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					                                     Appendix B: Example Elemental Breakdown for Construction Costs Form
                                                                                               Project name
                                                                               Elemental breakdown for construction costs
                                                                                                                                       Sub-element
                     Item    Description                                                                                                             Element totals
                                                                                                                                          totals
                1            Monitoring MSQA, NZTA-managed costs and consent monitoring fees                                                               $
                      1.1      MSQA                                                                                                         $
                      1.2      NZTA-managed costs                                                                                           $
                      1.3      Consent monitoring fees                                                                                      $

                             Physical works
                2              Environmental compliance                                                                                                    $
                      2.1          Management of environmental compliance requirements                                                      $
                      2.2          Preparation and management of compliance managements plans                                               $
                      2.3          Noise attenuation                                                                                        $
                3              Earthworks                                                                                                                  $
                      3.1         Site clearance, demolition                                                                                $
                      3.2         Topsoil stripping                                                                                         $
                      3.3         Cut to fill                                                                                               $
                      3.4         Cut to waste                                                                                              $
                      3.5         Borrow to fill                                                                                            $
                      3.6         Imported fill                                                                                             $
                      3.7         Resoiling                                                                                                 $
                                  Construct, maintain and remove temporary sediment control measures, temporary sediment control
                      3.8                                                                                                                   $
                                  ponds, including temporary hydroseeding, rock check dams and silt fencing
                      3.9         Archaeological                                                                                            $
                4              Ground improvements                                                                                                         $
                      4.1         Site decontamination                                                                                      $
                      4.2         Ground improvement (eg drainage blankets, wick drains geotextiles)                                        $
                      4.3         Geotechnical monitoring (inclinometers, piezometers)                                                      $
                      4.4         Dewatering bores, buttress drains                                                                         $
                5              Drainage                                                                                                                    $
                      5.1         Stormwater drainage, temporary stream diversion and culverts and rip-rap                                  $
                      5.2         Subsoil and pavement drains                                                                               $
                      5.3         Kerbing/edgestrip                                                                                         $
                      5.4         Surface water channel                                                                                     $
                6              Pavement and surfacing                                                                                                      $
                      6.1        Subgrade stabilisation (aggregate, lime or cement)                                                         $
                      6.2        Subgrade preparation                                                                                       $
                      6.3        Sub-base                                                                                                   $
                      6.4        Base course                                                                                                $
                      6.5        Surfacing (chip seal, A/C, SMA)                                                                            $
                      6.6        Upgrade existing carriageway(s).                                                                           $
                7              Bridges                                                                                                                     $
                      7.1         Substructure (includes piling, foundations, piers, abutments and bearings)                                $
                                  Superstructure, (includes beams, finishings, tensioning, waterproofing, expansion joints, edge
                      7.2                                                                                                                   $
                                  protection and graffiti guard)
                8              Retaining walls                                                                                                             $
                      8.1         Timber-piled walling                                                                                      $
                      8.2         Concrete-piled walling including ground anchors                                                           $
                      8.3         Gabion walling                                                                                            $
                      8.4         Crib walling                                                                                              $
                      8.5         MSE walling                                                                                               $
                      8.6         Backfill behind retaining walls                                                                           $
                9              Traffic services                                                                                                            $
                      9.1         Barrier (median barrier and verge barrier)                                                                $
                      9.2         White lines, pavement markers                                                                             $
                      9.3         Road signs, gantries                                                                                      $
                      9.4         Traffic signals                                                                                           $
                      9.5         Marker posts                                                                                              $
                      9.6         Lighting                                                                                                  $
                      9.7         Emergency cross-overs and phones                                                                          $
                10             Service relocations                                                                                                         $
                      10.1        NZTA cost of all local authority and utility companies (after cost share) and contractors on costs        $
                11             Landscaping and urban design                                                                                                $
                      11.1       Grassing, hydroseeding, planting, revegetation                                                             $
                      11.2       Architecture                                                                                               $
                      11.3       Fencing                                                                                                    $
                      11.4       Streetscaping                                                                                              $
                      11.5       Land accomodation costs (also refer to project property cost funding)                                      $
                      11.6       Footpaths and cycleways                                                                                    $
                12             Traffic management and temporary works                                                                                      $
                      12.1        Temporary traffic diversions                                                                              $
                      12.2        Traffic management physical works costs                                                                   $
                13             Preliminary and general                                                                                                     $
                      13.1        Establishment, temporary accommodation, disestablishment                                                  $




