Fax

Document Sample
Fax Powered By Docstoc
					SUBMIT ORIGINAL REQUEST AND REQUIRED
SUPPORTING DOCUMENTATION TO:

Public School Facilities Authority
Albuquerque Field Office                                                                                                                             _____________________
1312 Basehart , SE, Suite 200                                                                                                                          PSFA Project Number
Albuquerque, NM 87106

Additional copies and complete instructions
posted at:
           http://www.nmschoolbuildings.org/


                        NOTICE OF SCHOOL CONSTRUCTION FOR PROJECT LESS THAN $200,000.00

     Each local school board shall secure the approval of the Director of the Public School Facilities Authority or his designee prior to bidding the construction, or otherwise the
   letting of contracts for construction or lease of any school facility or related school structure, or before reopening an existing facility or structure which was formerly used as a
                                school building, but which has not been used for that purpose during the previous year (Section 22-20-1, NMSA 1978).


 TO:                      Public School Facilities Authority

 FROM:                    _______________________________________________________ Schools

 SUBJECT:                 ______ New Building                       ______ Building Additions                            ______ Building Renovations

                          ______ Portable Building                  ______ Reopening Closed School                       ______ Leased Facilities

                          ______ Site Work/Landscaping

 NAME(S) OF SCHOOL(S) AFFECTED: ___________________________________________________________________________

 PLEASE ATTACH A DETAILED DESCRIPTION OF PROPOSED PROJECT, Identify specific building effected, what
 system was repaired or replaced:


 A.          Bid opening scheduled for: ________________________________, 20_______

 B.          Grade Levels Served: _____________                            Current Enrollment(s): _____________                         Design Capacity: ______________


 D.          Is the school building to be constructed within four hundred feet
             of a main artery of travel? (CHOOSE ONE)                                                                    YES                      NO

             If yes, has the Local School Board of Education reviewed, discussed and
             resolved relative safety and other pertinent issues? (CHOOSE ONE)                                           YES                      NO
                                                                                                                     (Refer to Section 22-20-2, NMSA, 1978 Compilation)
 F.          Actual Funding Sources for This Project:
                             COST                                                            SOURCE

                          $__________________________________________                        District’s Local General Obligation Bonds

                          $__________________________________________                        School Buildings Act (HB-33)

                                                                                             Capital Improvements Act (SB-9):
                          $__________________________________________                             District Portion from County

                          $__________________________________________                                State Match from PED

                          $__________________________________________                        Public School Capital Outlay                                              Yr._______

                                                                                             Legislative Appropriation:
                          $__________________________________________                             Severance Tax Bonds                      Bill # _______________ Yr. _________
                                                                                                                                           DFA #______________________

                          $__________________________________________                                General Funds                         Bill # _______________ Yr. _________
                                                                                                                                           DFA #______________________

                                                  Quality New Mexico Schools: A Mission for All New Mexicans                                                 Updated April 26, 2007
                     $__________________________________________                State General Obligation Bonds Bill#             ______________ Yr. _________

                     $__________________________________________                Deficiencies Corrections Program MOU # ___________________

            $__________________________________________                         Other _______________________________________________________________
TOTAL COST
THIS PHASE: $


G.        Design drawings are in compliance with all codes, rules, regulations and laws adopted by the State of New Mexico
          applicable to the structure, including architectural, mechanical and electrical plans with specifications.


_______________________________________________________________                 ____________________________________________________________
Design Professional                                        Date                 District Representative                                 Date


_______________________________________________________________
PSFA Regional Manager                                      Date
(Required for PSCOC and DCP funded projects only)                               Signatories certify that, to the best of their knowledge, the information
                                                                                contained in this RASC submittal here in is complete and accurate.

Submit to:                                   PUBLIC SCHOOL FACILITIES AUTHORITY
                                                  ALBUQUERQUE FIELD OFFICE
                                                   1312 BASEHART, SE SUITE 200
                                                     ALBUQUERQUE, NM 87106

Any incomplete forms or forms received without all required signatures or required drawings and specifications, will be considered incomplete and will be returned
to the district to be completed for resubmission.
Useful Websites for Reference:
Public School Facilities Authority (PSFA) website: http://www.nmschoolbuildings.org/
Air Pollution Control Bureau (for information regarding asbestos): http://www.nmenv.state.nm.us/aqb/asbestos/asbestos.html
Construction Industries Division (CID) website: http://www.rld.state.nm.us/cid/index.htm
Energy Minerals and Natural Resources Department (ENMRD) website: http://www.emnrd.state.nm.us/
Governor’s Commission on Disability (GCD) website: http://www.nmgcd.org/
NM Environmental Health Department website: http://www.nmenv.state.nm.us/
State Fire Marshal’s Office (SFMO) website: http://www.nmprc.state.nm.us/firemarshals/sfmo.htm




                                           Quality New Mexico Schools: A Mission for All New Mexicans                                    Updated April 26, 2007

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:6
posted:12/19/2011
language:
pages:2