Housing Assessment Tool.xls

XLS spreadsheet 744 KB Posted Jun 30, 2008

Attached to: FEMA Seeks Alternative Housing Federal contract opportunity
Solicitation number: HSFEHQ-08-R-0106
Issued by: Federal Emergency Management Agency Response Section

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From the source

Housing Assessment Tool (must be opened in Excel)

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Other files for this federal contract opportunity

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File	Type	Posted
ADDITONAL FAR CLAUSES ADDED.doc	DOC document	Jul 25, 2008
Additional Questions	—	Jul 25, 2008
FEMA_IAQ_Testing_Procedures.pdf	PDF	Jul 25, 2008
Questions Answered by the program side.doc	DOC document	Jul 15, 2008
Scanned RFP.pdf	PDF	Jun 30, 2008

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Welcome

	DRAFT INTRODUCTION / WELCOME PAGE
Housing Info Input Links	This Housing Assessment Tool is designed to assist FEMA in collecting information from designers, builders, manufacturers, and/or vendors ("Providers" herein) on commercially available housing products that may be suitable for disaster housing needs.
	Before you begin, please note that the Housing Assessment Tool is designed to obtain information only on a Per Unit Model basis per each assessment session.
	If you have more than one housing product or more than one model within a product line, it would be necessary to utilize more than one assessment session. You may select to submit information for only one particular model best fit to disaster housing needs.
	Keep your response specific to the housing product. Avoid general answer that simply state your company can build whatever is needed.
	What's Next
	Please go next to the Instruction Page by clicking on the link located on the left side of the screen, or the tab below. The Instruction Page will explain to you what kind of information is needed. There you will again find other links (which are also located here on the left) that will bring you to the various sections within the Housing Production Information Input Page.
	We thank you again for your interest and participation!

Organization & POC Instruction Page Housing Product Information Input Page Range of Use Section Livability Section Timeliness Section

Instruction

INSTRUCTION PAGE
Please read and follow the steps below in submitting your information on your housing product(s). It is important that you complete all sections required.
	§ Range of Use
STEP 1: Organization & Point of Contact
Please provide general contact information for your organization and designated point-of-contact (POC). If your organization is a partnership of multiple entities, please provide a representative organization and POC for the group.	This section will consider the Product’s Structural/Safety Designs, Code Compliance and System Capacities, Operational and Logistical Requirements, and potential for permanent housing use. The intent is to help assess how usable and adaptable a housing product may be under various environmental, geographic, climate and legal conditions and requirements
STEP 2: Product Information	§ Livability
The Housing Input Tool comprises over 100 questions grouped in 3 major categories (See left). You will likely need access to your product’s technical (i.e., design documents) and business data (i.e., field installation and production capacity) to properly answer them.	This section will consider how well the Housing Product may be designed and equipped to accommodate a typical household’s daily living essentials (e.g., cooking, showering) and physical and emotional needs (e.g., privacy, security, telecommunication).
You may find that you need additional information in order to complete all the questions. The Assessment Tool will permit you to save the information and to return with updates.
	§ Timeliness
	This section will consider the Provider’s capacities for production, delivery and set up. The intent is to assess how fast and how many of the Housing Product may be made available for occupancy.

Go to Organization & POC Page Go to Housing Input Page Go to Range of Use Go to Timeliness Section Go to Livability Section Back To Welcome Page

Org & POC

ORGANIZATION & POINT OF CONTACT

ORGANIZATION

Name of Provider's Organization: (Unit's Designer/ Manufacturer/ Builder/ Vendor)

Note: If your organization is a partnership of multiple entities, please provide name of your chosen representative organization ONLY in the space to the left, and your designated POC for the group below.

Provider's Address (Street Number & Name)

Floor/Suite

City

State

Country

Zip Code

Website Address

Office Phone

POINT OF CONTACT

Name of POC (First Name, Last Name)

POC Phone 1

POC Phone 2

POC Title/Position

Email Address

POC's Organization

Check Box If POC's Organizational Information is the same as the Provider's. If NOT, enter data below:

POC Address (Street Number & Name)

Floor/Suite

Alaska

American Samoa

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District Of Columbia

Federated States Of Micronesia

Florida

Georgia

Guam

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Marshall Islands

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Northern Mariana Islands

Ohio

Oklahoma

Oregon

Palau

Pennsylvania

Puerto Rico

City

State

Country

Zip Code

00000

&C&8Sheet &P of &N

TO CLEAR ENTRIES BELOW

To Welcome Page Go to Housing Input Page To Instruction Page Help!

Housing Information Input

Line #

HOUSING INPUT PAGE

Name of the Housing Product: (Described as "Unit" herein)

Date Entry Completed on: (MM/DD/YYYY)

Unit Model Name (If different from above)

Data Entry Began on: (MM/DD/YYYY)

Unit Model No.

