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Five-Year Capital Improvement Program <br />Request for Capital Equipment or Capital Improvement Project <br />Project or Equipment IdentificationEstimated Expenditure Schedule <br />Project Name:Equipment orYear 1Year 2Year 3Year 4Year 5Five-YearBeyond <br />Version of Request:Project Costs20152016201720182019Total5 Years <br />Submitting Department/Division:Land Acquisition -- -- --- <br />Impacted Departments/Divisions:Design & Engineering------- <br />Other Prof Services------- <br />Funding Source(s):PercentConstruction-- -- --- <br />Other -- - - --- <br />Capital Equipment------- <br /> Total Project Costs -- ----- <br />Grant(s) or Other <br /> Project Revenue------- <br />Total FundingImpact to Annual <br />Department Priority Maint/Op Costs------- <br />Project Location Map, Equipment Identification Photo, or OtherProject or Equipment Description and Justification <br />Please provide a project description and include thecost allocation methodolgy if more than <br />one funding source is requested: <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________ <br />Please describewhy this project is needed, how it supporst City-wide goals and objectives, <br />and what realistic options or alternatives have been considered: <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />›a¦š©twš·šœ <br />_______________________________________________________________________________ <br />_______________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________ <br />Please provide a description of any grants and/or other revenue associated with this project <br />and the ongoing operational and /maintenancecosts associated with this project.: <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />_______________________________________________________________________________ <br />15 <br />_______________________________________________________________________________ <br />___________________________________________________ <br />