1. AFFILIATED ENGINEERS, INC. THE UNIVERSITY OF TEXAS MEDICAL BRANCH (UTMB) AT GALVESTON Presented to Houston Area Association of Hospital Engineering July 12, 2012 Energy Security on a Barrier Island

2. AFFILIATED ENGINEERS, INC. Agenda About UTMB Galveston Hurricane Ike Where We Were – September 12, 2008 Where We Are Going – A Three Step Solution CHP Options Evaluated Tunneling in Sand Below Sea Level New East Plant and Utility Bridges

3. AFFILIATED ENGINEERS, INC. About UTMB Established in 1891 as the University of Texas Medical Department with one building, 23 students and 13 faculty members is the oldest medical school west of the Mississippi River. 84 acre campus with seven hospitals, more than 70 major buildings, 13,000 employees, 2,500 students and more than 1,000 faculty. Emergency Room at John Sealy Hospital is one of only three Level 1 Trauma Centers in the Greater Houston area. AFFILIATED ENGINEERS, INC.

4. Galveston Island, circa 1890’s UTMB Photos: Old Red/John Sealy

5. AFFILIATED ENGINEERS, INC. The Great Storm of 1900 UTMB Photos: Old Red/John Sealy

6. AFFILIATED ENGINEERS, INC. University of Texas Stops for No Storm UTMB Photos: UT System and Prather Telegrams, 1900

7. AFFILIATED ENGINEERS, INC. Hurricane Ike, September 13, 2008 Water/Storm Surge – Approximately 17 ft to 18 ft based on the information gathered to date. NOAA Timing at High Tide – Landfall at approximately 2:10 AM, 2 hours and 4 minutes before the scheduled morning high tide on September 13, 2008 at 4:14am. Image courtesy: noaa.gov

8. AFFILIATED ENGINEERS, INC. Hurricane Ike, September 13, 2008

9. AFFILIATED ENGINEERS, INC. Hurricane Ike, September 13, 2008 Image courtesy: Ford, Powell & Carson Architects

10. AFFILIATED ENGINEERS, INC. Hurricane Ike, September 13, 2008 10 Image courtesy: Ford, Powell & Carson Architects

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12. After the Storm

13. AFFILIATED ENGINEERS, INC. Unique Debris Removal Challenges

14. AFFILIATED ENGINEERS, INC. Hurricane Ike, September 12, 2008

15. AFFILIATED ENGINEERS, INC. UTMB Hospital Main Corridor Pumping out flood water Cleaning of Library

16. AFFILIATED ENGINEERS, INC. Back to Work Open 12 Clinics Students back to classes Staff relocations Temporary kitchen, tent cafeteria Temporary sterile processing, pharmacy, and other ancillary facilities

17. AFFILIATED ENGINEERS, INC. Impact of Ike Cost of stabilization: $14,000,000 Unable to operate hospital: 90 Days Lost business revenue: $2,000,000/day Cost of evacuation Steam distribution systems a complete loss Chilled water pits a complete loss Lost research materials Over 1 million sf of campus buildings damaged Estimated 1 billion dollars in damages

18. AFFILIATED ENGINEERS, INC. Inability to provide firm supply Where We Were

19. AFFILIATED ENGINEERS, INC. Impact of Ike (Operating Expense)

20. AFFILIATED ENGINEERS, INC. Where We are Going A Three Step Solution

21. AFFILIATED ENGINEERS, INC. Step One Go Away from Buried Steam Pipe After 2 years the water is gone but … CORROSION FROM THE SALT WATER LEAKS Move to Buried Hot Water With Corrosion Resistant Valves and Fittings

22. AFFILIATED ENGINEERS, INC. Step Two Elevate the Boilers and Chillers Impact of Ike…It could have been far worse !

23. AFFILIATED ENGINEERS, INC. Step Three Produce On-Site Electricity via Combined Heat & Power (CHP) Combined heat and power systems are approximately 50% more efficient than traditional systems

24. AFFILIATED ENGINEERS, INC. Options Given Consideration On October 28, 2010 the Facility Steering Committee directed UTMB Infrastructure Team to proceed with increasing the energy security of the UTMB Campus OPTION 5.0 MW On-Site Power Production Production Equipment 15 MW X X Critical Buildings 30 MW X X X X Clinical Core

25. AFFILIATED ENGINEERS, INC. Summary of CHP Economic Analysis Note: Variance between all CHP options is within the accuracy of the estimates.

26. AFFILIATED ENGINEERS, INC. CHP Option Five (Recommended)

27. AFFILIATED ENGINEERS, INC. Summary of Pros and Cons

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30. Mitigation Plan #2 - Harden West Plant w/ Floodwall 7.5MW CHP 2 million gallons TES #1 – New Elevated East Plant w/ 7.5MW CHP 14,000 Tons of Cooling 2 million gallons TES Legend Thermal Distribution Main Loop Emergency Generators Plants #3 - Demo Old Central Plant Hot Water Distribution System

31. AFFILIATED ENGINEERS, INC. Jet Grouting Rig

32. AFFILIATED ENGINEERS, INC. Jet Grouting

33. AFFILIATED ENGINEERS, INC. Pit Construction

34. AFFILIATED ENGINEERS, INC. The Result is a Dry Hole

35. AFFILIATED ENGINEERS, INC. Microtunneling

36. AFFILIATED ENGINEERS, INC. New Elevated East Plant

37. AFFILIATED ENGINEERS, INC. Section Through New East Plant

38. AFFILIATED ENGINEERS, INC. New Utility Bridges

39. AFFILIATED ENGINEERS, INC. THE UNIVERSITY OF TEXAS MEDICAL BRANCH (UTMB) AT GALVESTON Energy Security on a Barrier Island QUESTIONS

40. AFFILIATED ENGINEERS, INC. Reference slides

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