Range of Use: (Structural & Safety Performance)

N/A

Unknown

Yes

Unit Type

Unit can be classified and/or registered as (ex., building structure such as stick-built, modular, manufactured, or vehicle, or other):

Select Type

Tent

Vehicle or RV

Existing Facility

Manufactured Housing

Modular Housing

Stick-Built

Concrete/Masonry

Kit Home

Other

<<<< Or Write in

Unit Development or Usage (Note: Web-based version will permit multiple selections under Standards/Codes and State)

Unit is currently in use in the following U.S. State(s) and/or Territories

Check All Applicable

N/A

Eastern (South)

Eastern (North)

Central (South)

Central (North)

Mountain (South)

Mountain (North)

Pacific (South)

Pacific (North)

Alaska

Hawaii

Unit is currently in use in the following countries or continents Outside the Continental United States (OCONUS):

Select One Only

N/A

Canada

South/Central America

Caribbean/Pacific Islands

Europe

Africa

Mid-East

Asia

Unit is not currently in use but a prototype has been approved under industry-accepted standards and exists for evaluation in the following US State?

Select One Only

N/A

Alabama

Alaska

American Samoa

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District Of Columbia

Federated States Of Micronesia

Florida

Georgia

Guam

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Marshall Islands

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

Design Codes & Standards (Note: Web-based version will permit multiple selections under Standards/Codes and State)

If applicable, which of the following national design codes and industry standards has Unit been specifically designed to meet? (Under each applicable code and standard, select whether the Unit has been "Certified/Approved", or "Designed To" but not yet

Select Applicable Standards/Code & Applicable Edition Year

N/A

HUD Code

IBC/IRC

Engineered Design: ASCE 7 Loading & Material

SSTD 10-99

ANSI/AISC

AF&PA Wood Frame Constructition

RV Industry…

Certified/ Approved

Designed To Only

None

Unknown

Building Codes & Standards

None/ Unknown

HUD Code on Manufact'd Hsg

IBC/IRC

ASCE 7

SSTD 10-99

ANSI/ AISC

AF&PA Wood Frame Constrctn.

RVIA (Recreat'l Vehicle...)

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999

1998

1997

1996

1995

1994

1993

1992

1991

1990

1989

1988

1987

1986

1985

1984

1983

1982

1981

1980

1979

1978

1977

1976

1975

Edition/ Year

Write In>>>

Edition/ Year>>>

Note: To provide additional comment, Use "Enter Comment" button at the upper right corner!

If applicable, which of the following System Codes has Unit been designed to meet and/or certified under? (Under each applicable code and standard, select whether the Unit has been "Certified,", or "Designed to" only. For all applicable choices, be sure

Select Applicable Standards/Code & Applicable Edition Year

N/A

National Electrical Code

Uniform Mechanical Code

Internal Mechanical Code

International Plumbing Code

Uniform Plumbing Code

System Codes & Standards

None/ Unknown

National Electrical Code

Uniform Mechanical Code

Internat'l Mechanical Code

Uniform Plumbing Code

Internat'l Plumbing Code

Edition/ Year

Write In>>>

Edition/ Year>>>

Note: To provide additional comment, Use "Enter Comment" button at the upper right corner!

If applicable, which state and local building codes has Unit been specifically designed to meet AND certified under? (Select 2. Web version will permit multiple selections)

Select Up to 3 States; Select N/A if Not Applicable

State Codes Unit Certified Under:

Local Codes Unit Certified Under

<<< Write in up to 3 Localities; or N/A if Not Applicable

For the "Certified/Approved" responses selected, will documentations (ex., P.E. certified drawings, or industry/agency-issued certificates) be available for review?

Yes/No

Thermal

If applicable under Housing & Urban Development (HUD) code, which thermal zones is the unit designed for?

Select Zone (Zone III = Coldest)

N/A

Zone I

Zone II

Zone III

If applicable under Dept. of Energy (DOE) insulation zone specs, which insulation zones is Unit designed for use in?

Select Zone (Zone 1 = Coldest)

N/A

Zone 1

Zone 2

Zone 3

Zone 4

Zone 5

Zone 6

What type of insulation material is used to provide thermal protection against heat loss?

Select Type or Write in

Unknown

Fiberglass Blatt & Blankets

Spray Foams (foam-in-place)

Rigid Cellular Polystyrene Panels

Structural Insulating Panels

Other Rigid Panels

Loose Fill

Select Type

If needed, Write in>>

If known, what are the minimum R-Values of the Unit?

<<<Write in numerical for R-Value

Unknown

< R-19

=/> R-19

Attic/ Ceiling?

R-0

Exterior Walls?

R-0

Floor?

R-0

Wind

If applicable under HUD Code, how many Wind Zones is the unit designed for use in?

Select Zone (Zone I - III)

N/A

None

Zone I (70mph)

Zone II (100mph)

Zone III (110mph)

If applicable under HUD Code, which wind exposure is Unit designed for use in?

Select One (Exposures A - D)

N/A

None

Exposure A

Exposure B

Exposure C

Exposure D

If applicable under ASCE (American Society of Civil Engineers) Standard 7-98 or later edition, what is the Unit's design wind speed (3-second gust in mph)?

