01_18382348_Specs_Attachment 4 Submittal Transmittal Form.pdf
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- USCG Base Kodiak Paving IDIQ
- Solicitation number
- 70Z08723RKODI8270978
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USCG CM-04
Rev. 6/11
SUBMITTAL NEW SUBMITTAL OR
NO. PREVIOUS SUBMITTAL NUMBER
CONTRACTOR: REVIEWED & APPROVED BY CONTRACTOR: DATE:
Paragraph Approved Number As Noted
Reviewers Comments:
TYPED NAME SIGNATURE DATE
SUBMITTAL TRANSMITTAL
Project Title:
Contractor Comments: Pusuant to the Specifications 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)
Description of Materials Type Approved Disapproved
SPECIFICATION SECTION
TASK ORDER #
Contract #
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