4. AF Form 66 24Mar2021.xls
XLS spreadsheet 67 KB Posted
- Attached to
- VGLZ 172042 Repair Runway
- Solicitation number
- W50S8524B0001
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 TITLE | SOLICITATION/CONTRACT NO. | ||||||||||||||||
| VGLZ 172042 | Repair Runway | W912JB-13-4005 | |||||||||||||||||
| TO BE COMPLETED BY PROJECT ENGINEER | Contractor to verify submittal requirements | ||||||||||||||||||
| Page 1 | NO. OF COPIES REQUIRED | ||||||||||||||||||
| LINE NUMBER | Spec Section | ITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTAL | CERTIFICATION OF COMPLIANCE AND CLOSEOUT | SHOP DRAWINGS | SAMPLES | COLOR SELECTION | MANUFACTURER'S RECOMMENDATIONS | MANUFACTURER'S WARRANTY | CATALOG DATA | OTHER MATERIAL or DATA | OPERATING INSTRUCTIONS | SUBMITTAL |
REQUIRED
BY 14 DAYS
AFTER
NTP DATE
RECEIVED
IN
CONTRACTING DATE
TO
CIVIL
ENGINEERING RETURN
SUSPENSION
| DATE | FOLLOW-UP | DATE CONTRACTOR NOTIFIED | CONTRACTOR RESUBMITTAL | FINAL | ||||||
| APPROVAL | REMARKS | |||||||||
| APPROVED | DISAPPROVED | |||||||||
| 1 | 01.00.00 | 127th Security Forces Vetting Form | X | |||||||
| 2 | 01 00 00 | AF Form 3000 Material Approval Form | X | X (10 days) | ||||||
| 3 | 01 00 00 / 01 26 00 | AF Form 3064 Contract Progress Schedule | X | |||||||
| 4 | 01 00 00 / 01 26 00 | AF Form 3065 Contract Progress Report | X | |||||||
| 5 | 01 00 00 | SANGB Form 23 Hazardous Material Identification | X | |||||||
| 6 | 01 00 00 | AF Form 066 Schedule of Material Submittals | X | X (10 days) | ||||||
| 7 | 01 00 00 | Affirmative Procurement Reporting Form | X | |||||||
| 8 | 01 00 10 | Notification of Radioactive Sources | X | X | ||||||
| 9 | 01 00 10 | Affirmative Procurement Reporting Form | X | |||||||
| 10 | 01 00 10 | Affirmative Procurement Determination Form | X | |||||||
| 11 | 01 25 00 | Substitution Request Form: CSI Form 13.1A | X | |||||||
| 12 | 01 29 00 | Format to comply with AF Forms 3064 and 3065 | X | |||||||
| 13 | 01 32 00 | Construction Progress Schedules | X | X | ||||||
| 14 | 01 32 33 | Construction Photos | X | X | ||||||
| 15 | 01 33 00 | Daily Construction Reports | X | x | ||||||
| 16 | 01 35 23 | Designation of Safety Representative | X | X | ||||||
| 17 | 01 35 23 | Job Hazard Safety Analysis | X | X | ||||||
| 18 | 01 35 23 | Job Safety and Health Plan | X | X | ||||||
| 19 | 01 40 00 / 01 45 00 | Contractor 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. | X | X | X (10 days) | |||||
| 20 | 01 40 00 / 01 45 00 | Contractor 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. | X | X | X (20) days) | |||||
| 21 | 01 57 19 | Attachment 18A Haz Mat Identification Form | X | X | ||||||
| 22 | 01 57 19 | Attachment 18A Haz Mat Identification Form (Closeout Procedures) | X | X | ||||||
| 23 | 01 77 00 | Construction Information Real Property (01 77 00-1) | X | |||||||
| 24 | 01 78 39 | Project Record Drawings and As-builts | X | |||||||
| 25 | 02 61 13 | Excavation & Handling of Contaminated Material Plan, including proposed media testing and quantities | X | X | X (15 days) | |||||
| 26 | 03 30 00 | Concrete Curing Plan | X | |||||||
| 27 | 03 30 00 | Contractor 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. | X | X | X (10 days) | |||||
| 28 | 03 30 00 | Contractor 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. | X | X | X (20) days) | |||||
| 29 | 03 30 00 | Shop Drawings & Calculations - Formwork, Reinforcing Steel | X | X | ||||||
| 30 | 03 30 00 | Product 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 performance | X | X | X | |||||
| 31 | 03 30 00 | Concrete Mix Design | X | X | X (14 days before placement) | |||||
| 32 | 03 30 00 | Aggregate testing (sieve, meeting F3 exposure requirements, etc.) | X | X | ||||||
| 33 | 03 30 00 | Certifications - Reinforcing Steel, Safety Data Sheets, | X | X | ||||||
| 34 | 03 30 00 | Field 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 days | X | X | ||||||
| 35 | 03 30 00 | Field Quality Assurance Testing (5% of Field Quality Control Testing) | X | X | ||||||
| 36 | 32 01 11.51 | Rubber and Paint Removal Process Plan | X | X |
&C&"Arial,Bold"ATTACHMENT 2 - 1
| SCHEDULE OF MATERIAL SUBMITTALS | |||||||||||||||||||
