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In the state of Connecticut, the Department of Developmental Services oversees a variety of initiatives aimed at improving the quality of life for individuals living in community settings. Among these initiatives is the process for requesting capital improvements to existing community living arrangements, as detailed in the Connecticut Capital Improvement form. This document is a crucial tool for organizations seeking to enhance the living conditions of their residences through significant physical enhancements or renovations. It encompasses a comprehensive procedure starting from the initial request for approval, detailing the improvement needed, describing the scope of work, estimating the total project cost, and explaining cost estimates. Additionally, the form requires information about the provider, including a bid summary to ensure a transparent and competitive bidding process for contractors. Significantly, it sets forth the conditions under which the state will financially support such projects, referencing the relevant sections of the Connecticut General Statutes. By requiring signatures from various parties, including the provider, developmental staff, the Regional Director for the Department of Developmental Services, and potentially the Commissioner, it underscores the collaborative approach taken towards capital improvement projects in Connecticut. Moreover, the form mandates a certification process to confirm that the proposed capital improvement is necessary for the health or safety of the residents, establishing a stringent criterion for approval and funding.

Connecticut Capital Improvement Sample

 

State of Connecticut

 

Department of Developmental Services

Dannel P. Malloy

Jordan A. Scheff

Governor

Commissioner

DEPARTMENT OF DEVELOPMENTAL SERVICES

REQUEST FOR CAPITAL IMPROVEMENT TO EXISTING

COMMUNITY LIVING ARRANGEMENTS

DATE

(A)

APPROVAL IS REQUESTED FOR THE CAPITAL IMPROVEMENT DETAILED BELOW AT:

Property Address (B)

Improvement Requested (C):

Description of Need (D):

Scope of Work (E):

Estimated Total Project Cost (F): $

Expense Incurred by: (check one)

Explanation of Cost Estimate (G):

Provider

CIL

Phone: 860 418-6000 TDD 860 418-6079 Fax: 860 418-6001

460 Capitol Avenue Hartford, Connecticut 06106

www.ct.gov/ddse-mail: ddsct.co@ct.gov

An Affirmative Action/Equal Opportunity Employer

 

BID SUMMARY FORM

Provider:

 

Date:

 

Address:

 

 

 

Project Location:

 

Number:

 

Description of Work:

 

 

 

Type of Contractor (General, Trade)

 

 

 

Contractors Requests to Submit Bids

 

 

 

 

 

Date Received

Bid Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contract Award To:

If exception to bidding process is requested, check reason:

Unable to solicit three bids

Urgency to complete work

Other:

 

If lowest bid is not selected, write justification for choice:

Remarks:

 

Prepared by:

Approved By:

Provider

Region

 

 

2

Property Address:

(H)

The undersigned acknowledge that this document does not constitute a contract for development of a property and further acknowledges that any payments by the State of Connecticut related to this property may only be made pursuant to Sections 17b-244 and 17a-228 of the General Statutes and the regulations promulgated thereunder.

PROPOSED BY:

 

 

PROPOSED BY:

 

Private Residential Provider

 

Development Staff/Property Developer

 

 

 

(if Applicable)

 

 

________________________

 

_____________________

 

Signature (Name)

(I)

(Date)

Signature (Name) ( J)

(Date)

Print/Type Name

 

 

Print/Type Name

 

 

Tel No.:

 

 

Tel.No.

 

 

REVIEWED BY:

 

 

AFTER CONSULTATION WITH:

_______________________

________________

___________________

_________

Signature (Name) (L)

 

(Date)

(Signature) (Name)

(M)

(Date)

Regional Director for Region

 

Commissioner

 

 

Department of Developmental Services

Department of Social Services

(Or Authorized Designee)

 

(Or Authorized Designee)

 

Print/Type Name

 

 

 

 

 

Tel.No:

 

 

 

 

 

 

 

APPROVED BY

 

 

 

 

 

____________________________________

______________

 

 

(Signature) (Name)

(N)

 

(Date)

 

 

Commissioner

 

 

 

 

 

Department of Developmental Services

 

 

 

 

(Or Authorized Designee)

 

 

3

By signing below, I hereby certify that this capital improvement project is considered by the Department of Developmental Services to be a required project for the health or safety of the residents as detailed in CGS 17b-244.

