attch 4 Fire Damper Testing Form 02.pdf

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Attached to
Z1DA--437-23-150 Test Fire Dampers 36C263-24-AP-2636
Solicitation number
36C26324B0008
Issued by

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This document is a Fire Damper Testing Form for the Fargo VA Health Care System construction project 437-23-150. It provides a form to document the inspection and testing of approximately 382 fire dampers at the facility. The form captures details such as the fire damper location, size, temperature rating, testing status (passed, failed, disabled, inaccessible), installation details, and required photographs. It also notes the retest date and includes space for additional notes, safety precautions, accessibility issues, and suggestions for improvements. This form is likely a required attachment or exhibit for the federal contract opportunity solicitation 36C26324B0008, which seeks construction services to inspect and test the fire dampers in accordance with the Scope of Work, NFPA, local building codes, and VA facility standards.

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Other files

File Type Posted
attch 1 Bid Questions.docx DOCX document
36C26324B0008 0001.docx DOCX document
attch 3 Revised SOW.pdf PDF
attch 2 Fire Damper Drawings.pdf PDF
Attachment B SOW - 5 pages.pdf PDF
Attachment C Wage Determination 12 July 2024 eff - 7 pages.pdf PDF
Attchment G Price Schedule Breakdown Sheet - 1 page.pdf PDF
Attachment D Questions Request Form - 1 page.pdf PDF
Attachment F Limits of Subcontracting Cert of Compliance - 2 pages.pdf PDF
Attchment H Drawings - 13 pages.pdf PDF
36C26324B0008.docx DOCX document
Attachment E Contractor Safety and EMR - 2 pages.pdf PDF
Attachment A Test Fire Damper Combined Specification - 80 pages.pdf PDF
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Exhibit #1 Fargo VHA Fire Damper Testing Form

Date of Test: Tested By:

Fire Damper (Existing):

Fire Damper (New): *Retest Date Required:

Location(Room#):

Damper Size: Temperature Rating:

*New fire damper re-test date is one year from date of original inspection

Testing Status:

Testing Failed Passed Operational Test Disabled Inaccessible

Location Installed:

Thru Wall Thru Deck Floor Thru Deck Ceiling

Damper Status:

Installed Properly Repair Needed Replace Needed

Duct Size: # Access Doors on duct: # Access Door Size:

ADDITIONAL NOTES:

Safety Precautions Taken:

Accessibility Notes:

Suggestions for Improvements for Safety or Accessibility:

--- REFER TO REVERSE SIDE OF FORM FOR REQUIRED DAMPER PICTURES ---

DAMPER TESTING PHOTOS FOR DOCUMENTATION

Picture of Damper Tag / Equipment Picture of Damper Original (Open)

Picture of Damper Closed Picture of Damper Re-Opened

All photographs shall contain the fire damper label, or visibility of the firee damper equipment tag, within frame of photo.

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File details come from the government source that posted it. Updated .