Contract_Transmittal_Form.pdf

TRANSMITTAL OF SHOPDRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES,

OR MANUFACTURER’S CERTIFICATES OF COMPLIANCE

(Read instructions on page two prior to initiating this form)

DATE:

Mo / Day / Yr

TRANSMITTAL NO (See Instructions)

SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section will be initiated by the contractor)

TO:

Ken Stagg Klamath National Forest 1711 South Main St.

Yreka, CA 96097

FROM:

CONTRACT NO.

CHECK ONE:

THIS IS A NEW

SUBMITTAL

___ THIS IS A

RESUBMITTAL OF

TRANSMITTAL

No.

SPECIFICATION SECTION NO.(Cover only one spec section with each transmittal)

PROJECT TITLE AND LOCATION

Callahan & Happy Camp Barracks Replacement

ITEM

NO.

DESCRIPTION OF ITEM SUBMITTED

(Type size, model number/etc.)

MFG OR CONTR.

CAT., CURVE

DRAWING OR

BROCHURE NO.

(See instruction no. 8)

NO.

OF

COPIES

CONTRACT

SPEC.

PARA NO.

REFERENCE

DRAWING

SHEET NO.

VARIATION

(See instruction No. 6)

Approval Code

For Gov’t

Use

REMARKS

I certify that the above submitted items have been reviewed in detail and are correct and in strict compliance with the contract drawings and specifications except as other wise stated.

NAME AND SIGNATURE OF THE CONTRACTOR

SECTION II - APPROVAL ACTION

ENCLOSURES RETURNED (List by Item No.)

NAME, TITLE OF APPROVING AUTHORITY

DATE

INSTRUCTIONS

1. Section I will be initiated by the Contractor in the required numbers of copies.

2. Each transmittal shall be numbered consecutively in the space provided for “Transmittal No.”. This number in addition to the contract number, will form a serial number for identifying each submittal. For new submittals or resubmittals mark the appropriate box; on resubmittals, insert transmittal number of last submission as well as the new submittal number.

3. Submittals requiring expeditious handling will be submitted under a separate form.

4. Separate transmittal form will be used for submittals under separate sections of the specifications.

5. A check shall be placed in the “Variation” column when a submittal is not in accordance with the plans and specifications --also a written statement to that effect shall be included in the space provided for “Remarks”.

6. Form is self transmitting, letter of transmittal is not required.

7. When a sample of a material or Manufacturer’s Certificate of Compliance is transmitted, indicate “Sample” or “Certificate” in column c, Section I

8. Government approving authority will assign action codes as indicated below in space provided in Section I, to each item submitted. In addition they will ensure enclosures are indicated and attached to the form prior to return to the contractor.

THE FOLLOWING ACTION CODES ARE GIVEN TO ITEMS SUBMITTED

A -- Approved as submitted E -- Disapproved (See Attached) B -- Approved, except as noted on drawings. F -- Receipt acknowledged C -- Approved except as noted on drawings. FX -- Receipt acknowledged, does not comply Refer to attached sheet resubmission required. as noted with contract requirements D -- Will be returned by separate correspondence. G -- Other (Specify)

9. Approval of items does not relieve the contractor from complying with all the requirements of the contract plans and specifications.