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DEPARTMENT OF HOMELAND SECURITY

UNITED STATES COAST GUARD

SHORE INFRASTRUCTURE LOGISTICS CENTER

FINAL SPECIFICATIONS

FOR

REPAIR HVAC SYSTEM

MULTI-MISSION BUILDING (MMB) & BOAT MAINTENANCE FACILITY (BMF)

PSN: 7945029

AT

USCG STATION JONES BEACH

FREEPORT, NEW YORK

(NASSAU COUNTY)

David Dill, PE – Design Project Manager Gerry Gosselin, PE – Design Branch Chief

A. A. JACOBS, PE, BY DIRECTION

COMMANDING OFFICER

UNITED STATES COAST GUARD

CIVIL ENGINEERING UNIT PROVIDENCE

475 KILVERT ST SUITE 100

WARWICK, RHODE ISLAND 02886

USCG STATION JONES BEACH REPAIR HVAC SYSTEMS – MMB/BMF

September, 2017 PSN 7945029

THIS PAGE INTENTIONALLY LEFT BLANK

USCG Station Jones Beach – Photo Taken Facing Generally West

Multi‐Mission Building (MMB) at Left, Boat Maintenance Facility (BMF) at Right

USCG STATION JONES BEACH REPAIR HVAC SYSTEMS - MMB/BMF

September 2017 PSN 7945029

PROJECT TABLE OF CONTENTS Page 1

PROJECT TABLE OF CONTENTS

DIVISION 01 - GENERAL REQUIREMENTS

01 11 00 SUMMARY OF WORK

01 14 00 WORK RESTRICTIONS

01 32 00 CONSTRUCTION SCHEDULE/SCHEDULE OF VALUES

01 33 00 SUBMITTAL PROCEDURES

01 35 29 SAFETY AND OCCUPATIONAL HEALTH REQUIREMENTS

01 50 00 TEMPORARY FACILITIES AND CONTROLS

01 57 19 TEMPORARY ENVIRONMENTAL CONTROLS

01 77 00 CLOSEOUT PROCEDURES

01 78 23 OPERATION AND MAINTENANCE DATA

01 91 00 GENERAL COMMISSIONING REQUIREMENTS

DIVISION 02 - EXISTING CONDITIONS

02 41 00 DEMOLITION, CUTTING AND PATCHING

DIVISION 03 - CONCRETE

03 30 53 MISCELLANEOUS CAST-IN-PLACE CONCRETE

DIVISION 04 - MASONRY

04 20 00 UNIT MASONRY

DIVISION 05 - METALS

05 50 13 MISCELLANEOUS METAL FABRICATIONS

DIVISION 06 - WOOD, PLASTICS, AND COMPOSITES

06 10 00 ROUGH CARPENTRY

06 20 00 FINISH CARPENTRY

06 61 16 SOLID SURFACING FABRICATIONS

DIVISION 07 - THERMAL AND MOISTURE PROTECTION

07 21 16 MINERAL FIBER BLANKET INSULATION

07 21 23 LOOSE FILL THERMAL INSULATION

07 84 00 FIRESTOPPING

07 92 00 JOINT SEALANTS

DIVISION 08 - OPENINGS

08 11 13 STEEL DOORS AND FRAMES

08 14 00 WOOD DOORS

08 31 00 ACCESS DOORS AND PANELS

08 71 00 DOOR HARDWARE

08 81 00 GLAZING

DIVISION 09 - FINISHES

09 22 00 SUPPORTS FOR PLASTER AND GYPSUM BOARD

09 29 00 GYPSUM BOARD

09 30 10 CERAMIC, QUARRY, AND GLASS TILING

09 51 00 ACOUSTICAL CEILINGS

09 90 00 PAINTS AND COATINGS

DIVISION 10 - SPECIALTIES

10 21 13 TOILET COMPARTMENTS

10 26 00 DOOR PROTECTION

10 28 13 TOILET ACCESSORIES

PROJECT TABLE OF CONTENTS Page 2

DIVISION 12 - FURNISHINGS

12 32 00 MANUFACTURED WOOD CASEWORK

DIVISION 22 - PLUMBING

22 00 00 PLUMBING, GENERAL PURPOSE

DIVISION 23 - HEATING, VENTILATING, AND AIR CONDITIONING (HVAC)

