Appendix_G-_DS(1)_Design_Submission_Transmittal_Form.pdf
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Appendix G
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Form: DS(1)
DESIGN SUBMISSION
TRANSMITTAL LETTER
To:
US Coast Guard Facilities Design & Construction Center 5505 Robin Hood Road Suite K Norfolk, VA 23513-2431
Date: Contr. No.
From:
(Prime Contractor Firm Name)
Attn:
Project Name:
Project Number:
Submitted by:
(Prime Contractor Submitter’s Name)
Signature of Submitter Subm No: D-_______ New ___ Resubm. ___
We are forwarding the following for your review and concurrence. By submission of these documents we are certifying that we coordinated, reviewed and approve them as complying with the Contract Requirements.
COPIES DATE
DESCRIPTION
(Be specific: drawing numbers, specification paragraph numbers, type of calculations, etc.)
TYPE OF
SUBMITTAL
GOVERNMENT ACTION
DOR
APPROVED
Yes/No/NA
Date
Unacceptable Resubmit
Make Corrections
Noted & Resubmit
Acceptable Reviewer Date
Government Reviewer’s Comments:
Government Reviewer’s Name ___________________________________________ Signature:
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