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Comprehensive Maintenance

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    Energy $mart Schools

    NYSED Capital & Maintenance Planning Reports Toolbox

    (For Producing Comprehensive Maintenance Plans, Five-Year Capital Facilities Plans & Facility Report Cards)

    INTRODUCTION

    Help improve occupant health, safety and comfort

    INSTRUCTIONS

    2) Continue to fill out the other yellow tabs. Additional instructions highlighted at the top of each page.

    4) The blue Appendix tabs are there as resources, but will not be included in reports unless selected.

    This template was designed by the New York State Energy Research and Development Authority and the New York State EducationDepartment to help New York Schools produce required annual reports easily and effectively. After you enter your schools' data once, itwill print out on three reports. The Toolbox also acts as a database that can be easily updated each year. Some of the appendices

    contained in the Toolbox provide templates for a Preventive Maintenance (PM) program.

    In addition to reducing your paperwork, organizing your building data and your requests for expenses between your Five-Year Capital Facilities Plan,your Facility Report Cards and your Comprehensive Maintenance Plan (CMP), this template tries to serve a variety of objectives, including:

    Fulfill NYSED Commissioners Regulation 155.4(d)(2) to develop and annually update a Comprehensive Maintenance Plan (CMP).

    Help ensure that all school buildings in New York State are maintained in a state of good repair, combing data from the CMP and Report Cards.

    Help Superintendents of Buildings and Grounds (SBGs) manage operating costs (energy, annual maintenance, and repairs) with effective maintenance.

    Help justify capital expenses that reduce energy or maintenance costs.

    Focus preventive maintenance approaches to improve overall maintenance.

    Document capital expenses above and beyond annual costs (for service contracts, supplies, and reoccurring costs) that will be included in the Five-YearCapital Facilities Plans. By showing the benefits of these capital expenses in reducing maintenance and energy costs, it will help justify each year's capital costs.

    1) Beginning with the yellow General Info tab, fill in all information as prompted. The information provided on the General Info tab will automatically transfer tothe other tabs in the spreadsheet, so the information only needs to be provided once.

    3) The green tabs are used only to review and print the Five Year Capital Plan and the Facility Report Card. No data needs to be entered on the green tabs, but anidividual school's Capital Plan budget or an individual school's Report Card can be viewed before printing.

    5) When information is entered, use the print button below to generate the reports. The individual tabs throughout the tool are also print-formatted, so each reportcan be printed as needed.

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    Energy $mart Schools

    Comprehensive Maintenance Plan (CMP)

    GENERAL INFORMATION

    Date: 2/1/2005 Person Preparing this Plan: John Doe

    School District: Sample Town CSD Title/Position Superintendent of Buildings and Grounds

    BOCES: Valley View BOCES Address: 101 Main Street

    Plan Year: 2005 City: Albany

    Number of Schools in District: 4 State: NY

    Number of Buildings in District: 4 Zip: 12345

    Telephone: 999-999-9999

    Fax: 888-888-8888

    E-mail: [email protected]

    mailto:[email protected]:[email protected]
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    Energy $mart SchoolsDistrict: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    FACILITIES INVENTORY

    Name of School/Facility Example School 3 Example School 4 Example School 5 Example School 6

    BEDS Code 123456789 987654321

    Street Address 1234 Willow Road 9 Chain Road

    City Sacketts Harbor Albany

    State NY NY

    ZIP 12345 12345

    Year Built 1958 1967

    Square Footage 95,000 100,300

    # of Floors 2 1

    Basement? Yes No

    Enrollment 1,175 1,200

    Capacity 1,200 1,500

    Grades K-6 6-8

    Ownership Type: Owned Operated

    Primary Heat Source: Natural Gas Oil

    ElementaryElementary

    School

    Good GradesMiddle School

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    Energy $mart Schools

    District: Sample Town CSD Prepared by: John Doe Date: 02/01/2

    OVERVIEW

    Summary of Overall Conditions

    School Name General Conditions and Goals

    Elementary Elementary School

    Insert assessment here

    Good Grades Middle SchoolInsert assessment here

    Example School 3Insert assessment here

    Example School 4Insert assessment here

    Example School 5Insert assessment here

    Example School 6Insert assessment here

    Work Order SystemsTo help with unplanned maintenance and repairs, do you have a work-order system in place? Yes/N

    If yes, approximately how many work orders were completed last year?