<<< Write in numerical MPH

None

Zone 1 (130mph)

Zone 2 (160mph)

Zone 3 (200mph)

Zone 4 (250mph)

If applicable under ASCE Standard 7, which wind exposure is the unit designed for use in?

Select One (Exposures A - D)

N/A

Unknown

None

Exposure A

Exposure B

Exposure C

Exposure D

If applicable, is Unit designed to include all minimally required hurricane resistant features recommended under the HUD Code or the SBCCI (SSTD 10-99)?

Select Standards/Code

N/A

Unknown

Yes (HUD Code)

Yes (SSBCI: SSTD 10-99)

Yes (Florida Building Code)

Yes (ICC: IS-HRC)

If Unit's windows are equipped with Shutters or other built-in Impact Resistant Products, to what test standards are these products designed?

Select Type or Write in

Not Equipped

Equipped but Unknown

SSTD-12: SBCCI Windborne Debris Impact Test

A201 - Impact Test Miami Dade County

ASTM E 1996-00 Standard Specification for Performance of Exterior Windows, Glazed Curtain Walls, Doors and Storm Shutters

APA - The Engineered Wood Assn.

ASTM

If roof system has been tested under either the FM or UL standards, what is the Unit's roof uplift resistance rating: (UL Class-60, Class-90...; or FM I-60, I-75, I-90…)?

Select Type

Unknown

UL Class 60

UL Class 90

UL Class 120

UL Class 150

FM I-60

FM I-90

FM I-120

FM I-150

Standard Specification for Performance of Exterior Windows, Glazed Curtain Walls, Doors and Storm Shutters

If known, what are the design pressure ratings in PSF for the Unit's windows and doors? (Note: do not use structural test pressure figures)

Write in "Unknown" or #s in PSF

Storm Shutters Impacted by Windborne Debris in Hurricanes (ASTM E 1996-00)

Seismic

Is the unit seismic requirements preempted by the HUD Code?

Select N/A, Unknown, Yes, No

If not preempted by the HUD Code, which Seismic Design Category (SDC) is the unit designed under?

Select One (Category A - F)

None

Category A

Category B

Category C

Category D

Category E

Category F

Flood

Is Unit permitted for housing use in a 100-year floodplain for 180 or less consecutive days "as is" without having to be structurally elevated or relocated?

Select N/A, Unknown, Yes, No

Foundation, Elevation & Anchorage

Does supplied unit include foundation?

Select from List

Yes

Is foundation permanent?

Select from List

If not placed on a permanent foundation, is a concrete slab or other paved surface required for placement or installation of units?

Select N/A, Unknown, Yes, No

If not placed on a permanent foundation, does Unit design include additonal approved "Tie-Down" requirements for securing Unit to the ground (i.e., straps & anchors)?

Select from List

N/A

Unknown

Yes

Limited Capability

Can unit be structurally elevated using standard building flood protection methods?

Select from List

Roof (Note: Focus on snow load only; wind factors are addressed under "Wind" above.)

If applicable under HUD Code, which Zone (North, Middle, South) is the Unit Roof load capacity designed to meet?

Select Zone (South, Mid, North)

N/A

Unknown

South Zone (20 PSF)

Middle Zone (30 PSF)

North Zone (40 PSF)

If applicable under ASCE 7-02, what is the live/snow roof load capacity in PSF of the unit's roof?

Select from List

N/A

Unknown

>15 PSF

15-30 PSF

31-50 PSF

51-75 PSF

>75 PSF

Is Roof designed to mitigate against potential cold weather hazards such as snow drifts, water ponding, and ice formations (as recommended by HUD or the ASCE)?

Select from List

Unknown

Yes (HUD Code)

Yes (ASCE)

Envelope (Note: web-based version will permit multiple selections)

What are the primary building materials for the Unit's envelop (ie., cladding)?

Select from List

Unknown

Wood-Based Materials

Metal-Based Materials

Concrete/Masonry/Earth-Based

Rubber/Plastic-Based Materials

Glass-Based Materials

SIP Type Materials

Natural Fabrics-Based

Synthetic Fabrics-Based

Others

Does Unit's envelope (roof, wall & floor) include material designed to be air barriers, vapor retarders...?

Select N/A, Unknown, Yes, No

If Vapor Retarder is installed as part of the Envelope assembly, what is its Vapor Permeability Class? (1: Impermeable, 2: Semi-Impermeable; 3: Semi-Permeable)

Select Class (1 - 3)

Class-1: Impermeable (0.1 perm or <)

Class-2: Semi-Imperm. (1.0 perm-0.1 perm)

Class-3: Semi-Perm. (10 perms-1.0 perm)

Where is the vapor barriers located?

Select from List

Unknown

Behind Drywall

Behind Rigid Insulations

Does unit include a floor or required one being provided or constructed on site?

