NAVY MORALE, WELFARE AND RECREATION

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					Dec 08




     NAVY MORALE, WELFARE AND RECREATION

NONAPPROPRIATED FUND CAPITALIZATION PROGRAM

          INTERNAL NEEDS VALIDATION STUDY



         PROJECT NOMINATION PACKAGE

    Project Title: ______________________

    Installation: _______________________

    Region: __________________________

    CC Group/CCs: ____________________
Dec 08



        NONAPPROPRIATED FUND (NAF) PROJECT SUMMARY SHEET
              INTERNAL NEEDS VALIDATION STUDY (INVS)
PROJECT TITLE:_________________________________________________________________

INSTALLATION:__________________________________________________________________

COST CENTER GROUP/COST CENTERS: ____________________________________________

BRIEF DESCRIPTION:_____________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

TOTAL PROJECT INVESTMENT COST: _______________               (inclusive of Design, Equipment,
                                                              SIOH, PCAS, etc.)

MWR PROGRAM OR ACTIVITY CATEGORY: B _____ C _____ COMBINATION _______

Explain mix/relationship of the Combination Project: A ______ %, B _____ % and C _____ %:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

DATE PROJECT FORWARDED TO CNIC MILLINGTON DETACHMENT: ____________________

IS NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) DOCUMENTATION COMPLETE?

YES ____ NO____ SPECIFY CURRENT STATUS:_____________________________________
________________________________________________________________________________
________________________________________________________________________________

SITE APPROVAL RECEIVED? YES ____ NO ____ SPECIFY CURRENT STATUS:




DOES SITING ALLOW FOR MINIMUM SEPARATION DISTANCES FOR ANTI-TERRORISM
FORCE PROTECTION? YES ____ NO _____ COMMENTS:




INVS RELATIVE NEEDS SCORE: _____________ (from PART V)

CONSIDERATION OF ALTERNATIVE FUNDING OPPORTUNITIES (Discuss alternatives, such as:
public-private ventures (PPV’s), contracted services, and/or other arrangements and how they were
considered. DODINST 7700.18 and DODINST 1015.13 require PPV consideration for all Category
C projects costing over $1M. These instructions allow for some exceptions. If PPV is not being
considered, please explain why not.):




                                               2
Dec 08
      PART I: PROJECT DEFINITION/EXISTING FACILITY ANALYSIS
        (Area of Responsibility: Public Works/Base Facilities Representatives)

PROJECT TITLE: _______________________________________________

INSTALLATION: ________________________________________________

A. PROJECT DEFINITION (Narrative Description, Include description of existing
   facilities, type of construction desired, reason for project, please be thorough):
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

1. PROPOSED SCOPE:        ________ ___________________
                          Quantity  Unit of Measurement (SF, Lanes, Holes, Slips, etc.)

2. PROJECT COST DATA
    a.  Construction:                                         $__________
    b.  Repair:                                               $__________
        Subtotal                                                     $__________
    c.  ATFP (1% - 3%):                                       $__________
    d.  LEEDS 7 EP Act 05 (7% of Construction cost)           $__________
    e.  Supporting Facilities (Lump Sum)                      $__________
        Subtotal                                              $__________
    f.  A/E DESIGN (8% Cons., 10% Repair/Comb.):              $__________
        Subtotal                                              $__________
    g.  Contingencies (5% for Cons., 10% for Repair Portion): $__________
        Subtotal                                             $__________
    h.  SIOH (5.7% CONUS, 6.2% OCONUS) :                     $__________
    i.  PCAS (2.75%):                                        $__________
    j.  Construction Cost                                    $__________
    k.  RFP Preparation/Site Investigation (3% of subtotal): $__________
    l.  Collateral Equipment (FF&E):                         $__________
    m.  ESTIMATED TOTAL INVESTMENT COST:                      $__________

   Remarks: ____________________________________________________________________
   ____________________________________________________________________________

3. IS A WAIVER TO THE FUNDING SOURCE REQUIRED? (e.g., MILCON / O&M,N /ERN eligible
   in whole or in part): ( ) YES ( ) NO DODINST 1015.10 and 1015.15 provide guidance.
   Describe waiver requirement (attach justification):
   ____________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________

B. List any MILCON, APF, NAF, or ERN funded companion projects:
 FY   FUND    PROJECT TITLE / # / DESCRIPTION             COST STATUS
 __   _____   ______________________________________      ______ ______________________
 __   _____   ______________________________________      ______ ______________________
 __   _____   ______________________________________      ______ ______________________

                                             3
Dec 08


C. EXISTING FACILITY ANALYSIS:
      (Reproduce this sheet to include an analysis for each facility involved in the proposed
      project - use only one score per question when determining Part I score regardless of the
      number of sheets used. If no facility exists, enter “N/A” for items b, c, d, and e, in
      question 2 below.)

      1. EXISTING FACILITY NUMBER: _______                  (e.g., 127, 2941, S-49, etc.)

      2. SUSTAINMENT INVESTMENT HISTORY (Maintenance and repairs to the existing
         facility during last 5 years):

                                       Investment          DESCRIPTION OF ACTIONS
                                         ($000)
Current Fiscal Year To Date (FY 1)
Last Complete Fiscal Year (FY 0)
Previous Fiscal Year (FY minus1)
Next Previous Year (FY minus2)
Second Previous Year (FY minus3)


      3. Circle the appropriate response for each of the questions below. All column "C",
         "D" and “E" responses must be explained in detail in section E - Justification,
         or on an attached sheet.

