Supplemental Budget One-Time Dollar (1X$) REQUEST FORM <br />TO: Budget Office DATE: 515110 <br />Department: Public Works <br />Executive Manager Signature: <br />1. Description of 1X$ Request/Justification: (attach additional pages as needed) <br />Please include the source of funds supporting the request and the specific project which requires <br />completion. (ex: Request 1X$ from unspent resources to implement new technology that will incur <br />longer term savings of $x per year.) <br />This request would increase the appropriation for General Capital Planning by $23,000 and Right of <br />Way Vacations and Sales by $37,000 in order to allow the project teams to respond to requests from <br />the public and other City departments for transportation capital planning support for projects such as <br />developing cost estimates to improve unimproved streets such as Bond Lane, providing <br />engineering analyses and cost estimates for street concepts for the Walnut Mixed Use Center, <br />and preparing project applications for transportation economic stimulus funds. <br />2. Fiscal Information <br />Fund: 341 Amount of 1X$ Request: $ 60,000 <br />FTE Impact: 0 Revenues Offset:. $,60j000 <br />Net Request: $ 0:00 <br />Revenue Object Code(s) 341-9332-45118 Expenditure Code(s) 341-9332-61735-915040 $23,000 <br />341-9332-61735-965000.-'$3,7,.000 <br />If Grant involved: Grant Number Fiscal Year Grant Received <br />Original Grant Amount: $ <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 />4. Attach a prepared, signed BJE. 70414 <br />