Exhibit O CXT Precast Concrete Building Order Checklist.pdf
PDF 3 MB Posted
- Solicitation number
- S-KA0010-00015127
- Issued by
- Jackson County, Amity City, Oregon
About this file
This document is a Delivery and Installation Questionnaire from CXT, a precast concrete building manufacturer, used to collect detailed site and logistics information for a building installation project. The multi-page form requires comprehensive site assessment details including physical site accessibility, transportation logistics, utility connections, and installation preparation requirements. Key sections cover truck and crane access specifications, site conditions, utility line sizes and pressures, potential site damage risks, and installation day preparations.
The questionnaire emphasizes customer responsibilities such as marking exact building location, conducting utility locates, ensuring proper pad preparation, and verifying water and electrical stub-ups before installation. CXT notes that additional charges may apply for out-of-scope site work, including temporary offloading, trailer transfers, rock removal, and specialized crane requirements. The document includes detailed diagrams illustrating acceptable equipment and crane access configurations, with specific distance requirements ranging from 35 to 120 feet depending on building and equipment specifications.
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Text version
CXT® BUILDING ORDER CHECK LIST
Customer Name:
Thank you for your purchase of a CXT precast concrete building. This form is to make sure your purchasing experience is as smooth and precise as possible. The following check list needs to be completed and included with the other documents requested below in order to process your order.
1. Forms needed to process your order (check all that apply) and send all together:
a) Signed pricing sheet
b) Installation form
c) Sales tax exemption certificate required
2. Flush building orders:
a) Have all priced options been included on the pricing sheet Yes No
b) **Options section on last page of pricing sheet filled out (signs, handles, etc.) Yes No
c) Are stamped plans required Yes No
3. Vault building orders:
a) Have all priced options been included on the pricing sheet Yes No
b) **Options section on the last page of the pricing sheet filled out (signs, vents*, etc.) Yes No
c) Are stamped plans required Yes No
4. Is site accessible to a standard over-the-road semi and trailer and can the crane get within 3’ of the pad or excavation:
Yes No
*Vents need to be on the prevailing wind side of the building. Call your sales representative if you have any questions.
**Options section on pricing sheets include:
Wall texture/color Roof texture/ color Signage (men’s, women’s’, unisex) Door handles
Door locks Vent locations (vaults only) Toilet paper holders
Form C.127
REV 03/03/2023
Today’s date: _________________ Job Information for S.O.
Customer Name
General Contractor or Sub-contractor
Project Description
Project Name Project Number
Address
City State Zip
Project Owner
Name
Address
City State Zip
Contractor Information
Name
Address
City State Zip
**If this job is exempt from sales tax, an exemption cer ficate is required. Please attach a copy.**
DELIVERY AND INSTALLATION QUESTIONNAIRE
1. Customer: Site location:
2. Your name: Title:
3. Desired delivery date:
4. Physical address:
Please provide written directions from the closest town to your job site (maps acceptable).
Who will be the representative on site?
NOTE: This person will have the ability to sign for the acceptance of the building as well as authorize any changes onsite.
5.
6. Is there cell phone coverage at the site? YES NO
If NO, how far would we need to travel to get service?
The trucks delivering your building can range from 75’ to 120’ long and can weigh up to 150,000 lbs.
They require a 32’ wide, firm surface to make a 90 degree turn. Some of the trailers only have 6 to 8 inches of ground clearance so even road camber can cause a problem. These trucks need a 14’ wide by 15’ tall clear path for travel and even wider clearance at corners.
Please contact CXT if you have any concerns or questions about your site.
7. Will your site accommodate the scenario listed above? YES NO
If NO, additional equipment and crane time will be required. Please call for quote.
8. Is it possible that our transport driver will encounter any of the following on our way to the job site or during the installation (including overhead obstacles):
Load limit bridges Seasonal road restrictions Switchback roads Low clearance
Steep grade Rough terrain Trees or stumps Power lines
Signs Fences
Please provide detail if any of the above apply.
9. Will the transport equipment be able to access the site in inclement weather (rain, snow, etc.)?
YES NO
If NO, is there an alternate route to access the site?
Phone #:
10. Due to the weight, the equipment can damage underground utilities in parks. Is there any possibility of this
11. Does a tractor trailer and a crane have the ability to get within 2 feet of the actual install site?
YES NO
Please reference the site mock ups to determine if either of these two scenarios is acceptable.
YES NO 12. Is the pad built to or the hole dug to the specifications provided by CXT?
13. Has the pad compaction and level been verified by a third party inspection?
14. What is the water line size available to the new building?
15. What is the water line pressure available to the new building?
16. Power: what is the incoming voltage and phase?
YES NO
NOTE: Your building pad is required to be constructed in accordance with the FOUNDATION DETAIL in your drawing packet as well as the CXT CONCRETE BUILDINGS SUBGRADE PREPARATION CHECKLIST. If this is not verified by a certified testing agency, your warranty may be voided.
17. Are the stub ups correct per the drawing for your building? YES NO
18. Will a plumber and/ or electrician be on site to adjust the stub ups if they are not correct? YES NO It is your responsibility to make sure that water and electricity are available and ready to be connected on the day of the installation and that the stub ups and pad are correct!
There is a possibility that damage to your site may occur (sidewalks, grass, curbing, asphalt, underground utilities, etc.). While we do not accept liability for this damage, there may be steps we can take to minimize the potential for this damage (steel plates, gravel ramps, etc.) at an additional cost.
For forest service projects, per FAR 52.236-2, differing site conditions will need to be agreed upon prior to the start of the project.
The installer will conduct a safety meeting the morning of the installation. Anyone who plans to be onsite during the installation is required to attend this meeting.
Any work outside of this scope you will need to negotiate directly with the installer. it is up to their discretion whether or not to accept it!
IMPORTANT: Additional charges can and/or will be charged to the customer for any out of scope site work including, but not limited to: any of the above listed conditions, temporary off load due to any cause (weather), short trailer transfer, blasting/rock removal, and larger than normal crane requirements.
Please check with CXT if you have any concerns or questions.
Please visit our website at http://www.cxtinc.com as it contains information that can be very helpful to you.
happening? YES NO PLEASE NOTE: CUSTOMER IS RESPONSIBLE FOR MARKING THE EXACT LOCATION OF THE BUILDING AND A UTILITY LOCATE (CALL BEFORE YOU DIG) MUST BE DONE PRIOR TO OUR ARRIVAL FOR INSTALLATION. If YES, please explain:
http://www.cxtinc.com/
Acceptable types of access to pad (distances vary by building and crane size)
Building Pad
Outrigger Outrigger
Outrigger Outrigger Crane
Tractor Trailer Trailer Building on trailer
75 - 120 feet to feet
Trailer
Trailer
Tractor
Tractor
60’ 12’ 28’ 12’
Building Pad
Outrigger Outrigger
Outrigger Outrigger
Crane Building on trailer
70 -feet
| Insert from: "Credit & Job Info Form.pdf" |
| Job Information.pdf |
| **If this job is exempt from sales tax, an exemption certificate is required. Please attach a copy.** |
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| Weight damageY: Off |
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| Pad third party inspectionY: Off |
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File details come from the government source that posted it. Updated .