                                                A                   B               C            D        E
 a.        CONSTRUCTION TYPE              PERMANENT              SEMI-        TEMPORARY     TEMPORARY/   N/A
                                             1 pt.            PERMANENT          4 pts.       WOOD
             (existing facility)                                 2 pts.                        6 pts.
 b.           CONDITION CODE               ADEQUATE              SUB-         INADEQUATE    CONDEMNED    N/A
                                             2 pts.            STANDARD          6 pts.        8 pts.
               (existing facility)                               4 pts.
 c.       FACILITY AGE IN YEARS               0-10               11-25            26-46        46+       N/A
                                              0 pts.             2 pts.           6 pts.      10 pts.
 d.     YEARS SINCE LAST APF OR
        NAF PROJECT OVER $200K                 1-5                 6-10           10-15         >15      N/A
         WAS ACCOMPLISHED ON                  0 pts                2 pt.          4 pts.       6 pts.
             THIS FACILITY

D. SCORING: (Maximum score for Part I is 30 points.)
      Total of answers selected (no more than four scores may be counted, one for each question)

             Part I Total Score =_______ Points

E. JUSTIFICATION: (Include comments that would clarify/expand upon information above.)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

F. INSTALLATION HOUSING:


                                                       4
Dec 08
Family Housing                       Bachelor Quarters                         Navy Lodge and
                                                                               Recreation Accommodations
Officer Units:                       Officer Units:                            Navy Lodge:
Enlisted Units:                      Enlisted Units:                           MWR Cabins:
PPV Housing:                         Average population (crew) of              MWR Motel:
                                     ships in port:


G. PLANNING STATUS: Completion of this section is required to ensure all necessary
      permits, studies, and/or approvals have been identified, completed, or received prior to
      subsequent project programming. Planning staff completing this form should be aware that
      most projects are executed using a Design-Build execution strategy whether executed by
      CNIC or by NAVFAC. Neither 35% nor final design information will be available before
      construction contract award. Completion of planning action cannot be made contingent upon
      design or design review. If any items are outstanding, a plan of action and milestones is
      requested for coordination with the Construction Contracting Coordinator. Please forward a
      completed form to CNIC (N944D) as soon as possible. Your assistance is appreciated.

  1. Site Approval:

   Date Requested               Date Approved                 Date Approved by         Date Site Approval
                                   Locally                         EFD/A                    Expires




Status of Site Approval: __________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

  2. Anti-Terrorism/Force Protection (ATFP): Does proposed facility siting meet minimum
     standoff distances for each of the following criteria?

Controlled Perimeter            Parking and              Trash Containers        Building Separation
                                 Roadways
Yes                 No    Yes                 No        Yes               No     Yes               No


   If this is a repair or renovation project, will the cost of the project trigger ATFP and will the
facility require hardening? _________________________________________________________

______________________________________________________________________________


  3. National Environmental Policy Act (NEPA) Documentation:

Categorical Exclusion?            Yes                           No     Date Granted:

Environmental Assessment          Yes         N/A               No
Required?                                                              Date Completed:
Finding of No Significant
Impact (FONSI)?                   Yes         N/A               No     Date Approved:
Environmental Impact              Yes         N/A               No
Statement?                                                             Date Approved:

Status of NEPA documentation (not “will be done during design”)(Attach copy if
completed):____________________________________________________________________

                                                    5
Dec 08
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

4. State Historic Preservation Office Consultation:

Completed with no action        Yes        N/A        No     Date Completed:
required?
Completed with guidelines                                    Date Completed:
for execution agreed upon?      Yes        N/A        No

Current status and project execution guidelines:________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


  5. Archeological Survey:

Survey Completed with no        Yes                   No     Date Completed:
findings?
Survey Completed with                                        Date Completed:
Resources to be Protected?      Yes          N/A      No

Current status and project limitations: _______________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

  6. Wetlands:

Wetlands Delineated?            Yes                   No     Date Completed:

Wetlands Affected?              Yes          N/A      No     Acres:

Permit in Hand?                 Yes          N/A      No     Date Approved:


Status of Wetlands Delineation or Permit: ____________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

  7. Coastal Zone Management (CZM):

Is Coastal Zone Management Act                         Yes                No
applicable to this project site?
Is proposed use consistent with the                    Yes                No
approved state CZM Plan?

Current status of CZMA planning (List restrictions on construction or special construction
requirements): __________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


                                                 6
Dec 08

 8. Floodplain Planning:

Does this project site fall within the 100                Yes                  No
year floodplain?
Will the proposed occupancy or
modification adversely impact the                         Yes                  No
floodplain?
Is there any other practicable alternative to             Yes                  No
the proposed project?
The proposed project may proceed subject                  Yes                  No
to the restrictions listed below.

Status of Floodplain Planning/Restrictions on Development (List restrictions on construction or
special construction requirements):__________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 9. Endangered/Threatened Species Survey:

Survey Completed with no       Yes                      No      Date Completed:
species of concern?
Survey Completed with          Yes                       No     Date Completed:
Endangered/Threatened
Species Found?

