Attachment 9 090003A Section 01010

45 KB Posted Jul 22, 2009

Attached to: RECOVERY FBNV 090003A Construct Water Wells/Waste Water Systems. RECOVERY FBNV 090003B Repair Water Wells.
Solicitation number: FA4877-09-R-0014
Issued by: Department of the Air Force Air Combat Command

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FA4877-09-R-0014 Solicitation Attachment 9 090003A Section 01010 (Draft for AE Use)

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ARCHITECT-ENGINEER INSTRUCTIONS

This section is in the standard base format. Please do not modify the basic text or format of this section. Only modify those areas highlighted in blue and/or in brackets in accordance with the instructions given. Finally, delete these instructions and the revision date in the footer and any comments prior to submission.

FA4877-09-R-0014

Construct Water Wells

FBNV 0900003A

Attachment #9

DATE 01010-1 FBNV _____________

SECTION 01010

SUMMARY OF WORK

PART 1 SUMMARY OF WORK

1.01	WORK INCLUDED IN THIS CONTRACT: The following descriptions are for general reference only, and shall not be construed as a complete list of all operations to be performed.
A.	[ add explanatory text ] .
B.	[ add explanatory text as needed ] .

1.02 SALVAGE AND DISPOSAL: All salvageable and nonsalvageable material obtained by removal of existing material shall be considered as having been included as a factor in the Contractor's bid price.

