Attachment 5- Form DD1354.pdf
PDF 101 KB Posted
- Attached to
- B940 CDC Sunshades Federal contract opportunity
- Solicitation number
- FA302223R0018
About this file
This document is a DD Form 1354, which is used to transfer ownership of Department of Defense real property between organizations. It details the planned transfer of a newly constructed 5,000 square foot Child Development Center (CDC) at Columbus Air Force Base in Mississippi from the 14th Civil Engineer Squadron to the 14th Civil Engineer Group. The facility is identified as Building 940 with a placed-in-service date of July 18, 2023. Funding was provided by the Air Force through the capital improvement program. Upon completion, ownership will transfer from the construction agent to the installation management organization for operation and sustainment of the new CDC building.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B940 RFIs 20230807.pdf | ||
| B940 RFIs 20230802.pdf | ||
| CDC_AF Form 66_20230726.xlsx | XLSX spreadsheet | |
| Design Build SOW_20230726.pdf | ||
| Amendment 1 FA302223R00180001 .pdf | ||
| Attachment 4- Proof of Insurance.pdf | ||
| Attachment 1- Statement of Work.pdf | ||
| Attachment 2- Wage Determination.pdf | ||
| Attachment 3- AF Form 66.xlsx | XLSX spreadsheet | |
| Solicitation - FA302223R0018.pdf |
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Text version
PREVIOUS EDITION IS OBSOLETE. Page 1 of 2DD FORM 1354, AUG 2022
TRANSFER AND ACCEPTANCE OF DoD REAL PROPERTY
PAGE
OF
PAGES
1. FROM (Organization Name) 2. DATE PREPARED
(YYYYMMDD)
3. PROJECT/JOB
NUMBER
4. SERIAL NUMBER
5. TO (Organization - Installation Code and Name) 6. RPSUID/SITENAME/
INSTCODE/INSTNAME
7. CONTRACT
NUMBER(S)
7a. RPA PLACED-IN-
SERVICE DATE
(YYYYMMDD)
8. TRANSACTION DETAILS
a. TYPE (X only one box)
ACQUISITION
TRANSFER BETWEEN SERVICES
CAPITAL IMPROVEMENT
INVENTORY ADJUSTMENT
b. WHEN/EVENT (X one)
TOTAL ASSET
PLACED-IN-SERVICE
PARTIAL ASSET
PLACED-IN-SERVICE
c. VERSION (X one)
DRAFT INTERIM FINAL
9.
ITEM
NO.
10a.
FACILITY NO.
10b.
RPUID
11.
CATCODE
12.
CATCODE
DESCRIPTION
13.
CONS
TYPE CODE
14.
SUST
CODE
PRIMARY
15.
UMA
16.
QUANTITY
SECONDARY
17.
UMO
18.
QUANTITY
19.
COST
20.
FUND
SOURCE
21.
FUND
ORG
22.
RPA INT
TYPE
CODE
23.
ITEM
REMARKS
24. STATEMENT OF COMPLETION. The facilities listed hereon are in accordance with maps, drawings, and specifications and change orders approved by the authorized representative of the using agency except for the deficiencies listed on the reverse side.
a. TITLE (Construction Agent/Installation Management Organization Accountable Official/RPAO)
b. TRANSFERRED BY (Typed Name and Signature)
c. DATE
SIGNED
(YYYYMMDD)
25. ACCEPTED BY (Typed Name and Signature)
a. TITLE (Installation Management Organization Accountable Official/RPAO)
b. NAME AND SIGNATURE
c. DATE SIGNED
(YYYYMMDD)
26. PROPERTY
VOUCHER
NUMBER
PREVIOUS EDITION IS OBSOLETE. Page 2 of 2DD FORM 1354, AUG 2022
27. CONSTRUCTION DEFICIENCIES (Attach blank sheet for continuations) 28. PROJECT REMARKS (Attach blank sheet for continuations)
INSTRUCTIONS
GENERAL. This form has been designed and issued for acceptance of real property or transfer between the DoD Components.
For detailed instructions on how to fill out this form, please refer to Unified Facilities Criteria 1-300-08.
Existing instructions issued by the DoD Components relative to the preparation of DD Form 1354 are applicable to this revised form to the extent that the various items and columns on the superseded forms have been retained. The DOD Components may promulgate additional instructions, as appropriate.
