Attachment 6 - Work Certificate Repair_W912PB26QA018.pdf

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Attached to
Maintenance, Repair and Safety Inspection of Door Systems
Solicitation number
W912PB26QA018
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This is a Work Certificate template for documenting routine and emergency repair work performed on equipment under a federal contract. The form is bilingual (English/German) and designed to be completed by contractors and inspected by a Contracting Officer's Representative (COR).

The certificate captures essential project information including inventory number, control number, service order number, customer details, equipment specifications (type, manufacturer, model, year of manufacture), and call details (date, time, phone number). The form tracks labor costs separately for three service categories: routine calls (08:00-16:00), emergency calls (08:00-16:00), and after-hours emergency calls (16:00-08:00), with corresponding travel fees for each. Technician assignments, individual pricing, and total pricing are recorded for each work entry. The form includes dedicated sections for documenting the description of equipment failure, description of work performed, and parts used with associated costs. Invoice information is organized by ELIN (End Line Item Number) codes, including line items for inventorying (09AA), labor costs for routine and emergency work (10AA, 10AB, 11AA, 11AB, 11AC, 11AD), parts costs (12AA), and material handling fees (12AB). The document requires sign-off by both the technician performing the work and the inspector/COR, with corresponding date fields for authentication and approval of the total cost.

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Other files

File Type Posted
Technical Exhibits A_Basic Year_Door System_W912PB26QA018.xlsx XLSX spreadsheet
Performance Work Statement (10Feb26) FINAL_W912PB26QA018.pdf PDF
Solicitation - W912PB26QA018.pdf PDF
Technical Exhibits B_1st OY_Door System_W912PB26QA018.xlsx XLSX spreadsheet
Attachment 7 - Emergency Action Plan_W912PB26QA018.pdf PDF
Attachment 1 - CLS 411_revised (10Feb26) FINAL_W912PB26QA018.pdf PDF
Attachment 4 - Work Certificate Inventory_W912PB26QA018.pdf PDF
Attachment 2 - Confirm AT_OPSEC_iWatch Training_W912PB26QA018.pdf PDF
Technical Exhibits C_2nd OY_Door System_W912PB26QA018.xlsx XLSX spreadsheet
Attachment 8 - Work Description_W912PB26QA018.pdf PDF
Attachment 5 - Work Certificate PM_W912PB26QA018.pdf PDF
Attachment 3 - Door System Description_W912PB26QA018.pdf PDF
Show all 12

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ATTACHMENT 6 - Work Certificate Repair (Name Contractor)

Work Certificate - Repair Work (Routine & Emergency Repair)

Inventur Nr. / Inventory No. Kontroll Nr. / Control No. R

Standort / Community Service Order No.

Kunde / Customer Adresse Geb./ Address Bldg.

Tel. Nr. / Phone No. Dat. u. Zeit d. Anrufs/Date a.Time of Call

Gerät Typ / Equipment Type Hersteller / Manufacturer

Modell / Model Baujahr / Year of Manufactured

Normal Anruf / Rout. Call Notruf / Emerg. Call Notruf / Emerg. Call

Datum CLIN Nr. Beginn Ende 0800-1600 0800-1600 1600-0800 Techniker Einzelpreis Gesamtpreis

Date CLIN No. Start Finish ELIN 10AA ELIN 11AA ELIN 11AC Technician Single Price Total Price

Gesamt Arbeitszeit /Total Labour Time Lohnkosten / Labour Cost €

Beschreibung des Schadens / Description of Failure Beschreibung der ausgef. Arbeiten / Description of Work Performed

Ersatzteile benötigt / Parts used Rechnung / Invoice Information

ELIN Bezeichnung Betrag / Price €

Bezeichnung-Ersatzteil und Nr. Menge Einzelpreis Preis 09AA Inventarisierung / Inventorying

Part Name and Number Quantity Unit Price Price

10AA

Lohnkosten Normal Anruf, 0800 - 1600

Labour Routine Call

10AB

Fahrtkosten Normal Anruf, 0800 - 1600

Travel Fee Routine Call

11AA

Notruf 0800 - 1600

Emergency Repair

11AB

Fahrtkosten Notruf 0800 - 1600

Travel Fee Emergency Repair

11AC

Notruf 1600 - 0800

Emergency Repair

11AD

Fahrtkosten Notruf 1600-0800

Travel Fee Emergency Repair

12AA Ersatzteilkosten / Part Costs

12AB Materialaufschlag / Material Handling Fee

Ersatzteilkosten / Parts Cost € Gesamtkosten / Total Cost €

Datum, Unterschrift (Techniker) / Date, Signature (Technician) Datum, Unterschrift (Inspektor / COR) / Date, Signature (Inspector / COR)

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