Facilities Construction

Minor Project Request Form

Important Notice to All Users
Intent: The purpose of this form is to provide a systematic process for documenting, requesting and procuring
design and construction services for the University. Please note it is not intended to address routine
maintenance Work Orders.

THIS FORM IS TO BE USED FOR ALL MINOR PROJECT REQUESTS WITHOUT

EXCEPTION
Protocols: 1. User will initiate process by completing the Minor Project Request Form, or MPRF.
2. Forms may be downloaded from the Facilities Construction web site: http://facilities.fiu.edu. Go to the "Excel
Forms" Menu to download form.
3. Submit completed form via email to Facilities Construction Director for Minor Projects to the attention of
Sylvia.Berenguer@fiu.edu.
4. Print and endorse all required original signatures. Research related and/or funded projects require OSRA
approval.
5. Submit via inter-office mail executed MPRF Form to UP/CSC, attention Sylvia Berenguer, or FAX executed
MPRF to 305.348.4010 .
6. No work will proceed unless a completed executed form is completed & submitted via email
accompanied by a faxed copy of signed original.

7. Remodeling is defined as the change of existing facilities by rearrangement of space and/or change of
use. The installation of new equipment in a space may alter the physical attributes and change the use of a
space (from a Classroom to Research for instance). Any such change requires approval by Space Committee
prior to any action by Facilities Construction staff.
8. It is the users' responsibility to initiate submission to Space Committee on all applicable projects.
9. Note: Pursuant to Florida Building Code Section 3401.7.2, the portion of the building being remodeled is subject
to the University's Permitting and Code Compliance Process may need to be brought into compliance with current
building and life safety codes if certain thresholds are exceeded.
10. All work is to be completed by insured & licensed state general contractor. Construction Permits will
be required where mandated by Florida Statutes and the Florida Building Code.

General 1. Complete all fields with a light green background in MPRF.

Instructions: 2. If your MFRF includes equipment installation, please complete Section 2.2 and submit the Supplemental Data
Form.
3. If the Scope of the Work includes, contains, or impacts any of the hazards listed in Section 2.3, check off
appropriate box(es) and submit the Supplemental Data Form. Approval from EH&S shall be obtained prior
to commencement of the Work. It is the user's responsibility to contact the University Lab Safety Team at
EH&S, CSC 162, phone 305.348.2621, fax 305.348.3574 or via e-mail at eh&slabs@fiu.edu.
4. Based on information provided and estimates obtained, the FIU Project Manager will complete the Project Budget
Worksheet and review the Estimate of Probable Construction Cost with you prior to project initiation.

Funding E&G E&G FUNDED PROJECTS:

Minor 1. A budget transfer shall be processed through PeopleSoft by the User for the amount of the proposal plus a 5%
Construction Services Reimbursement (CSR).
Projects: 2. Funds are to be transferred to Dept. ID 110940100.
3. User shall requests Anneyra Espinosa Ext.7-1138 to Post the budget transfer journal.
4. E&G funded projects follow University rules - Projects initiated before June 30th, MUST BE COMPLETED AND
PAID to the contractor/architect by August 29th of the same year. If the project cannot be completed and paid by
this deadline, the project should not be funded until July 1st.
5. Projects funded July 1st will have a 13 month life span until August 29th of the following year.

E&G CARRY FORWARD FUNDED PROJECTS:

1. A budget transfer shall be processed through PeopleSoft by the User for the amount of the proposal plus a 5%
Construction Services Reimbursement (CSR).
2. Funds are to be transferred to Dept. ID 110940199.
3. User shall requests Anneyra Espinosa Ext.7-1138 to Post the budget transfer journal.
4. E&G Carry Forward funded projects follow University rules and MUST BE COMPLETED AND PAID before June
30th.

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 Facilities Construction
Minor Project Request Form
Funding AUXILIARY FUNDED PROJECTS:
Auxiliary 1. An ID Transfer shall be completed by the User for the amount of the proposal plus a 5% Construction Services
Reimbursement (CSR).
Minor 2. ID Transfer shall be made to Dept. ID 110900605..
Projects: 3. Original ID Transfer and a copy of the signed proposal shall be sent to the PM or issued to Cary Monteagudo at
CSC 217 (Ext 7-4048 / cmontea@fiu.edu).
NOTE: User must procure budget authority from Claudia Paz at Ext. 7-0055.

