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09-25-23-R
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09-25-23-R
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Minnesota Public Facilities Authority <br />FORM 4 - BUDGET (SOURCES AND USES) INSTRUCTIONS <br />Form 4 is a separate Excel spreadsheet with built-in formulas. Using the separate Excel version of this form, provide <br />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 dates. <br />List the activities that apply to your project, and were described in the legislation. Matching funds must be used for <br />activities described in the legislation. <br />Minnesota Public Facilities Authority <br />2023 Special Appropriation <br />Form 4- General Obligation Bond Project Budget (Sources and Uses) <br />Applicant: Project: Date: <br />Sources of Funds(') <br />Uses of Funds 1zI <br />Start Date <br />End Date <br />Total Requested <br />From <br />Appropriation <br />Total Project Cost <br />1. Non -Construction Costs <br />A. <br />B. <br />C. <br />D. <br />E. <br />Non -Construction Subtotal <br />$ <br />$ <br />$ <br />$ <br />$ <br />2. Construction Costs <br />A. <br />B. <br />C. <br />D. <br />E. <br />F. <br />Construction Subtotal <br />$ <br />$ <br />$ <br />$ <br />$ <br />Project Total <br />$ <br />$ <br />$ <br />$ <br />$ <br />Notes: <br />r(1) 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 <br />appropriate documentation submitted. Required matching funds must be used only on activities described in the legislation. <br />r <br />(2) Uses must be supported by professional services agreement (for engineering/design, etc.) and fixed price, as -bid construction contract. <br />GO Bond Special Appropriation Forms 17 of 32 August 2023 <br />
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