Amend 0002 (4) UTILITIES OUTAGE REQUEST FORM NEW.DOCX

DOCX document 28 KB Posted

Attached to
Job Order Contract (JOC) for construction services in Souda Bay, Greece.
Solicitation number
N3319121R4002
Issued by

About this file

This document contains a utilities outage request form and information about a related federal contract opportunity. The utilities outage request form is used by contractors working on Souda Bay, Greece to request authorization for scheduled utility interruptions involving electrical, water, sewage, or other utilities. It requires information such as the location, interruption dates and times, completion dates and times, contract number or job description, and notifications to building monitors and emergency services.

The related federal contract opportunity is a Job Order Contract for construction services in Souda Bay, Greece. It is an indefinite-delivery, indefinite-quantity contract with a maximum value of $40 million over its five-year period. The minimum guarantee is $5,000. The work involves renovation, repair, maintenance, replacement, alteration, demolition, and construction tasks. The proposal due date is 1 June 2021. The contracting agency is the Department of the Navy Naval Facilities Engineering Command.

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Text version

UTILITIES OUTAGE REQUEST FORM

DATE:

FROM:

, COMPANY

, CELL

TO:
Utilities Services Engineering Technician - Public Works Souda Bay

VIA FEAD if Contractor requested

(FEAD REP)

1. Request authorization for the scheduled utility interruption involving the following utilities:

☐Electrical☐Water☐Sewage☐Other ________________________
2. Location:

3. Interruption date and time (14 days prior):

4. Completion date and time:

5. Contract number and/or job description:

INTERNAL PRODUCTION DEPT ROUTING

PWD Utilities:

DATE:

PWD USBH:

DATE:

PWD PD:

DATE:

Comments:

THE FOLLOWING BULDING MONITORS WERE NOTIFIED OF THE RESPECTIVE UTILITY OUTAGE. DEPARTMENT HEADS WILL BE NOTIFIED BY E-MAIL:

PERSON NOTIFIED:

DATE:

PERSON NOTIFIED:

DATE:

PERSON NOTIFIED:

DATE:

PERSON NOTIFIED:

DATE:

PERSON NOTIFIED:

DATE:

EMERGENCY SERVICES (IF NEEDED)

FIRE DEPT:

DATE:

DISPATCH:

DATE:

SECURITY:

DATE:

PUBLIC WORK DEPARTMENT:

SIGNATURE (PWO/DPWO)

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File details come from the government source that posted it. Updated .