Attachment A For Local Governments Requesting a 2014 Capital Appropriation

I.

Project Basics 1) Name of the local government or political subdivision that is submitting the request: City of Montgomery 2) Project title: Public Safety Facility 3) Project priority number (if the applicant is submitting multiple requests): N/A 4) Project location (please list town(s)/city(ies) and county(ies): Montgomery, Le Sueur County 5) Ownership and Operation: Who will own the facility: City of Montgomery Who will operate the facility: City of Montgomery Names of any private entities that will occupy/use any portion of the building: None. 6) Project contact person (name, phone number and email address): Steve Helget, 507-364-8888, shelget@cityofmontgomerymn.com

II. Project Description 7) Description and Rationale: Provide a brief project description and rationale (one page maximum). The very first sentence of this narrative should identify what is being requested. Example: This request is for $_ in state bond funding to acquire land, predesign, design, construct, furnish and equip (all that apply) a new facility located in (city) and (county) (purpose) . As part of the project rationale, be sure to explain what public purpose the project is meeting and how. The City of Montgomery is requesting $1,330,000 in state funding to supplement local funding for final design and construction of a Public Safety Facility to be located within the city of Montgomery, Le Sueur County. The Facility would house both the City's Fire and Ambulance Services. Both Fire and Ambulance Service are volunteer organizations with 30 and 35 members respectively. Built in 1974, the City's only Fire Hall and Ambulance Service building does not have the capacity to house all the emergency vehicles. Currently five (5) fire trucks are stored at another location within the city which the City of Montgomery pays rent for. The fire and ambulance vehicles stored in the current Public Safety building have to be parked a specific way and distances from each other in order to fit them all in the building. Since 1974, vehicles have grown in size, especially latter trucks, and the 425 service area itself has grown requiring the City to expand its service. The existing

building is only 12,056 square feet. The Montgomery Fire and Ambulance Services provide services to ten (10) townships and cities located in Le Sueur and Rice Counties. About 2,300 households are serviced as well as numerous businesses and major industries such as Seneca Food Corporation and United Steel Projects. The City of Montgomery is ready to begin construction in 2014 8) Square Footage: For new construction projects, identify the new square footage planned. For remodeling, renovation or expansion projects, identify the total square footage of current facilities, the square footage to be renovated, and/or the new square footage to be added. Montgomery Public Safety Facility = 20,272 square feet

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III. Project Financing The following table describing the total amount of financial resources needed and the proposed uses of funds must be submitted for each project. Enter amounts in thousands ($100,000 should be entered as $100). Enter the amount of state funding requested on the line State GO Bonds Requested. Uses of Funds must show how all funding sources will be used, not just the state funding requested. Sources of Funds total must equal Uses of Funds total. In most cases, the state share should not exceed 50% of the total project cost. Do the project cost estimates below include inflation (see question 10 below)? Sources of Funds
Dollars in Thousands Prior Years For 2014 For 2016

Yes

No

For 2018

Total $1,330

State GO Bonds Requested Funds Already Committed State Funds City Funds County Funds Other Local Government Funds Federal Funds Non-Governmental Funds Pending Contributions City Funds County Funds Other Local Government Funds Federal Funds Non-Governmental Funds l TOTAL* Uses of Funds
Dollars in Thousands Prior Years

$1,330

$1,330

$1,330

$2,660
For 2014 For 2016 For 2018

$2,660

Total $90 $130 $2,360 $80 $2,660

Land Acquisition Predesign (required for projects over $1.5 M) Design (including construction administration) Project Management Construction Furniture/Fixtures/Equipment Relocation (not bond-eligible) TOTAL* * Totals must be the same.

$90 $130 $2,360 $80

$2,660

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IV. 10)

Other Project Information Project schedule. Identify the date (month/year) when construction crews are expected to first arrive on site, and the date (month/year) when construction will be completed with a certificate of occupancy. Anticipated Start Date: 11/01/2014 Anticipated Occupancy date: 08/31/2015 (For facilities projects, this information will also be used to calculate an inflation cost, using the Building Projects Inflation Schedule posted on the Minnesota Management and Budget website. 11) Predesign. For projects with a total construction cost of $1.5 million or more: Has a project predesign been completed? x Yes No

If so, has the predesign been submitted to the Commissioner of Administration? Yes 12) x No

State operating subsidies. Identify any new or additional state operating dollars that will be requested for this project. (Specify the amount and year, if applicable). If this request is granted, no further state dollars will be requested. Sustainable building guidelines. Discuss how the project meets or exceeds the Minnesota Sustainable Building Guidelines established under Minnesota Statutes, section 16B.325, which may be found at http://www.msbg.umn.edu/. These are now mandatory for all new buildings or major renovations receiving state bond funding. The Montgomery Public Safety Facility is at the preliminary, conceptual design stage. Design elements that incorporate sustainable practices (building and lands) and LEED (Leadership in Energy & Environmental Design) practices will be incorporated into the final building and site design. Low impact and sustainable development, construction and storm water practices will be incorporated throughout the project's final construction design plan.

13)

14)

Sustainable building designs. Explain the extent to which the project will use sustainable building designs, if applicable. Currently, the proposed project is at the preliminary, conceptual design stage. The City of Montgomery intends to pursue and obtain LEED certification for the project and to meet Minnesota B3 sustainability guidelines.

15)

Resolution of support and priority designation. Has the governing body of the applicant passed a resolution of support (which indicates the projects priority number if the applicant is submitting multiple requests)? x Yes (see attached Resolution 25-2013) If so, please attach the signed resolution. If not, please indicate when the resolution will be coming (and forward the resolution to MMB when available): , 2013

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