Select from List

Unknown

Yes

No, but provider can build one as an option

No, provider will need one provided

Is Unit's Envelope (roof, wall & floor) composed of, covered by, or treated with material resistant to:

Select N/A, Unknown, Yes, No

Unknown

Resistant (Water & Moisture)

Resistant (Mold)

Resistant (Mold, Water & Moisture Intrusions)

Resistant (Dry Rotting)

Resistant (Termites)

Resistant to All

Water Intrusion

Moisture Infiltration

Mold

Rot

Termites Infestation

Ventilation & Air Quality

Does Unit design meet industry minimum standards for residential ventilation and acceptable indoor air quality (Standards under ASHRAE 62 series)?

Select N/A, Unknown, Yes, No

N/A

Unknown

Yes

Is Unit equipped with Detector/Alarm unit or system for Carbon Monoxide (CO) hazard?

Select N/A, Unknown, Yes, No

Do all fume/exhaust producing equipment/appliances inside the Unit vent directly outdoors?

Select N/A, Unknown, Yes, No

Has indoor air quality testing been performed to document presence/absence of toxic/hazardous gases? (formaldehyde, volatile organic compounds)

Select from List

Unknown

Not Tested

Yes, but no documenation

Yes, documentation available

Have the building materials used in the construction of the unit(s) been determined to be made of non-toxic/hazardous constituents?

Select from List

Have building materials with toxic/hazardous constituents been determined to be low-emitting materials in accordance with industry standards (USGBC-LEEDs, HUD, OSHA, EPA...)?"

Select from List

Unknown

Not Tested

Yes, but no documenation

Yes, documentation available

Are MSDS (Material Safety Data Sheets) available for all materials used in construction of the unit(s)?"

Select from List

Unknown

Yes, documentation available

What is the design exchange rate of indoor air, expressed as room air changes per hour (ACH)?”

Write in Air Change per Hour (ACH)

Fire

If applicable and known, what is the overall Fire Rating of Unit?

Select Hour Rating

N/A

Unknown

None

1-Hour

2-Hour

3-Hour

4-Hour

If not required to meet a fire-rating requirement (i.e., a single-family structure), is Unit built of non-combustible materials?

Select N/A, Unknown, Yes, No

N/A

Unknown

Yes

Is Unit "All Electric" (i.e, all electrical heating and cooking equipments with no-open flame exposure)?

Select N/A, Unknown, Yes, No

Is Unit equipped with adequate number of smoke detectors ? (Generally, 1 detector per each partitioned area, such as an enclosed bedroom)

Select N/A, Unknown, Yes, No

Is Unit equipped with properly sized extinguishers (min. 5lbs. ABC)?

Select N/A, Unknown, Yes, No

Is Unit equipped with a functional Sprinkler System?

Select N/A, Unknown, Yes, No

Fire (Con't)

Is there more than 1 doorway entrance/exit in Unit?

Select N/A, Unknown, Yes, No

Can all door locks (incl. interior roomdoors), latches or other closing mechanisms be manually unlocked from the inside without the use of tool or key?

Select N/A, Unknown, Yes, No

Are all door locks (incl. interior roomdoors), latches or other door closing mechanisms located at 54" or less from the finished floor?

Select N/A, Unknown, Yes, No

What is the minimum clear width (in Inches) of Unit's Doorways and Hallways/Cooridors?

<<< Write in numerical in Inches

All Doorways

Hallways and Cooridors

Are all partitioned areas in the Unit (ex., bedrooms) equipped with egress window?

Select N/A, Unknown, Yes, No

If not egress windows, can all window locks , latches or other closing mechanisms be manually unlocked from the inside without the use of tool or key?

Select N/A, Unknown, Yes, No

For windows equipped with storm shutters, screens or other protective or decorative devices, can they be unlocked or removed from the inside?

Select N/A, Unknown, Yes, No

Do all windows meet the following floor to sill height and Minimum Net Clear Opening (MNCO) dimensions ? Note: Answer "No" if not ALL windows can answer "Yes" under each column.

Select N/A, Unknown, Yes, No

Sill Heights =/< 44" above the floor

MNCO Height =/> 24"

MNCO Width =/> 20"

Window has Overall MNCO of 5.7sf

N/A

Unknown

Yes

Are ALL of the following equipment and system approved under UL (Underwriters Laboratories Standards for Safety), CSA (Canadian Standards Authority), or other recognized authority?

(Answer "No," if not all within the group are approved products)

Equipments or System Categories

Select: "Unknown," "No,"or "Yes: UL/CSA"

If Yes, but not UL or CSA. (Write Name Below)

Unknown

Yes, UL and/or CSA

Yes, but not UL/CSA, then Write Response in Box >>>

All Major Appliances

All Interior and Exterior Lighting Fixtures and Equipments

100

Wiring System (Both Surface-Mounted or Imbedded)

101

Electrical switches and receptacles (both interior & exterior)

102

103

Special Needs

Is Unit in its "As Is" condition compliant with Uniform Federal Accessibility Standards (UFAS)?