Current status and restrictions: _____________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 10. Emergency Planning and Community Right-to-Know Act:

Will the proposed project involve the use
of insecticide, fungicide and rodenticide so
that Federal Insecticide, Fungicide,                      Yes                  No
Rodenticide Act and EPCRA compliance is
necessary (e.g., golf courses and
restaurants)?
Will the proposed project involve the use
of toxic or Extremely Hazardous
Substances (EHS) so that Toxic                            Yes                  No
Substances Control Act and EPCRA
compliance is required (e.g., chlorine for
swimming pools)?

Status of possible EPCRA actions: __________________________________________________
______________________________________________________________________________
______________________________________________________________________________


 11. Comprehensive Environmental Response, Compensation, and Liability Act:

Has an Environmental Baseline Study
(EBS) been completed on the project site?                 Yes                  No
Were Oil or Hazardous Substances (OHS)

                                                7
Dec 08
identified as stored, released, or disposed             Yes                  No
of on the site in the threshold quantities?
Is a remedial action required?                          Yes                  No
Has a remedial action been funded or                    Yes                  No
programmed?
Is the site clean and free of OHS?                      Yes                  No

Status of EBS or remedial actions:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


 12. Required Permits (e.g., stormwater, NPDES, Army Corps of Engineers, air, wastewater
     construct/operate, water construct/operate, dig, etc.):

Permits required for this project:   Permitting Agency (ies):      Time to Obtain Permit




Status and timing of permitting process:______________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 13. Lead-Based Paint:

Lead-based Paint Survey        Yes                    No        Date Completed:
Complete?
Lead-based Paint Removal       Yes                    No        Date Completed:
or Encapsulation Required?

Status of Lead-based Paint Survey/Correction: ________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 14. Asbestos:

Asbestos Survey and            Yes                    No        Date Completed:
Testing Complete?
Removal or Encapsulation       Yes                    No        Date Completed:
Required?

Status of Asbestos Survey and Removal:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


                                              8
Dec 08
 15. Underground Storage Tanks (UST’s)

UST Survey Complete            Yes                    No      Date Completed:

UST Removal Required?          Yes                    No      Date Completed:


Status of UST Survey/Removal: ____________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 16. Site Preparation:

Clearing/Logging               Yes          No                Date Completed:
Required?
Demolition of Existing         Yes          No                Date Completed:
Facilities Required?

Status of Site Preparation (Note that demolition and environmental clean-up are APF-eligible
and may not be funded from NAF.): _______________________________________________
______________________________________________________________________________
______________________________________________________________________________

 17. Survey Data for Approved Site:

Topographic Data exists?       Yes     No   Date of Data:           Data Format:

Site Utility Drawings          Yes     No   Date of Drawings:       Drawing Format:
Available?
Aerial Photo Available         Yes     No   Date of Photo:          Photo Format:

Soils Data                     Yes     No   Date of Data:           Data Format:


Explanatory Comments: __________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 18. Utilities Availability:

Electric Power                                              Yes           No
   Distance (in feet)
   Spare Transformer Capacity (in KVA)
   Distribution Line Capacity for added
   Transformer for this project
Natural Gas                                                 Yes           No
   Distance (in feet)
Water                                                       Yes           No
   Distance (in feet)
   Pressure (in psi)
   Quantity (in GPM)
   Is water from this source
   available in the quantity
   needed by the proposed                                   Yes           No
   project?

                                             9
Dec 08
Sewer Connection                                             Yes             No
   Distance (in Feet)                                        Yes             No
   Adequate Capacity to serve                                Yes             No
   the proposed project?
   Will a new lift station (s) be required?                  Yes             No
     If, yes, how many estimated?
Telephones                                                   Yes             No
   Distance (in feet)
   Adequate Lines?                                           Yes             No
Cable Television needed?                                     Yes             No
   Distance (in feet)
Steam                                                        Yes             No
   Distance (in feet)
   Adequate Capacity?                                        Yes             No

Status of Utilities Planning: ________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

  19. Fire Protection Requirements

Will this project require
extension or modification to       Yes                  No         Cost Estimate: ____________
fire main?
Will this project require a
new smoke/fire detection           Yes                  No         Cost Estimate: ____________
system?
Will this project require a fire
suppression system?                Yes                  No         Cost Estimate: ____________

Will addition or extension of
any fire protection system
into spaces not directly           Yes                  No         Cost Estimate: ____________
involved in this project be
required?
Are there any other fire
protection/prevention              Yes                  No         Cost Estimate: ____________
concerns?
What smoke/fire detection
reporting system is used?


Status/Explanation of Requirements (include specific NFPA/UFC/MIL HDBK reference): _________
________________________________________________________________________________
________________________________________________________________________________

  20. Seismic Construction Requirements:

Is seismic retrofit of an existing facility
required as part of this project?                          Yes                    No
Is any portion of a facility not used by MWR
involved in the retrofit requirement?                      Yes                    No
What seismic acceleration factor is required    Acceleration Factor:
for this project location?