Elemental Breakdown                                                                       1/25                                                  Printed Date: 8/10/2012
                                                                                                                                                   Sub-element
                     Item    Description                                                                                                                         Element totals
                                                                                                                                                      totals
                      13.2         Contractor’s supervision                                                                                             $
                      13.3         Overhead, insurances                                                                                                 $
                      13.4         Temporary works design and traffic management planning                                                               $
                      13.5         Project plans, traffic management plans, environmental management plans, reporting                                   $
                      13.6         As-built requirements                                                                                                $
                      13.7         Network maintenance                                                                                                  $
                14              Extraordinary construction costs                                                                                                       $
                                   Abnormal costs may include special items such as rock avalanche cover, tunnels, rail bridges, ie
                      14.1         significant non roading expenses.                                                                                    $
                                   Note: This is not for miscellaneous items

                Base estimate                                                                                                                                          $

                Date of Estimate                                                                                                      Cost index
                Estimate prepared by                                                                                                  Signed
                Estimate internal peer review by                                                                                      Signed
                Estimate external peer review by                                                                                      Signed
                Estimate accepted by the NZTA project manager                                                                         Signed

                Note: These estimates are exclusive of contingency, funding risk, escalation and GST.




Elemental Breakdown                                                                       2/25                                                              Printed Date: 8/10/2012
                                                                                       Project name
                                                                                     Net property costs

           Property                                                                         Property                (Less)            Nett property           Property
          acquisition                             Property requirements   Purchased       purchase cost         disposal value       purchase costs       compensation costs
           reference                                                                          (A)                    (B)               (A-B=C)                  (D)
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
                                                                                                          0                      0                    0                        0
        Fees               Property acquisiton agents fees                       -                        -                      -                    -                        -
        Base Estimate                                                                                     0                      0                    0                        0

        Contingency

        Expected estimate


        Funding risk

        95th percentile estimate

        Date of estimate                                                                                      Cost index
        Estimate prepared by                                                                                  Signed
        Estimate internal peer review by                                                                      Signed
        Estimate external peer review by                                                                      Signed
        Estimate accepted by the NZTA project manager                                                         Signed

        Note: These estimates are exclusive of escalation and GST.




Project Property Costs                                                    3/25                                                                            Printed Date: 8/10/2012
  Project name
Net property costs

                                    Property owner          Nett project
                                 accommodation works       property cost
                                         (E)               (C+D+E=F)
                                                       0                 0
                                                       0                 0
                                                       0                 0
                                                       6                 0
                                                       0                 0
                                                       0                 0
                                                       0                 0
                                                       0                 0
                                                       0                 0
                                                       0                 0
                                                       0                 0
                                                       -                 0
                                                       6                0


                                                                        0

                                                                        0


                                                                        0

                                                                        0




        Project Property Costs                4/25                           Printed Date: 8/10/2012
                                                                                Project name
                                                                             Total property costs
         Property                                                                              Property               Property
        acquisition                           Property requirements           Purchased     purchase costs       compensation costs
         reference                                                                                  (A)                 (B)
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
                      -                                                            -                         0                        0
      Fees            Property acquisition agents fees                             -                         -                        -
      Base estimate of total Property costs                                                                  0                        0

      Contingency

      Expected estimate of total property costs


      Funding Risk

      95th percentile estimate of total property costs

      Date of estimate                                                                    Cost index
      Estimate prepared by                                                                Signed
      Estimate internal peer review by                                                    Signed
      Estimate external peer review by                                                    Signed
      Estimate accepted by the NZTA project manager                                       Signed

      Note: These estimates are exclusive of GST.




Total Property Costs                                                  5/25                                Printed Date: 8/10/2012
   Project name
Total property costs
                            Property owner           Total
                         accommodation works        property
                                 (C)               (A+B+C=D)
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               0               0
                                               -               0
                                               0               0

                                                               0

                                                               0


                                                               0

                                                               0




  Total Property Costs                 6/25                        Printed Date: 8/10/2012
                                                    Project Estimate
        Project Name:
                                                                 Form A
                                                                                                                                 FE
                                                                                                                                Feasibility estimate

          Item       Description                                                         Base estimate         Contingency        Funding risk

