Exhibit B - Maintenance Questionare.doc

DOC document 47 KB Posted Jul 28, 2026

Attached to: Under-bridge Inspection Unit
Solicitation number: CRFQ 0803 DOT2700000007 2
Issued by: Kanawha County, West Virginia

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Written by GovTribe AI · Jul 29, 2026

This is an Equipment Preventative Maintenance Questionnaire form for the West Virginia Department of Transportation (WVDOH) related to 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 delivery of the equipment to the agency. The questionnaire requires detailed specifications for the inspection unit including make, model, year, and purchase amount, along with comprehensive documentation of engine specifications such as fuel type, horsepower, and serial numbers. Additional sections address cooling system capacity, belt descriptions and part numbers, vehicle dimensions, gross vehicle weight rating, and axle capacities.

The form extends to extensive parts documentation requirements, including specifications for batteries, spark plugs or fuel injectors, fuel pumps, alternators, starters, turbochargers, transmissions, and hydraulic pumps with corresponding part numbers and manufacturers. A substantial section addresses all filters required for the equipment, including engine, air inner and outer, transmission, power steering, fuel primary and secondary, hydraulic, differential, and other filters, with corresponding lubricant manufacturers and types specified. The questionnaire also includes fields for vendor contact person information and phone number, allowing the WVDOH to establish direct communication channels for ongoing maintenance and parts sourcing throughout the equipment's operational life. This comprehensive documentation ensures the state has complete technical specifications and supplier information necessary for effective preventative maintenance and parts replacement.

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Other files

File	Type	Posted
Final_CRFQ_0803_DOT2700000007_2_WV_CRFQ_FORM.PDF	PDF	Jul 28, 2026
Final_CRFQ_0803_DOT2700000007_1_WV_CRFQ_FORM.PDF	PDF	Jul 28, 2026
ADDENDUM NO_1 CRFQ DOT2700000007.pdf	PDF	Jul 28, 2026
Specifications - Under-Bridge truck.pdf	PDF	Jul 28, 2026
Terms and Conditions - Bridge Inspection Unit.pdf	PDF	Jul 28, 2026
Exhibit A Pricing Page.xlsx	XLSX spreadsheet	Jul 28, 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: _______________________