Viessmann Commercial Project Sign-Off Forms Set Page 6

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Start up sign off Form
1a. Project Start-up Sign-off Form
Project Name:
Site Address:
Name (of customer or corporation):
Address:
Address:
Address:
City:
State:
Zip:
Start-up Date:
Preferred Date:
Alternate Date:
Steady state confirmation check up Date: (if original start-up during warm weather)___________________________
Important: please ensure that a preferred date and an alternate date are supplied, which are at least 7 days apart.
Special Instructions:
IMPORTANT
Each of the “Necessary Conditions for Start-up” (Form 5b) must be met prior to the start-
up technicians arriving. Failure to meet these conditions may incur costs additional to
those originally quoted.
Invoice Rates: Canada / United States
Quoted Cost
Travel Time
Travel Cost
Service Time
(if applicable)
$75.00/ hour
$ 0.75/km / $ 1.39/mile
$ 120.00/hour
Project Contact for Start-up Inquiries:
Name:
______________
E-Mail:
Tel:
Cell:
Fax:
Upon completion, please fax completed Cover Page together with completed Forms (some or all) to:
- Viessmann Canada:
(519) 885-1134
(for all provinces except BC)
- Viessmann BC:
(604) 533-9439
(for west coast Customers)
- Viessmann USA:
(401) 732-0590
(for US Customers)
Commercial Project Sign off Form
12/2010

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