           A         Nett project property cost
                     Investigation and reporting:
                       - consultancy fees
                       - the NZTA-managed costs
           B         Total investigation and reporting
                     Design and project documentation:
                       - consultancy fees
                       - the NZTA-managed costs
           C         Total design and project documentation
                     Construction
                     MSQA
                       - consultancy fees
                       - the NZTA-managed costs
                       - consent monitoring fees
                     Sub-total base MSQA
                     Physical works
                 1     Environmental compliance
                 2     Earthworks
                 3     Ground improvements
                 4     Drainage
                 5     Pavement and surfacing
                 6     Bridges
                 7     Retaining walls
                 8     Traffic services
                 9     Service relocations
                10     Landscaping
                11     Traffic management and temporary works
                12     Preliminary and general
                13     Extraordinary construction costs
                     Sub-total base physical works
           D         Total construction
            E        Project base estimate                                (A+B+C+D)

            F        Contingency (Assessed/Analysed)                                            (A+B+C+D)
           G         Project expected estimate                                                      (E+F)
        Project property cost expected estimate
        Investigation and reporting expected estimate
        Design and project documentation expected estimate
        Construction expected estimate

           H         Funding risk (Assessed/Analysed)                                                             (A+B+C+D)
            I        95th percentile project estimate                                                                  (G+H)
        Project property cost 95th percentile estimate
        Investigation and reporting 95th percentile estimate
        Design and project documentation 95th percentile estimate
        Construction 95th percentile estimate

        Date of estimate                                                               Cost index (Qtr/Year)
        Estimate prepared by                                                           Signed
        Estimate internal peer review by                                               Signed
        Estimate external peer review by                                               Signed
        Estimate accepted by the NZTA                                                  Signed

        Note:        (1) These estimates are exclusive of escalation and GST.



Feasibility Estimate                                                            7/25                                         Printed Date: 8/10/2012
FE




 Feasibility Estimate   8/25   Printed Date: 8/10/2012
                                                Project Estimate
     Project Name:
                                                     Form B                                                          OE
                                                                                                                     Options Estimate

       Item       Description                                                  Base estimate         Contingency     Funding risk

        A         Nett project property cost
                  Investigation and reporting:
                    - consultancy fees
                    - the NZTA-managed costs
        B         Total investigation and reporting
                  Design and project documentation:
                    - consultancy fees
                    - the NZTA-managed costs
        C         Total design and project documentation
                  Construction
                  MSQA
                    - consultancy fees
                    - the NZTA-managed costs
                    - consent monitoring fees
                  Sub-total base MSQA
                  Physical works
              1     Environmental compliance
              2     Earthworks
              3     Ground improvements
              4     Drainage
              5     Pavement and surfacing
              6     Bridges
              7     Retaining walls
              8     Traffic services
              9     Service relocations
             10     Landscaping
             11     Traffic management and temporary works
             12     Preliminary and general
             13     Extraordinary construction costs
                  Sub-total base physical works
        D         Total construction
        E         Project base estimate                          (A+B+C+D)

        F         Contingency (Assessed/Analysed)                                     (A+B+C+D)
        G         Project expected estimate                                               (E+F)
     Project property cost expected estimate
     Investigation and reporting expected estimate
     Design and project documentation expected estimate
     Construction expected estimate

        H         Funding risk (Assessed/Analysed)                                                      (A+B+C+D)
         I        95th percentile Project Estimate                                                           (G+H)
     Project property cost 95th percentile estimate
     Investigation and reporting 95th percentile estimate
     Design and project documentation 95th percentile estimate
     Construction 95th percentile estimate

     Date of estimate                                                        Cost index (Qtr/Year)
     Estimate prepared by                                                    Signed
     Estimate internal peer review by                                        Signed
     Estimate external peer review by                                        Signed
     Estimate accepted by the NZTA                                           Signed



Options Estimate                                                   9/25                                       Printed Date: 8/10/2012
     Note:   (1) These estimates are exclusive of escalation and GST.




Options Estimate                                                        10/25   Printed Date: 8/10/2012
                                               Project estimate
    Project name:
                                                         Form C                                                                   SE
                                                                                                                                  Scheme estimate

      Item       Description                                                            Base estimate         Contingency         Funding risk

       A         Nett project property cost
                 Investigation and reporting:
                   - consultancy fees                                                                 Nil                   Nil                  Nil
                   - the NZTA-managed costs                                                           Nil                   Nil                  Nil
       B         Total investigation and reporting                                                   Nil                    Nil                  Nil
                 Design and project documentation:
                   - consultancy fees
                   - the NZTA-managed costs
       C         Total design and project documentation
                 Construction
                 MSQA
                   - consultancy fees
                   - the NZTA-managed costs
                   - consent monitoring fees
                 Sub-total base MSQA
                 Physical works
             1     Environmental compliance
             2     Earthworks
             3     Ground improvements
             4     Drainage
             5     Pavement and surfacing
             6     Bridges
             7     Retaining walls
             8     Traffic services
             9     Service relocations
            10     Landscaping
            11     Traffic management and temporary works
            12     Preliminary and general
            13     Extraordinary construction costs
                 Sub-total base physical works
       D         Total construction
       E         Project base estimate                                      (A+C+D)

