Attachment_7_-_BLM_Example_Forms.pdf
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- Attached to
- D-B GAOA CAHUILLA RANGER STATION REPLACEMENT
- Solicitation number
- 140L0625R0007
About this file
This document is an Attachment 6 Construction Forms file for the Cahuilla Ranger Station Replacement project at the Imperial Sand Dunes Recreation Area in Brawley, California. The attachment contains a comprehensive submittal list spanning multiple specification sections (A10 through G40), detailing the required documentation and submittals for various construction phases and components. The submittal requirements are categorized into informational and action items, with specific documentation needed for foundation plans, structural elements, mechanical systems, electrical systems, plumbing, fire protection, site work, and other critical construction elements.
The submittal list includes detailed requirements for shop drawings, samples, manufacturer's data and instructions, certifications, test reports, and design/operational maintenance data across numerous technical disciplines. Key submittal categories include foundation and structural plans, perimeter drainage systems, concrete mix designs, structural steel framing, mechanical equipment, plumbing fixtures, electrical systems, fire alarm systems, erosion control plans, site infrastructure components, and various material specifications. Contractors must provide comprehensive documentation for each specified item, ranging from technical drawings and material certifications to test results and product data, ensuring thorough review and compliance with project specifications.
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Cahuilla Ranger Station Replacement Imperial Sand Dunes Recreation Area Brawley, CA
ATTACHMENT 6
CONSTRUCTION FORMS PAGE 1
ATTACHMENT 7
CONSTRUCTION FORMS
PART 1 GENERAL
1 .1 DESCRIPTION
A. This Section includes forms and document templates to be used by the Contractor for execution of the work.
Editable (Word or Excel) versions of these forms will be made available to the successful Contractor.
B. List of Forms:
1. Transmittal Form (CM-16) [Excel].
2. Transmittal Form Continuation Sheet [Excel].
3. BLM - Contractor Accident/property Damage Report (CM-22) [Word].
4. Contractor's Quality Control Daily Report [Word].
5. Daily Test Report Information Sheet [Word].
6. Submittal List [Excel].
Brawley, CA
ATTACHMENT 6
CONSTRUCTION FORMS PAGE 2
Brawley, CA
CONSTRUCTION FORMS PAGE 3
Brawley, CA
CONSTRUCTION FORMS PAGE 4
BLM - CONTRACTOR ACCIDENT/PROPERTY
DAMAGE REPORT
Record:
Date:
Name: Trade:
Birth date:
Date of Accident: Time of Accident:
Contractor:
Project: Location:
Description of Accident: (BE SPECIFIC. DESCRIBE WHAT HAPPENED, WHERE.):
What was employee doing when injured?
Specific body parts injured?
Type of injury (i.e. Puncture, sprain, fracture, illness, etc)
First Aid? Yes No Medical Clinic? Yes No Hospitalized? Yes No
Is time loss expected? Yes No How long?
Environmental Factors:
Property Damage Involved? Yes No Describe:
Estimated dollar amount of Damages:
Corrective Action Taken:
Contractor Reporting: Date:
Project Inspector Reporting: Date:
ATTACH COPIES OF ANY ADDITIONAL INFORMATION (& photos)
COMMENTS
May 12, 2004 / Form No. CM-22
Brawley, CA
CONSTRUCTION FORMS PAGE 5
CONTRACTOR'S QUALITY CONTROL DAILY REPORT
REPORT NO. _________ SHEET 1 OF _________
PROJECT
CONTRACT NO.
DATE
SITE
CONTRACTOR'S REPRESENTATIVE ON THE JOB
WEATHER (Rain, Snow, Cloudy, Windy, etc.)
RAINFALL
Inches
TEMPERATURE GROUND CONDITIONS (Dry, Damp, Wet, Frozen, etc.)
MAX.
MIN.
1. PRIME CONTRACTOR
NO. EMPLOYEES BY JOB CATEGORIES Hours HEAVY EQUIPMENT ON
JOB
NO.
UNITS
HRS. WORKING
YES NO Comments
WORK PERFORMED BY PRIME CONTRACTOR:
MATERIALS DELIVERED OFFICIAL VISITORS TO SITE
2A. SUBCONTRACTOR, _______________________________________ (If more than one subcontractor use copies of following page.)
JOB
NO.
