Attachment 08-Material Approval Submittal_-FILLABLE W911RX26BA002.pdf

PDF 241 KB Posted Jun 25, 2026

Attached to: Ft. Bliss BLDG 2479 Kitchenette Installation Amendment 03
Solicitation number: W911RX-26-B-A002
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Fort Hood

About this file

Written by GovTribe AI · Jun 25, 2026

This is a TRADOC Form 928-R-E, Material Approval Submittal form template used under TRADOC Regulation 715-3 for federal contract administration purposes. The form serves as a standardized document through which contractors submit materials for government approval, including shop drawings, equipment data, manufacturer's literature and certificates, and material samples. The form is designed to be prepared in four copies, signed, and submitted to the contracting officer with appropriate attachments. Contractors must clearly identify and tab all items requiring approval and number each submission consecutively by contract using the "Submission No." field. The form captures essential contract information including contract number, submission number, project number, and specification references, with dedicated sections for contractor certification that materials comply with all contract specifications and for government evaluation and approval actions.

The form establishes a formal approval workflow with designated routing to the contracting officer, evaluating personnel, and back to the contractor. Government users may approve, disapprove, or request resubmittal of items within a specified number of days. Resubmissions require notation of the previous submission number and date along with a new submission number. Instructions specify that submissions should be numbered consecutively within a single contract and that no submission should include work from more than one contract. Submittals requiring priority handling must be submitted separately. The form is not valid unless signed by the contracting officer, and approval is required as specified in the contract terms. Comments corresponding to specific item numbers are documented on the reverse side of the form to track approval decisions and any applicable conditions.

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Other files

File	Type	Posted
Attachment 14-Project closeout report (2008) W911RX26BA002.pdf	PDF	Jul 27, 2026
Solicitation Amendment 03 W911RX26BA0020003 SF 30.pdf	PDF	Jul 27, 2026
Attachment 02-Asbestos-Lead Survey_Bldg-2479 W911RX26BA002.pdf	PDF	Jul 27, 2026
Solicitation Amendment 03 W911RX26BA0020003.pdf	PDF	Jul 27, 2026
Attachment 13-Ltd Asbestos-Lead Survey_Bldg-2479_20080704 W911RX26BA002.pdf	PDF	Jul 27, 2026
Solicitation Amendment 02 W911RX26BA0020002.pdf	PDF	Jul 22, 2026
Attachment 11-Updated Industry QA 22JUL2026 W911RX26BA002.pdf	PDF	Jul 22, 2026
Solicitation Amendment 02 W911RX26BA0020002 SF 30.pdf	PDF	Jul 22, 2026
Solicitation Amendment W911RX26BA0020001.pdf	PDF	Jul 21, 2026
Solicitation Amendment W911RX26BA0020001 SF 30.pdf	PDF	Jul 21, 2026
Attachment 01-SOW B2479 Kitchenette 8A Rev2 07172026 W911RX26BA002.pdf	PDF	Jul 21, 2026
Attachment 11-Industry QA 07152026 W911RX26BA002.pdf	PDF	Jul 21, 2026
Attachment 12- As Built Drawings W911RX26BA002.pdf	PDF	Jul 21, 2026
Attachment 02-Asbestos-Lead Survey Bldg 2478_20120209 W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 03-ENG_FORM_4288-R W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 07-Drawing of Bldg 2479 - Kitchenette - 04232026 W911RX26BA002.pdf	PDF	Jun 25, 2026
Solicitation - W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 01-SOW Rev2 06-03-26 W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 04-DPW-RFI Template Blank Form V.1.2 W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 05-FIRE PREVENTION CONSTRUCTION GUIDE 2025 W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 09-Davis-Bacon Act WD TX20260245 W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 06-iWATCH Trng for Contractors 20190613 W911RX26BA002.pdf	PDF	Jun 25, 2026
Attachment 10-26-0345_Environmental Review_11B 10118 6P W911RX26BA002.pdf	PDF	Jun 25, 2026

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MATERIAL APPROVAL SUBMITTAL

(TRADOC Reg 715-3)

TRADOC FORM 928-R-E, Jan 02 8½ x 11

TO: (Contracting Officer) FROM: (Contractor)

CONTRACT NUMBER SUBMISSION NUMBER SUBMITTAL

NEW RESUBMITTAL

ITEM

NO.