       F         Contingency (Assessed/Analysed)                                                (A+C+D)
       G         Project expected estimate                                                         (E+F)
    Project property cost expected estimate
    Investigation and reporting expected estimate                                                                           Nil
    Design and project documentation expected estimate
    Construction expected estimate

       H         Funding risk (Assessed/Analysed)                                                                   (A+C+D)
        I        95th percentile Project Estimate                                                                     (G+H)
    Project property cost 95th percentile estimate
    Investigation and reporting 95th percentile estimate                                                                                         Nil
    Design and project documentation 95th percentile estimate
    Construction 95th percentile estimate

    Date of estimate                                                                  Cost index (Qtr/Year)
    Estimate prepared by                                                              Signed
    Estimate internal peer review by                                                  Signed
    Estimate external peer review by                                                  Signed
    Estimate accepted by the NZTA                                                     Signed

    Note:        (1) These estimates are exclusive of escalation and GST.



Scheme Estimate                                                               11/25                                          Printed Date: 8/10/2012
                                             Project estimate
    Project name:
                                                       Form C                                                                       SE
                                                                                                                                    Scheme estimate

      Item   Description                                                                      Base estimate        Contingency       Funding risk

             (2) Investigation and reporting project phase estimates are set to nil as these are now sunk costs.




Scheme Estimate                                                            12/25                                                 Printed Date: 8/10/2012
                                                   Project estimate
     Project name:
                                                            Form D                                                                            PE
                                                                                                                                            Pre-design estimate

       Item       Description                                                                     Base estimate         Contingency            Funding risk

        A         Nett project property cost
                  Investigation and reporting:
                    - consultancy fees                                                                           Nil                  Nil                     Nil
                    - the NZTA-managed costs                                                                     Nil                  Nil                     Nil
        B         Total investigation and reporting                                                              Nil                  Nil                     Nil
                  Design and project documentation:
                    - consultancy fees
                    - the NZTA-managed costs
        C         Total design and project documentation                                                           0                   0                       0
                  Construction
                  MSQA
                    - consultancy fees
                    - the NZTA-managed costs
                    - consent monitoring fees
                  Sub-total base MSQA                                                                              0
                  Physical works
              1     Environmental compliance
              2     Earthworks
              3     Ground improvements
              4     Drainage
              5     Pavement and surfacing
              6     Bridges
              7     Retaining walls
              8     Traffic services
              9     Service relocations
             10     Landscaping
             11     Traffic management and temporary works
             12     Preliminary and general
             13     Extraordinary construction costs                                                               0
                  Sub-total base physical works                                                                    0                   0                       0
        D         Total construction                                                                               0
        E         Project base estimate                                     (A+C+D)                                0

        F         Contingency (Assessed/Analysed)                                                          (A+C+D)                     0
        G         Project expected estimate                                                                   (E+F)                    0
     Project property cost expected estimate                                                                                           0
     Investigation and reporting expected estimate                                                                                    Nil
     Design and project documentation expected estimate                                                                                0
     Construction expected estimate                                                                                                    0

        H         Funding risk (Assessed/Analysed)                                                                            (A+C+D)                          0
         I        95th percentile project estimate                                                                              (G+H)                          0
     Project property cost 95th percentile estimate                                                                                                            0
     Investigation and reporting 95th percentile estimate                                                                                                     Nil
     Design and project documentation 95th percentile estimate                                                                                                 0
     Construction 95th percentile estimate                                                                                                                     0

     Date of estimate                                                                           Cost index (Qtr/Year)
     Estimate prepared by                                                                       Signed
     Estimate internal peer review by                                                           Signed
     Estimate external peer review by                                                           Signed
     Estimate accepted by the NZTA                                                              Signed

     Note:        (1) These estimates are exclusive of escalation and GST.
                  (2) Investigation and reporting project phase estimates are set to nil as these are now sunk costs.



