subject_line Server & IT Equipment Relocation Questionnaire (Within the United States) 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 Do you represent this company or are you an outside manager? * ? If you are a subcontractor, outside manager, or agency representing the company please select "I do not directly work for this company." I work directly for this company I do not directly work for this company, but am an outside manager Email Address Equipment Origin Project Addresses & Project Information Equipment ORIGIN Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DC Zip Code Enter secondary equipment origin or multiple origins here. Is the service date for this project within the next two weeks? YesNoNot 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? * 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. <FILE ONE> Please attach any file or inventory for the project. <FILE TWO> Please attach any file or inventory for the project. <FILE THREE> 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? 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 disassemble IT or Computer equipment from office, desk, or work area? ? This option is for an office, computer or laptop relocation. Yes No Not Sure 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?