____________________________________

______________

(Signature) (Name) (O)

(Date)

Commissioner

 

Department of Developmental Services

 

(Or Authorized Designee)

 

4

Document Features

Fact Detail
Governing Law The Connecticut Capital Improvement Form is governed by Sections 17b-244 and 17a-228 of the General Statutes, along with the regulations promulgated thereunder.
Purpose This form is used to request capital improvement for existing community living arrangements within the State of Connecticut.
Department It is issued by the Department of Developmental Services, indicating the government’s commitment to improving living conditions for community-based living situations.
Bid Summary Form Inclusion The form includes a Bid Summary section, emphasizing the process's transparency and the need for detailed contractor information and bid amounts.
Non-Contract Clause The form explicitly states that signing the document does not constitute a contract for property development. This clarification sets clear expectations regarding what the document represents legally.

How to Use Connecticut Capital Improvement

Filling out the Connecticut Capital Improvement form is an essential step for requesting improvements to existing community living arrangements. This document, structured and mandated by the State of Connecticut Department of Developmental Services, seeks to ensure that improvements adhere to legal and operational standards. The form not only outlines the specifics of the proposed improvements but also offers a framework for cost estimation and contractor engagement. It's necessary for providers seeking to enhance the living conditions within their facilities to complete this form meticulously, ensuring accurate and comprehensive information is presented. Below is a step-by-step guide to assist in the process.

  1. Begin with the Request for Capital Improvement section by entering the current date in section (A).
  2. For section (B), provide the detailed address of the property where the improvement is needed.
  3. In section (C), succinctly describe the improvement that is requested.
  4. Detail the necessity behind the request in section (D), explaining why this improvement is essential.
  5. Outline the full scope of the work required for this project in section (E).
  6. Estimate the total cost of the project and record this figure in section (F).
  7. Indicate who will incur the expense by checking the appropriate box in the section following 'Expense Incurred by.' Provide an explanation of the cost estimate in section (G).
  8. Move on to the Bid Summary Form. Start with the provider's name, address, date, and the project location. Then, list the number and description of work anticipated for this project.
  9. For each contractor you have engaged with, specify the type of contractor (General, Trade), the date they were requested to submit bids, the bid amounts received, and ultimately, whom the contract was awarded to.
  10. If an exception to the bidding process is necessary, mark the reason and, if the lowest bid was not selected, provide your justification for this choice in the space provided.
  11. Conclude this section with remarks if any, then have it prepared by the responsible individual and approved by the appropriate authority.
  12. Under the Proposed By section (H), signatures are to be provided by the Private Residential Provider and Development Staff/Property Developer when applicable. Include printed names, telephone numbers, and the date.
  13. Ensure the form is reviewed and then signed by the Commissioner Department of Social Services or their authorized designee in sections (L) and (M).
  14. The form must then be approved by, and a signature is required in section (N) by the Commissioner of the Department of Developmental Services or their designee.
  15. Lastly, certify the project's requirement for the health or safety of residents per CGS 17b-244 by signing at the bottom of the page (section O).

Accurate completion of the Connecticut Capital Improvement form is a step toward securing approval and funding for necessary improvements. After submission, the form will be reviewed by the Department of Developmental Services, followed by an evaluation process to determine the project's eligibility, importance, and alignment with statutory requirements. It is crucial for providers to supply all requested details accurately and to seek clarity on any uncertain parts of the form to ensure the smooth progress of their request.

More About Connecticut Capital Improvement

  1. What is the purpose of the Connecticut Capital Improvement form?

    This form is designed for requesting capital improvements to existing community living arrangements. It facilitates the submission of detailed plans for property enhancements to the State of Connecticut Department of Developmental Services, ensuring the proposed improvements meet the necessary regulations and requirements for health and safety of the residents.

  2. Who can submit a Connecticut Capital Improvement request?

    The request can be submitted by private residential providers or property developers, with the prerequisite that they are involved with the maintenance or development of community living arrangements in Connecticut. These applicants must work closely with the Department of Developmental Services to guarantee the project complies with the state’s health and safety standards.

