Enclosure 4.pdf
PDF 22 KB Posted
- Attached to
- FIRE ALARM & SUB SYSTEMS TESTING/INSPECTION
- Solicitation number
- 37050PR250000005
About this file
This is an Emergency Service Request form template (Enclosure 3) used for requesting and documenting emergency services under a federal contract. The form contains four main sections: Emergency Service Requests (Call) Authorization, Cost and Price Estimates, and Service Calls Reporting.
The form requires documentation of key details including the date and time of notification, equipment and location information, contract line item number, remaining funding, required delivery date, and problem description. It must be approved by a QAE or KO via signature. The contractor portion requires detailed cost estimates for both Time & Material and Firm Fixed Price requirements, along with service call reporting that includes work commencement and completion times, work performed details, hours expended, material costs, total costs, and work completion status.
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Other files
| File | Type | Posted |
|---|---|---|
| SF1449 37050PR250000005.pdf | ||
| SF1449 37050PR250000005.pdf | ||
| SF1449 37050PR250000005.pdf | ||
| Enclosure 2.pdf | ||
| Enclosure 1 Unit Addresses.docx | DOCX document | |
| Delaware 15-4217.txt | TXT text file | |
| Cape May County 15-4197.txt | TXT text file | |
| PA 15-4233.txt | TXT text file | |
| ALARM MONITORING SYSTEM INSPECTION PWS.docx | DOCX document |
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Text version
Enclosure (3)
EMERGENCY SERVICE REQUEST
1. Emergency Service Requests (Call) Authorization
Date & Time of Notification: ___________________________________
Equipment and Location: _________________________________________
Contract Line Item # ______________ Remaining finding: —
Required Delivery Date: __________________
Description of ProblemlStatus/Comments:
Approval Signature: _______________________________ QAE or KO
IIl.Cost and Price Estimates.
Attach detailed estimates (labor and material costs for Time & Material requirement; fixed prices for Firm Fixed Price requirements) as required by the contract statement of work.
IV. Service Calls Reporting (Attach Invoice with below info, fill out below if not indicated on invoice)
Date & Time Work Commenced: Date & Time Work Completed:
Work Performed:
Number of Hours Expended: _____________ Material Cost: _____________________
Total Cost:
Work Complete: [1 Yes [1 No
END OF FORM
Enclosure (3)
File details come from the government source that posted it. Updated .