For detailed information on data inputs and codes, please refer to the latest version of the Real Property Information Model (RPIM) Report and use the RPIM Pick Lists for Block responses:
https://extranet.acq.osd.mil/ie/
SPECIFIC DATA ITEMS.
1. From. Name of the DoD Component.
2. Date Prepared. Date of actual preparation. Enter all dates in YYYYMMDD format (Example:
March 31, 2010 = 20100331).
3. Project/Job Number. Project number on a DD Form 1391 or Individual Job Order Number.
4. Serial Number. Sequential serial number assigned by the preparing organization (e.g.,Item 17.
2010-0001).
5. To. Name and address of the receiving installation, activity, and Service of the Real Property
Accountable Officer (RPAO).
6. RPSUID/SITENAME/INSTCODE/INSTNAME. Site Unique Identifier and name or installation code and name where the constructed facility is located.
7. Contract Number(s). Contract number(s) for this project.
7a. RPA Placed-In-Service Date. The calendar date the asset is accepted for use by DoD.
8. Transaction Details.
a. Type of Transaction. X only one box.
For Acquisition Type, refer to the Acquisition Method Code pick list in RPIM.
b. When/Event. When or event causing preparation of DD Form 1354. X only one box.
c. Version. Draft, interim, or final DD Form 1354. X only one box.
9. Item Number. Use a separate item number for each facility, no item number for additional usages.
10a. Facility Number. An installation specific asset identification number.
10b. RPUID. A unique non-intelligent code to permanently identify an asset.
11. CATCODE. The real property Category Code (CATCODE) that classifies the designed use of the asset (original or current) and corresponds to the largest quantity of the asset that is utilized for a single purpose (RPA Predominant Design Use CATCODE).
12. CATCODE Description. The CATCODE name corresponding with Item 11.
13. Construction (CONS) Type Code. The code represents the Construction Type Code and valid values can be found in the RPIM pick list by the same name. Type of construction will be PERM for Permanent or SEMI for Semi-permanent.
14. Sustainability (SUST) Code. : This code is also known as the Facility Sustainability Code and valid values can be found in the RPIM pick list by the same name. It indicates whether a facility meets the Guiding Principles of Federal Leadership in High Performance and Sustainable Buildings for buildings greater than 10,000 sq. ft. The list of valid values is: 1, 2, 3, 4.
15. UMA. Enter the primary unit of measure accountability for each design use category code for each item of real property.
16.Quantity. Enter the total quantity in the unit of measure accountability specified for each item of real property.
17. UMO. Enter the appropriate unit of measure operational for capacity/configuration as applicable for the design use category code.
18. Quantity. Enter the total quantity of capacity/configuration in the unit of measure operational specified for each item of real property.
19. Cost. Enter the total project cost for each item of real property. UFC 1-300-08 contains additional guidance.
20. Fund Source. Identify the fund source in this column for each real property asset or item. UFC 1-300-08 contains additional guidance.
21. Funding Organization. Identify the organization(s) responsible for funding the acquisition of this real property asset.
22. RPA Interest Type Code. This code represents the RPA Interest Type Code and valid values can be found in the RPIM pick list by the same name. The code is used to identify the type of legal interest that DoD holds in a real property asset.
23. Item Remarks. Remarks pertaining only to the item number identified in Item 9; show cost sharing.
24. Statement of Completion. Typed name, signature, title, and date of signature by the responsible transferring individual or agent. In the case of a real property acceptance action this is signed by the DoD Construction Agent. In the case of a real property transfer this is signed by the Installation Management Organization.
25. Accepted By. Typed name, signature, title, and date of signature by the Installation Management Organization RPAO or accepting official.
26. Property Voucher Number. Next sequential number assigned by the RPAO in voucher register.
27. Construction Deficiencies. List construction deficiencies in project during contractor turnover inspection.
28. Project Remarks. Project level remarks and continuation of blocks.
https://extranet.acq.osd.mil/ie/
PREVIOUS EDITION IS OBSOLETE.
Page of
DD FORM 1354, AUG 2022
TRANSFER AND ACCEPTANCE OF DoD REAL PROPERTY TRANSFER AND ACCEPTANCE OF DoD REAL PROPERTY
OF
OF
8. TRANSACTION DETAILS
8. TRANSACTION DETALS
a. TYPE (X only one box)
b. WHEN/EVENT (X one) B. WHEN/EVENT (X one)
c. VERSION (X one)
9. ITEM NO.
9. ITEM NO.
10a. FACILITY NO.
