This document discusses how construction cost certainty can be achieved through 5D BIM (Building Information Modeling). It notes that traditional construction costs often exceed estimates by 28% on average. 5D BIM involves a QS (Quantity Surveyor) mapping item quantities in a BIM model to generate cost estimates. When used for an entire project rather than just structural steel, 5D BIM can reduce cost overruns to just 2% compared to 27% for traditional methods. The document outlines skills needed for a 5D QS and how 5D BIM was used to generate trade package quantities and estimates for tender on the Sunshine Coast University Hospital project.