A.	Salvageable material obtained from existing construction may be reused only if so stated elsewhere in the Contract Documents, and then only when the material is approved for reuse by the Contracting Officer.
B.	Salvageable material shall remain the property of the Government only when specifically called out in the Contract Documents.
C.	Salvageable material not reused or otherwise designated to remain the property of the Government shall become the property of the Contractor and shall be removed and disposed of off base in accordance with the environmental controls specified in this Section.
D.	Nonsalvageable material: Remove all nonsalvageable material from the project site and dispose of it off base, in accordance with the environmental controls specified in this Section.
1.03	UTILITY OUTAGES:
A.	Accomplish all work required in connection with utility outages on weekends or off-duty hours, or as directed by the Contracting Officer. The Contractor shall be responsible for all work associated with the utility outages.
B.	Notify the Contracting Officer in writing 14 / [ __ ] days prior to the desired date for the utility outage.
1.04	SUBMITTAL PROCEDURES:
A.	SCHEDULE OF MATERIAL SUBMITTALS (AF FORM 66): At the end of this section is a set of AF Forms 66 listing the items of equipment and materials for which submittals are required by the specifications. This list may not be allinclusive and additional submittals may be required. The Contractor shall complete the column for “Required Submission Date” and submit to the Contracting Officer for approval within 10 calendar days after Notice to Proceed. The approved submittal register will become the scheduling document and will be used to control submittals throughout the life of the contract.
B.	TRANSMITTAL FORM (AF FORM 3000):
1.	The AF Form 3000 shall be used for submitting both Government approved and information only submittals in accordance with the instructions on the reverse side of the form. These forms will be furnished to the Contractor. This form shall be properly completed by filling out the heading blanks and identifying each item submitted. Special care shall be exercised to ensure proper listing of the specification paragraph and/or sheet number of the contract drawings pertinent to the information submitted for each item(s).
2.	The Contractor shall forward all material submittals required by the technical specifications using the AF Form 3000 as stated in paragraph B(1) above. The Contractor provides the submittals in the number of copies as specified on the AF Form 66 and one original of the completed AF Form 3000 to the Contracting Officer no later than the required submission date specified on the AF Form 66 or 10 calendar days from the Notice to Proceed, whichever is later.
3.	Identify each submittal by project, Contractor, drawing or detail number, and specification section number, as appropriate. Mark submittals to show the specific item(s) that will be furnished. Include intended use of the submittal and any other pertinent information necessary for a complete evaluation. If the Contractor provides a submittal which show variations from the contract documents, the Contractor shall completely describe such variations in writing clearly and separately from any other portion of the submittal. Highlighting or marking in any manner the proposed variations is not sufficient to comply with this requirement. This requirement applies irrespective of the provisions of any specification which follow this section and which may be particular to specific item(s).
C.	Submit to the Contracting Officer complete information applicable to the item(s) of equipment and materials called for by the Contract Documents, for approval, prior to installing the relevant item(s) of equipment and material. If unapproved item(s) of equipment or material are installed, the Contracting Officer, at his sole discretion and option, may reject the installed equipment and material. If rejected, the Contracting Officer may then pursue, again in his sole discretion and option, remedies including but not limited to the removal and reinstallation of approved item(s) of equipment or material at the Contractor’s expense, extended warranties, and other remedies as may be deemed appropriate and applicable to that portion of the construction.
D.	Submittals covering component items forming a system or items that are interrelated shall be scheduled to be coordinated and submitted concurrently. Certifications to be submitted with the pertinent drawings shall be so scheduled.
E.	Adequate time (a minimum of 14 calendar days) shall be allowed and shown on the register for distribution, review and approval by both or either the Project Inspector and Contracting Officer.
F.	The Contractor, as part of the bid price, shall have a Governmentapproved, independent, commercial testing laboratory perform all sampling and testing as called for in these specifications. Test reports shall be properly sealed by a professional engineer.
1.05	QUALITY CONTROL:
A.	Provide quality control over the entire project including but not limited to the items of equipment and materials intended for installation, necessary coordination and services to facilitate the performance of the work, site conditions, and the workmanship of the Contractor personnel and any subcontractors.
