Remodel & Construction Services Request for Job Estimates and Quotes Form

Contact Information

Full Name: *

Email Address: *

Phone Number with Area Code: *

Fax Number with Area Code:

Street Address: *

City: *

State: * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code: *

Name of Contact (If Other Than Yourself):

Work Description:

Building Name: *

Room Number(s): *

Description of Work: *

Purpose of Project:

What Would You Like to Accomplish with this Project? *

Funding Estimate

What is the Anticipated Cost of this Project? *

Under $10,000

$10,000 to $50,000

$50,000 to $100,000

$100,000 to $200,000

$200,000 to $500,000

Over $500,000

Funding Status

Is Funding Currently Available? *

Currently Available - a fixed cost quote will be generated

Not Currently Available - a budget estimate will be given

Will 53 funds be used to fund this work? *

yes

no

Payment Approval

Authorizing Department: *

Authorizing Representative: *

Dean of College Area: *

Has this Individual Approved this Request for an Estimate? *

yes

no

Project Location

Is the Space Currently Assigned to Your Department? *

Yes

No - if unknown, please contact Kristi Buffington at 970-491-0109

Are You Changing the Use of an Existing Space? *

Yes

No - mark Yes for things such as converting a conference room to an office

Are You Adding Any New Space? *

Yes

No

Time Constraints

An Estimate is Required by this Date: *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year Year20152016201720182019

The Work Needs to be Substantially Completed by this Date: *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year Year20152016201720182019

Explain the Rationale for the Requested Completion Date: *