CONSTRUCTION ACCOUNT REQUEST Please complete the following, including all required signatures, and send to Financial Reporting & Analysis, JCK Building, Suite 549, or email to financialreporting@txstate.edu, or fax to 245-8433. Section 1. Project Information for new project: a. Project/IO Name b. Project Estimated Start Date c. Project Estimated End Date d. Total Estimated Project Cost $______________ (Please attach TPC sheet.) Preliminary Estimate: YES No e. Scope or description of work/project f. Planned Source(s) of Funding (Please attach a description of the scope of work such as that provided to the Board of Regents or to bidders on the RFQ) Preliminary Scope: YES No Source of Funds Fund Number NOTE: If bond fund is needed, please provide interim financing agreement. g. Type of account(s) being requested: h. Will CAS project account be needed? Bonds $ ____________________________ HEAF $ ____________________________ Gifts $ ____________________________ Institutional Funds $ _________________ Other $ _________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ Major construction FF&E (*1) Other______________________ Voice/Data or Telcom (*2) Instructional Technology (*3) Custodial (*4) Yes [Note: the CAS project will be mapped to 1320201000/2027671000] No Section 2. Add another funding source to existing construction account: a. Existing IO number b. Fund number to add c. Date to be activated Section 3. Approval (For Administrative Use): Title & Name Signature Date AVP, Facilities AVP Planning GAO Plant Accountant Associate Director, General Accounting 6/3/2014