Service Call Work Authorization.pdf
PDF 136 KB Posted
- Solicitation number
- SP4702-24-R-0005
- Issued by
-
Defense Logistics Agency
About this file
This is a Service Call Work Authorization form template used for requesting and documenting repair work under the DLA Enterprise Fire Protection Control Systems (FPCS) contract. The form captures critical information including call classification (Emergency/Urgent/Routine), building details, fire system identification numbers (Fire Sprinkler, Fire Alarm, and Mass Notification systems), and the scope of work to be performed.
The form includes sections for cost estimation, work scheduling, and completion documentation. It requires details on materials/equipment costs, labor hours expended, and CLIN number charges. The form mandates government authorization through a Contracting Officer or COR signature and includes provisions for system impairment documentation when required. A contractor's certifying official must sign off on completed work, with spaces provided for recording start/completion dates and times, and a description of work performed and materials used.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0005.pdf | ||
| Site Visit Roster.pdf | ||
| RFP Questions from vendor.xlsx | XLSX spreadsheet | |
| Amendment - 0004_Signed.pdf | ||
| FPCS PWS.pdf | ||
| PWS Acronym List.pdf | ||
| Inventory from Host Site.pdf | ||
| Attachment 2 - Updated FPCS Pricing Sheet.xlsx | XLSX spreadsheet | |
| Attachment 3 - Updated FPCS Eval Factor 3 Sample TO PWS.pdf | ||
| Purdue Level Information.pptx | PPTX presentation | |
| Attachment 8 - FPCS IDIQ_QASP.pdf | ||
| SP4702-24-R-0005 - FPCS OT Pillar.pdf | ||
| Amendment - 0003.pdf | ||
| Amendment - 0002.pdf | ||
| Amendment - 001.pdf | ||
| Attachment 3 - FPCS Eval Factor 3 Sample TO PWS.pdf | ||
| Attachment 1 - FPCS PWS.pdf | ||
| SP4702-24-R-0005 - FPCS OT Pillar.pdf | ||
| Attachment 6 - Key Personnel Resume Template.docx | DOCX document | |
| Attachment 4 - Cross Reference.xlsx | XLSX spreadsheet | |
| Attachment 7 - Contractor NDA.docx | DOCX document | |
| Attachment 5 - KTR Experience Questionnaire.xlsx | XLSX spreadsheet | |
| Attachment 2 - FPCS Pricing Sheet.xlsx | XLSX spreadsheet |
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Text version
Emergency:
Urgent:
Routine:
Bay Number:
Brief Description of the Problem:
Work to be Performed:
Does this work require system impairment? Yes No If yes, complete Impairment Worksheet
Date:
Time Work Started:
Date:
Date Work Started: Date Work Completed:
Time Work Completed:
Fire Alarm System Number:
Phone Number:
Requesting Individual:
Mass Notification System Number:
Contractor's Certifying Official Signature:
Fire Sprinkler System Number:
Estimated Cost for Routine Repair Effort
Service Call Work Authorization
Cost of Equipment and Materials:
Number of Hours Expended: CLIN Number to be Charged:
Provide brief description of work completed and materials/parts used during this effort.
CALL CLASSIFICATION
Notification Time:
Notification Date:
Building Number:
Government Work Authorization I hereby authorize the repair work herein set forth to be done by the contractor. The contractor shall complete the following as necessary:
- Furnish all labor required to execute this work.
- Furnish all necessary material required for this work.
- In the event that system impairment is required, complete Impairment Worksheet.
- Complete any other forms required to safely carry out authorized work.
- Notify additional personnel as required prior to starting and upon completion of the required repairs.
X________________________________________ Date:_________________ (Contracting Officer or Contracting Officer Representative)
File details come from the government source that posted it. Updated .