    Service Contracts

    Indicate all systems that have preventive maintenance (PM) or service and repairs performed under service contracts with out

    Yes/No

    Heating Yes Computer/PA

    Air Handling Yes Roof

    Cooling Yes Backup Power

    HVAC Controls Yes Electrical Distribution

    Fire Protection/Suppression Yes Lighting

    Plumbing Yes Landscaping

    Other Yes Other

    Has the District compared costs of these contracts with in-house costs to ascertain whether the service contracts are cost-

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    Energy $mart Schools

    District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    DISTRICT LEVEL BUDGET SUMMARY

    Projected Budget for O&M Costs

    Element Cost Estimate Notes Cost Estimate Notes Cost Estimate Notes

    Site Elements $11,000 $2,000 $3,000

    Roofing $12,000 $9,000 $6,000

    Envelope Elements $- $- $-

    Structural Interior $- $- $-

    Elements/Finishes $- $- $-

    Electrical $- $- $-

    Plumbing $- $- $-

    HVAC $- $- $-

    Special Construction $- $- $-

    $- $- $-

    Other $- $- $-

    $23,000 $11,000 $9,000

    Estimated Costs to Restore Buildingsto a State of Good Repair

    Estimated Annual Costs to KeepBuildings in a State of Good Repair

    Emergency Systems (firealarm, sprinklers, publicaddress, etc.)

    TOTALEstimated Cost

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    Energy $mart Schools

    District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    PREVENTIVE MAINTENANCE PLAN

    Preventive Maintenance (PM) typically provides significant benefits such as:

    Approach Used in this District

    Example: We use a spreadsheet systems with all our major equipment and the maintenance intervals recommended in the O&M manuals. Our Office Manager

    Lessons Learned

    What lessons have been learned in the District about the usefulness of PM? What works best and what doesnt work well that can be shared with other Districts?

    Checklist of Items Being Serviced Through PM

    Lower overall maintenance costs versus correcting problems after they occur;

    Reduce equipment down time;

    Lower energy costs by maintaining systems in a more efficient operating condition;

    Lower replacement costs through longer equipment life;

    Improve indoor environment; and

    Improve occupant comfort, health and safety.

    Does the District perform PM? If so, what types of systems do you use (e.g., informal schedules, formal schedules with charts for maintenance intervals,computerized maintenance management systems (CMMS) with PM assignments automatically generated)?

    Performing PM is one way of demonstrating that the District takes good care of existing systems and deserves State funding when those systems eventually wearout. The PM Checklist in Appendix A can be used to show which systems are maintained with PM. The list can also serve as a prompt to work with systems thatmay have needed more regular PM. The list should only be considered a starting point and how it is used will depend on the District's specific needs.

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    Energy $mart Schools

    District: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    HEALTH & SAFETYDescription of Health and Safety Committee activities: Yes/No

    Does the district have a health and safety committee? YesDoes the Health and Safety Committee have a chairperson? No- Name John Milton- Phone Number 212-867-5309- Email

    Does the Health and Safety Committee membership include:

    - District Officials Yes- Staff No- Bargaining Units Yes- Parents No

    Did the Health and Safety Committee receive any type of training? Yes

    - Project Architect Yes- Project Engineer Yes- Construction Manager No- Contractors Yes

    Frequency of Health and Safety Committee meetings (check one): 3-5 Times / School Year

    [email protected]

    Health and Safety Committee membership expanded during construction to include district officials, staff,bargaining units, parents and:

    mailto:[email protected]:[email protected]
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    ENVIRONMENTAL AWARENESS

    SCHOOL/FACILITY:

    Environmental Awareness Yes/No Yes/No Yes/No Yes/No Yes/N

    Has this building been tested for the presence of lead: paints, plumbing, etc.?Yes Yes

    No Yes

    If yes, has this type of work been done in accordance with the Guidelines?Yes Yes

    No Yes

    Yes Yes

    When was the AHERA management plan last updated? 4/4/2004 3/3/2003

    Yes Yes

    Did the geological potential indicate testing this facility was necessary? No Yes

    If yes, did the highest test in this building exceed 4pCi/L? Yes Yes

    If yes, describe mitigation activities:

    Elementary Elementary School Mitigation activities described here.

    Good Grades Middle School Mitigation activities described here.

    Example School 3 Mitigation activities described here.

    Example School 4 Mitigation activities described here.

    Example School 5 Mitigation activities described here.

    Example School 6 Mitigation activities described here.

    ElementaryElementary

    School

    Good GradesMiddle School

    ExampleSchool 3

    ExampleSchool 4

    ExamSchoo

    Based on the testing results, are there elements in this building that wouldrequire construction or maintenance projects to be conducted in accordancewith the US Department of Housing and Urban Development Guidelines forthe Evaluation and Control of Lead Based Paint Hazards in Housing?

    Does this building contain known or assumed Asbestos Containing BuildingMaterials? (ACBM)

    If yes, has an original Asbestos Hazard Emergency Response Act (AHERA)management plan been developed for this building? (The AHERAManagement Plan for this building must be able to be viewed at the mainoffice during normal business hours).

    Has the district reviewed the geological potential for the presence of radonfrom the New York State Dept. of Health Radon Measurement Database?

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    Energy $mart SchoolsDistrict: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    INTEGRATED PEST MANAGEMENT

    SCHOOL/FACILITY: E xample School 3 Example School 4 Example School 5 Example School

    Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No

    Yes Yes

    No Yes

    Yes Yes

    No Yes

    ElementaryElementary School

    Good Grades MiddleSchool

    Status of measures to assure acceptableintegrated pest management:

    Does this building have an IntegratedPest Management program? SeeAppendix B.

