Copy of Public Safety Bldg CM@Risk PRE-CONSTRUCTION_Capital Program Request Sheet_FY22 CIP — File 212362

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%) 90 Washington FORM A - DESIGN & CONSTRUCTION CAPITAL IMROVEMENT PROJECT (CIP) REQUEST - FY22 Melissa Woods mwoods@somervillema.gov No impact in this phase of the project but overall construction of new Public Safety Building will lead to increase maintenance and operations costs. Public Safety Building CM @ Risk - Pre-Construction Phase Pre-construction phase is the first phase in the overall project required to deliver a public safety building that will enable the relocation of the current public safety building at 220 Washington Street. Construction management services during site preparation for the Public Safety Building, including architectural and eningeering services. IAM - Capital Projects First phase of construction of new Public Safety Building; related to New Washington Street realignment; and the relocation of some reserve fire appartus to an addition at Lowell Street Fire Station. Necessary Modification to Existing Project First

Design and Construction Project Funding Total Estimated Cost Prior Years Funding FY 22 FY 23 FY 24 FY 25 FY 26 Capital Costs: Feasibility Study $ - Land Acquisition/Appraisal $ - $ - $ - $ - $ - $ - $ - Environmental Remediation/LSP $ - Demolition & Site Clearance $ - $ - $ - $ - $ - $ - $ - Owner's Proj. Mgr./Clerk of the Works $ - Designer Services (SD) $ 725,000 $ 500,000.00 $ 225,000.00 Designer Services (CA) $ - Construction $ - $ - $ - $ - $ - $ - Insurance (builder's risk, addtl. Polices) $ - $ - $ - $ - $ - $ - Furniture & Equipment (FFE) $ - Police Details $ - $ - $ - $ - $ - $ - $ - Contingency $ - Other (Specify) $ - $ - $ - $ - $ - $ - $ - Other (Specify) $ - $ - $ - $ - $ - $ - $ - Total: $ 725,000 $ - $ 500,000 $ 225,000 $ - $ - $ - Please provide suggested sources. This section will be finalized jointly by Finance and the Department. Funding Sources: Prior Years Funding FY 22 FY 23 FY 24 FY 25 FY 26 Stabilization Fund $ - $ - $ - $ - $ - $ - $ - GO Bonds $ 725,000 - 500,000 225,000 - - - Retained Earnings $ - General Fund $ - Special Assmnt. $ - - - - - - - Ch. 90 $ - Grants $ - - - - - - - Receipts Reserved $ - Other (Specify) $ - - - - - - - Other (Specify) $ - - - - - - - Total: $ 725,000 $ - $ 500,000 $ 225,000 $ - $ - $ - Evaluation Committee Use Only: Reviewed and Approved By: Version Requesting Department Date Draft Auditing Date Revised Purchasing Date Accepted Final Approval Estimate provided by OPM and architect on project team.