Instructions: All fields required.

If not applicable, indicate N/A)

RFQ CHECKLIST RFQ Date: 7/14/16 FIRM Bid Date: 7/25/2016

ALTERNATE BID DATE
PROJECT NAME: Dixie Regional Hospital IF AVAILABLE

PLEASE PROVIDE BID TIME IF

Territory Manager: Jake Stilwagon APPLICABLE
8:00 AM
OFFICE: PROJECT NUMBER 16-5441-S
PROJECT TYPE - MUST CHOOSE FROM LIST A: 2 List A
STREET ADDRESS: 1380 S Medical Dr 001 Gov & Mil 006 Offices & Retail

CITY / STATE / ZIP: St. George, UT 84790 002 Healthcare 007 Data Centers

CUSTOMER/CONTRACTOR: J&S Mechanical 003 Research Labs 008 Entertainment

CONTACT NAME: David Barlow 004 Educational 009 Addt'l Projects

CONTACT NUMBER: 801-553-9922 005 Mfg 010 Public Works

TECHNICAL CONTACT: Jake Stilwagon

TECHNICAL CONTACT NUMBER:
PROJECT STYLE (remodel, new construction):
SE STRUCTURAL STAMP REQUIRED (PE or SE) FTP site & login information:
D SEISMIC DESIGN CRITERIA (USA - A,B,C,D,E or F)
SEISMIC DESIGN CRITERIA (CANADA - L,N,H,P)
SCOPE:
S E R V I C E (check all that apply)
Trade Seismic VI Cable Strut Industrial Products
Fire Pro Pipe
Plumbing Pipe Industrial Products Example:
Plumbing Equipment Cable Hangers, Pipe Brackets,
NG / LPG / MG / LG Piping Twist Clamps etc.
NG / LPG / MG / LG Equipment
HVAC Ductwork
HVAC Dry Side Equipment
HVAC / Mech Pipe
HVAC Wet Side Equipment
Electrical Conduit / Busduct
Elec Systems / Cable Tray
Electrical Equipment
BIM
Clash Detection
Light Fixtures

SPECS RECEIVED: (check all that apply and give section number) Section No.

Seismic:
VI
Electrical Conduit and Cable Tray support:
HVAC Ductwork & Piping Support
Structural Drawings
PLANS RECEIVED: (check all that apply)
Fire
HVAC / Mechanical Piping
Plumbing Electric
NG / LPG / MG / LG Process

HVAC Ductwork Other:

BUILDING AND EQUIPMENT CRITERIA: (check most appropriate)

Occupancy Category: Site Class
I or II (non-essential) A
D
III (assembly, schools that are not shelters, ect.) B E
Misc Notes:

IV (hospitals, fire, police, shelter, essential) C F

Distribution Importance Factor

The following distribution systems are considered essential or hazardous (Ip = 1.5):
HVAC:
Plumbing:
Gas/Medical Gas:
Conduit/Tray:
Other:
All other distribution systems will be considered non-essential (Ip =1.0)
Equipment Importance Factor
List all equipment that is essential or hazardous/flammable (Ip = 1.5)

Example: Fuel Oil Tanks & Pumps,

Data Racks, CRACs, EFs, etc.
All other equipment will be considered non-essential (Ip =1.0)
 Must Accompany RFQ for Industrial Estimates
RFQ Supplement for Gripple Hanging Arrangement
Project :-
Contractor :-
Dwg File Name :- Project Type: Industrial/Commercial
Consultant Name & Address:
Architect Name & Address:

Hanging Arrangement for:- Duct /Pipe/Cable Tray/Light/Other (pls specfy):-

Total Sqmt/Rmt weight of service including insulation/Cables/Fluid/etc :-
Standards Followed(with Pressure Ratings):-
Structural/Sectional Drawing Name :-
Structural Details/ Slab Details Attached :- Yes No
Section Drawing Attached :- Yes No
Supports from Purlin can be taken :- Yes No
Supports from Rafter can be taken :- Yes No
Can we go over the Rafter/Purlins :- Yes No
Wt. Optimization (SqMt. calculation) :- Yes No
Bottom of Services :-
Insulated/Uninsulated Duct/Pipe:-
Bottom of Slab / Truss :-
Remark /Suggestion/Special Arrangement (If any) :-

Name :-
Mobile :-
Contact Person for queries in Drawing :-
Email :-
Skypeid (If any):-

Typical Arrangement (Suggestions):

 for Industrial Estimates
ple Hanging Arrangement

Project Type: Industrial/Commercial

ay/Light/Other (pls specfy):-

Cables/Fluid/etc :-

Yes No
Yes No
Yes No
Yes No
Yes No
Yes No

Name :-
Mobile :-
Email :-
Skypeid (If any):-