Exhibit B - Maintenance Questionare.doc

DOC document 47 KB Posted

Attached to
Under-bridge Inspection Unit
Solicitation number
CRFQ 0803 DOT2700000007 5
Issued by
Kanawha County, West Virginia

About this file

This is a Maintenance Questionnaire exhibit document related to a West Virginia under-bridge inspection unit contract opportunity. The questionnaire serves as a pre-bid assessment tool designed to gather detailed information from potential bidders regarding their maintenance capabilities, experience, and operational readiness. The document requests comprehensive documentation of the bidder's maintenance practices, including equipment inventory, maintenance schedules, personnel qualifications, and safety protocols relevant to under-bridge inspection operations. The questionnaire appears structured to evaluate bidder competency across multiple maintenance disciplines and to establish baseline operational standards for the selected contractor.

The questionnaire functions as a qualifying document that enables the state to assess vendor capability and alignment with project requirements prior to formal bid evaluation. By requiring detailed responses about maintenance procedures, resource allocation, and quality assurance measures, the document ensures that only qualified contractors with demonstrated maintenance expertise and adequate operational infrastructure advance in the procurement process. This preliminary qualification mechanism helps identify contractors capable of sustaining the specialized equipment and procedures necessary for effective under-bridge inspection activities throughout the contract term.

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Text version

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: _______________________

TOP OR SIDE POST: __________________

DIMENSIONS: LENGTH ________ WIDTH ________ HEIGHT __________

SPARK PLUGS OR FUEL INJECTORS MAKE: ______________

PART # __________________________________________

FUEL PUMP OR INJECTION PUMP MAKE: ________________

MODEL: _________________________________________

ALTERNATOR MAKE: __________________________________

PART #:__________________________________________

STARTER MAKE: ______________________________________

PART #: _________________________________________

TURBO CHARGER MAKE: ______________________________

PART #: _________________________________________

TRANS. MAKE: ____________________

MODEL: _________________________ AUTO/MANUAL: ____________________

HYDRAULIC PUMP MAKE: _____________________________

MODEL: _________________________________________

FILTERS

MAKE

PART NO.

LUBRICANT

MANUFACTURER TYPE

OIL

ENGINE

AIR INNER

TRANSMISSION__________________________________________

AIR OUTER__________________________________

POWER STEERING _______________________________________

FUEL PRIMARY ______________________________

HYDRAULIC

FUEL SECONDARY ___________________________

DIFFERENTIALS _________________________________________

COOLANT

BRAKE FLUID

HYDRAULIC

COOLANT

OTHER

OTHER

File details come from the government source that posted it. Updated .