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Minnesota Public Facilities Authority <br />2018 Special Appropriation <br />Form 4 – Budget (Sources and Uses) <br />Instructions <br />Form 4 is a separate Excel spreadsheet with built-in formulas. Using the separate Excel version of this <br />form, provide a draft Form 4 Budget prior to bidding, including estimated start and end dates. <br />After final project costs are determined, please submit a revised Form 4 Budget, with start and end <br />dates. <br />List the activities that apply to your project, and were described in the legislation. Matching funds must <br />be used for activities described in the legislation. <br />Minnesota Public Facilities Authority <br />2018 Special Appropriation <br />Form 3 - Project Budget (Sources and Uses) <br />Applicant:Project:Date: <br />1.Non-Construction Costs <br />A.- <br />B.- <br />C.- <br />D.- <br />E.- <br />Non-Construction Subtotal -$ -$ -$ -$ -$ <br />2.Construction Costs <br />A.- <br />B.- <br />C.- <br />D.- <br />E.- <br />F.- <br />Construction Subtotal -$ -$ -$ -$ -$ <br />Project Total -$ -$ -$ -$ -$ <br />Notes: <br />(1) <br />(2)Uses must be supported by professional services agreement (for engineering/design, etc.) and fixed price, as-bid construction contract. <br /> End Date <br /> Total Requested <br />From <br />Appropriation Total Project Cost <br />If a non-state contribution or match is required by the legislation, or if project costs are in excess of the appropriation, this must be shown on the budget and appropriate <br />documentation submitted. Required matching funds must be used only on activities described in the legislation. Total project funding can include costs not included in <br />the legislation. <br />Uses of Funds (2) <br />Sources of Funds (1) <br /> Start Date