Memorandum of Understanding Blank Forms
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Memorandum of Understanding Blank Forms document sample
Document Sample


C-1 and S-1 Forms Main Menu
(click on the hyperlinks below)
Instructions
S-1 Form
C-1 Form
Budget Recommendation Summary
Print Forms
BASIC INSTRUCTIONS
Please read all of these basic instructions before proceeding.
For more detailed instructions on the required content of the S-1 and C-1 forms, download the
additional instructions available from the DPB website: click here
Macros:
● To complete these forms, Excel must be configured to "enable" the use of macros.
To enable macros, the Excel "Macro Security Level" must be set to medium or low. (Medium is recommended).
To set the Macro Security Level, go to the "Tools" menu, then select "Macro" and "Security".
Next select the Security Level tab and pick medium or low.
Close Excel, then immediately reopen Excel and this form.
If you chose medium security, you will receive a prompt to Enable or Disable macros. (Pick "Enable".)
If you chose low security, you will not receive a prompt, but macros will be enabled.
(High macro security will not allow the macros to run.)
Sequence of Completion:
● Complete the S-1 (Scope Profile) Form before completing the C-1 (Cost Profile) Form.
● To complete the S-1 Form, choose S-1 Form from the Main Menu.
This will direct you to another menu to select the various S-1 sections.
● To complete the C-1 Form, chose C-1 Form from the Main Menu.
This will direct you to another menu to select the various C-1 sections.
● After completing the S-1 and C-1 Forms, view the summary data on the Budget Recommendation Summary by
choosing Budget Recommendation Summary from the Main Menu.
● The Budget Recommendation Summary Sheet (BRS) is used by DPB to compare the agency-proposed
budget/scope to the budget and scope recommendations made by DGS/BCOM.
● It is important to provide complete data in the S-1 and C-1 forms as the summary data from these forms is
carrried forward to the Budget Recommendation Summary Sheet. ( It is especially important to complete
Part K of Form C-1 to credit prior funds from the amount requested in the proposed project budget. )
● Verify the "Agency Request" column on the Budget Recommendation Summary (BRS) is correct.
Click on the "Budget Recommendation Summary" menu to view or print the BRS.
If any agency data on the BRS is incorrect, correct the source data on the S-1 and C-1 forms.
The BRS form may not be edited directly.
Printing the S-1 and C-1 Forms
● Individual parts/sections may be printed by clicking on the printer icon while a specific section is
displayed on screen.
● To print the complete S-1, C-1, and Budget Recommendation Summary forms, select
Print Forms form the Main Menu.
When Complete
● E-mail the completed Excel "C-1_S-1.xls" file to the appropriate DPB email address.
( Do not send a pdf or paper version. The original Excel file must be submitted ! )
Basic Spreadsheet Navigation:
● The fields which will accept data input are highlighted in yellow ---->
● To move forward to the next field, press the tab key.
● To move backward to the previous field, hold down the shift key then press the tab key.
● The cursor keys or mouse may also be used to select a specific field for data entry.
Misc Instructions
● With the possible exception of Part D of Form S1, Space Requirements Information, it should
not be necessary to modify these forms. If additional lines are needed for the Space
Requirements section, do the following:
● Select Tools/Protection/Unprotect Sheet
● Insert additional rows as required
● Copy an existing row to the new rows to copy formulas into the new rows.
● Select Tools/Protection/Protect Sheet (Select OK. Leave the password blank.)
Still need help?
● For "content-related" questions, call (804)371-7541.
● For "software related" questions, call (804)371-7543.
● Alternatively, questions on both content and software may be emailed to:
capout@dgs.virginia.gov
S-1 (Scope Profile) Form
The table below identifies which Scope Profile (S-1) sections are required for each type of project.
To access a specific section, click on the links below.
Type of Project ?
Non-Building
Building Project ?
Project ?
New New (e.g., heating plant,
Construction Renovation Construction water treatment,
REQUIRED S-1 SECTION Only ? Only ? * & Renovation ? wastewater, etc.)
