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View Lighting (Repairs & Replacement) Request For Proposal Form    << View Request For Proposal Forms JOB DESCRIPTION LIGHTING RETROFIT # Bulbs to be Replaced: Present Bulbs to be Removed: Hold down the CTRL key on your keyboard while selecting to select more than one option. Flourescent (Cool White) Flourescent (Warm White) Flourescent (Deluxe Cool White) Flourescent (Deluxe Warm White) Flourescent (Compact) Halogen High Intensity Discharge (High-Pressure Sodium) High Intensity Discharge (Metal Halide) High Intensity Discharge (Mercury) Incandescent Minature/Sealed Beam Projection Stage/Studio Not Applicable Other: # Fixtures to be Replaced: Select all the Fixtures to be Removed and Replaced: Hold down the CTRL key on your keyboard while selecting to select more than one option. Flourescent (Cool White) Flourescent (Warm White) Flourescent (Deluxe Cool White) Flourescent (Deluxe Warm White) Flourescent (Compact) Halogen High Intensity Discharge (High-Pressure Sodium) High Intensity Discharge (Metal Halide) High Intensity Discharge (Mercury) Incandescent Minature/Sealed Beam Projection Stage/Studio Not Applicable Other: # Bulbs per Fixture: Location of Fixture(s): Hold down the CTRL key on your keyboard while selecting to select more than one option. Common Areas Exterior Building Lights Exterior Decorative Exterior Street or Pole Lights Garage Floor Lobbies Lobby Mechanical Areas Restroom Tenant Space Other: Do the Fixture(s) Need to be Relocated: YesNo Are Ballast(s) to be Removed and Replaced: YesNo Are Fixture(s) Not Replaced to be Cleaned: YesNo Is a Reflector to be Installed in Old Fixture(s): YesNo Is a New Lighting Plan Provided: YesNo Are Exit Lights to be Replaced: Bulb Only Complete Fixture Not Applicable New Lighting System to be Installed: Hold down the CTRL key on your keyboard while selecting to select more than one option. Flourescent (Cool White) Flourescent (Warm White) Flourescent (Deluxe Cool White) Flourescent (Deluxe Warm White) Flourescent (Compact) Halogen High Intensity Discharge (High-Pressure Sodium) High Intensity Discharge (Metal Halide) High Intensity Discharge (Mercury) Incandescent Minature/Sealed Beam Projection Stage/Studio Not Applicable Other: Cost Basis: Contract Cost-Plus Energy Savings Payback Hourly-Rate Negotiated Other Other: PERIODIC CHANGE OF LIGHT BULBS Present Lighting System Consists of: Hold down the CTRL key on your keyboard while selecting to select more than one option. Flourescent (Cool White) Flourescent (Warm White) Flourescent (Deluxe Cool White) Flourescent (Deluxe Warm White) Flourescent (Compact) Halogen High Intensity Discharge (High-Pressure Sodium) High Intensity Discharge (Metal Halide) High Intensity Discharge (Mercury) Incandescent Minature/Sealed Beam Projection Stage/Studio Not Applicable Other: Voltage: Hold down the CTRL key on your keyboard while selecting to select more than one option. 110 Volt 120 Volt 130 Volt 277 Volt Low Volt Other: Wattage: Hold down the CTRL key on your keyboard while selecting to select more than one option. 25 32 40 60 100 Other: Are Bulbs and Ballasts to be Provided by Landlord: YesNo Cost Basis: Contract Cost-Plus Fixed-Cost Negotiated Other Other: LIGHTING INSPECTIONS # of Fixture(s) and Bulb(s) by Type: Frequency of Inspections and Replacement: Daily Weekly Monthly Semi-Annually Annually

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