Cable and Wiring SWORFQ Template Final 090308 by RussellBawden

VIEWS: 13 PAGES: 3

									                     Small Work Order Request for Quotation (SWORFQ)
                                      Cable and Wiring Services 060B9800012
                                          Functional Area I - Category I

                                                      PART I
                                       Section 1 - Small Work Order Information
ADPICS PO Number:
Agency/Division Name:
Work Location Address:
Requested Start Date:                                                   Targeted Completion Date:

Date and Time of Site Survey:

                                           Section 2 – Agency POC Information
Name:                                                                          Phone:
Email Address:                                                                 Fax:
Mailing Address:

              Section 3 - Agency On-site POC Information (if different from Agency POC)
Name:                                                                          Phone:
Email Address:                                                                 Fax:
Address:

                                                   Section 4 – Scope of Work
Include documentation and testing requirements, if applicable.




Rev 09/03/08                                     Page 1 of 3
                Small Work Order Request for Quotation (SWORFQ)
                               Cable and Wiring Services 060B9800012
                                   Functional Area I - Category I

                                               PART II
                              Section 1 - Master Contractor (MC) Response
   Master       Date SWORFQ sent to MC:                            Date Site Survey
                                                                   completed:
 Contractor 1
                Date Detailed Price Quotation                      Amount of Detailed Price
                received:                                          Quotation:
  FiberPlus     Date PO sent to MC:                                Date MC determined to
                                                                   be ineligible for award:
                If MC is determined to be ineligible for award, identify the reason(s) below:
                   Master Contractor has chosen not to submit a Detailed Price Quotation
                   Detailed Price Quotation fails to meet requirements
                   Walk-through not performed within required timeframe
                   Detailed Price Quotation not provided within required timeframe
                   Another MC’s Detailed Price Quotation Proposal determined to be better value*
                   Other, please explain:

                *To be used during Competitive Selection process only
   Master       Date SWORFQ sent to MC:                            Date Site Survey
                                                                   completed:
 Contractor 2
                Date Detailed Price Quotation                      Amount of Detailed Price
                received:                                          Quotation:
Tel-Net Group   Date PO sent to MC:                                Date MC determined to
                                                                   be ineligible for award:
                If MC is determined to be ineligible for award, identify the reason(s) below:
                   Master Contractor has chosen not to submit a Detailed Price Quotation
                   Detailed Price Quotation fails to meet requirements
                   Walk-through not performed within required timeframe
                   Detailed Price Quotation not provided within required timeframe
                   Another MC’s Detailed Price Quotation Proposal determined to be better value*
                   Other, please explain:

                *To be used during Competitive Selection process only
   Master       Date SWORFQ sent to MC:                            Date Site Survey
                                                                   completed:
 Contractor 3
                Date Detailed Price Quotation                      Amount of Detailed Price
                received:                                          Quotation:
 Technology     Date PO sent to MC:                                Date MC determined to
                                                                   be ineligible for award:
  Alliance
                If MC is determined to be ineligible for award, identify the reason(s) below:
                   Master Contractor has chosen not to submit a Detailed Price Quotation
                   Detailed Price Quotation fails to meet requirements
                   Walk-through not performed within required timeframe
                   Detailed Price Quotation not provided within required timeframe
                   Another MC’s Detailed Price Quotation Proposal determined to be better value*
                   Other, please explain:

                *To be used during Competitive Selection process only




Rev 09/03/08                              Page 2 of 3
                   Small Work Order Request for Quotation (SWORFQ)
                                    Cable and Wiring Services 060B9800012
                                        Functional Area I - Category I

   Master            Date SWORFQ sent to MC:                            Date Site Survey
                                                                        completed:
 Contractor 4
                     Date Detailed Price Quotation                      Amount of Detailed Price
                     received:                                          Quotation:
     Plexus          Date PO sent to MC:                                Date MC determined to
                                                                        be ineligible for award:
                     If MC is determined to be ineligible for award, identify reason(s) below:
                        Master Contractor has chosen not to submit a Detailed Price Quotation
                        Detailed Price Quotation fails to meet requirements
                        Walk-through not performed within required timeframe
                        Detailed Price Quotation not provided within required timeframe
                        Another MC’s Detailed Price Quotation Proposal determined to be better value*
                        Other, please explain:

                     *To be used during Competitive Selection process only
   Master            Date SWORFQ sent to MC:                            Date Site Survey
                                                                        completed:
 Contractor 5
                     Date Detailed Price Quotation                      Amount of Detailed Price
                     received:                                          Quotation:
    Verizon          Date PO sent to MC:                                Date MC determined to
                                                                        be ineligible for award:
                     If MC is determined to be ineligible for award, identify the reason(s) below:
                        Master Contractor has chosen not to submit a Detailed Price Quotation
                        Detailed Price Quotation fails to meet requirements
                        Walk-through not performed within required timeframe
                        Detailed Price Quotation not provided within required timeframe
                        Another MC’s Detailed Price Quotation Proposal determined to be better value*
                        Other, please explain:

                     *To be used during Competitive Selection process only



                                            Section 2 - Status of Work Order
Date Work Started:
Date of Testing:
Date of Documentation Delivery:
Date ANSI EIA/TIA Certification Received:
Date of Final Walk-Through:
Date of Final Acceptance:




                                            Section 3 - Amendment/Stop Work
Date of Amendment/Stop Work:
Reason:



Date of Amendment/Stop Work:
Reason:




Rev 09/03/08                                   Page 3 of 3

								
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