S02 - RFQ Att 3 - Elevator Inspection Certification VAMC.pdf

PDF 121 KB Posted

Attached to
H399--Third-Party Elevator Inspections RFQ Amendment to Answer Industry Questions Federal contract opportunity
Solicitation number
36C25026Q0314
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

About this file

This document is a template for the United States Department of Veterans Affairs (VA) Vertical Transportation Equipment (VTE) Certificate, used to document inspection and compliance of elevators and escalators at VA Medical Centers (VAMCs).

The certificate serves as an official record that vertical transportation equipment has been inspected and meets the ASME A17.1 Safety Code for Elevators and Escalators. The form captures essential information including the VAMC location, building number, unit number, street address, city, and state. Equipment details required on the certificate include type of service (passenger or freight), equipment make, and capacity. The form also distinguishes between traction and hydraulic systems. Each certificate documents the inspection date, the name of the qualified elevator inspector (QEI-1), and the inspector's certification number. The certificate expires six months from the last inspection date. The original copy is maintained in the Facilities Manager's office, with a copy posted in the elevator. The template provides multiple rows for recording successive inspection dates and inspector credentials to maintain a historical inspection record for each piece of vertical transportation equipment.

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Other files for this federal contract opportunity

Other files attached to H399--Third-Party Elevator Inspections RFQ Amendment to Answer Industry Questions, newest first.
File Type Posted
36C25026Q0314 0001_1.docx DOCX document
S02 - RFQ Att 2 - Elevator Inspection Traction Report.pdf PDF
36C25026Q0314_1.docx DOCX document
Wage Determination - 2015-4865 - Revision 29 - Dated 12-03-2025 - Saginaw County Michigan.pdf PDF
S02 - RFQ Att 1 - Elevator Inspection Hydraulic Report.pdf PDF

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Text version

UNITED STATES DEPARTMENT OF VETERANS AFFAIRS

VERTICAL TRANSPORTATION EQUIPMENT CERTIFICATE

VAMC BLDG. NO. UNIT NO.

STREET ADDRESS CITY STATE

TYPE SERVICE (i.e., Pass, Freight) MAKE CAPACITY

This VTE has been inspected and meets ASME A17.1 Safety Code for Elevators and Escalators

DATE OF INSPECTION

VTE INSPECTOR

NAME QEI-1 CERT #

CERTIFICATE EXPIRES 6 MONTHS FROM LAST DATE

Original in Facilities Manager’s office – Copy in elevator

VERTICAL TRANSPORTATION EQUIPMENT CERTIFICATE

VAMC BLDG.# UNIT #

STREET ADDRESS CITY STATE

TRACTION________

HYDRAULIC_______

PASSENGER_____

FREIGHT_____

MAKE CAPACITY

This VTE has been inspected and meets ASME A17.1 Safety Code for Elevators and Escalators

DATE OF INSPECTION

VTE INSPECTOR

NAME QEI-1 CERT #

CERTIFICATE EXPIRES 6 MONTHS FROM LAST DATE

Original in Facilities Manager’s office

April 1, 2024

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