General Information Part A Part A Part A Part A
New Construction Information Part B Part B
Renovation Information Part C Part C
Existing Conditions/ Proposed Improvements Table C-1 Table C-1
Space Program * Part D Part D Part D
Gross Area Summary Part E Part E Part E
Sitework Information Part F Part F Part F Part F
Utilities Information Part G Part G Part G Part G
"Non-Building" Project Information Part H
* - "Renovation Only" projects which are comprised of only "Type B" renovation work, do not require a completed
Space Program (Part D) form. Part D, however, is required for projects which include new construction or "Type A"
renovation work. See definitions of "Type A" and "Type B" renovation work below.
What is meant by a "Type A" or a "Type B" renovation ?
"Type A" Renovation:
A renovation of a space which involves:
a change in Use or Occupancy as defined by the building code.
removal, relocation, or addition of any wall or fixed partition.
( A space program must be provided in Part D for all "Type A" renovation work. )
"Type B" Renovation:
Any other renovation scope not already included as a "Type A" renovation.
Examples include:
replacement in kind
ordinary repairs
cosmetic improvements
removal, addition, or alteration of mechanical, electrical, and plumbing systems
( A space program is not required for "Type B" renovation work. )
C-1 (Cost Profile) Form
The table below list the Cost Profile (C-1) section which are required for each project.
To access a specific section, click on its link below.
REQUIRED C-1 SECTIONS Link
General Information Part A
Acquisition Cost Part B
Building & Built-in Equipment Cost Part C
Comparable Project Pricing Part C1
Reference Guide Pricing Part C2
Sitework & Utilities Cost Part D
Comparable Project Pricing Part D1
Architechural & Engineering Fees Part E
Furnishings & Equipment Cost Part F
Construction Contingency Part G
Project Inspection Cost Part H
Other Costs Part I
Planning Only Cost Part J
Net Funding Requested Part K
Comments/Remarks Part L
PRINT MENU
DPB Form S-1
Virginia Department of Planning and Budget March 2007
PROJECT SCOPE PROFILE Biennium: 2008 - 2010
Date Prepared:
A. General Information
1. Agency Name: 2. Agency Code:
3. Project Title: 4. Agency Priority:
5. Name of Person to Contact about this Form:
6. Contact Person's Telephone Number:
7. Contact Person's E-mail Address:
8. Proposed Level of Quality for this Project: Good - average to above average quality
9. Current Level of Project Scope Definition: Conceptual - general definition of overall project scope only
B. New Construction Information
(Complete this section for new buildings & building additions.)
1. Description of Proposed Use (describe general functions/activities):
2. Basic Shape: 3. Number of Stories: 4. Height:
5. Exterior Walls:
6. Interior Walls:
7. Floor Finishes:
8. Ceilings:
9. Special Building Features and Rationalle for Each (e.g., atrium, skylights, monumental stair, etc.):
10. Special Building Mechanical Systems or Features:
11. Special Building Electrical Systems or Features:
DPB Form S-1 (Project Scope Profile)
C. Renovation Information
(Complete this section for renovations.)
1. Description of Present Use of existing space:
2. Description of Proposed Use of existing space:
3. Basic Shape: 4. Number of Stories: 5. Height:
6. Year Building was Constructed:
7. Summary of Existing Conditions (provide details in Table C-1):
8. Summary of Proposed Improvements (provide details in Table C-1):
9. Date of Building Condition Survey:
DPB Form S-1 (Project Scope Profile)
Table C-1
Existing Conditions/Proposed Improvements
Survey of Existing Conditions Affected
Building Needs Needs Needs Needs Description of Floor or
System No Minor Major To Be Proposed Roof
Work Repair Repair Replaced Improvements Area (SF)
1. Building 0% 0% 0% 0%
Foundation:
2. Building 0% 0% 0% 0%
Frame:
3. Supported 0% 0% 0% 0%
Floors:
4. Roof 0% 0% 0% 0%
Structure:
5. Roof 0% 0% 0% 0%
Membrane:
6. Exterior 0% 0% 0% 0%
Walls:
7. Window 0% 0% 0% 0%
Systems:
8. Doors and 0% 0% 0% 0%
Hard ware
9. Interior 0% 0% 0% 0%
Walls:
10. Interior 0% 0% 0% 0%
Finishes:
11. Domestic 0% 0% 0% 0%
Plumbing:
12. Mechanical 0% 0% 0% 0%
(HVAC)
13. Fire Sprinkler 0% 0% 0% 0%
Systems:
14. Electrical 0% 0% 0% 0%
Power:
15. Interior 0% 0% 0% 0%
Lighting:
16. Fire Alarm 0% 0% 0% 0%
Systems:
17. Security 0% 0% 0% 0%
Systems:
18. Other Systems (describe existing conditions & proposed improvements):
DPB Form S-1 (Project Scope Profile)
D. Space Program Information
- Complete this table for New Construction and "Type A" Renovation only.
