01340-8
SUBMITTALS
OPERATIONS AND MAINTENANCE MANUAL CERTIFICATION FORM
PROJECT: CONTRACTOR'S PROJ. NO:
CONTRACTOR: ENGINEER'S PROJ. NO:
ENGINEER:
O&M - OM-
NUMBER: SPECIFICATION SECTION SEQUENTIAL NUMBER
OR DRAWING NO: (& ALPHA SUFFIX FOR
RESUBMITTAL)
DESCRIPTION:
MANUFACTURER:
The above referenced operations and maintenance manual has been reviewed by the undersigned
and I/we certify that the manual is customized as needed for this project, is suitable for mounting
in a 3-ring binder, and contains the following items:
[ ] Table of Contents
[] Maintenance Schedule and Summary
[| Lubrication Schedule
[] Troubleshooting Information
[| Warranty Information
[] Rebuild Information for All Components/
Systems
[] Startup, Operation, Shutdown Procedures
[| Safety Procedures
[] Shop Drawings corrected to As-Built
Conditions
By: By:
Contractor®
Date:
[ ] Project-Related Design Data
Wiring Diagrams
[ ] Equipment Layout Drawings & Schematics
CL] Equipment Performance Curves
[ ] Parts and Service Contact Information
[] Manufacturer's Contact Information
[ ] Emergency Operations Plan
List of Part Numbers for all Components
[ ] List of Spare Parts Supplied and Cost
[] List of Part Numbers for all Components
Date:
Manufacturer?
* Contact information shall include name, address and telephone number.
> Required on all Operation and Maintenance Manuals.
© When required by Specifications.
Page of
General Contractor's Stamp
END OF SECTION
13089K
