TE 2 Work Order Request Template.pdf

PDF 124 KB Posted

Attached to
Preventative Maintenance and Repairs for Uninterrupted Power Supply, Generators, and Automatic Transfer Switches
Solicitation number
W912CN-26-Q-A017
Issued by

About this file

This document is a Work Order Request form template used for managing repair and maintenance work under a federal contract. The form establishes a structured six-step workflow between the Contracting Officer Representative (COR), Contracting Officer, and Contractor to process equipment repair requests from initial diagnosis through completion and inspection.

The workflow begins with the COR submitting a Request for Diagnosis/Estimate that includes equipment details, problem description, location, and project information. The Contractor then provides a Diagnosis Report, followed by a Repair and Cost Estimate detailing estimated labor hours, material costs, time to completion, and total job cost. The Contracting Officer reviews this information and issues Repair Approval with any notes or conditions. Upon completion, the Contractor submits a Repair Completion notification, and finally the COR or Authorized Inspector conducts a final inspection and documents the results. Each step requires contractor and government signatures with corresponding date and time stamps. The form includes fields for contractor contact information, work request number assignment, and notes/comments sections throughout to facilitate communication and documentation of the repair process.

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Other files

File Type Posted
TE Inventory FINAL.xlsx XLSX spreadsheet
PWS.pdf PDF
QASP.docx DOCX document
TE 1 Inventory.xlsx XLSX spreadsheet
W912CN-26-Q-A017 PRICING SHEET.xlsx XLSX spreadsheet
Wage Determination Rev 26.pdf PDF
TE 3 Deliverables.pdf PDF
W912CN-26-Q-A017 SF1449.pdf PDF

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Text version

Tech Exhibit #2 Work Order Request

1. From: COR To: Contractor Request For Diagnosis/Estimate

Name: Phone: Email/Fax:

Location:

Project Title: Contract Number:

Equipment:

Problem:

Notes/Comments:

COR Signature:

Date and Time Notified:

EMAIL

Work Request Number:

2. From: Contractor To: COR Diagnosis Report Contractor Name:

POC: Phone: Fax:

Contractor Signature: Date and Time Diagnosis Completed:

3. From Contractor To: COR Repair And Cost Estimate Estimated Man Hours & cost: Estimated Cost of Materials:

Estimated Time to Complete Job:

Estimated Total Cost of Job:

Contractor Signature: Date and Time Cost Estimate Submitted:

4. From Contracting Officer To: Contractor Repair Approval

Signature:

Date and Time:

5. From Contractor To: COR/AI Repair Completion

Contractor Signature:

6. From: COR/AI To: Contractor Repair Inspected Notes/Comments:_______________________________________________________________

COR/AI Signature:

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