Attachment 2 - Work Certificate.doc

DOC document 61 KB Posted

Attached to
Food Service Equipment Maintenance and Repair
Solicitation number
W564KV-21-Q-2000
Issued by

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Other files

File Type Posted
W564KV-21-Q-2000 Q and A.pdf PDF
W564KV-21-Q-2000 Amendment 0002.pdf PDF
W564KV-21-Q-2000 Q and A.pdf PDF
Government Materials Estimate.pdf PDF
Pricing Exhibit B (TM CLIN).xls XLS spreadsheet
W564KV-21-Q-2000 Q and A.pdf PDF
W564KV-21-Q-2000 Amendment 0001.pdf PDF
Pricing Exhibit A (FFP CLIN).xls XLS spreadsheet
Pricing Exhibit B (TM CLIN).xls XLS spreadsheet
Attachment 11 - Supported locations.doc DOC document
Attachment 12 - Past Performance Questionnaire.pdf PDF
Attachment 9 - Financial Status Report.xls XLS spreadsheet
Attachment 3 - Summary of Work Certificates per Invoice.xls XLS spreadsheet
Attachment 7 - Maintenance Record and Inventory Verification.doc DOC document
Attachment 1 - Equipment List.xls XLS spreadsheet
W564KV-21-Q-2000.pdf PDF
Attachment 4 - Type of Equipment List.xls XLS spreadsheet
Attachment 10 - Cumulative costs Report.XLS XLS spreadsheet
Attachment 5 - Cost estimate 07Feb2020.doc DOC document
Attachment 6 - Summary of Invoices.xlsx XLSX spreadsheet
Equipment List (Complete) as of 30 October 2020.xlsx XLSX spreadsheet
Attachment 8 - Status Report for repair orders.xlsx XLSX spreadsheet
Pricing Exhibit A (FFP CLIN).xls XLS spreadsheet
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Attachment # 2

Work Certificate

Customer

Location of Equipment

Tel. No.
Date and Time of Call
Model
Manufacturer
Year of m.

Equipment Type

Acquisition Price
Repair Limitation
Date
Techn.
Start
Finish
Work

Unit

Cust. Printed Name
Customer Sign.

Total labor hrs

Type of Call (choose one)

Regular Repair

Emergency Repair

German Law Inspection

Preventive Maintenance

Control No.

Comm. Code
Inventory No
ESLIN- No.

Invoice Information

CLIN
Description
Value €
0001
Regular Repair hours
0002
Emergency Repair hours
0003
Replacement Parts
Total
€
Parts used
Qty
Price €

Total

Description of Failure

Description of Work Performed

Date, Signature (Technician)
Date, Signature (Inspector)

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