1. Main Building Utility Plan Phase 1 - Study PRE-SUBMITTAL CONFERENCE May 14, 2008, 9:00 AM

2. Capital Planning & Management Topics  Project Intent  Project Scope of Services  Project Milestone Schedule  Tour of Project Site

3. Capital Planning & Management Project Intent Objectives:Deliverables: Need for as-installed utility system documentation of existing utilities that serve the Main Building and surrounding Project Site Utilities master planning for proposed facilities Condition assessments of utility systems and equipment to support renewal / replacement decision-making. Topographic Survey Drawings, Master Site Plan Drawings, Master Building System Drawings, and System Schematic Drawings Utility master planning studies and recommendations for utility system upgrade projects Technical assessments of systems and equipment

4. Capital Planning & Management Project Site

5. Capital Planning & Management Proposed Buildings

6. Capital Planning & Management Project Scope of Services – Basic Services  Stage 1 - Documentation Site documentation Main Building documentation  Charles A. LeMaistre Clinic  R. Lee Clark Clinic (Old Clark)  R. Lee Clark Clinic (New Clark)  Margaret and Ben Love Clinic

7. Capital Planning & Management Project Scope of Services – Additional Services  Stage 2 – Main Building Documentation for remaining facilities  Stage 3 - Planning Evaluation of utility systems Development of planning scenarios in consideration of facility demolition and/or renovation Project conceptual planning  Stage 4 - Technical Assessments Hydronic piping system Utility sub-metering Electrical equipment assessment and short circuit / overcurrent protection device coordination study

8. Capital Planning & Management Building Utilities Documentation Master System Drawings 1.Investigate, document, and create drawings per system using M. D. Anderson AutoCAD standard 2.Add confirmed project as-built information 3.Field verify installation of main utilities and equipment 4.Update drawings and distribute for M. D. Anderson review 5.Produce final master system drawings based on review comments M. D. Anderson will maintain drawings with current system information as renovation projects are completed

9. Capital Planning & Management Example Floor Plan

10. Capital Planning & Management Example Riser Diagram

11. Capital Planning & Management Project Milestone Schedule TaskCompletion Date Firm Selection / RFQ Process Pre-Submittal Conference Last Day to Submit RFI's RFI Responses Posted Owner Receives Qualifications Selection Committee Meeting to Shortlist Firms Firm Interviews Notification of Apparent Most Qualified Firm Selected Firm Delivers Executed Agreement Owner Executes Agreement NTP with Basic Services Documentation / Planning Project Kick-off Meeting Project Team Mobilization Owner Receives Site Documentation Owner Receives Stage 1 Main Building Documentation Owner Receives Planning Studies Owner Receives Remaining Main Building Documentation Technical Assessments Owner Receives Technical Assessments Thu 8/28/08 Wed 5/14/08 Fri 5/23/08 Fri 5/30/08 Wed 6/25/08 Wed 7/9/08 Fri 7/18/08 Tue 7/22/08 Tue 8/5/08 Tue 8/26/08 Thu 8/28/08 Fri 4/9/10 Thu 9/4/08 Fri 9/12/08 Fri 12/5/08 Fri 1/16/09 Fri 3/13/09 Fri 4/9/10 Fri 4/16/10

12. Capital Planning & Management Tour of Project Site  Equipment Rooms Old Clark / New Clark / LeMaistre Clinics  Site Service Corridor / Receiving Dock Electrical Transformer Vault