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i <br /> Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> <br /> ~L TO: Budget Office DATE: <br /> Department: Public Works <br /> Executive Manager Signature: <br /> 1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br /> Please include the source of funds supporting the request and the specific project wh' h <br /> requires completion. (ex: Request 1X$ from unspent resources to implement new tec ology i , <br /> that will incur longer term savings of $x per year.) j <br /> i <br /> Request 1X's from unspent resources for increased costs on 3rd/4th Connector projec .The <br /> $260,000 increase in cost was due to additional street excavation to stabilize the soft <br /> subgrade prior to paving, additional right-of--way needed to address safety concerns, <br /> additional storm drainage due to underground springs, and higher than estimated uti ity <br /> relocation costs. <br /> Request 1X's from unspent resources for the city match for North Bank Bike Path <br /> Rehabilitation project of $103,000. North Bank Bike Path provides for the non-fede al match <br /> in federal Surface Transportation Program -Urban funds programmed by the Metr politan <br /> Policy Committee at its July 15, 2005 meeting. <br /> 2. Fiscal Information j <br /> _ <br /> Fund: 333. Amount of 1'X$ Request: $ 3:63 U00;00 <br /> FTE Impact: 0.0 Revenues.Oifset $ <br /> Net-Regaest: $ .363 000.00 <br /> Revenue Object Code(s) Expenditure;dbject Code(s) 333-9332 6173 -95 072 <br /> If Grant involved: Grant Number Fiscal Year Orant Received <br /> I <br /> Original Grant Amount: $ <br /> i <br /> I <br /> Balance Remaining: ~ ) <br /> I <br /> 3. Has a purchase order been issued on this request? Yes _X No j <br /> If yes, Prior or Current Year purchase order? <br /> If prior year, has purchase order been included in the Reserve for Encumbrances? If not please <br /> explain. <br /> 'I <br /> 4. Attach a prepared, signed BJE. 53367 . <br /> A <br /> <br />