Attachment 4 Repair Work Template.pdf

52 KB Posted

Attached to
Service for Electrical Deficiencies
Solicitation number
W912PB25R3002
Issued by

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This document is a template for a Work Certificate that appears to be used for repair work. It includes fields for capturing details such as the work order number, inventory number, equipment type, description of work performed, parts used, labor hours, and applicable pricing for various repair categories (e.g., Preventive Maintenance, German Law Inspection, Regular Repair Hours, Emergency Call Hours).

The related federal contract opportunity is a solicitation for "Service for Electrical Deficiencies" issued by the 409th Contracting Command, 928th Contracting Battalion (CBN) / Regional Contracting Office Bavaria (RCO). The solicitation is for services at USAG Bavaria, Ansbach, Germany, with a period of performance starting on October 28, 2024, and including two option years. The solicitation will utilize a low price technically acceptable evaluation approach, and the government reserves the right to delay or cancel the solicitation prior to award.

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Other files

File Type Posted
W912PB25R3002 Amendment 0002.pdf PDF
W912PB25R3002 Amendment 0001.pdf PDF
Attachment 1- PWS Remedy Deficiencies (Sep24).pdf PDF
W912PB25R3002 (Updated26Sep2024).pdf PDF
IRS Form W-14 - Sample.pdf PDF
IRS Form W-14.pdf PDF
Attachment 1 PWS Remedy Deficiencies.pdf PDF
Attachment 2 List of Deficiencies.pdf PDF
W912PB25R3002.pdf PDF

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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 .