Attachment 7 - TRADOC_928-R_Submittal_Form.pdf

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Electronic Security System (ESS) Maintenance and Service- Amend 0001
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W91QF426RA010
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About this file

This is a Material Approval Submittal form (TRADOC Form 928-R) used in federal contracting to obtain government approval of materials proposed for delivery under a contract. The form facilitates communication between contractors and contracting officers regarding material compliance with contract specifications.

The form is structured to capture essential contract and submission information, including contract number, submission number, project number, and identification of whether the submittal is new or a resubmission. Contractors must provide detailed descriptions of proposed materials, including type, model number, catalog number, and manufacturer information for each line item referenced to specification section and paragraph or drawing numbers. The contractor certifies by signature that all materials comply with the subject contract specifications. Government evaluators then assess each item using checkbox options for approval, disapproval, or notation to review reverse side comments. The form includes signature blocks at multiple approval levels—initial evaluation, recommendation level, and final approval authority—with associated dates and typed names and grades. Final approval authority may request resubmittal of disapproved items within a specified number of days. The form includes provisions for digital signatures and reserves the reverse side for detailed comments supporting approval or disapproval decisions.

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[ ] NEW [ ] RESUBMIT

ITEM SPECIFICATION SECJ AP- DISAP- SEE INITIAL

No PARA. NO./DWG. NO. PROVED PROVED REVERSE

TYPE OR PRINT NAME TITLE

TYPE OR PRINT NAME AND GRADE

TYPE OR PRINT NAME AND GRADE

TYPE OR PRINT NAME AND GRADE

TRADOC FORM 928-R, Nov 91

TO:

[ ] Approved [ ] Disapprove as indicated Above and Subject to Any Applicable Comments on the Reverse Side. Request Resubmittal on Disapproved.

items Within _______________ Days of Date Shown Below.

DATE SIGNATURE

TO:

DATE SIGNATURE

Recommend [ ] Approval [ ] Disapproval as indicated Above and Subject to Any Applicable Comments on the Reverse

TO:

FOR GOVERNMENT USE ONLY

For Evaluation and Action

DATE SIGNATURE

MATERIAL APPROVAL SUBMITTAL

TRADOC Reg 715-3

BY COMPLETEING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

DATE

PREVIOUS SUBMISSION NUMBER PROJECT NUMBER

SUBMITTALSUBMISSION NUMBER

DESCRIPTION OF MATERIAL

DATE SIGNATURE

TO: (Contracting Officer) FROM: (Contractor)

TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY

(Include Type, Model Number, Catalog Number, Mfg., etc.)

CONTRACT NUMBER

(for Digital Signature)

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