TE L Certificate of Elevator Inspection.pdf

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Attached to
Elevator Maintenance and Repair
Solicitation number
W9115124R0025_OCT24
Issued by

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This document is a Certificate of Elevator Inspection (GSA Form 55) issued by the General Services Administration (GSA) for an elevator located at an unspecified building. The certificate provides details on the elevator including the building, elevator number, type, duty, capacity, and passengers. It is signed by the elevator mechanic and elevator engineer responsible for inspecting the elevator. The certificate instructs the operator to call GSA in case of elevator trouble or emergency.

The related federal contract opportunity is for Elevator Maintenance and Repair services at the Fort Cavazos Military Installation. The solicitation number is W9115124R0025_OCT24 and the contracting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command Fort Hood. The requirement is for maintenance and repair of approximately 62 elevator systems located in 39 facilities at the installation.

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GSA 55 (REV. 7/2002)

GENERAL SERVICES ADMINISTRATION

CERTIFICATE OF ELEVATOR INSPECTION

GENERAL SERVICES ADMINISTRATION - PUBLIC BUILDINGS SERVICE

INSPECTED

DATE

ELEVATOR MECHANIC

ELEVATOR ENGINEER

ACKNOWLEDGMENT OF ELEVATOR INSPECTION CERTIFICATE

CERTIFICATION

I CERTIFY THAT I RECEIVED THE ORIGINAL OF THIS CERTIFICATE OF INSPECTION (GSA FORM 55) THAT IT HAS BEEN COUNTERSIGNED BY THE ELEVATOR MECHANIC, AND IS POSTED IN THE CAR OF THE ELEVATOR TO WHICH IT PERTAINS.

THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL:

GENERAL SERVICES ADMINISTRATION

GSA 55A (REV. 7/2002)

11.0.0.20130303.1.892433.887364

Building:
ElevatorNumber:
TypeDuty:
City:
Capacity:
Passengers:
CallNumber:
Elevator Mechanic :
Elevator Mechanic :
Elevator Mechanic :
Elevator Mechanic :
Elevator Engineer:
Elevator Engineer:
Elevator Engineer:
Elevator Engineer:
Row 1 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
Row 2 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
Row 3 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
Row 4 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL: :
THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL: :
THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL: :
1. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
SuperSign:

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