6766817_Repair_Driveway_Submittal_Log_20190622.xlsx

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USCG Driveway Repair D17 REPFAC
Solicitation number
70Z08719QPJT72000
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Submittal Log

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Codes-Instr.

SUBMITTAL TRANSMITTAL INSTRUCTIONS

1.Enter the specification number in the appropropriate box, top right corner. Only one specification
number per submittal.
2.Enter submittal number and paragraph(s) in the appropriate box, one submittal number per form.
3.Keep all submittal numbers in sequence.
4.If this is a resubmittal, so state in the appropriate block with its previous submittal number.
5.Do not use the resubmittal's previous submittal number. Instead, use the next number in the
6.submittal sequence.

Code Description

ASAs- Builts
CACalculations
CCCertificate of Compliance
ESExtra Stock
FTField Test
MDManufacturer's Data
MIManufacturer's Instructions
NRName/Factory Authorized Representative
NTNotification
OMOperations and Maintenance Manuals
PCPre-Construction
PDProduct Data
PKComplete Package
PPWork Plan/Procedure
QAQuality Assurance
RDRecord
SASample
SDShop Drawing
SIInstalled Sample/Mockup
SVSurvey
TDTest Data
WAWarranty

"Approved" means that the submittal has been approved as submitted and may be incorporated into the work.

"Disapproved" means that the submittal has not been approved as submitted and must be resubmitted into the work.

"Approved as Noted" means that the submittal is approved as subject to compliance with specific remarks on the transmittal form or on the submittal itself.

Cover

REQUEST FOR SHOP DRAWING OR MATERIAL APPROVAL
SPECIFICATION SECTION
Contract No.SUBMITTALNEW SUBMITTALOR
T.O. No.:NO.PREVIOUS SUBMITTAL NUMBER
CONTRACTOR:REVIEWED & APPROVED BY CONTRACTOR:DATE:
ParagraphDescription of MaterialsTypeApprovedDisapprovedApproved
NumberAs Noted

Contractor Comments: Pusuant to Section 1300 of the Technical Specfications and FAR 52.236-21, through submission of this request the contractor certifies that the product/item offered is in compliance with the contract, except as follows: (Specify variances)

Reviewers Comments:

TYPED NAME SIGNATURE DATE

CM-05

SUBMITTAL LOG
PROJECT TITLE:Repair Driveway D17 REPFACCONTRACT NO:
(DESCRIPTION)TASK ORDER NO:
No.Specification Section NumberSpecification Section TitleSpecification ParagraphSpecification PageSubmittal DescriptionCodeDatesStatus
(APP, AAN, REJ)Comments
SubmittedDue1
(# days after Notice of Award)ReturnedDue2

(# days after receipt)

