DAS Website: 309 Task Force Allocation Request Form

Date *

Agency *

Location/Site *

Building *

Materials Only Request?

Emergency Request?

Design: Consultant, In-House or Not Required *

Project Name *

Justification to the Governor AND Scope (Explain Problem, Solution and Why this project is necessary now) *

Estimated Project Timeline (Start Date, Bid Date, Completion) *

Detailed Estimated Total Project Cost *

If the project includes design, please list this fee. (This will be the initial allocation amount and an allocation increase request should be submitted after bid.)

If this is a roof project, please confirm the square footage.

Will this project result in cost and/or energy savings over time? *

Please provide the estimated savings, if known. If unknown, please submit the estimated savings provided by the project engineer as part of the 95% drawings and specs submittal.

Email *

Required Fields *