B.	The Contractor shall become familiar with all the details of the work depicted in the Contract Documents and shall verify all field conditions related to the construction prior to commencement of the work. If conditions are discovered by the Contractor prior to commencement of the work which conflict with the Contract Documents, and which will substantially affect the construction as designed and depicted in the Contract Documents, identify and explain the condition(s) in writing to the Contracting Officer within 48 hours of discovery of the condition(s); and request clarification from the Contracting Officer before commencing work.
C.	If site conditions are discovered by the Contractor during the construction which conflict with the Contract Documents, and which affect either a portion of the current construction, or which will substantially affect the construction as designed and depicted in the Contract Documents, identify and explain the condition(s) in writing to the Contracting Officer within 48 hours of discovery of the condition(s); and request clarification from the Contracting Officer before proceeding. All such requests for information shall completely address aspects of the condition, including but not limited to, engineering judgments and engineered solutions, possible costs or deductions, and time extensions.
D.	If site conditions or defects are discovered during the construction, by the Contracting Officer or the Contracting Officer’s designated representative, which are the result of the Contractor’s inadequate quality control or substandard workmanship, whether by the Contractor or a subcontractor, which conflict with the Contract Documents, and which affect either a portion of the current construction, or which will substantially affect the construction as designed and depicted in the Contract Documents, the Contracting Officer may direct the Contractor to identify and explain the condition(s) or defect(s) in writing to the Contracting Officer within 48 hours of discovery of the condition(s). In all such instances, the Contractor shall present no less than three viable options to correct the condition or defect, completely addressing aspects of the condition, including but not limited to, engineering judgments and engineered solutions, possible costs or deductions, and time extensions. The Contracting Officer will then review and approve an option for use by the Contractor. The Contractor shall not proceed with the work until receiving the written permission from the Contracting Officer.
E.	The Contractor shall comply fully with manufacturer's instructions, including each step in sequence. If such instructions conflict with the Contract Documents, identify and explain the conflict in writing to the Contracting Officer within 48 hours of discovery of the conflict; and request clarification from the Contracting Officer before proceeding.
F.	Testing: The Contractor shall provide samples and test results as required by the Contract Documents. Test reports shall be properly sealed by an independent professional engineer.
G.	Cleanup: The Contractor shall keep the work area and surrounding surfaces clean and orderly. Remove any contractorcaused residue, dirt, or markings immediately upon completion of the work involved. Clean site daily.
H.	Exterior surfaces including but not limited to Portland cement concrete, asphalt pavements, and gravel and interior surfaces including but not limited to carpet, tile, ceiling tiles, and gypsum board damaged by construction work or the Contractor’s operations, shall be replaced with materials consistent in quality and workmanship to match existing.
I.	It is the Contractor’s responsibility to maintain any and all quality control records and have them available to the Government at all times.
J.	Record drawings shall be kept at the job site at all times, and shall be made available upon request by either or both the Project Inspector or the Contracting Officer. The record drawings shall be marked up on a daily basis to show actual “as-built” construction and conditions.
1.06	EXPERIENCE REQUIREMENT: [ Verify Requirement Before Use ] OR [ NOT USED ]
A.	The Contractor must have in the past been engaged in [ airfield repair / Military Aircraft Fuel System construction/repair including fuel tank cleaning and vapor freeing work / ___ ] work of this type for a minimum of [ _____ / five ] year(s). [ To complete a project of this nature during the short contract period, it is essential that the contractor firm have the necessary background, supervision, and qualified personnel. ] Contractors proposing to submit a bid on this project must be prepared to (low bidder only) submit notarized affidavits from Government agencies attesting to satisfactory performance of work of at least [ _____ / five ] project(s) of this nature during the previous [ _____ / five ] year period and to the qualifications both in terms of expertise and having proper and adequate equipment to accomplish the work. The affidavits of the successful low bidder will be reviewed for approval or disapproval. The notarized affidavits will be submitted within three (3) days after requested. If the successful low bidder for this project has previously submitted the required certification to the Contracting Officer under a previous contract requiring the same certification, re-submission is not required.
B.	In addition, the Contractor or his designated representatives shall be certified in accordance with R18-12-802 or R18-12-806 of the Arizona Administrative Procedures Act to supervise the performance of, or to perform tank services on underground storage tank systems. These certifications shall be included as a submittal on the AF Form 66, Schedule of Material Submittals. Submit copies of certifications to the Contracting Officer prior to beginning construction.

