B08_Attachment_5_-_Submittal_Form_CM-16.pdf
PDF 993 KB Posted
- Attached to
- REPLACE 3 FURNACES - KLONDIKE GOLD RUSH AK
- Solicitation number
- 140P9725Q0051
About this file
The document is a Transmittal Form (CM-16) used by the National Park Service's Denver Service Center, dated 10-7-20, for documenting and tracking construction-related submittals. The form is specifically associated with a federal contract opportunity (Solicitation Number: 140P9725Q0051) for replacing 3 furnaces at the Klondike Gold Rush National Historical Park in Alaska. The two-page form provides a structured template for construction contractors, subcontractors, and suppliers to submit project-related documentation, with sections for item descriptions, specification details, and approval actions by various parties including the Architect/Engineer (A/E) and National Park Service representatives. The form includes checkboxes for action and informational submittals, with options to approve, approve with notations, or disapprove submissions, ensuring comprehensive review and documentation of project materials and processes.
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Text version
Transmittal Form (CM-16) National Park Service (NPS) - Denver Service Center (DSC) | 10-7-20 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:
Distribute 1 copy each: CMR Interim, A/E, DSC, & Construction Contractor.
NPS Review Comments - Name: Comment(s):
Transmittal Form (CM-16) - Continuation National Park Service (NPS) - Denver Service Center (DSC) | 10-7-20 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):
| SubmittalNumber: |
| PARKAcronym: |
| PMISNumber: |
| Project: |
| ContractNumber: |
| Date: |
| TransmittalNumber: |
| ConstructionContractor: |
| Subcontractor/Supplier: |
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| 40NPS-Approved: Off |
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| 1InformationalSubmittal: Off |
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| 1NPS-Disapproved: Off |
| 1NPS-Accept: Off |
| 1NPS-Reject: Off |
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| 2InformationalSubmittal: Off |
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| 2NPS-Accept: Off |
| 2NPS-Reject: Off |
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| 5NPS-AWNotations: Off |
| 5NPS-Disapproved: Off |
| 5NPS-Reject: Off |
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| 6InformationalSubmittal: Off |
| 6ItemNumber: |
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| 6ParagraphNumber: |
| 6Description: |
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| 6NPS-Reject: Off |
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| 7NPS-AWNotations: Off |
| 7NPS-Disapproved: Off |
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| 7NPS-Reject: Off |
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| 8InformationalSubmittal: Off |
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| 8AE-AWNotations: Off |
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| 8NPS-AWNotations: Off |
| 8NPS-Disapproved: Off |
| 8NPS-Accept: Off |
| 8NPS-Reject: Off |
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| 9InformationalSubmittal: Off |
| 9ItemNumber: |
| 9SpecSectionNumber: |
| 9ParagraphNumber: |
| 9Description: |
| 9AlternateMaterials: [ ] |
| 9AE-Approved: Off |
| 9AE-AWNotations: Off |
| 9AE-Disapproved: Off |
| 9NPS-Approved: Off |
| 9NPS-AWNotations: Off |
| 9NPS-Disapproved: Off |
| 9NPS-Accept: Off |
| 9NPS-Reject: Off |
| 10ActionSubmittal: Off |
| 10InformationalSubmittal: Off |
