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Supplemental.Budget One-Time Dollar (1X$) REQUEST FORM <br /> TO: Budget Office DATE: 10/26/2009 <br /> Department: Public Works <br /> Executive Manager Signature: <br /> 1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br /> Subsequent to adoption of the FY10 budget, Public Works received new external revenue from <br /> partner governmental agencies for funding specific projects. This is a request to authorize expenditure <br /> of those external grant resources, the proceeds of which would be used for: <br /> • American Recovery and Reinvestment Act Projects Delta Ponds Bike Path, PPP Garfield, <br /> PPP Crescent, PPP High, PPP .1 S~, and NOAA for Delta Pond restoration. <br /> • Developer or neighborhood share of capital projects. <br /> 2. Fiscal Information <br /> Fund: Various Amount of 1X$ Request: $ 8,888832 <br /> FTE Impact: .none Revenues Offset:.. $ 8;888;832 <br /> Net Request:. $ 0 <br /> Revenue ObjectCode(s) see attached list Expenditure Object Code(s) see attached list <br /> If Grant involved: Grant Number see attached list Fiscal Year GrantReceived <br /> Original Grant.:Arnount: $ <br /> Balance Remaining: (as of ) <br /> 3. Has a purchase order been issued on this request? Yes No X <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 /> <br /> 4. Attach a prepared, signed BJE. BJE#68445 <br /> <br />