4. AF Form 66 24Mar2021.xls

XLS spreadsheet 67 KB Posted

Attached to
VGLZ 172042 Repair Runway
Solicitation number
W50S8524B0001
Issued by

About this file

This document is a schedule of material submittals for the federal contract opportunity W50S8524B0001 to repair Runway 172042 for the Michigan Army National Guard. The schedule lists 78 line items specifying the required submittals for various project specifications, including plans, reports, testing results, product data, certifications, and other documentation. Notable submittals include a contractor quality control plan due 10 days after notice to proceed, concrete mix designs due 14 days before placement, hazardous material identification forms, and as-built drawings. The schedule outlines the number of copies required for each submittal and notes whether certification, shop drawings, samples, or other information are required. It also includes fields to track receipt dates, review periods, approvals, and follow-ups for each item. The purpose of this schedule is to clearly define all required documentation for oversight and compliance throughout the runway repair project.

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SCHEDULE OF MATERIAL SUBMITTALS
(AF Form 66 Modified)PROJECT NO.PROJECT TITLESOLICITATION/CONTRACT NO.
VGLZ 172042Repair RunwayW912JB-13-4005
TO BE COMPLETED BY PROJECT ENGINEERContractor to verify submittal requirements
Page 1NO. OF COPIES REQUIRED
LINE NUMBERSpec SectionITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIFICATION OF COMPLIANCE AND CLOSEOUTSHOP DRAWINGSSAMPLESCOLOR SELECTIONMANUFACTURER'S RECOMMENDATIONSMANUFACTURER'S WARRANTYCATALOG DATAOTHER MATERIAL or DATAOPERATING INSTRUCTIONSSUBMITTAL

REQUIRED

BY 14 DAYS

AFTER

NTP DATE

RECEIVED

IN

CONTRACTING DATE

TO

CIVIL

ENGINEERING RETURN

SUSPENSION

DATEFOLLOW-UPDATE CONTRACTOR NOTIFIEDCONTRACTOR RESUBMITTALFINAL
APPROVALREMARKS
APPROVEDDISAPPROVED
101.00.00127th Security Forces Vetting FormX
201 00 00AF Form 3000 Material Approval FormXX (10 days)
301 00 00 / 01 26 00AF Form 3064 Contract Progress ScheduleX
401 00 00 / 01 26 00AF Form 3065 Contract Progress ReportX
501 00 00SANGB Form 23 Hazardous Material IdentificationX
601 00 00AF Form 066 Schedule of Material SubmittalsXX (10 days)
701 00 00Affirmative Procurement Reporting FormX
801 00 10Notification of Radioactive SourcesXX
901 00 10Affirmative Procurement Reporting FormX
1001 00 10Affirmative Procurement Determination FormX
1101 25 00Substitution Request Form: CSI Form 13.1AX
1201 29 00Format to comply with AF Forms 3064 and 3065X
1301 32 00Construction Progress SchedulesXX
1401 32 33Construction PhotosXX
1501 33 00Daily Construction ReportsXx
1601 35 23Designation of Safety RepresentativeXX
1701 35 23Job Hazard Safety AnalysisXX
1801 35 23Job Safety and Health PlanXX
1901 40 00 / 01 45 00Contractor Quality Control Plan including testing agencies, key personnel/roles/responsibilities, org chart, identification of test and inspection methods, number and schedule of tests and inspections, number of QC samples.XXX (10 days)
2001 40 00 / 01 45 00Contractor Quality Assurance Plan including testing agencies, key personnel/roles/responsibilities, org chart identification of tests and inspection methods, number and schedule of test and inspections, number of QA samples.XXX (20) days)
2101 57 19Attachment 18A Haz Mat Identification FormXX
2201 57 19Attachment 18A Haz Mat Identification Form (Closeout Procedures)XX
2301 77 00Construction Information Real Property (01 77 00-1)X
2401 78 39Project Record Drawings and As-builtsX
2502 61 13Excavation & Handling of Contaminated Material Plan, including proposed media testing and quantitiesXXX (15 days)
2603 30 00Concrete Curing PlanX
2703 30 00Contractor Quality Assurance Plan including testing agencies, key personnel/roles/responsibilities, org chart identification of tests and inspection methods, number and schedule of test and inspections, number of QA samples.XXX (10 days)
2803 30 00Contractor Quality Assurance Plan including testing agencies, key personnel/roles/responsibilities, org chart identification of tests and inspection methods, number and schedule of test and inspections, number of QA samples.XXX (20) days)
2903 30 00Shop Drawings & Calculations - Formwork, Reinforcing SteelXX
3003 30 00Product Data (joint sealants, fillers, formwork, aggregate materials, cementatious materials, concrete curing, materials, reinforcement, reinforcing fibers, admixtures, reinforcing bar and connectors, form release agents, etc.), includes environmental performanceXXX
3103 30 00Concrete Mix DesignXXX (14 days before placement)
3203 30 00Aggregate testing (sieve, meeting F3 exposure requirements, etc.)XX
3303 30 00Certifications - Reinforcing Steel, Safety Data Sheets,XX
3403 30 00Field Quality Control Testing - Slump Tests (one per batch or 20 CYDs) - Temp. Tests (one per batch or 20 CYDs ) - Comp. Strength (sets of six, once per day nor less than once per 100 CYDs for first 500 CYDs, then every 500 CYDs) with pairs tested at 7, 24, and 90 daysXX
3503 30 00Field Quality Assurance Testing (5% of Field Quality Control Testing)XX
3632 01 11.51Rubber and Paint Removal Process PlanXX

