PNF Master CSS

Project Notification Form
Note
The project notification form is split into three separate parts to allow a clear structure for
information provided by the client, the fee proposal and then the appointment process if the fee is
accepted. Upon successful appointment, a request for information will then be issued for surveys,
drawings, designer details etc. If you have any questions whilst completing the form, please contact
the office on 01869 220649.
Part 1 – is to be completed by the client or clients representative, to provide the relevant

information about the project for CSS/PHS to provide an accurate fee quote and service provision.
Please fill in all sections with as much detail as possible and attach any scoping/schedule of work
documents and a client brief if applicable.
Client name, address and contact details Nando's Chickenland Ltd

93-99 Upper Richmond Road Putney, London
SW15 2TG
Project managers name, address, and Kris Nichhabhai

contact details Project Manager
M:07787077065
[email protected]
Project name and address Nando’s Burnley

Unit 3
Pioneer Place
Curzon Street
Burnley
BB11 1FB
A description of work proposed to take New build restaurant. SOW attached.
place (if there are any scoping
documents, please attach to allow a
more accurate service provision)
Tender date (pre-construction Tender completed (22.03.23) awarded to the main

information should be issued as part of contractor - Interiors UK
the tender process)
Proposed start date (Phase 1) 15/05/23 – Factory fit acting as MC (installing mezz)
Proposed completion date (Phase 1) 26/05/23
Proposed completion date (Phase 2) 29/05/23 – Interiors UK
Duration of project 14 weeks
Proposed completion date 17/08/23

Will site health and safety inspections be Yes
required?
Will the project be notifiable (F10)? Unaware
Will there be more than one contractor Yes.

involved in the project? (i.e. scaffolder HVAC, electrician, painter, plasterer, joiners, etc – (usual
and a roofer, or electrician and Nando’s newbuild trades)
plasterer)
Will the premises be trading throughout NO

the project?
Has a principal contractor/contractor Factory fit (phase1)
been appointed? If yes, who? Interiors UK (phase 2)
Service provision required (please  CDM advisor (CDMA)

highlight)  Principal Designer
 Other (detail)
Client/PM to sign and issue to CSS/PHS. I confirm the information above is accurate and all
relevant details to allow an accurate fee proposal has
been provided.
Name: Kris Nichhabhai
Position: Property Project Manager
Signature: K. Nichhabhai
Date: 12.04.23
Part 2 – To be completed by CSS/PHS with details of the fee quote and service provision included
within the quote.
CSS/PHS are pleased to be able to provide a fee CSS/PHS to detail service provision included
proposal for (insert client and project name). within the fee proposal.
The cost for services which are detailed is
(insert cost).
If you accept this proposal, please complete the

below appointment acceptance, and return to
CSS/PHS along with a purchase order number.
When the P/O has been received, we will then
commence our role, and issue a request for
information for any information we require.
Part 3 – To be completed/signed by the client/clients representative if the fee proposal and service
provision is accepted.
We (insert client name) accept the above fee proposal and appoint CSS/PHS to undertake the role of
principal designer/CDM advisor on (project). By accepting the role of principal designer/CDM
advisor you confirm that you are competent to fulfill the role and have the necessary time and
resources to allocate to this project in line with the Construction (Design and Management)
Regulations 2015. By signing the client also acknowledges their responsibilities under these
regulations.
Client Representative Name: Kris Nichhabhai Signed: K. Nichhabhai
Date: 12.04.23
CSS/PHS Representative Name: Signed:
Date:
Client Duties Under CDM 2015
As the Client under CDM you have specific duties that have to be fulfilled to comply. Please see the
below links providing guidance on client duties. If you have any questions regarding this, contact us
and we will be happy to assist. We also offer CDM training for all duty holders.
https://www.hse.gov.uk/construction/cdm/2015/summary.htm
https://www.citb.co.uk/media/bwzklrv5/cdm-2015-clients-interactive.pdf

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Project Notification Form

Part 1 – is to be completed by the client or clients representative, to provide the relevant

Client name, address and contact details Nando's Chickenland Ltd

Project managers name, address, and Kris Nichhabhai

Project name and address Nando’s Burnley

Tender date (pre-construction Tender completed (22.03.23) awarded to the main

Proposed completion date (Phase 1) 26/05/23

Proposed completion date (Phase 2) 29/05/23 – Interiors UK

Duration of project 14 weeks

Proposed completion date 17/08/23

Will the project be notifiable (F10)? Unaware

Will there be more than one contractor Yes.

Will the premises be trading throughout NO

Service provision required (please  CDM advisor (CDMA)

Name: Kris Nichhabhai

Position: Property Project Manager

If you accept this proposal, please complete the

Client Representative Name: Kris Nichhabhai Signed: K. Nichhabhai

CSS/PHS Representative Name: Signed:

Client Duties Under CDM 2015

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