                                               10
Dec 08
Status/Explanation of Requirements: _________________________________________________
________________________________________________________________________________
________________________________________________________________________________

  21. Americans with Disabilities Act (ADA):

Does an existing building require ADA retrofit
as part of this project?                                   Yes                 No
What is the estimated cost of the required
retrofit?                                                  $

Status/Explanation of Requirements: ________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

  22. Regional Shore Infrastructure Plan:

Does project site comply with current
approved land use as shown in the                       Yes                   No
Regional Shore Infrastructure Plan
(RSIP)/Master Plan/?
Is this project listed in the current base
Capital Improvements Plan?                              Yes                   No

Explanation/Status of Master Plan and Capital Improvements Plan: __________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

  23. Facility Renovation:

Does this project renovate                                     Property Record Card No.:
an existing building?            Yes                  No
If yes, are as-built drawings
available?                       Yes                 No        Date of Drawings:
Are drawings available in                                      Format:
an electronic format?            Yes                 No

Explanatory comments: __________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

  24. Other:

Are there other planning                                       Date Completion Planned:
actions which could delay        Yes                  No
this project?
Are there any site problems                                    Date Correction Planned:
that could delay or result in    Yes                 No
cost increases?
Are soils conditions such                                      Requirement:
that special foundations or      Yes                 No
replacement of soils will be
required?

Status/explanation of other possible delays or problems: _________________________________

                                               11
Dec 08
______________________________________________________________________________
______________________________________________________________________________

H. INSTALLATION POINTS OF CONTACT:
SPONSORING INSTALLATION MWR/F&FR POC: ______________________________________

           TELEPHONE:(     ) __________________ DSN:____________________

           FAX: (   ) __________________________

           E-MAIL ADDRESS: ___________________________________________


SPONSORING BASE FACILITIES POC:__________________________________________

           TELEPHONE:(     ) _________________ DSN:____________________

           FAX: (   ) _______________________

           E-MAIL ADDRESS: ___________________________________________


I. PART I INFORMATION VERIFIED BY: ________________________ ___________
                                                PWO/SCE/FMO               Date




                                        12
Dec 08
               PART IIA: EXISTING FACILITY OPERATIONAL ANALYSIS
                       (Area of Responsibility: MWR/CYP/F&FR Department)

PROJECT TITLE: _______________________________________________

INSTALLATION: ________________________________________________

OVERVIEW: The Existing Facility Operational Analysis is used to evaluate the functionality of
the existing facility being used for this activity/program. It is expected to provide information
on both the current activity/program and how that activity/program will change as a result of
the proposed project.

A. ANALYSIS. Reproduce this sheet to include an analysis for each facility involved in the
       proposed project. Score only one score per question, regardless of the number of
       facilities involved. Use Part IIB if no current facility exists.

     1. FACILITY NUMBER: _______

     2. Circle the appropriate response for each of the questions below. All "C", "D" AND “E”
        responses must be explained in section C - Justification. Please note that
        questions a, b, c, and g require a calculation as part of the justification. ("<"
        means less than, and ">" means greater than.)

                                             A            B                 C             D         E
a.       PERCENT OF TIME THE
         FACILITY SIZE OR SCOPE           80+%          60+%             40+%          <40%         XX
         IS ADEQUATE                      2 pts.        4 pts.           6 pts.        8 pts.
b.       PERCENT OF TIME
         CUSTOMER PARKING IS              60+%           XX              <60%             XX        N/A
         ADEQUATE                         0 pts.                         1 pt.
c.       PERCENT OF TIME
         INTERIOR LAYOUT IS               80+%          60+%             40+%          <40%         N/A
         ADEQUATE FOR FACILITY            0 pts.        2 pts.           4 pts.        6 pts.
         OPERATION
d.       PROPOSED FACILITY                POOR       MARGINAL         ADEQUATE         GOOD         XX
         LOCATION                         0 pts.       2 pts.           3 pts.         4 pts.
e.       EXTERIOR APPEARANCE              GOOD       MARGINAL           POOR            XX          N/A
                                           1 pt.       2 pts.           3 pts.
f.       INTERIOR APPEARANCE              GOOD       MARGINAL           POOR              XX        N/A
                                           1 pt.       2 pts.           3 pts.
g.       PERCENT OF TIME
         FACILITY STORAGE IS              70+%           XX              <70%             XX        N/A
         ADEQUATE                         0 pts.                         1 pt.

B. SCORING: (The maximum score for Part IIA is 26 points.)
       Total of answers selected (no more than seven scores may be counted, one for each
       question)

                            Part IIA Total Score = _______ Points




                                                   13
Dec 08
C. JUSTIFICATION: (Include comments that would clarify/expand upon information
   above. Use a continuation sheet, if necessary.)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

D. CURRENT AND PROJECTED HOURS OF OPERATION AND
   AVERAGE CUSTOMERS PER DAY: (Reproduce this sheet for each
   activity/program in the proposed project.)