- Do not include "Type B" Renovation in this table. ( Refer to Part E for a definition of "Type A" and "Type B" Renovations. )
- Do not list "non-assignable" spaces (e.g., corridors, lobbies, toilets, stairs, mechanical rooms, etc.) in this table.
- Non-assignable spaces are included in the total gross area by applying the building efficiency factors (Lines 3h and 3i).
- See the instructions for additional information.
NOTE: Building Efficiency Factors must be entered in Lines 3h and 3i at the bottom of this form to properly calculate total gross area.
a b c d e f g=exf h=g-i i
Required
Net Total Portion of Portion of
Special Number Square Net Area Net Area Net Area
Requirements/ of Number Feet (i.e., program- Which Is Which Is
Function/ Basis For Area Stations of Per assignable New "Type A"
Space Type Use Requirements or Users Spaces Space sq. footage) Construction Renovation
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
DPB Form S-1 (Project Scope Profile)
D. Space Program Information
- Complete this table for New Construction and "Type A" Renovation only.
- Do not include "Type B" Renovation in this table. ( Refer to Part E for a definition of "Type A" and "Type B" Renovations. )
- Do not list "non-assignable" spaces (e.g., corridors, lobbies, toilets, stairs, mechanical rooms, etc.) in this table.
- Non-assignable spaces are included in the total gross area by applying the building efficiency factors (Lines 3h and 3i).
- See the instructions for additional information.
NOTE: Building Efficiency Factors must be entered in Lines 3h and 3i at the bottom of this form to properly calculate total gross area.
a b c d e f g=exf h=g-i i
Required
Net Total Portion of Portion of
Special Number Square Net Area Net Area Net Area
Requirements/ of Number Feet (i.e., program- Which Is Which Is
Function/ Basis For Area Stations of Per assignable New "Type A"
Space Type Use Requirements or Users Spaces Space sq. footage) Construction Renovation
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
DPB Form S-1 (Project Scope Profile)
D. Space Program Information
- Complete this table for New Construction and "Type A" Renovation only.
- Do not include "Type B" Renovation in this table. ( Refer to Part E for a definition of "Type A" and "Type B" Renovations. )
- Do not list "non-assignable" spaces (e.g., corridors, lobbies, toilets, stairs, mechanical rooms, etc.) in this table.
- Non-assignable spaces are included in the total gross area by applying the building efficiency factors (Lines 3h and 3i).
- See the instructions for additional information.
NOTE: Building Efficiency Factors must be entered in Lines 3h and 3i at the bottom of this form to properly calculate total gross area.
a b c d e f g=exf h=g-i i
Required
Net Total Portion of Portion of
Special Number Square Net Area Net Area Net Area
Requirements/ of Number Feet (i.e., program- Which Is Which Is
Function/ Basis For Area Stations of Per assignable New "Type A"
Space Type Use Requirements or Users Spaces Space sq. footage) Construction Renovation
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2. Net Area (i.e., program assignable area): - - -
3h 3i
3. Building Efficiency Factor (i.e., ratio of net to gross area):
(Refer to the CPSM for Guideline Building Efficiency ratios.)
4h 4i
4. Gross Area (Net Area divided by Bldg Efficiency Factor): #DIV/0! #DIV/0!
DPB Form S-1 (Project Scope Profile)
E. Gross Area Summary
(Complete this section for all building projects.)
NOTE: See bottom of this form for definition of "Renovation Types A and B".
1. Tabulation of TOTAL PROJECT AREA:
a. "Type A" Renovation ( from Part D, Line 4i ) #DIV/0!
b. "Type B" Renovation ( 1c - 1a. If "error", complete 1c below.) #DIV/0!
c. Total Renovated Area (must be entered manually)
d. Total New Construction Area ( from Part D, Line 4h ) #DIV/0!
e. TOTAL PROJECT AREA (1c + 1d ) #DIV/0!
If the Total Renovated Area and the Total New Construction Area
values above do not match the values listed on the H-1 Form,
explain the reason for the difference on the Project Justification form.
