5. Material Submittal Form (002).pdf
PDF 141 KB Posted
- Attached to
- Modernization of Freight Elevator - NLAE (previously 12505B23Q0251) Federal contract opportunity
- Solicitation number
- 12505B23R0020
About this file
This document is a material submittal cover sheet for a federal construction contract with the USDA Agricultural Research Service. The contractor must use this form to submit material specifications for approval related to the modernization of a freight elevator at the USDA's National Laboratory for Agriculture and the Environment. Any resubmitted items due to disapproval must be returned within a timeframe specified by the contracting officer. The contractor, technical point of contact, and contracting officer must all sign the form to certify that submitted materials comply with contract requirements.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 4. Wage Determination_8.17.pdf | ||
| 1. 12505B23R0020 - Solicitation of Modernization of Freight Elevator.pdf | ||
| 8. Past Performance Questionnaire.pdf | ||
| 6. ARS-371.pdf | ||
| 3. 12505B23R0020 - Pictures.pdf | ||
| 2. 12505B23R0020 - Statement of Work.pdf | ||
| 7. ARS-372.pdf |
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Text version
MATERIAL APPROVAL SUBMITTAL
TO: USDA/ARS
CO CC: Technical
POC
FROM: (Contractor) PROJECT TITLE: CONTRACT NUMBER:
(To be completed by the Contractor) Government Use Only
SUBMITTAL
NUMBER:
PREVIOUS SUBMITTAL NUMBER
(only if items listed were submitted previously):
Technical POC
Recommendation
Contracting Officer Approval/Disapproval
Line
No.
Specification Sect.
Para No., Draw No.
Description of Material
(Include type, model, mfg) APP DISAP
See
Comments on Reverse APP DISAP
See
Comments on
Reverse
If an item is disapproved, a resubmittal is due within ________ calendar days of the Contracting Officer’s signature below.
Contractor Technical POC Contracting Officer TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE
SIGNATURE: SIGNATURE: SIGNATURE:
DATE: DATE: DATE:
By completing this form, the above signed contractor certifies that the material complies with all specifications of the subject contract.
DATE RECEIVED FROM Contractor: DATE RECEIVED FROM COR:
Material Approval Submittal Cover Sheet (11/2016)
CONTRACT #: SUBMITTAL #:
COMMENTS
Instructions: Enter the initials of the individual making the comment, the Line Number of the item for which the comment is being made, and the comment.
Material Approval Submittal Cover Sheet (11/2016) (Reverse)
File details come from the government source that posted it. Updated .