    Does this building have a persondesignated to oversee the pestmanagement program?

    Has this building established a list ofpersons to notify at least 48 hoursprior to the application of pesticides?

    Have pesticide application summaryreports been provided to all parentsand staff pursuant to CR 155.24?

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    Energy $mart SchoolsDistrict: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    INDOOR ENVIRONMENTAL QUALITY

    SCHOOL/FACILITY:

    Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No

    Yes No

    Yes No

    Yes No

    Yes No

    Yes No

    Yes Yes

    Yes Yes

    Yes Yes

    If yes, describe for each building:

    IEQ description here.

    Good Grades Middle SchoolIEQ description here.

    Example School 3 IEQ description here.

    Example School 4 IEQ description here.

    Example School 5 IEQ description here.

    Example School 6 IEQ description here.

    Yes Yes

    ElementaryElementary

    School

    Good GradesMiddle School

    Example School3

    Example School4

    Example School5

    Example School6

    Status of actions and policies taken to assureacceptable indoor environmental quality:

    Does this building use the US EnvironmentalProtection Agencys Indoor Air Quality Tools for

    Schools Action Kit?Does this building have a procedure in place forreporting indoor environmental quality concerns?

    Is ventilation with outdoor air available in all occupiedspaces?

    1) Is all ventilation and exhaust equipmentoperational?

    2) Are all outdoor air intakes unobstructed and clearof foreign objects?

    3) Are all outside air damper controls in place andoperational?

    4) Have facilities operations been reviewed withrespect to impact on outside air intakes (i.e., vehicleemissions, waste storage, mowing, etc.)?

    Are there any unresolved complaints regarding the

    indoor environment at this facility?

    Elementary ElementarySchool

    Are the heating, ventilation, and air conditioningequipment cleaned and maintained in accordance withmanufacturers instructions (e.g., filter changes, coils

    cleaned, etc.)?

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    Energy $mart SchoolsDistrict: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    INDOOR ENVIRONMENTAL QUALITY

    SCHOOL/FACILITY:ElementaryElementary

    School

    Good GradesMiddle School

    Example School3

    Example School4

    Example School5

    Example School6

    No Yes

    Yes No

    No Yes

    Yes Yes

    No Yes

    Yes Yes

    35 70

    Yes Yes

    Yes Yes

    Yes Yes

    Does this facility follow green cleaning guidelines?No No

    Yes No

    Has the interior of ductwork (air passageways) beeninspected for cleanliness within the past year?

    Have exterior ductwork and rooftop air handling unitsbeen inspected for leaks within the past year?

    Does the District have a policy encouraging the use ofenvironmentally friendly products?

    Does the District annually review products used in andaround the building with the intent of reducing oreliminating hazardous chemicals that occupants andvisitors are exposed to, including volatile organiccompounds (VOCs), semi-volatile organic compounds,etc. (cleaning supplies, repair and maintenancesupplies, materials, etc.)?

    Does the District perform an annual review to ensurehazardous chemicals used as part of instructional

    programs are used and stored properly?

    Is each building inspected for roof leaks, growth ofmold and mildew, evidence of rodent infiltration, andother indicators of potential problems to acceptable

    IEQ?

    What level (dB) of maximum background accousticsettings has been set for classrooms?

    Does this facility regularly test and record levels of CO,CO2, total VOCs, Radon, mold spores, etc?

    Does this facility regularly measure and track relativehumidity levels?

    Does this facility verify lighting levels meetIlluminating Engineering Society guidelines each year?

    Is this facility seeking to comply with a whole buildingsustainable guideline, such as the U.S. Green BuildingCouncil's LEED for Existing Buildings?

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    Energy $mart Schools

    District: Sample Town CSD Prepared by: John Doe Date: 02/01/2

    ENERGY BENCHMARKING

    SCHOOL/FACILITY: Example School 3 Example School 4 Example S

    Last Year Last Year Last Year Last Year

    60 50 60 50

    Yes/No Yes/No Yes/No Yes/No Yes/N

    Yes No

    No No

    $35,000.00 $20,000.00

    $40,000.00 $0.00

    $0.00 $18,000.00

    $3,000.00 $5,000.00

    250,000 400,000

    200,000 0

    0 40,000

    0 0

    60 60

    75 75

    ElementaryElementary School

    Good Grades MiddleSchool

    Status of measures taken to optimize

    energy use:

    Current

    Year

    Current

    Year

    Current

    Year

    Current

    Year

    Current

    Year

    What was this buildings score in the U.S.Environmental Protection Agencys EnergyStar Portfolio Manager?

    Has this buildings energy use beenbenchmarked using NYSERDAs EnergySmart Schools Program against other NewYork schools?

    Do you follow the U.S. EnvironmentalProtection Agencys ENERGY STAR andU.S. Department of Energys FEMPpurchasing standards?

    Who manages the energy use for thisbuilding (Name and Title)?

