Abstract: . . .  zero) 1. 20 or more years 10 2. 10 - 19 years 5 3. 5 - 9 years 2 D. Effect on Operating & Maintenance Costs 1. Reduce Cost 10 2. Cost Unchanged 5 3. Increase Cost 2 E. Effect on Town's Revenue (tax base) 1. Increase Revenues 10 2. Revenues Unchanged 5 3. Decrease Revenues 2 F. Availability of State/Federal Grant Moneys (If no, score zero) 1. Yes 5 TOTAL SCORE Adapted from “Developing a Capital Improvement Program”, Metropolitan Council of the Twin Cities Area. Page 28 27 Instructions for: CAPITAL IMPROVEMENT RATING SHEET (Form E) This rating sheet has six major considerations that will be used for the purpose of ranking projects on the town's CIP program. Every project will receive a point score in each of the six major considerations. The points . . .
. . .  Form B (Item 6) or Form C (Item 7). D. Effect on Operating and Maintenance Costs Refer to Form B (Item 8) or Form C (Item 4). E. Effect on Town's Revenue Capital (Capital Project Requests Only) Refer to Form B (Item 9). F. Availability of State/Federal Grant Moneys Total Score Total the scores for A - F. 3 Last phrase was inserted by Department of Revenue. Page 29 FORM F CAPITAL IMPROVEMENT PROGRAM MUNICIPAL PROJECT SUMMARY Total Department Project Project Estimated Current 1st 2nd 3rd 4th 5th No. Expenditure Year Year Year Year Year Year Health Mosquito control 1-7101 $ 75,000 $ 30,000 $10,000 $ 10,000 $ 10,000 $10,000 $ 5,000 Health Landfill bulldozer 1-7102 10,000 8,000 2,000 DPW Storm drainage 2-7101 30,000 10,000 10,000 10,000 DPW Curb . . .
. . .  summarize Project Information) A. IDENTIFICATION & CODING INFORMATION 1. Date 2. Project Name 3. Program 4. Department B. EXPENDITURE SCHEDULE (000'S) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) Cost Thru Estimate Total Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Beyond Elements $ Total FY FY 6 Years FY FY FY FY FY FY 6 Years Planning Design & 1. Supervision 2. Land Site Improvements 3. & Utilities 4. Construction Furniture & 5. Equipment 6. Total C. FUNDING SCHEDULE (000'S) GO Bonds State Aid D. DESCRIPTION & JUSTIFICATION E. ANNUAL OPERATING BUDGET IMPACT (000's) F. MAP Reference Code: Program Costs: Staff Other Facility Costs: Maintenance Other Debt Service Total Costs Other Revenue or Cost Savings Source: Adapted from a form presented in . . .
. . .  Form C (Item 7). D. Effect on Operating and Maintenance Costs Refer to Form B (Item 8) or Form C (Item 4). E. Effect on Town's Revenue Capital (Capital Project Requests Only) Refer to Form B (Item 9). F. Availability of State/Federal Grant Moneys Total Score Total the scores for A - F. 3 Last phrase was inserted by Department of Revenue. Page 29 FORM F CAPITAL IMPROVEMENT PROGRAM MUNICIPAL PROJECT SUMMARY Total Department Project Project Estimated Current 1st 2nd 3rd 4th 5th No. Expenditure Year Year Year Year Year Year Health Mosquito control 1-7101 $ 75,000 $ 30,000 $10,000 $ 10,000 $ 10,000 $10,000 $ 5,000 Health Landfill bulldozer 1-7102 10,000 8,000 2,000 DPW Storm drainage 2-7101 30,000 10,000 10,000 10,000 DPW Curb construction 2-0707 . . .
--3000,4,375,3309,42074