Equipment Checklist Form rev.pdf

588 KB Posted

Attached to
B22 HVAC Construction
Solicitation number
W912DQ24R4042
Issued by

About this file

Written by GovTribe AI ·

This document appears to be an Equipment Checklist Form related to a federal contract opportunity. The key details are:

The form is for Contract #: [contract number] and includes sections to record details on new or replacement equipment such as the description, serial number, size/capacity, manufacturer, model number, location, warranty information, and installation dates. It also includes an "As-Built Sheet" section to document additional details.

The related federal contract opportunity is for the "B22 HVAC Construction" project, Solicitation Number W912DQ24R4042. This is a design-bid-build project to replace and repair the HVAC system for historic building 196 located at Fort Leavenworth, Kansas. The services will include repairs to the ancillary electrical and architectural structures. The contract is being issued by the Department of the Army Corps of Engineers Engineering District Kansas City.

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Equipment Check List Form Contract #: Contractor Name and Number:

BLDG #: Wing: Floor: Room:

DDeessccrriippttiioonn:

New: Replacement: Serial # of Item Replaced:

Wing: Floor: Room:

Size UOM UOM

Contractor Warranty Start Date:

DDeessccrriippttiioonn:

New: Replacement:

Wing: Floor: Room:

Size UOM UOM

Warranty End Date:

DDeessccrriippttiioonn:

New: Replacement:

Wing: Floor: Room:

Size UOM UOM

Contractor Install Date:

Serial # of Item Replaced:

Serial # of Item Replaced:

Size

Size

Size

Warranty End Date:

Contractor Install Date:

Contractor Install Date:

Is this install going to be:

Location:

Manufacturer:

Model Number:

Serial Number:

Size/Capacity:

Manufactured date:

Final Acceptance Date:

Is this install going to be:

Location:

Manufacturer:

Model Number:

Serial Number:

Size/Capacity:

Manufactured date:

Final Acceptance Date:

Is this install going to be:

Location:

Manufacturer:

Model Number:

Serial Number:

Size/Capacity:

Manufactured date:

Final Acceptance Date:

Contractor Name and Number:
Contract:
AsBuilt Sheet:
BLDG:
Wing:
Floor:
Description:
undefined:
undefined_2:
1:
2:
1_2:
2_2:
5:
undefined_3:
undefined_4:
undefined_6:
1_3:
2_3:
Warranty End Date:
Description_2:
undefined_7:
undefined_8:
1_4:
2_4:
1_5:
2_5:
6:
undefined_9:
undefined_11:
1_6:
2_6:
Contractor Startup Date_2:
Warranty End Date_2:
Description_3:
undefined_13:
undefined_14:
1_7:
2_7:
1_8:
2_8:
5_3:
undefined_15:
undefined_17:
Contractor Startup Date_3:
1_9:
2_9:
Warranty End Date_3:
New 2: [ ]
New 3: [ ]
New 1: [ ]
Replace 2: [ ]
Replace 3: [ ]
Replace 1: [ ]
UOM 2: [ ]
UOM 3: [ ]
UOM 4: [ ]
UOM 5: [ ]
UOM 1: [ ]
UOM 6: [ ]

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