Exhibit B - Maintenance Questionare.doc

DOC document 47 KB Posted Jul 24, 2026

Attached to: Under-bridge Inspection Unit
Solicitation number: CRFQ 0803 DOT2700000007 1
Issued by: Kanawha County, West Virginia

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Written by GovTribe AI · Jul 27, 2026

This is an Equipment Preventative Maintenance Questionnaire form required by the West Virginia Department of Transportation (WVDOH) for an Under-bridge Inspection Unit procurement. The form must be completed in its entirety by the successful bidder or manufacturer's technical representative prior to equipment delivery to WVDOH. The questionnaire captures comprehensive specifications for the inspection unit, including detailed information about the vehicle's make, model, year, and purchase amount, as well as engine specifications such as make, model, fuel type, horsepower, and cylinder configuration. The form also requires documentation of critical system components including cooling system capacity, belt descriptions and part numbers, gross vehicle weight rating, axle capacities for front and rear, and tire specifications for both front and rear positions, along with overall unit dimensions.

The maintenance questionnaire further requires identification and part numbers for all major replaceable components and systems, including battery specifications (make, model, cold cranking amps, and post type), spark plugs or fuel injectors, fuel pumps or injection pumps, alternators, starters, turbochargers, transmissions, and hydraulic pumps. Additionally, the form mandates detailed information on all filters (engine, air inner and outer, transmission, power steering, fuel primary and secondary, hydraulic, and coolant) with corresponding manufacturer names and part numbers. The form also requires identification of lubricant types and manufacturers for various systems. Vendor contact information, including the contact person's name and phone number, must be provided to facilitate communication regarding equipment specifications and maintenance requirements.

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Exhibit A Pricing Page.xlsx	XLSX spreadsheet	Jul 24, 2026
Specifications - Under-Bridge truck.pdf	PDF	Jul 24, 2026
Terms and Conditions - Bridge Inspection Unit.pdf	PDF	Jul 24, 2026
Final_CRFQ_0803_DOT2700000007_1_WV_CRFQ_FORM.PDF	PDF	Jul 24, 2026

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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: _______________________