Attachment 3 - Form 66.xlsx

XLSX spreadsheet 84 KB Posted

Attached to
Replace Roof B218
Solicitation number
FA302224R0003
Issued by

About this file

This document contains a schedule of material submittals and hazardous materials tracking sheet for a federal contract to replace the roof on Building 218. The contract requires the submission of shop drawings, samples, manufacturer warranties, and safety data sheets for roofing panels, fasteners, insulation, and other materials. It also requires a project schedule, demolition plan, stormwater pollution prevention plan, waste disposal documentation, and airfield waiver requests including equipment details and work hours. The hazardous materials tracking sheet template must be completed with all products containing hazardous materials and submitted before construction along with an AF Form 3000. An updated version with actual quantities used is required after project completion.

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General

Project No:Project Title:Date:
EEPZ221381Replace Roof B2184-Jul-199-Jan-24
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
1Schedule of Material Submittals (AF Form 66)SOWx
3Project ScheduleSOWx
4Demolition PlanSOWx
15% Drawing SubmittalSOWx
35% Drawing SubmittalSOWx
95% Drawing SubmittalSOWx
100% Drawing SubmittalSOWx
Metal Roof PanalsSOWxxxx
Mechanical FastenersSOWxxx
InsulationSOWxxx
Sheathering Material and Fabrication Shop DrawingsSOWx
Blocking Material, Installation and Shop DrawingsSOWx
Superintendent's Qualifications and ExperienceSOWx
QC Manager's Qualifications and ExperienceSOWx
Contractor Project Manager's Qualifications and ExperienceSOWx
Completed DD Form 1354SOWx
As-Built DrawingsSOWx
Guarantees and WarrantiesSOWx

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

SCHEDULE OF MATERIAL SUBMITTALS

Environmental

Project No:Project Title:Date:
EEPZ221381Replace Roof B2184-Jul-19
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
7Appropriate SDSBASIC
8Hazardous waste reportBASIC
9Hazardous Material Report (AF Form 3000)BASIC
10Recycled Material Report/Construction Debris reportBASIC
11Storm Water Pollution Prevention Plan with Best Management Practices IdentifiedBASIC
12Weekly Inspection Reports for ProjectsBASIC
13State Licenses for workers and supervisors (Asbestos)BASIC
14State license for the firm (Asbestos)BASIC
1510 Day Notification (Demolition and Asbestos)BASIC
16Work PlanBASIC
17Copy of ACM DisposalManifestBASIC

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

SCHEDULE OF MATERIAL SUBMITTALS

Architectural

Project No:Project Title:Date:
EEPZ221381Replace Roof B2184-Jul-19
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
14NONE

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

Civil

Project No:Project Title:Date:
EEPZ221381Replace Roof B2184-Jul-19
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:
EEPZ221381Replace Roof B2184-Jul-19
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
17NONE

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

Electrical

Project No:Project Title:Date:
EEPZ221381Replace Roof B2184-Jul-19
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:
EEPZ221381Replace Roof B2184-Jul-19
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
26NONE

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

Other&Misc

Project No:Project Title:Date:
EEPZ221381Replace Roof B2184-Jul-19
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
26Airfield 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

27 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
EEPZ221381Replace Roof B218Contract #
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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