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1. Quote is for:

material only
material/installation by RPI (RPI assumes normal site and access).
Note: Design assumes normal soil and rigidity per EIA; level ground and 80% guy radius for guyed towers.

2. Foundation installation

By others
By RPI. Provide sketch or azimuth of one leg (if tower):

3. Tower, specify.

Indicate type of ROHN tower needed
Self-supporting tower
Guyed tower
Bracketed
roof mounted

4. Pole, specify.

Indicate type of ROHN pole needed
Tapered
flanged
roof-mount

5. Structure height

Please Indicate height of tower:
Meter Feet.
Building code:

6. Base of Structure: Ground, or Roof, at distance above grade. Meter Feet

7. Design load: Basic Uniform 3 second wind gust Ice other, describe:

Describe your design load here

8. EIA operational requirements: yes no
If no, specify operational load: Wind Ice

9. Ladder/step bolts: yes no
climbing ladder(s); specify type(s):
Describe you ladder configuration here

inside outside leg face corner standard heavy cage other

10. Safety device: Rohn-loc other, explain:

11. Aircraft warning lights: yes no other, explain:
if yes, specify:
Strobe - white medium intensity
Strobe - white high intensity
Red lights with flashing red beacon at top (151-492 feet)
Double obstruction at top
Alarm-includes indoor control
120V 60hz
230V 50hz
other

12. Paint: Factory applied Supply paint for field application

13. Vertical waveguide support: none ladder brace brackets
other, specify:

14. Location of vertical waveguide support (if you have a preference):

Note: unless otherwise indicated above, waveguide ladder on self-supporting tower sections will be mounted on the inside face of the tower near the tower leg.

5. Horizontal waveguide bridge:
Provide sketch or explanation; specify horizontal distance from structure to building:

16. Lightning rod required: no yes, how many:
if yes, extended type? yes no
downlead wire size:

17. EIA grounding: yes no special; explain:
.

18. Antenna information: (UHF/VHF mounts must state type of mount and length of side arm, if applicable. E-mail additional information if necessary.

19. Special Data. The following data is required for special foundation designs.

1. Allowable bearing capacity
2. Boring log showing composition and variation with depth.
3. Water table depth and variation.
4. Type of foundation recommended (pine, spread footing, mat, etc.)
5. Uplift recommendations pertinent to the type or types of foundations recommended.
6. Consistency of soil. (a) Unconfined compression strength of cohesive soil (clay). (b) Standard penetration -blows per foot. (c) Rock quality designation for rock.
7. Allowable passive pressure in pounds per square foot (PSF/FT)
8. Backfill consideration
9. Factors of safety included in allowable design values.

Note: Before any soil boring work begins, the soils engineer should contact RPI for tower reactions, preferred boring locations and any other data the soils engineer may require. A detailed soils report, with proper foundation recommendations, will produce the most economical and safe foundation design.

Additional information, comments or special requirements:

20. Purpose of structure (check one):

Broadcast
CATV
Cellular
Land Mobile
Microwave
PCS
Wireless cable
Other (please specify):

Drawings required with quotation yes no
Prices requested are (check one): firm for budgetary purposes

Request submitted by: Date:

Thank you for completing our questionnaire.