EMR_2019_Attachment_10_-_Work_Certificate_PM.pdf
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- Attached to
- Emergency Maintenance and Repair of HVAC Systems
- Solicitation number
- W912PB19R3000
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Work Certificate Preventive Maintenance
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ATTACHMENT 10 - Work Certificate Preventive Maintenance (Name Contractor)
CLIN Nr. Datum Beginn Datum Ende Technician Wartung Intervall Menge Einzelpreis Gesamtpreis
CLIN No. Date Start Date Finish Techniker Maint. Frequency Quantity Single Price Total Price
Anlagenzustand / Condition of Equipment:
Work Certificate - Preventive Maintenance
Kunde / Customer
Inventur Nr. / Inventory No.
Baujahr / Year of Manufactured
Standort / Community
Adresse Geb./ Address Bldg.
Gerät Typ / Equipment Type Hersteller / Manufacturer
Modell / Model
Material / Used Maintenance Parts:
Datum, Unterschrift (Techniker) / Date, Signature (Technician) Datum, Unterschrift (Inspektor / COR) / Date, Signature (Inspector COR)
Gesamt Preis / Total Price EURO
Datum, Unterschrift (Kunde) / Date, Signature (Customer)
EMR 2019_Attachment 10 - Work Certificate PM.xlsx
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