Copy of Capital Program Request Sheet_FY21 ADA Building Improvements (003) — File 211898

Project Title: Project Address: Department: Project Mgr.: Email: New Project or Modification: Department Priority: Rank your project(s) in order of priority from your point of view. If you propose four projects, rank them 1, 2, 3, 4, with 1 being the highest, and so forth. Project Description/Scope of Work: Justification: Relationship to Other Projects: Category: Please check all appropriate boxes Architectural/Engineering Feasibility Study Architectural/Engineering Construction Document Services & Construction Admin Building Alteration/Repair/Renovation/Addition/New Construction Building Improvements (non-construction) Purchase of Equipment (incl. vehicles, office equipment, hardware, etc.) Information Technology Systems/Platforms (e.g. cloud based, internet based, etc.) Street/Sidewalk/Monument Improvements Water Improvements Sewer Improvements Land Development Land Acquisition Land Disposition Parks and Open Space Other Operational Impact: What impact will this project have on operational costs? Reduce Cost (greater than 5%) Reduce Cost (less than 5%) Cost Unchanged Increase Cost (less than 5%) Increase Cost (greater than 5%) Various Municipal Buildings FORM A - DESIGN & CONSTRUCTION CAPITAL IMROVEMENT PROJECT (CIP) REQUEST - FY21 Rich Raiche rraiche@somervillema.gov Some lift and elevator projects increase operations costs. Otherwise, the improvements have negligible impacts on operational costs while significantly improving the accessibility of the buildings. FY21 ADA Accessibility Improvements Work is required to comply with the Americans with Disabilities Act and progress our transition plan to provide accommodations at and maintain occupancy of all municipal buildings. Provide accessibility enhancements to existing municipally-owned buildings, including but not limited to: ramps, lifts, elevators, hand rails, and plumbing fixtures. IAM - Capital Projects These ongoing building upkeep projects are required to support and enable all other City functions, including those that further strategic vision and goals. Necessary New Project First

Design and Construction Project Funding Total Estimated Cost Prior Years Funding FY 21 FY 22 FY 23 FY 24 FY 25 Capital Costs: Feasibility Study $ - Land Acquisition/Appraisal $ - - - - - - - Environmental Remediation/LSP $ - Demolition & Site Clearance $ - - - - - - - Owner's Proj. Mgr./Clerk of the Works $ - Designer Services (SD through CA) $ 126,000 126,000 Construction $ 504,000 - - 504,000 Insurance (builder's risk, addtl. Polices) $ - - - - - - Furniture & Equipment (FFE) $ - Police Details $ - - - - - - - Contingency $ - Other (Specify) $ - - - - - - - Other (Specify) $ - - - - - - - Total: $ 630,000 $ - $ - $ 630,000 $ - $ - $ - Please provide suggested sources. This section will be finalized jointly by Finance and the Department. Funding Sources: Prior Years Funding FY 21 FY 22 FY 23 FY 24 FY 25 Stabilization Fund $ - $ - $ - $ - $ - $ - $ - GO Bonds - - - - - Retained Earnings $ - General Fund $ - Special Assmnt. $ - - - - - - - Ch. 90 $ - Grants $ - - - - - - - Receipts Reserved $ - Free Cash $ 630,000 - - 630,000 - - - Other (Specify) $ - - - - - - - Total: $ 630,000 $ - $ - $ 630,000 $ - $ - $ - Evaluation Committee Use Only: Reviewed and Approved By: Version Requesting Department Date Draft Auditing Date Revised Purchasing Date Accepted Final Approval Estimates based on prior year spending on similar projects while considering escalating costs.