ESBD_396277_1739554181602_ATTACHMENT G.N.1 - Ellington Field (EF) Manufacturer’s Certificate Of Proper Installation.pdf
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- Attached to
- Hush House Transformer Replacement
- Solicitation number
- TMD25-ANG-WJ-24150007
- Issued by
- Harris County, Texas
About this file
This document is a Manufacturer's Certificate of Proper Installation form for Ellington AFB (Air Force Base). The form serves as an official certification template where manufacturers must verify proper installation, inspection, and testing of equipment or systems at the facility. The certificate requires documentation of key details including project manager, equipment serial number, equipment tag number, equipment/system description, project number, and specification section.
The form includes four key certification checkboxes confirming: 1) installation according to manufacturer's recommendations with inspection and adjustments, 2) proper initial lubrication service, 3) electrical and mechanical connections meeting quality and safety standards with proper safety equipment installation, and 4) performance testing meeting or exceeding requirements for complete single-manufacturer systems. The document requires signature from an authorized manufacturer's representative who must certify they are empowered to inspect, approve, and operate the equipment as well as make necessary recommendations to ensure operational completeness. The form includes space for additional comments and requires the manufacturer's details and authorized signature for validation.
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Text version
ATTACHMENT G.N.1 - ELLINGTON AFB (EF) MANUFACTURER’S
CERTIFICATE OF PROPER INSTALLATION
PROJECT MANAGER: ______________ EQPT SERIAL NO: ________________
EQPT TAG NO: ________________________ EQPT/SYSTEM: ___________________
PROJECT NO: _________________________ SPEC. SECTION: __________________
I hereby certify that the above-reference equipment/system has been (Check Applicable):
Installed in accordance with Manufacturer’s recommendations. Inspected, checked, and adjusted.
Serviced with proper initial lubricants.
Electrical and mechanical connections meet quality and safety standards. All applicable safety equipment has been properly installed.
System has been performance tested and meets or exceeds specified performance requirements. (When complete system of one manufacturer)
Comments:
I, the undersigned Manufacturer’s Representative, hereby certify that I am (I) a duly authorized representative of the manufacturer, (ii) empowered by the manufacturer to inspect, approve, and operate his equipment and (iii) authorized to make recommendations required to assure that the equipment furnished by the manufacturer is complete and operational, except as may be otherwise indicated herein. I further certify that all information contained herein is true and accurate.
Date ___________________, 20__
Manufacturer: ____________________________________________________________
By Manufacturer’s Authorized Representative: _______________________________________
(Authorized Signature)
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