  3. What information is required in the improvement request (Section C)?

    In the improvement request section, the applicant must provide a clear and concise description of the need for the capital improvement, including how it will benefit the residents. This should cover the aspects that demonstrate the project’s necessity for the enhancement of living conditions or safety, ensuring the rationale is well-articulated for approval consideration.

  4. How should the Scope of Work (Section E) be detailed?

    The Scope of Work section needs to outline all activities and tasks that will be part of the capital improvement project, including any repairs, construction, or renovations. This detailed plan should include timelines, materials needed, and any other relevant specifics to present a comprehensive overview of how the project will be executed.

  5. What’s involved in the Bid Summary section?

    The Bid Summary section requires information on the bidding process for the project. It includes details on the contractors considered, bids received, and the selected contractor. Justifications must be provided if the lowest bid is not chosen or if the standard bidding process is not followed. This ensures transparency and fairness in the contractor selection process.

  6. How is the Estimated Total Project Cost (Section F) calculated?

    The Estimated Total Project Cost must encompass all expenses related to the capital improvement project, including materials, labor, and any other costs. This estimate should be based on the detailed Scope of Work and the bids received. An Explanation of Cost Estimate is also required to provide context for the figures presented.

  7. What approvals are necessary for a Connecticut Capital Improvement request?

    After submission, the form requires review and approval at multiple levels, including the regional director for the specific region, the Commissioner of the Department of Developmental Services, and potentially other designated officials. Approval signifies that the project is necessary for the health or safety of the residents and complies with state regulations.

  8. Is this form legally binding?

    The form itself is not a contract but serves as a request for approval of a project. The document states that any payment related to the proposed property improvements by the State of Connecticut must comply with specific General Statutes and regulations. The completion and approval of this form are preliminary steps towards securing funding and formalizing project plans.

  9. Where can applicants find more information or assistance with the Connecticut Capital Improvement form?

    Applicants seeking more information or needing assistance with filling out the form can contact the Department of Developmental Services by phone or visit their official website. Additionally, resources may be available through local social services departments or designated regional directors familiar with the specifics of capital improvement processes.

Common mistakes

When filling out the Connecticut Capital Improvement form for existing community living arrangements, several common mistakes can easily be avoided to ensure the process is smooth and the submission is accurate. The importance of this document cannot be understated as it initiates vital improvements that benefit community living environments. Understanding these pitfalls can significantly enhance the chance of approval and timely project commencement.

One of the initial mistakes is in the property address section (A). Often, individuals provide incomplete addresses, omitting crucial details like room or suite numbers, or incorrectly abbreviate street names, leading to potential confusion or delays. Ensure that the property address is complete and matches official documents.

In the improvement requested segment (B), a vague or incomplete description of the need (C) and the scope of work (E) is another common error. It is essential to articulate clearly why the improvement is necessary and to outline in detail what the work will encompass. This clarity helps in assessing the project's scope and validates the necessity for improvement.

Miscalculations or underestimations of the total project cost (F) can jeopardize the project. It is critical to provide a realistic and comprehensive estimate that covers all aspects of the capital improvement. Failure to do so might result in funding shortages that could delay or halt the project midway.

In the bid summary form, a frequent oversight is not justifying why the lowest bid was not selected when this occurs. The form mandates that if you choose a bid that is not the lowest, a justification for this choice is necessary. Overlooking this justification can cast doubts on the decision-making process and raise questions about the project's financial management.

  1. Failing to include a complete and accurate property address in section A.
  2. Providing vague or incomplete descriptions in the improvement requested (B), description of need (C), and scope of work (E) sections.
  3. Underestimating the total project cost in section F, leading to potential financial shortfalls.
  4. Omitting the justification for not selecting the lowest bid on the bid summary form.
  5. Incorrectly filling out or leaving blank the segment concerning the expense incurred by, which compromises the understanding of financial responsibility.
  6. Forgetting to sign and date the document properly at sections I, J, L, M, N, and O, which is crucial for the form's validity.

By paying attention to these details and ensuring that all sections of the Connecticut Capital Improvement form are accurately completed, applicants can avoid common mistakes. Doing so not only streamlines the review process but also helps in quickly securing approval for important community living arrangement improvements.

