Statement of requirement—Space project

Statement of requirement – Space project (PDF, 803KB)

Part A: Information

Department

Public Services and Procurement Canada region

Inter-departmental settlement organization code (IS ORG)

Inter-departmental settlement reference code (IS REF)

Tenant

Type of request

Approved geographic boundaries (North-South-West-East)

North

South

West

East

Client region

City

Office full time equivalent

Present

Anticipated growth

Type of space

Space allocation standard (m² usable)

Special purpose space full time equivalent

Present

Anticipated growth

Length of occupancy

Years

Months

In-Service date

Total special purpose space requested m² usable

Funding source

Parking requirements

Minimum operational requirement

Government fleet vehicles

Shift workers

Visitors or clients

Additional parking

Part B: Current occupancy information when applicable

Lease-out contract number

Occupancy start date

Occupancy end date

Lease number

Does the actual space meet your requirements

Current location address

Current m² usable

Current m² rentable

Part C: Strategy

Client strategy for the requirement (for example short term, bridging and long term strategy, relationship to other space in inventory)

Public Services and Procurement Canada’s relevant strategies (for example Workplace 2.0, activity based workplace, regional strategy)

Special considerations (for example current fit-up condition. Any special risk associate with not proceeding or timing. Known building issues. Client cost or description of special requirement associated with a relocation. Type of special purpose space. functional program status.)

Space category	Space requested (m² usable)	Space allocation standard (m² usable)	Variance		Funding		Total authorized (m² usable)
Space category	Space requested (m² usable)	Space allocation standard (m² usable)	Actual	Approved	Public Services and Procurement Canada (Non-reimbursing m² usable)	Client (Reimbursing or expansion control framework m² usable)	Total authorized (m² usable)
Office	Office space requested	Office space allocation standard	Office actual variance	Office approved variance	Office Public Services and Procurement Canada Funding (Non-reimbursing square metre usable)	Office Client Funding (Reimbursing or expansion control framework square metre usable)	Office authorized from all categories (Square metre usable)
Special purpose space	Special purpose space requested	Special purpose space allocation standard	Special purpose space actual variance	Special purpose space approved variance	Special purpose space Public Services and Procurement Canada Funding (Non-reimbursing square metre usable)	Special purpose space Client Funding (Reimbursing or expansion control framework square metre usable)	Special purpose space authorized from all categories (Square metre usable)
Warehouse	Warehouse space requested	Warehouse space allocation standard	Warehouse actual varianc	Warehouse approved varianc	Warehouse Public Services and Procurement Canada Funding (Non-reimbursing square metre usable)	Warehouse Client Funding (Reimbursing or expansion control framework square metre usable)	Warehouse authorized from all categories (Square metre usable)
Land	Land space requested	Land space allocation standard	Land actual variance	Land approved variance	Land Public Services and Procurement Canada Funding (Non-reimbursing square metre usable)	Land Client Funding (Reimbursing or expansion control framework square metre usable)	Land authorized from all categories (Square metre usable)
Total	Total space requested		Total actual variance	Total approved variance	Total Public Services and Procurement Canada Funding (Non-reimbursing square metre usable)	Total Client Funding (Reimbursing or expansion control framework square metre usable)	Total authorized from all categories (Square metre usable)

Part D: Forecast

Funding	Authorized m² usable	Ratio	Estimate number of m² rentable	Estimate rental rate (cost per m²)	Estimate base rent
PSPC	Authorized square metre usable of Public Services and Procurement Canada	Ratio of Public Services and Procurement Canada	Estimate number of square metre rentable of Public Services and Procurement Canada	Estimate rental rate of Public Services and Procurement Canada	Estimate base rent of Public Services and Procurement Canada
Client	Authorized square metre usable of Client	Ratio of Client	Estimate number of square metre rentable of Client	Estimate rental rate of Client	Estimate base rent of Client
Total	Total authorized square metre usable		Total estimate number of square metre rentable		Total estimate base rent

The values above are only for forecasting purposes and are subject to change depending on the solution that will be delivered.

Part E: Client approval

The client representative endorses Public Services and Procurement Canada to proceed with the project identification stage of this problem/opportunity. In doing so, the client representative agrees to pay for client costs identified in Part C, D and E of this statement of requirements, and agrees to seek funding for their portion of the Project Delivery Phase.

Item	Fiscal year 1 2017 to 2018	Fiscal year 2 2018 to 2019	Fiscal year 3 2019 to 2020	Total ($)
Total client funded	Total client funded for Fiscal year 1 (2017 to 2018)	Total client funded for Fiscal year 2 (2018 to 2019)	Total client funded for Fiscal year 3 (2019 to 2020)	Total client funded

Client signature(s)

All fit-up components that exceed the standards must be funded by the client department. In addition, the client department is responsible for any client cost associated with this project such as, but not limited to the following horizontal voice and data, approved non-compliant requests, additional security requirements related to the move and fit-up and all associated consultant fees and Public Services and Procurement Canada – Real Property Branch fees related to the client funded portion fit-up, as well as furniture, fixtures and equipment. Lastly, client departments are financially responsible for both the rent and fit-up of any additional space that is deemed to be expansion control framework reimbursing or fully reimbursing.

Client 1: Date Client 1: Signature Client 1: Recommended by

Client 2: Date Client 2: Signature Client 2: Approved by (authorized client representative with Financial Signing Authority)

Part F: Public Services and Procurement Canada approval

Approval to initiate the documentation relevant to the development of this project to project approval consists of - specify the goal of the project.

Item	Fiscal year 1 2017 to 2018	Fiscal year 2 2018 to 2019	Fiscal year 3 2019 to 2020	Total ($)
Total Public Services and Procurement Canada funded	Total Public Services and Procurement Canada funded Fiscal Year 1 (2017 to 2018)	Total Public Services and Procurement Canada funded Fiscal Year 2 (2018 to 2019)	Total Public Services and Procurement Canada funded Fiscal Year 3 (2019 to 2020)	Total Public Services and Procurement Canada funded

Public Services and Procurement Canada signatures

Note: Refer to National Project Management System directive to identify position and obtain the appropriate approvals in signature block below.

Project:

Public Services and Procurement Canada Approver 1: Date Public Services and Procurement Canada Approver 1: Signature Public Services and Procurement Canada Approver 1: Prepared by

Public Services and Procurement Canada Approver 2: Date Public Services and Procurement Canada Approver 2: Signature Public Services and Procurement Canada Approver 2: Recommended by

Public Services and Procurement Canada Approver 3: Date Public Services and Procurement Canada Approver 3: Signature Public Services and Procurement Canada Approver 3: Approved by

Space calculators are to be attached with this document

Client Accommodation Requirement Questionnaire

Attach special purpose space approvals documentation

Date modified:: 2019-11-06

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