101 14 00Work Restrictions1.2.1, 1.4.25, 6List of Contact PersonnelPC15
201 14 00Work Restrictions1.2.2, 1.5.15, 7Personnel ListPC15
301 14 00Work Restrictions1.2.3, 1.5.25, 7Vehicle ListPC15
301 30 00Administrative Requirements1.2.1, 1.4.28Superintendent QualificationsPC15
401 30 00Administrative Requirements1.2.2, 1.4.38, 9Project Management QualificationsPC15
501 30 00Administrative Requirements1.2.3, 1.4.48, 9Construction Project Management QualificationsPC15
601 32 16.00 20Progress Schedules1.1.1, 1.311Construction SchedulePC30
701 32 16.00 20Progress Schedules1.1.2, 1.411Daily/weekly/monthly updatesRDas required
801 35 26Governmental Safety Requirements1.3.1, 1.733, 37Accident Prevention PlanPC30
901 35 26Governmental Safety Requirements1.3.2, 1.1033, 39Accident ReportsPCas required
1001 35 26Governmental Safety Requirements1.3.333Equipment Operator Certificates/licensesPC15
1101 35 26Governmental Safety Requirements1.534Site Safety Officer and Alternate QualificationsPC15
1201 45 00.00 40Quality Control1.3.1, 1.4, 2.1.148, 50Quality Assurance nd Quality Control PlanPC30
1201 45 00.00 40Quality Control1.3.248Quality Assurance and Quality Control DataPC24 hours after testing
1301 50 00Temporary Construction Facilities and Controls1.2.1, 1.352Construction Site PlanPC30
1401 50 00Temporary Construction Facilities and Controls1.2.2, 2.252, 53Traffic Control PlanPC30
1501 57 19Temporary Environmental Controls1.3.1.1, 1.660, 62Environmental Protection PlanPC30
1601 57 19Temporary Environmental Controls1.3.1.2, 1.7, 3.260, 64Stormwater Notice of Intent (Construction SWPPP)PC30
1701 57 19Temporary Environmental Controls1.3.1.360Dirt and Dust Control PlanPC30
1801 57 19Temporary Environmental Controls1.3.260Erosion and Sediment Control Inspector QualificationsPC15
1901 57 19Temporary Environmental Controls1.3.3.1, 1.7, 3.260, 64Stormwater Notice of Termination (Construction SWPPP)RDat project end
2001 57 19Temporary Environmental Controls1.3.3.2, 3.560, 65Waste Determination DocumentationRDat project end
2101 57 19Temporary Environmental Controls1.5.361Environmental Manager QualificationsPC15
2201 74 00Warranties1.5.169Warranty ListPC30
2301 78 00Closeout1.4.1.1, 3.171, 74As-Built DrawingsAS180
2401 78 00Closeout1.4.1.2, 3.371, 77Record DrawingsAS180
2501 78 23Operation and Maintenance Data1.1, 1.380Operation and Maintenance ManualsPD180
2603 01 30.71Concrete Rehabilitation1.3.1, 1.4.1, 2.187, 88, 89Epoxy Job Mix FormulaPD45
2703 01 30.71Concrete Rehabilitation1.3.2.188Epoxy Repair ManualPD45
2803 01 30.71Concrete Rehabilitation1.3.2.288Epoxy Manufacturers InstructionsPD45
2906 10 00Rough Carpentry1.2.1, 2.1, 2.395, 96, 98Wood, nails, anchor bolt product dataPD45
3006 10 00Rough Carpentry1.2.2, 1.7.195Wood grade certificatesPD45
3109 29 00Gypsum Board1.2.1, 2.1.1102, 103Gypsum board product dataPD45
3209 29 00Gypsum Board1.2.1.2, 2.1.1102, 103Topping mud product dataPD45
3309 29 00Gypsum Board1.2.1.3, 2.1.1102, 103Joint tape and screws/nails product dataPD45
3409 29 00Gypsum Board1.2.2102Gyspium board, mud, and tap do not contain asbestos certificatePD45
3509 29 00Gypsum Board1.2.3102Safety Data SheetsPD45
3609 90 00Paints and Coatings1.2.3107Primer and Paint Technical Data SheetsPD45
3709 90 00Paints and Coatings1.2.4107Paint color sample chipsPD45
3809 90 00Paints and Coatings1.2.5, 1.3107, 108Applicator's QualificationsPD45
3909 90 00Paints and Coatings1.2.6107Manufacturer's Installations InstructionsPD45
4031 05 19Geotextile1.2.1117Geotextile Product InformatonPD45
4131 05 19Geotextile1.2.2117Geotextile samplesPD45
4232 11 20Subbase and Base Course1.4122Subbase and Base Course informationPD45
4332 12 13Bituminous Tack and Prime Coats1.2, 2.1, 2.2130, 131Tack and Prime Coat Product dataPD45
4432 12 21Bituminous Road-mix Surface Course1.2, 2.1, 2.2135, 136Driveway mix-Product DataPD45
45
46
47
48
49
50
51
ABOVE ITEMS ARE PRELIMINARY AND SUBJECT TO CHANGE UNTIL FINAL APPROVAL BY COR
Note 1: Unless otherwise noted, the Contractor shall ensure all submittals are received by the KO within 45 calendar days after receipt of Notice of Award.
Note 2: Unless otherwise noted, the Government shall ensure all submittals are returned noting status to Contractor within 14 calendar days after receipt of submittal.

DOT-USCG

FDCC (Pacific) CM-05 Rev. 1/99

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