Attachment B1-Appendix A - Transmittal Form DSW.pdf
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- Cooling Towers 2 & 3 Replacement at WAPA-DSW
- Solicitation number
- 89503122QWA000215
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Text version
Ww,.ESC£"rn Western Area Power Administration TRANSMITTAL
Desert Southwest Region PAGE OF AReA POWl=R
ACMINl5TRATICN
SUBMITTAL OF PROJECT DATA, SHOP DRAWINGS, EQUIPMENT DATA,
MATERIAL SAMPLES, OR MANUFACTURE'S CERTIFICATES OF COMPLIANCE
Date-Submitted by Contractor
Date-Received by DSW
REQUEST FOR INFORMATION (RFI)
SUBMITTAL OF PAYMENT REQUEST
FROM: (Contractor) I TO : Contracting Officer Project Name & Contract Number
SUBMITTAL/RF! NUMBER NEW RE-SUBMITTAL OTHER
THIS SUBMITTAL IS FOR: (Check one) DA (Contractor's Designer Approved) FIO GA (Government Approval)
CONTRACT DOCUMENT REFERENCE
ITEM DESCRIPIION OF SUBMITI AL ITEM CUN SPEC./ DIV. DRAWING VARIATION COMMEN1S
SHEET NO. (Enter"Y" if NO. PARA.NO. requesting a variation)
REQUEST FOR INFORMATION (RFI)-Contractor's Comments (Additional comments can be attached to this Cover Sheet)
(RFI) GOVERNMENT RESPONSE
| ITEM NORow1: |
| DESCRIPTION OF SUBMITTAL ITEMRow1: |
| CUNRow1: |
| SPEC DIV PARANORow1: |
| DRAWING SHEET NORow1: |
| VARIATION EnterYif requesting a variationRow1: |
| COMMENTSRow1: |
| ITEM NORow2: |
| DESCRIPTION OF SUBMITTAL ITEMRow2: |
| CUNRow2: |
| SPEC DIV PARANORow2: |
| DRAWING SHEET NORow2: |
| VARIATION EnterYif requesting a variationRow2: |
| COMMENTSRow2: |
| ITEM NORow3: |
| DESCRIPTION OF SUBMITTAL ITEMRow3: |
| CUNRow3: |
| SPEC DIV PARANORow3: |
| DRAWING SHEET NORow3: |
| VARIATION EnterYif requesting a variationRow3: |
| COMMENTSRow3: |
| ITEM NORow4: |
| DESCRIPTION OF SUBMITTAL ITEMRow4: |
| CUNRow4: |
| SPEC DIV PARANORow4: |
| DRAWING SHEET NORow4: |
| VARIATION EnterYif requesting a variationRow4: |
| COMMENTSRow4: |
| REQUEST FOR INFORMATION RFIContractor1s Comments Additional comments can be attached to this Cover Sheet: |
| RFI GOVERNMENT RESPONSE: |
| Submittal: Off |
| RFI: Off |
| Payment Request: Off |
| page: |
| OF: |
| KTR's date: |
| RMR's date: |
| KTR's name: |
| CO's name: |
| Project Data: |
| Sub/RFI number: |
| New: Off |
| Re-submit: Off |
| Other: Off |
| DA Approved: Off |
| FIO: Off |
| GA: Off |
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