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
| AS | As- Builts |
| CA | Calculations |
| CC | Certificate of Compliance |
| ES | Extra Stock |
| FT | Field Test |
| MD | Manufacturer's Data |
| MI | Manufacturer's Instructions |
| NR | Name/Factory Authorized Representative |
| NT | Notification |
| OM | Operations and Maintenance Manuals |
| PC | Pre-Construction |
| PD | Product Data |
| PK | Complete Package |
| PP | Work Plan/Procedure |
| QA | Quality Assurance |
| RD | Record |
| SA | Sample |
| SD | Shop Drawing |
| SI | Installed Sample/Mockup |
| SV | Survey |
| TD | Test Data |
| WA | Warranty |
"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. | SUBMITTAL | NEW SUBMITTAL | OR | |
| T.O. No.: | NO. | PREVIOUS SUBMITTAL NUMBER | ||
| CONTRACTOR: | REVIEWED & APPROVED BY CONTRACTOR: | DATE: |
| Paragraph | Description of Materials | Type | Approved | Disapproved | Approved |
| Number | As 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 REPFAC | CONTRACT NO: |
| (DESCRIPTION) | TASK ORDER NO: |
| No. | Specification Section Number | Specification Section Title | Specification Paragraph | Specification Page | Submittal Description | Code | Dates | Status | ||
| (APP, AAN, REJ) | Comments | |||||||||
| Submitted | Due1 | |||||||||
| (# days after Notice of Award) | Returned | Due2 |
(# days after receipt)
| 1 | 01 14 00 | Work Restrictions | 1.2.1, 1.4.2 | 5, 6 | List of Contact Personnel | PC | 15 |
| 2 | 01 14 00 | Work Restrictions | 1.2.2, 1.5.1 | 5, 7 | Personnel List | PC | 15 |
| 3 | 01 14 00 | Work Restrictions | 1.2.3, 1.5.2 | 5, 7 | Vehicle List | PC | 15 |
| 3 | 01 30 00 | Administrative Requirements | 1.2.1, 1.4.2 | 8 | Superintendent Qualifications | PC | 15 |
| 4 | 01 30 00 | Administrative Requirements | 1.2.2, 1.4.3 | 8, 9 | Project Management Qualifications | PC | 15 |
| 5 | 01 30 00 | Administrative Requirements | 1.2.3, 1.4.4 | 8, 9 | Construction Project Management Qualifications | PC | 15 |
| 6 | 01 32 16.00 20 | Progress Schedules | 1.1.1, 1.3 | 11 | Construction Schedule | PC | 30 |
| 7 | 01 32 16.00 20 | Progress Schedules | 1.1.2, 1.4 | 11 | Daily/weekly/monthly updates | RD | as required |
| 8 | 01 35 26 | Governmental Safety Requirements | 1.3.1, 1.7 | 33, 37 | Accident Prevention Plan | PC | 30 |
| 9 | 01 35 26 | Governmental Safety Requirements | 1.3.2, 1.10 | 33, 39 | Accident Reports | PC | as required |
| 10 | 01 35 26 | Governmental Safety Requirements | 1.3.3 | 33 | Equipment Operator Certificates/licenses | PC | 15 |
| 11 | 01 35 26 | Governmental Safety Requirements | 1.5 | 34 | Site Safety Officer and Alternate Qualifications | PC | 15 |
| 12 | 01 45 00.00 40 | Quality Control | 1.3.1, 1.4, 2.1.1 | 48, 50 | Quality Assurance nd Quality Control Plan | PC | 30 |
| 12 | 01 45 00.00 40 | Quality Control | 1.3.2 | 48 | Quality Assurance and Quality Control Data | PC | 24 hours after testing |
| 13 | 01 50 00 | Temporary Construction Facilities and Controls | 1.2.1, 1.3 | 52 | Construction Site Plan | PC | 30 |
| 14 | 01 50 00 | Temporary Construction Facilities and Controls | 1.2.2, 2.2 | 52, 53 | Traffic Control Plan | PC | 30 |
| 15 | 01 57 19 | Temporary Environmental Controls | 1.3.1.1, 1.6 | 60, 62 | Environmental Protection Plan | PC | 30 |
