Fillable Resource Request Form And Samples Of Completed Forms Capital Outlay Request - User Form

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Resource Request Form And Samples Of Completed Forms Capital Outlay Request - User Form

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Capital Outlay Request - User Form
CERRITOS COMMUNITY COLLEGE DISTRICT
REQUEST TYPE:
*
Unit Ranking
(auto)
FISCAL YEAR:
*
Area Ranking
(auto)
AREA:
*
College-Wide Ranking
(auto)
DIVISION/DEPT:
*
UNIT: * [Edit]
REQUEST for CAPITAL / FACILITIES / PERSONNEL / BUDGET
Note: Capital requests are for tangible item(s) (except for computers) with a total cost (including tax & shipping) over $500 with life
over 3 years.
Request Title:
*
Responsible Division/Unit Manager
Room Number
Other Funding Eligibility
(Manager)
*
Instructional Equipment Fund
(Extension)
*
VTEA
(E-mail)
*
Grants/Contracts
*
(Copy To)
Categorical
*
Other Funding
*
Emergency Funding
Strategic Plan Priority
*
Goal Number(s)
Criteria Priority(ies) *
Institutional Effectiveness
*
Strategic Plan-Primary Goal *
Learning Centered Institution
*
Accreditation Compliance
Resource Management
*
Facility & Infrastructure Preservation
Governance and Leadership
*
Replacement of Obsolete Equipment
Growth and/or New Program
Code Compliance (Fire, Life Safety, ADA)
Brief Description of Purpose & Rationale for this Request:
*
Brief Description of Consequences if this Request is not approved:
*
Product / Item Description & All Related Costs (e.g., electrical) Quantity Cost/Item
* * $ *
*Note: you may add additonal product descriptions (items) on the next page after submitting the form.
http://home.cerritos.edu/business-services/users/UsersInsert07.asp (1 of 2) [2/26/2009 10:46:53 AM]
(Select a Request Type)
2009-10
(Select an Area)
(Select a Division/Dept. Location)
(Select a Unit)
Capital Outlay Request - User Form
Additional Item(s) Needed for This Request (other than line items above):
* Yes No
Brief Description of Additional Items Needed for this Request:
Brief Description of Facility Accommodation Needed for this Request:
*Required fields
New Request My Requests All Requests Groups Users in Groups My Info Help Tech Support
(Windows User: "lkaufman")
http://home.cerritos.edu/business-services/users/UsersInsert07.asp (2 of 2) [2/26/2009 10:46:53 AM]
Save & Add Items
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Capital Outlay Request - Print View
Page 1
of
1
CERRITOS COMMUNITY COLLEGE DISTRICT
REQUEST TYPE: Facilities Resources
FISCAL YEAR: 2008-09
AREA: Academic Affairs
DIVISIONIDEPT: Science, Engineering,
and
Math
UNIT: Computer Information Systems
REQUEST for CAPITAL / FACILITIES / PERSONNEL / BUDGET
Unit Ranking
13
of
16
Area Ranking
60
of 60
College-Wide Ranking
76
of
76
Note: Capital requests are for tangible item(s) (except for computers) with a total cost (including tax & shipping) over $500 with life over 3
years.
Request Title: Facilities Improvement - CIS
Tracking Number: 08-02570-023
(For
Business
Services use only)
IResponsible Division/Unit Manager
I IRoom
Number
I IOther Funding
Eligibility
(Manager) Carolyn Chambers
N Instructional Equipment Fund
(Extension)
2661
N VTEA
(E-mail) cchambers@cerritos.edu
N Grants/Contracts
N Categorical
N Other Funding
N Emergency Funding
Strategic Plan Priority Goal Number(s) Criteria Priority(ies)
N Institutional Effectiveness
N Strategic Plan-Primary Goal
Y Learning Centered Institution 7 N Accreditation Compliance
N Resource Management
Y Facility
& Infrastructure Preservation
Y Governance and Leadership 5 N Replacement
of
Obsolete Equipment
Y Growth and/or New Program
N Code Compliance (Fire, Life Safety, ADA)
Brief
Description
of
Purpose & Rationale
for
Request:
CIS needs dedicated space, specialized storage, wiring, and security to meet the needs of the program.
Consequences
if
not
approved:
The department will remain less productive than
it
should be and limited
in
the number
of
students it services.
Capital Outlay
Product
Description
& all related
costs
(e.g., electrical) Quantity Cost/Item
Total Cost
Renovation of four lecturellab rooms and five offices
1
$500,000.00
$500,000.00
Total $500,000.00
Additional item(s) needed for this request (other than line items above): N
Brief
Description
of
Additonal
Items Needed
for
this
Request:
Brief
Description
of
Facility
Accommodation
Needed
for
this
Request:
Facilities Department Review: (For Facilities Department use only)
Area
Administrators
Comments:
(For
Area
Administrators
Use Only)
http://home.cerritos.edu/business-services/userslUsersPrint.asp?CORID=08-02570-023&Page=1&Pa... 1/31/2009
