Emergency Performance Evaluation-Completion Statement.pdf

PDF 75 KB Posted

Attached to
Dining Facility Equipment Maintenance and Repair Federal contract opportunity
Solicitation number
FA500023Q0071
Issued by
Department of the Air Force Pacific Air Forces

About this file

This document is an emergency performance evaluation and completion statement template for unscheduled maintenance work performed under federal contract number FA500023XXXXX with the 673rd Medical Group. The template requires documentation of the requiring agency, points of contact, contract number, date and time of the maintenance call, description of the equipment and work performed, signatures of the contractor technician and approved point of contact, and confirmation that the contractor responded in a timely manner according to the terms of the contract.

The related federal contract opportunity is a solicitation for dining facility equipment maintenance and repair services issued by the Department of the Air Force Pacific Air Forces. Solicitation number FA500023Q0071 seeks maintenance and repair of equipment on an as-needed basis to support dining facilities.

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Dining Facility Equipment Maintenance Combined Synopsis -Solicitation.pdf PDF
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SCA Wage Determination.pdf PDF
Dining Facility Equipment Maintenance Combined Synopsis -Solicitation.pdf PDF
Dining Facility Equipment Maintenance Performance Work Statement.pdf PDF

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Text version

Work Phone: Cell: Time of Completion:

Emergency Performance Evaluation/Completion Statement

Section A.

Requireing Agency: 673 Medical Group

POC Name:

Phone:

Contract #FA500023XXXXX (X's are placeholders)

Date of Call:

Time of Call:

Technician Name:

Item Description/Work Performed Provide title of equipemnent IAW PWS titles and description of maintenance performed:

Section B. (To be compelted by Contractor)

Technician Name: Date of Completion:

Signature of Apprvoed POC:

Signature of Technician:

Section C. (To be compelted by Requirments Owner)

Did contractor respond timely IAW PWS - Reference 1.4 Unscheduled Maintenance: YES / NO

Type of Unscheduled Maintenance: Emergency / Remedial

Sheet1

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