ACTIVITY/PROGRAM: ________________________________________________

                     CURRENT                          PROJECTED
DAY             HOURS NO. CUSTOMERS              HOURS NO. CUSTOMERS

SUNDAY         _______      _____________        _______    _____________
MONDAY         _______      _____________        _______    _____________
TUESDAY        _______      _____________        _______    _____________
WEDNESDAY      _______      _____________        _______    _____________
THURSDAY       _______      _____________        _______    _____________
FRIDAY         _______      _____________        _______    _____________
SATURDAY       _______      _____________        _______    _____________

TOTALS:        _______      _____________        _______    _____________

EXPLANATORY REMARKS:________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

E. CURRENT AND PROJECTED FEES AND CHARGES:
TYPE OF FEE                     CURRENT               PROJECTED
______________________         ____________          ____________
______________________         ____________          ____________
______________________         ____________          ____________
______________________         ____________          ____________
______________________         ____________          ____________
______________________         ____________          ____________
______________________         ____________          ____________
______________________         ____________          ____________

EXPLANATORY REMARKS:________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________




                                                14
Dec 08
                    PART IIB: NEW START OPERATIONAL ANALYSIS
                       (Area of Responsibility: MWR/CYP/F&FR Department)

PROJECT TITLE: ________________________________________________

INSTALLATION: _________________________________________________
OVERVIEW: The New Start Operational Analysis is intended to evaluate the effect the proposed
project would have on MWR facility usage, who the project will serve, how the fees compare with
equivalent civilian competition, and to provide a forecast for the future of the proposed
activity/program.

A. ANALYSIS. Complete this part for new start of activities/programs only, where an existing
       facility does not exist. If Part IIA was completed, do not complete this Part.

     1. Circle the appropriate response or fill in the blank for each of the questions below. All “C”,
        “D” and “E” responses must be explained in section C - Justification. Please note
        that question b requires a calculation as part of the justification. ("<" means less than,
        ">" means greater than.)

                                                  A          B           C           D           E
a.       NUMBER OF DIFFERENT                                                                    Not
         ACTIVITIES TO BE                        XX          2           3          4+        Possible
         COLLOCATED/BUNDLED                                2 pts.      4 pts.     6 pts.       0 pts.
b.       PERCENTAGE OF PATRON
         SURVEYS IDENTIFYING                   <10%       10-20%      21-40%       >40%      No survey
         REQUIREMENT                           0 pts.      4 pts.      7 pts.     10 pts.      0 pts.
c.       WILL THIS PROJECT REUSE
         AN EXISTING PERMANENT                  NO          XX          XX         YES           XX
         FACILITY?                             0 pts.                             2 pts.
d.       PROPOSED FACILITY                     POOR        MARG       ADEQ        GOOD           XX
         LOCATION                              0 pts.      2 pts.     3 pts.      4 pts.
e.       INDUSTRY/MARKET
         OUTLOOK FOR THE                       0-10         XX          XX         10+           XX
         PROPOSED PROGRAM (years)              0 pts.                             4 pts.

     2. EXISTING INFRASTRUCTURE AVAILABLE TO SUPPORT THIS PROJECT:
         PARKING _____________________ SPACES
         STORAGE ____________________ SF or CF
         EXTERIOR LIGHTING ___________________
         UTILITIES AT SITE (SPECIFY______________________________________________)
         OTHER _______ (SPECIFY_______________________________________________)
         OTHER _______(SPECIFY________________________________________________)

B. SCORING: (The maximum score for Part IIB is 26 points.)
      Total of answers selected (no more than five scores may be counted, one for each question)

                           Part IIB Total Score = _______ Points


C. JUSTIFICATION: (Include comments that would clarify/expand upon information above.
   Use a continuation sheet, if necessary.)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

                                                   15
Dec 08
_____________________________________________________________________________
_____________________________________________________________________________

D. PROJECTED HOURS OF OPERATION AND AVERAGE CUSTOMERS PER
   DAY: (Reproduce this sheet for each activity/program in the proposed project.)
ACTIVITY/PROGRAM ________________________________________________________

DAY            HOURS                    NO. OF CUSTOMERS
SUNDAY       ____________               ________________
MONDAY       ____________               ________________
TUESDAY      ____________               ________________
WEDNESDAY    ____________               ________________
THURSDAY     ____________               ________________
FRIDAY       ____________               ________________
SATURDAY     ____________               ________________

TOTALS:      ____________               ________________

EXPLANATORY REMARKS:______________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

E. PROJECTED FEES AND CHARGES:
TYPE OF FEE                      CHARGE
_____________________            _____________
_____________________            _____________
_____________________            _____________
_____________________            _____________
_____________________            _____________
_____________________            _____________
_____________________            _____________
_____________________            _____________
_____________________            _____________
_____________________            _____________

EXPLANATORY REMARKS: _____________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________




                                       16
Dec 08
                     PART III: FINANCIAL CONSIDERATIONS
                     (Area of Responsibility: MWR/QOL Department)

PROJECT TITLE: EXHIBIT ONLY, PLEASE USE EXCEL TEMPLATE

                                  FINANCIAL PLAN A

                  PROJECT TYPE:        ___________________
             INSTALLATION/FUND#:       ___________________
                 CC GROUP/CC #:        ___________________
                  PROJECT TITLE:       ___________________
COST                                      ECONOMIC USEFUL LIFE: ______
NAF CONSTR. PROGRAM
LOCAL FUNDING               _______
TOTAL INVESTMENT COST                              PROJECTIONS
                                           FY1     FY2  FY3    FY4   FY5     FY6
1. INCOME
       A. RESALE REVENUE                   _______________________________
       B. FEES/OTHER                       _______________________________
       C. OTHER                            _______________________________

