B08_Solicitation_Attach_5_Submittal_Form_CM16.doc

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Attached to
REHAB QTRS #32 BADL FY21
Solicitation number
140P6321B0009
Issued by

About this file

This document contains a submittal form and transmittal template for use on National Park Service construction contracts. The form is to be used by contractors to submit required product data, samples, or other information specified in the contract documents to the Contracting Officer's Representative for review and approval. The transmittal sheet includes fields for the contract and project names, specification section references, descriptions of submitted items, space for reviewer comments and approval signatures. The continuation sheet has the same fields to allow for multiple submissions under a single transmittal number.

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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 .