9. Recently Replaced Component Form blank.pdf

PDF 595 KB Posted

Attached to
Replace Epoxy Floor Coating Federal contract opportunity
Solicitation number
12505B22R0011
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Midwest Area

About this file

This document provides details for a federal solicitation seeking replacement of epoxy floor coating. The solicitation is issued by the United States Department of Agriculture Agricultural Research Service and seeks proposals to replace epoxy floor coating at a location in Bowling Green, KY. The requirement is set aside entirely for service-disabled veteran-owned small businesses with a North American Industry Classification System code of 238330 and a small business size standard of $16.50 million. The period of performance is 150 days from notice to proceed and the estimated value is between $250,000 and $500,000. Organized site visits are scheduled for June 21-22 and interested parties must pre-register by June 20. Questions regarding the solicitation are due by July 1 with answers posted as an amendment. Proposals are due through the System for Award Management and must use biobased products where reasonably available and priced.

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Other files for this federal contract opportunity

Other files attached to Replace Epoxy Floor Coating, newest first.
File Type Posted
12505B22R0011 Amendment 01_6.23.22.pdf PDF
12505B22R0011_Site Visit Sign in Sheet_20220621-ReplaceEpoxyFloorCoating.pdf PDF
10. New Asset.pdf PDF
7. ARS-372.pdf PDF
2. SOW - Replace Epoxy Floor Coating_Bowling Green.pdf PDF
5. COVID Vaccination Attestation.pdf PDF
8. Material Submittal Register.pdf PDF
1. 12505B22R0011 - Replace Expoxy Floor Coating_Bowling Green.pdf PDF
4. Past Performance Questionnaire.pdf PDF
3. Wage Determination.pdf PDF
6. ARS-371.pdf PDF
Show all 11

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Text version

BUILDER Facility Condition Assessments Recently Replaced Component Form (Not Repairs)

Location/Site name:

Building (CPAIS Asset ID):

Submitted by:

Contact information:

System Equipment Year Installed Location/Room Quantity/Area

Serial Number Model Manufacturer Comments Attachments

Old item

New item

Old item

New item

Old item

New item Notes: 1. If the equipment is not replacing another piece of equipment please use the new installation form

2. Please use this form for equipment replacements as well as building improvements (i.e. roofing, window, or facade replacement projects) greater then $75,000

3. Please provide a PDF of any documents associated with the new install

4. Some columns may not be applicable depending on what is being added

5. If you have suggestions on improvements/questions regarding this form email them to Joshua.Nye@USDA.GOV or call 301-504-1173

Date: ______________________ mailto:Joshua.Nye@ARS.USDA.GOV Joshua.Nye Stamp

Joshua.Nye Stamp

Joshua.Nye Stamp

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Location/Site name:

LocationSite name:
Building CPAIS Asset ID:
Submitted by:
Contact information:
EquipmentOld item:
Year InstalledOld item:
LocationRoomOld item:
QuantityAreaOld item:
Serial NumberOld item:
ModelOld item:
ManufacturerOld item:
CommentsOld item:
EquipmentNew item:
Year InstalledNew item:
LocationRoomNew item:
QuantityAreaNew item:
Serial NumberNew item:
ModelNew item:
ManufacturerNew item:
CommentsNew item:
EquipmentOld item_2:
Year InstalledOld item_2:
LocationRoomOld item_2:
QuantityAreaOld item_2:
Serial NumberOld item_2:
ModelOld item_2:
ManufacturerOld item_2:
CommentsOld item_2:
EquipmentNew item_2:
Year InstalledNew item_2:
LocationRoomNew item_2:
QuantityAreaNew item_2:
Serial NumberNew item_2:
ModelNew item_2:
ManufacturerNew item_2:
CommentsNew item_2:
EquipmentOld item_3:
Year InstalledOld item_3:
LocationRoomOld item_3:
QuantityAreaOld item_3:
Serial NumberOld item_3:
ModelOld item_3:
ManufacturerOld item_3:
CommentsOld item_3:
EquipmentNew item_3:
Year InstalledNew item_3:
LocationRoomNew item_3:
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