ATTACHMENT D - Contractor VA System Outage Request Form Milwaukee.docx

DOCX document 26 KB Posted

Attached to
H259--ELECTRICAL DISTRIBUTION SYSTEM TESTING BASE + 2 OYS Federal contract opportunity
Solicitation number
36C25224Q0416
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

About this file

This document is a VA Outage Request form for a federal contract opportunity. It provides details on the specific contract number, project number and name, contractor and subcontractor information, location of the work, outage request dates and times, primary/secondary/tertiary outage types, service affected, and descriptions of the LO/TO device ID, reason for the outage, impact, and remarks.

The related federal contract opportunity is a solicitation (Solicitation Number 36C25224Q0416) for the Edward Hines Jr VA Hospital in Hines, IL. The contractor shall provide labor, supervision, materials and equipment to clean grilles and fan systems, conduct Air Change (ACH) Testing, and replace filters. The agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12.

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Other files for this federal contract opportunity

Other files attached to H259--ELECTRICAL DISTRIBUTION SYSTEM TESTING BASE + 2 OYS, newest first.
File Type Posted
36C25224Q0416 0002_1.docx DOCX document
ATTACHMENT G - Construction Safety Guidebook.pdf PDF
36C25224Q0416 0001.docx DOCX document
ATTACHMENT E - VHA Directive 1028_2020-02-24.pdf PDF
ATTACHMENT C - OPTION YEAR 2.pdf PDF
ATTACHMENT B - OPTION YEAR 1.pdf PDF
ATTACHMENT F - CONTRACTOR Non-Disclosure Agreement.docx DOCX document
ATTACHMENT A - BASE YEAR.pdf PDF
36C25224Q0416_2.docx DOCX document

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Text version

VA Outage Request Contract Number: Click here to enter text.

Project Number: Click here to enter text.

Project Name: Click here to enter text.

Contractors Contractor: Click here to enter text.

Sub-Contractor: Click here to enter text.

Location of Work Building: Click here to enter text.

Floor: Click here to enter text.

Wing: Click here to enter text.

Describe Area: Click here to enter text.

Outage Request Date Disabled: Click here to enter a date.

Time Disabled: Click here to enter text.

Date Restored: Click here to enter a date.

Time Restored: Click here to enter text.

Primary Outage Type: Choose an item.

Secondary Outage Type: Choose an item.

Tertiary Outage Type: Choose an item.

Service: Choose an item.

Descriptions LO/TO Device ID: Click here to enter text.

Reason: Click here to enter text.

Impact: Click here to enter text.

Remarks: Click here to enter text.

4/8/2024

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