A04 - SOW - Attach 1 - SUBMITTAL Form.pdf
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- Attached to
- EROSION REPAIR FOR EIGHT (8) PARK BRIDGE
- Solicitation number
- 140P5220Q0032
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Project:
Erosion Repair for Eight (8) Park Bridges
A ct io n
Su bm itt al
In fo rm at io na l S ub m itt al
It em
N o.
Specification Section No.
P ar ag ra ph N o.
Description of Item
(Size, Type, Name, Manufacturer, Use, Etc.)
N o.
o f C op ie s Su bm itt ed
C on tri bu te s to m ee tin g
LE
ED
an d/ or F ed S us t.
R eq
M ee ts B uy A m er ic an
A ct
R eq
A lte rn at e M at er ia ls
P ro po se d
N o.
o f C op ie s R et ur ne d
A pp ro ve d
A pp ro ve d w ith N ot at io ns
D is ap pr ov ed
R es ub m it
A cc ep t
R ej ec t
Date To Contractor: r03/10
Park:
VICK
PMIS No.:
209564
Contract No.: Date: Transmittal No.:
Sheet: 1 of:
Title
Contractor's Signature:
I hereby certify that this submittal has been reviewed for accuracy, completeness, and compliance with contract requirements (FAR 52.236-21)
Review Comments:
Action Submittal
Informational Submittal
Contractor: NPS ACTIONSubcontractor / Supplier:
Recommended by:
Date Received: Distribution: 1 copy each: CMR Interim, A/E, DSC, Contr.
Title: Date:
Title: Date:
Action by:
Approval of this submittal is subject to the provisions of the contract drawings and specifications. This action is for general concurrence only and the government is not responsible for errors or omissions
Project:
Erosion Repair for Eight (8) Park Bridges
A ct io n
Su bm itt al
In fo rm at io na l S ub m itt al
It em
N o.
Specification Section No.
P ar ag ra ph N o.
Description of Item
(Size, Type, Name, Manufacturer, Use, Etc.)
N o.
o f C op ie s Su bm itt ed
C on tri bu te s to m ee tin g
LE
ED
an d/ or F ed S us t.
R eq
M ee ts B uy A m er ic an
A ct
R eq
A lte rn at e M at er ia ls
P ro po se d
N o.
o f C op ie s R et ur ne d
A pp ro ve d
A pp ro ve d w ith N ot at io ns
D is ap pr ov ed
R es ub m it
A cc ep t
R ej ec t
CM-16 TRANSMITTAL FORM CONTINUATION - NATIONAL PARK SERVICE
Park:
VICK
PMIS No.:
209564
Contract No.: Date: Transmittal No.:
Sheet: 2 of: 2
Contractor: Subcontractor / Supplier: NPS ACTION Action
Submittal Informational
Submittal
Review Comments r03/10
Transmittal & Continuation
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