Capex Request Sheet
Capex Request Sheet
5 CFO Yes/No
9 Board Yes/No
INFORMATION TO BE PROVIDED BY SUPPLIER WITH BID SUBMISSIONS AND FOLLOWING ORDER PLACEMENT
Item No. Description Provided
Yes No
(1) Technical Specification of Equipment/Material Offered
(2) As built Drawings of Equipment/Material Offered
(3) Confirmation of ISO Certification
(4) Details of warranty coverage
(5) Delivery schedule
(6) Training and commissioning support
(7) QA/QC reports
(8) Commissioning and 01st spares listings
(9) After sales servicing support
(10) Transportation requirements
(11) Operation manuals – quantity required
(12) Lubrication requirements
(13) Engines to allow for site spec of 500ppm for diesel fuel
FM163 - CER
Summary
Currency <Select>
Forecast - Revised 0 0
Cumulative Forecast 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Date of Removal/Replacement
Equipment Description
Make/Model
Serial Number
Year of Manufacture
Identifying Marks
Location
Original Cost
Market Value
Justification
Rank only relevant Confirm whether there is a business risk State whether the operational or
objectives with 1 justification project risks are
being the most dominant for the CER Tolerable (T) or Intolerable (I)
Synopsis:
Objective Risk Analysis Financial Analysis
2 Proposal 2 Proposal
- Outline the scope, capital expenditure deliverables
and implementation plan.
6 Risks and Sensitivities (Copied from Summary 6 Risks and Sensitivities (Copied from Summary tab. Can be overwritten for more detail)
- Discuss the business risk assessment which may be 0
part of the justification for the CER
- Discuss the project risk of the CER. Include a
discussion of the mitigants to reduce or eliminate
these risks. This is a wide category, ensure that you
consider:
* Training/competency of Employees or Contractors
involved
*
Changes in environmental situations (weather etc.)
* Supplier unable to provide critical parts
*
Changes to legislative requirements or government
* Delays
* Changes in foreign currency rates and inflation
(especially on long term projects)
7 Financial Analysis (Copied from Summary tab. 7 Financial Analysis (Copied from Summary tab. Can be overwritten for more detail)
- State the key assumptions for expenditure and 0
income (where applicable), and where/how those
assumptions were sourced. Use the Quarterly
Assumption Sheet where applicable.
Ensure your source assumptions are stated on each
"Appendix Option" sheet.
8 Timing 8 Timing
- Include a summary of timing.
Global Assumptions:
Inflation 6.0%
Taxation rate 0.0%
Annual real discount rate 15.0%
Customize but
Include all co-commitments of the capital expenditure request such as computers, office space, limit to inserting /
Proceed to populate A1 - A3 (as
travel and accommodation etc. Additional working capital requirements should also be reflected deleting lines and
applicable)
in the financial model. amending
descriptions
Economic Benefits (refer to assumptions below) these numbers should be positive or blank
- Additional revenue -
- Cost savings -
Sub-total - - - - - - - - - - - - - - - -
Taxation
Years useful life
Tax depreciation (diminishing value over remaining useful life) - - - - - - - - - - - - - - - -
Taxable income - - - - - - - - - - - - - - - -
Taxation - - - - - - - - - - - - - - - -
Payback in Years
Number of Days in a Year 1 365 *
Commissioning and Payback Date Dec-99
* Change to 366 days if Feb 29 falls within the 12 months preceding the payback date
Payback in Years -
Detail in point form the assumptions used to estimate the economic benefits and / or operating costs
Attachment
Reference (if
Description any) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Additional revenue
- <Insert assumption 1 e.g. real gold price in US$> <A1.1>
- <Insert assumption 2 e.g. exchange rate> <A1.2>
-
Cost savings
- <Insert assumption 1 e.g. reduced labour> <A1.3>
- <Insert assumption 2 e.g. improved efficiency> <A1.4>
-
Operating costs
- <Insert assumption 1 e.g. additional skilled labour> <A1.5>
- <Insert assumption 2 e.g. utilization and capacity> <A1.6>
-
Economic Benefits (refer to assumptions below) these numbers should be positive or blank
- Additional revenue -
- Cost savings -
Sub-total - - - - - - - - - - - - - - - -
Taxation
Years useful life
Tax depreciation (diminishing value over remaining useful life) - - - - - - - - - - - - - - - -
Taxable income - - - - - - - - - - - - - - - -
Taxation - - - - - - - - - - - - - - - -
Payback in Years
Number of Days in a Year 1 365 *
Commissioning and Payback Date Dec-99
* Change to 366 days if Feb 29 falls within the 12 months preceding the payback date
Payback in Years -
Detail in point form the assumptions used to estimate the economic benefits and / or operating costs
Attachment
Reference (if
Description any) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Additional revenue
- <Insert assumption 1 e.g. real gold price in US$> <A1.1>
- <Insert assumption 2 e.g. exchange rate> <A1.2>
-
Cost savings
- <Insert assumption 1 e.g. reduced labour> <A1.3>
- <Insert assumption 2 e.g. improved efficiency> <A1.4>
-
Operating costs
- <Insert assumption 1 e.g. additional skilled labour> <A1.5>
- <Insert assumption 2 e.g. utilization and capacity> <A1.6>
-
Economic Benefits (refer to assumptions below) these numbers should be positive or blank
- Additional revenue -
- Cost savings -
Sub-total - - - - - - - - - - - - - - - -
Taxation
Years useful life
Tax depreciation (diminishing value over remaining useful life) - - - - - - - - - - - - - - - -
Taxable income - - - - - - - - - - - - - - - -
Taxation - - - - - - - - - - - - - - - -
Payback in Years
Number of Days in a Year 1 365 *
Commissioning and Payback Date Dec-99
* Change to 366 days if Feb 29 falls within the 12 months preceding the payback date
Payback in Years -
Detail in point form the assumptions used to estimate the economic benefits and / or operating costs
Attachment
Reference (if
Description any) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Additional revenue
- <Insert assumption 1 e.g. real gold price in US$> <A1.1>
- <Insert assumption 2 e.g. exchange rate> <A1.2>
-
Cost savings
- <Insert assumption 1 e.g. reduced labour> <A1.3>
- <Insert assumption 2 e.g. improved efficiency> <A1.4>
-
Operating costs
- <Insert assumption 1 e.g. additional skilled labour> <A1.5>
- <Insert assumption 2 e.g. utilization and capacity> <A1.6>
-
Economic Benefits (refer to assumptions below) these numbers should be positive or blank
- Additional revenue -
- Cost savings -
Sub-total - - - - - - - - - - - - - - - -
Taxation
Years useful life
Tax depreciation (diminishing value over remaining useful life) - - - - - - - - - - - - - - - -
Taxable income - - - - - - - - - - - - - - - -
Taxation - - - - - - - - - - - - - - - -
Payback in Years
Number of Days in a Year 1 365 *
Commissioning and Payback Date Dec-99
* Change to 366 days if Feb 29 falls within the 12 months preceding the payback date
Payback in Years -
Detail in point form the assumptions used to estimate the economic benefits and / or operating costs
Attachment
Reference (if
Description any) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Additional revenue
- <Insert assumption 1 e.g. real gold price in US$> <A1.1>
- <Insert assumption 2 e.g. exchange rate> <A1.2>
-
Cost savings
- <Insert assumption 1 e.g. reduced labour> <A1.3>
- <Insert assumption 2 e.g. improved efficiency> <A1.4>
-
Operating costs
- <Insert assumption 1 e.g. additional skilled labour> <A1.5>
- <Insert assumption 2 e.g. utilization and capacity> <A1.6>
-