Capital Outlay Web Request

Capital Outlay Project Requests for 2025 will be accepted beginning on October 17, 2024

1. Infrastructure Capital Improvement Plan (ICIP) five digit project ID # (If you do not have a project #, begin your request with Item #2. See instructions.)

2. Contact Name*

3. Contact Title*

4. Contact Phone*

5. Contact Email*

6. Fiscal Agent* (Entity to receive funding. See instructions.) Only the state or political subdivisions of the state are eligible to receive funding.

7. Entity requesting funding*(If different from fiscal agent, type in the requesting entity name. See instructions.)

8. Entity that will own the project upon completion*(If different from fiscal agent, type in the owner's name. See instructions.)

9. Location*(City, town, district, school district, chapter, pueblo. See instructions.)

10. County in which the project will be located* (The county field will autofill from the fiscal agent field. If the project is located in a different county, select the county from the dropdown menu.)

11. Total amount requested for project this legislative session* (Enter the total amount requested from the legislature as a whole; NOT the amount requested from an individual legislator. See instructions.)

12. The amount requested this session will: *

13. BRIEF project description* (Legislative language - See instructions.)

14. Project type for title*

15. Project subject*

16. Project start date (choose a range): *

Questions 17 through 21: Check the box next to the question if the answer to the question is "yes".

17. Have capital outlay appropriations been made for this project in previous years?*

18. Is the total project cost based on cost estimates provided by a contractor, engineer, architect or other qualified professional?*

19. Have easements, rights of way, land and property required to begin construction been acquired?*

20. Will the amount requested this session be used to match federal funds?*

21. Does the project owner have a Project Participation Agreement with a local or regional government pursuant to the Local Economic Development Act?*

22. Project Budget*(See instructions.)

Category

Funded to date/secured

Not yet funded

Total

Acquisition

Plan and design

Construction

Equipment/Vehicles

Other

Total

23. List other funding sources and $ amounts, including local funding, committed to this project:(for example: USDA-$25,000; Quay County-$10,000)*

24 Planning phase:*

25. Complete ONE of the following four fields to best describe the focus of your project*(See instructions.)

Name/description of facility/system (Be specific and use the standard abbreviations included in the instructions. See instructions.)

Enter a description of the vehicle equipment or land to be purchased.

Name of road (See instructions. - name the rd/st/blvd accurately and use the appropriate abbreviations)

Name of school- Pre-K - 12 schools only (See instructions. - name the school accurately and use the appropriate abbreviations)

1. For pre-K - 12 school projects 2. If this is a charter school project, please select how the school is chartered

26. Review capital project request:

Review the information you have provided for accuracy prior to submitting your request. If you select "Submit capital project request" and your request does not include all of the required information, the fields that lack required information will be highlighted in red. Complete the required information. If you select "Submit capital project request" and you see a project summary sheet on your screen, your request has been submitted. You will then have the option to print your project summary sheet. It will be important for future reference to have the LCS Web ID number and the project title. Do not submit the same request more than once. All of the submitted project summary sheets may be viewed online using the search function on the opening page of the request form. You can also generate a report showing all of the requests submitted by a given entity from the main capital outlay page on the legislature's website. Requests will be transmitted by the LCS electronically to legislators. Use your project summary sheet and/or entity report to provide information to legislators about your project(s).