5. Material Submittal Form.pdf
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- Solicitation number
- 12505B24R0007
About this file
This solicitation requests proposals for building repairs at a federal research facility. The United States Department of Agriculture Agricultural Research Service is seeking to demolish an existing boiler system and associated piping and replace it under solicitation number 12505B24R0007. The project is a 100% small business set-aside with a NAICS code of 238220 and size standard of $19 million. The period of performance is 90 days from notice to proceed and the estimated value is between $25,000 and $100,000. Site visits are scheduled for February 14th and 15th and questions are due by February 22nd. Proposals must be submitted through the System for Award Management and the procurement emphasizes the use of biobased products where possible.
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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 .