
15. Soap, towels, tissues not in Line 4 above (Enter on Line 16 GSA form 1217)
16. Fixtures, pipe and fittings
17. Small tools and expendable supplies
18. Labor (includes contracted work)
19. Subtotal Plumbing System (Add Lines 16 to 18. Enter result here and on Line 17 GSA form 1217)
E. Air Conditioning System Maintenance and Repair
20. Filters, belts, lubricants, fluids, supplies
21. Labor (includes contracted work)
22. Subtotal A/C System (Add Lines 20 to 21. Enter result here and on Line 19 GSA form 1217)
F. Elevators
23. Salaries (operators, starters, etc) (Enter on Line 20 GSA form 1217)
24. Small tools and expendable supplies
25. Labor (includes contracted work)
26. Subtotal Elevators (Add Lines 24 and 25. Enter result here and on Line 21 GSA form 1217)
G. Miscellaneous
26. Building Engineer/Manager (Enter on Line 22 GSA form 1217)
27. Security (Watchmen, Guards) (Enter on Line 23 GSA form 1217)
28. Social Security Tax and Workmen’s Compensation Insurance (Enter on Line 24 GSA form 1217)
29. Landscape and Grounds (materials, fertilizers, supplies)
30. L/S and Grounds Labor (includes contracted work)
31. Lawn and Landscaping (Add Line 30 and 31. Enter result here and on Line 25 GSA form 1217)
32. Other (Explain on separate sheet. Include Schedule B Special Requirement Items) (Enter amount here and on Line 26 GSA form 1217)
33. Subtotal – Annual Operating Expenses
34. SOLICITATION FOR OFFERS
35. Annual Operating Expenses (from Part I, Line 33 above)
Replacement Cost
| Useful Life (Years) |
| Annual |
Reserve
A. Exterior and Grounds
36. Parking Lot and Road Repair and/or Resurfacing
37. Sidewalks
38. Landscaping / Lawn Care (Equipment)
39. Exterior Painting
40. Windows
41. Roof
B. Building and Equipment
42. Doors
43. Floor Coverings (other than Carpeting)
44. Carpeting
45. Interior Painting
46. Wall Coverings
47. Ceilings
48. Blinds / Drapes
49. Dock Leveler
50. Elevators
51. HVAC (include refrigeration equipment and cooling towers)
52. Air Handling Equipment
53. Exhaust Systems
54. Special HVAC Systems
55. Plumbing Systems (supply, waste and vent)
56. Hot Water Heater
57. Fire Protection (fire suppression systems)
58. Electrical Systems (distribution and power)
59. Generator
60. Fire Alarm System
61. Communications and Signal Systems
62. Security Systems
63. Light Fixtures
64. Schedule B Special Requirement Items
C. Other / Miscellaneous (attach additional sheets if necessary)
65.
66.
67.
68.
69.
70. Subtotal Capital Reserve (Add Lines 36 to 69. Enter result here and on Line 30 of GSA Form 1217)
71. Annual Reserve Grand Total (Add Line 35 and 70. Enter result here).
Schedule A – Page 6 of 7
Lessor __________ Gov’t. __________ __________ of __________ Pages
File details come from the government source that posted it. Updated .