UNITS
WORK PERFORMED BY SUBCONTRACTOR:
3. SPECIFIC INSPECTIONS: (Inspections performed, results, and corrective actions)
4. TESTING: Check if any testing was performed today. (Complete and attach Test Report Information Sheets.)
Type and Location of Testing: ____________________________________________________________________________________
5. VERBAL INSTRUCTION RECEIVED FROM GOVERNMENT; CONSTRUCTION DEFICIENCIES OR RE-TESTING REQUIRED:
6. REMARKS:
7. CERTIFICATION:
I certify that the above report is complete and correct and that I, or my authorized representative, have inspected all work performed this day by the prime contractor and each subcontractor and determined that all materials, equipment, and workmanship are in strict compliance with the plans and specifications except as may be noted above. ____________________________________________________________
Contractor's Quality Control Representative
Brawley, CA
CONSTRUCTION FORMS PAGE 6
SUBCONTRACTOR WORK CONTINUED:
CONTRACT NO. REPORT NO. _______
SHEET ____ OF ____
2B. SUBCONTRACTOR,
NO. EMPLOYEES BY JOB CATEGORIES Hours HEAVY EQUIPMENT ON
JOB
NO.
UNITS
2C. SUBCONTRACTOR,
JOB
NO.
UNITS
2D. SUBCONTRACTOR,
JOB
NO.
UNITS
2E. SUBCONTRACTOR,
JOB
NO.
UNITS
YES NO COMMENTS
Brawley, CA
CONSTRUCTION FORMS PAGE 7
DAILY TEST REPORT INFORMATION SHEET
CONTRACT NO._________________________ REPORT NO. _____________ SHEET _____ OF _________
1. Individual Making Inspection or Test:
2. Testing Laboratory; Name: Phone #:
Address:
3. Description of Work and Test Method:
4. Location of Samples and Tests or Inspections:
5. Specification Section:
6. Inspection or Test Data:
7. Test Results and Interpretations of Test Results:
8. Comments or Professional Opinion About Compliance of Inspected Work or Tested Work with contract Document Requirements:
9. Recommendations:
10. Corrective Actions Taken:
CERTIFICATION:
I certify that the above testing report is complete and correct and that all testing performed this day for this contract is in strict compliance with the plans and specifications except as noted above.
Signature of Inspector
Brawley, CA
CONSTRUCTION FORMS PAGE 8
SUBMITTAL LIST
Project Title
SUBMITTAL REQUIREMENTS (indicate with an "X")
Spec.
Sec.
Par.
No.
Description
INFORMATIONAL ACTION
C E
R T
L
A B
T E
S T
R
P O
R T
/C A
L C
O R
P L
A N
M fg
D
A
I
N S
T R
U C
T
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H
O P
D R
A W
IN
G
M P
L
D
A
N S
T R
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T
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D
S
IG
N /O
P
IN
T
D
A
A10 1.6B Foundation Plan X
A10 1.6B Reinforcing Steel Shop Drawings X
A10 1.6C
Perimeter drainage system and soil gas venting system components
X
A10 1.6C Concrete sealer/hardener X
A10 1.6C Insulation and insulation appurtenances X
A10 1.6C Vapor barrier X
A10 1.6D Concrete mix design including all additives X
A10 1.6E Soil compaction results X
A10 1.6E Aggregate gradation X
A10 1.6E Concrete cylinder test results X
B10 1.6.2 Pre-engineered wood trusses X
B10 1.6.2 SIPs layout and connection details X
B10 1.6.2 Engineered lumber X
B10 1.6.2 Metal f raming connectors X
B10 1.6.2 Spray foam insulation X
B10 1.6.2 Structural insulated panels X
B10 1.6.3a
Qualif ication Data: For manufacturer/professional engineer
X
B10 1.6.3a Structural Steel Framing X
B10 1.6.3b
Qualif ication Data: For manufacturer/professional engineer
X
B10 1.6.3b Welding certif icates X
B10 1.6.3b Manufacturer certif icates X
Brawley, CA
CONSTRUCTION FORMS PAGE 9
Par.
No.
