Form 2: Major Project (Appendix E to Construction Project Procedures)
To be used to secure approval to EXPLORE a project that will have total expenses above $100,000.
Section I - General Project Information
1. Parish Name
Parish Town
2. State the general nature of the work to be performed (please provide as detailed a scope of work as possible).
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As part of this, please indicate specifically whether or not the project will require or involve any of the below (and if so, provide details about these items). Choose all that apply:
Details about these items from above if applicable:
3. Is this emergency work related to health/safety?
Yes
No
If yes, state the nature of the emergency.
If no, provide an outline of the reason for the construction/renovation at this time.
4. Outline any advice or objections offered by trustees and finance council members.
5. Will the parish seek a minimum of three bids (including a breakdown of labor and material costs in the process)?
Yes
No
If no, please provide the name and address of the vendor to be used (if known) and the reason no bidding process is contemplated.
6. Outline the proposed budget for the project including needed administrative costs to assist the parish with a project (please also fill out Sections II – IV of this form to clarify the source of the funds for the project).
7. Outline the proposed timeline for the project.
8. Please confirm that you will ensure that the vendor selected for the project will have the insurance required by the Diocese Risk group.
Yes
No
9. Please confirm that the Pastor or any parish personnel (or their relatives) have no conflict of interest as set forth in Appendix C to the Construction Project Procedures.
Yes
No
If such a relationship exists, please explain below.
10. Please relay any other information related to the project that should be considered as part of the review of this project.
Section II
1. How will this project be funded (check all that apply)?
a. Existing Parish Reserves
Yes
No
b. Capital Campaign Proceeds
Yes
No
c. Mission Assistance Corp. Loan or Grant
Yes
No
d. Restricted Donations (please note below)
Yes
No
In accordance with the by‐laws, accepting any restricted donations require the consent of the President of the parish corporation (The Diocesan Bishop). Please provide evidence of that consent as well as documentation verifying the intent of the donor for all restricted gifts funding this project.
Evidence of Consent (if needed)
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e. Other Financing
Yes
No
If yes to Other Financing, explain:
Section III - Capital Campaign Projects (only respond if answered yes to II 1 b, above)
1. Current available Campaign funds on hand:
2. Current amount of campaign pledges receivable:
3. Is this project on the approved campaign project list?
Yes
No
a. If no, have all approved projects been completed?
Yes
No
b. What is the estimated cost of all remaining approved projects?
Section IV - MAC Funding (only respond if answered yes to II 1 c, above)
1. Amount of Request?
2. Is this a Loan or Grant?
Yes
No
3. Has a proposal been submitted to MAC?
Yes
No
If yes, has MAC approved the request?
Yes
No
We hereby certify that the information provided in this form is accurate and complete to the best of our knowledge as of the date of our signatures below.
Pastor Name
First Name
Last Name
Pastor Signature
Date
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Month
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Day
Year
Date
Trustee Name
First Name
Last Name
Trustee Signature
Date
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Month
-
Day
Year
Date
Trustee Name
First Name
Last Name
Trustee Signature
Date
-
Month
-
Day
Year
Date
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