B08_Solicitation_Atch_5_Submittal_Form_CM16.doc

DOC document 128 KB Posted

Attached to
Replace North Unit Boundary Fence at Theodore Roos Federal contract opportunity
Solicitation number
140P6321B0015
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This document contains a transmittal form template for submitting contractor submittals to the National Park Service for the project to replace the North Unit boundary fence at Theodore Roosevelt National Park. The template includes spaces for the transmittal number, park name, project name, contract number, PMIS number, date, contractor name, subcontractor or supplier name, specification section number, description of item, contractor signature, title and date, recommended title and date, and review comments. There is also a submittal log for tracking dates from contractor to reviewer to contractor. The distribution section lists who should receive copies of the completed transmittal form.

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Text version

TRANSMITTAL - NATIONAL PARK SERVICE

Transmittal No.:

Sheet: 1 of:

Park:

Project:

Contract No.:

PMIS No.:

Date:

Contractor:

Subcontractor/Supplier:

NPS ACTION

Specification

Section No.

Description of Item

(Size, Type, Name, Manufacturer, Use, Etc.)

Contractor Signature
Recommended by
Title, Date
Title
Date

I hereby certify that this submittal has been reviewed for accuracy, completeness, and compliance with contract requirements (FAR 52.236-21)

Review Comments
Action By
Date

Contracting Officer’s Representative

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 omission.

SUBMITTAL LOG DATES: From contractor [__________], To reviewer [__________], From reviewer [__________], To Contractor [__________]

Distribution: ( ) Contractor ( ) DSC File ( ) COR ( ) A/E ( ) DSC Interim ( ) COR Interim ( ) Contractor Interim CM-16Rev. 4/00

TRANSMITTAL CONTINUATION - NATIONAL PARK SERVICE
Transmittal No.:

Sheet: 1 of:

Park:

Project:

Contract No.:

PMIS No.:

Date:

Contractor:

Subcontractor/Supplier:

NPS ACTION

Specification

Section No.

Description of Item

(Size, Type, Name, Manufacturer, Use, Etc.)

Review Comments

CM-16 Rev. 06/06

File details come from the government source that posted it. Updated .