Atch_17 __ID_Warranty.Guarantee_Items.doc

Solicitation FA4861-13-R-A0020

ATTACHMENT #20

(SAMPLE)

IDENTIFICATION OF WARRANTY/GUARANTEE ITEMS

Nellis AFB NV

(Identify each warranty/guarantee item provided under this project in a format similar to this sample.)

1.

CONTRACT INFORMATION:

TITLE:

PROJECT NUMBER(S):

CONTRACT NUMBER:

CONTRACTOR'S NAME:

CONTRACTOR'S ADDRESS:

DATE INSTALLED/REPLACED:

WARRANTY/GUARANTEE EXPIRATION DATE:

2.

IDENTIFICATION OF WARRANTEE NOTIFICATION CONTACT:

NAME:

ADDRESS:

PHONE NUMBER:

3.

COMPLETE DESCRIPTION OF ITEM:

ITEM:

TYPE:

MODEL

SERIAL NUMBER:

STYLE

MODEL

VOLTAGE

CYCLES

HORSEPOWER

SIZE

QUANTITY

FRAME

OTHER

MANUFACTURER

ITEM COST $

ITEM REPLACEMENT COST $

LOCATION OF ITEM/EQUIPMENT:

3.

OTHER SIGNIFICANT INFORMATION: