In the State of Connecticut, the Department of Developmental Services oversees a critical process designed to support the maintenance and enhancement of living conditions for those residing in community living arrangements. This procedure is formalized through the Connecticut Capital Improvement Form, a pivotal document that serves as a request for the implementation of property improvements. Spearheaded by leading figures such as Governor Dannel P. Malloy and Commissioner Jordan A. Scheff at the time of the document's issuance, this form encapsulates details such as the nature and scope of the proposed improvements, the estimated total project cost, and the provider’s information, alongside an explanation of the necessity and cost estimation for the project. The form necessitates comprehensive detail encompassing the improvement requested, the description of need, scope of work, and a bid summary, which includes information on contractors and the bid amounts. It sets a structured pathway for providers to seek approvals and formally detail the proposed improvements, ensuring accountability and transparent communication. Additionally, the form acknowledges that any financial transactions related to property developments abide by specific sections of the General Statutes, emphasizing the legal and procedural compliance required in these endeavors. Presented with a layout that facilitates detailed proposals and reviews, it highlights the meticulous nature of improving living arrangements under the auspices of the Connecticut Department of Developmental Services, aiming to enhance the living standards of its community members in a structured and officially sanctioned manner.
| Question | Answer |
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| Form Name | Connecticut Capital Improvement Form |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | ct capital improvement form, certificate of capital improvement in ct new fairfield connecticut, capital improvement form ct, connecticut capital improvement |
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State of Connecticut |
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Department of Developmental Services |
Dannel P. Malloy |
Jordan A. Scheff |
Governor |
Commissioner |
DEPARTMENT OF DEVELOPMENTAL SERVICES
REQUEST FOR CAPITAL IMPROVEMENT TO EXISTING
COMMUNITY LIVING ARRANGEMENTS
DATE
(A)
APPROVAL IS REQUESTED FOR THE CAPITAL IMPROVEMENT DETAILED BELOW AT:
Property Address (B)
Improvement Requested (C):
Description of Need (D):
Scope of Work (E):
Estimated Total Project Cost (F): $
Expense Incurred by: (check one)
Explanation of Cost Estimate (G):
Provider
CIL
Phone: 860
460 Capitol Avenue Hartford, Connecticut 06106
www.ct.gov/dds
An Affirmative Action/Equal Opportunity Employer
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BID SUMMARY FORM |
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Provider: |
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Date: |
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Address: |
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Project Location: |
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Number: |
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Description of Work: |
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Type of Contractor (General, Trade) |
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Contractors Requests to Submit Bids |
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Date Received |
Bid Amount |
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Contract Award To:
If exception to bidding process is requested, check reason:
Unable to solicit three bids |
Urgency to complete work |
Other: |
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If lowest bid is not selected, write justification for choice: |
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Remarks: |
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Prepared by: |
Approved By: |
Provider |
Region |
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Property Address:
(H)
The undersigned acknowledge that this document does not constitute a contract for development of a property and further acknowledges that any payments by the State of Connecticut related to this property may only be made pursuant to Sections
PROPOSED BY: |
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PROPOSED BY: |
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Private Residential Provider |
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Development Staff/Property Developer |
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(if Applicable) |
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________________________ |
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_____________________ |
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Signature (Name) |
(I) |
(Date) |
Signature (Name) ( J) |
(Date) |
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Print/Type Name |
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Print/Type Name |
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Tel No.: |
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Tel.No. |
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REVIEWED BY: |
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AFTER CONSULTATION WITH: |
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___________________ |
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Signature (Name) (L) |
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(Date) |
(Signature) (Name) |
(M) |
(Date) |
Regional Director for Region |
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Commissioner |
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Department of Developmental Services |
Department of Social Services |
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(Or Authorized Designee) |
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(Or Authorized Designee) |
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Print/Type Name |
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Tel.No: |
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APPROVED BY |
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____________________________________ |
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(Signature) (Name) |
(N) |
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(Date) |
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Commissioner |
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Department of Developmental Services |
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(Or Authorized Designee) |
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By signing below, I hereby certify that this capital improvement project is considered by the Department of Developmental Services to be a required project for the health or safety of the residents as detailed in CGS
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(Signature) (Name) (O) |
(Date) |
Commissioner |
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Department of Developmental Services |
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(Or Authorized Designee) |
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