Facilities Design and Construction

Project Number PM
PROJECT SUMMARY SHEET
Project Account Number

Building: Floor: Room:

Description:

Requesting Dept.: Originator:

Department Address: Extension: Date:

DESCRIPTION ESTIMATED BUDGET FIRM PRICE ACTUAL PRICE Approved for Estimate
Professional Fees

Scope Development
Design Services Dept Head Date

Reimbursables
Cost Estimating Administrator Date

Special Funding
Demolition
Construction

Construction Div - Dept - Acct - Prog Class

Site Work / Utilities ___%

Other
Furniture Div - Dept - Acct - Prog Class
FF&E

Fixed Equipment ___%

Specialty Equipment
Security Capital Budget Code
Signage
IS / IT / Biomed
Other

Facilities Services
Hazardous Materials See Attached Scope Change

Trash Removal Memo - Sign & Date Below

Moving
FDC Services
Project Contingency Capital Request Ranking
TOTAL
Review By / Date
Approved for Firm Price Approved for Construction Approved for Closing Comments:
Place Project On Hold

Sign & Date Below Administrator / Date Administrator / Date Project Manager / Date

________________
Senior Officer / Date Financial Officer / Date Director FDC / Date

FDC Project Summary Sheet - 7/09