B08_Attachment_4_CM16-Submittal_Form.pdf

Transmittal Form (CM-16) National Park Service (NPS) ACRONYMS: A/E: Architect/Engineer; CMR: Construction Management Representative; FAR: Federal Acquisition Regulation; LEED: Leadership in Energy & Environmental Design; N/A: Not Applicable; PMIS: Project Management Information System

Submittal Number: PARK Acronym: PMIS Number: Project: Contract Number: Date: Sheet: 1 of 2 Transmittal Number:

Construction Contractor: Subcontractor / Supplier:

Ac tio n

Su bm itt al

In fo rm at io na l S ub m itt al

Ite m

N um be r

Sp ec ifi ca tio n

Se ct io n

N um be r

Pa ra gr ap h N um be r

Description of Item (Size, Type, Name, Manufacturer, Use, etc.) Al te rn at e M at er ia ls

Pr op os ed

A/E ACTION

Action Submittal

Ap pr ov ed

Ap pr ov ed w ith

N ot at io ns

D is ap pr ov ed

R es ub m it

NPS ACTION

Action Submittal

Ap pr ov ed

Ap pr ov ed w ith N ot at io ns

D is ap pr ov ed

R es ub m it

Informational Submittal

Ac ce pt

R ej ec t

Construction Contractor - Name, Title, & Signature: Date:

I hereby certify this submittal has been reviewed for accuracy, completeness, and compliance with contract requirements. FAR 52-236-21

CMR - Name, Title, & Signature: Date:

A/E - Name, Title, & Signature: Date:

Review Comments - Name: Comment(s):

Recommended By - NPS COR or Alternate COR - Name, Title, & Signature: Date:

Action By - NPS Name, Title, & Signature: Date:

Approval of this submittal is subject to the provisions of the contract drawings and specifications.

This action is for general concurrence only and the Government is not responsible for errors or omissions.

Date Received: Date to Construction Contractor:

NPS Review Comments - Name: Comment(s):

Transmittal Form (CM-16) - Continuation National Park Service (NPS) ACRONYMS: A/E: Architect/Engineer; CMR: Construction Management Representative; FAR: Federal Acquisition Regulation; LEED: Leadership in Energy & Environmental Design; N/A: Not Applicable; PMIS: Project Management Information System

Submittal Number: PARK Acronym: PMIS Number: Project: Contract Number: Date: Sheet: 2 of 2 Transmittal Number:

Construction Contractor: Subcontractor / Supplier:

Ac tio n

Su bm itt al

In fo rm at io na l S ub m itt al

Ite m

N um be r

Sp ec ifi ca tio n

Se ct io n

N um be r

Pa ra gr ap h N um be r

Description of Item (Size, Type, Name, Manufacturer, Use, etc.) Al te rn at e M at er ia ls

Pr op os ed

A/E ACTION

Action Submittal

Ap pr ov ed w ith N ot at io ns

D is ap pr ov ed

R es ub m it

NPS ACTION

Action Submittal

Ap pr ov ed w ith N ot at io ns

D is ap pr ov ed

R es ub m it

Informational Submittal

Ac ce pt

R ej ec t

Review Comments - Name: Comment(s):