Select N/A, Unknown, Yes, No

104

If there is an UFAS compliant version of the Unit, please provide its model number and name below? (A separate worksheet may be used to capture UFAS features)

If Yes, provide more info here

105

Model Name

Model Number

106

107

Can the current Unit be modified in the field to comply with UFAS requirements (ex., min. 32" W doorways, 60" turning space in all rooms, <48" high lock)?

Yes only if answered yes to all

108

If claimed to be feasible to convert to UFAS compliant, are there approved drawings available for the conversion?

Yes only if answered yes to all

109

Can Unit accommodate occupant dependent on medical oxygen use? (For Example, no exposure to open flames inside Unit)

Select N/A, Unknown, Yes, No

110

Is documentation certifying Unit's UFAS compliance available for review, if applicable?

Select N/A, Unknown, Yes, No

111

Range of Use: (Operational & Logistical Factors)

112

Unit Exterior Dimension/ Footprint (Once set-up/built; & if applicable, after fully extended/expanded)

Unit Height (Highest Elev. from Grade, Exterior Measurement)

<<< Write in approximate feet

113

Unit Depth (Longest Side fr. Front to Back; Use full extended Measures)

114

Unit Width (Ext. Measures, Side to Side; Use ful extended measures)

115

Square Footage of Unit's Footprint (2 dimensional; Round up to highest SF)

116

Transportability

Can Unit be driven (i.e., RV)?

Select N/A, Unknown, Yes, No

117

Is Unit equipped with a permanent chassis for initial and continued transportability?

Select N/A, Unknown, Yes, No

118

If Unit is towable, which minimum class of vehicle is required?

Select from List

N/A

Small Passenger Car (Class C)

Mid-Full Size Passenger Car (Class D-E)

SUV (Class E)/ Small Pickup (Under 4.5k lbs)

Standard Pickup (4.5k-8.5k lbs)

Heavy Truck

119

Does Unit require a special highway movement permit, and an escort vehicle, to be transported on roads?

Select from List

N/A

No Permit or Escort Required

Permit Only

Permit & Escort Required

120

Can Unit be reduced in size and/or stacked for transport without risking damage to Unit? (Note: "Stored" dimension info is requested below)

Select N/A, Unknown, Yes, No

121

What is the Unit's shipment weight?

0 lbs

<<< Write in Wt in lbs

122

Is Forklift or Crane required to lift/load and unload unit for and from transport?

Select from List

Yes, Forklift

Yes, Crane

Yes, Forklift & Crane

123

Can Unit be transported by standard means such as flatbeds, barge, train?

Select from List

N/A

Flatbed

Barge

Train

Flatbed, Barge, Train

124

Set Up/ Assembly/Construction

What kinds of tools are required to set up/install/assemble/construct the Unit? (Note: Not to include loading and delivering off transport to site)

Select from List

N/A

Hand Tools Only

Power Tool Required

Crane and/or Forklift

125

How many people are required to conduct "field" set up/ installation/ construction of Unit?

Select from List

1 - 2

3 - 4

5 - 6

7 - 8

9 - 10

>10

126

Is manufacturer-trained crew required for field assembly/installation of Unit? (Provider's requirement only; Local requirements addressed under Local Conditions)

Select N/A, Unknown, Yes, No

N/A

Unknown

Yes

127

Will the following building trade workers be needed to set up the Unit in the field? (Excluding site work staff)

Select N/A, Unknown, Yes, No

128

Electrician/ Lineworker

Plumber

HVAC

Drywall

Carpenter

Iron Workers

Stone/ Masonry

Painters

Glazier/ Window

129

130

Write in Others>>>

131

Utilities

Two responses are needed for the following questions concerning utilities for the Unit:

Select N/A, Unknown, Yes, No

132

QUESTIONS

(a) Is Unit equipped with Connectors for ready hookup to:

(b) Does Unit's "Spec" documents show actual connection details?

133

Municipal Water System?

N/A

Unknown

Yes

134

Municipal Sewage or Homeowner's Septic System?

135

Municipal Electrical Facilities?

136

Gas Supplier's system

137

138

If equipped with a Potable Water Tank, what is the holding capacity?

Select from List

Not Equipped

<25 Gal

25 - 50 Gal

51 - 75 Gal

75 - 100 Gal

>100 Gal

139

If equipped with wastewater treatment units, what is the Gallons Per Day (GPD) capacity?

Select from List

Not Equipped

< 50 GPD

100 GPD

200 GPD

300 GPD

400 GPD

500 GPD

140

If equipped with a tank for heating/cooking gas, what is the holding capacity?

Select from List

Not Equipped

<25 Pound

25 - 50 Pound

51 - 75 Pound

75 - 100 Pound

>100 Pound

141

If equipped with a heating/cooking liquid fuel Tank, what is the holding capacity?

Select from List

Not Equipped

<25 Gal

25 - 50 Gal

51 - 75 Gal

75 - 100 Gal

>100 Gal

142

What is the primary source of heating & Cooking fuel for Unit: Gasoline, Natural Gas, Propane, Electricity?

