Attachment_6_Authorization_for_Repair_Caribbean_v1.3_Aug_2016.pdf

533 KB Posted

Attached to
Generator Maintenance FEMA Dist Center Caribbean
Solicitation number
HSFE40-16-Q-0033
Issued by

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Attachment 6 - Authorization for Repair

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Date of Estimate: Date of Repair: Barcode:

Maintenance Location: Service:

Description of Fault:

Repair Needed:

Cost: Part Cost: Labor Cost: Freight Total Cost

Repair Completed:

Repair Completed Date:

Contractor Submitted Cost Estimate (Check one): Yes No

Approved by:

CONTRACTOR FEMA Technical Monitor

FEMA COR/Program Office FEMA CO (If needed)

RFP:

ATTACHMENT 6: AUTHORIZATION FOR REPAIR

OCONUS_v1.3 08/22/2016

Date of Estimate:
BARCODE:
Maintenance Location: []
DISCRIPTION:
REPAIR NEEDED:
Date of Repair:
Repair Completion Date:
Service Provided: []
Repair Completed: []
YES: Off
NO: Off
Total Cost: 0
Cost Part:
Cost Labor:
Cost Freight:
CLEAR:

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