L-3 Corporation
L-3 KEO
Field Service Site Information Quotation Sheet

In order to provide a comprehensive quote and timely response please complete this form:

ESSCO, 90 Nemco Way, Ayer, MA, USA 01590 | Tel: (978) 568-5100 | Fax: (978) 772-7555

Customer
Name: (*Mandatory) Title:
Company: (*Mandatory)
Address: (*Mandatory) City: (*Mandatory)
State: (*Mandatory) Zip Code: (*Mandatory)
Country: (*Mandatory)
Email: (*Mandatory)
Phone: (*Mandatory) Fax:
End User
Name: (*Mandatory) Title:
Company: (*Mandatory)
Address: City:
State: Zip Code:
Country:
Email:
Phone: Fax:
Radome
Radome Size:
Site Location
Physical Address: City:
State: Zip Code:
Country:
Site POC
Name: Phone:
Email:
Shipping: Same as customer Same as End User New ( If New, please specify below)
POC Address (if New)
Address: (*Mandatory) City: (*Mandatory)
State: (*Mandatory) Zip Code: (*Mandatory)
Country: (*Mandatory)
Additional Site Information:
Accessories
1. Base Access Hatch 9. Base Accessor Door
2. Large Equipment Door 10. Panel Removal Kit
3. Zenith Hatch 11. Aircraft Warning Light
4. Boresight Window 12. Lighting Protection System
5. Internal Lift Sling 13. Interior Lighting
6. 14. Zenith Ladder
7. 15. Exterior Rope Ladder
8. Ventalation Blower 16. Heater
Other Special Requirements or Accessories not listed above:
Installation Requirements
Radome
Installation Dismantle
Inspection Repair
Paint
Personnel Required
Full ESSCO Team Technical Advisor
Partial ESSCO Team Other (Specify )
Site Access
Direct Road Unfinished Track
Install Method
Antenna in Position Can Work be done from Antenna
Radome to be Built Around Antenna Radome to be Built on Ground & Lifted into Position
Foundation Type
Concrete Tower (Height )
Steel Other (Specify )
Radome Access
Base Hatch Floor Hatch
Internal Tower Staircase Equipment (Specify )
Catwalk on Tower
Customer Supplying
Tools Scaffolding
Crane Aerial Work Platform
Cherry Picker Other (Specify )
Site Specifics
Manned Site Classified Site
Remote Clearances Required
Security Code:
security code
Enter Security Code:

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