Attachment 7 - TRADOC_928-R_Submittal_Form.pdf
PDF 136 KB Posted
- Solicitation number
- W91QF426RA010
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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| Solicitation - W91QF426RA010.pdf | ||
| Attachment 1 - Performance Requirements Summary (PRS) ESS.xlsx | XLSX spreadsheet | |
| Attachment 3- Sterilized Combined Equipment List.xlsx | XLSX spreadsheet | |
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Text version
[ ] 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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