Select from List

Gas & Electric Options

Electricity

Natural Gas

Fuel Oil

Gasoline

Propane

Diesel

143

If equipped with a Portable Generator, what is the wattage? (Select the nearest highest wattage)

Select from List

Not Equipped

2,500 Watt

5,000 Watt

7,500 Watt

10,000 Watt

12,500 Watt

144

Is Unit equipped with an electrical wiring system rated at 110/120 VAC, or 220/240 VAC, or both?

Select from List

Unknown

110/120 VAC

220/240 VAC

Both

145

Is Unit equipped with a DC Converter for its lighting system?

Select N/A, Unknown, Yes, No

146

What is the designed amperage of the Unit's electrical system?

Select from List

N/A

30 Amp or Less

50 Amp

100 Amp

200 Amp

147

Maintenance & Repairs

If FEMA is required to supply ongoing maintenance support for the unit, what will be the required minimum frequency?

N/A, Weekly, Bi-Weekly…

N/A

1x Per Month

1x Per 2 Weeks

1x Per Week

> 1x Per Week

148

If applicable, what are the types and length of warranty provided by Unit's manufacturer or builder:

Select/ Write in

N/A

Warranty Not Provided

6 Months

1 Year

2 Year

3 Year

4 Year

5 Year or >

149

Structure

Electrical System

Plumbing System

HVAC System

150

Appliances

Write in Others>>

Choose Length>>

151

152

If documented, what is the record of the unit switch out and replacement in past usages? (% of total used by FEMA to date)

Unknow - Good - Bad

Unknown

Good (5% or Less)

Fair (<10%)

Bad (>15%)

153

If documented, what is the record of past consumer complaints concerning the Unit or its manufacturer/builder? (General public experience, if available)

Unknow - Good - Bad

154

Reusability & Storability

Can the unit be practically and reasonably deconstructed/dissembled to be reused at another location?

Select N/A, Unknown, Yes, No

155

Can the unit be reduced in size for storage without risking damage to the unit?

Select N/A, Unknown, Yes, No

156

If Unit can be reduced in size for storage or transport, what is the dimension of Unit when configured for storage? (Provide measures in LF; if less than a foot, provide info in decimal)

<<<Leave blank if not stackable; or write in D, W, H

157

Highest Height?

0 ft

0 in

Longest Width?

0 ft

0 in

Longest Depth?

0 ft

0 in

158

159

Unit Key Access (Additional questions are asked under Security in the Livability Section Below)

Is Unit equipped for access via a master key?

Select N/A, Unknown, Yes, No

160

What is the unit key & lock repetition ratio (i.e., every 50, 100)?

Select from List

Don't Know

1 per 50 or less

51 - 100 Ratio

101 - 200 Ratio

> 200 Ratio

161

Unit Identification

Will Provider barcode the Unit? (See FEMA for specific requirement)

Select N/A, Unknown, Yes, No

162

Quality Assurance

Has Unit be subjected to any independent testing program for Quality Assurance checks?

Select from List

No QA Program

Internal QA Program ONLY

Single Independent Testing Entity

Multiple Independent Testing Entities

163

How often is the Unit QA/Performance Testing conducted?

Select from List

Once Quarterly

Once Semi-Annually

Once Annually

Once Every 2 Years

Less Frequent than Biennially

164

Are all approved testing results/certification documentations available for review?

Select N/A, Unknown, Yes, No

Yes

165

What QA follow-up services (in the fields) are offered by Provider?

<< Write in

166

Range of Use: (Transitional Housing Value)

167

Transitional Housing Value

Is Unit designed to permit subsequent structural modification and additions that can horizontally or vertically increase the size of its living area?

No/ Yes and % increase

Yes, horizontal Expansion

Yes, vertical expansion

Yes, both horizontally & vertically

168

Can Unit be used for permanent/long-term housing (min. 7 years) "as is" without modification? Or will modification be required to make it a permanent housing Unit?

As is or Modification Req

Use "As Is"

Modification Required

169

Can Unit be placed on permanent foundation? (Answer drawn from #54 above)

Answer from Above

N/A

Unknown

Yes

170

Can Unit be structurally elevated by using standard building flood protection methods?

Unknown

Answer from Above

171

Does Unit allow for permanent utility connections?

Select N/A, Unknown, Yes, No

172

Does Unit building structure meet minimum energy performance standards for residence?

Select N/A, Unknown, Yes, No

173

If equipped with major household applicances, do they meet federal Energy Star standards?

Not Equiped, Yes, No

Not Equipped

Unknown

Yes

174

If not intended for permanent use, can the unit be removed easily so as not to impede upon the applicant's long-term recovery efforts?

Select N/A, Unknown, Yes, No

175

Can Unit in its "As is" condition be used as a collateral for obtaining a mortgage or other financing?

