PWS Attachment 3 Monthly Report.pdf
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- Solicitation number
- 1333ND20RNB190010
About this file
This document contains a monthly report template for operations and maintenance services at a central utility plant and related federal contract opportunity. The monthly report template requires the contractor to provide details on major and minor repairs, boiler repair logs, building water usage, gas usage, boiler readings, man hour reports for the central utility plant and sites in Fort Collins, Colorado and Kekaha, Hawaii, steam trap and chemical testing summaries. The related federal contract opportunity is a solicitation from the National Institute of Standards and Technology seeking proposals for operations, maintenance and repair services of the central utility plant at their Boulder, Colorado laboratory. The base period of performance is one year with four one-year option periods for a total of five years. The North American Industry Classification System code is 811310 and the size standard is $8 million. Proposals are due by March 27, 2020.
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Text version
Major Repairs:
Minor Repairs:
Boiler Monthly Repair Log
Month:
Year:
Company:
Major Repair Summary:
Minor Repair Summary:
Air Compressor Repair Summary
Month:
Month: Year:
Day Start End Daily Total
Building Water Usage Report
Date Daily DA Tank Temp
Daily DA Tank Press
Daily System Condensate Return
Daily Total Make-Up Water Flow
DA Tank - Pressure - Temps
Date
BLR 17
Meter reading
BLR 18
Meter reading
BLR 19
Meter reading
BLDG. 42
Meter reading
NIST Boulder Gas Usage
BLR Date Daily M/CF Total Gas Flow
Daily GALS Total FDW Flow
Daily LBS/H Total BLR Steam Flow
Daily Lbs/H Total SYS Steam Flow
Daily PSI Total System Steam Press
Daily PSI Total BLR Steam Press
Daily LBS / H Total BLR Steam LG Flow
BLR Date Daily Total Temp Stack ENT
Daily Total Temp Stack
LVG
Daily Total Temp Econo IN
Daily Total Temp Econo
OUT
Daily Total Temp OAT
Boiler Temps
Boiler - Pressures - Flow
Monthly Man Hour Report Month of:
Contracted Work;
a) Contract Number:
b) Contract Type (Select Type): ( ) Construction ( ) Service
c) Project Name: Central Utility Plant Operation and Maintenance
d) Company Name:
e) NAICS Code for the Company performing the work:
f) Total number of man-hours worked this month (must include subcontractor hours):
g) Lost Time Injury experienced during the month:
h) Near Miss Incidents for the month:
i) Fire/Property Damage Incidents:
j) No Work Completed this Month:
2. COR’s are responsible for collecting the forms from your contractor and submit to FMD Safety offic
1. All contractors, service and construction, are required to submit a monthly man-hour/ injury report. This report needs to be submitted to the EMSS Safety office no later than the 5th of each month. The report needs to contain the following information;
Monthly Maintenance Summary:
Ft. Collins/Hawaii Maintenance Summary
Month:
Year:
Company:
Contractor to provide Maintenance reports/checklists on the PMs completed at the Ft.
Collins site and the Hawaii site, and record preventative maintenance information from the job plan inputted into Maximo Logs. Any temperature, voltage or pressure readings listed in the job plan shall be provided in the Maximo logs.
Date Time Time
Alarm Cleared
Dispatch Personnel Name of Alarm Description Description of Actions Taken
Stationary Engineer
Initials
After Hours Action Log
Monthly Repair / Replacement Summary:
Discrepancies:
Steam Trap Repair / Replacement Summary
Month:
Chemical Testing Summary:
Chemical Testing Summary
Month:
Year:
Company:
Testing to be completed every 8 hours based on selected manufacturer's recommendations checklist and submitted as part of the monthly report.
- Chemical testing of B-17, 18 and 19 every 8 hours
- B-42 closed loop chilled water system tested monthly
- B-42 condenser water system tested every 8 hours
Major Repairs:
Minor Repairs:
Chilled Water Repair Summary
Month:
| Boiler Repairs |
| Air Comp Repair |
| Building Water Usage |
| DA Tank Daily |
| Gas Usage Report |
| Boiler Daily Readings |
| Man Hour |
| Ft. Collins&Hawaii |
| After Hours Log |
| Steam Trap |
| Chemical Testing |
| Chilled Water |
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