Submittal Form_0002.pdf

TRANSMITTAL - NATIONAL PARK SERVICE

Transmittal No.:

Sheet: 1 of:

Park:

Project:

Contract No.:

Pkg. No.:

Date:

Contractor:

Subcontractor/Supplier:

NPS ACTION

Specification

Section No.

Description of Item

(Size, Type, Name, Manufacturer, Use, Etc.)

Contractor Signature

Recommended by

Title, Date

Title

Date I hereby certify that this submittal has been reviewed for accuracy, completeness, and compliance with contract requirements (FAR 52.236-21)

Review Comments

Action By

Date

Contracting Officer’s Representative

Approval of this submittal is subject to the provisions of the contract drawings and specifications. This action is for general concurrence only and the Government is not responsible for errors or omission.

SUBMITTAL LOG DATES: From contractor [__________], To reviewer [__________], From reviewer [__________], To Contractor [__________]

Distribution: ( ) Contractor ( ) DSC File ( ) COR ( ) A/E ( ) DSC Interim ( ) COR Interim ( ) Contractor Interim CM-16Rev. 4/00 (Formerly DSC-

1(CS)

TRANSMITTAL CONTINUATION - NATIONAL PARK SERVICE Transmittal No.:

Sheet: 1 of:

Park:

Project:

Contract No.:

Pkg. No.:

Date:

Contractor:

Subcontractor/Supplier:

NPS ACTION

Specification

Section No.

Description of Item

(Size, Type, Name, Manufacturer, Use, Etc.)

Review Comments

CM-16 Rev. 4/00 (Formerly DSC-1(CS)