Attachment 3 Appendix A Inspection Checklist.pdf
PDF 78 KB Posted
- Solicitation number
- 1284LM26Q0012
- Issued by
-
Department of Agriculture Forest Service
About this file
These are HVAC Inspection Checklists for Building 24 and Building 26, serving as maintenance and compliance documentation tools rather than procurement solicitations. The checklists establish quarterly inspection schedules for heating, ventilation, and air conditioning equipment across multiple floors and rooms within each facility.
Building 24's checklist covers 48 line items organized by floor and room location, including boiler room equipment (gas-fired boilers, circulation pumps, motorized shut-off valves), air handlers with specified capacities (AAON models ranging from 2,135 to 9,985 cfm), filter sections, chiller units, AC mini-split condensers, fin tube radiators, thermostats, and exhaust fans distributed throughout the basement, first floor, second floor, and attic. Building 26's checklist encompasses 25 line items including gas-fired boilers (Knight Model WH 55-399), hydronic pumps (Grundfos PACO), water-cooled heat pumps (Daikin RWEYQ model), cooling tower controls and chemicals, domestic hot water heaters (Bradford White 80-gallon capacity), water softener, environmental control systems (Liebert DS), heat recovery ventilators (Venmar CES), and exhaust fans across basement, central IT room, first floor, second floor, attic, and external locations. Both checklists require quarterly verification across four quarters (April-June, July-September, October-December, January-March) with spaces for completion dates and initials from the service mechanic, supervisor, and Contracting Officer Representative (COR).
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 Solicitation Terms and Conditions.docx | DOCX document | |
| Attachment 4 Wage Determination.pdf | ||
| Attachment 2 Performance Work Statement.doc | DOC document | |
| Attachment 5 Experience Questionnaire.docx | DOCX document |
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Text version
LINE
No.
FLR ROOM ITEM Quantity DESCRIPTION DUE DATE
COMPLETED
DUE DATE
COMPLETED
DUE DATE
COMPLETED
DUE INITIALS
1. Basement Boiler room Gas Fired Boiler 2ea Peerless Model 211-11-5 X X
2. Hot Water Circ pumps & motors 2ea TACO- 7.5 HP X X
3. Boiler Draft Fans 2ea X X
4. Condensate Drain
Sump 1ea X X X X
5. Sump Pump 1ea X X X X
6. Motorized Gas Shut
Off Valves 2ea X X X X
7. Motorized Hot Water Supply Line
1ea X X X X
8. Domestic Type Water
Heater 1ea 40 gallon X X X X
9. Radon Systems 4ea X
10. Chiller Room Hot Water Circ pumps & motors 2ea TACO- 7.5 HP X X
11. Chiller controls 1ea X X X X
12. Commercial Water
Heater 1ea 100 gallon X X X X
13. Hallways and Offices
Fin Tube Radiators various locations X
14. Wall Mounted
Thermostats various locations X
15. Bathrooms Exhaust Fans 2ea X X X X
16. Computer
Room (Cooling) coil, fan, and thermostat
1ea X X
17. Computer
Room (Cooling) coil, fan, and thermostat
1ea X X
18. First Floor Hallways and
Offices Fin Tube Radiators various locations X
19. Wall Mounted Thermostats various locations X
20. Bathrooms Exhaust Fans 2ea X X X X
21. First
Floor Overhead Space
Air Handler #1 1ea AAON, 5780 cfm, 5hp X X X X
22. Filter Section #1 10ea 16 x 20 x 2 Filter X X X X
23. Air Handler #1 Blower
Assembly 1ea Inspect entire blower assembly once per year X
24. Air Handler #2 1ea AAON, 2985 cfm, 2hp X X X X
25. Filter Section #2 4ea 16 x 20 x 2 Filter X X X X
26. Air Handler #2 Blower
Assembly 1ea Inspect entire blower assembly once per year X
27. Air Handler #4 1ea AAON, 2135 cfm, 2hp X X X X
23.
26.
27.
24.
21.
20.
17.
18.
15.
14.
12.
11.
8.
9.
6.
5.
3.
2.
INITIALS INITIALS INITIALS DATE
COMPLETED
LINE
No.
