ATTCH B-AF FORM 103_Blank.pdf
Air Force Form PDF 129 KB Posted
- Attached to
- Replacement of Base Pool Controls
- Solicitation number
- FA500421B0002
About this file
This document contains a federal contract opportunity solicitation for replacement of pool controls at Eielson Air Force Base in Alaska. The U.S. Air Force is seeking contractors to remove the existing pool control system and components, provide and install a new pool pump control system, recertify the pool filtration system, replace drain lines, and conduct other incidental related work. The work includes replacing floor drain lines and installing new tops, replacing overhead sump pump backwash lines, fully testing and commissioning the new system, and providing operation personnel training. The contract type is contemplated as firm fixed price. The estimated value is between $250,000 and $500,000. The solicitation is an invitation for bids under FAR 36.204(d). Bids must remain valid until August 20, 2021. The pre-bid site visit is waived and any questions must be submitted by April 2, 2021. The bid opening will be on April 19, 2021. Points of contact are provided.
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Text version
B ASE C IVIL E N GIN EE R IN G WORK C LE AR ANC E R E QU EST
(See Instructions on Reverse)
DATE PREPARED
1. Clearance is requested to proceed with work at on Work Order No. , Contract No. , involving excavation or utility disturbance per attached sketch. This area has has not been staked or clearly marked.
2. TYPE OF FACILITY/WORK INVOLVED
A. PAVEMENTS D. FIRE DETECTION & PROTECTION SYSTEMS G. AIRCRAFT OR VEHICULAR TRAFFIC FLOW
B. DRAINAGE SYSTEMS E. UTILITY OVERHEAD UNDERGROUND H. SECURITY
C. RAILROAD TRACKS F. COMM OVERHEAD UNDERGROUND I. OTHER
3. DATE CLEARANCE REQUIRED 4. DATE OF CLEARANCE
5. SIGNATURE OF REQUESTING OFFICIAL 6. TELEPHONE NO. 7. ORGANIZATION
ORGANIZATION REMARKS (Use Reverse for additional comments) REVIEWER'S NAME AND INITIALS 8.
B A S E
C I V I L
E N G I N E E R I N G
A. ELECTRICAL DISTRIBUTION
B. STEAM DISTRIBUTION
C. WATER DISTRIBUTION
D. POL DISTRIBUTION
E. SEWER DISTRIBUTION
F. ENVIRONMENTAL
G. PAVEMENTS/ GROUNDS
H. FIRE PROTECTION
I. ZONE
J. OTHER (Specify)
9. SECURITY POLICE
10. SAFETY
11. COMMUNICATIONS
12. BASE OPERATIONS
13. CABLE TV
14. COMMERCIAL UTILITY COMPANY
15. OTHER (Specify)
16. REQUESTED CLEARANCE APPROVED DISAPPROVED
17. TYPED NAME AND SIGNATURE OF APPROVING OFFICER(Chief of Operations Flight or Chief of Engineering Flight) 17a. DATE SIGNED
AF IMT 103, 19940801, V3 PREVIOUS EDITIONS ARE OBSOLETE.
Telephone Gas Electric
INSTRUCTIONS
The BCE VIDrk clearance request is used for any VIDrk (contract or in-house) that may disrupt aircraft or vehicular traffic flow base utility services, protection provided by fire and intrusion alarm system, or routine activities of the installation. This form is used to coordinate the required VIDrk Vlith key base activities and keep customer inconvenience to a minimum. It is a/so used to identify potentially hazardous VIDrk conditions in an attempt to prevent accidents. The w:xk clearance request is processed just prior to the start of VIDrk. If delays are encountered and the conditions at the job site change (or may have changed) this VIDrk clearance request must be reprocessed.
18. REMARKS. (This section must describe specific precautionary measure to be taken before and during IM)rk accomplishment. Specific comments concerning the approved method of excavation, hand or poVtered equipment, should be included.)
AF IMT 103, 19940801, V3 (REVERSE)
Untitled
| DATE PREPARED: |
| 1 Clearance is requested to proceed with work at: |
| on Work Order No: |
| Contract No: |
| 2 TYPE OF FACILITYWORK INVOLVED: |
| I OTHER: |
| 3 DATE CLEARANCE REQUIRED: |
| 5 SIGNATURE OF REQUESTING OFFICIAL: |
| 6 TELEPHONE NO: |
| 7 ORGANIZATION: |
| 17a DATE SIGNED: |
| 18 REMARKS This section must describe specific precautionary measure to be taken before and during IMrk accomplishment Specific comments concerning the approved method of excavation hand or poVtered equipment should be included: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
| Check Box13: Off |
| Check Box14: Off |
| Check Box15: Off |
| Check Box33: Off |
| Check Box34: Off |
| Check Box35: Off |
| Text36: |
| Check Box37: Off |
| Check Box38: Off |
| Text39: Contact Housing (3112) at 372-2299 and resident prior to digging. Bring approved 103 to customer service. |
| Text17: CEOIH |
| Text18: Natural Resources |
| Text19: Electrical Shop, 377-2297 |
Call before digging, Bldg. 1132 Text28: Utilities Shop, 377-2172 Call before digging, Bldg. 1128 Text29: Utilities Shop, 377-2172 Call before digging, Bldg. 1128 Text30: Fuels Shop, 377-2140 Call before digging, Bldg. 4231 Text31: Utilities Shop, 377-2172 Call before digging, Bldg. 1128 Text32: Environmental, 377-4342 Obtain Hazmat Brief, Bldg. 2258 Text33: Dirt Boyz, 377-1270 Call before digging, Bldg. 4105 Text34: Fire Prevention, 377-1293 Do not block roads or fire hydrants, Bldg. 4870 Text35: HVAC, 377-5133 Call before digging, Bldg. 2350 Text37: Natural Resources, 377-5182 Bldg. 2310 (address 2215) Text38: SFS/S5, 377-5224, 377-1474 Obtain Security briefing, Bldg. 3134 Text40: Safety Office, 377-4260 Obtain Safety briefing, Bldg. 3112 Rm. 181 Text41: CS/SCOIC, 377-2368, 377-6969 Call 24 hours before digging, Bldg. 1127 Text42: Mr. Christopher Williams, 377-3233 If airfield vehicle pass needed, Bldg. 1215 Text43: CS/SCOIC, 377-2368, 377-6969 Call 24 hours before digging, Bldg. 1127 Text44: Alaska Dig Line, 1-800-478-3121 or 811 Control Number 201-332-0360 ACS Overhead lines AT&T Fiber line
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