DBIA 520 Request Form

DBIA 520 Request Form
Your Name

First NameLast Name
Your email address
example@example.com
Processing Deadline*
How quickly this needs to be sent to the client
Client's Company Name
Client's Company Legal Status
- Client Signer's Name
  
  First NameLast Name
- Client Signer's Position (Title)
- Client Signer's email address
  example@example.com
- Client's Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Mailing/Property address the same?
- CC the follow client contacts in PandaDoc:
- Client Mailing Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Client Property Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Give this project a name
- Anticipated Design Start Date
  
  MonthDayYear
  Date
- Licensing Fee
  DEFAULT: "twenty-five thousand dollars ($25,000.00) or one-half percent (0.50%)"
- Termination Fee
  DEFAULT: "fifteen thousand dollars ($15,000.00) or five percent (0.50%)"
- Write a Brief Description of the Project
- ArchitectInterior DesignerMechanical EngineerPlumbing EngineerElectrical EngineerStructural EngineerEnvironmental Graphics DesignerAudio, Video, Theatrical Lighting & Acoustics DesignerCivil EngineerSoils/Geotechnical EngineerLandscape ArchitectKitchen ConsultantCal Green ConsultantFF&E ConsultantOther
- Target Construction Cost
- Schematic Design Fee Percentage
- Total Basic Services Design Fee
- PreConstruction Fee
- Reimbursable Allowance
- Default Retainer Unless Noted Here
  Default Retainer is equal to one months payment
- Retainer held or applied*
- Basecamp Fee (if needed)
- As-Built-Drawings Fee (if needed)
- Graphics Design Fee (if needed)
- Entitlement Allowance*
- Describe the Design Fee Breakdown
  Percentage and totals for SD, DD, CD & CA
- ACH Length (Months)
- Upload Scope Diagram & Budget
  
  Cancelof
- Should be Empty: