Project Scope and Budgetary Estimate Form

Project Title: ______________________________ Location: ________________________________

Requestor:__________________ Phone:________ Facilities Lead: _____________ Phone: ________

Project Justification/Scope (attach additional sheets if necessary):
 
 
 
 
 
 
 
 

Scope/Budge Estimate Does Not Include:
 
 

Facilities Manager Support:  Yes  No, because _________________________________________

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Budgetary Estimate:

Materials: $____________ = %______ Basis: __________________________________

__________________________________

Labor: $____________ = %______ Basis: __________________________________

                                                  _________________________________

Project Total: $____________ Estimated by: ____________________ Date: ___________

Department Dean or VP Acceptance:(acceptance implies project will be forwarded for prioritization & scheduling)

Scope & Budget Acceptance:

_____________________________________ _____________________ _______________

(Name) (Title) (Date)

Please list any special schedule or fiscal considerations:
 
 
 
 
 
 

Return to: Facilities Design & Construction, 165 Wilber Hall

For Facilities Use Only:

Initial Approach:  LMI  LMA  MLS  MRH  CLA  CLH  CCF  CDA  Other________