      D. TOTAL INCOME

2. EXPENSES
       A. COGS                             _______________________________
       B. SALARIES/WAGES                   _______________________________
       C. DEPRECIATION                     _______________________________
       D. UTILITIES                        _______________________________
       E. SUPPLIES                         _______________________________
       F. MAINTENANCE                      _______________________________
       G. CONTRACTUAL                      _______________________________
       H. ALLOCATED COSTS                  _______________________________
       I. UFM OFFSET                       _______________________________
       J. OTHER                            _______________________________

      K. TOTAL EXPENSES                    _______________________________

3. NET PROFIT/LOSS

4. DEPRECIATION                            _______________________________
5. NET CASH FLOW

6. CAPITAL EXPENDITURES

7A. TOTAL NET CASH FLOW - PLAN A
7B. TOTAL NET CASH FLOW - PLAN B           _____

8. INCREMENTAL NET CASH FLOW

9. AVE. INCREMENTAL NET CASH FLOW          _____

10. COST                                   _____

11. SIMPLE INVESTMENT PAYBACK              _____

12. INTERNAL RATE OF RETURN (IRR)          _____

13. NET PRESENT VALUE (NPV)               _____


                                         17
Dec 08




         18
Dec 08
                             FINANCIAL PLAN B

                          PROJECT TYPE: ___________________
                     INSTALLATION/FUND#: ___________________
                         CC GROUP/CC #: ___________________
                          PROJECT TITLE: ____________________
      EXHIBIT ONLY, PLEASE USE EXCEL TEMPLATE
                                        ACTUALS           PROJECTIONS
                                       FY1    FY2   FY1 FY2 FY3 FY4 FY5
                                       ___________ __________________________
1. INCOME
       A. RESALE REVENUE               ___________ __________________________
       B. FEES/OTHER                   ___________ __________________________
       C. OTHER                        ___________ __________________________

      D. TOTAL INCOME

2. EXPENSES
       A. COGS                         ___________   __________________________
       B. SALARIES/WAGES               ___________   __________________________
       C. DEPRECIATION                 ___________   __________________________
       D. UTILITIES                    ___________   __________________________
       E. SUPPLIES                     ___________   __________________________
       F. MAINTENANCE                  ___________   __________________________
       G. CONTRACTUAL                  ___________   __________________________
       H. ALLOCATED COSTS              ___________   __________________________
       I. UFM OFFSET                   ___________   __________________________
       J. OTHER                        ___________   __________________________

      K. TOTAL EXPENSES                ___________   __________________________

3. NET PROFIT/LOSS

4. DEPRECIATION                        ___________   __________________________

5. NET CASH FLOW

6. CAPITAL EXPENDITURES

7B. TOTAL NET CASH FLOW - PLAN B       _____


Notes:
 Project submission must include a 15-year analysis for
   repair/renovation projects and a 30-year analysis for new construction
   projects. Except for new start projects, a Plan B must be submitted with
   the Plan A.
 Project submission must include the Assumptions worksheet from the
   Excel spreadsheet.




                                      19
Dec 08
      FINANCIAL ANALYSIS

1. Provide the following if the Activity/Operation of this project is Category “B”, Isolated/Remote
Category “C” or receives APF support:

        a. ESTIMATED APF SUPPORT IDENTIFIED IN POM FOR
          OPERATION IN FY1 (Total for SI=MW):                                       $________

        b. ESTIMATED APF SUPPORT AVAILABLE FOR OPERATION
          IN FY1 (Total for SI=MW):                                                 $________

        c. TOTAL NAF EXPENSES, EXCLUDING COGS AND
           DEPRECIATION IN FY1 (PLAN A - FY1, LINE 2j
           MINUS LINES 2a AND 2c):                                                  $________

        d. TOTAL APF AND NAF EXPENSES
          (Line b + line c above):                                                  $________

2. Circle the appropriate response for the applicable section. All „C‟, „D‟ or „E‟ responses must
be explained in detail in section C or on an attached sheet. ("<" means less than, ">" means
greater than.)

Section I: Category “B”
                                        A              B               C           D           E
 a.     APF SUPPORT                 0 - 45%        45 - 55%        55 - 65%      >65%         XX
                                     0 pts.          8 pts.         14 pts.     20 pts.
 b.     IRR                       -8% to -5%        -5 - 0%       0.1 - 1.0%     >1%         <-8%
                                     2pts.           4 pts           8 pts      12 pts.      0 pts.
 c.     SELF SUFFICIENCY             <80%         80.1–95.0%      95.1-105%     >105%         XX
                                     0 pts.          4 pts.         10 pts.     16 pts.
 d.     LOCAL CASH                   1-5%           5- 10%         10 – 20%     >20.0%        <1%
                                     2 pts.          4 pts.         8 pts.      12 pts.      0 pts.

Section II: Category “C”
                                  A                B                 C               D             E
 a.    SIMPLE               15 -20.0 yrs      9 - 14.9 yrs      4 - 8.9 yrs       <3.9 yrs      >20.0 yrs
       PAYBACK                 2 pts.            4 pts.           8 pts.          12 pts.        0 pts.
 b.    IRR                    5 - 7%           7.0 - 12%       12.1 - 15.0 %      >15.0%          <5%
                               2 pts.            4 pts.           8 pts.          12 pts.        0 pts.
 c.    % LOAN                    0%           0.1 – 25%         25.1 – 50%         >50%            XX
       REQUESTED               0 pts.            6 pts.           12 pts.         16 pts.
 d.    LOCAL CASH             1 - 10%         10.0 - 25%        25.0 - 50%        >50.0%           < 1%
                               5 pts.           10 pts.           15 pts.         20 pts.          0 pts.