| 10ItemNumber: |
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| 10Description: |
| 10AlternateMaterials: [ ] |
| 10AE-Approved: Off |
| 10AE-AWNotations: Off |
| 10AE-Disapproved: Off |
| 10NPS-Approved: Off |
| 10NPS-AWNotations: Off |
| 10NPS-Disapproved: Off |
| 10NPS-Accept: Off |
| 10NPS-Reject: Off |
| 11ActionSubmittal: Off |
| 11InformationalSubmittal: Off |
| 11ItemNumber: |
| 11SpecSectionNumber: |
| 11ParagraphNumber: |
| 11Description: |
| 11AlternateMaterials: [ ] |
| 11AE-Approved: Off |
| 11AE-AWNotations: Off |
| 11AE-Disapproved: Off |
| 11NPS-Approved: Off |
| 11NPS-Disapproved: Off |
| 11NPS-Accept: Off |
| 11NPS-Reject: Off |
| 12ActionSubmittal: Off |
| 12InformationalSubmittal: Off |
| 12ItemNumber: |
| 12SpecSectionNumber: |
| 12ParagraphNumber: |
| 12Description: |
| 12AlternateMaterials: [ ] |
| 12AE-Approved: Off |
| 12AE-AWNotations: Off |
| 12AE-Disapproved: Off |
| 12NPS-Approved: Off |
| 12NPS-AWNotations: Off |
| 12NPS-Disapproved: Off |
| 12NPS-Accept: Off |
| 12NPS-Reject: Off |
| 13ActionSubmittal: Off |
| 13InformationalSubmittal: Off |
| 13ItemNumber: |
| 13SpecSectionNumber: |
| 13ParagraphNumber: |
| 13Description: |
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| 13AE-Disapproved: Off |
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| 13NPS-AWNotatoins: Off |
| 13NPS-Disapproved: Off |
| 13NPS-Accept: Off |
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| 14InformationalSubmittal: Off |
| 14ItemNumber: |
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| 14Description: |
| 14AlternateMaterials: [ ] |
| 14AE-Approved: Off |
| 14AE-AWNotations: Off |
| 14AE-Disapproved: Off |
| 14NPS-Approved: Off |
| 14NPS-AWNotations: Off |
| 14NPS-Disapproved: Off |
| 14NPS-Accept: Off |
| 14NPS-Reject: Off |
| 15ActionSubmittal: Off |
| 15InformationalSubmittal: Off |
| 15ItemNumber: |
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| 15Description: |
| 15AlternateMaterials: [ ] |
| 15AE-Approved: Off |
| 15AE-AWNotations: Off |
| 15AE-Disapproved: Off |
| 15NPS-Approved: Off |
| 15NPS-AWNotations: Off |
| 15NPS-Disapproved: Off |
| 15NPS-Accept: Off |
| 15NPS-Reject: Off |
| 16ActionSubmittal: Off |
| 16InformationalSubmittal: Off |
| 16ItemNumber: |
| 16SpecSectionNumber: |
| 16ParagraphNumber: |
| 16Description: |
| 16AlternateMaterials: [ ] |
| 16AE-Approved: Off |
| 16AE-AWNotations: Off |
| 16AE-Disapproved: Off |
| 16NPS-Approved: Off |
| 16NPS-AWNotations: Off |
| 16NPS-Disapproved: Off |
| 16NPS-Accept: Off |
| 16NPS-Reject: Off |
| 17ActionSubmittal: Off |
| 17InformationalSubmittal: Off |
| 17ItemNumber: |
| 17SpecSectionNumber: |
| 17ParagraphNumber: |
| 17Description: |
| 17AlternateMaterials: [ ] |
| 17AE-Approved: Off |
| 17AE-AWNotations: Off |
| 17AE-Disapproved: Off |
| 17NPS-Approved: Off |
| 17NPS-AWNotations: Off |
| 17NPS-Disapproved: Off |
| 17NPS-Accept: Off |
| 17NPS-Reject: Off |
| 18ActionSubmittal: Off |
| 18InformationalSubmittal: Off |
| 18ItemNumber: |
| 18SpecSectionNumber: |
| 18ParagraphNumber: |
| 18Description: |
| 18AlternateMaterials: [ ] |
| 18AE-Approved: Off |
| 18AE-AWNotations: Off |
| 18AE-Disapproved: Off |
| 18NPS-Approved: Off |
| 18NPS-AWNotations: Off |
| 18NPS-Disapproved: Off |
| 18NPS-Accept: Off |
| 18NPS-Reject: Off |
| 19ActionSubmittal: Off |
| 19InformationalSubmittal: Off |
| 19ItemNumber: |
| 19SpecSectionNumber: |
| 19ParagraphNumber: |
| 19Description: |
| 19AlternateMaterials: [ ] |
| 19AE-Approved: Off |
| 19AE-AWNotations: Off |
| 19AE-Disapproved: Off |
| 19NPS-Approved: Off |