| (AF Form 66 Modified) | PROJECT NO. | PROJECT TITLE | SOLICITATION/CONTRACT NO. | ||||||||||||||||
| VGLZ 172042 | Repair Runway | W912JB-13-4005 | |||||||||||||||||
| TO BE COMPLETED BY PROJECT ENGINEER | Contractor to verify submittal requirements | ||||||||||||||||||
| Page 2 | NO. OF COPIES REQUIRED | ||||||||||||||||||
| LINE NUMBER | Spec Section | ITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTAL | CERTIFICATION OF COMPLIANCE AND CLOSEOUT | SHOP DRAWINGS | SAMPLES | COLOR SELECTION | MANUFACTURER'S RECOMMENDATIONS | MANUFACTURER'S WARRANTY | CATALOG DATA | OTHER MATERIAL or DATA | OPERATING INSTRUCTIONS | SUBMITTAL |
REQUIRED
BY 14 DAYS
AFTER
NTP DATE
RECEIVED
IN
CONTRACTING DATE
TO
CIVIL
ENGINEERING RETURN
SUSPENSION
| DATE | FOLLOW-UP | DATE CONTRACTOR NOTIFIED | CONTRACTOR RESUBMITTAL | FINAL | ||||||||
| APPROVAL | REMARKS | |||||||||||
| APPROVED | DISAPPROVED | |||||||||||
| 37 | 32 01 11.51 | Waste Collection, Identification and Disposal Plan | X | X | ||||||||
| 38 | 32 01 11.51 | Material Property Testing - in accordance with Table 1 quantities | X | X | ||||||||
| 39 | 32 01 11.51 | Product Data (mechanical rubber and paint removal equipment, chemical rubber and paint removal equipment, rubber and paint removal detergents and chemicals) | X | X | X | X (14 days before use) | ||||||
| 40 | 32 01 11.51 | Test Section Results | X | X | ||||||||
| 41 | 32 01 18.71 | Equipment | X | X | X | |||||||
| 42 | 32 01 17.61 | Sealant and Backer Rod Product Data | X | X | X | |||||||
| 43 | 32 01 17.61 | Sealant Material | X | X | X (14 days prior to use) | |||||||
| 44 | 32 01 17.61 | Test Section | X | |||||||||
| 45 | 32 01 18.71 | Equipment | X | X | X | |||||||
| 46 | 32 01 18.71 | Procedures | X | |||||||||
| 47 | 32 01 18.71 | Test Section | X | X | ||||||||
| 48 | 32 01 19.61 | Product Data - joint sealants, blocking media/backup materials, backer rod, bond breaking tapes | X | X | ||||||||
| 49 | 32 01 19.61 | Sealant Factory Tests | X | X | ||||||||
| 50 | 32 11 23.23 | Aggregate, Plants, Equipment & Product Data | X | X | X | |||||||
| 51 | 32 11 23.23 | Job Mix Formula - Cement Stabilized OGM | X | X | X (14 days before placement) | |||||||
| 52 | 32 11 23.23 | Testing Results (sieve analysis, flat and/or elongated particles, fractured faces, wear, soundness) | X | X | ||||||||
| 53 | 32 11 23.23 | Field 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.) | X | X | ||||||||
| 54 | 32 11 23.23 | Field Quality Assurance Testing (5% of Field Quality Control Testing) | X | X | ||||||||
| 55 | 32 11 23.23 | Test Section | X | X | ||||||||
| 56 | 32 12 13 | Product and Equipment Data | X | X | X | |||||||
| 57 | 32 12 13 | Trial application | X | X | ||||||||
| 58 | 32 12 15.13 | Placement Plan | X | X | ||||||||
| 59 | 32 12 15.13 | Diamond Grinding Plan | X | X | ||||||||
| 60 | 32 12 15.13 | Product and Equipment Data | X | X | X | |||||||
| 61 | 32 12 15.13 | Job Mix Formula(s) - Hot Mix Asphalt | X | X | X (14 days before placement) | |||||||
| 62 | 32 12 15.13 | Field 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.) | X | X | ||||||||
| 63 | 32 12 15.13 | Field Quality Assurance Testing (5% of Field Quality Control Testing) | X | X | ||||||||
| 64 | 32 12 15.13 | Binder Certification | X | X | X | |||||||
| 65 | 32 12 15.13 | Testing Laboratory | X | X | ||||||||
| 66 | 32 12 15.13 | Placement QC Manager, Inspector, & Tech Certs | X | X | ||||||||
| 67 | 32 12 15.13 | Control Charts | X | X | ||||||||
| 68 | 32 12 15.13 | Test Section for each JMF used | X | X | ||||||||
| 69 | 32 17 23 | Surface Preparation Equipment | X | X | ||||||||
| 70 | 32 17 23 | Application Equipment | X | X | ||||||||
| 71 | 32 17 23 | Safety Data Sheets | X | X | ||||||||
| 72 | 32 17 23 | Reflective Media and Paint Product Data | X | X | X | X | ||||||
| 73 | 32 17 23 | Test Results | X | X | X | |||||||
| 74 | 32 17 23 | Product Certs | X | X | X | |||||||
| 75 | 32 17 23 | Manufacturers Instructions | X | X | X | |||||||
| 76 | 32 92 19 | Product Data | X | X | X | |||||||
| 77 | 32 92 19 | Topsoil Test Results | X | X | ||||||||
| 78 | 32 92 19 | State Certification of Seed | X | X |
&C&"Arial,Bold"ATTACHMENT 2 - 2
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