5-Exhibit D_Material Approval and Submittal Form_04012026_BA.pdf
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- Attached to
- Generator Maintenance
- Solicitation number
- 1232SA26Q0395
About this file
This is a Material Approval and Submittal Form template for the BARC EPSS (Generator/ATS/MTS) Maintenance and Repair IDIQ contract at the Beltsville Agricultural Research Center (BARC), USDA-ARS, Beltsville, Maryland. The form serves as an administrative document for tracking and approving materials proposed by the contractor for use under the contract.
The form establishes a three-level review and approval process for submitted materials. The contractor submits materials with descriptions including type, model, and manufacturer for up to ten line items organized by specification section and paragraph or drawing number. Each submission requires approval or disapproval recommendations from the Architect & Engineer (A&E), the Contracting Officer Representative/Engineering Project Manager (COR/EPM), and final approval or disapproval by the Contracting Officer. The form includes provisions for tracking previous submittals, recording submission numbers, and documenting receipt dates from the contractor, A&E, and COR. A separate comments section on the reverse side accommodates additional notes referenced during the review process. If materials are disapproved, the contractor must resubmit within a specified number of calendar days. By completing the form, the contractor certifies that all submitted materials comply with contract specifications. The form includes signature blocks and date fields for all reviewing parties and includes language indicating that A&E and COR information fields are marked "N-A" on this template version (revised 11/2016).
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BARC EPSS (Generator/ATS/MTS) Maintenance and Repair IDIQ Beltsville Agricultural Research Center (BARC) USDA-ARS, Beltsville, MD
Exhibit D Material Approval and Submittal Form
MATERIAL APPROVAL SUBMITTAL
TO: USDA/ARS CO
CC: A&E, COR
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):
A&E
Recommendation
COR/EPM
Recommendation
Contracting Officer Approval/Disapproval
Line
No.
Specification Sect.
Para No., Draw No.
Description of Material
(Include type, model, mfg) APP
See
Comments on Reverse 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 A&E COR/EPM Contracting Officer TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE
SIGNATURE: SIGNATURE: SIGNATURE: SIGNATURE:
DATE: 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 KTR: DATE RECEIVED FROM A&E: DATE RECEIVED FROM COR:
Material Approval Submittal Cover Sheet (11/2016)
BARC EPSS Maintenance and Repair
IDIQ
N-A
N-A
N-A
N-A
Wayne.Myers Cross-Out
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 .