23 00 00 AIR SUPPLY, DISTRIBUTION, VENTILATION, AND EXHAUST SYSTEMS

23 03 00.00 20 BASIC MECHANICAL MATERIALS AND METHODS

23 04 00 PUMPS

23 05 15 COMMON PIPING FOR HVAC

23 05 48.00 40 VIBRATION FOR HVAC PIPING AND EQUIPMENT

23 05 93 TESTING, ADJUSTING, AND BALANCING FOR HVAC

23 07 00 THERMAL INSULATION FOR MECHANICAL SYSTEMS

23 08 00 COMMISSIONING OF HVAC SYSTEMS

23 09 53.00 20 SPACE TEMPERATURE CONTROL SYSTEMS

23 11 25 FACILITY GAS PIPING

23 23 00 REFRIGERANT PIPING

23 25 00 CHEMICAL TREATMENT OF WATER FOR MECHANICAL SYSTEMS

23 52 00 HEATING BOILERS

23 54 16.00 10 HEATING SYSTEM; GAS-FIRED HEATERS

23 81 47 WATER-LOOP AND GROUND-LOOP HEAT PUMP SYSTEMS

23 82 02.00 10 UNITARY HEATING AND COOLING EQUIPMENT

23 83 00.00 20 ELECTRIC SPACE HEATING EQUIPMENT

DIVISION 26 - ELECTRICAL

26 00 00.00 20 BASIC ELECTRICAL MATERIALS AND METHODS

26 20 00 INTERIOR DISTRIBUTION SYSTEM

26 32 13.00 20 SINGLE OPERATION GENERATOR SETS

26 36 23.00 20 AUTOMATIC TRANSFER SWITCHES

26 51 00 INTERIOR LIGHTING

26 56 00 EXTERIOR LIGHTING

DIVISION 27 - COMMUNICATIONS

27 10 01 BUILDING TELECOMMUNICATIONS CABLING AND PUBLIC ADDRESS

SYSTEM

DIVISION 28 - ELECTRONIC SAFETY AND SECURITY

28 31 74.00 20 INTERIOR FIRE DETECTION AND ALARM SYSTEM

DIVISION 31 - EARTHWORK

31 00 00 EARTHWORK

DIVISION 32 - EXTERIOR IMPROVEMENTS

32 11 16 SUBBASES FOR FLEXIBLE PAVING

32 12 17 HOT MIX BITUMINOUS PAVEMENT

32 92 19 SEEDING

DIVISION 33 - UTILITIES

33 11 00 WATER UTILITY DISTRIBUTION PIPING

-- End of Project Table of Contents --

USCG STATION JONES BEACH REPAIR HVAC SYSTEMS – MMB/BMF

September, 2017 PSN 7945029

THIS PAGE INTENTIONALLY LEFT BLANK

Section 01 11 00 Page 1

SECTION 01 11 00

SUMMARY OF WORK

08/15

PART 1 GENERAL

1.1 WORK COVERED BY CONTRACT DOCUMENTS

1.1.1 Project Description

The project scope is for HVAC Repairs at the Multi-Mission Building (MMB) and the Boat Maintenance Facility (BMF) at USCG STA Jones Beach. The project also includes upgrades to the existing emergency generator and associated electrical infrastructure, improved attic insulation, and architectural improvements including replacing ceilings and finishes.

The following summarizes the major work scope in each building.

MMB:

Base Bid Items:

Replace heating plant and central domestic hot water heating plant Replace galley exhaust and make-up air handling system Remove and replace VAV system with new HVAC system Installation of geothermal bore field for new HVAC WSHP system Repair the existing attic insulation system Replace the existing ceiling and lighting systems throughout the building Replace all exterior doors and associated hardware Removal of existing 40 kW generator and associated infrastructure in BMF Installation of new 125 kW generator, automatic transfer switch, and associated electrical infrastructure Incidental architectural, electrical, and fire alarm modifications will be required in support of the hvac repairs.

The following are optional bid items associated with the project:

OBI #1 - MMB:

Replacement of MMB plumbing fixtures and bathroom finishes Replacement of MMB interior doors Repair MMB training room ceiling

OBI #2 - MMB:

Replacement of MMB galley exhaust duct and fan

OBI#3 - BMF:

Replace heating plant and central domestic hot water heating plant Replace HV-1 and HV-2 and associated ductwork and controls Modification of existing boat bay H&V system Replace the existing ceiling and lighting systems in non-boat bay areas Incidental architectural, electrical, and fire alarm modifications will be required in support of the HVAC repairs

Section 01 11 00 Page 2

OBI #4 - BMF:

Replacement of plumbing fixtures and bathroom finishes Replacement of wind screen

OBI #5 - MMB:

Remove and replace the Computer Network cabling and Public Address system cabling, and provide other work specified in Section 27 10 01 Building Telecommunications Cabling and Public Address Systems, throughout the MMB.

OBI #6 - BMF:

Remove and replace the Computer Network cabling and Public Address system cabling, and provide other work specified in Section 27 10 01 Building Telecommunications Cabling and Public Address Systems, throughout the BMF.

The work of this OBI shall also include installation of a Fiber Optic Cable between the MMB and BMF, as specified in Section 27 10 01, including paragraph 3.3 Outside Plant (OSP) or Campus Pathways and Cabling. This OBI will not be awarded unless OBI #3 is also awarded.

1.1.2 Availability of Digital Drawing Files

Drawings for the project have been prepared using AutoCAD. One set of the original files will be made to the successful contractor for the sole purpose of facilitating the execution of the work specified, including preparation of shop drawings, coordination drawings, and other submittals, including Record Drawings.

The contractor shall field verify all information as required to successfully provide the work specified.

1.1.3 Reference Drawings

In addition to the original files in Section 1.1.2, selected drawings issued for previously completed projects at the project location are provided to amplify the information provided on drawings 1 - 110. These have been identified as "Reference Drawings" and unless otherwise indicated, do not contain specific work requirements, other than providing information deemed by the government to assist the contractor in preparing a proposal for and executing the work specified. The drawings are provided at reduced scale with the project drawings.

REFERENCE DRAWING SCHEDULE

PROJECT NAME REF DWG NO SHEET NO BUILDING DRAWING

TITLE

SHEET NO.

ORIGINAL

CONSTRUCTION

RD-1 S-2 MMB ROOF PLAN -

STATION

BUILDING

ORIGINAL

CONSTRUCTION

RD-2 S-3 BMF FOUNDATION

AND ROOF

PLANS - SHOP

BUILDING

Section 01 11 00 Page 3

REFERENCE DRAWING SCHEDULE

RAISE ROOF ON

THE BOAT

MAINTENANCE

FACILITY

(BMF)

RD-3 A-103 BMF PROPOSED

EXTERIOR

ELEVATIONS

AND SECTIONS

RAISE ROOF ON

THE BOAT

MAINTENANCE

FACILITY

(BMF)

RD-4 A-104 BMF PROPOSED

EXTERIOR

ELEVATIONS

AND SECTIONS

Data contained on all electronic files provided by the Government shall not be used for any purpose other than as a convenience in the preparation of construction data for the referenced project. Any other use or reuse shall be at the sole risk of the Contractor and without liability or legal exposure to the Government. The Contractor shall make no claim and waives to the fullest extent permitted by law, any claim or cause of action of any nature against the Government, its agents or sub consultants that may arise out of or in connection with the use of these electronic files. The Contractor shall, to the fullest extent permitted by law, indemnify and hold the Government harmless against all damages, liabilities or costs, including reasonable attorney's fees and defense costs, arising out of or resulting from the use of these electronic files.

1.1.4 Location

The work is located at the USCG STA Jones Beach location.

U.S. Coast Guard Station Jones Beach 1 West End Boat Basin Freeport (LI), NY 11520

(516) 785-2995

The exact location will be shown by the Contracting Officer.

1.2 QUALITY ASSURANCE

1.2.1 Federal and Other Authorities Having Jurisdiction

All work shall be in compliance with Federal, State of New York and Nassau County regulations and requirements.

1.2.2 Commissioning, Functional Performance Tests

Commissioning activities shall be completed in accordance with the Commissioning specifications and requirements contained in the plans and specs.

Functional performance tests shall be performed to confirm the equipment and systems perform in accordance with the project requirements and intent.

