Online Construction Estimate Request - UAMS Design & Construction

Project Contact (First & Last Name)

Project Contact Email

Resolve Email

Department Head (First & Last Name)

Department Head Email

Resolve Email

Is the Dept Head aware of this request?

Yes

No

Building Name

Room / Floor / Location

Department

Phone

Mail Slot

Primary Account Number

Account Title

% Funded

2nd Account Number (if needed)

Account Title

% Funded

3rd Account Number (if needed)

Account Title

% Funded

Please provide a DETAILED narrative of the work you want to have done to describe your vision/intent of the end result. If patients will receive treatment in this project area, please describe the treatment and include whether they will be sedated. Also, give us an indication of how much funding you have and can commit to this project. The more information you provide will help us identify and meet your objectives in a timely manner.

Caution! Do not exceed 7,500 characters or the submission of this form will fail!

Terms and Conditions

DEFINITIONS: The UAMS Design & Construction website is available for you to be used as a means of information transfer between our department and other UAMS parties interested in our services. Submissions made through this website will be considered an "Online transaction." Any and all Online transactions, authorize our department to begin the project initiation process.
COSTS: There is no cost associated with the use of this website to submit a request. Once you hit the submit button, your request will be logged into our database. You will be contacted about setting up an initial meeting to discuss this request. It is at that meeting that you will discuss more in detail your needs, and be given a +/-20% estimate for the planning/construction costs. If at this initial meeting, the team cannot come to an estimate, subsequent meetings may be required. You will be charged for those additional meetings.
ACCURACY OF DATA: UAMS Design & Construction cannot accept any request that is not accurately submitted. We have taken all steps necessary to ensure that we provide you with all the information necessary during this process. In order for our information to be accurate you must thoroughly and accurately fill in every blank. If you do not receive a confirmation email, then we have not received your request. If you did receive a confirmation, please print it and wait for us to contact you.
ACCEPTANCE OF TERMS AND CONDITIONS: Please respond to the following statement: "I have read the terms and conditions listed above, and I acknowledge and agree to adhere to these terms and conditions." (You must click on the Agree/Disagree radio buttons below when submitting the request).

Agree

Disagree

Errors Found! Please correct errors indicated in RED and resubmit.