11. SOW Appendix A Submittal form.doc

DOC document 85 KB Posted

Attached to
MMAC Mechanical Construction Solicitation Federal contract opportunity
Solicitation number
6973GH-22-R-00065
Issued by
Department of Transportation Federal Aviation Administration Franchise Acquisition Services

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Text version

TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES, OR MANUFACTURER'S CERTIFICATES OF COMPLIANCE

DATE
SPEC. SECTION

SUBMISSION NO.

REVIEWAL REQUEST FOR THE FOLLOWING ITEMS - THIS SECTION WILL BE INITIATED BY THE CONTRACTOR

TO:
FROM:
CONTRACT NO./PROJECT NAME
CHECK ONE:

THIS IS A NEW SUBMITTAL

THIS IS A RESUBMITTAL OF

ITEM

NO

DESCRIPTION OF SUBMITTED ITEM(S)

(Type, Size, Model Number, Etc.)

TYPE OF SUBMITTAL (Mfg/Contr. Catalog Data; Shop Dwg; Sample; Etc.)
NO

OF COPIES

CONTRACT REFERENCE DOCUEMENT
IS SUBSTITUTION REQUESTED?
SPEC. PARA. NO.
DWG SHEET NO.
(CHECK ONE)

If Yes, Request Form Must Be Provided

YES

NO

REMARKS:

(Name of Contractor) FORM CS154/93

SHEET OF

I certify that the above submitted items have been reviewed in detail and are correct and in conformance with the Contract Documents and can be installed in the allocated spaces, except as other wise stated.

NAME AND SIGNATURE OF CONTRACTOR

DATE

EXAMPLE OF SUBMITTAL SCHEDULE

Page No. 1

08/31/92

OWNER

CITY, STATE

PROJECT TITLE

WEEKLY SUBMITTAL REPORT

DOCNO

SPEC TITLE

SPEC.

PARA NO

DESCRIPTION OF SUBMITTED ITEM

DATE

DATE TO

REVIEWER

01005.002

GENERAL PROVISIONS

01005 2.57

PROGRESS CHARTS

06/09/92 07/09/92

NET

01005.003

GENERAL PROVISIONS

01005 1.07.B

SCHEDULE OF VALUES

06/03/92 06/03/92

NET

01005.003A

GENERAL PROVISIONS

01005 1.07.B

SCHEDULE OF VALUES

06/08/92 06/10/92

NET

01005.045

GENERAL PROVISIONS

01005 1.01

EMERGENCY VEHICLE ACCESS

PLAN / FIRE LANE

07/21/92 07/22/92

NET

01005.2R1

GENERAL PROVISIONS

01005 2.57

PROGRESS CHARTS - REVISED

07/24/92 08/07/92

NET

01006.004

SPECIAL PROVISIONS

01006 1.13

SCHEDULE FOR SUBMITTALS

06/15/92 06/15/02

AAN

01621.030

ENVIRONMENT

PROTECTION

01621

EPA PLAN

06/29/92 07/10/92 R

01621.30R1

ENVIRONMENT

PROTECTION

01621

EPA PLAN

06/29/92 07/10/92

NET

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