1.3 EXISTING WORK

In addition to "FAR 52.236-9, Protection of Existing Vegetation, Structures, Equipment, Utilities, and Improvements":

Section 01 11 00 Page 4

a. Remove or alter existing work in such a manner as to prevent injury or damage to any portions of the existing work and conditions which remain.

b. Repair or replace portions of existing work which have been altered during construction operations to match existing or adjoining work, as approved by the Contracting Officer. At the completion of operations, existing work must be in a condition equal to or better than that which existed before new work started.

1.4 LOCATION OF UNDERGROUND UTILITIES

Location of the existing buried water, electrical, fuel piping is approximately indicated based on previous surveys. The Contractor shall physically verify the location of the same prior to any excavation or starting construction.

The Contractor shall scan the areas of work with electromagnetic and sonic equipment and mark the surface of the ground where these existing underground services are determined to be located. In addition to using this information to facilitate construction, and maintain continuity of existing services, provide a record drawing at project closeout to indicate the actual location of these buried services.

1.4.1 Notification Prior to Excavation

Notify the Contracting Officer at least 15 days prior to starting excavation work. For this location, contact the local utility or Dig Safe 48 hours prior to excavating. Contractor is responsible for marking all utilities not marked by the utility or Dig Safe.

1.5 SUPERVISION

Contractor shall have at least one qualified supervisor capable of reading, writing, and conversing fluently in the English language on the job site during working hours. In addition, if a Quality Control (QC) representative is required on the contract, then that individual shall also have fluent English communication skills.

1.6 PRECONSTRUCTION MEETING

After award of the contract but prior to commencement of any work at the site, meet with the Contracting Officer to discuss and develop a mutual understanding relative to the administration of the contract for construction, safety program, preparation of the schedule of values, shop drawings, and other submittals, scheduling/programming, and prosecution of the work. Major subcontractors who will engage in the work shall also attend.

1.7 CONSTRUCTION KICKOFF MEETING

After award of the contract, and when contracts for the major Sub-contractors listed below have been executed by the prime contractor, and prior to commencement of any work at the site, meet with the COR to discuss and develop a mutual understanding relative to work restrictions, safety requirements and temporary environmental controls, temporary facilities and

Section 01 11 00 Page 5 controls, preparation of the project schedule, shop drawings, and other submittals, scheduling programming including phasing requirements, closeout procedures and prosecution of the work. Major subcontractors who will engage in the work shall also attend, including Project Managers for the following trades or subcontractors:

Mechanical

The Contractor shall be prepared to discuss the following Pre-Construction Agenda Items:

a. Format for naming electronic files for electronic submittals (if not already promulgated)

b. Construction Schedule and project construction phasing(based on submittal prepared by Contractor)

c. Review Schedule of Values (based on submittal prepared by Contractor)

d. Anticipated periods when work will not be allowed

e. Protection of equipment

f. Review of storage areas to be made available to Contractor

g. Parking

h. Safety, security and access procedures

i. Operation & Maintenance Manuals

j. Training

k. Test, Adjust, and Balancing Scope and procedures

l. Controls, including preparation of submittals

m. Functional Performance Tests/ Operational Tests

n. Coordination Drawing Requirements

o. Commissioning Coordination and procedures

p. Preparation of Storm Water Pollution Prevention Plan (SWPPP) and Application for NYSDEC Storm Water Discharge Permit

1.8 BUY AMERICAN ACT COMPLIANCE

All equipment purchased by U.S. Government agencies must comply with the “Buy American Act” (BAA). In summary, this means that the equipment or systems installed must be made in the USA.

1.9 BASIS OF DESIGN; AND BRAND NAME OR EQUAL

In general, the federal government does not include the name of manufacturers or model numbers to specify various items, equipment, components or systems. However, since equipment or other items of equal

Section 01 11 00 Page 6 capacity is not necessarily available in the same arrangement, size or construction required for the specific use or application required, manufacturers' model numbers, figures or other "Brand Name" information or references are used in the Contract Documents for the convenience of the government and as a service to bidders, in order to generally identify features, performance and level of quality or materials to be provided. The information may appear in the specifications, on the drawings (in the form of drawing notes, schedules or other similar methods), or a combination of these methods.

Use of the name of a manufacturer in conjunction with the words "or equal" or "Design Basis" does not indicate a preference for this equipment, but rather that the government is not aware of all possible or acceptable sources of supply for the particular item, but has located at least one source. However, given the impact on the construction schedule, and need for coordination during that period, these two conditions have specific meanings relative to contract document requirements.

1.9.1 Basis of Design

Items specified without identifying a manufacturer or using "Design Basis" of "Basis of Design" may be proposed as part of the normal submittal process.

1.9.2 Brand Name or Equal

Items specified with the words "[Brand Name] or Equal" (information in square brackets may be a manufacturer plus model number or series of equipment) have been so specified because of their particular significance relative to successfully achieving design requirements and intent. When this specification method is used, the contractor shall, if s/he would like to use a manufacturer/model number other than that specified, include a detailed submittal fully describing the item, including its ability to meet or exceed the required salient characteristics of the specified equipment, with the bid materials submitted, as an alternate manufacturer for evaluation as part of the bidding process. The contractor shall also fully bear any costs associated with use of the alternate equipment or item, if approved (e.g., work by other trades, other modifications required to achieve project requirements).

Section 01 11 00 Page 7

Equipment, components, items, products or systems specified using the Brand Name or Equal method are listed in Table 1 below, along with associated specification section and location therein.:

Table 1

Items Specified Using Brand Name or Equal Method

No. Item(s) Specification

Section Title Specification Section No.

Specification Section Paragraph or Drawing

1 Energy Recovery Ventilator

Air Supply, Distribution, Ventilation, and Exhaust Systems

23 00 00 Paragraph 2.12 Sheet M-601

2 Ground Source Heat Pump

Water-Loop and Ground-Loop Heat Pump Systems

23 81 47 Paragraph 2.2 Sheet M-602

3 GSHP Thermostat Water-Loop and Ground-Loop Heat Pump Systems

23 81 47 Paragraphs

2.2.1.10 and 2.2.2.10

1.10 BUY AMERICAN ACT COMPLIANCE

All equipment purchased by U.S. Government agencies must comply with the “Buy American Act” (BAA). In summary, this means that the equipment or systems installed must be made in the USA.

1.11 INSPECTION

The Contractor shall keep the Contracting Officer or duly appointed representative fully informed of contract operations and plans so that a representative may arrange to be present at various times that work is being performed.