Documents used along the form

When working with the Connecticut Capital Improvement form for existing community living arrangements, several other forms and documents are often essential throughout the process. These documents serve various purposes, from providing detailed project estimates to ensuring compliance with state regulations. Understanding these documents can simplify navigating the legal and procedural landscape of capital improvements in Connecticut.

  • Project Budget Summary: This document outlines the overall budget for the project, including detailed estimates for labor, materials, and any other direct or indirect costs. It is crucial for ensuring the project stays within financial constraints.
  • Contractor Bids Comparison Sheet: Used to document and compare all received bids from contractors. This helps in selecting the most suitable contractor for the project based on cost, experience, and proposed timeline.
  • Building Permit Application: Required for most construction or renovation projects, this application must be submitted and approved by the local municipality before any work can begin. It ensures that the project meets all local zoning and building codes.
  • Environmental Impact Assessment: This document may be necessary if the project could potentially affect the local environment. It assesses the potential impacts and outlines measures to mitigate any negative effects.
  • Accessibility Compliance Form: Ensures that the improvements made to the property comply with state and federal accessibility laws, ensuring that people with disabilities can access and use the property safely and comfortably.
  • Change Order Form: Used when changes to the original scope of work are needed after the project has begun. This document outlines the nature of the change, the cost implications, and any adjustments to the project timeline.
  • Final Inspection Report: Completed by a licensed inspector, this report is a detailed account of the finished project, ensuring that all work has been completed according to the approved plans, codes, and standards.

Together with the Connecticut Capital Improvement form, these documents create a comprehensive framework for managing and executing a successful capital improvement project. By meticulously preparing and managing these forms and documents, stakeholder can oversee the project more effectively, ensuring it meets all required standards and is completed within budget and on time. Providing complete information and following the necessary procedures helps in obtaining the necessary approvals without unnecessary delays, ensuring that the improvements can proceed smoothly for the benefit of the community living arrangements.

Similar forms

The Connecticut Capital Improvement form is similar to other forms related to property improvement and development, including the Project Initiation Form and Capital Expenditure Request Form.

The Project Initiation Form often kicks off any proposed changes to the physical structure or systems within a property. Similar to the Connecticut Capital Improvement form, it requires detailed information about the project, including the scope of work, the rationale behind the need for improvement, and an estimate of the total project cost. Additionally, it captures identifying details about the property and the proposing entity. The essential similarity lies in their structured approach to presenting project details that are critical for approval and oversight.

On the other hand, the Capital Expenditure Request Form is used by organizations to propose investments into their physical assets, which could include buildings, equipment, or property enhancements. Like the Connecticut form, it encompasses fields for a description of the requested improvement, justification for the need, detailed cost estimates, and information on the budget source. It also includes sections for approval by relevant authorities, mirroring the approval sign-off process seen in the Connecticut document. The form's purpose—securing permission and funds for capital improvements—closely aligns with that of the Connecticut Capital Improvement form. Both documents play crucial roles in the planning and execution of capital projects, ensuring accountability and strategic use of resources.

Dos and Don'ts

When filling out the Connecticut Capital Improvement form, it's essential to follow certain guidelines to ensure that the process goes smoothly and to increase the likelihood of approval for your request. Here are several do's and don'ts to consider:

  • Do carefully read the entire form before you start filling it out. Understanding every section in advance will help you provide accurate and comprehensive information.
  • Do verify the property address and ensure it matches the records. Incorrect or outdated information can delay the process.
  • Do provide a detailed description of the need (Section C) and scope of work (Section E). The more specific you are, the easier it will be for the reviewers to understand the project and its importance.
  • Do accurately calculate and report the estimated total project cost (Section F). Supporting documents for your cost estimates can strengthen your request.
  • Do include all relevant parties' contact information. Ensure phone numbers and email addresses are current to avoid communication issues.
  • Don't leave any sections blank. If a section does not apply to your request, clearly mark it as "N/A" to indicate it was not overlooked.
  • Don't forget to review the bid summary form and ensure that you have followed the bidding process as required, including providing justification if the lowest bid was not selected.
  • Don't sign the form without double-checking all the information for accuracy. Any error could result in delays or denial of the request.
  • Don't ignore the certifying statement at the end of the document (Sections N and O). By signing it, you acknowledge the importance of the project for the health or safety of the residents, which is a crucial aspect of getting your request approved.