PART 2 CONSTRUCTION FACILITIES AND TEMPORARY CONTROLS

2.01	TRAFFIC REGULATION:
A.	Barriers: Contractor shall furnish all signs, barricades, and flagmen required to control traffic in the construction area.
1.	All signs and barricades shall be in accordance with ANSI D6.1, Manual of Uniform Traffic Control Devices.
2.	Minimize interference with the flow of traffic. At no time may access to any facility be prevented.
3.	NOT USED. / Not less than 14 days prior to commencing construction, submit a proposed plan for routing traffic through or around the work site. This plan shall be included as a submittal on the AF Form 66, Schedule of Material Submittals.
B.	Haul routes: As designated on the drawings / by the Contracting Officer.
1.	Immediately clean up any material spilled along the haul route. This shall include clean up of mud tracked on the road by contractor equipment.
2.	For any spill of hazardous material on base, immediately notify the base fire department at 911. The Contractor is responsible for all costs incurred by the Government in responding to or cleaning up any such spill.
C.	Access: Contractor shall maintain access to the base work site at all times. The Contractor is to perform his work with a minimum of interference to the flow of traffic.
2.02	SAFETY:
A.	Comply with the Corps of Engineers Manual on General Safety Requirements, EM 385-1-1; Occupational Safety and Health Act (OSHA), Public Law 91-596; and AFI 91-301, Air Force Occupational Safety, Fire Prevention, and Health (AFOSH) Program.
B.	Use of flammable adhesives or other similar flammable materials will be in strict accordance with manufacturer's instructions and the Contractor shall take all necessary safety and fire prevention steps to supervise and assure safe execution of work on the contract. This paragraph is applicable to adhesive materials or any other material involving flammable characteristics.
2.03	BLASTING: No blasting will be permitted.
2.04	GRADE CONTROL: [ NOT USED / Grade site to drain to protect site from puddling or running water, or accumulation of standing water in excavations. The Contractor shall provide all surveying required to establish and maintain line and grade stakes necessary to complete the construction.
2.05	ENVIRONMENTAL CONTROL:
A.	Obtain permits from the Pima County Department of Environmental Quality, Air Quality Division, for installation of new equipment or use of contractor equipment which generate air pollution, for earth-moving activities related to new construction, and for asbestos removal or demolition. See Attachment 1 for the current, applicable Activity Permit Fees Schedule. These permits shall be included as a submittal on the AF Form 66, Schedule of Material Submittals. Submit copies of permits to the Contracting Officer prior to beginning construction. All permit costs shall be considered as having been included as a factor in the Contractor's bid price.
B.	For projects involving asbestos abatement, complete standard "Notification of Demolition or Renovation" forms and submit to PCDEQ and other required agencies. These forms shall be included as a submittal on the AF Form 66, Schedule of Material Submittals. Submit copies of forms to the Contracting Officer prior to beginning construction.
C.	Treat areas subject to dust-producing activities with liquid palliatives which will not harm regrowth of vegetation, or other such method of dust control which complies with PCAQCD regulations.
D.	No open burning of trash, brush, or refuse will be permitted.
E.	The Contractor shall segregate hazardous or regulated materials, and nonhazardous or non-regulated materials during demolition; and handle, transport, store, and dispose of these hazardous and nonhazardous materials in accordance with applicable federal, state, and local laws, ordinances, or other rulings having the effect of law, including but not limited to the items listed below. In addition, the Contractor shall obtain proper disposal manifests for both hazardous or regulated materials, and for non-hazardous or non-regulated materials, and submit these manifests to the Contracting Officer. These manifests shall be included as a submittal on the AF Form 66, Schedule of Material Submittals. Submit original manifest—with original signature of the Contractor’s superintendent or authorized representative attesting to the validity of the manifest—to the Contracting Officer within 3 working days of disposal. All handling, transporting, and disposal costs shall be considered as having been included as a factor in the Contractor's bid price. Any questions regarding proper handling or disposal of hazardous or non-hazardous materials may be directed through the Contracting Officer to the Environmental Quality Flight at 228-4829.
1.	Resource Conservation and Recovery Act (42 USC 6901)
2.	Clean Water Act (33 USC 1251)
3.	Clean Air Act (42 USC 7401-7642)
4.	Toxic Substances Control Act (15 USC 260)
5.	National Environmental Policy Act (42 USC 4321-4347)
6.	Hazard Communication (OSHA Std 29 CFR 1910.1200)
F.	Asbestos Abatement: [ See Division 2 specifications ] OR [ Specification Section(s) ___________ ] OR [ NOT USED ] .
G.	Provide the Contracting Officer with a chemical inventory and an estimated quantity to be used, prior to bringing hazardous materials on the base. A copy of same shall be provided to and maintained by Bioenvironmental Engineering. An additional copy of the chemical inventory and appropriate MSDS’s shall be provided to 355 CES/CEVC. These requirements shall be included as a submittal on the AF Form 66, Schedule of Material Submittals.
H.	All radioactive material or equipment using radioactive material must be approved for use prior to bringing it on the base. The written request for approval, along with a copy of the permit for the source and a brief description of the intended activities, shall be submitted to the base Bio-Environmental Engineering Flight through the Contracting Officer 30 calendar days prior to the Contractor’s use. No work involving radioactive materials may proceed until receipt of the approved request. This requirement shall be included as a submittal on the AF Form 66, Schedule of Material Submittals.
I.	Any items containing radioactive material, especially radioluminescent exit signs, discovered while performing maintenance, repair, alteration or renovation activities, shall be turned in by the Contractor through the Contracting Officer to 355 CES/CEO for proper disposal.
J.	The Contractor will be held responsible for complying with all federal, state, and local environmental regulations included as part of the processes in performing the work included in this project.
K.	Lead in liquid paints or coatings shall be restricted to no more than 0.06 per cent lead by weight of the non-volatile solids for use in or on all base facilities [Part 35 of 24 CFR].
2.06	SECURITY:
A.	For entry to the base, submit an entry authorization request letter for each individual requiring access to the project, at least 10 calendar days prior to beginning work. A copy of the format of this letter may be obtained from the Contracting officer on or before the preperformance conference. Valid identification with a photograph together with the base pass will be required for all individuals when entering the base.
B.	All passes issued must be returned to the Contracting Officer upon termination of the employee or completion of the project, whichever is sooner.

