Page 1 of 1 OFFICE OF THE STATE ARCHITECT CONTROLLED MAINTENANCE REQUEST SUMMARY FY 2014/2015 STATE BUILDINGS PROGRAMS 1) Agency 2) Department 3) Date Agency Operational Criticality Project Priority Criteria Index Score # AP x OC x CI = PS 4) 4) 5) PROJECT TITLE 6) PROJ. 7) Nos. 8) Nos. 9) 10) Proj Agency and PHASE ESTIMATE 1-5 1-3 M# ID NO. $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ $ Current Year Request: Project Balance: $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ Current Year Request: $ Project Balance: $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ Current Year Request: $ Project Balance: $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ Current Year Request: $ Project Balance: $ A Current-Year CM Total $ $ A FY 2015/2016 CM Total $ $ Change A FY 2016/2017 CM Total $ $ A FY 2017/2018 CM Total $ $ Number 1 A FY 2018/2019 CM Total $ B Total Five Year CM Plan (Short-Term Needs) $ $ Change C Non-Prioritized Building Maintenance Total $ $ D Non-Prioritized Infrastructure Maintenance Total $ $ Number 2 E Total Non-Prioritized (Long-Term) Needs $ F Total Projects CM Needs $ SBP CM-1
Page 1 of 1 OFFICE OF THE STATE ARCHITECT CONTROLLED MAINTENANCE REQUEST SUMMARY FY 2015/2016 STATE BUILDINGS PROGRAMS 1) Agency 2) Department 3) Date Agency Operational Criticality Project Priority Criteria Index Score # AP x OC x CI = PS 4) 4) 5) PROJECT TITLE 6) PROJ. 7) Nos. 8) Nos. 9) 10) Project Agency and PHASE ESTIMATE 1-5 1-3 M# ID NO. $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ Current Year Request: $ Project Balance: $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ Current Year Request: $ Project Balance: $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ Current Year Request: $ Project Balance: $ Phase ___of ___ Total Project Cost: $ Prior Appropriation: $ Current Year Request: $ Project Balance: $ A Current-Year Request TOTAL $ $ SBP CM-1, Rev 5/14
OFFICE OF THE STATE ARCHITECT STATE BUILDINGS PROGRAMS THE ANNUAL REPORT AND CONTROLLED MAINTENANCE INSTRUCTIONS - FY 2015/2016 c) Enter the OC number “3” for projects considered: “Causing Damage or Deterioration.” Columns 9 - DO NOT FILL IN THESE BLANKS. State Buildings Programs will use this 10: summary form and these blanks to determine the criticality index (CI) and to calculate the project score (PS). General: Information to be summarized in the blank spaces on this Form (SBP CM-1), is taken from the Five-Year CM Program Plan (Form SBP CM-2) and supported in detail by the Project Request Forms (SBP CM-3): Blank A: Enter the total from the Five-Year Program Plan form CM-2 for the current year total. and the four subsequent year's totals as indicated. Blank B: Enter the total dollar amount of the Five-Year Program Plan projects as calculated on form CM-2. Blank C: Enter the estimated total dollar amount (include project A/E fees) of all non- prioritized long-term building maintenance needs and code compliance deficiencies as identified by the facilities audit and not included on the Five-Year CM Program Plan form. Blank D: Enter the estimated total dollar amount (include project A/E fees) of all non- prioritized long-term infrastructure maintenance needs as identified in the infrastructure assessment audit and not included in the Five-Year CM Program Plan form. Blank E: Enter the total dollar amount of non-prioritized long-term building and infrastructure needs. Blank F: Enter the sum of the total for the Five-Year Program Plan project requests from blank B and the total non-prioritized long-term needs from blank E. 2.4 INSTRUCTION FOR THE FIVE-YEAR CONTROLLED MAINTENANCE PROGRAM PLAN - (FORM SBP CM-2, Excel Spreadsheet, Rev 6/08) (This form is also required in the “Budget Procedures Manual” issued by the Office of State Planning and Budgeting (OSPB). However, this Five-Year Plan is to be first approved by SBP prior to final submittal to OSPB). The header/footer automatically updates the agency’s abbreviation, form title, current date, and page numbering. Column 1: Enter the agency’s priority (AP) number(s). Column 2: Enter SCO assigned project M number for continuing phased requests. Column 3: Enter the CM category as listed below. List only one category based upon the most prominent aspect of the project. ENV- Environmental Hazard/Remediation, EL- Electrical, FS- Fire & Public Safety/ Codes & Standards/ Accessibility/ Security, HVAC- Heating/ Ventilation/ Air Conditioning/ Air Quality/ Plumbing/ Energy, I- Infrastructure/Utilities/ Water/Roads, Etc., MISC- Miscellaneous/General Repairs/ Elevators, RF- Roofing/Waterproofing, ST- Structural Column 4: Use the same project title as shown on the request form. Indicate the number of phases. For continuing phased projects, use the project title as indicated in the previous Long Bill or SBP’s Annual Report to the CDC. Column 5: Enter the total project cost (do not round off the number) for single-phase projects or multi-phase projects as indicated on page 3 of the CM Project 12
Office of the State Architect FY15-16 Agency Specific Spreadsheet Template.xls 5 year CM plan 6/4/2014 State Buildings Programs Controlled Maintenance Forms (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Agency Project CM Project Title - Number of Phases Total Prior FY 15/16 FY 16/17 FY 17/18 FY 18/19 FY 19/20 Priority M# Category Project Appropriat Budget Budget Budget Budget Budget Number Cost ion Request Request Request Request Request (12) Totals for each Fiscal Year $0 $0 $0 $0 $0 (13) Grand Total of the Five Year Plan $0 SBP CM-2 1 of 1
(1) (2) (3) (4) (5) (6) (7) (8) Building Name Occupancy Type C.R.V. Date Built Div. Of Risk Academic or Non-Academic or Vacant / Not Man. No. Utilized G.S.F. General Fund Non-General G.S.F. Fund G.S.F. Example bldg- A EB01 Classrooms, Offices 32,604 0 0 $5,243,294 1969 Example bldg- B EB02 school 55,000 10,000 0 $9,750,000 1985 Example bldg- C EB03 0 Hotel/Residency 0 89,000 $19,375,000 1985 (20) Totals of GSF & CRV 87,604 99,000 0 $34,368,294 (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) Date Date of F.C.I. F.C.I. CRV x (1- CRV X (1- A/DET- Code Current Current Current Acquired (Actual) (Target) Projects Facility A/FCI) = T/FCI) = T/DET = CC CM EM Audit A/FCI T/FCI A/DET T/DET Projects Projects Projects Targeted Deficiency 1/1/08 90% 85% $ - $ - $ - 5/5/08 80% 85% $ 1,950,000 $ 1,462,500 $ 487,500 $ 3,875,000 $ 2,906,250 $ 968,750 5/6/08 80% 85% (21) Total Building Estimated Deficiencies = $ 1,456,250 Note: Projects indentified in the 5 year plan should have corresponding building deficiencies indicated in the actual FCI (column-11) and building targeted deficiency value (column-15) as indentified through the facility audit process. (22) Code Compliance Estimated Deficiencies = $ - $ - (23) Infrastructure Deficiencies - Above Ground = $ - (24) Infrastructure Deficiencies - Below Ground = (25) Other (define) $ - (26) Total Major Maintenance Needs $ 1,456,250 Note: Total Major Maintenance Needs is the sum of items 21 through 25.
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