Funding C&G CONTRACTS AND GRANTS FUNDED PROJECTS:

Minor 1. An ID Transfer shall be completed by the User for the amount of the proposal plus a 5% Construction Services
Reimbursement (CSR).
Projects: 2. Benefitting Dept ID will be determined upon receipt by Facilities Management.
3. Original ID Transfer and a copy of the signed proposal shall be sent to the PM or issued to Cary Monteagudo at
CSC 217 (Ext 7-4048 / cmontea@fiu.edu).

Useful MAINTENANCE AND REPAIR. The upkeep of educational and ancillary plants including, but not limited to, roof or
definitions in roofing replacement, short of complete replacement of membrane or structure; repainting of interior or exterior
surfaces; resurfacing of floors; repair or replacement of glass and hardware; repair or replacement of electrical and
planning your plumbing fixtures; repair of furniture and equipment; replacement of system equipment with equivalent items
project: meeting current code requirements providing that the equipment does not place a greater demand on utilities,
structural requirements are not increased, and the equipment does not adversely affect the function of life-
safety systems; traffic control devices and signage; and repair or resurfacing of parking lots, roads, and walkways.
Does not include new construction, remodeling, or renovation, except as noted above.

NEW CONSTRUCTION. Any construction of a building or unit of a building in which the entire work is new. An
addition connected to an existing building is considered new construction.

REMODELING. Changing existing facilities by rearrangement of space and/or change of use. Only that portion
of the building being remodeled must be brought into compliance with the building and life safety codes unless the
remodeling adversely impacts existing life safety systems of building or as otherwise mandated by current codes
and/or State Fire Marshall rules (Florida Fire Code).

RENOVATION. Upgrading existing facilities by installation or replacement of materials and equipment. The
use and occupancy of the spaces remain the same. Only that portion of the building being renovated must be
brought into compliance with the building and life safety codes unless the renovation adversely impacts the existing
life safety systems of the building.

José A. Rodríguez, RA
For questions Director, Facilities Operations Analysis
Facilities Management
on form 11555 SW 17th Street, CSC 142
Mia mi, FL 33199
contact: O: 305.348.4410
F: 305.348.0579
E: jrodrigu@fiu.edu
W: http://facilities.fiu.edu

FIU MPRF 2009.1028 jar

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 Facilities Construction
Minor Project Request
MPRF Form
Instructions: Complete all cells in light green. All cells with a yellow background for
use by Facilities Construction ONLY BT:
Minor Project/Permit Number:
REQUESTED BY: PW Number (FEMA only):
REQUESTOR'S EMAIL: Purchase Order (PO):
PHONE #: FIU Project Manager:
DEPARTMENT NAME: e-mail address:
PROJECT NAME: PM Phone Number:

CAMPUS: SCROLL DOWN TO SELECT FACILITY: SCROLL DOWN TO SELECT (REV 2009 1216)
1.0 SERVICES
REQUESTED: Feasibility Study/Preliminary Cost Estimate Other
Please check all Programming Assistance (Please describe
applicable boxes. Continuing Contract Design/Construction Servicesservice request):
Remodeling of Existing Space (See 2.1)Renovation of Existing Spaces
New Equipment Installation OR Relocation of Exist. (See 2.2 & 2.3)
Minor Mechanical or Electrical Alterations or Renovations Building Number:
2.0 Description of Proposed Scope of Work:
Check and attach supplemental data if provided Building Name:
Provide a narrative Rooms/Area
and/or diagrammatic Affected:
drawings to clarify
your proposal.
2.1 Description of Proposed Use (or change of use):
Check and attach supplemental data if provided Current Use: T
Describe intended use Proposed Use: T