SPECIFICATION SECTION/

PARA NO./DRAWING NO.

AP-

PROVED

DATE

BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

DATE

PREVIOUS SUBMISSION NUMBER PROJECT NUMBER

TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY

DISAP-

PROVED

SEE

REVERSE

INITIAL

DESCRIPTION OF MATERIAL

(Include Type, Model Number, Catalog Number, Mfg., etc.)

TYPE OR PRINT NAME AND TITLE SIGNATURE

FOR GOVERNMENT USE ONLY

DATE TYPE OR PRINT NAME AND GRADE SIGNATURE

TO:

For Evaluation and Action.

TO:

TO: (Contractor)

Recommend Approval Disapproval as Indicated Above and Subject to Any Applicable Comments on the Reverse

Approved Disapproved as Indicated Above and Subject to Any Applicable Comments on the Reverse Side. Request Resubmittal on Disapproved

Items Within ________________ Days of Date Shown Below.

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COMMENTS

(Number to correspond with applicable Item Number on reverse)

INSTRUCTIONS TO CONTRACTORS

1. The term "material" is defined as articles, supplies, raw materials, equipment, parts, components, and end items that are to be incorporated into the work required by the contract.

2. This form is to be used by contractors for submitting Shop Drawings, Equipment Data, Manufacturer's Literature and Certificates and Sample of Materials to the Government for approval in accordance with the provisions of this contract. Unless otherwise specified, it is to be prepared in 4 copies, signed, and provided to the contracting officer with appropriate attachments.

3. Item(s) to be approved will be clearly tabbed or identified. Data pertaining to item(s) to be approved will be clearly identified or tabbed, particularly where documents are voluminous, in order to properly evaluate the materials or articles to be incorporated in the work. Each attachment will be numbered to correspond with the item number shown on the face of this form.

4. Requests submitted shall be numbered consecutively, by contract, in the space entitled "Submission No." This number, in addition to the Contract No., will be used to identify each Material Approval Submittal. Resubmissions will be indicated in the appropriate block and the insertion of previous submission number and date in addition to a new submission number. A single submission should be used for all work of a section of the specifications, but in NO instance should the submission include work for more than one (1) contract. Submittals requiring priority handling will be submitted by separate submittal using the form and so marked across the face of the form.

5. This material Approval Submittal is not valid unless it is signed by the contracting officer. This approval is required as called for by the contracting officer under the terms of this contract.

TRADOC FORM 928-R-E, Nov 91 8½ x 11

TO Contracting Officer: MICC-Fort Bliss

FROM Contractor: Company Name

DATE: MM/DD/YYYY

CONTRACT NUMBER: W911SG-XX-X-XXXX

SUBMISSION NUMBER: 00X

NEW: Off

RESUBMITTAL: Off

ITEM NORow1:

SPECIFICATION SECTION PARA NODRAWING NORow1:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow1:

AP PROVEDRow1:

DISAP PROVEDRow1:

SEE REVERSERow1:

INITIALRow1:

ITEM NORow2:

SPECIFICATION SECTION PARA NODRAWING NORow2:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow2:

AP PROVEDRow2:

DISAP PROVEDRow2:

SEE REVERSERow2:

INITIALRow2:

ITEM NORow3:

SPECIFICATION SECTION PARA NODRAWING NORow3:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow3:

AP PROVEDRow3:

DISAP PROVEDRow3:

SEE REVERSERow3:

INITIALRow3:

ITEM NORow4:

SPECIFICATION SECTION PARA NODRAWING NORow4:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow4:

