OandM Part 2 Equipment Enrollment Form.xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- REBUILD FACILITIES & WATERFRONT, STATION TYBEE ISLAND, USCG STATION TYBEE, COCKSPUR ISLAND, GA
- Solicitation number
- 70Z04720RTYBEDB
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Enrollment Form Equipment Enrollment Form
| To be filled out by Government (shaded blocks) | ||||
| Landlord/Unit Name | Landlord OPFAC | SAM Site # | SAM Location/Bldg # | SAM Location Description |
| SAM Location # 4542342 = Bldg 3159 | Bldg 3159 |
| To be filled out by Contractor (white blocks) | |||||||
| Uniformat II Level 4 | Equipment Description | Physical Location | Manufacturer | ||||
| Name | Model # | Serial # | Installation Date | Purchase Price1 | Replacement Cost2 | Warranty Expiration Date | Equipment Attributes3 |
| (Identification/Name Plate Information) | CG SAM "JOB PLAN" Number: (Correlates with a RS Means Preventative Maintenance Ref number - See Appendix O&M Parts 1&3) | PM Job Plan(s) w/ Frequency |
(i.e. 1921-M, 1920-Q, 1919-A)
| Bldg # | Floor | Room # | ||||||||||||
| D304008 | e.g. Air Handling Unit | 3159 | 1st | Boiler Rm | Carrier | YE3666OER21 | 7112LO3306 | 10/1/04 | $ 1,200.00 | $ 500.00 | 10/1/05 | 300 CFM, 480V, Phase 3, 5 ton | 1780-Q, 1778-A | Q/A |
| D202002 | e g. Backflow Preventer | 3159 | 1st | Mech Rm | Watts | 900 | 112112 | 1/1/00 | $ 4,500.00 | $ 1,200.00 | 1/1/01 | 2.5 IN | 1972-A | A |
| D303002 | e.g. Condensing Unit | 3159 | Roof | N/A | Trane | TTTR025C10 | L204P9GAF | 5/15/96 | $ 2,500.00 | $ 1,000.00 | 5/15/97 | R-22, 4.2lbs, 300/300 PSI | 1826Q, 1825A | Q/A |
| D302002 | e.g. Hot Water Boiler | 3159 | 1st | Mech Rm | Cleaver Brooks | MCF | MB586 | 6/30/12 | $ 1,500.00 | $ 700.00 | 6/30/13 | 900 MBH | 1914-M, 1913-Q, 1912-A | M/Q/A |
| D302003 | e.g. Package Unit Forced Air, Gas | 3159 | N/A | N/A | York | D2NX04D09 | N1D0784403 | 9/15/08 | $ 3,000.00 | $ 1,500.00 | 9/15/09 | 250 MBH, R-22, 6.3lbs, 278/144 | 1937Q, 1936A | Q/A |
| B301099 | e.g. Roof | 3159 | Roof | N/A | N/A | N/A | N/A | 1/1/90 | $ 25,000.00 | $ 10,000.00 | 1/1/15 | 10700 SF, Shingles | 9069-A | A |
| General Instructions: |
| 1. Purchase Price: Total cost of installation to include cost of equipment, labor, shipping, etc… |
| 2. Replacement Cost: Cost of equipment only. |
| 3. Equipment Attributes: To include sizes (i.e. motor HP, SF, LF, etc…), capacities (other than size), and ratings. |
&20Coast Guard Maintained Equipment with Corresponding Means PM Plan
Version 1.0
File details come from the government source that posted it. Updated .