B. SCORING: The maximum number of points for either a Category “B” or a Category “C”
project is 60 points. Do not score any project as both a Category “B” and a Category “C” project.

                          Part III Total Score = _______ Points

C. JUSTIFICATION: _______________________________________________
________________________________________________________________
________________________________________________________________


                                                 20
Dec 08
________________________________________________________________
________________________________________________________________
________________________________________________________________

1. PROGRAMMING AND EXECUTION OF APF (O&M,N) MW BUDGET
  (required on all projects, regardless of category)
                                                       Through Last Complete
                                   Last FY                 Quarter this FY
  MW (direct) Programmed        ______________            _____________
  MW (direct) Executed          ______________            _____________

  Remarks:
  ___________________________________________________________________________
  ___________________________________________________________________________
  ___________________________________________________________________________
  ___________________________________________________________________________




                                           21
Dec 08

        PART IV: MARKETING/CUSTOMER/OTHER CONSIDERATIONS
                    (Area of Responsibility: MWR/CYP/F&FR Department)

PROJECT TITLE: _______________________________________________

INSTALLATION: _______________________________________________

A. MARKETING AND CUSTOMER CONSIDERATIONS:

 1. ANALYSIS: Circle the appropriate response for each of the questions below. All "C," "D” and
    “E” responses must be explained in detail in the section C - Justification. Note that
    questions a, b, and c require calculations as part of the justification. ("<" means less than,
    ">" means greater than.)


                                           A               B             C              D            E
a.   INCREASE IN NUMBER OF            NO GROWTH         1 - 10%       11 - 20%        21+%
     AUTHORIZED PATRONS                   1 pt.          2 pts.        3 pts.         4 pts.         XX
b.   PERCENTAGE OF PATRONS
     LIVING ON INSTALLATION
     WHERE PROPOSED                      <10%           10 - 25%      26 - 50%        51+%           N/A
     PROJECT IS SITED                     1 pt.          2 pts.        3 pts.         4 pts.
c.   PERCENTAGE OF PATRONS
     LIVING WITHIN 10 MILES OR           <25%           25 - 50%      51 - 75%        76+%           XX
     15 MINUTES OF PROJECT                1 pt.          2 pts.        3 pts.         4 pts.
     SITE
d.   MILES OR TIME (whichever
     is greater) TO NEAREST            1 - 5 MILES/      6 -10        11 - 20         21+
     SIMILAR                         1 -10 MINUTES      MILES/        MILES/         MILES/          XX
     ACTIVITY/PROGRAM                       1 pt.       11 - 20       21 - 45         46+
     OFFERING (civilian or                             MINUTES       MINUTES        MINUTES
     military)                                           2 pts.       3 pts.         4 pts.
e.   NUMBER OF SIMILAR
     ACTIVITIES or PROGRAMS                7+            4–6            1-3             0            XX
     WITHIN 10 MILES OR 30                1 pt.          2 pts.        3 pts.         4 pts.
     MINUTES
f.   VALIDATED SURVEYS
     LISTING FACILITY QUALITY
     OR SIZE AS A NEGATIVE               <25%           25 - 50%      51 - 75%        76+%           N/A
     FACTOR IN USE OF                     1 pt.          2 pts.        3 pts.         4 pts.
     FACILITY FOR THIS
     ACTIVITY/PROGRAM
g.   WHO ARE THE PRIMARY                CIVILIAN       RETIREES       FAMILY        ACTIVE
     USERS?                              2 pts.          4 pts.      MEMBERS         DUTY            XX
                                                                       6 pts.        8 pts.
h.   NEPA DOCUMENTATION                NOT YET         PROGRAM      FUNDED &       COMPLETE
     STATUS                          PROGRAMMED          -MED       UNDERWAY         6 pts.          XX
                                        0 pts.           2 pts.        4 pts.
i.   PROJECT INVESTMENT                  >$4M          $2.5 – 4M    $1.0–2.49M       <$1.0M          XX
                                         0 pts.          4 pts.        6 pts.         8 pts.
j.   FACILITY LOCATION                HEARTLAND        U.S. FLEET        U.S.      OVERSEAS
                                         2 pt.          CENTER       ISOLATED       NON-U.S.         XX
                                                          4 pts.      /REMOTE        8 pts.
                                                                        6 pts.
k.   RE-USE EXISTING                       NO                                          YES
     PERMANENT/CONSOLIDATE               0 PTS.           XX            XX            6 pts.         XX
     INTO FEWER BUILDINGS?

                                                  22
Dec 08
 l.       DOES THIS PROJECT SITE
          SERVE AS A DESTINATION           NO              XX             XX            YES     XX
          LOCATION?                        1 pt.                                       4 pts.