    Estimated electricity costs for current year(In Dollars):

    Estimated natural gas costs for current year(In Dollars):

    Estimated fuel oil costs for current year (InDollars):

    Estimated other energy costs for currentyear (In Dollars):

    Estimated electricity consumption for nextyear (In kWh):

    Estimated natural gas consumption for nextyear (In Therms):

    Estimated fuel oil consumption for nextyear (In Gallons):

    Estimated other energy consumption fornext year (List Units Here):

    What is the facility's goal to score in thePortfolio Manager in one year ?

    What is the facility's goal to score in thePortfolio Manager in three years?

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    Energy $mart SchoolsDistrict: Sample Town CSD Prepared by: John Doe Date: 02/01/2005

    MAJOR PROJECTS DURING LAST YEAR

    SED # (if applicable) Brief Project Description Project Dates Costs Project Benefits

    SED #00-00-00-00-0-000 5/5/03 to 9/5/03 $120,000

    TOTAL $120,000

    Example: New Boiler Controls Reduce energy costs $150/year, eliminatefrequent repairs.

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    Energy $mart SchoolsDistrict: Sample Town CSD Prepared by: John Doe Date: 02

    PLANNED CAPITAL PROJECTSSED Number Project Description Year Priority Construction Type Project Type Cost Annual Benefit

    43305439053 New RTUs 2 1 New Construction Major System Capital $30,000.00

    121212121234124 New Windows 5 3 Addition Health/Safety Capital $20,000.00

    34059384535 2 3 Alteration Health/Safety Bond $10,000.00

    121212121234124 Example 1 2 Alteration Energy Bond $15,600.00 $12,000.00

    10294958771729 Remove remaining asbestos 4 2 Addition Health/Safety Capital $60,000.00

    3242309482 Example 2 2 Alteration Major Repair Bond $20,000.00 $4,000.00

    Facility NameFundingSource

    Elementary ElementarySchool

    Elementary ElementarySchool

    Elementary ElementarySchool

    Treat pest problems in 36classrooms

    Good Grades MiddleSchool

    Good Grades MiddleSchool

    Elementary ElementarySchool

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    School Facility Report Card

    School District/BOCES: Sample Town CSD Building Name: Example Sc

    School Building Address: -- ,

    Certificate of Occupancy Status: Expiration Date:

    Location where certificate of occupancy is posted:

    Section I: School Building General Information

    1. Person completing this School Facility Report Card: John Doe Date: 2/1/2005

    2. Right-to-Know designee concerning this school building and School Facility Report Card:

    Name: John Doe Telephone: 999-999-9999

    Position: Superintendent of Buildings and Grounds Fax: 888-888-8888

    Address: 101 Main Street City: Albany

    3.a. Original Construction Date (year):

    3.b. Present size of school building (SF): Number of floors: Basement? (Yes/N

    4. Grade levels currently housed in this building: Current enrollm

    5. Upgrades to school building systems can be viewed on the Building Condition Survey?

    6. Number of different types of program spaces currently in this school building can be viewed on the Building Condition Survey?

    Section II: School Building Ratings

    7. Date current 5-year building condition survey conducted:

    Overall school building safety rating from Building Condition Survey as certified by the Board of Education:

    8. Date current year annual visual inspection conducted:

    Overall condition:

    Section III: Building Capital, Maintenance, and Operations Information

    9. List any current unsatisfactory building systems that have not been corrected since the previous Building Condition Survey. (Add additional sheets as necessary

    Building systems listed here.

    10. Estimated remaining useful life of school building and systems can be viewed on the Building Condition Survey? (Yes/No)

    11. The need for routine maintenance, repairs, rehabilitation, reconstruction, and construction can be viewed on the Capital Facilities Plan? (Yes/No)

    List prioritized health and safety improvements for this facility as indicated in the five year plan:

    Year Priority Descrip

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    School Facility Report Card

    Cost Estimate Cost Estimate

    Site Elements 0.00 0.00

    Roofing 0.00 0.00

    Envelope Elements 0.00 0.00

    Structural Interior 0.00 0.00

    Elements/Finishes 0.00 0.00

    Electrical 0.00 0.00

    Plumbing 0.00 0.00

    HVAC 0.00 0.00

    Special Construction 0.00 0.00

    0.00 0.00

    Other 0.00 0.00

    0.00 0.00

    12. Estimated energy costs for current school year by type:

    Electricity: Gas:

    Fuel Oil: Other:

    Total estimated energy costs: $0.00

    Section IV: Health and Safety

    13. Description of Health and Safety Committee activities: Yes/No

    a. Does the district have a health and safety committee? Yes

    b. Does the Health and Safety Committee have a chairperson? No

    c. Phone number of Health and Safety Committee Chairperson: 212-867-5309

    d. Basic Health and Safety Committee membership:

    - District Officials Yes

    - Staff No

    - Bargaining Units Yes

    - Parents No

    - Project Architect Yes

    - Project Engineer Yes

    - Construction Manager No

    - Contractors Yes

    Estimated Costs to Restore Buildings to a State of GoodRepair

    Estimated Annual Costs to Keep Buildings in State of Good Repair

    Emergency Systems (fire alarm, sprinklers, publicaddress, etc.)