Select N/A, Unknown, Yes, No

Yes, as collateral

176

Can Unit obtain protection under typical Homeowners Insurance? If not, are there other established options? (Note: Assuming favorable site conditions)

Select from List

Unknown

Yes, Homeowenr Insurance

Yes, under Personal Property-type Insurance

177

Livability Features

178

Unit Interior Dimensions/ Floor Space

Ceiling Height (Highest Point)

<<< Write in

179

Ceiling Height (Lowest Point)

180

Interior Depth (Front to Back)

181

Interior Width (Longest Length)

182

Square Footage of Floor Space (Interior Wall to Interior Wall)

0 SF

Write in SF

183

Cubic Living Space (Estimate if actual is unknown)

0 CF

Write in CF

184

Occupancy

Intended Maximum Number of Occupants per Unit (as is/without modification to unit)

Select from List

1 Occupant

2 Occupants

3 Occupants

4 Occupants

5 Occupants

6 Occupants

7 Occupants

8 Occupants

> than 8 Occupants

185

What is the Unit's intended Maximum Occupancy Duration?

Select from List

30 Days or Less

Up to 90 Days

Up to 18 Months

Can become Permanent Housing

186

Bedroom

For Unit's Bedroom(s), please select or enter data requested under each column: (1) Persons intended per room; (2) Square Footage per bedroom; (3) Total # of Bed(s) per bedroom; (4) Total Closet SF; (5) dimension of each closet; (6) whether hanging rods a

Select from List/ or write in where specified

187

1 Person

2 Persons

3 Persons

4 Persons

5 Persons

6 Persons

7 Persons

8 Persons

188

Not Applicable

Not Provided

Yes

189

Room Type

Person/ Room

Room SF

Total Bed(s)

Bed Type(s)

Closet 22" Deep

Closet SF

Hanging Rod & Shelf

Window

<50SF

>/= 50SF

>/= 70SF

>/= 120SF

>/= 170SF

>/= 220SF

>/= 270SF

190

Bedroom 1

Not Provided

Half Twin Size Bed

Twin Size Bed

Full Size Bed

Queen Size Bed

King Size Bed

Bunk Bed

191

Bedroom 2

192

Bedroom 3

Not Provided

Rod Only

Shelf Only

Rod & Shelf

193

Bedroom 4

194

Bedroom 5

195

Bedroom 6

196

197

Bath

For Unit's Bathroom(s), please select or enter data requested under each column: (1) Square Footage per room; (2) provision of toilet and sink; (3) provision of shower and bathtub; (4) provision of cabinet or storage; (5) capacity of Unit's water heater m

Select from List/ or write in where specified

198

199

200

# of Baths

Room SF

Toilet/Sink

Shower/ Bathtub

Cabinet/ Storage SF

H2O Heater FHR

Exhaust Fan CFM

Window

201

Bath 1

Not Equipped

<10 Gal

10 - 25 Gal

26 - 50 Gal

>50 Gal

202

Bath 2

Not Equipped

Capacity Unknown

Cont. F. =/>20cfm

Cont. F. <20cfm

Int. F.=/ >100cfm

Int. F. <100cfm

203

Bath 3

Toilet

Sink

Toilet & Sink

204

Shower

Bathtub

Shower s/ Tub

205

Kitchen (Note: Web-based version of Tool will permit selection of more than one choices. Multiple choices under drop down menu is for reference only)

For Unit's Kitchen, select/enter data requested under each column: Is Unit equipped with (1) a working kitchen; or "kitchen-ready" with all needed utilities hookups and spaces for required appliances and sink; (2) sink and dishwasher; (3) stove and microw

Select from List

Yes

No, but Kitchen- Ready

206

Not Equipped

Cook Top Only

Cook Top & Oven

Microwave Oven

CT, Oven & Microw.

Gas

Electric

Both Options Available

207

Not Equipped

Sink Only

Sink & Dish-washer

Not Equipped

1 Table & 2 Seats

1 Table & 4 Seats

1 Table & 6 Seats

1 Table & 8 Seats

208

Kitchen Exist?

Sink & Dishwasher

Stove/ Microwave

Gas/ Electric

Refrig/ Freezer

Exhaust Fan (CFM)

Cabinet/ Storage SF

Table & Chairs

Pots & Wares

Not Equipped

Compact Refrig.

Full-Size Freezer/ Refrig.

Not Equipped

Cook Pots & Wares

209

Not Equipped

< 25 CF

25 CF (Studio)

32 CF (1 Bdrm)

38 CF (2 Bdrm)

45 CF (3 Bdrm)

> 54 CF

210

Not Equipped

Capacity Unknown

Continous Fan =/> 30cfm

Continous Fan < 30cfm

Intermit. Fan =/> 50cfm

Intermit. Fan < 50cfm

211

Not Equipped

Compact Refrigerator

Full-Size Freezer/Refrigerator

Dishwasher

212

Living Room

For Unit's Living Room, please select/enter data requested under each column: Is Unit equipped with (1) a living room; (2) if so, what is the square footage; (3) Couch & Chairs; (4) table; (5) lamps; (6) TV…

Select from List

213

Studio

Separate Living Rm

214

Living Room?

