APPENDIX_C_Test Agency Qualification Sheet.docx
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- Solicitation number
- N4008526R0004
About this file
This is an appendix containing a Test Agency Qualification Sheet template for evaluating contractor qualifications related to building envelope testing services.
The qualification sheet requires prospective test agencies to provide organizational information including agency name, mailing address, and multiple points of contact with telephone numbers and email addresses. Agencies must submit letters of recommendation documenting previous test work performed at their facilities. The form requests detailed qualifications for a Lead Pressure Test Technician, including name, contact information, tenure with the agency, years of experience pressure testing commercial and industrial buildings, and years of specific experience with building envelope pressure testing. Applicants must provide comprehensive documentation of commercial and industrial facilities previously tested by the lead technician, including facility name and address, point-of-contact information, test dates, facility description (floor area and stories), types and quantities of test equipment used, and number of personnel involved in testing. The sheet also requires qualifications for an Infrared Thermography Test Technician, with similar documentation requirements for years of experience testing commercial and industrial buildings and a detailed list of previously tested facilities with identical information requirements. Additionally, applicants must attach the infrared thermographer's current Level II training certificate. This template is part of Solicitation N4008526R0004 for the Design-Bid-Build P1102 Weapons Magazine and Ordnance Operations Facility at Naval Submarine Base New London, Groton, Connecticut, issued by the Department of the Navy Naval Facilities Engineering Command.
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Text version
TEST AGENCY QUALIFICATION SHEET
DATE _______________
COMPLETED BY _______________
A. Agency Qualifications
Agency Name: ________________________________________________________________________
Agency Mailing Address: _______________________________________________________________
Point-Of-Contact name, telephone number and e-mail address:
Point-Of-Contact name, telephone number and e-mail address:
Attach letters of recommendation for test performed at these facilities.
B. Lead Pressure Test Technician Qualifications
Name, telephone number and e-mail address: __________________________________________________________________
Length of time lead technician has worked with Agency as a lead pressure test technician: _____________
Years of experience as a lead technician pressure testing commercial and industrial buildings: ___________
Years of experience pressure testing building envelopes by lead pressure test technician: ______
Commercial/Industrial facilities previously tested by the lead pressure test technician. Include the following:
Facility name, address, point-of-contact with telephone number;
Dates of pressure test;
Facility description (including floor area, number of stories) tested;
Type and quantity of test equipment used; and Number of personnel performing the test.
C. Infrared Thermography Test Technician Qualifications
Name __________________________________________________________________
Years of experience as an infrared thermographer testing commercial and industrial buildings: ____________
Commercial/Industrial facilities previously tested. Include the following:
Facility name, address, point-of-contact with telephone number;
Dates of pressure test;
Facility description (including floor area, number of stories) tested;
Type and quantity of test equipment used; and Number of personnel performing the test.
Attach the thermographer's current Level II training certificate to this form.
File details come from the government source that posted it. Updated .