    TOTALEstimated Cost

    e. Health and Safety Committee membership expanded during construction toinclude district officials, staff, bargaining units, parents and:

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    School Facility Report Cardf . Frequency of Health and Safety Committee meetings (check one): 3-5 Times / School Year

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    School Facility Report CardSection V: Environmental Awareness

    14. Lead testing:

    a. Has this building been tested for the presence of lead: paints, plumbing, etc.?

    c. If yes, has this type of work been done in accordance with the Guidelines?

    15. Federal Asbestos Hazard Emergency Response Act (AHERA) Plan:

    a. Does this building contain known or assumed asbestos containing building materials? (ACBM)

    c. When was the AHERA management plan last updated?

    16. Radon testing:

    Mitigation activities described here.

    17. Integrated Pest Management Program:

    18. Status of measures taken to assure acceptable indoor air quality:

    b. Based on the testing results, are there elements in this building that would require construction or maintenancprojects to be conducted in accordance with the US Department of Housing and Urban Development Guidelinefor the Evaluation and Control of Lead Based Paint Hazards in Housing?

    b. If yes, has an original AHERA management plan been developed for this building? (The AHERA ManagemPlan for this building may be viewed at the main office during normal business hours).

    a. Has the district reviewed the geological potential for the presence of radon from the NYSDOH RadonMeasurement Database?

    b. Did the geological potential indicate testing this facility was necessary?

    c. If yes, did the highest test in this building exceed 4pCi/L?

    d. If yes, describe mitigation activities:

    a. Does this school have an integrated pest management program?

    b. Does this school have a person designated to oversee the pest management program?

    c. Has this school established a list of persons to notify at least 48 hours prior to the application of pesticide

    d. Have pesticide application summary reports been provided to all parents and staff pursuant to CR 155.24

    a. Does this school utilize theEPA Indoor Air Quality Tools for Schools Action Kit?

    b. Does this school have a procedure in place for reporting indoor air quality concerns?

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    School Facility Report Card

    If yes, describe: IEQ description here .

    c. Is ventilation with outdoor air available in all occupied spaces?

    1. Is all ventilation and exhaust equipment operational?

    2. Are all outdoor air intakes unobstructed and clear of foreign objects?

    3. Are all outside air damper controls in place and operational?

    4. Have facilities operations been reviewed with respect to impact on outside airintakes (i.e., vehicle emissions, waste storage, mowing, etc.)?

    d. Are there any unresolved complaints regarding indoor air at this facility?

    e. Maintenance: Heating, ventilation, and air conditioning equipment are cleaned and maintained inaccordance with manufacturers instructions (i.e., filter changes, coils cleaned, etc.)

    f. Has the interior of ductwork (air passageways) been inspected for cleanliness?

    g. Have exterior ductwork and rooftop air handling units been inspected for leaks?

    h. Operations and maintenance program:

    1. Does the District have a policy encouraging the use of environmentally friendlyproducts?

    2. Products entering a school building are reviewed with the intent of reducing oreliminating hazardous chemicals, including volatile organic compounds (VOCs), semi-volatile organic compounds, etc. (cleaning supplies, repair and maintenance supplies,materials, etc.).

    3. Review performed to ensure hazardous chemicals used as part of instructional

    program are used and stored properly.i. Buildings are inspected for roof leaks, growth of mold, evidence of rodent infiltration, and other potential

    problems to acceptable IAQ.

    j. Is this facility seeking to comply with a whole building sustainable guideline, such as the U.S. Green BuildinCouncil's LEED for Existing Buildings?

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    Sample Town CSD

    Valley View BOCES

    Five-Year Capital Facilities Plan

    Submitted/Revised

    2/1/2005

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    Table of ContentsItem Page

    Executive Summary 1

    Building Inventories

    Elementary Elementary School 2

    Good Grades Middle School 3

    Example School 3 4

    Example School 4 5

    Example School 5 6

    Example School 6 7

    District Analysis and Prioritization 8

    Estimated Expenses

    Elementary Elementary School 9

    Good Grades Middle School 10

    Example School 3 11

    Example School 4 12

    Example School 5 13

    Example School 6 14

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    Executive Summary

    Following are the people who prepared this plan and the resources used:

    People and resources here.

