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Contact Information
* Your Name: 
Your Job Title: 
Company: 
 
* Address: 
Address 2: 
City:  State:  ZipCode: 
 
* E-mail Address: 
 
* Phone:  Fax: 
 
*Please provide your name, and an e-mail address, phone number or mailing address so that we can reply.

Building
Dimensions:  Width: (Outside)   Length: (Outside)   Height: (Inside)
Exterior Finish:     Other:
Number of Buildings:    How Many:
Number of Rooms:     How Many:
Extended Slab™ floor extension: Y N     Length:
Comments:
 
Mechanical
Interior Finish:     Other:
Floor Finish:     Building Insulation: (R-16 is Normal)
Door Size: (3' x 7' is normal)     Number of Doors: 1 2
Door Type: Steel Aluminum     Door Reinforcement: Bullet Resistant
Hydraulic Door Closure: Y N
Lock Type:     Other:
Cable Tray: Y N     Type Tray:
      Tray Width:   Length of Cable Tray: (Linear Feet)
Cable Entry Panel: Y N     Number of Ports: (6, 8 and 12 port are normal)
Bulkhead Panels: Y N     Number of Bulkheads:
Comments:
 
Electrical
Main Power Disconnect: Y N     Surge Arrestor: Y N
Automatic Transfer Switch: Y N   Manual Transfer Switch: Y N
Generator Receptacle: Y N (with MTS and Disconnect)
Distribution Panel Size:     Phase:     Number of Breakers:
 
Power Receptacles:
      Type:    Quantity: (6 is typical for 160 square foot [10 x 16] shelter)
Interior Lights:
      Type:   Quantity: (4 is typical for 160 square foot [10 x 16] shelter)
Exterior Light: Y N (with photocell standard)
Halo Ground: Y N     Ground Bar: Y N     Number of Ground Bars:
 
Install Customer Supplied Equipment?: Y N    
    What Equipment?:
 
Generator: Y N     Generator Make
  Generator Size (KW):     Generator Fuel:
Comments:
 
HVAC
Quantity:    Other:    Type:
Size Cool:     Size Heat: (5 KW is normal)
Exhaust Fan: Y N     Comments:
 
Alarms
Door: Smoke: High Temp: Low Temp: 66 Block:
Humidity:   AC Power Fail:  Generator Fail: (if generator supplied)
Telco Board: Y N     Telco Board Size:
Comments:
 
Safety
Fire Suppression System:
    Comments:
Fire Extinguisher:     First Aid Kit:
Eye Wash Station:    Battery Safety Kit:
    Comments:
 
Civil Work
NOTE: We can only provide VERY general estimate prices for site work. Accurate pricing can only be quoted after visiting each site.
Site Clearing: Y N     Comments:
Foundation:   Y N     Comments:
Grounding:    Y N     Comments:
Rock:   Y N     Comments:
Fence: Y N     Comments:
Road:  Y N     Comments:
Telco: Y N     Comments:
 
Documentation
Approval Drawings: Y N    Engineer Stamp: Y N
Calculations: Y N (Typical calcs are available at no cost. Site specific calcs are extra.)
Comments:
 
Delivery
After Drawing Approval: (6-8 weeks normal)
Transportation: Y N
      Deliver to City / State:
Offload & Setup: Y N Comments:
 



You may submit this from electronically,
or print and fax it to,
GFRC Shelters Fax#: 318-425-2258
or mail to:
GFRC Shelters - 3725 E. Texas St. - Bossier City, LA 71111

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