1.11.1 Contractor's Daily Log

The Contractor shall complete the USCG Daily Log form at the end of each working day and deliver it to the Government Inspector. The Government Inspector will attest to its accuracy by initialing the form and forwarding that form to CEU Providence. The form will be provided to the Contractor by the Contracting Officer's Representative.

1.12 PERMITS

The contractor shall be responsible for supporting the submission, and incurring the cost, of all required permits, inspections and certificates.

Upon completion, the contractor shall file/apply and pay for any Notices of Termination that may be required by the NY State Department of Environmental Conservation, and any other Authorities Having Jurisdiction. Provide a copy of same as part of Project Closeout Materials.

SECTION 01 32 00

CONSTRUCTION SCHEDULE/SCHEDULE OF VALUES

02/15

PART 1 GENERAL

1.1 SUBMITTALS

Submit the following in accordance with Section 01 33 00 SUBMITTAL

PROCEDURES:

SD-01 Preconstruction Submittals

Construction Schedule

Schedule of Values

1.2 CONSTRUCTION SCHEDULE

The Contract Documents present a recommended approach to phasing the sequence of construction. These shall be considered by the Contractor, and used to develop a Construction Schedule which satisfies the need for phasing as presented in the contract documents.

Once approved by the Government, the Construction Schedule shall be maintained by the Contractor as a fluid document, and used during job meetings to review upcoming work. At a minimum, a two week “look ahead” will be discussed at each job meeting once the period of on-site construction approaches (i.e., within one month of start of On-Site Construction).

At, or prior to the Pre-Construction Conference, submit a Construction Schedule and Schedule of Values in accordance with FAR Clause 52.236.15.

The schedule shall present a proposed sequence for accomplishing work in the areas to be phased. Once the general phasing approach is approved, a more detailed schedule shall be prepared for use throughout the remainder of the project performance period, with special emphasis on on-site construction, and critical path planning. Noting the need to adjust the schedule in response to comments from the CG, the duration of the on-site construction period, and to support efficient project management, the Construction Schedule shall be electronically prepared in software (MS Office Project) that can be easily adjusted, modified, and maintained by contractor personnel proficient in its use. Output shall be provided as hardcopy (size as required to be legible, and support use at job meetings) and electronic (.MPP and .PDF File formats) to be e-mailed to the COR for use and discussion.

The Coast Guard views the Construction Schedule, and management of it, to be a critical component for the success of the project. It is in the best interest of the Government and the Contractor to complete the work in a thoughtful, efficient manner in order to maximize resources, and minimize the period of construction.

The Construction Schedule shall clearly indicate the start and completion dates of major work components. The Schedule of Values shall clearly indicate unit value of all major work components.

SECTION 01 32 00 Page 1

The Construction Schedule shall incorporate at a minimum the following activities:

a. Mobilization

b. Demobilization

c. Pre-Construction Submittals

d. Work Activities

The following shall be addressed in the work activities:

1) Interruption and temporary supply of Station Infrastructure and Operations:

Air Conditioning Space Heat Domestic Hot Water Fuel Systems Electricity

Ensure temporary services are provided for each phase of construction for all occupied areas.

2) MMB

Phase 1 - Sitework:

Construction Of Geothermal Well Field And Infrastructure Construction Of Propane Tanks And Infrastructure Construction Of Generator And Infrastructure Phase 2 - Mechanical Room & Berthing Area North Mechanical Room Modifications System Improvements In Berthing Area North Phase 3 - Berthing Area North System Improvements In Berthing Area South Phase 4 - Office And Comm Center System Improvements In Offices And Communication Center Phase 5 - Galley, Mess, And Training Room System Improvements In Areas

3) BMF (Optional Bid Item) Phase 1 - Sitework:

Construction Of Propane Tanks And Infrastructure Phase 2 - BMF South System Improvements Restroom/Wet Room Improvements Phase 3 - BMF Boat Bay And North System Improvements

e. In-Progress Submittals

f. Final Government Inspection

g. Close-Out Submittals; i.e. Testing Balancing Reports, Warranties, Operation and Maintenance Manuals, Posted Instructions

h. As-Built Drawings

i. Factors which Constitute Potential Interruptions to Station Operations

SECTION 01 32 00 Page 2

Pre-Construction Submittals are those activities which encompass the obtaining, submission, review and approval of submittals necessary prior to the start of the related site work. Contractor shall annotate all such activities into the progress schedule with their forecasted time periods.

These activity periods shall not be exclusive of the contract performance period. No site work shall commence until the respective submittals have been approved.

The Construction Schedule and Schedule of Values as approved by the Government is not a substitute for quantities conveyed by the specification and drawings and those required for a complete job.

Omissions and errors on the Construction Schedule and Schedule of Values are the responsibility of the Contractor.

Payments will not be made until the schedule of prices has been submitted to and approved by the Contracting Officer.

1.3 CONSTRUCTION SCHEDULE UPDATES

Update the Construction Schedule as required, and in any event in advance of each Job Meeting, and distribute to Job Meeting participants at (or in advance of) each Job Meeting, and when schedule has been revised. Reflect any changes occurring since the last update. Submit copies of the purchase orders and confirmation of the delivery dates as directed.

1.4 SCHEDULE OF VALUES

The Schedule of Values shall be based on the actual breakdown of the bid price. The cost of insurance shall not be listed as a separate item but included as part of each item of work. The actual cost of bonds may be paid as the first progress payment when a receipt from the bonding company is presented to the Contracting Officer. In addition, keep the Government Inspector informed daily of the expected delivery dates for major pieces of equipment and materials.

The value of all major work components within the project shall be identified on the Schedule of Values on a unit quantity and unit cost basis, e.g. number of squares and cost per square of roofing, number of lineal feet and cost per lineal foot of conduit, number of panels and cost per panel etc. Lump sum items shall only be paid for when 100% complete.

Do not include mobilization and demobilization line items on the Schedule of Values.

PART 2 PRODUCTS

Not used.

PART 3 EXECUTION

3.1 PROGRESS UPDATES

3.1.1 General

A revised Construction Schedule/Schedule of Values shall be issued by the Contractor on a bi-weekly basis. In addition, any revisions to the Construction Schedule/Schedule of Values such as modifications or delays shall be reflected by Contractor submission of an updated Construction Schedule/Schedule of Values.