    Following is a narrative of the general conditions of each facility:

    Facility Name Narrative

    Elementary Elementary School Insert assessment here

    Good Grades Middle School Insert assessment here

    Example School 3 Insert assessment here

    Example School 4 Insert assessment here

    Example School 5 Insert assessment here

    Example School 6 Insert assessment here

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    Building Inventory Form

    Building Name: Example School 6

    Bed Codes Number:

    Address: -- ,

    Use: Current enrollment:

    Total square footage: Rated Capacity:

    Ownership:

    Building Condition Survey Rating:

    Building Age:

    Construction Year Square Footage

    Original

    Addition #1

    Addition #2

    Addition #3

    Addition #4

    Addition #5

    Addition #6

    Addition #7

    Addition #8

    Addition #9

    Addition #10

    Heating System Energy Source:

    Energy Consumption: kWh (electricity) therms (natural gas)

    (per year) gallons (fuel oil) units (other)

    Probable Useful Life of Building: years Estimated Replacement Value:

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    District-Wide Analysis and Prioritization

    District: Sample Town CSD

    Year 1 SED Number Priority Facility Name

    121212121234124 2 Good Grades Middle School

    Year Total

    Year 2 SED Number Priority Facility Name

    3242309482 2 Elementary Elementary School

    34059384535 3 Elementary Elementary School

    43305439053 1 Elementary Elementary School

    Year Total

    Year 3 SED Number Priority Facility Name

    Year Total

    Year 4 SED Number Priority Facility Name

    10294958771729 2 Good Grades Middle School

    Year Total

    Year 5 SED Number Priority Facility Name

    121212121234124 3 Elementary Elementary School

    Year Total

    District Total

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    Facility Estimated Expenses

    District: Sample Town CSD

    Facility Name: Example School 6

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    En

    Comprehen

    District: Sample Town CSD

    School: ________________________________ Date Updated: ____________________________

    Heating Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type Insta

    Boilers HS 2004-01 IBR K500-B 123-456-78 500,000 Btu Gas 75% 2 19

    Furnaces

    Condenser pumps

    Deaerator tank

    Steam traps

    Steam valves

    Fuel tanks & distribution

    Heat exchangers

    Terminal/package units

    Fin tubes/radiators

    Dampers/draft control

    Ductwork

    Stacks

    Insulation

    Piping

    Valves

    Air Handling Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type Insta

    Air handling units

    Unit ventilators

    Fans

    Fire dampers

    Filters

    Humidifiers

    Cooling Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type Insta

    Condensing units

    Air compressorsHeat exchangers

    Packaged A/C units

    Chillers

    CHW Pumps

    P.M. Ref # Manufacturer Model # Serial # Size Fuel Type Insta

    EfficiencyRating

    Number inBuilding

    Control sensors

    EfficiencyRating

    Number inBuilding

    EfficiencyRating

    Number inBuilding

    Heat pumps

    Fire Protection/Suppression Systems

    EfficiencyRating

    Number inBuilding

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    School: ________________________________ Date Updated: ____________________________

    Sprinkler piping

    Backflow preventersSprinkler heads

    Fire extinguishers

    Fire hose system

    Standpipe connection

    Fire pumps

    Grease hood extinguisher

    Alarms and detectors

    Mechanical Controls P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Compressors

    Pneumatic valves/leversPneumatic tubing

    Electronic controls

    Plumbing Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Cold water piping

    Water heaters

    Hot water piping

    Circulation pumps

    Sump pumps

    Valves and traps

    Septic tanks

    Lighting Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Fluorescent fixtures

    Incandescent fixtures

    HID fixtures

    Lighting panels

    Emergency lighting

    Exterior lighting

    Occupancy controls

    Daylight controls

    Other controls

    Signal Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Computer data

    Public address

    Television

    Telephone

    Clock system

    Fire alarms

    Security alarm/devices

    EfficiencyRating

    Number inBuilding

    EfficiencyRating

    Number inBuilding

    EfficiencyRating

    Number inBuilding

    EfficiencyRating

    Number inBuilding

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    School: ________________________________ Date Updated: ____________________________

    P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Footings

    Foundation walls

    Slab/beams on grade

    Piling/Posts How?

    Waterproofing How?

    Insulation

    Underdrains How?

    Superstructure P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Columns

    Beams

    Floor structure

    Roof structure

    Monolithic bearing walls

    Stairs and railings

    Structural bracing

    Welds/connectors

    Roof Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    RoofingInsulation

    Curbs/supports

    Expansion/seismic joints

    Drains, gutters, etc.

    Drywells

    Flashing and trim

    Fasteners

    Snow stops

    Roof openings

    Parapet caps

    Exterior Wall Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Facade integrity

    Cladding/sheathing

    Doors

    Window systems

    Balcony walls/railings

    Louvers and screens

    Expansion/seismic joints

    Foundation and

    Substructure

    Efficiency

    Rating

    Number in

    Building

    EfficiencyRating

    Number inBuilding

    EfficiencyRating

    Number inBuilding

    Paving and ballastPaving? On a roof?

