5-Exhibit D_Material Approval and Submittal Form_04012026_BA.pdf

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Attached to
Generator IDIQ Contract
Solicitation number
1164311
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This document 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 a standardized document for contractors to submit materials for approval before use on the contract. The submittal process involves four reviewing parties: the Contractor, the Architect & Engineer (A&E), the Contracting Officer Representative/Engineering Project Manager (COR/EPM), and the Contracting Officer. The form accommodates up to ten line items, with each entry requiring specification section and paragraph reference numbers, drawing numbers, and detailed material descriptions including type, model, and manufacturer. Each reviewing party must indicate approval or disapproval status, with an option to reference comments on the reverse side of the form. The form requires completion of submittal numbers, previous submittal numbers if applicable, and dates received from the contractor, A&E, and COR. If any item is disapproved, the contractor must resubmit within a specified number of calendar days from the Contracting Officer's signature. All parties must sign and date the form, with the contractor certifying that submitted materials comply with all contract specifications. A comments section on the reverse side allows reviewers to document initials, line numbers, and specific feedback for each item.

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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 .