SECTION 01 32 00 Page 3

3.1.2 Modifications

When a modification is issued by the Government, record the modification as the last activity of the Construction Schedule and Schedule of Values and include the value of the modification. Adjust the Schedule of Values to reflect the inclusion of the modification. Revise the Construction Schedule portion of the form to annotate the progress change. Enter all modifications in this manner in sequential order.

-- End of Section --

SECTION 01 32 00 Page 4

SECTION 01 33 00

SUBMITTAL PROCEDURES

05/11

PART 1 GENERAL

1.1 DEFINITIONS

1.1.1 Submittal

Shop drawings, product data, samples, and administrative submittals presented for review and approval. Contract Clauses "FAR 52.236-5, Material and Workmanship," paragraph (b) and "FAR 52.236-21, Specifications and Drawings for Construction," paragraphs (d), (e), and

(f) apply to all "submittals."

1.1.2 Types of Submittals

All submittals are classified as indicated in paragraph "Submittal Descriptions (SD)". Submittals also are grouped as follows:

a. Shop drawings: As used in this section, drawings, schedules, diagrams, and other data prepared specifically for this contract, by contractor or through contractor by way of subcontractor, manufacturer, supplier, distributor, or other lower tier contractor, to illustrate portion of work.

b. Product data: Preprinted material such as illustrations, standard schedules, performance charts, instructions, brochures, diagrams, manufacturer's descriptive literature, catalog data, and other data to illustrate portion of work, but not prepared exclusively for this contract.

c. Samples: Physical examples of products, materials, equipment, assemblies, or workmanship that are physically identical to portion of work, illustrating portion of work or establishing standards for evaluating appearance of finished work or both.

d. Administrative submittals: Data presented for reviews and approval to ensure that administrative requirements of the project are adequately met but not to ensure directly that work is in accordance with design concept and in compliance with contract documents.

1.1.3 Submittal Descriptions (SD)

SD-01 Preconstruction Submittals

Construction progress schedule

Submittal register

Schedule of values

Health and safety plan

Work plan

Quality Control(QC) plan

SECTION 01 33 00 Page 1

Environmental protection plan

SD-02 Shop Drawings

Drawings, diagrams and schedules specifically prepared to illustrate some portion of the work.

Diagrams and instructions from a manufacturer or fabricator for use in producing the product and as aids to the Contractor for integrating the product or system into the project.

Drawings prepared by or for the Contractor to show how multiple systems and interdisciplinary work will be coordinated.

SD-03 Product Data

Catalog cuts, illustrations, schedules, diagrams, performance charts, instructions and brochures illustrating size, physical appearance and other characteristics of materials, systems or equipment for some portion of the work.

Samples of warranty language when the contract requires extended product warranties.

SD-04 Samples

Physical examples of materials, equipment or workmanship that illustrate functional and aesthetic characteristics of a material or product and establish standards by which the work can be judged.

Color samples from the manufacturer's standard line (or custom color samples if specified) to be used in selecting or approving colors for the project.

Field samples and mock-ups constructed on the project site establish standards by which the ensuring work can be judged. Includes assemblies or portions of assemblies which are to be incorporated into the project and those which will be removed at conclusion of the work.

SD-05 Design Data

Design calculations, mix designs, analyses or other data pertaining to a part of work.

SD-06 Test Reports

Report signed by authorized official of testing laboratory that a material, product or system identical to the material, product or system to be provided has been tested in accordance with specified requirements. Unless specified in another section, testing must have been within three years of date of contract award for the project.

Report which includes findings of a test required to be performed by the Contractor on an actual portion of the work or prototype prepared for the project before shipment to job site.

Report which includes findings of a test made at the job site or on samples taken from the job site, on portions of work during or after

SECTION 01 33 00 Page 2 installation.

Investigation reports.

Daily logs and checklists.

Final acceptance test and operational test procedure.

SD-07 Certificates

Statements printed on the manufacturer's letterhead and signed by responsible officials of manufacturer of product, system or material attesting that the product, system, or material meets specification requirements. Must be dated after award of project contract and clearly name the project.

Document required of Contractor, or of a manufacturer, supplier, installer or Subcontractor through Contractor. The document purpose is to further promote the orderly progression of a portion of the work by documenting procedures, acceptability of methods, or personnel qualifications.

Confined space entry permits.

SD-08 Manufacturer's Instructions

Preprinted material describing installation of a product, system or material, including special notices and (MSDS)concerning impedances, hazards and safety precautions.

SD-09 Manufacturer's Field Reports

Preprinted material describing installation of a product, system or material, including special notices and Material Safety Data sheets concerning impedances, hazards and safety precautions.

SD-10 Operation and Maintenance Data

Data intended to be incorporated in operations and maintenance manuals.

SD-11 Closeout Submittals

Documentation to record compliance with technical or administrative requirements or to establish an administrative mechanism.

As-built drawings.

Special warranties.

Posted operating instructions.

Training plan.

1.1.4 Approving Authority

Person authorized to approve submittal.

SECTION 01 33 00 Page 3

1.1.5 Work

As used in this section, on- and off-site construction required by contract documents, including labor necessary to produce submittals, construction, materials, products, equipment, and systems incorporated or to be incorporated in such construction.

1.2 SUBMITTALS

Submit the following in accordance with this section.

SD-01 Preconstruction Submittals

Submittal Register

1.3 USE OF SUBMITTAL REGISTER

Prepare and maintain submittal register, as the work progresses. Do not change data in columns (a), (b), (c), and (d) as delivered by government.

1.3.1 Submittal Register

Submit submittal register monthly. Verify that all submittals required for project are listed and add missing submittals. Complete the following on the register:

Column (e) Contractor Submit Date: Scheduled date for approving authority to receive submittals.

1.4 PROCEDURES FOR SUBMITTALS

1.4.1 Reviewing, Certifying, Approving Authority

The Contracting Officer shall be responsible for reviewing and certifying that submittals are in compliance with contract requirements. Approving authority on submittals is the Project Manager unless otherwise specified for specific submittal.

1.4.2 Constraints

a. Submittals listed or specified in this contract shall conform to provisions of this section, unless explicitly stated otherwise.

b. Submittals shall be complete for each definable feature of work;

components of definable feature interrelated as a system shall be submitted at same time.

c. When acceptability of a submittal is dependent on conditions, items, or materials included in separate subsequent submittals, submittal will be returned without review.

d. Approval of a separate material, product, or component does not imply approval of assembly in which item functions.