2. Tabulation of TOTAL BUILDING AREA:
a. Total Renovated Area ( 1c above )
b. Existing Bldg Area Not Renovated ( 2c - 2a. If "error", complete 2c )
c. Total Building Area prior to this project (must be entered)
d. Total New Construction Area ( 1d above ) #DIV/0!
e. TOTAL BUILDING AREA after this project ( 2c + 2d ) #DIV/0!
Definition of "Renovation Type"
"Type A" Renovation
A renovation of a space which involves:
a change in Use or Occupancy as defined by the building code.
removal, relocation, or addition of any wall or fixed partition.
( A space program must be provided in Part D for all "Type A" renovation work. )
"Type B" Renovation
Any other renovation scope not already included as a "Type A" renovation. Examples include:
replacement in kind
ordinary repairs
cosmetic improvements
removal, addition, or alteration of mechanical, electrical, and plumbing systems
( A space program is not required for "Type B" renovation work. )
DPB Form S-1 (Project Scope Profile)
F. Sitework Information
(Complete this section for all projects. Describe features and
and requirements that may affect project cost.)
1. Location:
2. Special site conditions:
3. Soil conditions/special foundation requirements:
4. Topography:
5. Roads and parking:
6. Landscaping:
7. Existing buildings or structures:
8. Other:
DPB Form S-1 (Project Scope Profile)
G. Utilities Information
(Complete this section for all projects. Describe utility availability and
requirements and features that may affect project cost.)
1. Electrical distribution:
2. Area lighting:
3. Mechanical distribution:
4. Water lines:
5. Sanitary lines:
6. Storm water management:
7. Other:
DPB Form S-1 (Project Scope Profile)
H. Non-Building Project Information
(Complete this section for all "non-building" projects, e.g., central boiler plants,
steam tunnels, water treatment plants, surface parking lots, etc.)
1. Type of project:
Quantity Quantity Units
2. System size or other significant quantities:
(e.g., tons, mbh, lineal feet, mgd, etc.)
3. Description of purpose:
4. Description of work:
5. Description of existing conditions:
6. Relationship to other projects:
DPB Form C-1
Virginia Department of Planning and Budget March 2007
PROJECT COST PROFILE Biennium: 2008 - 2010
Date Prepared:
A. General Information
1. Agency Name: 2. Agency Code:
3. Project Title: 4. Agency Priority:
5. Proposed Construction Bid Date (mm/dd/yyyy):
6. Current Level of Project Cost Definition: Conceptual/order-of-magnitude estimate
7. Proposed Construction Procurement Method: Design/Bid/Build - Agency Managed
B. Acquisition Cost
1. Proposed budget for Acquisition Cost …………………………………………………….
2. Identify method used to develop proposed acquisition budget:
a. Comparative property costs ( i.e., based on similar properties ). Complete Item 4.
b. Negotiated price. Attach sales agreement.
c. Appraisal. Attach copy.
d. Other. Describe:
3. Itemize proposed acquisition costs:
a. Proposed purchase price:
b. Appraisals:
c. Surveys:
d. Environmental/hazardous material assessments:
e. Escalation (date escalated to: )
f. Other (list):
g. Total proposed acquisition budget $ -
4. List comparative properties & associated cost per acre or square foot.
Page 17 of 29
C. Building and Built-in Equipment
1. Proposed budget for Building and Built-in Equipment …………………………………..
2. Identify method used to develop proposed building and built-in equipment budget:
a. Comparative project costs (i.e., based on similar projects). Complete Table C-1.
b. Reference guide pricing (Means, Marshall & Swift, Tradeline, etc.). Complete Table C-2.
c. Schematic phase estimate. Attach complete copy of estimate.
d. Preliminary phase estimate. Attach complete copy of estimate.
e. Other. Complete Item 3.
