subject_line Populated Rack Relocation Questionnaire The completed questionnaire will enable our team to prepare an accurate, complete and free quotation for service. Please complete your company information below (billable information) Company Name First Name Last Name Address 1 Address 2 City State Zip Code Phone Email Address Equipment Origin Project Addresses & Project Information Equipment ORIGIN Street Address Address Line 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC Zip Code Enter secondary equipment origin or multiple origins here. Is the service date for this project within the next two weeks? Yes No Not Sure Yet What is the service date being requested for the relocation? (MM - DD - YYYY) - - What is the maintenance time window scheduled for the relocation? * How many total populated racks will be relocated? One (1) Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) More than ten (10) racks How many total racks have functional casters? ? Casters are wheels that allow the equipment to roll freely. One (1) Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) All Racks Have Functional Casters Do you require NCWS to deinstall cabling? ? This includes Networking cables, Power cables, Etc. Yes No Not Sure Do you require NCWS to reinstall cabling? ? This includes Networking cables, Power cables, Etc. Yes No Not Sure List the each rack dimensions using OUTSIDE measurements (Height, Depth, Width). Separate each rack dimensions with a comma. PLEASE remember to include CASTERS when including HEIGHT measurement. Include the rack number or your rack label with the dimensions (see optional instructions for an example) ? (H X D X W format) Rack #1: 77" X 39" X 19", Rack #2: 77" X 39" X 19", Rack #3: 77" X 39" X 19" Project inventory (manual entry), you can upload inventory or files associated with the project in the field below. Please attach any file or inventory for the project. What is the equipment value? ? This value should be the cost of the equipment, and is used for insurance purposes. What time would you request that NCWS arrive to begin work at the origin? Were the racks originally delivered to the origin facility populated, or did you populate and build the racks at the origin? YES rack(s) were originally delivered populated NO rack(s) were not originally delivered populated Not Sure What is the total distance that the rack(s) must travel at the origin? If you do not know this answer to this question at the moment please type "unsure" Are any of the racks, or equipment held within the racks under warranty? ? Some vendors or warranty holders require the companies involvement when equipment is being relocated. Please contact your vendor to ensure your warranty will remain in good standing during this relocation. Yes No Not Sure Is all of the equipment secured inside the racks? ? Some vendors or warranty holders require the companies involvement when equipment is being relocated. Please contact your vendor to ensure your warranty will remain in good standing during this relocation. Yes No Not Sure Are the racks already secured and staged onto a pallet, and if secured onto pallet is there a ramp to roll the rack off of the pallet? Not sure Rack(s) is NOT on a pallet Rack(s) is on a pallet and there is NO ramp Rack(s) is on a pallet and YES there is a ramp OTHER What floor is the equipment located in at the origin? Does the origin have truck docks? Yes No Not Sure Does the origin building require service ticket generation? Yes No Not Sure Does the origin building require special paperwork? ? Yes No Not Sure Does the origin building require insurance(s)? ? A company or the building in which your lease is contracted with may require proof of insurance in order to obtain authorized access to the property. This is referred to as a certificate of insurance. Yes No Not Sure Does the origin have elevators? Yes No Not Sure Are there any stairs at the origin to negotiate? Yes No Not Sure Are there any ramps at the origin to negotiate? Yes No Not Sure Are there any physical objects in the route of travel at the origin to negotiate? Do you require NCWS to perform disaster recovery planning? Yes No Not Sure Do you require NCWS to provide GPS tracking? Yes No Not Sure Do you require NCWS to de-install the equipment? (This is the removal of cables, wires, power cables) Yes No Not Sure Do you require NCWS to un-rack the equipment? ? This option is for data center and server relocations. Yes No Not Applicable Do you require NCWS to perform asset tagging? Yes No Not Sure Do you require NCWS to perform an inventory? Yes No Not Sure Do you require NCWS to a chain of custody log? Yes No Not Sure Equipment Destination Project Addresses & Project Information Equipment Destination Street Address Address Line 2 City State Zip Code * Enter secondary equipment destination or multiple destinations here. Does the destination have truck docks? Yes No Not Sure Will you require NCWS to re-rack the equipment? * ? This option is for data center and server relocations. Yes No Not Applicable Do you require NCWS to reassemble IT or Computer equipment from office, desk, or work area? ? This option is for an office, computer, or laptop relocation. Yes No Not Sure Will you provide a re-racking diagram? NCWS highly advises this diagram is produced, and finalized prior to the service date. ? Often times equipment removed from the original environment is re-racking into a different order from the destination. NCWS will need to know what rack the equipment will be re-racked into, and in which "U" location. Yes No Not Sure Do you require NCWS to re-install the equipment? This is the re-connection of cables, wires, power cables? Yes No Not Sure If NCWS is re-installing the cabling at the destination will you have all cables, wires, power and cables labeled prior to service date? NCWS highly advises this labeling is produced, and finalized prior to the service date. ? At times, equipment will be moved from its original position in the origin rack at the destination which includes removing all cables, wires and power cables. Yes No Not Sure Does the destination building require service ticket generation? Yes No Not Sure Does the destination building require special paperwork? Yes No Not Sure Does the destination building require insurance(s)? ? A company or the building in which your lease is contracted with, may require proof of insurance in order to obtain authorized access to the property. This is referred to as a certificate of insurance. Yes No Not Sure Does the destination have elevators? Yes No Not Sure Are there any stairs at the destination to negotiate? Yes No Not Sure Are there any ramps at the destination to negotiate? Yes No Not Sure Are there any physical objects in the route of travel at the destination to negotiate? Additional Information: Do you require Data Destruction Services, or Green Recycling? ? NCWS is a NAID member and has been verified to perform Hard Drive destruction, hard drive shredding, degaussing and hard drive sanitizing services. NCWS offers green recycling of decommissioned, end of life equipment. Off Site Hard Drive Destruction On Site Hard Drive Destruction Hard Drive and/or Media Degaussing Hard Drive Sanitization Green Recycling How did you hear about National Computer Warehouse Services, LLC? Google Organic Google Paid Ad Bing Organic Bing Paid Ad Yahoo Organic Yahoo Paid Ad AOL Ask.com Written Publication Referral (please provide referral) What keyword did you use, leading to NationalCWS.com? * Any additional project notes or concerns?