1.4.3 Scheduling

a. Coordinate scheduling, sequencing, preparing and processing of submittals with performance of work so that work will not be delayed by submittal processing. Allow for potential requirements to resubmit.

SECTION 01 33 00 Page 4

b. Except as specified otherwise, allow review period, beginning with receipt by approving authority, that includes at least 10 working days.

Period of review for each resubmittal is the same as for initial submittal.

1.4.4 Variations

Variations from contract requirements require Government approval pursuant to contract Clause entitled "FAR 52.236-21, Specifications and Drawings for Construction" and will be considered where advantageous to government.

1.4.4.1 Proposing Variations

When proposing variation, deliver written request to the contracting officer, with documentation of the nature and features of the variation and why the variation is desirable and beneficial to government. If lower cost is a benefit, also include an estimate of the cost saving. In addition to documentation required for variation, include the submittals required for the item. Clearly mark the proposed variation in all documentation.

1.4.4.2 Warranting That Variation Are Compatible

When delivering a variation for approval, contractor warrants that this contract has been reviewed to establish that the variation, if incorporated, will be compatible with other elements of work, and deliver the same service life and performance.

1.4.4.3 Review Schedule Is Modified Due to Variations

In addition to normal submittal review period, a period of 5 working days will be allowed for consideration by the Government of submittals with variations.

1.4.5 Contractor's Responsibilities

a. Determine and verify field measurements, materials, field construction criteria; review each submittal; and check and coordinate each submittal with requirements of the work and contract documents.

b. Transmit submittals to Contracting Officer in accordance with schedule on approved Submittal Register, and to prevent delays in the work, delays to government, or delays to separate contractors.

c. Advise contracting officer of variation, as required by paragraph entitled "Variations."

d. Correct and resubmit submittal as directed by approving authority.

When resubmitting disapproved transmittals or transmittals noted for resubmittal, the contractor shall provide copy of that previously submitted transmittal including all reviewer comments for use by approving authority. Direct specific attention in writing or on resubmitted submittal, to revisions not requested by approving authority on previous submissions.

e. Furnish additional copies of submittal when requested by contracting officer, to a limit of 4 copies per submittal.

f. Complete work which must be accomplished as basis of a submittal in

SECTION 01 33 00 Page 5 time to allow submittal to occur as scheduled.

g. Ensure no work has begun until submittals for that work have been returned as "approved," except to the extent that a portion of work must be accomplished as basis of submittal.

1.4.6 Government Responsibilities

a. Note date on which submittal was received from contractor on each Contract Item Approval Request Form.

b. Review each submittal; and check and coordinate each submittal with requirements of work and contract documents.

c. Review submittals for conformance with project design concepts and compliance with contract documents.

d. Ensure that material is clearly legible.

e. Review submittals for approval within scheduling period specified and only for conformance with project design concepts and compliance with contract documents.

f. Identify returned submittals with one of the actions defined in paragraph entitled "Actions Possible" and with markings appropriate for action indicated.

1.4.7 Actions Possible

a. Submittals marked "approved" "approved as submitted" authorize contractor to proceed with work covered.

b. Submittals marked "approved" "see below" authorize contractor to proceed with work as noted provided contractor takes no exception to the notations.

c. Submittals marked "disapproved" indicate submittal is incomplete or does not comply with design concept or requirements of the contract documents and shall be resubmitted with appropriate changes. No work shall proceed for this item until resubmittal is approved.

1.5 FORMAT OF SUBMITTALS

1.5.1 Transmittal Form

Transmit each submittal electronically, unless otherwise noted in the submittal register and/or where electronic submission is not feasible (i.e. samples), to office of approving authority. The maximum file size that may be emailed is 10 MB; electronic files larger than 10 MB must be submitted hard copy or on a CD. Transmit submittals with transmittal form prescribed by contracting officer and standard for project. The transmittal form shall identify contractor, indicate date of submittal, and include information prescribed by transmittal form and required in paragraph entitled "Identifying Submittals." Process transmittal forms to record actions regarding sample panels and sample installations. Note:

Submittals requiring hard copy submission shall be provided with carbon copy transmittal form provided by the government.

SECTION 01 33 00 Page 6

1.5.2 Identifying Submittals

Identify submittals, except sample panel and sample installation, with the following information on each separate component of each submittal and transmittal form. The maximum file size for electronic submittals shall be no larger than 10 MB. Identify each copy of each submittal identically, with the following:

a. Project title and location.

b. Construction contract number.

c. Section number of the specification section by which submittal is required.

d. Submittal description (SD) number of each component of submittal.

e. When a resubmission, alphabetic suffix on submittal description, for example, SD-10A, to indicate resubmission.

f. Name, address, and telephone number of subcontractor, supplier, manufacturer and any other second tier contractor associated with submittal.

g. Product identification and location in project.

1.5.3 Format for Product Data

a. Present product data submittals for each section. Include table of contents, listing page and catalog item numbers for product data.

b. Indicate, by prominent notation, each product which is being submitted; indicate specification section number and paragraph number to which it pertains.

c. Supplement product data with material prepared for project to satisfy submittal requirements for which product data does not exist. Identify this material as developed specifically for project.

1.5.4 Format for Shop Drawings

a. Shop drawings shall not be less than 8 1/2 by 11 inches nor more than 30 by 42 inches.

b. Present 8 1/2 by 11 inches sized shop drawings as part of the submittals required by section. Present larger drawings in sets.

c. Include on each drawing the drawing title, number, date, and revision numbers and dates, in addition to information required in paragraph entitled "Identifying Submittals."

d. Dimension drawings, except diagrams and schematic drawings; prepare drawings demonstrating interface with other trades to scale. Shop drawing dimensions shall be the same unit of measure as indicated on the contract drawings. Identify materials and products for work shown.

1.5.5 Format of Samples

a. Furnish samples in sizes below, unless otherwise specified or unless

SECTION 01 33 00 Page 7 the manufacturer has prepackaged samples of approximately same size as specified:

(1) Sample of Equipment or Device: Full size.

(2) Sample of Materials Less Than 2 by 3 inches: Built up to 8 1/2 by 11 inches.

(3) Sample of Materials Exceeding 8 1/2 by 11 inches: Cut down to 8 1/2 by 11 inches and adequate to indicate color, texture, and material variations.

(4) Sample of Linear Devices or Materials: 10 inch length or length to be supplied, if less than 10 inches. Examples of linear devices or materials are conduit and handrails.

