Document Date
Meeting Description
Document Type
Meeting Date
Page Number
491
01800-6
EQUIPMENT/ SYSTEM TESTING CERTIFICATION
EQUIPMENT START-UP CERTIFICATION
Owner: Date:
Project:
Contractor:
Equipment Manufacturer:
Equipment:
As an authorized representative of the equipment manufacturer, the undersigned certifies that the
equipment listed above conforms to the requirements of the Contract Documents. The
undersigned authorized representative of the manufacturer further certifies that the equipment
has been installed in accordance with the manufacturer's written instructions, that it is ready for
permanent operation and that nothing in the installation will render the manufacturer's warranty
null and void.
(Authorized Representative of the Manufacturer) (Date)
(Contractor) (Date)
(Engineer) Wright-Pierce (Date)
13089K
Page Image