Outage Request.pdf

PDF 251 KB Posted Jun 4, 2026

Attached to: Demolition Services At JBSA LAK/ LAK Chapman Annex
Solicitation number: FA301626R0033
Issued by: Department of the Air Force Air Education and Training Command

About this file

Written by GovTribe AI · Jun 4, 2026

This is a utility outage coordination form used by the 802d Civil Engineer Squadron at Fort Sam Houston (FSH), Randolph Air Force Base (RND), and Lackland Air Force Base (LAK) to manage planned and unplanned utility outages.

The form requires contractors to document outage details including the date, permit number, work/project number, primary utility type (electrical, HVAC, fire alarm, fire suppression, water, sewer, gas, or other), secondary affected systems, affected facilities, outage duration, proposed date with alternates, start and end times, work description, specific facility room/floor/area affected, requestor contact information, and 802 CES Project Manager contact information. The form mandates pre-coordination with external contractors (American Water for water/sewer, CPS Energy for electrical/gas, SAWS, 502d Communications Squadron, Network Enterprise Command, Army Security System Network for FSH and Cannon Barracks only, Security Forces Squadron, and 902 CES Fire Emergency Service) and internal facility managers for all affected buildings. Additionally, coordination is required with multiple CES supervisory positions including Interior/Exterior Electric, Alarm, Power Production, Plumbing, Water/Wastewater, EMCS, and HVAC supervisors, along with the CE Customer Service and Service Contracts supervisors, Facilities Chief, Infrastructure Chief, and final approval from the 502 CES Chief and 802 CES Director/Deputy. The process requires a 30-day notification period after approval, with all pre-coordinators signing their respective pages before submission to the 802 CES Project Manager, who then routes it through 502 CES to 802 CES Leadership for final approval.

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v20250804

802d CIVIL ENGINEER SQUADRON

( FSH / RND / LAK )

PLANNED / URGENT UNPLANNED UTILITY OUTAGE

COORDINATION

Date: _______________ Permit: _______________

WT / Project #: ____________________

Primary Utility Outage:

☐ Electrical ☐ HVAC ☐ Fire Alarm ☐ Fire Suppression

☐ Water ☐ Sewer ☐ Gas ☐ Other ____________________

Secondary Affected System(s)/Item(s):

Facility(s) Affected:

Duration of Outage: ___________________________________ ( Hours / Days / Weeks )

Proposed Date: _________________________ Alternate: _________________________

Start Time: _______________ End Time: _______________

Work Description:

Facility Room/Floor/Area Affected:

Requestor: ________________________________________ Phone: _________________________

802 CES PM: _______________________________________ Phone: _________________________

CONTRACTOR PRE-COORDINATION:

American Water (Water/Sewer) Remarks: ________________________________________

Capital.JBSA@amwater.com

CPS Energy (Electrical/Gas) Remarks: ________________________________________ mscs@cpsenergy.com

SAWS Remarks:

(210) 233-2015

502d Communications Squadron Remarks: ________________________________________

502cs.cfp@us.af.mil

Network Enterprise Command (NEC) Remarks: ________________________________________ mark.r.baker6.civ@army.mil

(FSH & CB ONLY)

Army Security System Network (G-2) Remarks: ________________________________________

(210) 221-8200

(FSH & CB ONLY)

Security Forces Squadron Remarks: ________________________________________

FSH – michael.sedgwick.4@us.af.mil

RND – jonathan.dula@us.af.mil

LAK – lisa.frantz@us.af.mil jose.cooper.1@us.af.mil

902 CES Fire Emergency Service Remarks: ________________________________________ mailto:Capital.JBSA@amwater.com mailto:mscs@cpsenergy.com mailto:502cs.cfp@us.af.mil mailto:mark.r.baker6.civ@army.mil mailto:michael.sedgwick.4@us.af.mil mailto:jonathan.dula@us.af.mil mailto:lisa.frantz@us.af.mil mailto:jose.cooper.1@us.af.mil

CONTRACTOR COORDINATION WITH FACILITY MANAGER:

Bldg: __________ Name: ___________________________________ X

CES COORDINATION:

Interior Electric Supervisor/Alt X

Exterior Electric Supervisor/Alt X

Alarm Supervisor/Alt X

Power Production Supervisor/Alt X

Plumbing Supervisor/Alt X

Water/Wastewater Supervisor/Alt X

EMCS Supervisor/Alt X

HVAC Supervisor/Alt X

CE Customer Service Supervisor X

CE Service Contracts Supervisor X

Facilities Chief/Alt X

Infrastructure Chief/Alt X

Structural Chief/Alt X

(FSH/RND/LAK) Chief, 502 CES X

Director/Deputy, 802 CES _______________ X

OUTAGE REQUEST INSTRUCTIONS

All outages shall be coordinated and submitted in accordance with the requirements specified in specification 01 14 00 JBSA WORK RESTRICTIONS and the instructions listed here. Keep in mind that outages require a 30 day notification period after approval. The actions of the General Contractor and 802 CES Project Manager for each step in the process are listed below.