Pre-design Estimate                                                             13/25                                                       Printed Date: 8/10/2012
                                                         Project estimate

     Project name:
                                                                    Form E
                                                                                                                                           DE
                                                                                                                                            Design estimate

       Item       Description                                                                    Base estimate         Contingency         Funding risk

        A         Nett project property cost
                  Investigation and reporting:
                    - consultancy fees                                                                          Nil                  Nil                  Nil
                    - the NZTA-managed costs                                                                    Nil                  Nil                  Nil
        B         Total investigation and reporting                                                             Nil                  Nil                  Nil
                  Design and project documentation:
                    - consultancy fees                                                                          Nil                  Nil                  Nil
                    - the NZTA-managed costs                                                                    Nil                  Nil                  Nil
        C         Total design and project documentation                                                        Nil                  Nil                  Nil
                  Construction
                  MSQA
                    - consultancy fees
                    - the NZTA-managed costs
                    - consent monitoring fees
                  Sub-total base MSQA
                  Physical works
              1     Environmental compliance
              2     Earthworks
              3     Ground improvements
              4     Drainage
              5     Pavement and surfacing
              6     Bridges
              7     Retaining walls
              8     Traffic services
              9     Service relocations
             10     Landscaping
             11     Traffic management and temporary works
             12     Preliminary and general
             13     Extraordinary construction costs
                  Sub-total base physical works
        D         Total construction
        E         Project base estimate                                         (A+D)

        F         Contingency (Assessed/Analysed)                                                           (A+D)
        G         Project expected estimate                                                                  (E+F)
     Project property cost expected estimate
     Investigation and reporting expected estimate                                                                                   Nil
     Design and project documentation expected estimate                                                                              Nil
     Construction expected estimate

        H         Funding risk (Assessed/Analyser)                                                                               (A+D)
         I        95th percentile project estimate                                                                               (G+H)
     Project property cost 95th percentile estimate
     Investigation and reporting 95th percentile estimate                                                                                                 Nil
     Design and project documentation 95th percentile estimate                                                                                            Nil
     Construction 95th percentile estimate

     Date of estimate                                                                          Cost index (Qtr/Year)
     Estimate prepared by                                                                      Signed
     Estimate internal peer review by                                                          Signed
     Estimate external peer review by                                                          Signed
     Estimate accepted by the NZTA                                                             Signed

     Note:        (1) These estimates are exclusive of escalation and GST.
                  (2) Investigation and reporting, and design and project documentation project phasesestimates are set to nil as these are now sunk costs.


Design Estimate                                                                  14/25                                                     Printed Date: 8/10/2012
                                                     Project estimate

     Project name:
                                                                Form E
                                                                                                                             DE
                                                                                                                             Design estimate

       Item   Description                                                                      Base estimate   Contingency   Funding risk

              (3) Include a project phase funding application assessment form I with the DE.




Design Estimate                                                              15/25                                           Printed Date: 8/10/2012
                                              Project estimate
  Project name:
                                                       Form F                                                                 CE
                                                                                                                         Construction estimate
    Item       Description                                                          Base estimate         Contingency         Funding risk
     A         Nett project property cost
               Investigation and reporting:
                 - consultancy fees                                                              Nil                    Nil                  Nil
                 - the NZTA-managed costs                                                        Nil                    Nil                  Nil
     B         Total investigation and reporting                                                 Nil                    Nil                  Nil
               Design and project documentation:
                 - consultancy fees                                                              Nil                    Nil                  Nil
                 - the NZTA-managed costs                                                        Nil                    Nil                  Nil
     C         Total design and project documentation                                            Nil                    Nil                  Nil
               Construction
               MSQA
                 - consultancy fees
                 - the NZTA-managed costs
                 - consent monitoring fees
               Sub-total base MSQA
               Physical works
           1     Environmental compliance
           2     Earthworks
           3     Ground improvements
           4     Drainage
           5     Pavement and surfacing
           6     Bridges
           7     Retaining walls
           8     Traffic services
           9     Service relocations
          10     Landscaping
          11     Traffic management and temporary works
          12     Preliminary and general
          13     Extraordinary construction costs
               Sub-total base physical works
     D         Total construction
     E         Project base estimate                                      (A+D)

     F         Contingency (Assessed/Analysed)                                                (A+D)
     G         Project expected estimate                                                      (E+F)
  Project property cost expected estimate
  Investigation and reporting expected estimate                                                                         Nil
  Design and project documentation expected estimate                                                                    Nil
  Construction expected estimate

     H         Funding Risk (Assessed/Analysed)                                                                   (A+D)
      I        95th percentile Project Estimate                                                                   (G+H)
  Project property cost 95th percentile estimate
  Investigation and reporting 95th percentile estimate                                                                                       Nil
  Design and project documentation 95th percentile estimate                                                                                  Nil
  Construction 95th percentile estimate

  Date of estimate                                                                Cost index (Qtr/Year)
  Estimate prepared by                                                            Signed
  Estimate internal peer review by                                                Signed
  Estimate external peer review by                                                Signed
  Estimate accepted by the NZTA                                                   Signed

  Note:        (1) These estimates are exclusive of escalation and GST.