1st QUARTER April - June
2nd QUARTER July - September
3rd QUARTER October - December
4th QUARTER January - March
Building 24 HVAC Inspection Checklist
FLR ROOM ITEM Quantity DESCRIPTION DUE DATE
COMPLETED
DUE DATE
COMPLETED
DUE DATE
COMPLETED
DUE INITIALS
28. Filter Section #4 2ea 16 x 20 x 2 Filter X X X X
29. Air Handler #4 Blower
Assembly 1ea Inspect entire blower assembly once per year X
30. Air Handler #5 1ea AAON, 5780 cfm, 5hp X X X X
31. Filter Section #5 10ea 16 x 20 x 2 Filter X X X X
32. Air Handler #5 Blower
Assembly 1ea Inspect entire blower assembly once per year X
33. Bathroom Exhaust
Fans 2ea X X X X
34. Exterior Ground Mounted
AC mini split condenser #1
1ea EMI 7.5A, computer room, courtyard X X X X
35. AC mini split condenser #2
1ea EMI 7.5A, telephone/comm room, front of building X X X X
36. Chiller #1 1ea McQuay AGZ-085B, 75 ton, north side X X
37. Second Floor
Hallways and Offices
Fin Tube Radiators various locations X
38. Wall Mounted
Thermostats various locations X
39. Bathrooms Exhaust Fan Timer 1ea X X X X
40. Exhaust Fans 2ea X X X X
41. Attic Attic Air Handler #3 1ea AAON, 9985 cfm, 7.5hp X X X X
42. Filter Section #3 10ea 16 x 20 x 2 Filter X X X X
43. Air Handler #3 Blower
Assembly 1ea Inspect entire blower assembly once per year X
44. Air Handler #6 1ea AAON, 9395 cfm, 7.5hp X X X X
45. Filter Section #6 10ea 16 x 20 x 2 Filter X X X X
46. Air Handler #6 Blower
Assembly 1ea Inspect entire blower assembly once per year X
47. Fresh Air Blower 2ea X X X X
48. Bathroom Exhast Fan 1ea X X X X
Verification of Completion
Service Mechanic (sign & date)
Supervisor (sign & date)
COR (sign & date)
43.
46.
29.
32.
47.
48.
44.
45.
41.
42.
39.
40.
37.
38.
35.
36.
33.
34.
INITIALS INITIALS INITIALS DATE
COMPLETED
LINE
No.
28.
30.
31.
1st QUARTER April - June
2nd QUARTER July - September
3rd QUARTER October - December
4th QUARTER
Building 24 HVAC Inspection Checklist (cont.)
FLR ROOM ITEM Quantity DESCRIPTION DUE DATE
COMPLETED
DUE DATE
COMPLETED
DUE DATE
COMPLETED
DUE INITIALS
1. Basement Boiler room South
Gas Fired Boiler & Accessories
4ea Knight Model WH 55 - 399 X
2. Hydronic Pumps 5ea Grundfos PACO X X
3. Cooling Tower
Controls 1ea X X
4. Glycol Cooling Tower 1ea X X
5. Domestic Hot Water
Heater 1ea 80 gal Bradford White X
6. Circulation Pump 1ea X
7. Water Softener 1ea North Star X
8. Water Cooled Heat
Pumps 8ea Daikin (Model #: RWEYQ) X X
9. Boiler Room North
Water Cooled Heat Pumps
8ea Daikin (Model #: RWEYQ) X X
10. HRV 3 1ea Venmar CES X X X X
11. Central IT
Room Environmental Control System
1ea Liebert DS X X X X
12. Sump Pump 2ea Zoeller X X X X
13. Cooling
Tower Control Cooling Tower Controls
1ea Advantage Controls X
14. Cooling Tower
Chemicals 1ea 100 gallon X
15. Bathrooms Exhaust Fans 2ea X X X X
16. Offices &
Hallways Branch Selectors 9ea Various Locations X
17. External External Radon Systems 3ea X X
18. Cooling Tower 1ea X X
19. Condensing Unit 1ea Liebert X
20. Condensing Unit 1ea Daikin X
21. First Floor Bathrooms Exhaust Fans 2ea X X X X
22. Second
Floor Bathrooms Exhaust Fans 2ea X X X X
23. IT Room Mini Split 1ea Daikin X X
24. Attic Attic HRV 1 1ea Venmar CES X X X X
Building 26 HVAC Inspection Checklist
23.
24.
21.
20.
17.
18.
15.
14.
11.
12.
9.
8.
5.
6.
3.
2.
INITIALS INITIALS INITIALS DATE
COMPLETED
LINE
No.
1st QUARTER April - June
2nd QUARTER July - September
3rd QUARTER October - December
4th QUARTER
FLR ROOM ITEM Quantity DESCRIPTION DUE DATE
COMPLETED
DUE DATE
COMPLETED
DUE DATE
COMPLETED
DATE
COMPLETED
LINE
No.
25. HRV 2 1ea Venmar CES X X X 25.
Verification of Completion
Service Mechanic (sign & date)
Supervisor (sign & date)
COR (sign & date)
Building 26 HVAC Inspection Checklist (cont.)
INITIALS INITIALS INITIALS DUE INITIALS
X
1st QUARTER April - June
2nd QUARTER July - September
3rd QUARTER October - December
4th QUARTER
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