| 16 | 01 57 19 | Temporary Environmental Controls | 1.3.1.2, 1.7, 3.2 | 60, 64 | Stormwater Notice of Intent (Construction SWPPP) | PC | 30 |
| 17 | 01 57 19 | Temporary Environmental Controls | 1.3.1.3 | 60 | Dirt and Dust Control Plan | PC | 30 |
| 18 | 01 57 19 | Temporary Environmental Controls | 1.3.2 | 60 | Erosion and Sediment Control Inspector Qualifications | PC | 15 |
| 19 | 01 57 19 | Temporary Environmental Controls | 1.3.3.1, 1.7, 3.2 | 60, 64 | Stormwater Notice of Termination (Construction SWPPP) | RD | at project end |
| 20 | 01 57 19 | Temporary Environmental Controls | 1.3.3.2, 3.5 | 60, 65 | Waste Determination Documentation | RD | at project end |
| 21 | 01 57 19 | Temporary Environmental Controls | 1.5.3 | 61 | Environmental Manager Qualifications | PC | 15 |
| 22 | 01 74 00 | Warranties | 1.5.1 | 69 | Warranty List | PC | 30 |
| 23 | 01 78 00 | Closeout | 1.4.1.1, 3.1 | 71, 74 | As-Built Drawings | AS | 180 |
| 24 | 01 78 00 | Closeout | 1.4.1.2, 3.3 | 71, 77 | Record Drawings | AS | 180 |
| 25 | 01 78 23 | Operation and Maintenance Data | 1.1, 1.3 | 80 | Operation and Maintenance Manuals | PD | 180 |
| 26 | 03 01 30.71 | Concrete Rehabilitation | 1.3.1, 1.4.1, 2.1 | 87, 88, 89 | Epoxy Job Mix Formula | PD | 45 |
| 27 | 03 01 30.71 | Concrete Rehabilitation | 1.3.2.1 | 88 | Epoxy Repair Manual | PD | 45 |
| 28 | 03 01 30.71 | Concrete Rehabilitation | 1.3.2.2 | 88 | Epoxy Manufacturers Instructions | PD | 45 |
| 29 | 06 10 00 | Rough Carpentry | 1.2.1, 2.1, 2.3 | 95, 96, 98 | Wood, nails, anchor bolt product data | PD | 45 |
| 30 | 06 10 00 | Rough Carpentry | 1.2.2, 1.7.1 | 95 | Wood grade certificates | PD | 45 |
| 31 | 09 29 00 | Gypsum Board | 1.2.1, 2.1.1 | 102, 103 | Gypsum board product data | PD | 45 |
| 32 | 09 29 00 | Gypsum Board | 1.2.1.2, 2.1.1 | 102, 103 | Topping mud product data | PD | 45 |
| 33 | 09 29 00 | Gypsum Board | 1.2.1.3, 2.1.1 | 102, 103 | Joint tape and screws/nails product data | PD | 45 |
| 34 | 09 29 00 | Gypsum Board | 1.2.2 | 102 | Gyspium board, mud, and tap do not contain asbestos certificate | PD | 45 |
| 35 | 09 29 00 | Gypsum Board | 1.2.3 | 102 | Safety Data Sheets | PD | 45 |
| 36 | 09 90 00 | Paints and Coatings | 1.2.3 | 107 | Primer and Paint Technical Data Sheets | PD | 45 |
| 37 | 09 90 00 | Paints and Coatings | 1.2.4 | 107 | Paint color sample chips | PD | 45 |
| 38 | 09 90 00 | Paints and Coatings | 1.2.5, 1.3 | 107, 108 | Applicator's Qualifications | PD | 45 |
| 39 | 09 90 00 | Paints and Coatings | 1.2.6 | 107 | Manufacturer's Installations Instructions | PD | 45 |
| 40 | 31 05 19 | Geotextile | 1.2.1 | 117 | Geotextile Product Informaton | PD | 45 |
| 41 | 31 05 19 | Geotextile | 1.2.2 | 117 | Geotextile samples | PD | 45 |
| 42 | 32 11 20 | Subbase and Base Course | 1.4 | 122 | Subbase and Base Course information | PD | 45 |
| 43 | 32 12 13 | Bituminous Tack and Prime Coats | 1.2, 2.1, 2.2 | 130, 131 | Tack and Prime Coat Product data | PD | 45 |
| 44 | 32 12 21 | Bituminous Road-mix Surface Course | 1.2, 2.1, 2.2 | 135, 136 | Driveway mix-Product Data | PD | 45 |
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| 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
Page &P of &N
Sheet3
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