Attachment 6 - SUBMITTAL FORM DAI.pdf

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Attached to
DNIA Refurbishment Federal contract opportunity
Solicitation number
19AQMM22R0133
Issued by
Department of State Office of Acquisition Management

About this file

This document contains a submittal form and transmittal for a federal contract to refurbish the DAI unit of the Antinarcotics Police in Quito, Ecuador. The refurbishment includes items such as a thermal-acoustic roof, various paints, ceilings, walls, doors, flooring, furniture, security and electrical systems. The transmittal submits shop drawings, equipment data, and material samples for approval and lists each item as approved, not approved, or for information only. The related federal contract opportunity is solicitation number 19AQMM22R0133 to refurbish the DNIA and is issued by the Department of State Office of Acquisition Management.

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19AQMM22R0133 B-M.pdf PDF
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Text version

PROJECT:

FROM:

TO:

CHECK ONE

OF TRANSMITTAL #: ##

CONTRACT REFERENCE DOCUMENT OBSERVATIONS

SPEC # DRAWING # INFORM. ONLY GOV. APPROV Y N

Contractor Inspection System E.5 / F.9 /H.27

List of Proposed Subcontractors H.10 / F.9 / H.29

Contractor Licenses H.10 / I.10 /F.9

Project Schedule F.5 / F.9

Weekly inspection reports E.5 / F.9

Monthly progress report E.5 / F.10

Payment Tables H.32/ F.9 / G.4

Schedule for progress payment G.3

Certification of Payment to Subcontractors G.5

Project Schedule F.5 / F.9

Health and Safety Plan H.27 / F.9

Quality Control (QC) Plan E.5.

DBA Insurance H.1 / H.31

Bodily Injury H.3/ F.9

Property Damage H.3/ F.9

Motor Vehicle Liability H.3/ F.9

Personnel List H.32 / H.27

Local Social Security payment H.32

Implementation of temporary facilities SOW 5.11

Warning Signals SOW 5.5

Prevention Measures for Covid-19 SOW 5.6

Local Construction Approvals SOW 4.1

Low Voltage Electrical Distribution SOW 4.5/6.21.2 EL1, EL2

TDP Main Electrical Distribution Board. SOW 4.5/6.21.2.7 EL1, EL3

STD-2P unregulated energy distribution board SOW 4.5/6.21.2.8 EL1, EL4

STD-C/C unregulated energy distribution board SOW 4.5/6.21.2.9 EL1, EL5

STDP-R Main Distribution Board SOW 4.5/6.21.2.10 EL1, EL6

STR-3P Regulated force energy distribution board SOW 4.5/6.21.2.11 EL1, EL7

Unregulated energy distribution board STD A-A SOW 4.5/6.21.2.12 EL1, EL8

Ducts for electrical power supply SOW 4.5/6.21.2.13 EL1, EL9

Electrical check boxes SOW 4.5/6.21.2.14 EL1, EL10

Ground system SOW 4.5/6.21.3.1 EL1, EL11

Illumination with 40W FLAT PANEL LED SOW 4.6/6.21.4.1 S01, S02

Illumination with 18 W encased LED square lamp SOW 4.6/6.21.4.2 S01, S03

Single switch, cable #14, THHN, flexible, PVC 1/4" SOW 4.6/6.21.4.3 S01, S04

Dual switch, #14 cables, THHN, flexible, PVC 1/4" SOW 4.6/6.21.4.4 S01, S05

Triple switch, cable #14, THHN, flexible, PVC 1/4" SOW 4.6/6.21.4.5 S01, S06

Unregulated polarized 121 V outlet SOW 4.6/6.21.5.1 S01, S07

Regulated polarized 120V outlet circuits SOW 4.6/6.21.5.2 S01, S08

Regulated polarized 220V power outlet for servers SOW 4.6/6.21.6 S01, S09

Conduit System (Electrical) SOW 4.6/6.21.6 S01, S10

Electric Conductors SOW 4.6/6.21.7 S01, S11

Electrical protections SOW 4.6/6.21.8 S01, S12

PRESENTATION DATE: 00/MONTH/0000

TRANSMITAL OF SHOP DRAWING, EQUIPMENT DATA, MATERIAL SAMPLES,

OR MANUFACTUR'S CERTIFICATE, COMPLIANCE

APPROVAL

TRANSMITTAL #:

PAGE:

# OF ATTACHEMENTS

DATE: 00/MONTH/0000

THIS IS A NEW TRANSMITTAL

THIS IS A RESUBMITTAL

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.