(5) Sample of Non-Solid Materials: Pint. Examples of non-solid materials are sand and paint.

(6) Color Selection Samples: 2 by 4 inches.

(7) Sample Panel: 4 by 4 feet.

(8) Sample Installation: 100 square feet.

b. Samples Showing Range of Variation: Where variations are unavoidable due to nature of the materials, submit sets of samples of not less than three units showing extremes and middle of range.

c. Reusable Samples: Incorporate returned samples into work only if so specified or indicated. Incorporated samples shall be in undamaged condition at time of use.

d. Recording of Sample Installation: Note and preserve the notation of area constituting sample installation but remove notation at final clean up of project.

e. When color, texture or pattern is specified by naming a particular manufacturer and style, include one sample of that manufacturer and style, for comparison.

1.5.6 Format of Administrative Submittals

a. When submittal includes a document which is to be used in project or become part of project record, other than as a submittal, do not apply contractor's approval stamp to document, but to a separate sheet accompanying document.

1.6 QUANTITY OF SUBMITTALS

1.6.1 Number of Copies of SD-02 Shop Drawings

Submit shop drawings in compliance with quantity requirements specified for product data.

1.6.2 Number of Copies of SD-03 Product Data

a. When hard copy submission is required, submit four copies of submittals of product data.

SECTION 01 33 00 Page 8

1.6.3 Number of Samples

a. Submit two samples, or two sets of samples showing range of variation, of each required item. One approved sample or set of samples will be retained by approving authority and one will be returned to Contractor.

b. Submit one sample panel or provide one sample installation where directed. Include components listed in technical section or as directed.

c. Submit one sample installation, where directed.

d. Submit one sample of non-solid materials.

1.6.4 Number of Copies of Administrative Submittals

Unless otherwise specified, submit administrative submittals in compliance with quantity requirements specified for product data..

-- End of Section --

SECTION 01 33 00 Page 9

SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 1 OF 36 PAGES

USCG Jones Beach HVAC

01 14 00 SD-01 Preconstruction Submittals

1.3Phasing Plan

01 32 00 SD-01 Preconstruction Submittals

1.2Construction Schedule

1.2Schedule of Values

01 33 00 SD-01 Preconstruction Submittals

1.3.1Submittal Register

01 35 29 SD-01 Preconstruction Submittals

1.3.2.1Accident Prevention Plan (APP)

1.4Accident Prevention Plan (APP)

1.5Activity Hazard Analysis (AHA)

SD-11 Closeout Submittals

1.4.1Daily Confined Space Entry

Permit

3.6Daily Confined Space Entry

Permit

3.9Reports

1.4.1Crane Critical Lift Plan

3.9Certificate of Compliance

01 50 00 SD-01 Preconstruction Submittals

1.3Construction Site Plan

1.6.1Traffic Control Plan

SD-07 Certificates

1.4.1Backflow Preventer

1.4.1Backflow Preventer

01 57 19 SD-01 Preconstruction Submittals

SUBMITTAL REGISTER

CONTRACT NO.

TITLE AND LOCATION CONTRACTOR

CONTRACTOR:

SCHEDULE DATES

CONTRACTOR

ACTION

APPROVING AUTHORITY

A C T I V I T Y

N O

T R A N S M I T T A L

N O

S P E C

S E C T

DESCRIPTION

ITEM SUBMITTED

P A R A G R A P H

C L A S S I F I C A T I O N

G O V T

O R

A E

R E V W

R SUBMIT

APPROVAL

NEEDED

BY

MATERIAL

NEEDED

BY

A C T I O N

C O D E

DATE

OF

ACTION

DATE FWD

TO APPR

AUTH/

DATE RCD

FROM

CONTR

DATE FWD

TO OTHER

REVIEWER

DATE RCD

FROM OTH

REVIEWER

A C T I O N

C O D E

DATE

OF

ACTION

MAILED

TO

CONTR/

DATE RCD

FRM APPR

AUTH REMARKS

(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)

SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 2 OF 36 PAGES

01 57 19 3.6Environmental Protection Plan

1.4Dirt and Dust Control Plan

1.9Storm Water Pollution Prevention

Plan

1.9.1Stormwater Discharge Permit

3.3Water, Soil, and Erosion Control

Plan

3.5.2Storage

SD-06 Test Reports

1.5Laboratory Analysis

SD-11 Closeout Submittals

1.6.1Preconstruction Survey

1.6.2Solid Waste Disposal Permit

1.6.3Waste Determination

Documentation

1.6.4Disposal Documentation for

Hazardous and Regulated Waste

1.6.5Contractor 40 CFR employee training records

1.6.6Regulatory Notifications

1.6.7Erosion and sediment control inspection reports

1.6.8Solid Waste Disposal Report

1.11Contractor Hazardous Material

Inventory Log

SUBMITTAL REGISTER

CONTRACT NO.

TITLE AND LOCATION CONTRACTOR

CONTRACTOR:

SCHEDULE DATES

CONTRACTOR

ACTION

APPROVING AUTHORITY

A C T I V I T Y

N O

T R A N S M I T T A L

N O

S P E C

S E C T

DESCRIPTION

ITEM SUBMITTED

P A R A G R A P

A S S I F I C A T I O N

G O V T

O R

A E

R E V W

R SUBMIT

APPROVAL

NEEDED

BY

MATERIAL

NEEDED

BY

A C T I O N

C O D E

DATE

OF

ACTION

DATE FWD

TO APPR

AUTH/

DATE RCD

FROM

CONTR

DATE FWD

TO OTHER

REVIEWER

DATE RCD

FROM OTH

REVIEWER

A C T I O N

C O D E

DATE

OF

ACTION

MAILED

TO

CONTR/

DATE RCD

FRM APPR

SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 3 OF 36 PAGES

01 77 00 SD-10 Operation and Maintenance

Data

1.4.1Equipment/Product Warranty List

SD-11 Closeout Submittals

1.3.1As-built Drawings

1.2Materials

01 91 00 SD-06 Test Reports

1.5.6Issues Log

SD-07 Certificates

1.7Certificate of Readiness

1.7Certificate Of Completion

SD-10 Operation and Maintenance

Data

3.3Operation And Maintenance

Manual

3.2Training Sessions

SD-11 Closeout Submittals

1.7Commissioning Documentation

02 41 00 SD-01 Preconstruction Submittals

1.7Existing Conditions

SD-07 Certificates

1.5Notification

SD-11 Closeout Submittals

3.2.2Receipts

03 30 53 SD-02 Shop Drawings

1.4Installation Drawings

SUBMITTAL REGISTER

CONTRACT NO.

