J-2-5_Submittal_Form.xlsx

XLSX spreadsheet 14 KB Posted Jul 11, 2019

Attached to: Construction of the MAG Monitoring Center Building - Costa Rica
Solicitation number: 19AQMM19R0255
Issued by: Department of State Office of Acquisition Management

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J-2-5 Submittal Form

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Submittal Form

TRANSMITAL OF SHOP DRAWING, EQUIPMENT DATA, MATERIAL SAMPLES, OR MANUFACTUR'S CERTIFICATE, COMPLIANCE		TRANSMITTAL #:		1
		# OF PAGES:		2
		# OF COPIES:		3
		DATE: 00/MONTH/0000
PROJECT:	MAG Monitoring Building Center	CONTRACT #:	########
	COSTA RICA
FROM:
TO:
TRANSMITTAL SUMMARY:			CHECK ONE
In this cell provide a short description of the purpose of the transmittal. Include informtion about the use of the items, for what type of work is going to be used, etc.		THIS IS A NEW TRANSMITTAL
		THIS IS A RESUBMITTAL
			OF TRANSMITTAL #:	##

ITEM #	DESCRIPTION ITEM SUBMITTED	CONTRACT REFERENCE DOCUMENT		CHECK ON THIS ITEM FOR		OBSERVATIONS	APPROVAL
		SPEC #	DRAWING #	INFORM. ONLY	GOV. APPROV		Y	N

PRESENTATION DATE: 00/MONTH/0000	PROCESS DATE:	APPROVING DATE:
I certify that the submitted items have been reviewed in detail and are correct in strict conformance with the contract drawings and specifications, except as otherwise stated.	I recommend the approval of the items listed and appointed with "Y", while items appointed with "N" the contractor shall submit new transmittals. Items for "information only" do not require approval.	I approve the items listed and appointed with "Y", while items appointed with "N" are not approved and the contractor shall submit new transmittals. The approval of these items does not means the acceptance of the works. Items for "information only" do not require approval.

CONTRACTOR	TECHNICAL ADVISOR	CONTRACTING OFFICER'S REPRESENTATIVE
NAME		NAME

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