[*** VERIFY REQUIREMENT BEFORE USE OF BELOW ***]

C.	This project is located in AMARC, a controlled area, and strict entry control is maintained.
1.	To gain access to AMARC, at least ten calendar days prior to beginning work, all contractor personnel must be listed on an entry access letter (EAL) . This list shall include the full name and social security number of the individual and the dates access will be required. The individuals will be issued a contractor’s pass.
2.	Daily visitor passes are available at the AMARC gate for personnel with a company escort to vouch for them.
3.	All passes issued must be returned to the Contracting Officer upon termination of the employee or completion of the project, whichever is sooner.

*** OR ***

C.	This project is located in Site 5, a controlled area, and strict entry control is maintained. To gain access to Site 5, all contractor personnel must be listed on an entry authorization list (EAL) as described above; have proper identification; and be identified by authorized Air Force personnel.
2.0[ ]	OPERATIONS ON THE AIRFIELD: [ Verify Requirement Before Use ]
A.	Flightline access: Check in and check out with the Base Operations Dispatcher daily.
1.	During check-in, advise the dispatcher of intended work areas and type of work scheduled, and receive a flightline pass.
2.	While on any runway, taxiway, or aircraft parking apron, immediately remove any dirt, debris, or other material spilled or caused by the Contractor's operations.
3.	During check-out, brief the dispatcher on completed work and status of any airfield facilities affected by the work.
4.	If contractor equipment is crossing a path on the airfield that is being actively utilized by aircraft, the Contractor shall station a flagman at the intersection and ensure that all taxiing aircraft are granted the right of way over contractor equipment.
B.	Airfield communication: Maintain communications with base operations and the air traffic control tower at all times.
1.	Furnish all work groups working within 100 feet of a runway with walkie-talkie radios tuned to the ramp net frequency, 162.250 FM. Provide sufficient radios to allow immediate and simultaneous communication with all work groups.
2.	When emergency or operational interruptions of work become necessary, respond immediately. When directed by base operations or the air traffic control tower, move all equipment and personnel a minimum of 100 feet from the runway edge.
2.0[ ]	PROJECT IDENTIFICATION SIGN: [ Verify Requirement Before Use - not required for airfield projects ]
A.	Install a project identification sign adjacent to the main entrance to the site, within 10 days after the Notice to Proceed.
B.	Sign shall measure 4' high by 8' wide, and be securely erected with the bottom edge 6' above the ground.
C.	Content:
1.	Project title
2.	"General Contractor: [ Name ]"
3.	"Architect/Engineer: [ Name ]"
4.	"Construction Managed by 355 CES"
D.	Color and style: Paint all surfaces and supporting structures brown, matching Federal Standard 595a color #20100. Use white, helvetica medium lettering, 3" high for the project title, 2" high elsewhere.
2.0[ ]	PROJECT PROGRESS PHOTOGRAPHS: [ NOT USED / Submit to the Contracting Officer construction project progress photographs taken on or about the first of every month, showing the general conditions of the work as viewed from the north, south, east, west, and/or building interior. Photographs (one roll of 35 mm color prints, minimum of twenty 3-inch x 5-inch standard prints) shall accompany each application for payment. Each print shall be identified by the date of exposure, the project number and title, and description of content. ]
2.0[ ]	FENCED STORAGE YARD: [ NOT USED / The Contractor shall install and maintain a temporary, fenced storage yard in a location close to the project site, in a location designated by the Contracting Officer. The temporary fencing shall be of sufficient strength and height to minimize and restrict entry by unauthorized personnel. The temporary fencing shall be provided with visual screening for the full height and length, using tancolored screening or a similar color selected and approved by the Contracting Officer. The temporary fencing and screening shall remain in place and be maintained for the life of this contract. ]
2.0[ ]	MATERIAL HANDLING AND STORAGE:
A.	Handle, store, and protect all products in accordance with manufacturer's instructions.
B.	At the end of each work day, park and store all equipment and materials in the location designated by the Contracting Officer.