Room SF

Couch & Chairs

Tables

Lamps

Window

Not Provided

Couch

Chairs

Couch & Chairs

215

Not Provided

Yes

216

217

HVAC

Is Unit's HVAC system designed to maintain living space conditions of 70F (under heating) and 75F (under cooling) and 50-55% relative humidity?

Select N/A, Unknown, Yes, No

218

What is the Unit' primary system for interior space heating?

Select from List

None

Furnance / Forced Air Heating System

Boiler / Radiator Heating System

Electric Wall & Radiant Heating System

Fireplace / Heating Stove

Solar Heating System

Portable Space Heaters

Heat Pumps

219

If equipped with a Heating System, what is the capacity?

Select from List

Not Equipped

6,000 BTU

12,000 BTU

18,000 BTU

24,000 BTU

30,000 BTU

>30,000 BTU

220

If equipped, what is the Unit's total Air Cooling Capacity in BTU/HR? (Central or Combining all room units). Note: 1T=12k BTU/Hour

Write-In BTU

N/A

6,000 BTU

12,000 BTU

18,000 BTU

24,000 BTU

30,000 BTU

>30,000 BTU

221

What is the Unit's primary means for Ventilation? (Mechanical vs. Natural such as windows & passive vents)

Select from List

None

Mechanical Ventilation System

Natural Ventilation: Intentional Openings

Both Mechanical & Natural

222

If equipped with a Mechanical Ventilation System, what is the system's Air Flow Capacity measured in cubic feet per minute (cfm)?

Select from List

Not Equipped

<50 CFM

50 - 100 CFM

101 - 150 CFM

151 - 250 CFM

>250 CFM

223

Furnishing

If furnitures are not included, or only partially included, does Provider offer furnishing as an add-on option?

Select N/A, Unknown, Yes, No

224

Laundry

Does Unit include washer and dryer?

Select from List

None

Washer Only

Dryer Only

Washer & Dryer

225

Telecommunication

Is Unit already equipped (wired and jacks installed) to support the following services? (Possible Requirements: Living Room & 1 Bedroom)

Select from List

Not Equipped

Phone, Internet & Cable

Phone Only

Internet Only

Cable TV Only

Phone & Cable Only

Phone & Internet Only

Cable & Internet Only

226

227

Phone

Internet

Cable

228

Living Room

229

Bedroom 1

230

231

Security

Are Unit's exterior door equipped with more than one lock requiring different keys?

Select N/A, Unknown, Yes, No

232

Does Unit have additional security devices (e.g., deadbolt) for exterior door(s)?

Select N/A, Unknown, Yes, No

233

Are all openable windows in Unit securable by manual locking devices (e.g., latch)?

Select N/A, Unknown, Yes, No

234

Timeliness Factors

235

Unit Acquisition (Note: Web-based version may allow choices for production levels, beginning with 50, then 100, follow by some mulitiples of either a 50 or 100 unit basis.)

Once a purchase/work order is issued, what is the MAXIMUM # of Units Provider can produce/build within a 8-week period - assuming Provider has 100% utilization of its facilties/equipments/staff with ample material supplies and fuel? Please use chart belo

<<< Write in Numerical Answers Only

236

237

Ramp-Up/ Lead Time

WK - 1

WK - 2

WK - 3

WK - 4

WK - 5

WK - 6

WK - 7

WK - 8

238

239

Day(s)

Unit(s)

240

241

Will there be seasonal impact on the provider's capacity to produce/deliver the units? (Click either months and/or seasons applicable)

Click on All Applicable

January

February

March

April

May

June

July

August

September

October

November

December

242

Jan

Feb

Mar

Apr

May

Jun

Winter

Spring

243

Jul

Aug

Sep

Oct

Nov

Dec

Fall

Summer

244

245

UFAS Compliant Unit Production/ Conversion

If possible and practical, how fast can Producer convert 100 non-compliant Units into fully UFAS compliant Units?

Select from List

Impossible / Impractical

15 Days or Less

30 Days

45 Days

60 Days

90 Days

120 Days

180 Days

246

If possible and practical, how fast can a non-compliant Unit in the field be converted to achieve full UFAS compliance?

Select from List

Impossible / Impractical

1-4 hours

5-8 hours

9-12hours

13-16hours

3 Days

4 Days

5 Days or >

247

Unit Manufacturing Locations

If Applicable, where are the established Unit manufacturing points in the U.S. and/or its territories?

(Check all applicable states and/or territories on Map below.)

248

249

250

251

252

253

254

255

256

257

258

259

260

261

Unit Distribution Facilities (FS) / Pre-Positioned Sites (PS):

Within Regions where applicable, select DS for Distribution Facilities; or PS for Prepositioning Sites; or Both.

262

263

264

265

266

267

268

This is the start of the file's text. The full file is on GovTribe.

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