Sample of Work Order Form_Attachment 5.xls
XLS spreadsheet 39 KB Posted
- Solicitation number
- FA5209-12-R-0002
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Attachment 5 Sample of Work Order Form
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibits | — | |
| Amendment 0001 for FA5209-12-R-0002.pdf | ||
| Addendum No. 1 for Spec._FA5209-12-R-0002.pdf | ||
| Q A with SF 25.pdf | ||
| Pre-Proposal Conference Minutes.pdf | ||
| RFP FA5209-12-R-0002.pdf | ||
| Contract Specification_Attachment 1.docx | DOCX document | |
| Past Performance Questionnaire_Attachment 4.doc | DOC document | |
| Cover Ltr for Questinnaire | — | |
| OF17.doc | DOC document | |
| Schedule of Material Submittals_Attachment 3.xlsx | XLSX spreadsheet | |
| Exhibits to RFP No. FA5209-12-R-0002.xlsx | XLSX spreadsheet | |
| List of GFM_Attachment 2.xlsx | XLSX spreadsheet |
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Text version
Sheet1
| Whole House Maintenance Work Order | ||||
| Work Order NO: | Page 1 of 2 | |||
| Contractor: | CONTRACT NO: | |||
| TASK ORDER NO: | ||||
| Under the terms of the above contract, joint site survey was conducted for | ||||
| Quarter No. ____________________ at __________________________ on _________________. | ||||
| JOINT SURVEY: PRINT NAME | SIGNATURE | DATE | ||
| COR: __________________________ | __________________________________ | ___________________ | ||
| CONTRACTOR: __________________________ | __________________________________ | ___________________ | ||
| Based on the above joint site survey, the contractor hereby submits a price proposal for COR's review. | ||||
| PRINT NAME SIGNATURE DATE |
CONTRACTOR: ________________________ ___________________________________ _____________________
| a. Item | b. Description | c. Quantity | d. Unit | e. Unit Price | f. Amount |
| Interior Work | |||||
| Interior Work Total | |||||
| Exterior Work | |||||
| Exterior Work Total | |||||
| G/TOTAL: | |||||
| Whole House Maintenance Work Order | |||||
| Page 2 of 2 | |||||
| COR's Proposal Review: □ Approved □ Disapproved |
PRINT NAME SIGNATURE DATE
COR:_________________________ _________________________________ ____________________
Under the terms of above contract, you are requested to perform the above items of work according to the contract specifications where quantities are shown in column c above.
The Interior work perforemance period will be from _____________ through _____________.
The Exterior work performance period will be from _____________ through _____________.
| Inspection and Acceptance |
| Interior Work: |
| Final Inspection was requested on : ___________________ |
| Final Inspection was conducted on : ___________________ |
| □ Accepted □ Rejected |
| Exterior Work: |
| Final Inspection was requested on : ___________________ |
| Final Inspection was conducted on : ___________________ |
| □ Accepted □ Rejected |
| PRINT NAME SIGNATURE DATE |
| COR: _______________________________ _________________________________________ ______________ |
| Remarks: |
| Contractor shall complete the punch list item(s) in the above "Remarks" block by ____________________. |
| Interior Work: |
| Inspection for re-performance was requested on: _____________________ |
| Inspection for re-performance was requested on: _____________________ |
| □ Accepted □ Rejected |
| Exterior Work: |
| Inspection for re-performance was requested on: _____________________ |
| Inspection for re-performance was requested on: _____________________ |
| □ Accepted □ Rejected |
| PRINT NAME SIGNATURE DATE |
| COR: _______________________________ _________________________________________ ______________ |
| Remarks: |
Sheet2
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