PART 3 PROJECT CLOSE-OUT

3.01	PRE-INSPECTION FINAL CLEANING:
A.	Clean all surfaces exposed to view.
B.	Polish transparent and glossy surfaces.
C.	Clean equipment and fixtures.
D.	Clean debris from roofs, gutters, drainage systems, and site.
E.	Remove temporary labels.
F.	Properly dispose of all hazardous and non-hazardous materials off base in accordance with the environmental controls specified in this Section.
3.02	RECORD DISKS, DOCUMENTS AND DRAWINGS. Prior to the Contracting Officer's final acceptance of and final payment for the completed project, submit for approval the record as-built drawings, disks, documents, and shop drawings as required in the following paragraphs, no later than 30 days after the Final Inspection. These requirements shall be included as submittals on the AF Form 66, Schedule of Material Submittals.
A.	Record As-built Drawings. [ NOT USED / Standard drafting practices shall be used to represent changes and shall include supplemental notes, legends, details and dimensions as required to show actual "as-built" construction. Submit to the Contracting Officer one complete set of high-quality, 3-mil, reproducible mylar drawings, clearly and legibly marked “AS-BUILT DRAWINGS” in large print at the bottom right corner of each drawing sheet above the title block. Printing on mylars shall be reverse side, mirror image. Sepia mylars (copies) will not be accepted. ]
B.	Record Disks. [ NOT USED / The Contractor shall, using AutoCAD Version 12 or the latest version directed by the Contracting Officer, transfer the “as-built” conditions to the project disks provided by the Contracting Officer, and submit the revised disks to the Contracting Officer. ]
C.	Record Documents. Fourteen (14) calendar days prior to the final inspection, using clear and legible copies of Attachments 2 and 3 to this specification section, complete the following record documents and submit to the Contracting Officer.
1.	Construction Data Sheet.
2.	Warranty/Guarantee Items.
D.	Record Shop Drawings. [ NOT USED / Record shop drawings shall be signed by the Contractor. Mark shop drawings to show the specific items that were furnished and to show actual as-built conditions; and submit to the Contracting Officer. ]
E.	Operation and Maintenance Manuals: [ Verify Requirement Before Use ] [ NOT USED. ] / Submit operation and maintenance manuals for each major building system or item of equipment, including but not limited to all mechanical and electrical systems and equipment:
1.	[ for example, Backflow Prevention System ] .
2.	[ for example, Lightning Protection System ] .
3.	[ for example, System or equipment ] .
4.	[ for example, System or equipment ] .
5.	Reference information to be included, as applicable:
a.	Table of contents.
b.	Directory listing names, addresses, and telephone numbers of the architect/engineer, Contractor, subcontractors, and suppliers.
c.	Significant design criteria.
d.	Shop drawings and product data.
e.	Air and water balance reports.
f.	Certificates.
g.	Copies of warranties.
6.	Operation and maintenance information to be included, as applicable:
a.	List of equipment.
b.	Parts list for each component.
c.	Operating instructions.
d.	Maintenance and troubleshooting instructions.
e.	Repair and assembly/disassembly instructions.
f.	Calibration requirements.
3.03	FIELD INSTRUCTIONS: [ Verify Requirement Before Use ]
A.	[ NOT USED. ] / Prior to final inspection, provide competent instruction—using the manuals described above—to the Government in the operation and maintenance of the building systems and equipment, including but not limited to all mechanical and electrical systems and equipment.
B.	Provide instruction on the following, for the specified times:
1.	[ for example, Backflow Prevention System ] for [ ] hours of instruction.
2.	[ for example, Lightning Protection System ] for [ ] hours of instruction.
3.	[ for example, System or equipment ] for [ ] hours of instruction.
4.	[ for example, System or equipment ] for [ ] hours of instruction.

