TECHNICAL EXHIBIT 13 - Work Certificate Example.pdf

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PREVENTIVE MAINTENANCE AND REPAIR OF REAL PROPERTY EQUIPMENT USAG ANSBACH
Solicitation number
W912PB24R3010
Issued by

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This document appears to be a template for a work certificate or service order that includes details such as the work order number, inventory number, equipment information, work performed, parts used, labor hours, service call type, and pricing.

The related federal contract opportunity is for Preventive Maintenance and Repair of Heating, Cooling systems, and real property equipment within USAG Ansbach. This is a non-personal services contract where the contractor will be responsible for providing all necessary personnel, equipment, supplies, facilities, and other items to perform the work to the standards specified in the Performance Work Statement (PWS). The contract is being solicited by the Department of the Army Materiel Command Army Contracting Command.

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Work Certificate

Tele No.

Work Certificate Number

WON (US Controll Number) / Follow Work Order

TASKORDER No. Inventar-Nr. / Inventory No. Clin No.Dat. U. Zeit d. Anrufs / Date and Time of Call

Ausstattung / Equipment Type

Sonstiges / Other

Rechnung und Information / Invoice Information

Bezeichnung Wert EUR

Datum

Date

Tech.

Techn.

Anfang

Start

Ende

Finish

Work

Unit

Kunde Unterschrift

Customer Sign.

Teile benötigt / Parts used

Teil / Part

Total AW (Labour hrs.)

Art des Anrufs / Type of Call

Total T&M

Total FFP

Total German Law Inspection

GRAND TOTAL

Preis / PriceMe / Qty.

Beschreibung des Schadens / Description of Failure

Beschreibung der ausgeführten Arbeiten / Description of Work Performed

Tag, Unterschrift / Date, Signature (Techniker / Technician) Tag, Unterschrift /Date, Signature (Auftraggeber / Inspektor / Inspector)

Address

Kunde / Customer

Preventive Maintenance (FFP)

German Law Inspection (FFP)

Inventory and Labeling (FFP)

Regular Repair Hours (T&M)

Emergency Call Hours (T&M)

Replacement Parts (T&M)

German Law DGUV V3

Rpe (mOhm)

Visual Check:

Riso (MOhm)

I Ableit (mA)

BAD: Good:

Info

Protokoll

Hersteller Model Baujahr Seriennummer

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