General Contractor 802 CES Project Manager

1) Fills in all applicable fields on the 1st page of the

Outage Request form.

2) Route Outage Request to applicable pre-coordination stakeholders for concurrence and signature, listed on the 2nd page of the form. Utilize the action button at the top of the page to generate a page to e signed by the applicable pre-coordinator. Each pre-coordinator shall sign their own copy of the generated page.

a. If a pre-coordinator disagrees with the outage details, discussions between the stakeholder, contractor, and CE PM occur until concurrence.

b. Using the applicable pre-coordinator Upload button, attached the signed page once received.

3) Contractor routes outage request to the applicable facility manager(s). Note the organization they represent.

4) Submit the fully pre-coordinated outage request to the 802 CES PM.

5) No action required while in process for CES signatures.

6) CE PM gets signed outage request from 502 CES Chief, and then submits to 802 CES Leadership for final approval.

7) Receive copy of the approved Outage Request.

Maintain an on-site copy for the duration of the outage.

a. Repeat these steps if request is denied.

1) Do not sign the Outage Request until it has been fully pre-coordinated.

2) Advise the contractor on the applicable pre-coordinators they should be contacting.

a. Verify revised outage details are agreed to by all parties.

b. Verify all applicable pre-coordinator signed pages are attached.

3) Provide contact information for applicable facility manager(s). Ensure that the correct organization is listed for each representative.

4) Verify outage request details are what has been communicated by the GC. Sign on the 1st page of the Outage Request once confirmed.

5) Submit Outage Request to 502 CES through MS TEAMS/SharePoint.

6) Once signed by 502 CES Chief, submit to 802 CES Leadership for approval through 1st Line Supervisor.

7) Return copy of the approved Outage Request to the GC and all pre-coordinators.

a. If denied, send details of reason for rejection to the GC.

v20240528

ACKNOWLEDGEMENT OF OUTAGE REQUEST

Primary Utility Outage:

☐ Electrical ☐ HVAC ☐ Fire Alarm ☐ Fire Suppression

☐ Water ☐ Sewer ☐ Gas ☐ Other ____________________

Secondary Affected System(s)/Item(s):

Facility(s) Affected:

Duration of Outage: ___________________________________ ( Hours / Days / Weeks )

Proposed Date: _________________________ Alternate: _________________________

Start Time: _______________ End Time: _______________

Work Description:

Facility Room/Floor/Area Affected:

Organization: ____________________________________

Name: ___________________________________________

Email: ___________________________________________ Phone: _________________________

Other:

Duration of Outage:

Proposed Date:

Alternate:

Start Time:

End Time:

Check Box2:

0: Off

1: Off

2: Off

3: Off

0: Off

1: Off

2: Off

3: Off

Text3:

Text4:

Text5:

Text6:

Coord_Org:

Coord_Name:

Coord_Email:

Coord_Phone:

1_Date:

0_Permit:

1_WT Project:

1_Check Box2:

0: Off

1: Off

2: Off

3: Off

0: Off

1: Off

2: Off

3: Off

1_Other:

1_Text3:

1_Text4:

1_Duration of Outage:

1_Proposed Date:

1_Alternate:

1_Start Time:

1_End Time:

1_Text5:

1_Text6:

1_Text13:

1_Text15:

1_Text14:

1_Text16:

2_Remarks:

2_Button1:

2_Remarks_2:

2_Remarks_3:

2_Remarks_4:

2_Remarks_5:

2_Remarks_6:

2_Button4:

3_Bldg:

3_Name:

3_Bldg_2:

3_Name_2:

3_Bldg_3:

3_Name_3:

3_Bldg_4:

3_Name_4:

3_Bldg_5:

3_Name_5:

3_Bldg_6:

3_Name_6:

3_Bldg_7:

3_Name_7:

3_Bldg_8:

3_Name_8:

3_Bldg_9:

3_Name_9:

3_Signature8:

4_Phone9:

0: <NAME>

<PHONE>

1: <NAME>

<PHONE>

2: <NAME>

<PHONE>

3: <NAME>

<PHONE>

4: <NAME>

<PHONE>

5: <NAME>

<PHONE>

6: <NAME>

<PHONE>

7: <NAME>

<PHONE>

8: <NAME>

<PHONE>

9: <NAME>

<PHONE>

10: <NAME>

11: <NAME>

12: <NAME>

4_Signature9:

4_DETERMINATION: [<SELECT>]

2_Remarks_7:

3_Bldg_11:

3_Bldg_12:

3_Bldg_13:

3_Bldg_14:

3_Bldg_15:

3_Name_11:

3_Name_12:

3_Name_13:

3_Name_14:

3_Name_15:

3_Name_10:

3_Bldg_10:

File details come from the government source that posted it. Updated Jun 4, 2026.