Modular Classroom Relocation Prep Sheet Instructions (Important): In preparation for the relocation of your modular classroom(s), and the funding required to deliver, place and set up the classroom(s), please provide your regional representative with the following information for each modular classroom(s) that is to be relocated: Basic Information: Name of School Board: Name of School Board Contact: School Board Contact Phone No: School Board Contact email address: Name and address of Donor School: Name and address of Receiver School: Approximate Distance between Schools (km) # and Type of relocatable classrooms to be moved: (modular/portable) Attaching to existing modulars on site: (Y/N) Is a connecting link required (Y/N) Intended contracting method: (Public tender or Own Forces) Site Plan: A site plan, fully dimensioned, of the entire site showing receiving school, the location and orientation of the modular classrooms, connecting link (if required) and site access points. The site plan should identify the type of modular classrooms (A-Unit Type/Orientation and/or B-Unit). The site plan will need to indicate a description of the topography of the site and the elevation to which the modular classrooms will be set, as well as any underground utilities that may be impacted by the placement of the modular classrooms. This information will determine the method of placement of the modular classrooms when they are delivered to the site. Cost Estimate: A) Delivery Costs (A site visit is required, prior to delivery, to determine “other” delivery costs): Cost of transport from donor school site to receiving school site(km x $/km): $ Other costs (jack rollering, crane costs, etc., if applicable): $ Total Delivery Costs: $ b) Removal Costs (Donor School): Utility disconnection: Mechanical: Electrical: Other (fire alarm, etc.): $ $ $ Site reclamation Costs: Removal of foundations/piles: Removal of Stairs: Removal of Skirting: Landscaping: $ $ $ $ Total Removal Costs: $ $ $ $ $ Total Site Preparation Costs: $ $ $ $ Total Utility Hook up Costs: $ c) Site Preparation Costs (Receiver School): Foundation/Pile installation: Landscaping: Skirting: Stairs: d) Utility Hook up Costs (Receiver School): Mechanical: Electrical: Other (fire alarm, etc.): e) Consultant Costs: Consultant fees (not to exceed 12.58% of the delivery, set-up and link project costs): $ Expenses (permits, alarm verification, etc.): $ Total Consultant Costs: f) Other Connecting Costs: (please identify) $ $ Removal/Set-Up Sub-Total: Non-Refundable GST: Total Removal/Set-Up Costs: $ $ $ g) Connecting Link (if applicable): Area of Link m2 Construction: $ Project expenses: $ Total Connecting Link Costs: $ Non-Refundable GST: Total Link Costs: $ $ Total Project Cost: $ Thank you for completing this checklist. Please email a copy along with the site plan to your Regional Director: North Region – John Lovell at john.lovell@gov.ab.ca South Region – Judith Wright at judith.wright@gov.ab.ca