| 19NPS-AWNotations: Off |
| 19NPS-Disapproved: Off |
| 19NPS-Accept: Off |
| 19NPS-Reject: Off |
| 20ActionSubmittal: Off |
| 20InformationalSubmittal: Off |
| 20ItemNumber: |
| 20SpecSectionNumber: |
| 20ParagraphNumber: |
| 20Description: |
| 20AlternateMaterials: [ ] |
| 20AE-Approved: Off |
| 20AE-AWNotations: Off |
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| 20NPS-Approved: Off |
| 20NPS-AWNotations: Off |
| 20NPS-Disapproved: Off |
| 20NPS-Accept: Off |
| 20NPS-Reject: Off |
| ContractorSigDate: |
| CMRSigDate: |
| AESigDate: |
| NPSRecommendSigDate: |
| NPSActionSigDate: |
| NPSDateReceived: |
| NPSDateToContractor: |
| 21ActionSubmittal: Off |
| 22ActionSubmittal: Off |
| 23ActionSubmittal: Off |
| 24ActionSubmittal: Off |
| 25ActionSubmittal: Off |
| 26ActionSubmittal: Off |
| 27ActionSubmittal: Off |
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| 21InformationalSubmittal: Off |
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| 23InformationalSubmittal: Off |
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| 26InformationalSubmittal: Off |
| 27InformationalSubmittal: Off |
| 28InformationalSubmittal: Off |
| 29InformationalSubmittal: Off |
| 30InformationalSubmittal: Off |
| 30ActionSubmittal: Off |
| 31InformationalSubmittal: Off |
| 31ActionSubmittal: Off |
| 32ActionSubmittal: Off |
| 32InformationalSubmittal: Off |
| 33ActionSubmittal: Off |
| 33InformationalSubmittal: Off |
| 34ActionSubmittal: Off |
| 34InformationalSubmittal: Off |
| 35ActionSubmittal: Off |
| 35InformationalSubmittal: Off |
| 36ActionSubmittal: Off |
| 36InformationalSubmittal: Off |
| 37ActionSubmittal: Off |
| 37InformationalSubmittal: Off |
| 38ActionSubmittal: Off |
| 38InformationalSubmittal: Off |
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| 21Description: |
| 21AE-Approved: Off |
| 21AE-AWNotations: Off |
| 21AE-Disapproved: Off |
| 21NPS-Approved: Off |
| 21NPS-AWNotations: Off |
| 21NPS-Disapproved: Off |
| 21NPS-Accept: Off |
| 22NPS-Reject: Off |
| 23NPS-Reject: Off |
| 22NPS-Accept: Off |
| 22NPS-Disapproved: Off |
| 22NPS-AWNotations: Off |
| 22NPS-Approved: Off |
| 22AE-Disapproved: Off |
| 22AE-AWNotations: Off |
| 22AE-Approved: Off |
| 22AlternateMaterials: [ ] |
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| 23AE-Approved: Off |
| 23AE-AWNotations: Off |
| 23AE-Disapproved: Off |
| 23NPS-Approved: Off |
| 23NPS-AWNotations: Off |
| 23NPS-Disapproved: Off |
| 23NPS-Accept: Off |
| 24NPS-Reject: Off |
| 24NPS-Accept: Off |
| 24NPS-Disapproved: Off |
| 24NPS-AWNotations: Off |
| 24NPS-Approved: Off |
| 24AE-Disapproved: Off |
| 24AE-AWNotations: Off |
| 24AE-Approved: Off |
| 24AlternateMaterials: [ ] |
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| 25AlternateMaterials: [ ] |
| 25AE-Approved: Off |
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| 25AE-Disapproved: Off |
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| 25NPS-AWNotations: Off |
| 25NPS-Disapproved: Off |
| 25NPS-Accept: Off |
| 25NPS-Reject: Off |
| 26NPS-Reject: Off |
| 26NPS-Accept: Off |
| 26NPS-Disapproved: Off |
| 26NPS-AWNotations: Off |
| 26NPS-Approved: Off |
| 26AE-Disapproved: Off |
| 26AE-AWNotations: Off |
| 26AE-Approved: Off |
| 26AlternateMaterials: [ ] |
| 26Description: |
| 27AlternateMaterials: [ ] |
| 27AE-Approved: Off |
| 27AE-AWNotations: Off |
| 27AE-Disapproved: Off |
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| 27NPS-Disapproved: Off |
| 27NPS-Accept: Off |
| 27NPS-Reject: Off |
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| 28NPS-Disapproved: Off |