Carital Outlay Request - Print View
Page 1
of
1
CERRITOS COMMUNITY COLLEGE DISTRICT
REQUEST TYPE: Additional Personnel
FISCAL YEAR: 2008-09
AREA: Business Services
DIVISION/DEPT: Physical Plant
UNIT: Custodial
REQUEST for CAPITAL / FACILITIES / PERSONNEL / BUDGET
Unit Ranking
8 of 10
Area Ranking 12
of
14
College-Wide Ranking
73
of
76
Note: Capital requests are for tangible item(s) (except for computers) with a total cost (including tax & shipping) over $500 with life over 3
years.
Request Title: Restroom Run Custodian Tracking Number: 08-04400-008.
(For Business Services use only)
IResponsible Division/Unit Manager
I IRoom Number , IOther Funding Eligibility
(Manager) Robert
K.
Riffle
N Instructional Equipment Fund
(Extension)
2301
N
VrEA
(E-mail) rriffle@cerritos.edu
N Grants/Contracts
N Categorical
N Other Funding
N Emergency Funding
Strategic Plan Priority
Goal Number(s) Criteria Priority(ies)
N Institutional Effectiveness
N Strategic Plan-Primary Goal
N Learning Centered Institution
N Accreditation Compliance
Y Resource Management
1 Y Facility
& Infrastructure Preservation
N Governance and Leadership
N Replacement of Obsolete Equipment
Y Growth and/or New Program
N Code Compliance (Fire, Life Safety, ADA)
Brief Description
of
Purpose & Rationale for Request:
When the Campus added additional buildings our 2nd shift restroom
run
custodian was re-assigned to cover the additional
square footage
of
the added buildings.
Consequences if not approved:
The restroom cleanliness will continue to degrade with the heavy use restrooms only cleaned once per/each 24 hour
period.
Capital Outlay Product Description & all related costs (e.g., electrical) Quantity Cost/Item Total Cost
Custodian
1
$45,000.00 $45,000.00
Total $45,000.00
Additional item(s) needed for this request (other than line items above): N
Brief Description of Additonalltems Needed for this Request:
Brief Description
of
Facility Accommodation Needed for this Request:
Facilities Department Review: (For Facilities Department use only)
Area Administrators Comments: (For Area Administrators Use Only)
http://home.cerritos.eduibusiness-services/userslUsersPrint.asp?CORID=08-04400-008&Page=I&Pa...1/31/2009
-----------
CaYJital
Outlay Request - Print View
Page 1
of
1
CERRITOS COMMUNITY COLLEGE DISTRICT
REQUEST TYPE: Budget Augmentation
FISCAL YEAR: 2008-09
AREA: Academic Affairs
DIVISIONIDEPT: Science, Engineering, and Math
UNIT: Science, Engineering
& Math Division
REQUEST for CAPITAL / FACILITIES / PERSONNEL / BUDGET
Unit Ranking
1
of
16
Area Ranking
60of60
College-Wide Ranking
76
of
76
Note: Capital requests are for tangible item(s) (except for computers) with a total cost (inclUding
tax
& shipping)
over
$500 with life
over
3
years.
Request Title: Budget Augmentation - Science Supplies
Tracking Number: 08-02570-019
(For
Business
Services use
only)
IResponsible Division/Unit Manager
IRoom Number
IOther
Funding
Eligibility
(Manager) Carolyn Chambers
PS19
Y Instructional Equipment Fund
(Extension)
2661
N VTEA
(E-mail) cchambers@cerritos.edu
N Grants/Contracts
N Categorical
N Other Funding
N Emergency Funding
Strategic Plan Priority Goal Number(s)
Criteria Priority(ies)
N Institutional Effectiveness
N Strategic Plan-Primary Goal
Y Learning Centered Institution
1,5,7,8 N Accreditation Compliance
N Resource Management
N Facility
& Infrastructure Preservation
N Governance and Leadership
N Replacement of Obsolete Equipment
Y Growth and/or New Program
N Code Compliance (Fire, Life Safety, ADA)
Brief
Description
of
Purpose & Rationale
for
Request:
Increasing costs
Consequences
if
not
approved:
Fewer students
Capital Outlay
Product
Description
& all related
costs
(e.g., electrical)
Quantity
Cost/Item Total
Cost
Budget Augmentation - Science Supplies
1 $10,000.00 $10,000.00
Total $10,000.00
Additional item(s) needed for this request (other than line items above): N
Brief
Description
of
Additonal
Items Needed
for
this
Request:
Brief
Description
of
Facility
Accommodation
Needed
for
this
Request:
Facilities Department Review:
(For
Facilities Department use only)
Area
Administrators
Comments:
(For
Area
Administrators
Use Only)
http://home.cerritos.edu/business-services/users/UsersPrint.asp?CORID=08-02570-019&Page=1&Pa...l/31/2009
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Resource Request Form And Samples Of Completed Forms Capital Outlay Request - User Form

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Completed 11 March 2020

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