Enduser Installation Quote Request

Enduser Installation Quote Request

Install Checklist, please complete and return
Name

Name/TitleCustomer/Company Name
Safety Requirements
PPE Required (Check all that apply)

Safety GlassesSteel ToeHard HatRespiratorSafety Vest
Safety Orientation/Training

YesNo
Drug Testing

YesNo
Background Check

YesNo
Site access forms or other required paperwork

YesNo
Will union labor be required?

YesNo
OSHA card required?

Yes (10 hour)Yes (30 hour)No
Security clearance required?

YesNo
Any special welding requirements on site?

YesNo
Type of Service Requested
Service

Full Installation "Turnkey" (Mechanical and Electrical)Mechanical Installation Only (For non-modular units only)Supervisory Installation (Required on four-post units)Final Checkout and inspection onlyOther
Building Type

New ConstructionExisting
Environment

InsideOutside
Application

MezzanineShaftThru-Floor
Annual service and preventive maintenance?

YesNo
* Site visits may be required for jobs using shaft ways, thru-floors, and/or sites with demolition involved.
Site Description

Please e-mail pictures of jobsite to : sdennis@countdowncityllc.com
Work area and path to install site clear and free of obstructions?

YesNo
Concrete surface level and smooth? (Pit square with clean corners?)

YesNo
Are there obstructions(including conduit, air, and water lines etc)where the VRC will be installed?

YesNo
Will non-scuff tires, bibs, or diapers be required on-site?

YesNo
Are there dumpsters on-site that install crew can use?

YesNo
Can crew work weekends?

YesNo
Please list all available working hours(including after hours and weekends)
Will an appointment be needed for material delivery?

YesNo
Will there be inspections during the install?

YesNo
Should be Empty:

Enduser Installation Quote Request

Safety Requirements

Type of Service Requested

Site Description