Capital Equipment Approval Form

Request approval for capital equipment purchases that have not been pre-approved

SFA Name*

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SFA Contact Name*

SFA Contact Email Address*

Does the piece of equipment meet the definition of Capital Equipment?*

Capital Equipment is defined by Federal regulations as tangible personal property (including information technology systems) having a useful life of more than one year and a per-unit acquisition cost which equals or exceeds the lesser of the capitalization level established by the SFA/LEA for financial statement purposes, or $5,000.

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Funding Source*

Will the food service fund (Fund 21) be used for this purchase? Do not include purchases from other funds.

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Fund Balance*

Does Fund 21 have an adequate SFA profit and resources for this purchase? Note: C.R.S.22-32-120(2): capital outlay shall not be included in computing the cost of reimbursable school meals served

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CNP Paticipation*

Is this purchase for a site participating in the Child Nutrition Programs?

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Is it necessary?*

Is this purchase necessary for Food service operations?

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Small Purchase Threshold*

What is the SFA/LEA's small purchase threshold? The small purchase threshold is the dollar value that purchases are required to be formally put to bid. For example, purchases over $250,000 (your threshold may equal or less than $250,000)

Procurement Method*

What procurement method does your SFA plan to use for this purchase?

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Notes

Site Code # and Name of School*

Site code # as displayed in the Hub

Name of Equipment*

Expected Cost of Equipment*

Spec Sheet*

Please attach a spec sheet for the planned equipment

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