Campus Infrastructure & Services CIS STANDARD PROJECT DESIGN CERTIFICATION FORM (CIS-PROJ-F001) – Project Name As per CIS Naming Convention: Building Code / Building Name / Level / Rm / Brief Description Project Code Insert Project Code Sub Project No Insert Sub Project Number Project Manager Insert PM name Phone Contact Insert contact number Project Description Include brief description/ scope of work inclusions & exclusions – Project Locations Insert Building Code/ Level/ Room numbers if not included in Project Name, – Building Code/ / Room otherwise remove this field. Number Consultant/ Contractor Insert Contact name Consultant/ Insert Position/ Title Contact Name Contractor Position Consultant/ Contractor Insert Company name Company Name Consultant/ Contractor Insert Company address Company Address Consultant/ Contractor Insert Phone contact Consultant/ Insert email Phone Contact Contractor Email Discipline Service Architectural Structural Mechanical Electrical Fire Hydraulic Other. Please specify: Project Phase Design & Development Tender Construction CERTIFICATION Initialled We certify that the current design documentation prepared by us and/ or our sub-consultants: Complies with relevant codes and legislation, including: Building Code of Australia Disability Discrimination Act Work Health & Safety Regulations Complies with the University of Sydney Design Standards If not, we have completed and attach the Request for Dispensation from CIS Standards form Is a design solution suitable for the University’s requirements as described in the Design Brief Is fully coordinated with the work of other Consultants on the Consultant Team; and Is designed and coordinated and suitable for design and construct tendering OR Is fully designed and coordinated and suitable for construct only tendering Consultant / Contractor Position / Date
Campus Infrastructure & Services CIS STANDARD – PROJECT DESIGN CERTIFICATION FORM (CIS-PROJ-F001) Project Name As per CIS Naming Convention: Building Code / Building Name / Level / Rm / Brief Description Project Code Insert Project Code Sub Project No Insert Sub Project Number Project Manager Insert PM name Phone Contact Insert contact number Project Description Include brief description/ scope of work – inclusions & exclusions Project Locations – Building Code/ / Room Number Insert Building Code/ Level/ Room numbers if not included in Project Name, otherwise remove this field. Consultant/ Contractor Contact Name Insert Contact name Consultant/ Contractor Position Insert Position/ Title Consultant/ Contractor Company Name Insert Company name Consultant/ Contractor Company Address Insert Company address Consultant/ Contractor Phone Contact Insert Phone contact Consultant/ Contractor Email Insert email Discipline Service Architectural Structural Mechanical Electrical Fire Hydraulic Other. Please specify: Project Phase Design & Development Tender Construction CERTIFICATION Initialled We certify that the current design documentation prepared by us and/ or our sub-consultants: Complies with relevant codes and legislation, including: Building Code of Australia Disability Discrimination Act Work Health & Safety Regulations Complies with the University of Sydney Design Standards If not, we have completed and attach the Request for Dispensation from CIS Standards form Is a design solution suitable for the University’s requirements as described in the Design Brief Is fully coordinated with the work of other Consultants on the Consultant Team; and Is designed and coordinated and suitable for design and construct tendering OR Is fully designed and coordinated and suitable for construct only tendering Consultant / Contractor Position / Date