Project Information Form – Academies
To be completed by the AcademyName of Academy
LA / LA Number / Premises
Number
Project Title
TENDER DETAILS
Date work due to start on site / Anticipated date work due to finish
Was tendering obtained by competition following the Code of Procedure for Single Stage Selective Tendering? YES / NO If the answer is ‘no’, please state below why.
Three Lowest Tenders
If the scheme has multiple works (i.e. Electrical Works and New Boiler) please provide 3 tenders for each phase of the work. Please continue in the supplementary information column on page 3 if necessary.
Contractor’s Name / Gross Amount (including VAT)
1. / £
2. / £
3. / £
Provisional sums (Please ensure these sums are contained with the agreed tender amount) / £
Contingencies (Please ensure these sums are contained with the agreed tender amount) / £
Financial Liabilities 1 2 3
Capital
Improvement fund (CIF) / Other
Funding / Total Project Costs (1 to 2)
A Building Works
B VAT on Building Work
C Professional Fees
D VAT on Professional Fees
E Furnishings, Fixtures & Fittings
(including VAT)
F TOTAL (A to E)
Total phasing of Capital Funding in each financial year (in 100% figures)
2018/19 / 2019/20 / 2020/21 / Total aided expenditure
= £ / = £ / = £ / = £
Professional Fees and Expenses
A
£ / B
VAT(£) / A
as a % of building cost
A Architect
B Quantity Surveyor
C Principal Designer (CDM)
D Other (please specify)
E SUB TOTAL (A to E)
F Insurance
G Building Regulations
H Planning
I Statutory Fees (please specify)
J Diocesan Fee Lump Sum
K SUB TOTAL (F to J)
L TOTAL (E AND K)
Other Funding (Please provide details of Local Authority Liabilities and acadamies, Schools Delegated Budget. Please provide details of funding sources for this scheme.
GAG/GRANT etc.
TOTAL / £
Certification
The Governing Body is reminded of their responsibility to appoint, where appropriate, a Consultant who holds Professional Indemnity Insurance. If the Governing Body does not appoint a Consultant, they (or their authorised representatives (the Diocese)) must also sign the Governing Body’s Consultant Declaration below.
I/We certify that this form is correct and the project complies with the statutory requirements below:
- Education (School Premises) Regulations 1999 and Department for Education Construction Standards 1987;
- The Workplace (Health, Safety and Welfare) Regulations 1992, as amended by the Quarries Regulations 1999, the Health & Safety (Miscellaneous Amendments) Regulations 2002, the Work & Height Regulations 2005;
- Buildings Regulations 2010;
- Equality Act 2010;
- Construction (Design and Management) Regulations 2015;
- Where the cost of service exceeds £173,934 excluding VAT, we confirm we have followed European Union Procurement Rules.
To be completed by the Consultant or Chair of Governing Body
(where a Consultant has not been appointed)
Name______Signed ______
Position ______Date______
Name of Firm ______Telephone Number ______
Email address ______
To be completed by an Authorised Person on behalf of the Governing Body
(If the Chair of Governors’ has signed above, please ensure the Headteacher/Principal
signs in this box)
We have agreed the project with the Local Authority including, where applicable, their financial liability, and
- The Trustees’ of the School have been consultedYES / NO
- The application complies with the Diocesan Board of Education Measure1991YES / NO
- The work is necessary and forms part of the school buildingsYES / NO
- The premises are not due to be replaced, made surplus, abandoned
This is our authorisation for the expenditure of Capital Funding by the academy.
Signed______Date______
Full Name______Position______
Documents to forward with this form
- Tender Report or original copies of Tenders/Quotes
- Project Authorisation Form
- Plans and Specifications (if applicable)
- Supplementary Information (if applicable)
Supplementary Information
Please return completed forms to Kevin Matthews, Education Team, Diocese of Leeds, Church House, 17-19 York Place, Leeds LS1 2EX
Revised Feb 20171