10. A. FACILITY NO.
10b. RPUID
10. B. RPUID
11. CATCODE
11. CATEGORY CODE
12. CATCODE DESCRIPTION
12. CATCODE DESCRIPTION
13. CONS TYPE CODE
13. TYPE CODE
14. SUST CODE
14. SUST. CODE
PRIMARY
AREA
15. UMA
15. PRIMARY UM
16. QUANTITY
16. PRIMARY UM QUANTITY
SECONDARY
OTHER
17. UMO
17. SECONDARY UM
18. QUANTITY
18. SECONDARY QUANTITY
19. COST
19. COST
20. FUND SOURCE
20. FUND SOURCE
21. FUND ORG
22. INTEREST CODE
22. RPA INT TYPE CODE
22. INTEREST CODE
23. ITEM REMARKS
23. ITEM REMARKS
24. STATEMENT OF COMPLETION. The facilities listed hereon are in accordance with maps, drawings, and specifications and change orders approved by the authorized representative of the using agency except for the deficiencies listed on the reverse side.
24. STATEMENT OF COMPLETION. The facilities listed hereon are in accordance with maps, drawings, and specifications and change orders approved by the authorized representative of the using agency except for the deficiencies listed on the reverse side.
b. TRANSFERRED BY (Typed Name and Signature) A. TRANSFERRED BY (Typed Name and Signature)
25. ACCEPTED BY (Typed Name and Signature) A. TRANSFERRED BY (Typed Name and Signature) DD1354, "TRANSFER AND ACCEPTANCE OF DoD REAL PROPERTY" 6.2.0.20160331.1.924316.921890
INSTRUCTIONS
INSTRUCTIONS
GENERAL. This form has been designed and issued for acceptance of real property or transfer between the DoD Components.
For detailed instructions on how to fill out this form, please refer to Unified Facilities Criteria 1-300-08.
Existing instructions issued by the DoD Components relative to the preparation of DD Form 1354 are applicable to this revised form to the extent that the various items and columns on the superseded forms have been retained. The DOD Components may promulgate additional instructions, as appropriate.
For detailed information on data inputs and codes, please refer to the latest version of the Real Property Information Model (RPIM) Report and use the RPIM Pick Lists for Block responses: https://extranet.acq.osd.mil/ie/
SPECIFIC DATA ITEMS.
1. From. Name of the DoD Component.
2. Date Prepared. Date of actual preparation. Enter all dates in YYYYMMDD format (Example: March 31, 2010 = 20100331).
3. Project/Job Number. Project number on a DD Form 1391 or Individual Job Order Number.
4. Serial Number. Sequential serial number assigned by the preparing organization (e.g.,Item 17. 2010-0001).
5. To. Name and address of the receiving installation, activity, and Service of the Real Property Accountable Officer (RPAO).
6. RPSUID/SITENAME/INSTCODE/INSTNAME. Site Unique Identifier and name or installation code and name where the constructed facility is located.
7. Contract Number(s). Contract number(s) for this project.
7a. RPA Placed-In-Service Date. The calendar date the asset is accepted for use by DoD.
8. Transaction Details.
a. Type of Transaction. X only one box.
For Acquisition Type, refer to the Acquisition Method Code pick list in RPIM.
b. When/Event. When or event causing preparation of DD Form 1354. X only one box.
c. Version. Draft, interim, or final DD Form 1354. X only one box.
9. Item Number. Use a separate item number for each facility, no item number for additional usages.
10a. Facility Number. An installation specific asset identification number.
10b. RPUID. A unique non-intelligent code to permanently identify an asset.
11. CATCODE. The real property Category Code (CATCODE) that classifies the designed use of the asset (original or current) and corresponds to the largest quantity of the asset that is utilized for a single purpose (RPA Predominant Design Use CATCODE).
12. CATCODE Description. The CATCODE name corresponding with Item 11.
13. Construction (CONS) Type Code. The code represents the Construction Type Code and valid values can be found in the RPIM pick list by the same name. Type of construction will be PERM for Permanent or SEMI for Semi-permanent.
14. Sustainability (SUST) Code. : This code is also known as the Facility Sustainability Code and valid values can be found in the RPIM pick list by the same name. It indicates whether a facility meets the Guiding Principles of Federal Leadership in High Performance and Sustainable Buildings for buildings greater than 10,000 sq. ft. The list of valid values is: 1, 2, 3, 4.
