Spreadsheet: 9004b072-9df4-48ce-b3f8-9a13ab42c46a
Sheet: CC-C FY 13-14

CC-C:  CAPITAL CONSTRUCTION REQUEST FOR FY 2013-14
 | Agency or Institution: |  |  | Signature  Department or Institution Approval: |  | Date
 | Project Title |  |  | Signature CCHE Approval: |  | Date
 | Project Year(s): | FY 20__ - __ |  | Signature OSPB Approval: |  | Date
 | Agency or Institution Priority Number: |  |  | Name and e-mail address of preparer:
Revision?     Yes          No   If yes, last submission date: __________ |  | Total Project Costs | Total Prior Year Appropriations | Current Request FY 2013-14 | Year 2 Request | Year 3 Request | Year 4 Request | Year 5 Request
A. | Land Acquisition
(1) | Land /Building Acquisition |  | 0 | 0 | 0 | 0 | 0 | 0
B. | Professional Services
(1) | Master [NAME]/PP |  | 0 | 0 | 0 | 0 | 0 | 0
(2) | Site Surveys, Investigations, Reports |  | 0 |  | 0 | 0 | 0 | 0
(3) | Architectural/Engineering/ Basic Services |  | 0 | 0 | 0 | 0 | 0 | 0
(4) | Code Review/Inspection |  | 0 | 0 | 0 | 0 | 0 | 0
(5) | Construction Management |  | 0 | 0 | 0 | 0 | 0 | 0
(6) | Advertisements |  | 0 | 0 | 0 | 0 | 0 | 0
(7a) | Inflation for Professional Services |  | 0 | 0 | 0 | 0 | 0 | 0
(7b) | Inflation Percentage Applied |  | 0 | 0 | 0 | 0 | 0 | 0
(8) | Other |  | 0 | 0 | 0 | 0 | 0 | 0
(9) | Total Professional Services
C. | Construction or Improvement
(1) | Infrastructure |  | 0 | 0 | 0 | 0 | 0 | 0
 | (a) Service/Utilities |  | 0 | 0 | 0 | 0 | 0 | 0
 | (b) Site Improvements |  | 0 | 0 | 0 | 0 | 0 | 0
(2) | Structure/Systems/ Components
 | (a) New (GSF): |  | 0 | 0 | 0 | 0 | 0 | 0
 | New $_______/GSF
 | (b) Renovate GSF: |  | 0 | 0 | 0 | 0 | 0 | 0
 | Renovate $_____/GSF
(3) | Other (Specify) |  | 0 | 0 | 0 | 0 | 0
(4) | High Performance Certification Program |  | 0 | 0 | 0 | 0 | 0 | 0
(5a) | Inflation for Construction |  | 0 | 0 | 0 | 0 | 0 | 0
(5b) | Inflation Percentage Applied |  | 0 | 0 | 0 | 0 | 0 | 0
(6) | Total Construction Costs
D. | Equipment and [NAME]
(1) | Equipment |  | 0 | 0 | 0 | 0 | 0 | 0
(2) | Furnishings |  | 0 | 0 | 0 | 0 | 0 | 0
(3) | Communications |  | 0 | 0 | 0 | 0 | 0 | 0
(4a) | Inflation on Equipment and [NAME] |  | 0 | 0 | 0 | 0 | 0 | 0
'(4b) | Inflation Percentage Applied |  | 0 | 0 | 0 | 0 | 0 | 0
(5) | Total Equipment and Furnishings Cost
E. | Miscellaneous
(1) | Art in Public Places=1% of State Total Construction Costs (see SB 10-94) | 0 | 0 | 0 | 0 | 0 | 0 | 0
(2) | Annual Payment for Certificates of Participation |  | 0 | 0 | 0 | 0 | 0 | 0
(3) | Relocation Costs |  | 0 | 0 | 0 | 0 | 0 | 0
(4) | Other Costs [specify] |  | 0 | 0 | 0 | 0 | 0 | 0
(5) | Other Costs [specify] |  | 0 | 0 | 0 | 0 | 0 | 0
(6) | Other Costs [specify] |  | 0 | 0 | 0 | 0 | 0 | 0
(7) | Other Costs [specify] |  | 0 | 0 | 0 | 0 | 0 | 0
(8) | Total Misc. Costs
F. | Total Project Costs
G. | Project Contingency
(1) | 5% for New |  | 0 | 0 | 0 | 0 | 0 | 0
(2) | 10% for Renovation |  | 0 | 0 | 0 | 0 | 0 | 0
(3) | Total Contingency
H. | Total Budget Request [F+G(3)]
I. | Source of Funds
 | CCF |  | 0 | 0 | 0 | 0 | 0 | 0
 | CF |  | 0 | 0 | 0 | 0 | 0 | 0
 | RF |  | 0 | 0 | 0 | 0 | 0 | 0
 | FF |  | 0 | 0 | 0 | 0 | 0 | 0
 | check (should = H)
 | [NAME]:  Arapahoe Community College - Douglas Campus
 | [NAME]:  Arapahoe Community College - Littleton Campus
 | [NAME]:  Auraria Higher Education Center
 | [NAME]:  Adams State College
 | [NAME]:  Community College of Aurora
 | [NAME]:  Colorado Community College System
 | Colorado Commission on Higher Education
 | [NAME]:  Colorado Northwestern Community College
 | [NAME]:  Colorado School of Mines
 | [NAME]:  Colorado State University - Ft Collins
 | [NAME]:  Colorado State University-Pueblo
 | [NAME]:  Fort Lewis College
 | [NAME]:  Front Range Community College - Larimer Campus
 | [NAME]:  Front Range Community College - Longmont Campus
 | [NAME]:  Front Range Community College - Westminster Campus
 | [NAME]:  Lamar Community College
 | [NAME]:  Lowry Higher Education Center
 | [NAME]:  Morgan Community College
 | [NAME]:  Mesa State College - Grand Junction Campus
 | [NAME]:  Mesa State College - Montrose Campus
 | [NAME]:  Northeastern Junior College
 | [NAME]:  Otero Junior College
 | [NAME]:  Pueblo Community College - Canon City Campus
 | [NAME]:  Pueblo Community College - Durango Campus
 | [NAME]:  Pueblo Community College - Pueblo Campus
 | [NAME]:  Pikes Peak Community College - Centennial Campus
 | [NAME]:  Pikes Peak Community College - Rampart Campus
 | [NAME]:  Red Rocks Community College - Arvada Campus
 | [NAME]:  Red Rocks Community College - Main Campus
 | [NAME]:  Trinidad State Junior College - Alamosa
 | [NAME]:  Trinidad State Junior College
 | [NAME]:  University of Colorado - Boulder
 | [NAME]:  University of Colorado - Colorado Springs Campus
 | [NAME]:  University of Colorado - Denver Campus
 | [NAME]:  University of Colorado - Health Sciences Center
 | [NAME]:  University of Northern Colorado
 | [NAME]:  Western State College
 | Colorado Historical Society
 | Department of Agriculture
 | Department of Corrections
 | Department of Education
 | Department of Health Care Policy and Financing
 | Department of Human Services
 | Department of Labor and Employment
 | Department of Local Affairs
 | Department of Military and Veterans Affairs
 | Department of Natural Resources - Parks
 | Department of Natural Resources - Wildlife
 | Department of Natural Resources
 | Department of Personnel and Administration
 | Department of Public Health and Environment
 | Department of Public Safety
 | Department of Regulatory Agencies
 | Department of Revenue
 | Governor's OIT