Attach 3) AF Form 66.pdf
Air Force Form PDF 130 KB Posted
- Attached to
- Protective Coating IDIQ - Solicitation
- Solicitation number
- FA303022R0010
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| Iowa | 1 |
| Massachusetts | 1 |
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SCHEDULE OF MATERIAL SUBMITTALS
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
Section 01010, 2.3, Work Phasing Plan 4 a GA
Section 01010, 2.4, Management Plan 4 a FIO
Section 01010, 2.12, 2.13, Traffic Control/Maint. Plan
4 d GA
Section 01010, 2.17, Task Order Closeout 4 b GA
Section 01010, 4.2,
4.3 Company Safety
Policy and Accident Prevention Plan, Confined Space
4 x c FIO
Section 01010, 4.3, Confined Space Permit
4 c GA
Section 01010, 7.1, Storage Area 4 c GA
Section 01010, 15.1, List of Warranties 4 b GA
Section 01020, 2.1, Work Clearance Request, AF Form
4 7 Days Prior c
GA
Section 01020, 3.1, Plan Utility Outages 4 14 Days Prior c
GA
PROJECT NUMBER: 1106674
SA
MP
LE
S
PROJECT TITLE: Base Protective Coating IDIQ Task Order 2022
FINAL
APPROVAL
MA
NU
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IF
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REQUIRED
SUBMISSION
DATE
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
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FORM66.xls
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
PROJECT NUMBER: 1106674
SA
MP
LE
S
PROJECT TITLE: Base Protective Coating IDIQ Task Order 2022
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
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ME
ND
AT
IO
NS
CO
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A
ON
C
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A
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SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
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OF
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Section 01020, 4, Temporary Utilities 4 c GA
Section 01020, 4, Fire Hydrant Usage 4 c GA
Section 1400, 3.4, 3.4.1, 3.4.2. 3.4.3, 3.4.4, Storm Water Pollution Prevention Plan
4 d GA/FIO
Section 01400, 4.1, 4.2, 4.2.1, 4.3,4.4, 4.4.1, 4.5, 4.6, 4.7,4.8, 4.9, 4.12,
4.14 , Certification and Notification of Use, SDS
4 x c GA
Section 01400, 5.2, Disposal of Special Waste
4 x b FIO
Section 01400, 6.1, 6.2, 6.3.6.1, 6.3.7, Hazardous Waste Records
4 x c FIO
Section 01400, 9.1, Spill Notification 4 x d FIO
Section 01400, 11.3, Asbestos Free Certification
4 c GA
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
PROJECT NUMBER: 1106674
SA
MP
LE
S
PROJECT TITLE: Base Protective Coating IDIQ Task Order 2022
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
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SE
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N
SE
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P
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A
ON
C
OP
IE
S
OT
HE
RS
A
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SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
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N
OF
C
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PL
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NC
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Section 01400, 13, Release of Fluids into Sanitary Sewer System
4 x d GA
Section 01400, 15.1, Air Emission Reporting
4 b FIO
Section 01400, 16.2, Solid Waste Report 4 b FIO
Section 01540, 1.3.1, Affirmative Pollution Prevention Procurement Reporting Form
4 d GA
Section 01540, 1.3.2, Manufacturer Data, Certificates, & Samples
4 x d GA
Section 02072, 1.3.1, Work Plan 4 d GA
Section 02072, 1.3.2, Working Drawings 4 d GA
Section 02072, 2.1, 3.3.1, Brick Cleaner and Sealant
4 c GA
Section 02577, 1.2.1, Traffic Paint 4 c GA
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
PROJECT NUMBER: 1106674
SA
MP
LE
S
PROJECT TITLE: Base Protective Coating IDIQ Task Order 2022
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
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N
OF
C
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PL
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NC
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OP
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Section 02577, 1.2.2, Pavement Markers 4 b GA
Section 07920, 1.2, 1.2.1, 1.2.2 Color Samples
4 a GA
Section 09900, 1.2.1, Product Data SDS 4 c GA
Section 09915, 1.3, Samples, Color Schedule
4 a GA
AF Form 66
(a) No Later Than 7 Calendar Days after Task Order NTP
(b) Prior to Final Inspection of Task Order
(c) Prior to Use
(d) As Required
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