3. If budget was developed using another method, describe the method used below, and attach
supporting details:
Page 18 of 29
Table C-1
Complete This Table For Building & Built-in Equipment Budgets Developed Using Comparative Projects
Comparative Project
PROJECT #1 #2 #3
a. Project title:
b. Owner:
c. Project location:
d. Construction contract award date:
COMPARATIVE PROJECT SCOPE
e. Gross area (GSF):
f. Key quantity (i.e., # of beds, cells, spaces, ...):
COMPARATIVE PROJECT COST
g. Construction contract award amount:
h. Building & built-in equipment amount:
i. Building & built-in equipment cost/GSF ( h/e ) :
j. Proposed project's gross area:
k. Subtotal cost, adjusted for size ( i x j ):
l. Escalation to proposed construction bid date:
m. Subtotal, adjusted for escalation ( k + l ) :
n. Other cost adjustments. Describe in (p) below:
o. Total comparative cost ( m + n ):
p. Itemize adjustments (plus or minus) to the comparative project's building & built-in equip't cost to make it comparable in
scope, location, complexity, etc. to the proposed project.
#1
#2
#3
Page 19 of 29
Table C-2
Complete This Table For Building & Built-in Equipment Budgets Developed Using Reference Guide Pricing
Reference Guide
REFERENCE GUIDE #1 #2 #3
a. Reference guide used (e.g., R.S. Means, M&S, etc.)
b. Reference guide volume (e.g., "Means SF Costs" )
c. Reference guide data date (e.g., Jan. 2002)
d. Reference guide page number:
e. Reference guide item (e.g., 5-10 story office)
REFERENCE GUIDE COST
f. Construction cost per gross square foot:
g. Building & built-in equipment cost per GSF:
h. Proposed project's gross area:
i. Subtotal cost, adjusted for size ( g x h ):
j. Escalation to proposed construction bid date:
k. Subtotal, adjusted for escalation ( I + j ) :
l. Other cost adjustments. Describe in (n) below:
m. Total comparative cost ( k + l ):
n. Itemize adjustments (plus or minus) to the comparative project's building & built-in equip't cost to make it comparable in
scope, location, complexity, etc. to the proposed project.
#1
#2
#3
Page 20 of 29
D. Sitework and Utilities
1. Proposed budget for Sitework and Utilities ………………………………………………
2. Identify method used to develop proposed sitework and utilities budget:
a. Comparative project costs (i.e., based on similar projects). Complete Table D-1.
b. Percent of building cost. Complete Item 3.
c. Schematic phase estimate. Attach complete copy of estimate.
d. Preliminary phase estimate. Attach complete copy of estimate.
e. Other. Complete Item 4.
3. If budget was developed as a percent of building & built-in equipment cost, complete the following table.
List each data source (i.e., smilar project or reference guide) that was used:
Data Source's
Sitework & Utilities List Major Differences in
Data Source Name Cost as a % of Building & Sitework and Utilities Scope between the
(list project or other reference) Built-in Equipment Cost Data Source and the Proposed Project
a. Percentage rate proposed based on above data sources:
b. Proposed building & built-in equipment budget (from Section C, item 1): $ -
c. Total proposed sitework & utilities budget ( a x b ): $ -
4. If budget was developed using another method, describe the method used below, and attach
supporting details:
Page 21 of 29
Table D-1
Complete This Table For Sitework & Utilities Budgets Developed Using Comparative Projects
Comparative Project
PROJECT #1 #2 #3
a. Project title:
b. Owner:
c. Project location:
d. Construction contract award date:
COMPARATIVE PROJECT SCOPE
e. Gross area (GSF):
f. Key quantity (i.e., # of beds, cells, spaces, ...):
COMPARATIVE PROJECT COST
g. Construction contract award amount:
h. Sitework & utilities amount:
i. Escalation to proposed construction bid date:
j. Subtotal, adjusted for escalation ( h + i ) :
k. Other cost adjustments. Describe in (m) below:
l. Total comparative cost ( j + k ):
m. Itemize adjustments (plus or minus) to the comparative project's sitework & utilities cost to make it comparable in
scope, location, complexity, etc. to the proposed project.
#1
#2
#3
Page 22 of 29
E. Architectural and Engineering Fees
1. Proposed budget for Architectural and Engineering Fees (from Item 5 below) …… $ -
2. Identify method used to develop proposed budget for architectural and engineering fees:
a. Negotiated price.
( Attach contract or memorandum of understanding and complete Item 4 below. )
b. Percent of construction cost.
( Complete Item 4 below. )
c. Detailed estimate (tasks and man-hours).
( Attach DGS Form CO-2.3 or similar breakdown and complete Item 4 below. )
d. Other.