Construction Estimate                                                     16/25                                          Printed Date: 8/10/2012
                                           Project estimate
  Project name:
                                                    Form F                                                                          CE
                                                                                                                               Construction estimate
    Item   Description                                                                    Base estimate        Contingency          Funding risk
           (2) Investigation and reporting, and design and project documentation project phase estimates are set to nil as these are now sunk costs.




Construction Estimate                                                    17/25                                                Printed Date: 8/10/2012
                                            Pretender wth Base               Post Tender with       (Tick as Appropriate)

                                          Project phase funding application
                                                               Assessment form G
                          Pre-tender with base contract estimate   Post-tender with tender price   (Tick as appropriate)
                                                                                                                                         I&R
                                                                                                                                      Investigation and reporting
                Project name:
                    Item Description                                                                    Base estimate          Contingency       Funding risk
                1      Consultancy fees
                  1.1 Scope of services
                  1.2 Contract management
                  1.3 I&R
                  1.4 Preliminary design drawings
                  1.5 Geotechnical testing schedule
                  1.6 Provisional sums
                Base I&R contract estimate/Tender price                                A
                Contingency (Assessed/Analysed) (Consultancy fees)                                                    B
                Escalation (Consultancy fees)                                                                         C
                Expected I&R contract estimate                                                               D = (A+B+C)
                2        NZTA-managed costs
                  2.1 Tendering costs
                  2.2 Consultation costs
                  2.3 Safety audit costs
                  2.4 Peer review costs (Economics)
                  2.5 Peer review costs (Estimate)
                  2.6 Peer review costs (Other)
                  2.7 Hearing costs
                  2.8 Environmental court costs
                  2.9 Public relations costs
                  2.10 Legal costs
                  2.11 Miscellaneous other costs
                NZTA-managed costs                                                         E
                Contingency (Assessed/Analysed) (NZTA-managed costs)                                                       F
                Escalation (NZTA-managed costs)                                                                            G
                Expected estimate (NZTA-managed costs)                                                       H = (E+F+G)
                Expected I&R phase estimate                                                                     J = (D+H)
                Funding risk (Assessed/Analysed) (Consultancy fees)                                                                          K
                Escalation (Consultancy fees)                                                                                                L
                95th percentile I&R contract estimate                                                                            M = (D+K+L)
                Funding risk (Assessed/Analysed) (NZTA-managed costs)                                                                        N
                Escalation (NZTA-managed costs)                                                                                              P
                95th percentile NZTA-managed costs                                                                               Q = (H+N+P)
                95th percentile I&R phase estimate                                                                                 R = (M+Q)


                Date of estimate                                                                     Cost index

                Estimate prepared by                                                                 Signed

                Estimate internal peer review by                                                     Signed

                Estimate external peer review by                                                     Signed

                Estimate accepted by the NZTA project manager                                        Signed

                Note:    (1) These estimates are exclusive of GST.
                         (2) Base contract estimate (A) is displayed in request for tender. For multiple phase professional services contracts the base
                         contract estimate is the sum of the estimates for each phase.
                         (3) Once a tender price is available it is substituted for the base contract estimate, and the expected estimate is updated on this
                         sheet and transferred to appendix V of the NZTA's Contract procedures manual (SM021).




I and R Funding Application                                                   18/25                                                   Printed Date: 8/10/2012
                              I&R




I and R Funding Application         19/25   Printed Date: 8/10/2012
                             Project phase funding application

                Pre-tender with base contract estimate
                                                         Assessment form H
                                                            Post-tender with tender price       (Tick as appropriate)
                                                                                                                                D&PD
                                                                                                                              Design and project documentation