Following these guidelines will help ensure that your Capital Improvement form is properly filled out and submitted, which is vital for the success of your project. Remember, the objective is not just to request improvements but to clearly communicate the need, scope, and justification for those improvements to the reviewers.

Misconceptions

When navigating the process of requesting capital improvements in Connecticut, it's important to address some common misunderstandings. Here are ten misconceptions about the Connecticut Capital Improvement form, clarified to help guide you through the process:

  1. Any property improvements require this form. Not true. This form is specifically for existing community living arrangements under the Department of Developmental Services. It's important to confirm your project falls within this category.

  2. Completing the form guarantees approval. Merely submitting the form does not ensure your project will be approved. Approval depends on various factors, including compliance with statutes and available funding.

  3. The form is too complicated to fill out without a lawyer. While legal advice can be helpful, the form is designed to be completed by providers and development staff with knowledge of the project's details.

  4. The estimated cost on the form is final. The costs projected are estimates and can vary depending on actual project bids and unforeseen expenses.

  5. Any provider can request improvements. The form is intended for providers operating within the scope of the Department of Developmental Services' community living arrangements.

  6. Bids are not necessary for the approval process. On the contrary, a bid summary form is required to ensure the state gets the best possible price for the work needed, although there are exceptions in certain circumstances.

  7. The lowest bid must always be selected. The lowest bid is usually preferred to ensure cost-efficiency, but exceptions can be justified on the form if another bid offers better value or expertise relevant to the project.

  8. Approval from the Department of Developmental Services is the final step. Approval from DDS is crucial, but remember, this form alone does not constitute a development contract. Further agreements and compliance are necessary.

  9. Any cost incurred before form approval will be reimbursed. Expenses incurred before obtaining formal approval may not be eligible for reimbursement. It's vital to secure approval before proceeding with any work.

  10. Only the proposed changes described in detail are allowed. While the form requires a detailed description of the work, changes or modifications can be discussed and potentially approved as the project progresses, within reason.

Understanding these key points can help streamline your project's planning and approval process. If questions or uncertainties arise, consulting with a professional experienced in Connecticut's capital improvement procedures for developmental services can provide clarity and direction.

Key takeaways

When it comes to making changes and improvements to existing community living arrangements in Connecticut, understanding how to properly complete the Capital Improvement form is crucial. Here are nine key takeaways that can help guide you through this process:

  • Every project begins with a formal request: The form serves as an official request for approval of capital improvements, reminding users that the first step is always to document and submit your improvement needs officially.
  • Detail is key: From the description of the need to the scope of work and the estimated total project cost, providing detailed and accurate information is essential for the approval and eventual success of your improvement project.
  • Understand who bears the costs: Identifying whether the provider or another entity is responsible for the expenses clarifies financial responsibilities right from the start.
  • Justification of costs is required: It’s not enough to simply estimate costs; an explanation of how these estimates were arrived at must be included, ensuring transparency and accountability.
  • The bidding process is integral: Including a bid summary reflects the necessity of obtaining multiple bids for the work to ensure fair market value is achieved and to comply with regulatory requirements.
  • Exceptions to the bidding process: The form allows for exceptions under certain circumstances such as urgency or inability to solicit three bids, but these must be justified, emphasizing the flexibility yet structured nature of the procurement process.
  • Final approval is multi-layered: Approval signatures from various stakeholders, including Regional Directors and the Commissioner of the Department of Developmental Services, underscore the collaborative approach in validating the necessity and appropriateness of the proposed improvements.
  • It’s a non-contractual document: Despite the detailed planning and approval process, this form itself does not serve as a contract for development, highlighting the need for subsequent contractual agreements post-approval.
  • Certification of need: The form requires a certification that the project is necessary for the health or safety of the residents, underscoring the primary goal of capital improvement requests to enhance resident wellbeing.

Navigating the Capital Improvement form process demonstrates a commitment to improving community living arrangements responsibly and effectively. By paying close attention to the requirements and providing thorough, accurate information, you can ensure a smoother path to obtaining the necessary approvals for your projects.

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