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A B
T E
P O
R T
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N S
T R
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T
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D R
A W
M P
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A
N S
T R
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S
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N /O
P
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D
A
B10 1.6.3b Mill Certif icates: For each type of bolt X
B10 1.6.3b
Comprehensive engineering analysis of special joists signed and sealed by the qualif ied professional engineer responsible for its preparation
X
B10 1.6.3b Field quality-control reports X
B10 1.6.3b Open Web Steel Joists X
B10 1.6.3c Welding certif icates X
B10 1.6.3c
Product Certif icates: For each type of steel deck
Product Test Reports: For tests performed by a qualif ied testing agency, indicating that each of the following complies with requirements
Evaluation Reports: For steel deck, f rom
ICC-ES
X
B10 1.6.3c Field quality-control reports X
B10 1.6.3c Structural Metal Decking X
B20 1.6A Cold Formed Metal Framing X X
B20 1.6B Air/water barrier (housewrap) X
B20 1.6B Continuous insulation (sheathing insulation) X
B20 1.6B Wall cavity insulation X
B20 1.6B Siding and trim X
B20 1.6B Exterior windows X
B20 1.6B Exterior paint X
B20 1.6B Exterior siding X
B20 1.6B Lock box X
Brawley, CA
CONSTRUCTION FORMS PAGE 10
Par.
No.
R T
L
A B
T E
P O
R T
/C A
L C
O R
P L
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A
N S
T R
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T
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D R
A W
M P
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T R
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N /O
P
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D
A
B20 1.6C Exterior windows X
B20 1.6D Paint color samples X
B20 1.6D Wall color samples X
B20 1.6D Window color samples X
B20 1.6E
Framing lumber and sheathing, including species, grade, and treatment
X
B20 1.6E Metal Siding (see spec) X X X
B30 1.6A Underlayment X
B30 1.6A Asphalt shingles X
B30 1.6A Metal roof ing (see spec) X X X
B30 1.6A Roof ing. for each color, gloss specif ied X
B30 1.6A Paint color samples X
C10 1.6B
Countertops, cabinets, wardrobes, and lockers
X
C10 1.6B Identifying devices/signage X
C10 1.6C Bathroom accessories X
C10 1.6C Window blinds X X
C10 1.6C Lockers X
C10 1.6C Bulletin/Display boards X
C10 1.6E Interior door f inish samples X
C10 1.6E Paint color samples X
C10 1.6E Horizontal blind color samples X
C10 1.6E Laminate color samples X
C10 1.6E Locker color samples X
Brawley, CA
CONSTRUCTION FORMS PAGE 11
Par.
No.
R T
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A B
T E
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T R
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D R
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M P
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T R
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N /O
P
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D
A
C10 1.6E
Signage: Submit three samples illustrating full size sample sign, of type, style and color specif ied including method of attachment
C20 1.6B Interior Metal Stairs X
C20 1.6C
Delegated-Design Submittal: For stairs and railings, including analysis data signed and sealed by the qualif ied professional engineer responsible for their preparation
X
C20 1.6D Stair Treads X
C30 1.6A Interior paint X
C30 1.6A Wall base X
C30 1.6A
Flooring (tile, carpet, sheet vinyl, and densif ied polished concrete)
X
C30 1.6A Acoustical ceiling tile system X
C30 1.6B Paint color samples X
C30 1.6B Wall base samples X
C30 1.6B
Carpet, VCT, sheet vinyl, and densif ied polished concrete samples
Ceramic Tile: Full-size units of each type and composition of tile and for each color and f inish required
Athletic Flooring: Submit samples of each type-center, border and corner
X
C30 1.6B Acoustical ceiling grid and tile sample X
C40 1.9B Door Hardware, with schedule (see spec)
C40 1.9C Doors X X
C40 1.9C Hardware X X
C40 1.9C Overhead sectional doors X X
Brawley, CA
CONSTRUCTION FORMS PAGE 12
Par.
No.
R T
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A B
T E
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R T
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P L
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T R
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M P
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T R
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N /O
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D
A
C40 1.9D Paint color samples X
D20 1.6B
Plumbing f ixtures, including f itting and trim packages associated with each plumbing f ixture
X
D20 1.6B Pipe and f ittings X
D20 1.6B Valves X
D20 1.6B Backf low preventers X
D20 1.6B Pressure reducing valves (if used) X
D20 1.6B Wall hydrants X
D20 1.6B Domestic water heaters X
D20 1.6B Floor drains and f loor sinks X
D20 1.6B Cleanouts X
D20 1.6B Air compressors X
D20 1.6B Air pressure regulators X
D20 1.6C Domestic water heaters X
D20 1.6C Backf low preventers X
D20 1.6C Pressure reducing valves (if used) X
D20 1.6C Wall hydrants X
D20 1.6C Air compressors X
D20 1.6C Air pressure regulators X
D30 1.6B Gas piping X
D30 1.6B Gas pressure regulators X
D30 1.6B Furnaces X
Brawley, CA
CONSTRUCTION FORMS PAGE 13
Par.