15. UMA. Enter the primary unit of measure accountability for each design use category code for each item of real property.
16.Quantity. Enter the total quantity in the unit of measure accountability specified for each item of real property.
17. UMO. Enter the appropriate unit of measure operational for capacity/configuration as applicable for the design use category code.
18. Quantity. Enter the total quantity of capacity/configuration in the unit of measure operational specified for each item of real property.
19. Cost. Enter the total project cost for each item of real property. UFC 1-300-08 contains additional guidance.
20. Fund Source. Identify the fund source in this column for each real property asset or item. UFC 1-300-08 contains additional guidance.
21. Funding Organization. Identify the organization(s) responsible for funding the acquisition of this real property asset.
22. RPA Interest Type Code. This code represents the RPA Interest Type Code and valid values can be found in the RPIM pick list by the same name. The code is used to identify the type of legal interest that DoD holds in a real property asset.
23. Item Remarks. Remarks pertaining only to the item number identified in Item 9; show cost sharing.
24. Statement of Completion. Typed name, signature, title, and date of signature by the responsible transferring individual or agent. In the case of a real property acceptance action this is signed by the DoD Construction Agent. In the case of a real property transfer this is signed by the Installation Management Organization.
25. Accepted By. Typed name, signature, title, and date of signature by the Installation Management Organization RPAO or accepting official.
26. Property Voucher Number. Next sequential number assigned by the RPAO in voucher register.
27. Construction Deficiencies. List construction deficiencies in project during contractor turnover inspection.
28. Project Remarks. Project level remarks and continuation of blocks.
| CurrentPage: |
| PageCount: |
| Enter current page number.: 1.00000000 |
| Enter total number of pages.: 2.00000000 |
| 1. FROM (Organization Name): 14 CES/CENM |
555 Simler Blvd Columbus, MS 39710
| 2. DATE PREPARED (YYYYMMDD): 20230718 |
| 3. PROJECT/JOB NUMBER : EEPZ223515 |
| serialNum: |
| 5. TO (Organization - Installation Code and Name): 14 CES/CC |
555 Simler Blvd Columbus, MS 39710
| 6. RPSUID/SITENAME/ INSTCODE/INSTNAME: |
| 7. CONTRACT NUMBER(S): |
| serviceDate: |
| Select for ACQUISITION BY CONSTRUCTION: 0 |
| Enter Acquisition type.: |
| Select for TRANSFER BETWEEN SERVICES: 0 |
| Select for CAPITAL IMPROVEMENT: 1 |
| Select for INVENTORY ADJUSTMENT: 0 |
| Select for TOTAL ASSET PLACED-IN-SERVICE: 1 |
| Select for PARTIAL ASSET PLACED-IN-SERVICE: 0 |
| Select for DRAFT: 1 |
| Select for INTERIM: 0 |
| Select for FINAL: 0 |
| 9. ITEM NUMBER: 01 |
| 10. A. FACILITY NUMBER: 940 |
| 10. B. RPUID - REAL PROPERTY UNIQUE IDENTIFIER: 1065974 |
| 11. CATEGORY CODE : 740884 |
| 12. CATCODE DESCRIPTION- CODE NAME WHICH DESCRIBES FACILITY USAGE: CDC |
| 13. CONS TYPE CODE - TYPE OF CONSTRUCTION. PERM FOR PERMANENT, SEMI FOR SEMIPERMANENT: P |
| 14. SUSTAINABILITY CODE: |
| 15. PRIMARY UMA: SF |
| 16. PRIMARY QUANTITY: 5000 |
| 17. SECONDARY UMO: |
| 18. CONFIGURATION QUANTITY: |
| 19. COST: |
| 20. FUND SOURCE: 03 |
| 21. FUNDING ORGANIZATION: 03 |
| 22. RPA INTEREST CODE: 01 |
| 23. ITEM REMARKS: Add Sunshades and replace rubber surface |
| A. TITLE (DPW/RPAO): |
| B. NAME: |
| B. SIGNATURE: |
| C. DATE SIGNED (YYYYMMDD): |
| 26. PROPERTY VOUCHER NUMBER: |
| 27. CONSTRUCTION DEFICIENCIES (Attach blank sheet for continuations): |
| 28. PROJECT REMARKS (Attach blank sheet for continuations): |
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