| 28NPS-AWNotations: Off |
| 28NPS-Approved: Off |
| 28AE-Disapproved: Off |
| 28AE-AWNotations: Off |
| 28AE-Approved: Off |
| 28AlternateMaterials: [ ] |
| 28Description: |
| 29Description: |
| 29AlternateMaterials: [ ] |
| 29AE-Approved: Off |
| 29AE-AWNotations: Off |
| 29AE-Disapproved: Off |
| 29NPS-Approved: Off |
| 29NPS-AWNotations: Off |
| 29NPS-Accept: Off |
| 29NPS-Reject: Off |
| 30NPS-Reject: Off |
| 30NPS-Accept: Off |
| 30NPS-Disapproved: Off |
| 30NPS-AWNotations: Off |
| 30NPS-Approved: Off |
| 30AE-Disapproved: Off |
| 30AE-AWNotations: Off |
| 30AE-Approved: Off |
| 30AlternateMaterials: [ ] |
| 30Description: |
| 31Description: |
| 31AlternateMaterials: [ ] |
| 31AE-Approved: Off |
| 31AE-AWNotations: Off |
| 31AE-Disapproved: Off |
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| 31NPS-Disapproved: Off |
| 31NPS-Accept: Off |
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| 32NPS-Accept: Off |
| 32NPS-Disapproved: Off |
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| 32AE-Approved: Off |
| 32AlternateMaterials: [ ] |
| 32Description: |
| 33Description: |
| 33AlternateMaterials: [ ] |
| 33AE-Approved: Off |
| 33AE-AWNotations: Off |
| 33AE-Disapproved: Off |
| 33NPS-Approved: Off |
| 33NPS-AWNotatoins: Off |
| 33NPS-Disapproved: Off |
| 33NPS-Accept: Off |
| 33NPS-Reject: Off |
| 34NPS-Reject: Off |
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| 34NPS-AWNotations: Off |
| 34NPS-Approved: Off |
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| 34AE-AWNotations: Off |
| 34AE-Approved: Off |
| 34AlternateMaterials: [ ] |
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| 35AE-Approved: Off |
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| 35AE-Disapproved: Off |
| 35NPS-Approved: Off |
| 35NPS-AWNotations: Off |
| 35NPS-Disapproved: Off |
| 35NPS-Reject: Off |
| 36NPS-Reject: Off |
| 5NPS-Accept: Off |
| 36NPS-Accept: Off |
| 36NPS-Disapproved: Off |
| 36NPS-AWNotations: Off |
| 36NPS-Approved: Off |
| 36AE-Disapproved: Off |
| 36AE-AWNotations: Off |
| 36AE-Approved: Off |
| 36AlternateMaterials: [ ] |
| 36Description: |
| 35NPS-Accept: Off |
| 35AlternateMaterials: [ ] |
| 37Description: |
| 37AlternateMaterials: [ ] |
| 37AE-Approved: Off |
| 37AE-AWNotations: Off |
| 37AE-Disapproved: Off |
| 37NPS-Approved: Off |
| 37NPS-AWNotations: Off |
| 37NPS-Disapproved: Off |
| 37NPS-Accept: Off |
| 37NPS-Reject: Off |
| 38NPS-Reject: Off |
| 38NPS-Accept: Off |
| 38NPS-Disapproved: Off |
| 38NPS-AWNotations: Off |
| 38NPS-Approved: Off |
| 38AE-Disapproved: Off |
| 38AE-AWNotations: Off |
| 38AE-Approved: Off |
| 38AlternateMaterials: [ ] |
| 38Description: |
| 39Description: |
| 39AlternateMaterials: [ ] |
| 39AE-Approved: Off |
| 39AE-AWNotations: Off |
| 39AE-Disapproved: Off |
| 39NPS-Approved: Off |
| 39NPS-AWNotations: Off |
| 39NPS-Disapproved: Off |
| 39NPS-Accept: Off |
| 39NPS-Reject: Off |
| 40NPS-Reject: Off |
| 40NPS-Accept: Off |
| 40NPS-Disapproved: Off |
| 40NPS-AWNotations: Off |
| 40AE-AWDisapproved: Off |
| 40AE-AWNotations: Off |
| 40AE-Approved: Off |
| 40AlternateMaterials: [ ] |
| 40Description: |
| 23Description: |
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| 21NPS-Reject: Off |
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| 21AlternateMaterials: [ ] |
| 31NPS-AWNotations: Off |
| 11NPS-AWNotations: Off |
| 3ReviewComments: |
| 2ReviewComments-NPS: |
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File details come from the government source that posted it. Updated .