        Project name:
            Item Description                                                                          Base estimate           Contingency        Funding risk
        1      Consultancy fees
          1.1 Contract management
          1.2 D&PD
          1.3 Construction drawings
          1.4 Statutory applications
          1.5 Additional geotechnical testing
          1.6 Provisional sums
        Base D&PD contract estimate/tTender price                                  A1                                    0
        Contingency (Assessed/Analysed) (Consultancy fees)                                                              B1
        Escalation (Consultancy fees)                                                                                   C1
        Expected D&PD contract estimate                                                              D1 = (A1+B1+C1)                         0
        2     NZTA-managed costs
          2.1 Tendering costs
          2.2 Consultation costs
          2.3 Safety audit costs
          2.4 Peer review costs (Economics)
          2.5 Peer review costs (Estimate)
          2.6 Peer review costs (Other)
          2.7 Hearing costs
          2.8 Environmental court costs
          2.9 Public relations costs
         2.10 Legal costs
         2.11 Miscellaneous other costs
        NZTA-managed costs                                                          E1                                   0
        Contingency (Assessed/Analysed) (NZTA-managed costs)                                                            F1
        Escalation (NZTA-managed costs)                                                                                 G1
        Expected estimate (NZTA-managed costs)                                                       H1 = (E1+F1+G1)                         0
        Expected D&PD phase estimate                                                                      J1 = (D1+H1)                       0
        Funding risk (Assessed/Analysed) (Consultancy fees)                                                                              K1
        Escalation (Consultancy fees)                                                                                                     L1
        95th percentile D&PD contract estimate                                                                               M1 = (D1+K1+L1)                     0
        Funding risk (Assessed/Analysed) (NZTA-managed costs)                                                                               N1
        Escalation (NZTA-managed costs)                                                                                                     P1
        95th percentile NZTA-managed costs                                                                                   Q1 = (H1+N1+P1)                     0

        95th percentile D&PD phase estimate                                                                                     R1 = (M1+Q1)                     0


        Date of estimate                                                                           Cost index
        Estimate prepared by                                                                       Signed
        Estimate internal peer review by                                                           Signed
        Estimate external peer review by                                                           Signed
        Estimate accepted by the NZTA project manager                                              Signed

        Note:      (1) These estimates are exclusive of GST.
                   (2) Base contract estimate (A1) is displayed in request for tender. For multiple phase professional services contracts the base
                   contract estimate is the sum of the estimates for each phase.
                   (3) Once a tender price is available it is substituted for the base contract estimate, and the expected estimate is updated on this
                   sheet and transferred to appendix V of the NZTA's Contract procedures manual (SM021).




D and PD Funding Application                                                            20/25                                                       Printed Date: 8/10/2012
                         Project phase funding application
                                                       Assessment form I
              Pre-tender with base contract estimate    Post-tender with tender price       (Tick as appropriate)            Construction
      Project name:
        Item Description                                                                            Base estimate         Contingency           Funding risk
                Physical works
         1      Environmental compliance
         2      Earthworks
         3      Ground improvements
         4      Drainage
         5      Pavement surfacing
         6      Bridges
         7      Retaining walls
         8      Traffic services
         9      Service relocations
         10     Landscaping
         11     Traffic management and temporary works
         12     Preliminary and general
         13     Extraordinary construction costs
       Base physical works contract estimate/Tender price                                   A2
      Contingency (Assessed/Analysed) (Physical works)                                                              B2
      Escalation (Physical works)                                                                                   C2
      Expected physical works contract estimate                                                    D2 = (A2+B2+C2)
      Base MSQA estimate (consultancy fees, NZTA-managed costs (4),
      consent monitoring fees)                                                               E2
      Contingency (Assessed/Analysed) base MSQA (consultancy fees, NZTA-
                                                                                                                    F2
      managed costs, consent monitoring fees)
      Escalation base MSQA (consultancy fees, NZTA-managed costs, consent
                                                                                                                    G2
      monitoring fees)
      Expected MSQA estimate (consultancy fees, NZTA-managed costs,
                                                                                                   H2 = (E2+F2+G2)
      consent monitoring fees)

      Expected construction phase estimate                                                              J2 = (D2+H2)
      Funding risk (Assessed/Analysed) (Physical works)                                                                                 K2
      Escalation (Physical works)                                                                                                       L2
      95th percentile Physical Works Contract Estimate                                                                   M2 = (D2+K2+L2)
      Funding risk (Assessed/Analysed) base MSQA (consultancy fees, NZTA-managed costs, consent
                                                                                                                                        N2
      monitoring fees)
      Escalation base MSQA (consultancy fees, NZTA-managed costs, consent monitoring fees)                                         P2P2
      95th percentile MSQA estimate (consultancy fees, NZTA-managed costs, consent
                                                                                                                         Q2 = (H2+N2+P2)
      monitoring fees)
      95th percentile construction phase estimate                                                                           R2 = (M2+Q2)


      Date of estimate                                                                            Cost index

      Estimate prepared by                                                                        Signed

      Estimate internal peer review by                                                            Signed

      Estimate external peer review by                                                            Signed

      Estimate accepted by the NZTA project manager                                               Signed

      Note:     (1) These estimates are exclusive of GST.
                (2) Base contract estimate (A2) is displayed in request for tender. For multiple phase professional services contracts the base
                contract estimate is the sum of the estimates for each phase.


