CRFQ DOT2600000008 Exhibit B.doc
DOC document 31 KB Posted
- Attached to
- Trailer Mtd. Solar Powered Arrow Boards
- Solicitation number
- CRFQ-0803-DOT2600000008-2
- Issued by
- Tucker County, West Virginia
About this file
This document is an Equipment Preventative Maintenance Questionnaire from the West Virginia Department of Highways (WVDOH), designed to capture comprehensive technical specifications for a vehicle or piece of heavy equipment procurement. The form requires detailed documentation of equipment characteristics including make, model, year, purchase amount, engine specifications, cooling system details, tire dimensions, battery information, and component-specific data for parts like spark plugs, fuel pumps, alternators, transmission, and various filtration systems.
The questionnaire serves as a critical technical documentation tool for maintenance and operational planning, capturing granular details about the equipment's physical and mechanical attributes. While no specific pricing, contract term, or procurement timeline is evident in this exhibit, the form suggests a structured approach to equipment documentation that likely supports the state's procurement and maintenance tracking processes. The level of detail indicates a thorough approach to equipment specification and potential preventative maintenance planning for the West Virginia Department of Highways' fleet or equipment inventory.
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Text version
EXHIBIT B
EQUIPMENT PREVENTATIVE MAINTENANCE QUESTIONNAIRE
THIS FORM MUST BE COMPLETED IN ITS ENTIRETY BY SUCCESSFUL BIDDER OR MANUFACTURER’S TECHNICAL REPRESENTATIVE PRIOR TO DELIVERY TO THE WVDOH.
DESCRIPTION: _______________________________________
MAKE: ___________________________________
MODEL: ________________________
YEAR: __________
PURCHASE AMOUNT: ______________________
ENGINE:
MAKE: ______________________
MODEL: __________________
FUEL TYPE: ________________________
HORSEPOWER: _______________
CYLINDER: ________
ENGINE SERIAL: __________________________
COOLING SYSTEM CAPACITY: ______________________
BELTS:
DESCRIPTION:
PART NUMBERS:
GVW: _______________________AXLE CAPACITY:FRONT: ______________
REAR:______________
TIRES:
FRONT MAKE & SIZE: ______________________________________________
REAR MAKE & SIZE: _______________________________________________
DIMENSIONS OF UNIT:
LENGTH: __________
WIDTH: ______________
LENGTH: ___________
VENDOR CONTACT PERSON: ____________________________________
PHONE: __________________________
PARTS:
BATTERY MAKE: ____________________
MODEL: ___________________
CCA: _______________________
TOP OR SIDE POST: __________________
DIMENSIONS: LENGTH ________ WIDTH ________ HEIGHT __________
SPARK PLUGS OR FUEL INJECTORS MAKE: ______________
PART # __________________________________________
FUEL PUMP OR INJECTION PUMP MAKE: ________________
MODEL: _________________________________________
ALTERNATOR MAKE: __________________________________
PART #:__________________________________________
STARTER MAKE: ______________________________________
PART #: _________________________________________
TURBO CHARGER MAKE: ______________________________
PART #: _________________________________________
TRANS. MAKE: ____________________
MODEL: _________________________ AUTO/MANUAL: ____________________
HYDRAULIC PUMP MAKE: _____________________________
MODEL: _________________________________________
FILTERS
MAKE
PART NO.
LUBRICANT
MANUFACTURER TYPE
OIL
ENGINE
AIR INNER
TRANSMISSION__________________________________________
AIR OUTER__________________________________
POWER STEERING _______________________________________
FUEL PRIMARY ______________________________
HYDRAULIC
FUEL SECONDARY ___________________________
DIFFERENTIALS _________________________________________
COOLANT
BRAKE FLUID
HYDRAULIC
COOLANT
OTHER
OTHER
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