Attachment 3 - Submittal Register Lewis Valley Road 25 March 20.pdf
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- Attached to
- Repair Lewis Valley Rd & Trl Federal contract opportunity
- Solicitation number
- FA301620R0041
About this file
This submittal register outlines the required submissions for a federal contract to repair Lewis Valley Road and Trail. The contractor must provide pre-construction submissions including traffic control plans, project schedules, safety plans, quality control plans and certifications. During construction, the contractor must submit test reports for concrete, asphalt, and other materials as well as certifications for materials and testing laboratories. Post-construction closeout submissions include as-built documentation and warranties. The work includes demolition, culvert and road reconstruction, paving, and other repairs to approximately 40 miles of roads and trails on Joint Base San Antonio Camp Bullis in Texas. The Air Force is the contracting agency.
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SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 1 OF 9 PAGES
SUBMITTAL REGISTER CONTRACT NO.
TITLE AND LOCATION
Repair Lewis Valley Road Overall
CONTRACTOR
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G # R A P H
G O V
C T L A O S R S I A F / I E C A R T E I V O W N R
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
01 11 00 SD-01 Preconstruction Submittals Traffic Control Plan 1.2.1.1.2 G
01 14 00 SD-01 Preconstruction Submittals list of Contract Personnel 1.4.1.1 G Installation Access 1.4.1.2
01 30 00 SD-01 Preconstruction Submittals View Location Map 1.2 G Progress and Completion 1.3 G Pictures
01 32 01.00 10 SD-01 Preconstruction Submittals Project Schedule CPM 1.2 GA
01 33 00 SD-01 Preconstruction Submittals Submittal Register 1.7 G
01 35 29 SD-01 Preconstruction Submittals Accident Prevention Plan (APP) 1.5 GA
Activity Hazard Analysis (AHA) 1.6 G 01 35 29 SD-06 Test Reports
Accident Reports G Monthly Exposure Reports GA Regulatory Citations and GA Violations
SD-07 Certificates Confined Space Entry Permit Hot work permit
ATTACHMENT 3 25 MAR 2020
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 2 OF 9 PAGES
TITLE AND LOCATION
Repair Lewis Valley Road Overall
CONTRACTOR
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G # R A P H
G O V
C T L A O S R S I A F / I E C A R T E I V O W N R
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
01 35 30 SD-08 Manufacturer’s Instructions Site Safety and Health Plan 1.2 G
SD-09 Manufacturer’s Field Reports Safety and Health Phase-Out 1.2 G Report
01 35 35 SD-01 Preconstruction Submittals
ENVIRONMENTAL 1.6
PROTECTION PLAN G
Fish and Wildlife Protection Measures as applicable; G
Environmental Permits as applicable; G
01 45 00.00 20 SD-01 Preconstruction Submittals Contractor Quality Control (CQC) G Plan
01 50 00 SD-01 Preconstruction Submittals Construction Site Plan 1.2 G Traffic Control Plan G
SD-06 Test Reports Backflow Preventer Tests
SD-07 Certificates Backflow Tester Backflow Preventers Certification 1.3
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 5 OF 9 PAGES
TITLE AND LOCATION
Repair Lewis Valley Road Overall
CONTRACTOR
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G # R A P H
G O V
C T L A O S R S I A F / I E C A R T E I V O W N R
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
01 78 00 Warranty Management Plan 1.4.1 G 02 41 00 SD-01 Preconstruction Submittals
Existing Conditions 1.8 SD-11 Closeout Submittals Receipts
03 30 00 SD-01 Preconstruction Submittals Concrete Curing Plan 1.6.3.1 Quality Control Plan 1.6.6 G Quality Control Personnel 1.6.7 G Certifications