END OF SECTION

Table 17.12.540

ACTIVITY PERMIT FEES SCHEDULE

S.S. 1

ACTIVITY

RATE COMPONENTS

EXEMPTIONS

Land stripping and/or Earthmoving

1 to 5 acres $89.28 plus

$8.93 per each additional acre or fraction thereof <1 acre

Trenching

300 feet of aggregate trenching $17.86 base plus $0.036 per each additional ft.

<300 ft.; trenching for landscaping

Road Construction

50 ft. of aggregate road construction $17.86 base plus $0.09 per each additional ft.

<50 ft.

Activity permit for NESHAP facilities

$420.00

See Note 1

Blasting (NOT ALLOWED ON DMAFB)

$18.00 plus $3.53 per day of blasting

None

Exemption Notes:

1. < 260 linear feet on pipes; < 160 square feet on other facility components; < 35 cubic feet off facility components Example permit fee calculations

1. Permit for clearing 4 acres = $89.28

2. Permit for earthmoving on 9 acres:

	$89.28 - first 5 acres
plus 9 – 5 = 4 acres x $8.93 =	$35.72 - last four acres
TOTAL	$125.00

3. Permit, trenching 500 feet:

Base fee, 300 ft. or more =	$17.86
plus 500 ft. – 300 ft. = 200x$0.036 =	$7.20
TOTAL	$25.06

This fee schedule is effective 12/12/95 and is provided for information only. Contact Pima County Dept. of Environmental Quality, Air Quality Division, 130 W. Congress Street, Tucson, AZ 85701, Phone: (520) 740-3340, for the latest fee schedule which may be applicable to this project.

Atch 1

CONSTRUCTION DATA SHEET

FBNV: __________________ TITLE: _______________________________________

STRUCTURES

TYPE OF CONSTRUCTION: ____________________________________________________

MATERIAL a. Foundation: ________________ b. Floor: _________________

c. Wall: ____________________ d. Roof: __________________

DIMENSIONS: a. Main Building: _____________ b. Offsets: ________________

UTILITY CONNECTION SIZE:

a. Water: _____ b. Sewer: _____ c. Gas: _____ d. Electric: _____

BUILDING EQUIPMENT:

1. AIR CONDITION/HEATING:

a. Type, size, and number of units: _______________________________

b. Space affected: ______________________________________________

c. Cost: $ _____________________________________________________

2. FIRE SYSTEMS:

			NUMBER OF	AMOUNT SF
TYPE SYSTEM	UNITS EACH	COVERED		COST

990222 Manual Fire Alarm Sys __________ ea			$ ____
880221 Auto Fire Detect Sys __________ ea	____________ sf	$ ____
880211 Closed Head Sprnk Sys __________ ea	____________ sf	$ ____
880212 Deluge System __________ ea	____________ sf	$ ____
880231 CO2 System __________ ea			$ ____
880235 Dry chemical System __________ ea			$ ____
880233 (Other) Standpipe Sys __________ ea			$ ____
880217 AFFF Foam System __________ ea	____________ sf	$ ____
880235 Wet Chemical Sys __________ ea			$ ____
880234 HALON System __________ ea			$ ____
880222 Local Smoke Detect Sys __________ ea			$ ____