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SCHEDULE OF MATERIAL SUBMITTALS
(AF Form 66 Modified)PROJECT NO.PROJECT TITLESOLICITATION/CONTRACT NO.
VGLZ 172042Repair RunwayW912JB-13-4005
TO BE COMPLETED BY PROJECT ENGINEERContractor to verify submittal requirements
Page 2NO. OF COPIES REQUIRED
LINE NUMBERSpec SectionITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIFICATION OF COMPLIANCE AND CLOSEOUTSHOP DRAWINGSSAMPLESCOLOR SELECTIONMANUFACTURER'S RECOMMENDATIONSMANUFACTURER'S WARRANTYCATALOG DATAOTHER MATERIAL or DATAOPERATING INSTRUCTIONSSUBMITTAL

REQUIRED

BY 14 DAYS

AFTER

NTP DATE

RECEIVED

IN

CONTRACTING DATE

TO

CIVIL

ENGINEERING RETURN

SUSPENSION

DATEFOLLOW-UPDATE CONTRACTOR NOTIFIEDCONTRACTOR RESUBMITTALFINAL
APPROVALREMARKS
APPROVEDDISAPPROVED
3732 01 11.51Waste Collection, Identification and Disposal PlanXX
3832 01 11.51Material Property Testing - in accordance with Table 1 quantitiesXX
3932 01 11.51Product Data (mechanical rubber and paint removal equipment, chemical rubber and paint removal equipment, rubber and paint removal detergents and chemicals)XXXX (14 days before use)
4032 01 11.51Test Section ResultsXX
4132 01 18.71EquipmentXXX
4232 01 17.61Sealant and Backer Rod Product DataXXX
4332 01 17.61Sealant MaterialXXX (14 days prior to use)
4432 01 17.61Test SectionX
4532 01 18.71EquipmentXXX
4632 01 18.71ProceduresX
4732 01 18.71Test SectionXX
4832 01 19.61Product Data - joint sealants, blocking media/backup materials, backer rod, bond breaking tapesXX
4932 01 19.61Sealant Factory TestsXX
5032 11 23.23Aggregate, Plants, Equipment & Product DataXXX
5132 11 23.23Job Mix Formula - Cement Stabilized OGMXXX (14 days before placement)
5232 11 23.23Testing Results (sieve analysis, flat and/or elongated particles, fractured faces, wear, soundness)XX
5332 11 23.23Field Quality Control Testing - In Place Quality Control Testing (Aggregate Field Density and moisture content - one test per 2000 SYDs placed or not less than one test per day's production. Aggregate Soudness/Wear/Fractured Faces - one test per 12,000 SYDs placed or not less than one test per days production.) (Stabilized layer - aggregegate sieve analysis before addition of stabilizing material one per 6000 SYDs of completed area and not less than one per day of production. Perform soundess, LA abrasion, fractured faces, and flat and/or elongated particle tests at one per 12,000 SYDs or for every day of production.)XX
5432 11 23.23Field Quality Assurance Testing (5% of Field Quality Control Testing)XX
5532 11 23.23Test SectionXX
5632 12 13Product and Equipment DataXXX
5732 12 13Trial applicationXX
5832 12 15.13Placement PlanXX
5932 12 15.13Diamond Grinding PlanXX
6032 12 15.13Product and Equipment DataXXX
6132 12 15.13Job Mix Formula(s) - Hot Mix AsphaltXXX (14 days before placement)
6232 12 15.13Field Quality Contril Testing - In Place Quality Control Testing (one day's production, or every 2000 ton lots divided by 4 sublots for inplace density, air voids, theoretical maximum density.)XX
6332 12 15.13Field Quality Assurance Testing (5% of Field Quality Control Testing)XX
6432 12 15.13Binder CertificationXXX
6532 12 15.13Testing LaboratoryXX
6632 12 15.13Placement QC Manager, Inspector, & Tech CertsXX
6732 12 15.13Control ChartsXX
6832 12 15.13Test Section for each JMF usedXX
6932 17 23Surface Preparation EquipmentXX
7032 17 23Application EquipmentXX
7132 17 23Safety Data SheetsXX
7232 17 23Reflective Media and Paint Product DataXXXX
7332 17 23Test ResultsXXX
7432 17 23Product CertsXXX
7532 17 23Manufacturers InstructionsXXX
7632 92 19Product DataXXX
7732 92 19Topsoil Test ResultsXX
7832 92 19State Certification of SeedXX

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