Facilities Planning  and Construction

REQUEST FOR CONSTRUCTION ESTIMATING SERVICES

 

 

Step  1- Who is requesting this work?

 

Name:
Address:
Phone:
Email:
Fax:
Name of Contact
(If other than requestor)

 

Step 2 Describe the work you are requesting in detail?

 

Building Name :
Room Number(s) :
Description of Work::

 

Step 3 - What are you trying to accomplish?

 

 

 

Step 4 How much do you anticipate spending for this project?

 

 

 Less than $10,000   $10,000 to $50,000    $50,000 to $100,000  $100,000 to $200,000

$200,000 - $500,000  Over $500,000

 

Step 5 If funded, who has authority to approve payment for this work?

 

Authorizing Department
*
Authorized Representative:
*
  Has this individual approved this request for an estimate? Yes   No*

 

Step 6- Where will this work take place?

 

 

Is the space currently assigned to your department? (confirm by contacting Jennifer Dam or Shawn Languis at IRP 472-2097)
Yes   No 

Are you changing the use of an existing space (e.g. from a conference room to an office)?
Yes   No 

Are you adding any new space?
Yes, as an addition to an existing facility     Yes, as a new facility   No

 

Step 7 - What are your time parameters?

 

An estimate is requested by this date:
The work needs to be substantially complete by this date :
What is the rationale for the requested completion date?

 

 

 

 

 

For FMP Office Use Only

Amount of A Estimate: ___________                                         H drive location of file:___________

Estimating contact:        ___________                                         Service order #

BSM comments:  (attach if necessary)