Construction Funding Application                                                    21/25                                                    Printed Date: 8/10/2012
                       Project phase funding application
                                                     Assessment form I
            Pre-tender with base contract estimate    Post-tender with tender price       (Tick as appropriate)      Construction
      Project name:
        Item Description                                                                          Base estimate   Contingency       Funding risk
              (3) Once a tender price is available it is substituted for the base contract estimate and the expected estimate is updated on this
              sheet and transferred to appendix V of the NZTA's Contract procedures manual (SM021).
              (4) For the NZTA-managed costs see forms G and H for list of typical cost items.




Construction Funding Application                                                  22/25                                         Printed Date: 8/10/2012
                Professional services contract estimate summary sheet
                                                                     Form J
Project name:




                                                     Tick project phases being contracted                                  I&R

                                                                                                                           D&PD

                                                                                                                           MSQA

                                                  Contingencies                                       Funding risk
      Phase          Base contract estimate                         Expected contract estimate                                   95% contract estimate
                                                   Escalation                                          Escalation

       I&R


      D&PD


      MSQA

                                              2
      TOTAL




Note 1: Forms G, H and I are used to calculate contract estimates and phase estimates for identified project phases. For multiple phase professional
services contracts this form is used to summarise the contract estimates.

Note 2: The total base contract estimate is declared in the RFT.
                                      Construction and property estimate
                                                Project name:
           Supplied with funding application for (tick one):        Investigation         Design        Construction
                       Estimate stage (tick one)        FE     OE       SE          PE          DE      CE

    Item        Description                                     Base estimate            5th%        Contingency Funding risk

     A          Nett project property cost
                Construction

           1 MSQA, NZTA-managed costs and consent
             monitoring fees

                Physical works
            2     Environmental compliance
            3     Earthworks
            4     Ground improvements
            5     Drainage
            6     Pavement and surfacing
            7     Bridges
            8     Retaining walls
            9     Traffic services
           10     Service relocations
           11     Landscaping
           12     Traffic management and temporary works
           13     Preliminary and general
           14     Extraordinary construction costs

     B          Total construction                                              0
Total base estimate                                                             0

Total 5th percentile estimate                                                                    0

     C          Contingency                                                                                    0
Project property cost expected estimate                                                                        0
Construction expected estimate                                                                                 0
Total expected estimate                                                                                        0

     D          Funding risk                                                                                                0
Project property cost 95th percentile estimate                                                                              0
Construction 95th percentile estimate                                                                                       0
Total 95th percentile estimate                                                                                              0

Date of estimate                                               Cost index (Qtr/Year)
Estimate prepared by                                           Signed
Estimate internal peer review by                               Signed
Estimate external peer review by                               Signed
Estimate accepted by the NZTA project manager                  Signed

Note: These estimates are exclusive of escalation and GST.
                                                                                                          Project name
                                                                                          Cashflow for monthly report dated dd/mm/yy
                                                                                                  Project phase or summary

                                                                                                  Current year (Year 1)                                                                   Future years

                                                                                                                                                                                                                           Total
 Phase                     Prior years        Jul         Aug       Sep       Oct       Nov         Dec         Jan       Feb       Mar       Apr       May       June       Year 2         Year 3         Year 4
                                                                                                                                                                                                                        Aallocation



 I&R                                      0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Base allocation                          0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Contingency allocation                   0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Expected out-turn cost                   0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0



 D&PD                                     0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Base allocation                          0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Contingency allocation                   0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Expected out-turn cost                   0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0



 Construction

   MSQA                                   0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

   Physical works                         0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Base allocation                          0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Contingency allocation                   0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Expected out-turn cost                   0         0           0         0         0         0           0           0         0         0         0         0          0            0              0              0                 0

 Note:

                          Equals actual

                          Equals forecast current month

                          Equals forecast future expenditure




Cashflow                                                                                                      25/25                                                                                      Printed Date: 8/10/2012

				
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