2.2 Description of Proposed Equipment (New and/or Relocated): 2.3 Check Special Hazard Materials:
Check and complete Supplemental Data Form SDF on listed items included
in 2.2 or in
2.3the
If ANY of the
Describe equipment, scope of work:
listed materials
hazard and/or services
NOT APPLICABLE or processes are
required for installation.
Provide catalogue cuts checked off,
Laser Devices approval from
for any specialized
EH&S must be
Controlled Substances
equipment, including
power requirements, obtained prior to
Hazardous Chemicalscommencement of
and environmental
the Work. See
Biohazardous Materials
control requirements.
3.0 Funding: Universtiy
Live Animals Compliance Office
Check Fund Source from which you propose to pay for this project. The maximum
construction contract value for Minor Projects is $1,000,000. Total Project Budget and the EH&S
Radioactive materials
must include all soft costs (including but not limited to design and inspection fees) and website
radioactive
Equipment with
F&E where applicable. http://www.fiu.edu/
components ~ehs/ for details.
See Instructions in MPRF AUXILIARY C&G E&G PECO
Read Me First tab CARRY FORWARD PO&M Preliminary
Other: Construction Budget $-
4.0 Project Approval check once all approval signatures are subm
Requested by: Space Committee Approval
(Manual Signature)
Name: Submittal Date:
Department Chair or Designee Action Required Approved Not Applicable
Department: Approval Date:
Date: Notice: Research Projects require OSRA approval
Approved by: Approved by:
(Manual Signature) (Manual Signature)
Name: Name:
Dean or AVP Assoc. VP for Research
College/School Name: Office of Sponsored Research Administ
Date: Date:
5.0 Permits Required Not Applicable 6.0 Distribution
Originator: 0 0
Facilities
Contractor-of-Record: PM: 0 Construction
Facilities
Code Compliance: Frank Quintana Management
Facilities
Facilities Management: Ed Brozic Management

FIU/Facilities Construction 0902 Edition

 Facilities
Facilities Construction: Sylvia Berenguer Construction
Sponsored Research Admin: 0 OSRA
FIU MPRF 2009.1216 jar Environmental Health & Safety: Lab Safety Team EH&S

FIU/Facilities Construction 0902 Edition

 Facilities Construction
Minor Project Supplemental Data Form
Instructions: Complete all cells & attach specifications

Equipment List Date: December 30, 1899 Minor Project/Permit Number: 00 0000

Room # Cut Electrical Mechanical Other

Item

where sheets Acoustic / Radiation or other

located Description attached Voltage Amp Phase Ventilation Rqmnts Special Safety Rqmnts Hazard
Y/N
Connect to
100% FA make Equipment generates UV
1 1025 WSY - Sample Yes 110 20 II independent chilled
up radiation
water supply

FIU MPRF 2009.0202 jar

FIU/Facilities Construction 0706 Edition

 Facilities Construction
Minor Project Request
Form
Instructions:
Project Manager:
Complete cells
highlighted in green
Minor Project/Permit Number: 00 0000
Analysis of Program Requirements
* Costs derived from survey recommendation CIP Report or other
sources

NASF/GSF
1 Facility Space Name NASF $/SF* Base Cost Count Multiplier Total \GSF
2 Classrooms 1 $0 0 1.42 -

3 Classroom Storage 1 $- $0 0 1.42 -

4 Comp Storage 0 $- $0 0 1.42 -
5 Offices 0 $0 0 1.42 -
6 Reception 0 $0 0 1.42 -
7 Conference Room 0 $0 0 1.42 -
8 Workroom Lounge 0 $0 0 1.42 -
9 Environmental Sciences Lab 0 $0 0 1.42 -
10 Preparation Room 0 $0 0 1.42 -
11 Technical Labs 0 $0 0 1.42 -
12 Related Instructional 0 $0 0 1.42 -
13 Environmental Sciences Storage 0 $0 0 1.42 -
14 Support Services 0 $0 0 1.42 -
15
16
17
18
19
20
Total NASF Facility 0
21 Total GSF Facility (NASF X 1.4204) #DIV/0! $0 -
Project Contingency
22 (12-15% Remodeling/Renovation) 15.0% $0
23 Estimate of Probable Construction Cost #DIV/0! $0
24 Softcosts
25 AE Fees, Testing, Inspections (Budget Range) 20.0% $0
26 Fire Marshall Plan Review & Inspections 1.5% $0
27 Construction Services Reimbursement (CSR) 5.0% $0

28 Estimate of Total Project Budget $0

REV 2009.1028 JR

FIU/Facilities Planning and Construction 2006 0818 Edition