AF Form 66 OSI Flooring.xlsx

XLSX spreadsheet 87 KB Posted

Attached to
OSI B926 Flooring
Solicitation number
FA302226R0020
Issued by

About this file

This is an AF Form 66 Schedule of Material Submittals template used to track contractor submissions for the OSI B926 Flooring project at Columbus Air Force Base. The form serves as a comprehensive checklist and documentation tool for managing all required submittals throughout the construction contract lifecycle, including general construction items, environmental compliance documentation, and architectural, civil, mechanical, electrical, and special systems components.

The General section requires contractors to submit five baseline items: a Work/Construction/Phasing Plan, As-Built Drawings, Progress Schedule, Guarantees and Warranties, and Superintendent's Qualifications and Experience documentation. The Environmental section mandates sixteen submissions including Safety Data Sheets (SDS), hazardous waste and material reports (AF Form 3000), recycled material/construction debris reports, Storm Water Pollution Prevention Plans with Best Management Practices, weekly inspection reports, state licenses for asbestos workers and supervisors, ten-day demolition/asbestos notifications, work plans, and ACM Disposal Manifests. The form includes columns for tracking critical dates such as when the contractor requires approval, when KTR receives submissions, civil engineering review dates, contractor notifications, and final approvals. Additionally, the template contains a HAZMAT Tracking Sheet requiring contractors to document all hazardous materials usage, including product names from Safety Data Sheets, processes, part numbers, manufacturers, container types and sizes, total quantities, and EESOH Material Stock Numbers assigned by the Air Force Hazardous Materials Manager. All hazardous materials documentation must be submitted to the contracting officer prior to construction start, with final revised reports required upon project completion.

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General

Project No:Project Title:Date:
OPP#
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
1Work/Construction/phasing PlanBASICX
2As-Built DrawingsBASICX
3Progress ScheduleBASICX
4Guarantees and WarrantiesBASICX
5Superintendent's Qualifications and ExperienceBASICX

AF Form 66 (Substitute) GENERAL Page&Pof&N

SCHEDULE OF MATERIAL SUBMITTALS

Environmental

Project No:Project Title:Date:
OPP#031-Dec-99
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
6Appropriate SDSBASIC
7Hazardous waste reportBASIC
8Hazardous Material Report (AF Form 3000)BASIC
9Recycled Material Report/Construction Debris reportBASIC
10Storm Water Pollution Prevention Plan with Best Management Practices IdentifiedBASIC
11Weekly Inspection Reports for ProjectsBASIC
12State Licenses for workers and supervisors (Asbestos)BASIC
13State license for the firm (Asbestos)BASIC
1410 Day Notification (Demolition and Asbestos)BASIC
15Work PlanBASIC
16Copy of ACM DisposalManifestBASIC

AF Form 66 (Substitute) Environmental Page&Pof &N

SCHEDULE OF MATERIAL SUBMITTALS

Architectural

Project No:Project Title:Date:
OPP#031-Dec-99
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
NONE

AF Form 66 (Substitute) Architectural Page&Pof&N

Civil

Project No:Project Title:Date:
OPP#031-Dec-99
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
NONE

AF Form 66 (Substitute) CIVIL Page&Pof &N

Mechanical

Project No:Project Title:Date:
OPP#031-Dec-99
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
NONE

AF Form 66 (Substitute) Mechanical Page&Pof&N

Electrical

Project No:Project Title:Date:
OPP#031-Dec-99
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
NONE

AF Form 66 (Substitute) Electrical Page&Pof &N

Special Systems

Project No:Project Title:Date:
OPP#031-Dec-99
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
NONE

AF Form 66 (Substitute) Special Systems Page&Pof &N

Other&Misc

Project No:Project Title:Date:
OPP#031-Dec-99
LINE NO.ITEM DESCRIPTIONSPEC REFNUMBER OF COPIES REQUIREDDATE KTR REQUIRES APPROVALDATE RECEIVED KTRDATE TO CIVIL ENGDATE RECEIVED FROM CEDATE CONTRACTOR NOTIFIED APR DISAPRCONTRACT RESUBMIT DUECONTRACT RESUBMITTAL RECEIVEDFINAL APPROVAL RCVD KTR NOTIFIED
Certificate of ComplianceShop DrawingsSamplesColor SelctionManufacturer's RecommendationsManufacturer's WarrantyCatalog DataOperating InstructionsOther
GENERAL
Airfield Waiver
Prepared by CE but contractor must supply:
1. Site Plan/Area of Work
2. Type of Equipment to be used
3. Maximum height of equipment
4. Work Hours (24/7, nights, non-flying, etc).
5. Work Schedule

Height of equipment on the airfield

AF Form 66 (Substitute) Other and Misc Page&Pof &N

HAZMAT Tracking Sheet

Contractor Hazardous Materials Usage Tracking Form
Return this form to Contracting/Project Manager with Manufacturers original SDS
OPP#0Contract #
Start Date:End Date:Cotractor:
Product Name as seen on SDS
Process (How is material used)Part #ManufacturerType of
ContainerSize of ContainerTotal

Quantity

UsedEESOH MSN
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Example and Instructions

WORKSHEET INSTRUCTIONS
BLOCKDESCRIPTIONINFORMATION REQUIRED
AProject NumberProject number or Opportunity number assigned to the project by Civil Engineering.
BProject TitleThe title of the project.
CContract NumberThe contract number or delivery order assigned by contracting.
DProduct NameThe name of the product as listed on the SDS.
EProcessA Brief description of the work performed with each material.
FPart #The part number as listed on the SDS.
GManufacturerThe name of the Manufacturer of the product (not the distributor)
HType of ContainerThe type of container that the product comes in. Example: can, barrel, bottle, container, cylinder, drum, etc…
ISize of ContainerSize as listed on container. Example: oz, lbs, Liter, Quart, Gallon, etc…
JTotal Quantity UsedThis will be the amount that you anticipate using for the first submission. At the conclusion of the project you will need to provide a final list with updated quantities.
KEESOH MSNThis is the Material Stock Number assigned for EESOH-MIS tracking. (The Air Force Hazardous Materials Manager will provide this number)

NOTE: Complete the HAZMAT Tracking Sheet located on the first TAB of this Excel spreadsheet with all hazardous materials to be used during the duration of the construction project. Once completed, save the sheet as a .pdf file and submit to the contracting officer with an AF Form 3000 Submittal form. This data will need to be submitted prior to construction start. When construction is complete, you will submit a final revised report with updated quanties.

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