Attachment 10 Submittal Transmittal - Amendment dated 5-31-23.doc

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Supply and Install Hopper Bins and Concrete Base
Solicitation number
12305B23R0009
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USDA

BARC

FMOD-E&P

SUBMITTAL TRANSMITTAL AND APPROVAL FORM

TO: FROM:

CONTRACTING OFFICER CONTRACTOR

Job Order No.

Contract No.

Project: Contractor Submittal No.
Date
For Government Use Only

Spec Section

Para. No./DWG No.

DESCRIPTION OF MATERIAL

A

AN

DR

RR

REMARKS:

Unless otherwise noted herein, the Contractor assumes total responsibility in complying with the requirements of the scope, intent, plans and specifications of the contract.

I certify that the above submitted items have been reviewed in detail and are correct and in strict conformance with the contract drawings and specifications except as otherwise stated in the remarks section.

Contractor

FOR GOVERNMENT USE ONLY

Reviewer Comments:

LEGEND: A - Approved; AN - Approved as Noted; DR - Disapproved, resubmit; RR - Rejected, resubmit

Distribution:

CO- 1

Contractor - 2

PM/COR - 1

COR/Project Manager Date

Inspector - 1 Transmittal Date:

Contracting Officer Date

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