3. EMERGENCY LIGHTS (Number of sets): ____________________

4. GENERATORS: (a) Serial No# _____ (b) KW: ____ (c) Cost $ ___

Atch 2 (1 of 3)

PAVEMENTS

TYPE CONSTRUCTION SQUARE YARDS COST

Parking Lot: _________________ ____________ sy $ _______

Driveway: _________________ ____________ sy $ _______

Road: _________________ ____________ sy $ _______

Airfield: _________________ ____________ sy $ _______

Open Storage: _________________ ____________ sy $ _______

Equipment Pads: _________________ ____________ sy $ _______

Sidewalk: _________________ ____________ sy $ _______

UTILITIES

1. ELECTRICITY: Linear Feet # Poles # Manholes Cost

a. Primary (OH): _________ lf ______ _________ $ _____

b. Primary (UG): _________ lf ______ _________ $ _____

c. Secondary (OH): _________ lf ______ _________ $ _____

d. Secondary (UG): _________ lf ______ _________ $ _____

e. Transformers: _________ KVA $ _____

2. SEWER LINES: _________ lf $ _____

3. WATER LINES: _________ lf $ _____

4. OIL/WATER SEPARATOR: Capacity: ____________

5. GAS LINES: _________ lf $ _____

a. Regulator: _________ ea ______ _________ $ _____

b. Meter: _________ ea ______ _________ $ _____

Atch 2 (2 of 3)

FENCING

LINEAR FEET: _______ TYPE: __________ Cost $ _____

EXTERIOR LIGHTING

#LIGHTS TYPE COST

1. STREET: ________ ______ $ _______

2. FLOOR: ________ ______ $ _______

3. SECURITY: ________ ______ $ _______

MISCELLANEOUS

1. STORM DRAINAGE: Linear Feet: ________ Type: _______ Cost $ _____

2. CURBS & GUTTERS: Linear Feet: ________ Cost $ _____

3. SEPTIC TANKS: Size: ____________ Cost $ _____

Primary power (600 volts or more) and secondary power (under 600 volts) included the linear feet between all poles, plus service drops for the overhead system and the linear feet between all duct manholes in the underground system.

EXAMPLE: Two primary systems, or feeders, and one secondary line between two poles 100 feet apart would equal 200 feet of primary and 100 feet of secondary overhead distribution.

__________________________	__________________________	_____
	CONTRACTOR		INSPECTOR		DATE
	Signature			Signature

Atch 2 (3 of 3)

WARRANTY / GUARANTEE ITEMS

Project No. - FBNV ______ Contract No. - F02601- _____ Delivery Order No. ____

Project Title: _____________________________________________________________

CONTRACTOR’S Name/Address/Phone #:	______________________________________
			{ Name }
		______________________________________
			( Address }
		______________________________________

______________________________________
	{ Phone }

CONSTRUCTION TYPE: New Installation Renovation

Item Installed: __________________ Date Installed: __________________

Location of Installed Item: ___________________________________________

Warranty / Guarantee Date: _________________________

DESCRIPTION OF ITEM:

ITEM _________________ TYPE _______________ MODEL ________________

SERIAL NO. ___________ STYLE ______________ HORSEPOWER _________

VOLTAGE _____________ CYCLES _____________ FRAME ________________

SIZE __________________ QTY _________________ OTHER ________________

MANUFACTURER’S EXTENDED WARRANTY INFORMATION: ______________________

{ Name }

________________________
	{ Address }

________________________
	{ Phone }

ITEM COST: $___________________

			Atch 3
DATE	01010-18	FBNV 090003A

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File details come from the government source that posted it. Updated Nov 14, 2017.