Office Of Space And Building Management (Osbm) Work Request (Page 2 of 4) in pdf

Office Of Space And Building Management (Osbm) Work Request Page 2

INSTRUCTIONS FOR COMPLETING THE CD-410

GENERAL:

- Complete SECTION I, ensuring the Ordering Agency (POC) has logged the request and filled in the

Ordering Agency Control Number (if applicable) and then forward to the Office of Space and Building

Management (OSBM) in Room 1323 for cost estimating.

- OSBM will issue a control number and contact the Ordering Agency POC for details to complete SECTION II.

- OSBM will then return the form to the Ordering Agency POC to complete SECTION III. Services

cannot be provided until SECTION III is completed and the form is returned to OSBM.

- All fields should be typed or printed. Separate CD-410s should be submitted for each project.

SECTION I: REQUEST FOR SERVICES

Enter the Office/Agency/Bureau requesting work.

Enter the name and phone number of the office/Agency/Bureau person designated as the

representative for the requested work.

Enter the exact location where the requested work is to be performed.

Enter a full but concise statement describing the work requested. Attach additional information

as necessary.

Enter the requesting Office/Agency/Bureau’s account code used to fund the project.

Signature and details of Office/Agency/Bureau’s official authorizing the work request.

SECTION II: COST ESTIMATE

Enter in the project items and estimated costs for each group of items (including labor and

materials), as well as the total project cost for the services requested. An itemized breakdown

of all costs should be provided via separate attachment if required.

Enter in the actual cost of each group of items (including labor and materials), as well as the

total project cost for the services provided. An itemized breakdown of all costs should be

provided via separate attachment if required.

Signature and details of OSBM Project coordinator who prepared the estimate.

SECTION III: WORK PERFORMANCE AUTHORIZATION/FUNDS AVAILABLE

10.

Signature and details of Office/Agency/Bureau official authorized to obligate funds and

authorize performance of work or services.

SECTION IV: COMPLETION CERTIFICATION

11.

OSBM to enter the date of physical completion of the project.

12.

Signature and details of Office/Agency/Bureau official certifying that all work and/or services

have been provided. The CD-410 is considered closed at this point.

13.

OSBM billing official to date and sign when partial billing of a project has been conducted (if

required).

14.

OSBM billing official to date and sign when final billing of a project has been completed.

Office Of Space And Building Management (Osbm) Work Request Page 2