223x Filetype XLSX File size 0.23 MB Source: education.govt.nz
Sheet 1: Core Project Info
Design Certificate | ||||||||
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School number | 0 | Project number | 0 | |||||
School name | #N/A | |||||||
Description of works: | ||||||||
0 | ||||||||
IMPORTANT - All projects must have a project manager. All projects requiring a building consent must have a professional project manager. If there is only a project manager (professional or nonprofessional) engaged on a project, that person must complete PART A and confirm that the design has been prepared in accordance with all applicable legislation and standards, including the relevant ministry design requirements. If there are other Consultants engaged on the project, then each of these persons must Complete PART B and provide design certification for the work they are Responsible for, with the project manager responsible for the collation of these certificates and attaching them to this form. (In some cases the project manager may have to provide a design certification and collate the certificates from other consultants if they are involved in both management and design). | ||||||||
PART A - Project manager with no other consultants | ||||||||
I confirm that, in my opinion, based on reasonable grounds, the design has been prepared in accordance with all applicable legislation and standards, including the relevant Ministry design requirements in the Property pages website (property.govt.nz). Where the consultant contracted to provide the design service(s) is a limited liability company, this certificate is signed on behalf of the company only. The signatory does not accept any personal liability for its contents. The Ministry and the board of trustees agrees that any claim arising out of or in connection with this certificate in contract, tort or otherwise may only be pursued against the company and not against the signatory personally. This certification is not to be construed as a guarantee. | ||||||||
Name of Project Manager | 0 | |||||||
Signed* | ||||||||
Date | ||||||||
PART B - Project manager with other consultants | ||||||||
I confirm that, in my opinion, based on reasonable grounds, the design has been prepared in accordance with all applicable legislation and standards, including the relevant Ministry design requirements in the Property pages website (property.govt.nz). Where the consultant contracted to provide the design service(s) is a limited liability company, this certificate is signed on behalf of the company only. The signatory does not accept any personal liability for its contents. The Ministry and the board of trustees agrees that any claim arising out of or in connection with this certificate in contract, tort or otherwise may only be pursued against the company and not against the signatory personally. This certification is not to be construed as a guarantee. | ||||||||
1. As a suitably qualified design professional authorised to confirm work, signed for and on behalf of | ||||||||
Name of Consultant/Designer/company | 0 | |||||||
Nature of design work completed | ||||||||
Signature* | ||||||||
Date | ||||||||
2. As a suitably qualified design professional authorised to confirm work, signed for and on behalf of | ||||||||
Name of Consultant/Designer/company | 0 | |||||||
Nature of design work completed | ||||||||
Signature* | ||||||||
Date | ||||||||
3. As a suitably qualified design professional authorised to confirm work, signed for and on behalf of | ||||||||
Name of Consultant/Designer/company | ||||||||
Nature of design work completed | ||||||||
Signature* | ||||||||
Date | ||||||||
4. As a suitably qualified design professional authorised to confirm work, signed for and on behalf of | ||||||||
Name of Consultant/Designer/company | ||||||||
Nature of design work completed | ||||||||
Signature* | ||||||||
Date | ||||||||
5. As a suitably qualified design professional authorised to confirm work, signed for and on behalf of | ||||||||
Name of Consultant/Designer/company | ||||||||
Nature of design work completed | ||||||||
Signature* | ||||||||
Date | ||||||||
6. As a suitably qualified design professional authorised to confirm work, signed for and on behalf of | ||||||||
Name of Consultant/Designer/company | ||||||||
Nature of design work completed | ||||||||
Signature* | ||||||||
Date | ||||||||
I confirm that all design consultants contracted to provide design services on this project have made the required certifications above. | ||||||||
Name of Project Manager | ||||||||
Signed* | ||||||||
Date | ||||||||
*Can be a digital signature (for more information view the following Youtube clip) | https://youtu.be/iJXxpuuNL7s |
Construction Observation Certificate | |||||||
This form must be completed for all projects and forwarded to the Property Advisor. 'Construction' denotes any work that has been undertaken, or the ordering of any product or service. | |||||||
School number | |||||||
School name | N/A | ||||||
Description of work that has been undertaken and observed: | |||||||
0 | |||||||
Observation Certification | |||||||
I or personnel under my control have carried out periodic reviews of the work appropriate to the engagement and, based on this periodic observation of the work and the certifications listed below from the contractors and/or subcontractors and/or other consultants, believe on reasonable grounds that the works have been completed in accordance with the approved design to which the Design Certificate relates. These certifications are listed fully here for completeness: | |||||||
Name of Signatory | |||||||
Company (if applicable) | |||||||
Signature* | |||||||
Date | |||||||
Name of Signatory | |||||||
Company (if applicable) | |||||||
Signature* | |||||||
Date | |||||||
Name of Signatory | |||||||
Company (if applicable) | |||||||
Signature* | |||||||
Date | |||||||
Name of Signatory | |||||||
Company (if applicable) | |||||||
Signature* | |||||||
Date | |||||||
Where the project manager/consultant providing the observation service(s) is a limited liability company, these certifications are signed on behalf of the company only. The signatory does not accept any personal liability for its contents. The Ministry agrees that any claim arising out of or in connection with this certificate in contract, tort or otherwise may only be pursued against the company. This certification is not to be construed as a guarantee. | |||||||
Name of Project Manager | |||||||
Signed* | |||||||
Date | |||||||
*Can be a digital signature (for more information view the following Youtube clip) | https://youtu.be/iJXxpuuNL7s |
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