 2. INSTALLATION POPULATION DATA: (Attach NAF Budget Tab H)

 3. EXPECTED USER GROUP BREAKDOWN FOR THE PROPOSED PROJECT: (Total must be 100%)

      Active Duty __________
      Family Members _________
      Retirees _________
      Civilians _________

 4. SURGES IN POPULATION (TDY or other): _____________ Explain: ________________________
    _______________________________________________________________________________
    _______________________________________________________________________________
    _______________________________________________________________________________
    _______________________________________________________________________________

 5. PROJECTED POPULATION CHANGE DURING THE NEXT THREE TO FIVE YEARS:
    (Mark one of the three choices, enter number and explain reason (mission) if applicable)

      (    ) Rise By_____________    (   ) Fall By______________      (   ) Stay the Same

      Remarks: ___________________________________________________________________
      ___________________________________________________________________________
      ___________________________________________________________________________


B. SCORING: (Maximum score for Part IV is 64 points.)

                          Part IV Total Score = _______ Points


C. JUSTIFICATION: Include comments that would explain the above information.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________




                                                   23
Dec 08
PART V: CALCULATIONS WORKSHEET AND SUPPORTING PROJECT INFORMATION
                            (Area of Responsibility: MWR/CYP/F&FR Department)

PROJECT TITLE: __________________________________________________

INSTALLATION: ___________________________________________________
OVERVIEW: The Calculations Worksheet and Supporting Project Information are intended to be used to
combine the scores from Parts I through IV and to calculate the Relative Need Value for the proposed project.
This part also provides additional supporting information to be used by the Regional Commander and the
Program Manager staff to understand the thinking behind the project submission and its impact on the
installation. The Regional Commander uses this section to state his/her concerns and to recommend project
programming.

A. SCORING: Using the information from the questions in PARTS I, II, III and IV, complete the calculations
shown below:

     Score from Part I            = _________ Points (of 30)
     Score from Part IIA or IIB   = _________ Points (of 26)
     Score from Part III          = _________ Points (of 60)
     Score from Part IV           = _________ Points (of 64)

           Raw Score              = _________

     Relative Need Value equals the Raw Score divided by 180 and then multiplied by 100%


     The RELATIVE NEED VALUE for this project is _______.

B. NOMINATION VERIFIED BY: ____________________________________ ________________
                                          Regional MWR/CYP/F&FR Director                       Date

C. SUPPORTING INFORMATION: In addition to the INVS, answers to the following questions will help
the Regional Commander when making the decision to forward to Commander Navy Installations (CNI)
Millington Detachment (N254D) for central NAF funding consideration. Questions should be answered on
sheets attached to this Part.

  1. Is this project part of a coordinated long-range program designed to group facilities and programs in such
     a way as to minimize maintenance and overhead, and maximize facility utilization and efficiency?

  2. Are there other projects planned for this facility in the next 2 to 5 years? Is it programmed or possible to
     combine them into a single project to improve efficiency and provide economies?

  3. Are there other facility projects programmed in the next 10 years, which impact the location, design, or
     practicality of this project? Would it be possible or more efficient to combine some of these activities into
     a single facility or a facility cluster where the activities are complementary, share commonalties of
     operation, or could otherwise benefit from the efficiencies of such a contiguous operation?

  4. Does the project fit into the overall regional strategic plan for the F&FR Services Program over the next 10
     years?

  5. Does this project have a companion APF project that will require special coordination and timing? Are
     they being coordinated?

  6. Are all companion projects in this facility programmed for accomplishment during the next 3 years properly
     listed on the approval documents?

  7. Will this project increase or decrease manpower requirements? Explain how and why this will occur.
                                                  24
Dec 08

  8. Is this project a short-term fix or a long-term solution that will give the base a facility that is functional and
     operationally viable?

  9. Bases are responsible for funding their own needs for small projects and equipment replacement. Is the
     base prepared to fund the furnishings and equipment for this project or are these expense items to be
     included within the total project investment cost?

 10. Do the results of the Leisure Needs Survey or base market survey indicate a strong market demand for
     the project being proposed (other than periodic renovations due to wear and tear)? What do the surveys
     reveal? Is this project the highest priority NAF Category ”B” and/or Category “C” project, based on the
     survey results?

 11. It is Navy policy to supplement, not duplicate, services provided in the local community. Does this project
     commit a significant amount of NAF resources that will duplicate a service that is adequately provided in
     the local community at a reasonable price to the users?

 12. Summarize the benefits the project will provide in each of the following areas:
    a. Utilities cost, control, and efficiency.
    b. Functional or operational layout.
    c. Customer service.
    d. Customer service areas and aesthetics.
    e. Support areas, parking, or storage.
    f. Repair or replacement of systems or structure.
    g. Resolution of environmental, fire, safety, or health problems (resolution of these problems is normally
       funded by APF and should be resolved prior to requesting project programming).
    h. Facility location or access.
    i. New or improved programs.
    j. Financial operation.
    k. Customer satisfaction.
    l. Annual/life-cycle maintenance and repair costs.

  13. Are there other options to meet the need identified or correct the deficiency, other than the one
      being proposed? If so, please list the options on an attached sheet.

Note: Commanders should look for Relative Need Values of 50 or higher when considering the validity of a
project. Values between 45 and 50 require a close look at the circumstances and the projected benefits of the
project. Projects with a value of less than 45 appear to have little support in terms of actual need. If a
commander forwards a project of less than 45, the support should be based upon compelling circumstances and
should be fully explained and documented by information not otherwise evident in the INVS.

D. REGIONAL COMMANDER CONCERNS AND COMMENTS:_________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

E. APPROVED BY: _____________________________________ ________________
                           Regional Commander (Representative)                         Date




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