Quarters Checklist.docx
DOCX document 75 KB Posted
- Attached to
- Facility Assessment Federal contract opportunity
- Solicitation number
- IHS1467714
View the file
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| 3 Clauses and Provisions.pdf | ||
| 1 Instructions to Offerors.pdf | ||
| 2 PAIHS FCAP and Quarters SOW.pdf | ||
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Rating of Item: 1. Excellent 2. Good 3. Fair 4. Poor 5. Obsolete 6. Unsure 7. N/A 8. Yes 9. No
| Exterior | *Bold Items Must Be Supported By Documentation & Photos |
| Item | |
| Rating | |
| Remarks/Comments | |
| Est. Repair/Replacement $ |
Are there any notable signs indicating problems with the Roof (e.g., shingles curling or buckling, missing shingles, etc.)?
Rain Gutters/Downspouts/Drains
Damage to Exterior Walls /Siding
Damage to Exterior HVAC Heat/Air Unit Or Heat Source Unit Or Window Unit
Exterior Doors/Storm Door/Screens
Y
Y-
No significant deficiencies noted, nearing end of service life.
Functioning Windows/Screens (e.g., lock, open or close properly)
Are Porch/Steps/Fence Or Patio Damaged or Need Repair?
Y
Are Sidewalk/Driveway/Pathways Damaged or Need Repair?
Is there any known Asbestos or Lead Based Paint at the unit?
Are there indications of Moisture Issues, Water Damage Or Mold Issues at this unit?
Are there Radon Fans or reports of Radon at the unit?
Any signs of Chimney/Boiler Stack/Fire Place damaged or in need of repair?
Condition of Garage/Carport
Condition Of Outside Shed
Flammable Liquids Stored/Gas or Charcoal Grill Located Close To Quarters
Any Indications of Rodents/Insects Or Other Pests
Condition Of Lawn & Landscaping
Other
| Item |
| Rating |
| Remarks |
| Est. Repair/Replacement $ |
Basement Used For Storage. Is there an egress and ingress?
Basement Used for Other than Storage Is the basement used for bedrooms Is there Egress Windows; Write Remarks
Are there any moisture issues or visual signs of damage or leaks in the basement? If so, where?
Is there a sump pump? If so, is it operational? What is the condition of sump pump?
Is the furnace operational? If so, define its condition and the date of last filter change.
Is the Heating/Cooling System Operational? Define condition and type of system
Quarters Deficiency Checklist Installation Name: Installation Number: Quarters No.
Visual Inspection Performed By:
Date Unit Status: Vacant Maintenance Improvement/Renovation Demolition** Revocable
| Rating of Item: | 1. Excellent 2. Good 3. Fair 4. Poor 5. Obsolete 6. Unsure | 7. N/A 8. Yes 9. No |
| What is the date the Heating/Cooling System filters were changed? |
Smoke Detector/Carbon Monoxide Detectors (Operate and Function Properly)
$4,360.50
Living/Dining Room
| Item |
| Rating |
| Remarks: |
| Est. Repair/Replacement $ |
Walls/Ceilings/Floor Finishes
Are the electrical outlets, lighting features, and switches properly working?
Kitchen
| Item |
| Rating |
| Remarks |
| Est. Repair/Replacement $ |
Condition of Cabinets/Counter Tops
Conditions of Refrigerator (e.g., damaged, not properly cooling, etc.)
Is the Stove/Microwave/Range Hood Vents properly working
Any problems with the Kitchen Plumbing/Sink/ Dishwasher/Garbage Disposal
Is Washer/Dryer operational?
Are the kitchen electrical outlets, lighting fixtures, and switches properly working?
All Bedrooms
| Item |
| Rating |
| Remarks |
| Est. Repair/Replacement $ |
Walls/Ceiling/Floor Finishes
Any damage to Closets Adequate/In Good Condition, doors, shelves
Are the electrical fixtures, outlets, and switches working properly?
All Bathrooms
| Item |
| Rating |
| Remarks |
| Est. Repair/Replacement $ |
Condition of Bathroom fixtures e.g., tub/shower/cabinets/counter tops, Mirror, etc.
Condition of Bathroom Wall/Ceiling/Floor and signs of water damage
Are the electrical fixtures, Outlets and switches properly working
OVERALL INTERIOR RATING Excellent Good Fair Poor Obsolete OVERALL EXTERIOR RATING Excellent Good Fair Poor Obsolete
It is critical for this checklist to be filled out as accurately and completely as possible regarding the condition of the quarters.
By signing this document below, the parties agree upon the condition of the property and the required repairs. This Deficiency Checklist document must be completed and signed by the Tenant Manager, Maintenance Staff and Housing Manager and a copy provided to Tenant within 30 days.
Tenant Manager Maintenance Staff Housing Manager ** Note: Please coordinate quarter’s demolitions with the Area Realty Management Officer.
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