    EfficiencyRating

    Number inBuilding

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    School: ________________________________ Date Updated: ____________________________

    Insulation

    Protective coating

    Sealants

    Interior Construction P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Fixed partitions

    Demountable partitions

    Retractable partitions

    Doors

    Carpet

    Resilient tile/sheet

    Ceramic/clay tile

    TerrazzoPaint

    Vinyl/fabric wall cover

    Ceiling system

    Power Generation P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Generators

    Transfer switches

    Transformers

    Service wiring

    Substation

    SwitchgearOvercurrent protection

    P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Main distribution panel

    Electrical receptacles

    Circuit breakers

    Electric baseboard heatersHeat trace

    Landscaping Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Irrigation

    Turf/lawn

    Walks/plazas

    EfficiencyRating

    Number inBuilding

    EfficiencyRating

    Number inBuilding

    Power DistributionSystems

    EfficiencyRating

    Number inBuilding

    Wiring, conduits, &distribution panels

    EfficiencyRating

    Number inBuilding

    Tree/shrub/flower bedplantings

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    School: ________________________________ Date Updated: ____________________________

    P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Athletic fields

    Hard surface courts

    Swings

    Safety mats

    Gravel and containment

    Markings/painting

    Vehicular Systems P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Parking lots

    Roads/drivesCurbs

    Fire lanes

    Site Utilities P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Fuel tanks

    Fuel distribution piping

    Storm drainage

    Fire hydrant systems

    Specialties P.M. Ref # Manufacturer Model # Serial # Size Fuel Type

    Toilet partitions

    Display boards

    Projection screens

    Display cases

    Lockers

    Elevators

    Food service equipment

    Vaults

    Swimming pools

    Playfields and

    Playground SystemsEfficiency

    Rating

    Number i

    Building

    EfficiencyRating

    Number iBuilding

    EfficiencyRating

    Number iBuilding

    EfficiencyRating Number iBuilding

    Waste handling equipment

    Woodworking shopequipment

    Auto/engine shopequipment

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    Energy $mart Schools

    Comprehensive Maintenance Plan

    District: Sample Town CSD Prepared by: John Doe

    PM Checklist and Log

    School: ____________________________________ Year: ________________ Implementor Key: M = Maintenance Mechanic C = Custo

    Heating Systems P.M. Ref # Implementor Frequency/Year Jan Feb Mar Apr May

    Boilers HS 2004-01 M 4 x

    Boiler water treatment 10

    Furnaces 4

    Condenser pumps 4

    Deaerator tank 2

    Steam traps 4

    Steam valves 1-4

    Fuel tanks & distribution 1

    Heat exchangers 2

    Terminal/package units 4

    Fin tubes/radiators 4

    Dampers/draft control 4

    Ductwork 2

    Stacks 4

    Insulation 2

    Piping 4

    Valves 1

    2

    Air Handling Systems P.M. Ref # Implementor Frequency/Year Jan Feb Mar Apr MayAir handling units 4

    Unit ventilators 4

    Fans 2

    Fire dampers 1Filters 2-4

    Humidifiers 2

    Cooling Systems P.M. Ref # Implementor Frequency/Year Jan Feb Mar Apr MayCondensing units 4

    Air compressors 12

    Heat exchangers 2

    Packaged A/C units 4

    Chillers: oil levels and operation 52

    Chillers: other 12

    CHW Pumps 2-4

    4

    Fire Protection/Suppression Systems

    Control sensors

    Heat pumps

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    District: Sample Town CSD Prepared by: John

    PM Checklist and Lo

    School: ____________________________________ Year: ________________ Implementor Key: M = Maintenance Mech

    Sprinkler piping

    Backflow preventers

    Sprinkler heads

    Fire extinguishers

    Fire hose system

    Standpipe connection

    Fire pumps

    Grease hood extinguisher

    Alarms and detectors

    Mechanical Controls

    Compressors

    Pneumatic valves/levers

    Pneumatic tubing

    Electronic controls

    Plumbing Systems

    Cold water piping

    Water heaters

    Hot water piping

    Circulation pumps

    Sump pumps

    Valves and traps

    Septic tanks

    Lighting Systems

    Fluorescent fixturesIncandescent fixtures

    HID fixtures

    Lighting panels

    Emergency lighting

    Exterior lighting

    Occupancy controls

    Daylight controls

    Other controls

    Signal Systems

    Computer data

    Public address

    Television

    TelephoneClock system

    Fire alarms

    Security alarm/devices

    Foundation and Substructure

    Footings How?

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    District: Sample Town CSD Prepared by: John

    PM Checklist and Lo

    School: ____________________________________ Year: ________________ Implementor Key: M = Maintenance Mecha

    Foundation walls

    Slab/beams on grade

    Piling/Posts How?

    Waterproofing How?

    Insulation

    Underdrains How?

    Superstructure

    Columns

    Beams

    Floor structure

    Roof structure

    Monolithic bearing wallsStairs and railings

    Structural bracing

    Welds/connectors

    Roof Systems

    Roofing

    Insulation

    Paving and ballast Paving? On a roof?

    Curbs/supports

    Expansion/seismic joints

    Drains, gutters, etc.

