5-Exhibit D_Material Approval and Submittal Form_04012026_BA.pdf
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- Attached to
- Generator IDIQ
- Solicitation number
- 1232SA26Q1346
About this file
This document is a Material Approval and Submittal Form template for the BARC EPSS (Generator/ATS/MTS) Maintenance and Repair IDIQ contract with the Beltsville Agricultural Research Center (BARC), USDA-ARS, located in Beltsville, Maryland.
The form serves as a standardized submission document for contractors to request approval of materials, equipment, or components proposed for use under the contract. The contractor completes the form by identifying materials through specification section numbers, drawing numbers, and detailed descriptions including type, model, and manufacturer information across up to ten line items. The form requires approval routing through multiple government representatives: the A&E (Architecture and Engineering) representative provides an initial recommendation, followed by the COR/EPM (Contracting Officer's Representative/Engineering Project Manager), and finally the Contracting Officer who grants or denies formal approval. The form includes a comments section on the reverse side where reviewers must document specific feedback tied to line item numbers and include their initials. If the Contracting Officer disapproves any item, the contractor must resubmit within a specified number of calendar days. The form includes signature blocks and date fields for all parties, tracking information for receipt dates from the contractor (KTR), A&E, and COR, and contains a certification statement requiring the contractor to attest that submitted materials comply with all contract specifications. This template version dates to November 2016.
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BARC EPSS (Generator/ATS/MTS) Maintenance and Repair IDIQ Beltsville Agricultural Research Center (BARC) USDA-ARS, Beltsville, MD
Exhibit D Material Approval and Submittal Form
MATERIAL APPROVAL SUBMITTAL
TO: USDA/ARS CO
CC: A&E, COR
FROM: (Contractor) PROJECT TITLE: CONTRACT NUMBER:
(To be completed by the Contractor) Government Use Only
SUBMITTAL
NUMBER:
PREVIOUS SUBMITTAL NUMBER
(only if items listed were submitted previously):
A&E
Recommendation
COR/EPM
Recommendation
Contracting Officer Approval/Disapproval
Line
No.
Specification Sect.
Para No., Draw No.
Description of Material
(Include type, model, mfg) APP
See
Comments on Reverse APP DISAP
See
Comments on Reverse APP DISAP
See
Comments on
Reverse
If an item is disapproved, a resubmittal is due within ________ calendar days of the Contracting Officer’s signature below.
Contractor A&E COR/EPM Contracting Officer TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE
SIGNATURE: SIGNATURE: SIGNATURE: SIGNATURE:
DATE: DATE: DATE: DATE:
By completing this form, the above signed contractor certifies that the material complies with all specifications of the subject contract.
DATE RECEIVED FROM KTR: DATE RECEIVED FROM A&E: DATE RECEIVED FROM COR:
Material Approval Submittal Cover Sheet (11/2016)
BARC EPSS Maintenance and Repair
IDIQ
N-A
N-A
N-A
N-A
Wayne.Myers Cross-Out
CONTRACT #: SUBMITTAL #:
COMMENTS
Instructions: Enter the initials of the individual making the comment, the Line Number of the item for which the comment is being made, and the comment.
Material Approval Submittal Cover Sheet (11/2016) (Reverse)
File details come from the government source that posted it. Updated .