Sample_Invoice_Fire_flow.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
Fire Flow Testing Services
Solicitation number
121589
Issued by
Prince George's County, Maryland

About this file

This document is a sample invoice and estimate form from the Washington Suburban Sanitary Commission (WSSC) in Maryland for Fire Flow Testing Services. The estimate template outlines six line items for contracted work, including fire flow tests (1 estimated quantity at $1,500 per unit), hydrant inspections (3,000 units), valve inspections (3,000 units), and traffic setup and maintenance services for county roads, state/arterial roads, and residential roads (5 eight-hour days each). The form includes fields for contractor information, activity periods, business address, contract upset limit, and cost calculations. The related contract opportunity indicates that sealed responses were due by 2:00 PM on November 30, 2026, via WSSC's eProcurement Portal. The Fire Flow Testing Program aims to evaluate hydraulic performance of the water distribution system by measuring static pressure, residual pressure, and flow rates at designated locations to assess flow-producing capacity, support engineering analyses, and inform future infrastructure improvements.

The contractor is responsible for planning, coordinating, and performing all fire flow testing activities, including field data collection, validation, documentation, and report submission in accordance with WSSC Water standards and industry best practices. The invoice form includes certification requirements whereby the authorized contractor representative must certify that payments have been made to subcontractors and suppliers in accordance with contractual arrangements. Specific pricing for individual line items and total contract value are not provided in the sample estimate template, though fields exist for rate calculations and total amounts payable. The contract emphasizes maintaining water distribution system integrity, minimizing customer and traffic disruption, and ensuring compliance with all applicable safety requirements and WSSC Water standards.

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Text version

Table 1

WASHINGTON SUBURBAN SANITARY COMMISSION
ESTIMATE NO.CURRENT
1FINAL
TASK ORDER JOB NO.SHEET1OF1
DATE PREPARED BY CONTRACTOR:
LOCATION
CONTRACTORACTIVITY PERIOD:
FROM:date
BUSINESS ADDRESS
TO:date
CONTRACT UPSET LIMIT
ITEM NO.ITEMUNITESTIMATED QUANTITYQUANTITY THIS ESTIMATEQUANTITY PREVIOUSLY ESTIMATEDTO DATE TOTALRATEAMOUNT
1Fire Flow TestEA1,500
2Hydrant InspectionEA3,000
3Valve InspectionEA3000
4Traffic Setup and Maintenance for County roads Greater than or equal to 8 hoursED5
5Traffic Setup and Maintenance for State/Arterial roads Greater than or equal to 8 hoursED5
6Traffic Setup and Maintenance for residential roads Greater than or equal to 8 hoursED5
DATE OF RECEIPT BY CM
DATE OF ACCEPTANCE BY CM
REMARKS BY CMTOTAL VALUE OF WORK DONE TO DATE
DATE FORWARDED TO DISBURSEMENTSTOTAL AMOUNT PAYABLE TO DATE
DATE RECEIVED BY DISBURSEMENTSPREVIOUS PAYMENTS
AMOUNT DUE ON THIS ESTIMATE
As the authorized representative of the Contractor, I hereby certify that the Contractor has made payments from proceeds of prior payments and that the Contractor will make timely payments from the proceeds of progress and final payment then due the Contractor to his subcontractors and suppliers accordance with the Contractor's contractural arrangement with them.
Certified Correct (contractor Signature)PAYMENT APPROVED
(Contract Manager)CHECKED BY

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