II - Project Costs

Capital Cost Estimate

Initial Capital Cost ($)

Estimated annual recurring costs ($)

Describe future recurring operating costs, eg: lease or finance payments, payroll/staffing, installation/implementation, ongoing maintenance costs, licesnsing/subscription/warranty costs, supplies, etc...

Grant Funding

None

Federal

State

Grant Status

Cost Allocations

City (%)

Grant (%)

Project Ranking

Submitting Department

Departmental Priority

Decision making criteria - check each box that directly applies to your project

Legal Mandate

Public Health - eliminates existing hazard

Bond Project

Public Safety Improvement

Conformity to City Plans

Conformity to City Council Strategic Goals

Efficiency Improvement

Customer Service Improvement

Description: You may provide a brief explanation for selecting the criteria.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

CIPID#

You will be provided with a CIPID# upon submission.

City of Ferndale

Capital Improvement Plan - Project Application

I - Project Background

II - Project Costs

III - Capital Equipment Details - If your project does not include major equipment, you may move on to the next section.

Project Ranking