Laboratory Accreditation 1.6.9 G Form Removal Schedule G Formwork 1.6.2.1 Reinforcing Steel 1.6.2.2 G
SD-03 Product Data Joint Sealants 2.4.7 Joint Filler 2.4.6 Materials for Forms 2.1 Cementitious Materials 2.4.1
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 6 OF 9 PAGES
TITLE AND LOCATION
Repair Lewis Valley Road Overall
CONTRACTOR
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G # R A P H
G O V
C T L A O S R S I A F / I E C A R T E I V O W N R
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
03 30 00 Concrete Curing Materials 2.3.2 Reinforcement 2.5 Admixtures 2.4.4 S
SD-06 Test Reports Concrete Mix Design 1.6.1.2 G Compressive Strength Tests 3.14.2.3 G Unit Weight of Structural 3.14.2.5 Concrete
Air Content 3.14.2.4 Slump Tests 3.14.2.1 Water 2.4.2
SD-07 Certificates Reinforcing Bars 2.5.1 Safety Data Sheets 1.6.3.6 Curing Compound 2.3.2
31 00 00 SD-03 Product Data SD-10 Precon Submittals 3.2
SD-06 Test Reports Testing
SD-07 Certificates Testing
32 11 23 SD-03 Product Data 1.4
Plant, Equipment, and Tools 1.4 G Waybills and Delivery Tickets 1.4 G
SD-06 Test Reports Initial Tests 1.5 G
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 7 OF 9 PAGES
TITLE AND LOCATION
Repair Lewis Valley Road Overall
CONTRACTOR
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G # R A P H
G O V
C T L A O S R S I A F / I E C A R T E I V O W N R
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
32 11 23 In-Place Tests 1.4 G 32 12 13 SD-03 Product Data
Waybills and Delivery Tickets 1.3 G Local/Regional Materials 1.3
SD-06 Test Reports Sampling and Testing 3.7
32 12 16 SD-03 Product Data Mix Design 2.4 G Quality Control 3.10 G Material Acceptance 3.11 G Percent Payment 1.1.3 G
SD-04 Samples Asphalt Cement Binder 2.3 Aggregates 2.2
SD-06 Test Reports Aggregates 2.2 G QC Monitoring 3.10.3.10
SD-07 Certificates Asphalt Cement Binder 2.3 G Testing Laboratory 3.6
32 17 23 SD-03 Product Data Surface Preparation Equipment 2.1.1.2 G List
Application Equipment List 2.1.2 G Exterior Surface Preparation 3.2 Safety Data Sheets 1.4.1 G
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 8 OF 9 PAGES
TITLE AND LOCATION
Repair Lewis Valley Road Overall
CONTRACTOR
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G # R A P H
G O V
C T L A O S R S I A F / I E C A R T E I V O W N R
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
32 17 23 Reflective media for roads 2.2.5.1 G Solventborne Paint 2.2.1 G Raised Pavement Markers 2.2.4 G Primers and Adhesives G
SD-06 Test Reports Reflective Media for Roads 2.2.5.1 G Solventborne Paint 2.2.1 G
Raised Pavement Markers 2.2.4 G Primers and Adhesives
Test Reports 3.4.1 SD-07 Certificates Qualifications 1.4.2 G Reflective Media for Roads 2.2.5.1 Solventborne Paint 2.2.1 Volatile Organic Compound 1.4.1 G
SD-08 Manufacturer’s Instructions Solventborne Paint 2.2.1 G
32 92 23 SD-03 Product Data Fertilizer 2.5
SD-06 Test Reports Topsoil composition tests 2.3.3
SD-07 Certificates sods 2.1
33 40 00 SD-04 Samples
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 9 OF 9 PAGES
TITLE AND LOCATION
Repair Lewis Valley Road Overall
CONTRACTOR
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G # R A P H
G O V
C T L A O S R S I A F / I E C A R T E I V O W N R
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
33 40 00 Pipe for Culverts and Storm 2.1 Drains
SD-07 Certificates Resin Certification 2.1.1 Oil Resistant Gasket 2.3.6.1 Leakage Test 3.9.1.2 Hydrostatic Test on Watertight 3.9.1.1 Joints
Determination of Density 3.9.1.3 Frame and Cover for Gratings 2.3.3 Post-Installation Inspection 3.9.2.1.3 Report
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