Test & Balance Quote Request Form


Full Name:*
Your Role:
Financially Responsibe Party:*
Company Name:
Company / Billing Address:
E-mail:*
Phone Number:*
-
Project Name*
Project Address:*
Governing Municipality (City):
Needed By*
Occupancy Permit Deadline:*
Final Inspection Date:*
Job Status:*
Client Status:*
Specifications Available (15990 / 230593): *
Mechanical Plans Available?*
Duct Map Available:*
Ladder Required for Roof Access:*
Number of RTU's:
Economizers:
Number of AHU's:
Number of VAV's:
Number of MUA's:
Number of Kitchen Exhaust Hoods::
Number of Exhaust Fans:
Number of Supply Registers:
Number of Return Grilles:
Building Pressurization Test Required:
Duct Leakage Test Required:
Hydronics Testing Required?:
Hydronics Testing Details:
Ceiling Height:
Special Ladders Required? (+10'):
Is a man lift required?:
Is night work required?:
Is this phased work / multiple visits required?:
Will the HVAC / Mechanical contractor be on site to make repairs if needed during balancing work?:
Job Site Visit Required:
When can we visit the site? (Between):
And This Date:
From what time? (24 HR FORMAT):
 : 
Until what time? (24 HR FORMAT):
 : 
Any additional information that could impact the cost of the proposal proposal:
Your proposal request requires accurate & complete information. Proposal will be based on information provided. Supplying inaccurate or incomplete information WILL DELAY YOUR PROPOSAL & cause an RFI(s) to be issued. Any unanswered RFI's WILL IMPACT the balancing work schedule and cost of proposal Any information added or changed once proposal is submitted can negatively impact your scheduled start and completion dates. Mechanical delays may impact & influence your testing dates. Scheduling work is at the sole discretion of LaminAir Test & Blance, Inc. You must acknowledge this statement to submit your request.:*