    Drywells

    Flashing and trimFasteners

    Snow stops

    Roof openings

    Parapet caps

    Exterior Wall Systems

    Facade integrity

    Cladding/sheathing

    Doors

    Window systems

    Balcony walls/railings

    Louvers and screens

    Expansion/seismic joints

    Insulation

    Protective coating

    Sealants

    Interior Construction

    Fixed partitions

    Demountable partitions

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    District: Sample Town CSD Prepared by: John

    PM Checklist and Lo

    School: ____________________________________ Year: ________________ Implementor Key: M = Maintenance Mecha

    Retractable partitions

    Doors

    Carpet

    Resilient tile/sheet

    Ceramic/clay tile

    Terrazzo

    Paint

    Vinyl/fabric wall cover

    Ceiling system

    Power Generation

    Generators

    Transfer switchesTransformers

    Service wiring

    Substation

    Switchgear

    Overcurrent protection

    Power Distribution Systems

    Main distribution panel

    Wiring, conduits, & distribution panels

    Electrical receptacles

    Circuit breakers

    Electric baseboard heaters

    Heat trace

    Landscaping Systems

    Irrigation

    Tree/shrub/flower bed plantings

    Turf/lawn

    Walks/plazas

    Playfields and Playground Systems

    Athletic fields

    Hard surface courts

    Swings

    Safety mats

    Gravel and containment

    Markings/painting

    Vehicular Systems

    Parking lots

    Roads/drives

    Curbs

    Fire lanes

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    District: Sample Town CSD Prepared by: John Doe

    PM Checklist and Log

    School: ____________________________________ Year: ________________ Implementor Key: M = Maintenance Mechanic C = C

    Site Utilities

    Fuel tanks

    Fuel distribution piping

    Storm drainage

    Fire hydrant systems

    Specialties

    Toilet partitions

    Display boards

    Projection screens

    Display cases

    Lockers

    Elevators

    Waste handling equipment

    Food service equipment

    Woodworking shop equipment

    Auto/engine shop equipment

    Vaults

    Swimming pools

    Raised computer flooring

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    O&M Specification Language

    A.

    1 Maintenance manuals.

    2 Record documents.

    3 Spare parts and materials.

    4 Tools.

    5 Lubricants.

    6 Fuels.

    7 Identification systems.

    8 Control sequences.

    9 Hazards.

    10 Cleaning.

    11 Warranties and bonds.

    12 Maintenance agreements and similar continuing commitments.

    B.

    1 PM intervals

    2 Emergency instructions.

    3 Spare parts list.

    4 Copies of warranties.

    5 Wiring diagrams.

    6 Inspection procedures.

    7 Shop Drawings and Product Data.

    8 Replacement schedules for filters, seals, lubricants, etc.

    C.

    1 Startup.2 Shutdown.

    3 Emergency operations.

    4 Noise and vibration adjustments.

    5 Safety procedures.

    6 Economy and efficiency adjustments.

    7 Effective energy utilization.

    8 Periodic PM procedures.

    Operation and Maintenance Instructions: Arrange for each Installer of equipment that requires regular maintenance to meet with thOwner's personnel to provide instruction in proper operation and maintenance of the installed equipment. Provide instruction bymanufacturer's representatives if installers are not experienced in operation and maintenance procedures. Include a detailed review o

    the following items:

    Maintenance Manuals: Organize operation and maintenance data into suitable sets of manageable size. Bind properly indexed datain individual, heavy-duty, 3-ring, vinyl-covered binders, with pocket folders for folded sheet information. Mark appropriate identificationon front and spine of each binder. Include the following types of information:

    Training: As part of instruction for operating equipment, demonstrate the following procedures:

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    Best Practices Guides and Resources

    ADDITIONAL REFS TO BE ADDED

    US Environmental Protection Agency (EPA) Indoor Air Quality Tools for Schools Action Kit is available by callin

    US EPA Integrated Pest Management (IPM) in Schools resources are available online atwww.epa.gov/pesticides/ipm/index.htm . The popularEPA booklet, "Pest Control in the School Environment:Adopting IPM" is designed to encourage and assist school officials in examining and improving their pestmanagement practices. It identifies ways to reduce the use of pesticides in school buildings and landscapes, as wellas alternative methods of managing pests commonly found in schools. A copy of the booklet may be obtained on-line by contacting the National Service Center for Environmental Publications , or by phone at 1-800-490-9198.The EPA publication number is EPA 735-F-93-012.

    US EPA Energy Star Portfolio Managerand the New York State Energy Research and Development Authority(NYSERDA)Energy Smart Schools Program free energy benchmarking service is available by calling 1-866-NYSERDA.

    US Department of Energy, Energy Smart Schools Program has numerous resources available at www.rebuild.org/se

    School Operations and Maintenance: BEST PRACTICES FOR CONTROLLING ENERGY COSTS, AGuidebook for K-12 School System Business Officers and Facilities Managers. U.S. Department of Energy Officeof Energy Efficiency and Renewable Energy Weatherization and Intergovenmental Program, Rebuild AmericaEnergySmart Schools Program, August 2004.

    http://www.epa.gov/iaq/schools/toolkit.htmlhttp://www.rebuild.org/sectors/ess/index.asphttp://www.rebuild.org/sectors/ess/index.asphttp://www.epa.gov/iaq/schools/toolkit.html

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