ITEM # CHECK ON THIS ITEM FOR

REFURBISHMENT OF THE DAI UNIT - ANTINARCOTICS POLICE

REFURBISHMENT OF THE DAI UNIT - ANTINARCOTICS POLICE

QUITO - ECUADOR

CONTRACT #:

TRANSMITTAL SUMMARY:

CONTRACTING OFFICER'S REPRESENTATIVE

NAME

DESCRIPTION ITEM SUBMITTED

CREATIVE CORRECTIONS

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.

CONTRACTOR

NAME

PROCESS DATE: APPROVING DATE:

ENG.MARIO NARVAEZ

TECHNICAL ADVISOR INL - CES

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.

PROJECT:

FROM:

TO:

CHECK ONE

OF TRANSMITTAL #: ##

CONTRACT REFERENCE DOCUMENT OBSERVATIONS

SPEC # DRAWING # INFORM. ONLY GOV. APPROV Y N

Thermal-acoustic roof SOW 4.2 /6.1 A02, A03

Antirust paint SOW 4.2 A02, A03

Enamel paint SOW 4.2/6.5 A02, A03

Gypsum Ceiling SOW 4.2 /6.2 A02, A03, A04

Wall system Gypsum type SOW 4.3 /6.3 A02, A03

Glass Screens SOW 6.6 A02, A03, A04

Adrilyc Paint SOW 6.4 A02, A03, A04

Metallic Safety Door SD1 SOW 4.9 /6.7 A02, A03

Aluminum & Glass Door type GD1 SOW 4.9 /6.8 A-03

Aluminum & Glass Door type GD2 SOW 4.9 /6.9 A-03

Wooden Door Type WD1 SOW 4.9 /6.10 A-03

Porcelain Floor Tiles SOW 4.8/6.11 A-03

HPL Raised Floor SOW 4.8/6.17 A-02

Zebra Roller Blind Day Night Curtains SOW 4.12/6.12 A02, A03, A04

Granite Countertop SOW 4.12/6.13 A-03

Stainless Steel Sink SOW 4.12/6.14 A-03

Storage Cabinet Furniture. SOW 4.12/6.15 A-03

Washbasin SOW 4.12/6.16 A-03

CCTV System SOW 4.6/6.18 S02

Fire Protection & Alarms System SOW 4.6/6.19 S02

Air conditioner system SOW 4.6/6.20 S02

Category 6A structured cable SOW 4.7/6.23.1 S01, S02

Data inlet & outlet points SOW 4.7/6.23.2 S01

Wall Rack (RACK 00) SOW 4.7/6.23.3 S01

Optical fiber SOW 4.7/6.23.4 S01, S02

PRESENTATION DATE: 00/MONTH/0000

TRANSMITAL OF SHOP DRAWING, EQUIPMENT DATA, MATERIAL SAMPLES,

OR MANUFACTUR'S CERTIFICATE, COMPLIANCE

TRANSMITTAL #: 1

PAGE: 2 of 2

# OF ATTACHEMENTS

DATE: 00/MONTH/0000REFURBISHMENT OF THE DAI UNIT - ANTINARCOTICS POLICE

REFURBISHMENT OF THE DAI UNIT - ANTINARCOTICS POLICE CONTRACT #: ########

QUITO - ECUADOR

TRANSMITTAL SUMMARY:

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

ITEM # DESCRIPTION ITEM SUBMITTED CHECK ON THIS ITEM FOR APPROVAL

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.

CREATIVE CORRECTIONS

CONTRACTOR TECHNICAL ADVISOR INL - CES CONTRACTING OFFICER'S REPRESENTATIVE

NAME ENG.MARIO NARVAEZ NAME

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