No.
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A
D30 1.6B Cased evaporator coils X
D30 1.6B Condensing units X
D30 1.6B Exhaust fans X
D30 1.6B Air inlets and outlets X
D30 1.6B Thermostats X
D30 1.6B Radiant tube heaters X
D30 1.6B Evaporative coolers X
D30 1.6B ERVs X
D30 1.6B Diesel exhaust f iltration systems X
D30 1.6B HVLS fans X
D30 1.6B VRF Equipment (Bid Option) X
D30 1.6C Certif ied TAB report X
D30 1.6C Certif ied Cx report X
D30 1.6D Gas pressure regulators X
D30 1.6D Furnaces X
D30 1.6D Condensing units X
D30 1.6D Exhaust fans X
D30 1.6D Thermostats X
D30 1.6D Radiant tube heaters X
D30 1.6D Evaporative coolers X
D30 1.6D ERVs X
D30 1.6D Diesel exhaust f iltration systems X
Brawley, CA
CONSTRUCTION FORMS PAGE 14
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A
D30 1.6D HVLS fans X
D30 1.6D VRF Equipment (Bid Option) X
D40 1.6B Pipe and f ittings X
D40 1.6B Valves X
D40 1.6B Backf low preventers X
D40 1.6B Riser assemblies X
D40 1.6B Sprinklers X
D40 1.6B Fire department connections X
D40 1.6B Fire extinguishers and cabinets X
D40 1.6C Sprinkler system shop drawings showing pipe routing and coordination of all building components
X
D40 1.6D Backf low preventers X
D40 1.6D Riser assemblies X
D50 1.6B Wire and cable X
D50 1.6B Wiring devices X
D50 1.6B Outlet and junction boxes X
D50 1.6B Conduit and raceway X
D50 1.6B Panelboards X
D50 1.6B Lighting f ixtures X
D50 1.6B Fire alarm system X
D50 1.6B Transient voltage surge suppressor X
D50 1.6B Lightning protection system X
Brawley, CA
CONSTRUCTION FORMS PAGE 15
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D50 1.6B Security system X
D50 1.6C Ground resistance test X
D50 1.6D Fire alarm system X
D50 1.6D Security system X
E10
1.3, 1.4, 1.5
Product Data: For each type of product (see specs for full list of products and required submittals)
X
G10 1.6A Erosion Control Plan X
G10 1.6A Blasting Plan X
G10 1.6A Silt fence X
G10 1.6A Erosion control blanket X
G10 1.6A
Gradation and Atterberg limits for imported borrow material
X
G10 1.6A Soil compaction results X
G20 1.6B Wheel stops X
G20 1.6B Retaining wall block X
G20 1.6B Fencing, gates, and sliding gate operator X
G20 1.6B Flagpole X
G20 1.6B Bike rack X
G20 1.6B
Signage: Show fabrication and installation details for signs
G20 1.6C
Mix designs for asphalt concrete and Portland cement concrete
G20 1.6D
Gradation and Atterberg limits for base and subbase materials
G20 1.6D Compaction results X
Brawley, CA
CONSTRUCTION FORMS PAGE 16
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A
G30 1.6B
Pipe and pipe f ittings for water, sewer, storm drainage, and fuel gas
G30 1.6B Valves and valve boxes X
G30 1.6B Lif t station sump, sewage pump, and controls if a lif t station is required for the project
G30 1.6B Storm drainage drop inlets and grates X
G30 1.6C
Results of water f low and pressure (static and residual) tests
G30 1.6C
Piping pressure test and bacteriological test results
X X
G30 1.6C Soil compaction results X
G30 1.6D
Sewage pump and controls if a lif t station is required for the project
X
G40 1.6B Wire and cable X
G40 1.6B Conduit X
G40 1.6B Pull boxes and handholes X
G40 1.6B Site lighting f ixtures X
G40 1.6B
Photovoltaic system components [If applicable]
X
G40 1.6C Soil compaction results X
G40 1.6D Photovoltaic system [If applicable]. X
END OF SUBMITTAL LIST
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