Section 1 of 6 in this document
Capital Improvement Plan - Project Application
I - Project Background
Project Information
Project Title
Department
Budget Year(s)
FYE 2017
FYE 2018
FYE 2019
FYE 2020
FYE 2021
FYE 2022
Budget Account Number (xxx-xxx-xxx-xxx)
Funding Source
Choose One
2016-2016 Road Bonds
2016-2026 Park Bonds
Act 51
TIF
General Fund
Sanitation Fund
Drug Forfeiture
Block Grants
Capital Improvement Fund
Auto Parking
Water & Sewer
Planning Context
City Council Strategic Plan
Master Land Use Plan
Recreation Plan
Sustainability Plan
Ferndale Moves
DDA Strategic Plan
None - Capital Operations
CC Strategic Plan - Identify the initiative if you selected "City Council Strategic Plan"
Choose One
Quality of Life
Economic Development
Service Delivery
Financial Stability
Public Safety
City Employees
Technology
Energy & Sustainability
N/A
2016 MLUP Update - Identify the action item area if you selected "Master Land Use Plan"
Choose One
Land Use
Housing & Neighborhoods
Economic Vitality
Recreation & Open Space
Transportation & Mobility
City Services, Facilities, & Infrastructure
Ferndale Moves Plan: Identify the action item area if you selected "Ferndale Moves"
Choose One
CIP Projects
1st Priority Projects
2nd Priority Projects
Resurface/Reconstruction Projects
Long Term Projects
Project Type
New Facility/ Facility Improvement
Motor Pool
Facility Rehabilitation
Major Equipment
Capital project related study >$10,000
Non-capital project related study >$25,000
Land acquisition
Project Description: Describe what the project is, beginning and ending dates. If the project will take several years, please include the expected timeline.
Section 2 of 6 in this document
II - Project Costs
Capital Cost Estimate
Initial Capital Cost ($)
Estimated annual recurring costs ($)
Describe future recurring operating costs, eg: lease or finance payments, payroll/staffing, installation/implementation, ongoing maintenance costs, licesnsing/subscription/warranty costs, supplies, etc...
Grant Funding
None
Federal
State
Grant Status
Choose One
Applied for
Funding Secured
N/A
Cost Allocations
City (%)
Grant (%)
Section 3 of 6 in this document
III - Capital Equipment Details - If your project does not include major equipment, you may move on to the next section.
Equipment Description
Equipment Type
Storage/Install Location
Unit Details
# of Units
Estimated Service Life
($) Cost per unit
Acquisition Type:
Purchase
Lease
Purpose of Expenditure:
Scheduled Replacement
New Operation
Present Equipment Obsolete
Replace Worn-Out Equipment
Efficiency Improvement
Increased Safety
Customer Service Improvement
Staff Development
Upload supporting files: Estimates, cut sheets, images, plans, etc...
Section 4 of 6 in this document
Project Ranking
Submitting Department
43rd District Court
City Manager
Communications
Information Technology
Budget & Finance
City Clerk
Elections
Custodial Services
Human Resources
Cable TV
Police Department
Fire Department
Community & Econ. Development
DPW
Motor Pool
Parks
Recreation
Special Events
Departmental Priority
Low
Medium
High
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.
Section 5 of 6 in this document
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