Design Services Request Design Services Request 1. Customer Information*Customer Name(Required) Customer Phone Number(Required)Customer Email Address(Required) Message(Required)2. Project Information*Project Name Project address Requested ROM Completion Date Note: 5 business days standard turnaround time Type of Structure (e.g., hospital, hotel, etc.) Number of buildingsType of System – Note that sometimes a fiber DAS will be required instead of a BDA BDA Fiber DAS Unknown Number of floors per building (Use “Additional Information” section to add more buildings, or provide an Excel sheet with the floor number and the square feet per floor) Building #1 # of Floors: Total Sqft: Sqft/Floor: Building #2# of Floors: Total Sqft: Sqft/Floor: Building #3# of Floors: Total Sqft: Sqft/Floor: Building #4# of Floors: Total Sqft: Sqft/Floor: Please provide overall floor plans, benchmark test results, and published ERRCS Requirements to ERRCS Design. I will provide these documents to ERRCS DesginProposed BDA (or Fiber DAS Head End) Location. Also include any proposed remote unit locations, if applicable. If left blank, BDA will be assumed in the “worst case” location and any changes are subject to a re-design fee.Location of Riser/ Vertical Chases (Please also indicate on floor plans) If left blank, riser will be assumed in the closest “convenient” locationAre any 1- or 2-Hour Ratings Required? BDA Room Donor Antenna Riser Server Antenna Riser All server antennas 2-Hour Rating 1-Hour Rating What IFC or NFPA Code is Enforced? Please attach published codes and guidelines. Antenna Type Requested Low Profile (note: cannot be installed on metal junction box) UL Listed Low Profile (note: cannot be installed on metal junction box) Standard Cone (cheapest antenna) UL Listed Standard Cone (cheapest antenna) 3. Frequency RequirementsBands (Required – otherwise a best estimate will be made and any changes are subject to a re-design fee) 700 MHz Required? Number of Channels Required RSSI, Downlink (dBm) Required RSSI, Uplink (dBm) Select All800 MHz Required? Number of Channels Required RSSI, Downlink (dBm) Required RSSI, Uplink (dBm) Select AllUHF Required? Number of Channels Required RSSI, Downlink (dBm) Required RSSI, Uplink (dBm) Select AllVHF Required? Number of Channels Required RSSI, Downlink (dBm) Required RSSI, Uplink (dBm) Select AllClass type (Class A will be default) Class A Class B Class B, SF Power Source Dedicated 20A, 120V Circuit is Required 120VAC DC Battery Backup Required? (24 hour backup will be default) NO YES – 12 HR YES – 24 HR Remote Annunciator Panel Required? (Default is YES) NO YES Antenna Monitoring Required (AMS)? Note: NOT FOR DONOR ANTENNA MONITORING (ANTENNA MALFUNCTION). This is for service antennas. Very few jurisdictions nationwide require this. NO YES Does AHJ Test for near-far? NO YES Is there or will there be a cellular DAS in the building? NO YES Location of donor antenna (e.g. Roof northeast corner) Repeater site name and location (Coordinates or address) or approximate distance and direction Channel ListMax. file size: 100 MB.Please attach this document4. Additional InfoIndicate relevant information such as special requirements, Restrictions, etc.EmailThis field is for validation purposes and should be left unchanged.