Exhibit B - Maintenance Questionare.doc

DOC document 47 KB Posted Aug 12, 2026

Attached to: Under-bridge Inspection Unit
Solicitation number: CRFQ 0803 DOT2700000007 3
Issued by: Kanawha County, West Virginia

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Written by GovTribe AI · Aug 17, 2026

This is an Equipment Preventative Maintenance Questionnaire for the West Virginia Department of Transportation (WVDOH). The form must be completed in its entirety by the successful bidder or the manufacturer's technical representative prior to equipment delivery. The questionnaire requests comprehensive specifications for the equipment being supplied, including detailed engine information (make, model, fuel type, horsepower, and cylinder count), cooling system capacity, belt descriptions with part numbers, and vehicle dimensions and weight specifications (GVW and axle capacity front and rear). Additionally, the form requires tire specifications for both front and rear, vendor contact information, and identification of the purchase amount for the equipment being delivered.

The questionnaire mandates detailed component specifications across multiple systems critical to equipment operation and maintenance. Required information includes battery specifications (make, model, CCA rating, terminal type, and dimensions), spark plugs or fuel injectors, fuel and injection pumps, alternators, starters, turbochargers, transmissions (with automatic/manual designation), and hydraulic pumps. The form also requires documentation of all filters used in the equipment (engine oil, air inner and outer, transmission, power steering, fuel primary and secondary, hydraulic, and coolant) with corresponding manufacturer names, part numbers, and lubricant types. This comprehensive data collection ensures that the WVDOH maintains detailed records necessary for effective preventative maintenance scheduling and parts procurement throughout the equipment's operational life.

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Other files

File	Type	Posted
Final_CRFQ_0803_DOT2700000007_2_WV_CRFQ_FORM.PDF	PDF	Aug 12, 2026
ADDENDUM NO_2 CRFQ DOT2700000007.pdf	PDF	Aug 12, 2026
Final_CRFQ_0803_DOT2700000007_1_WV_CRFQ_FORM.PDF	PDF	Aug 12, 2026
Final_CRFQ_0803_DOT2700000007_3_WV_CRFQ_FORM.PDF	PDF	Aug 12, 2026
Specifications - Under-Bridge truck.pdf	PDF	Aug 12, 2026
Exhibit A Pricing Page.xlsx	XLSX spreadsheet	Aug 12, 2026
ADDENDUM NO_1 CRFQ DOT2700000007.pdf	PDF	Aug 12, 2026
Terms and Conditions - Bridge Inspection Unit.pdf	PDF	Aug 12, 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: _______________________