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Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: 5/12/06 <br /> i <br /> Department: Public Works <br /> i <br /> Executive Manager Signature: <br /> 1. Description of 1X$ RequestlJustification: (attach additional pages as needed) <br /> Please include the source of funds supporting the request and the specific project which <br /> requires completion. (ex: Request 1X$ from unspent resources to implement new technology <br /> that will incur longer term savings of $x per year.) <br /> i <br /> Request 1X's from unspent resources for increased costs on 3ra/4th Connector project. 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 utility <br /> relocation costs. <br /> Request 1X's from unspent resources for the city match for North. Bank Bike Path <br /> Rehabilitation project of $103,000. North Bank Bike Path provides for the non-federal match <br /> in federal Surface Transportation Program - Urban. funds programmed by the Metropolitan <br /> Policy Committee at its July 15, 2005 meeting. , <br /> r <br /> 2. Fiscal Information <br /> Fund: 333 ~ 'Amount of 1X$ Request: $ 3'63,000.40 <br /> F <br /> TE Impact . ' 0'0 lZ:evenues Offset: $ <br /> NetReq~est $ 363,0.00:00 <br /> -Revenue Ob`ect Code s <br /> ~ O ,Expenditure Ob~eet Code.(s) 333=:9332=61735=905244` <br /> <br /> II _ 333-9332-61735=955072'. <br /> If Grant involved: GrantNumber Fiscal Year Grant Received <br /> Ori final <br /> Grari <br /> t Amount: <br /> g <br /> Balance Remainin <br /> g <br /> 3. Aas a purchase order been issued on this request? Yes. X No <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 /> 4. Attach a prepared, signed BJE. 53367 <br /> _ <br /> <br />