Attachment 3 - FTQW25-2004 Submittal Register.PDF
PDF 130 KB Posted
- Solicitation number
- W50S6K-26-B-A001
- Issued by
-
Department of the Army National Guard
About this file
This is a Schedule of Material Submittals form (AF Form 66) for a federal contract project titled "Repair Fire Pump Controllers and HEF Disposal" under Solicitation/Contract Number B1176, Form FTQW 25-2004.
The form establishes a comprehensive submittal schedule requiring the contractor to provide 21 distinct deliverables organized by submission type and approval requirements. Key submittals include contractor and personnel qualifications, environmental training certificates, QFPE design documents, technical data for fire pump controllers (FPC-1 and FPC-2), F/A releasing panel data, surge protection device specifications, pipe material documentation, and operational planning documents including safety plans with Safety Data Sheets (SDSs), environmental protection plans, and waste management plans. Additional required submittals encompass permits and licenses, training plans, test procedures, EPA recycling/disposal weight tickets, hazardous material accumulation logs, proofs of purchase with warranties, test reports and certificates, as-built drawings, and QFPE test reports with supporting memoranda. The form designates columns for tracking the number of copies required, required submission dates, dates received by contracting, dates forwarded to civil engineering, return suspense dates, submittal numbers, contractor notification dates, and approval/disapproval status with remarks. This form serves as the primary tool for the Project Engineer and Contract Administrator to monitor contractor compliance with all documentation and deliverable requirements throughout the contract execution period.
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Text version
PROJECT NUMBER : PROJECT TITLE: SOLICITATION/CONTRACT NO.:
SCHEDULE OF MATERIAL SUBMITTALS Repair Fire Pump Controllers and HEF Disposal, B1176
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
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1 Contractor & Personnel Qualifications 1
2 Environmental Training Certificates 1
3 QFPE- Design Documents 1
4 B1176 FPC-1 Data 1 1 1 1 1
5 B1176 FPC-2 Data 1 1 1 1 1
6 F/A Releasing Panel Data 1 1 1 1 1
7 Surge Protection Devices Data 1 1 1 1 1
8 Pipe Material 1 1 1 1 1
9 Operating Plan/ Schedule of Work 1
10 Safety Plan (including SDSs) 1
11 Environmental Protection Plan 1
12 Waste Management Plan 1
13 Permits, Licenses, Certificates 1 1 1
14 Training Plan 1 1
15 Test Procedures 1
16 EPA Recycling/Disposal Weight Tickets 1
Hazardous Material and/or Aerosol Can accumulation logs
Proofs of Purchase and/or Receipts for items with warranties
1 1
19 Test Reports and Certificates 1
20 As-Built Drawings 1
21 QFPE Test Report and Memo 1
FTQW 25-2004
AF FORM 66 (Computer Generated) PAGE 1 of 1
NCOC-A
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