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[{"$nulls":13},"FDC USE"]
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[]
[{"$nulls":5},"Project Summary Sheet",{"$nulls":8},"Project Number",{"$nulls":3},"PM"]
[]
[{"$nulls":14},"Project Account Number"]
[]
[]
[null,"*Building:",{"$nulls":7},"*Floor:"]
[null,"*Description:"]
[]
[]
[null,"*Department:"]
[null,"*Dept. Head/Nurse Mgr:",{"$nulls":7},"*Extension:",{"$nulls":4},"*Date:"]
[]
[]
["*Approved for Estimate:",{"$nulls":7},"Funding Source:"]
[{"$nulls":3},"Dept. Head              Date",{"$nulls":18},"%"]
[{"$nulls":8},"Capital Budget Code",{"$nulls":6},"Account"]
[{"$nulls":3},"Vice President         Date",{"$nulls":9},"%",{"$nulls":8},"%"]
[{"$nulls":8},"Account",{"$nulls":6},"Account"]
["  FDC USE ONLY"]
[null,"    DESCRIPTION",null,"BUDGET ESTIMATE",null,null,"FIRM PRICE",{"$nulls":6},"ACTUAL PRICE"]
[null,"    Construction"]
[null,"    Consultants"]
[null,"    Equipment"]
[null,"    Furnishings"]
[null,"    Facilities Services"]
[null,"   Hazardous Waste"]
[null,"   Miscellaneous"]
[null,"    Printing"]
[null,"    Trash Removal"]
[null,"    Voice / Data"]
[null,"    Environmental Services"]
[]
[null,"    Contingency"]
[null,"    FDC Fee"]
[null,"    TOTAL"]
[null,"    Reviewed By / Date"]
["  Comments:",null,null,"Approved for Firm Price",null,null,"Approved for Construction"]
[{"$nulls":3},"_____________________",null,null,"_____________________",{"$nulls":6},"_____________________"]
[{"$nulls":3},"Vice President / Date",null,null,"Vice President / Date",{"$nulls":6},"Financial Officer /Date"]
[{"$nulls":3},"_____________________",null,null,"_____________________",{"$nulls":6},"_____________________"]
[{"$nulls":6},"Executive VP/COO / Date"]

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["Complete the following information:"]
[]
["Location - Building and Floor of proposed project site."]
["Description - Explanation of work to be preformed and brief justification."]
["Department- Name of Department requesting work."]
["Department Head/ NCC - Name of Department or Nursing Care Coordinator"]
["Date - Date Project Summary Sheet Completed."]
[]
["FACILITIES DESIGN AND CONSTRUCTION WILL COMPLETE PRICING EXCEPT AS NOTED BELOW."]
[]
[]
["Approval for Budget Estimate"]
[]
["1. Department Head / Nursing Care Coordinator and Vice President must sign in appropiate spaces on the Project Summary Sheet."]
[]
["2. Forward the Project Summary Sheet to the Project Summary Sheet Coordinator for TJUH. The Coordinator will Forward to the Director, Facilities Design and Construction for Processing."]
[]
[]
["3. If, at the Discrection of the Vice President, the Project Should Proceed Directly to Firm Price, the Following Must be Completed."]
[]
["- The Vice President must sign under \"Approved for Firm Price\""]
["- Furnish the \"Approved Amount\" from the capital budget in the \"Budget Estimate Total\" line"]
["- Furnish the account number from the capital budget"]
[]
["Approval for Firm Price"]
[]
["1. The Vice President Must Sign in the Appropiate Space."]
[]
["2. Forward the Project Summary Sheet to the Project Summary Sheet Coordinator for TJUH. The Coordinator will Forward to the Director, Facilities Design and Construction for Processing."]
[]
[]
["Approval for Construction"]
[]
["1. The Vice President and Executive Vice President/ Chief Operating Officer Must Sign in the Appropiate Spaces."]
[]
["2. The Account Number(Funding Source) must be Furnished."]
[]
["3. The Project Summary Sheet will then be Submitted to the Capital Committee for Review and Approval (additional signatures may be required)."]
[]
[]
["4. The Director of Financial Planning will Assign a Capital Budget Code."]
[]
["Submission of Project Summary Sheet"]
[]
["Project Summary Sheets should be sent to the Project Summary Sheet Coordinator for TJUH, 2210 Gibbon Building."]