Boiler Quote Information Form
Contact Information
Name:
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:
Boiler Information
Boiler Horsepower:
Operating Criteria:
15-PSI Steam
150-PSI Steam
Hot Water
Other
Please Specify Operating Criteria:
Boiler Application:
State Boiler is Going To:
Company Installing Boiler:
Startup By:
Allied Boiler & Supply, Inc.
Other
Company Performing Startup:
Operating Pressure:
Operating Temperature (hot water):
Is Condensate Going to be Returned?
Yes
No
Boiler Type:
AB-4PV: 4-Pass Vertical Tubeless
AB-2PDB: 2-Pass Dry Back
AB-3PDB: 3-Pass Dry Back
AB-3PWB: 3-Pass Wet Back
AB-3PWBOS: 3-Pass Wet Back (Ohio Special)
AB-4PWB: 4-pass Wet Back
AB-3PFBM: 3-pass Fire Box (Modified)
AB-3PFB4: 3-pass Fire Box
AB-3PFB5: 3-pass Fire Box (5 sq. ft.)
Boiler Options (select desired):
Factory Mounted Blowdown Valves
Surface Blowdown Skimmer Tube w/Bushing
Surface Blowdown Metering Valve
Feed Water Valves (1 check valve, 1 stop valve)
Proportioning Feed Water Control
Proportioning Feed Water Valve & Actuator
Steam Header Valve
Night Fire (Low pressure switch for night fire)
Time Clock
Pump Contactor
Stack Thermometer
Alarm Bell / Horn for Low Water
Alarm Bell / Horn for High Water
Skid Mounting of Feed-Water System
Skid Mounting of Blowdown Separator
Other
Please List Other Options Desired:
Burner Information
Burner Type:
Standard Burner
Lo Nox Burner
PPM Requirement:
Firing Sequence:
On / Off
Low / High / Off
Low / High / Low
Full Modulation
Blower Voltage:
If 3-phase blower is used, is control transformer desired?
Yes
No
Fuel Type:
Natural Gas
Propane
#2 Oil
Other
Type of atomization if oil fired:
Pressure Atomization
Air Atomization
Pilot Type:
Gas Pilot
Direct Spark for #2 Oil
Gas Pressure Being Supplied to Gas Train:
" WC
Lbs
Code Options:
CSD1
UL
FM
GAP (formerly IRI)
NFPA 85
Burner Options:
Alarm Bell / Horn for Flame Failure
Silencing Switch, Auto Reset
Other
Please List Other Options Desired:
Boiler Feed Water Systems Information
Tank Type:
Atmospheric
Pressurized Deaerator
Tank Orientation:
Horizontal
Vertical
Number of Pumps:
Voltage:
Are motor starters to be supplied with pumps?
Yes
No
Options:
Mount and Wire Motor Starters
Control Panel
Electronic Water Level Control
Preheat - Steam Injection (** must use if no return is supplying tank **)
Receptacle for Chemical Feed Pump
Chemical Feed Pump
Chemical Feed Tank
Please choose a size:
-------------------------
10 gallon
30 gallon
50 gallon
Other
Please List Other Options Desired:
Blowdown Separator Information
Options:
Flanged Vent Line Connection
Flanged Drain Line Connection
After Cooler (Complete)
**
After Cooler, Drain Pipe Only
Temperature Regulator, Self-Contained
Thermometer
Strainer
Check Valve
Electric Water Valve with Aquastat (used in place of self-contained Temperature Regulator)
Other
Please List Other Options Desired:
** Includes self-contained temperature regulator or electric water valve and aquastat with drain pipe
© 2014 • Allied Boiler & Supply, Inc. • 419 S. Front St. • Murfreesboro, TN 37129 • Ph: (800) 858-0484 • Fax: (615) 890-6607