( Complete Items 3 and 4 below. )
3. If budget was developed using another method, describe the method used below and attach
supporting details:
4. A/E Fee Summary. (Complete this table regardless of method used to compute A/E fees):
Proposed Fee Fee as a Percent of
Amount Construction Cost
a. Fee amount for design phase services: #DIV/0!
b. Fee amount for bidding, construction & closeout #DIV/0!
services:
c. Fee amount for additional services: #DIV/0!
d. A/E reimbursable expenses: #DIV/0!
e. A/E site visit expenses: #DIV/0!
f. Total proposed budget for architectural & engineering #DIV/0!
fees (a+b+c+d+e):
Page 23 of 29
F. Loose Furnishings and Equipment
1. Proposed budget for Loose Furnishings and Equipment ……………………………….
If $0, will Equipment Funds be sought in future ?
2. Identify method used to develop proposed budget for loose furnishings and equipment:
a. Itemized and priced list of furnishings and equipment requirements. Attach copy.
b. Percent of building & built-in equipment cost. Complete Item 3.
c. Dollars per square foot of building area. Complete Item 4.
d. Other. Complete Item 5.
3. If budget was developed as a percent of building & built-in equipment cost, complete the following table.
List each data source (i.e., smilar project or reference guide) that was used:
Data Source's
Loose Furnishings &
Equipment Cost as a % List Major Differences in Furnishings
Data Source Name of Building and Built-in and Equipment Scope between the
(list project or other reference) Equipment Cost Data Source and the Proposed Project
a. Percentage rate proposed based on above data sources:
b. Proposed building & built-in equipment budget (from Section C, item 1): $ -
c. Total proposed loose furnishings and equipment budget ( a x b ): $ -
3. If budget was developed using dollars per gross square foot of bldg area, complete the following table.
List each data source (i.e., smilar project or reference guide) that was used:
Data Source's Loose
Furnishings & Equipment List Major Differences in Furnishings
Data Source Name Unit Cost per and Equipment Scope between the
(list project or other reference) Gross Square Foot Data Source and the Proposed Project
a. Proposed loose furnishings & equipment cost/sf based on above sources:
b. Proposed building gross area:
c. Total proposed loose furnishings and equipment budget ( a x b ): $ -
5. If budget was developed using another method, describe the method used below, and attach
supporting details:
Page 24 of 29
G. Construction Contingency
1. Proposed budget for Construction Contingency ………………………………………… $ -
2. Construction contingency is allowed at 2%.
a. Proposed building and built-in equipment budget (Section C, Item 1):
b. Proposed sitework and utilities budget (Section D, Item 1):
c. Proposed construction budget ( a+b):
d. Proposed construction contingency ( 2% x c )
3. Additional contingency beyond the standard 2% allowance will only be granted for exceptional
conditions that have a high probability of severely impacting the proposed project budget. If such
conditions exist on this project, describe the conditions below and document, in detail, the method used
to calculate the additional contingency allowance. Include this allowance as a line item in the Other
Cost Section ( Section I ).
Page 25 of 29
H. Project Inspection
NOTE: IF PROJECT INSPECTION WILL BE PERFORMED BY PERSONNEL WHO ARE
FUNDED WITHIN THE AGENCY'S OPERATING BUDGET, DO NOT INCLUDE THESE
EXPENSES IN THE PROPOSED CAPITAL BUDGET BELOW.
1. Proposed budget for Project Inspection …………………………………………………..
2. Identify method used to develop proposed budget for project inspection expense:
a. Estimate. Complete Item 3.
b. Percent of construction cost. Complete Item 4.
c. Other. Complete Item 5.
3. If inspection budget was estimated, complete the following table:
a. Number of months inspection services will be required:
b. Number of inspectors required:
c. Percent of inspectors' time allocated to this project:
d. Equivalent man-months ( a x b x c ):
e. Rate per man-month:
f. Total proposed project inspection budget ( d x e ): $ -
4. If inspection budget was developed as a percent of total construction cost, complete the following table.
List each data source (i.e., smilar project or reference guide) that was used:
Data Source's
Inspection Expence List Major Differences in the Scope
Data Source Name as a % of of Inspection Services between the
(list project or other reference) Total Construction Cost Data Source and the Proposed Project
a. Percentage rate proposed based on above data sources:
b. Proposed construction budget (from Section G, Item 2.c): $ -
c. Total proposed sitework & utilities budget ( a x b ): $ -
5. If budget was developed using another method, describe the method used below, and attach
supporting details:
Page 26 of 29
I. Other Costs
NOTE: IF PROJECT MANAGEMENT, "WORK BY OWNER", OR OTHER TASKS BELOW WILL
BE PERFORMED BY PERSONNEL WHO ARE FUNDED WITHIN THE AGENCY'S OPERATING
BUDGET, DO NOT INCLUDE THESE EXPENSES IN THE PROPOSED CAPITAL BUDGET BELOW.