AP PROVEDRow4:

DISAP PROVEDRow4:

SEE REVERSERow4:

INITIALRow4:

ITEM NORow5:

SPECIFICATION SECTION PARA NODRAWING NORow5:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow5:

AP PROVEDRow5:

DISAP PROVEDRow5:

SEE REVERSERow5:

INITIALRow5:

ITEM NORow6:

SPECIFICATION SECTION PARA NODRAWING NORow6:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow6:

AP PROVEDRow6:

DISAP PROVEDRow6:

SEE REVERSERow6:

INITIALRow6:

ITEM NORow7:

SPECIFICATION SECTION PARA NODRAWING NORow7:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow7:

AP PROVEDRow7:

DISAP PROVEDRow7:

SEE REVERSERow7:

INITIALRow7:

ITEM NORow8:

SPECIFICATION SECTION PARA NODRAWING NORow8:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow8:

AP PROVEDRow8:

DISAP PROVEDRow8:

SEE REVERSERow8:

INITIALRow8:

ITEM NORow9:

SPECIFICATION SECTION PARA NODRAWING NORow9:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow9:

AP PROVEDRow9:

DISAP PROVEDRow9:

SEE REVERSERow9:

INITIALRow9:

ITEM NORow10:

SPECIFICATION SECTION PARA NODRAWING NORow10:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow10:

AP PROVEDRow10:

DISAP PROVEDRow10:

SEE REVERSERow10:

INITIALRow10:

ITEM NORow11:

SPECIFICATION SECTION PARA NODRAWING NORow11:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow11:

AP PROVEDRow11:

DISAP PROVEDRow11:

SEE REVERSERow11:

INITIALRow11:

ITEM NORow12:

SPECIFICATION SECTION PARA NODRAWING NORow12:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow12:

AP PROVEDRow12:

DISAP PROVEDRow12:

SEE REVERSERow12:

INITIALRow12:

DATE_2:

TYPE OR PRINT NAME AND TITLE:

TO:

For Evaluation and Action:

DATE_3:

TYPE OR PRINT NAME AND GRADE:

TO_2:

Approval: Off

Disapproval as Indicated Above and Subject to Any Applicable Comments on the Reverse: Off

DATE_4:

TYPE OR PRINT NAME AND GRADE_2:

TO Contractor:

Approved: Off

Disapproved as Indicated Above and Subject to Any Applicable Comments on the Reverse Side Request Resubmittal on Disapproved: Off

Items Within:

DATE_5:

TYPE OR PRINT NAME AND GRADE_3:

COMMENTS Number to correspond with applicable Item Number on reverseRow1:

COMMENTS Number to correspond with applicable Item Number on reverseRow2:

COMMENTS Number to correspond with applicable Item Number on reverseRow3:

COMMENTS Number to correspond with applicable Item Number on reverseRow4:

COMMENTS Number to correspond with applicable Item Number on reverseRow5:

COMMENTS Number to correspond with applicable Item Number on reverseRow6:

COMMENTS Number to correspond with applicable Item Number on reverseRow7:

COMMENTS Number to correspond with applicable Item Number on reverseRow8:

COMMENTS Number to correspond with applicable Item Number on reverseRow9:

COMMENTS Number to correspond with applicable Item Number on reverseRow10:

COMMENTS Number to correspond with applicable Item Number on reverseRow11:

COMMENTS Number to correspond with applicable Item Number on reverseRow12:

COMMENTS Number to correspond with applicable Item Number on reverseRow13:

COMMENTS Number to correspond with applicable Item Number on reverseRow14:

COMMENTS Number to correspond with applicable Item Number on reverseRow15:

COMMENTS Number to correspond with applicable Item Number on reverseRow16:

COMMENTS Number to correspond with applicable Item Number on reverseRow17:

PREVIOUS SUBMISSION NUMBER:

PROJECT NUMBER:

File details come from the government source that posted it. Updated Jun 25, 2026.