Job Request Form

General

Created By*

Your Email*

CC

Enter N/A if no one needs to be CC’d.

Project Name*

Owner - Building/Area - Project Type (ex. University of Arkansas - Hillside Auditorium - New Construction)

Project Location*

City, State

If Project Prospect Type is "Change Order," please supply the job number of the original project.

Owner and Client Information

Client Company Name*

Who are we sending the bills to?

Client Location

City and State

Client Point of Contact

Owner’s Name

Who owns the building? For Owner-Direct Services, this may be the same as the Client. For Design Services, this is typically who the Architect is working for.

Owner’s System

Is the Owner of the building part of a larger system? If so, list it here. If not, type N/A. (ex. St. Vincent's Hospital in Little Rock is part of the CHI System)

Project Team Information

Office*

Department*

Director*

Lead Project Manager

Who is the overall lead project manager responsible for ensuring project success?

Project Information

Project Description

Estimated Square Footage

Estimated Energy Savings

Does the job relate to construction or capital renewal of significant chilled water and/or steam infrastructure?*

Does the job include master planning services for utility infrastructure?*

Does the job contemplate enterprise- or campus-wide retro-commissioning services?*

Does the job include a facility condition assessment scope?*

Does the project include a formal written response where we can potentially sell other service lines beyond their requested scope?*

Fee and Contract Information

Type of Work*

Marketed work is an opportunity that could become a future project. Booked work is a project that has a written Notice to Proceed or a signed contract. For a Booked project to be set up in Ajera, you must upload your Notice to Proceed or a Signed Contract and work plan.

Award Probability*

Percentage chance of booking the project

On-Call Contract Number

If project is being completed under existing on-call contract.

Notes or Directions for Billing

Work Plan

Please save the Work Plan in the Project Files under the Contract-SOW folder.

Accepted file types: jpg, gif, png, pdf, doc, docx, docm, xls, xlsx, xlsm, pst, ost, Max. file size: 50 MB.

Notice to Proceed*

Accepted file types: jpg, gif, png, pdf, doc, docx, docm, xls, xlsx, xlsm, pst, ost, Max. file size: 50 MB.

Additional Attachments

Include any additional information about the project.

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, docm, xls, xlsx, xlsm, pst, ost, Max. file size: 50 MB.

Fee Basis*

Estimated BTME Revenue at Completion (ERC)*

If fee is an estimate, end in 999 (ex. $23,999).

Estimated BTME Cost at Completion (ECC)

Estimated Total Construction Cost

In some instances, or for certain service lines, this number may be the same as the fee.

Contract Status*

Expenses*

Consultants*

Overall Project Start Date*

The actual date work on the project is expected start.

Overall Project End Date*

Estimated date project will end.

Phase Breakdown

Design

Phase Manager

Fee

Start Date

Stop Date

Service

Phase Manager

Start Date

Stop Date

Post Title

General

Owner and Client Information

Project Team Information

Project Information

Fee and Contract Information

Phase Breakdown

Design

Service