Sba Form 106 - Comprehensive Educational Facilities Plan Application For Amendment - Scool Building Authority Of West Virginia

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School Building Authority of West Virginia
COMPREHENSIVE EDUCATIONAL FACILITIES PLAN
APPLICATION FOR AMENDMENT
SBA FORM 106
To be submitted to the SBA and the WVDE
COUNTY: ____________________________
DATE: ______________________________
AMENDMENT #: ______________________
AMENDMENT TYPE(s):
A. Budget___B. Project___C. Overall Plan___
Date Amendment Approved by LEA: _______
Signature-County Superintendent:___________
Briefly describe the nature of the amendment and/or scope of work to be completed:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
A.
BUDGET AMENDMENTS FOR PREVIOUSLY APPROVED PROJECT
WITHIN THE CURRENT CEFP
Include a revised CEFP finance plan summary sheet and any other altered CEFP pages with revision date as per
Section E to specifically reflect the project expenditures requested in this amendment. Briefly describe the need to
adjust the present budget.
______________________________________________________________________________________
______________________________________________________________________________________
Budget Amount
1. Total project budget previously approved in CEFP
$_____________
a.
SBA Grant
$__________
b.
Other (describe)
$__________
2. Amendment to this project budget (+/-)
$_____________
a.
SBA Grant
$__________
b.
Other (describe)
$__________
3. Total amount of this project if amendment is approved
$_____________
B.
AMENDMENT TO EXISTING OR NEW PROJECT (Complete information on reverse side of form if
2, 3, or 4 are checked below)
1. ___Revise the scope of an existing project
2. ___Add a new project not currently in CEFP
3. ___New addition or renovation project
4. ___Technology and/or bldg. infrastructure
improvements
Provide a revised budget in Part A for the project(s) affected by this amendment. Also, provide replacement sheets
for the current approved plan on file in the SBA and WVDE offices for all chapters of the plan affected by the
amendment. Include revision dates on all replacement sheets as per Section E.
C.
OVERALL PLAN AMENDMENT (Complete Information on Reverse Side of Form)
Amendments to the overall plan are defined as those changes that alter the educational delivery models (grade
configuration, delivery system, etc.) or dramatically affect the major elements of the CEFP identified in State Board
Policy 6200, Chapter 1, Handbook on Planning Schools or Goals and Objectives of the SBA (West Virginia Code
18-9D-15). Provide replacement sheets for the current approved plan on file in the SBA and WVDE offices for all
chapters of the plan affected by the amendment include revisions dates on all replacement sheets as per Section E.
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