TITLE AND LOCATION CONTRACTOR

CONTRACTOR:

SCHEDULE DATES

CONTRACTOR

ACTION

APPROVING AUTHORITY

A C T I V I T Y

N O

T R A N S M I T T A L

N O

S P E C

S E C T

DESCRIPTION

ITEM SUBMITTED

P A R A G R A P

A S S I F I C A T I O N

G O V T

O R

A E

R E V W

R SUBMIT

APPROVAL

NEEDED

BY

MATERIAL

NEEDED

BY

A C T I O N

C O D E

DATE

OF

ACTION

DATE FWD

TO APPR

AUTH/

DATE RCD

FROM

CONTR

DATE FWD

TO OTHER

REVIEWER

DATE RCD

FROM OTH

REVIEWER

A C T I O N

C O D E

DATE

OF

ACTION

MAILED

TO

CONTR/

DATE RCD

FRM APPR

SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 4 OF 36 PAGES

03 30 53 SD-03 Product Data

2.2.3.1Air-Entraining Admixture

2.2.3.2Water-Reducing or Retarding

Admixture

2.2.8Curing Materials

2.2.6Expansion Joint Filler Strips, Premolded

3.3Conveying and Placing Concrete

2.2.7Formwork

2.3Mix Design Data

2.3Ready-Mix Concrete

2.4.1Curing Compound

2.2.5Mechanical Reinforcing Bar

Connectors

SD-06 Test Reports

2.2.2Aggregates

2.1.3Concrete Mixture Proportions

3.9.3Compressive Strength Testing

3.9.3Slump

3.9.3Air Content

2.2.4Water

SD-07 Certificates

2.2.1Cementitious Materials

2.2.2Aggregates

2.3Delivery Tickets

04 20 00 SD-02 Shop Drawings

SUBMITTAL REGISTER

CONTRACT NO.

TITLE AND LOCATION CONTRACTOR

CONTRACTOR:

SCHEDULE DATES

CONTRACTOR

ACTION

APPROVING AUTHORITY

A C T I V I T Y

N O

T R A N S M I T T A L

N O

S P E C

S E C T

DESCRIPTION

ITEM SUBMITTED

P A R A G R A P

A S S I F I C A T I O N

G O V T

O R

A E

R E V W

R SUBMIT

APPROVAL

NEEDED

BY

MATERIAL

NEEDED

BY

A C T I O N

C O D E

DATE

OF

ACTION

DATE FWD

TO APPR

AUTH/

DATE RCD

FROM

CONTR

DATE FWD

TO OTHER

REVIEWER

DATE RCD

FROM OTH

REVIEWER

A C T I O N

C O D E

DATE

OF

ACTION

MAILED

TO

CONTR/

DATE RCD

FRM APPR

SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 5 OF 36 PAGES

04 20 00 3.3.2.1Cut CMU

SD-03 Product Data

1.5.1Hot Weather Procedures

1.5.2Cold Weather Procedures

2.2.2.2.1Cement

2.4.1.1Cementitious Materials

SD-05 Design Data

2.2.2.3Fire-Rated Concrete Masonry

Units

SD-06 Test Reports

2.2.2.3Fire-Rated Concrete Masonry

Units

SD-07 Certificates

2.2.2.2Concrete Masonry Units (CMU)

05 50 13 SD-02 Shop Drawings

2.3Bollards/Pipe Guards

2.4Embedded Angles

2.4Mechanical frame components

2.4Loose Lintels and Plates

1.4.2Installation Drawings

SD-07 Certificates

2.1Certified Mill

06 10 00 SD-02 Shop Drawings

1.8.1Fabricated Structural Members

SD-06 Test Reports

1.4.2Preservative-treated

SUBMITTAL REGISTER

CONTRACT NO.

TITLE AND LOCATION CONTRACTOR

CONTRACTOR:

SCHEDULE DATES

CONTRACTOR

ACTION

APPROVING AUTHORITY

A C T I V I T Y

N O

T R A N S M I T T A L

N O

S P E C

S E C T

DESCRIPTION

ITEM SUBMITTED

P A R A G R A P

A S S I F I C A T I O N

G O V T

O R

A E

R E V W

R SUBMIT

APPROVAL

NEEDED

BY

MATERIAL

NEEDED

BY

A C T I O N

C O D E

DATE

OF

ACTION

DATE FWD

TO APPR

AUTH/

DATE RCD

FROM

CONTR

DATE FWD

TO OTHER

REVIEWER

DATE RCD

FROM OTH

REVIEWER

A C T I O N

C O D E

DATE

OF

ACTION

MAILED

TO

CONTR/

DATE RCD

FRM APPR

SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 6 OF 36 PAGES

06 10 00 SD-07 Certificates

1.7Preservative Treatment

06 20 00 SD-02 Shop Drawings

1.3Detail Drawings Indicating All

Wood Assemblies

SD-03 Product Data

2.1Wood Products

2.2Countertops

1.4Treated Wood Products

2.5Hardware and Accessories

SD-04 Samples

1.5Samples

SD-07 Certificates

1.7.1.1Certificates of Grade

1.7.1.2Indoor Air Quality

SD-11 Closeout Submittals

2.6.1.2Indoor Air Quality for Non-aerosol

Adhesives

2.6.1.2Indoor Air Quality for Aerosol

Adhesives

06 61 16 SD-02 Shop Drawings

3.1Installation

SD-03 Product Data

2.1Solid Polymer Material

1.4.1Qualifications

2.3Fabrications

SUBMITTAL REGISTER

CONTRACT NO.

TITLE AND LOCATION CONTRACTOR

CONTRACTOR:

SCHEDULE DATES

CONTRACTOR

ACTION

APPROVING AUTHORITY

A C T I V I T Y

N O

T R A N S M I T T A L

N O

S P E C

S E C T

DESCRIPTION

ITEM SUBMITTED

P A R A G R A P

A S S I F I C A T I O N

G O V T

O R

A E

R E V W

R SUBMIT

APPROVAL

NEEDED

BY

MATERIAL

NEEDED

BY

A C T I O N

C O D E

DATE

OF

ACTION

DATE FWD

TO APPR

AUTH/

DATE RCD

FROM

CONTR

DAT…

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