Attachment A- 05_W143_SOUTHSIDE_CANOPIES_SUBMITTAL.pdf

Contract Number Transmittal Number Date

From Contractor Project Title and Location

To

Contractor Approved Government Approved Variation for Government Approval

Contractor's Comments

CONTRACTOR'S SUBMITTAL TRANSMITTAL

LANTDIV NORFOLK 4-4355/3 (Rev. 11-99)

CONTRACTOR USE ONLY REVIEWER USE ONLY

**ACTION CODES

A - Approved D - Disapproved AN - Approved as noted RA - Receipt acknowledged C - Comments R - Resubmit

*List only one specification division per form.

List only one of the following categories on each transmittal form, and indicate which is being submitted.

Ite m

N o Proj. Spec. Sect.

& Para. and/or Proj. Dwg. No.

Item Identification (Type, size, model no., Mfg. Name, dwg. or brochure number) N o.

o f

C op ie s

Action Codes

Reviewer Initials

Code Date

Copy of transmittal and submittals to ROICC Contractor Representative (Signature)

Date Received by Reviewer From (Reviewer) To

Submittals are returned with action indicated. Approval of an item does not include approval of any variation from the contract requirements unless the contractor calls attention to and supports the variation.

Submittals are forwarded to ROICC with A-E recommendations indicated in REVIEWER USE ONLY section and in coments below on ONE COPY of the transmittal form.

Reviewer's Comments

Copies To:

ROICC (2)

LANTDIV (1)

A-E (1)

Date Signature

NAVFAC MIDLANT - John Adams

Baron Communications, Inc.

N4008522D0061 N4008523F6358 6F 20-Dec-23

W-143 Install Canopies at South Entrances

SOW Revised Canopy Shop Drawings Revisions for Doors 5 & 6 cecilia.haristeguy Text Box

AN CAH 12/21/23

cecilia.haristeguy Text Box

AN CAH 12/21/23

cecilia.haristeguy Text Box Doors 1,2,3,4, 7, and 8 were approved on 11/20/2023 submittal review.

Doors 5 and 6 are approved 12/21/2023. No other doors or calculations reviewed in this submittal.

CAH 12/21/23

I hereby cer fy that the (equipment) (material) (ar cle) shown and marked in this submi al is that proposed to be incorporated with Contract Number (see below) is in compliance with the contract drawings and specifica on, can be installed in the allocated spaces, and is submi ed for Government approval.

Cer fied by Submi al Reviewer _______________________, Date __12/20/23_____

(Signature when applicable)

Cer fied by QC Manager _____________________________, Date __12/20/23_____

(Signature)

*** N4008522D0061/N4008523F6358

THL OAE F W VN IRO GM INM

IO A

C

THOMAS JOSEPH STEFANINI

Lic. No. 064202

12/20/2023

C

THOMAS JOSEPH STEFANINI

C

THOMAS JOSEPH STEFANINI

C

THOMAS JOSEPH STEFANINI

C

THOMAS JOSEPH STEFANINI

C

THOMAS JOSEPH STEFANINI

C

THOMAS JOSEPH STEFANINI

C

THOMAS JOSEPH STEFANINI

C

THOMAS JOSEPH STEFANINI