A00810-616507.pdf

ATTACHMENTS A & B

REPAIR REPORT

AND

STANDBY GENERATOR SERVICE CHECKLIST

Proposal No 616507-136968

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Massachusetts Department Of Transportation J/1!,J' massDOT

Muudwum��efTr.,,.po,utl<WI

..,. Highway Division Highway Division

Project No. 616507

ATTACHMENT "A"

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REPAIR REPORT

The contractor will be required to submit a signed "Daily Force Account Report" (F01m CSD-123) (See Attached), for each day he is performing work under this contract.

The Commonwealth of Massachusetts

MASSACHUSETTS DEPARTMENT OF TRANSPORTATION

DAILY FORCE ACCOUNT REPORT

CONTRACTOR: ___________ _ __________ _

CONTRACT No.: ________ FEDERAL AID PROJECT Non-Federal Aid

PROJECT:. __________________________ _

DATE OF WORK:. _____ _

LABOR

Classification

MATERIALS

Description

EQUIPMENT

Description

SALVAGE

Description

No. Hrs.

Quant. Unit

No. Hrs.

Quant. Unit

Classification No. Hrs.

Description Quant. Unit

Description No. Hrs.

Description Quant. Unit

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Project No. 616507

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LOCATION AND DESCRIPTION OF WORK:

Received: Submitted: ------------- -------------

Title: Title:

MassDOT (Contractor)

Date: Date:

MATERIAL USED, SALVAGED, ETC ...

CHARGE IN CHARGE OUT

Quality Quality

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INSTRUCTIONS:

1. All material chargeable to the project must be noted whether it is to be in temporary use is to remain pe1manently in the work.

2. The three columns on the right are to be used to indicate the disposition of the item and are to be indicated by a check mark in the proper column opposite the item to which reference is made.

3. The last column is used to designate those items which are already in use and were installed prior to any elimination work, but which must be removed due to this work. Such items will not be referred under the column "Charged In" but should show a salvage allowance.

4. A check mark should also indicate the quality of the item by noting it as "New", "Fit", or "Scrap".

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Project No. 616507

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I, do hereby certify that I am the employee of

_ _ _ _ _ _ ______ _ __ in charge of force account operations in connection with the construction of Project No. located at and that I am in a position to have full knowledge that the accounts herein shown are an *accurate statement of labor employed, equipment operated and material used and/or salvaged on the project on the _ _ _ day of _ __ _ _ _ 20

Received:

Title:

(MassDOT)

Date:

CSD-123 REV (P&R)

Accurate")

Received:

Title:

(Contractor)

Date:

(NOTE: Accurate as used in line 3 above means: "Substantially

Project No. 616507

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Massachusetts Department OfTranspo1iation Jfl:.�' massDOT

�d'wsffll��OfTUNp«htlon

., Highway Division Highway Division

ATTACHMENT "B"

Project No. 616507

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Standby Generator Service Checklist

Generator:

Before Starting Engine Generator Check For Stator Windings Excitor

PMG

Cooling System

Hoses & Belts Batteries Turbocharger

Engine Generator Bearings

With Engine Running Start Engine & Operate Check

Engine Crankcase

Generator Air Inlet Filter Exhaust System

Leaks & Noises Main Stator Winding Temp.

Bearing Bracket Temp.

After Stopping Engine Walk-Around Inspection Scheduled Oil Sampling Engine Oil and Filters

Coolant Analysis

Fuel Tank Level

Diesel Fuel Oil

Comments:

I•

Inspected By

Date: [1.

Service Checklist

Moisture □ I Dust J Oils I J Greases □ I Debris □ Cleaned l J

Drain □ I Clean&Flush □ Replace Thermostat □ Refill Coolant □ Replace Hoses □ Replace Belts □ Replace Generator Batteries □ Battery Chargers Inspect for Proper Operation □ Turbine Wheel & Shaft

Check End Play □ Check Radial Clearance □

Perform Complete Adiustment and Tune-up I Inspect Generator Bearings and Brackets I I Lubricate Generator Bearings □

Gauges □ I Oil Pressure □ Fuel Pressure f l I Generated Voltage □ Enginer Jacket Water Temp. □ RPM l Check Oil Level l J Maintain Oil Level Between ADD and Full on "Engine Running" dipstick n Replace Filter □ Check For Leaks n Repair or Replace Defective Components I Check for Leaks and Unusual Noises f Check & Record Main Stator Winding Temp. with Engine Under Load □ Check & Record Bearing Bracket Temp. with Engine Under Load □

Make and Report All Necessary Repairs and Adjustments □ Obtain Oil Sample l J Change Oil f l Replace Filters I I Inspect Old Filter for Debris □ Obtain Coolant Sample □ Have Sample Tested and Deliver Results to MassDOT l J Check Fuel Level l J Inform MassDOT if Level is Below 3/4 Full l J Obtain Diesel Fuel Oil Sample □ Have Sample Tested and Deliver Results to MassDOT □

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Verified By --------

Project No. 616507

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