1. Proposed budget for Other Costs (from Item 2p, Column 1 below) ………………… $ -
2. Itemize Other Costs:
Note: With the exception of "Special Consultants", Portion To Be
all other A/E Fees, A/E Reimbursables, A/E Travel, Expended During
and A/E Additional Services should be included The Planning Phase
in Section E, Architectural and Engineering Fees. Total (i.e., during the
Amount Design Phase)
Other Cost Category (Column 1) (Column 2)
a. Agency Project Management (see note above):
b. Special Consultants ( if not included in A/E Fees):
c. Asbestos & Lead Base Paint Survey and Design:
d. Asbestos Abatement: *
e. Independent Cost Estimates:
f. Value Engineering:
g. Subsoil Investigations:
h. Construction Testing Services:
i. Printing:
j. Advertisements:
k. Work By Owner (see note above):
l. Signage:
m. Miscellaneous Utility Charges: *
n. Moving Expenses:
o. Miscellaneous Other Costs (itemize):
BCOM Review Services
p. Total proposed budget for other costs:
* - Do not include in "Other Costs" if already included in "Construction Cost".
3. Provide supporting budget development detail for every Other Cost category above exceeding $100,000
(describe the method used to develop the proposed budget amount and show calculations):
Page 27 of 29
DPB Form C-1 (Project Cost Profile)
J. Planning Costs
1. Proposed budget for Planning Costs (from Item 2c below) ………………………….. $ -
2. Planning cost summary:
a. A/E fee amounts which will be expended during the design phase:
( Include appropriate costs from Section E, Item 5 )
b Other Costs which be expended during the design phase: + $ -
( Cost from Section I , Item 2(p), Column 2 )
c. Total proposed "planning only" budget ( a + b): $ -
K. Net Funding Requested
1. Total proposed project budget $ -
(summary of costs entered in Parts A through I of this form)
2. Total prior appropriated funds included in proposed project budget: -
3. Net additional funding requested this session ( Line K1 - Line K2 ): $ -
L. Comments / Remarks
Page 28 of 29
DPB Form BRS (Budget Recommendation Summary)
2008 - 2010 BIENNIUM
BUDGET RECOMMENDATION SUMMARY
Agency Num: Agency Priority:
Project Num: DGS/BCOM Reviewer:
Agency: Recommendation Date:
Project Title:
Description: Proposed Bid Date:
SCOPE SUMMARY DOCUMENTATION
(project areas quantified in square feet) (quality of project definition provided by agency)
Agency BCOM Form S-1 Form C-1
Proposal Recommendation Scope Profile Cost Profile
Project Gross Area (square feet) not provided
New Construction #DIV/0! poor
Renovation (All) - fair / good
Total Gross Area #DIV/0! - very good
Building Efficiency Ratio The Building Efficiency Ratio represents
New Construction Net Area (i.e., program-assignable area) as a %
Renovation (Type A) of total Gross Area. It is a measure as to how
efficiently space is utilized in the building design.
COST SUMMARY COST RATIOS
Agency BCOM Agency BCOM
Cost Category Proposal Recommendation Proposal Recom. Quantity Units
Building & Built-in Equipment - #DIV/0! $ - per square foot
Utilities & Sitework - of construction cost
TOTAL CONSTRUCTION COST $ - $ - #DIV/0! $ - per square foot
A/E Fees - - of construction cost
Project Inspection - - of construction cost
Furnishings/Movable Equipment - - of construction cost
Other Costs - - of construction cost
Construction Contingency - - of construction cost
Land Acquisition - -
TOTAL PROJECT COST $ - $ - of construction cost
LESS: Prior funding incl'd above - - - < Note to DPB Analyst: Please verify prior
NET FUNDING RECOMMENDED $ - $ - funding and adjust net funding as required.
REMARKS
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