Appendix H - Construction Forms.pdf
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- Attached to
- Design/Build Rebuild Paint and Sandblast Facility at U. S. Coast Guard Base Miami Beach, Miami, FL.
- Solicitation number
- 70Z04720RBASMIA00
About this file
This document contains construction forms and a federal contract opportunity to rebuild a Paint and Sandblast Facility at a U.S. Coast Guard base in Miami, Florida. The project will demolish the existing facility damaged during the 2017 hurricane season and construct a new approximately 7,370 square foot Paint and Sandblast Facility. The forms include a notice of nonconformance, daily construction report templates, and non-compliance form. The federal contract opportunity is a design-build solicitation from the Department of Homeland Security Coast Guard seeking to rebuild the Paint and Sandblast Facility. An option item is included to provide four multi-axis mast lifts, with two lifts for each paint and sandblast booth.
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Text version
Base Miami Paint & Sand Blast Facility Project Number: 10877504 USCG Base Miami, FL
APPENDIX H
CONSTRUCTION FORMS
Base Miami Paint & Sand Blast Facility Project Number: 10877504 USCG Base Miami, FL
Page 1 of ____
Routing: Original to Contracting Officer Copy – Contractor Copy - C
NOTICE OF NONCONFORMANCE
NOTICE NO.
PROJECT TITLE: REBUILD PAINT & SANDBLAST FACILITY AT BASE MIAMI BEACH, FL
CONTRACT NO:
CONTRACTOR:
NONCONFORMANCE INFORMATION
NONCONFORMANCE INFORMATION
DRAWING
REFERENCE
SPECIFICATION
SECTION
CONDITION REQUIRING CORRECTION:
GOVERNMENT REPRESENTATIVE:
(SIGNATURE) DATE
ACKNOWLEDGEMENT
I ACKNOWLEDGE RECEIPT OF THIS NOTICE.
CONTRACTOR’S REPRESENTATIVE:
Rebuild Family Housing & Construct UPH Project Number: 10877509 USCG STA Marathon, FL
Page 2 of ____ Routing: Original to Contracting Officer Copy – Contractor Copy - C
CORRECTION INFORMATION
RESOLUTION:
GOVERNMENT REPRESENTATIVE:
Daily Construction Report
Complete Report in detail daily and submit to the Government Representative by 10:00AM on the following workday. Attach additional sheets if required. Contractor shall initial and date additional sheets. Attach test reports, records of inspection , delivery slips, and references. Box 7 - Indicate contractor or trade responsible for work described in Box 8. Note all deficiencies where indicated.
1. Contractor - 2. Report # 3. % Complete:
4. Contractor No. Project Title Location
5. Date:
6. Weather: A.M. Temp. Weather: P.M. Temp.
7. Contractor or Worker Class No. of Workers Total Hours
Subcontractor ID
Material Delivered to Site
10. Spec. Para. and/or Dwg No. Description of material ID Submittal No.
Routing : Original to Contracting Officer via Project Manager Copy - Contractor Copy - COR
Work Performed Today
Location & Description of
9. Idle Equipment & Personnel on Job8. Equipment Used on Site
Daily Construction Report Inspection and Tests Performed
11. Spec Para and/or Dwg No Description (Attach Report) Tester Results
14. I certify this report to be complete and accurate and all equipment and material used and all work performed during this report period are in compliance with the contract documents to the best of my knowledge, except as noted above.
Date Superintendent -
Discrepancies Discovered
15. Spec Para and/or Dwg No. Location Nature of Discrepancy
COR/Govt. Inspector Date PM Contract Spec.
12 Directives Received or Issued:
13. Remarks: Include Visitors & Compliance Notices:
16. Contractors Proposed Remedial Action 17. Corrective Action Taken
18. Cor/Govt. Inspector Remarks (attach additional sheets as required):
DCR Page 1, Continuation Sheet
7. Contractor or Worker Class No. of Workers Total Hours
Subcontractor
Continuation of Page 1 (if necessary)
Location & Description of
Work Performed Today
ID
| Non-Compliance Form |
| Daily Construction Report Form |
File details come from the government source that posted it. Updated .