Attachment 4 Repair Work Template.pdf
PDF 52 KB Posted
- Attached to
- Remedy Deficiencies on Electrical Systems Federal contract opportunity
- Solicitation number
- W912PB24R3022
About this file
This document appears to be an attachment providing a template for a Work Certificate to document equipment repair work. It includes fields to capture information such as the work order, inventory number, equipment type, description of the failure and work performed, parts used, labor hours, and signatures of the technician and customer.
The related federal contract opportunity is for Remedy Deficiencies on Electrical Systems at USAG Bavaria, Ansbach, Germany. The solicitation, with number W912PB24R3022, is being issued by the 409th Contracting Command, 928th Contracting Battalion (CBN) / Regional Contracting Office Bavaria (RCO). It will utilize a low price technically acceptable evaluation approach. The period of performance is expected to start on 16 September 2024 and includes two option years. Offerors should refer to the RFP and attachments for more details on this opportunity.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W912PB24R3022_Amendment 0003.pdf | ||
| W912PB24R3022_Amendment 0002.pdf | ||
| W912PB24R3022_Amendment 0001.pdf | ||
| W912PB24R3022.pdf | ||
| IRS Form W-14 - Sample.pdf | ||
| IRS Form W-14.pdf | ||
| Attachment 3 Repair Schedule Template.xlsx | XLSX spreadsheet | |
| Attachment 1 PWS Remedy Deficiencies.pdf | ||
| Attachment 2 List of Deficiencies.pdf |
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Text version
Work Certificate
Tele No.
Work Certificate Number
WON (US Controll Number) / Follow Work Order
TASKORDER No. Inventar-Nr. / Inventory No. Clin No.Dat. U. Zeit d. Anrufs / Date and Time of Call
Ausstattung / Equipment Type
Sonstiges / Other
Rechnung und Information / Invoice Information
Bezeichnung Wert EUR
Datum
Date
Tech.
Techn.
Anfang
Start
Ende
Finish
Work
Unit
Kunde Unterschrift
Customer Sign.
Teile benötigt / Parts used
Teil / Part
Total AW (Labour hrs.)
Art des Anrufs / Type of Call
Total T&M
Total FFP
Total German Law Inspection
GRAND TOTAL
Preis / PriceMe / Qty.
Beschreibung des Schadens / Description of Failure
Beschreibung der ausgeführten Arbeiten / Description of Work Performed
Tag, Unterschrift / Date, Signature (Techniker / Technician) Tag, Unterschrift /Date, Signature (Auftraggeber / Inspektor / Inspector)
Address
Kunde / Customer
Preventive Maintenance (FFP)
German Law Inspection (FFP)
Inventory and Labeling (FFP)
Regular Repair Hours (T&M)
Emergency Call Hours (T&M)
Replacement Parts (T&M)
German Law DGUV V3
Rpe (mOhm)
Visual Check:
Riso (MOhm)
I Ableit (mA)
BAD: Good:
Info
Protokoll
Hersteller Model Baujahr Seriennummer
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File details come from the government source that posted it. Updated .