Section A
Requestor:
Today’s Date:
Campus Address:
Department:
Phone:
Fax:
Email:
Project Start
Date:
Project End
Date:
Project Location:
Project Description:
How will this project be funded? Indicate Index and Account Number below.
Index:
Account Number:
Must have these signatures to process estimate.
Requestor Signature:
Date:
Dean/Director Signature:
Date:
Requestor’s VP Signature:
Date:
VP Administration and
Finance Signature:
Date:
IMPORTANT NOTE-PLEASE READ AND INITIAL BELOW
The Project Estimate Form is to be used for major renovations or construction that may change the
layout or function of a building. ATU Facilities Management-Construction Manager provides estimates
only and not guaranteed prices. The price provided on this form is an ESTIMATE ONLY. When firm bids
are received, the actual cost could be higher or lower. Furthermore, any change to the scope of work
will increase the cost of the project. The estimate is provided in good faith and to the best ability of
FAMA/Construction Manager. An ESTIMATE of a project’s cost provided by FAMA/Construction
Manager does not constitute APPROVAL TO PROCEED WITH THE PROJECT. Approval to proceed with
the project must be provided with appropriate signatures.
I have read and understand the above instructions.
Requestor’s Initials:
Date:
Section B
APPROVAL FOR PROJECT AS DESCRIBED ABOVE WITH AN ESTIMATED
COST OF:
$
Signature of Requestor:
Date:
Signature of Dean/Director:
Date:
Signature of Requestor’s VP:
Date:
Signature of VP
Administration and Finance:
Date:
Arkansas Tech University
Construction Management
smabry1@atu.edu
479.968.0261
Construction Project Request Form
Requestor completes Section A and return to Sandy Mabry, Construction Manager, Facilities
Management. Construction Manager returns form with estimate to Requestor. All approval signatures
must be obtained and form returned to Construction Manager before project will begin.
For Office Use Only
Date Received:
Cost Estimate:
By: