ESBD_452864_1774291091775_ATTACHMENT G.X - Ellington AFB (EF) AF3000.pdf
PDF 2 MB Posted
- Attached to
- EXTEND BARRIER ACCESS ROADS ELLINGTON AFB
- Solicitation number
- TMD25-ANG-WJ-24150011
- Issued by
- Harris County, Texas
About this file
This is a Material Approval Submittal form (AF IMT 3000) issued by the Department of Defense for use at Ellington Air Force Base. The form serves as the standard template contractors must use when submitting materials, equipment, parts, components, and end items for government approval prior to incorporation into contract work. Contractors are required to submit shop drawings, equipment data, manufacturer's literature, certificates, and material samples in accordance with specific contract provisions. All submissions must be clearly tabbed and identified, numbered consecutively by contract, prepared in four copies, and signed by the contractor certifying that materials comply with all contract specifications. The form is not valid unless countersigned by the contracting officer, and resubmissions of disapproved items must occur within a timeframe specified by the contracting officer.
The instructions indicate that submissions requiring priority handling should be submitted separately and clearly marked. Each attachment must be numbered to correspond with item numbers on the form, and multiple items from a single specification section may be included in one submission; however, materials from different contracts cannot be combined in a single submittal. The form includes checkboxes for approval, disapproval, or conditional approval pending review of reverse side details. The OMB burden estimate for completion is approximately 20 minutes per response, with the form expiring May 31, 2005. Completed forms should be directed to SAF/AQCP at the Pentagon address provided.
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MATERIAL APPROVAL SUBMITTAL
(See Instructions on Reverse) Form Approved OMB No 9000-062 Expires May 31, 2005 Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington D.C. 20593. Please DO NOT RETURN your form to either of the addresses Send your completed for to: SAF/AQCP, 1050 Air Force Pentagon, Washington, D.C. 20330
SUBMITTAL
TO BE COMPLETED BY CONTRACTOR
FOR GOVERNMENT USE ONLY
ITEM NO.
SPECIFICATION SECTION/PARA NO./DRAWING NO
DESCRIPTION OF MATERIAL
(Include Type, Model Number, Catalog Number, Mfg., etc.)
AP-PROVED
DISAP- PROVED
SEE REVERSE
INITIAL
BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT
THE MATERIAL COMPLIES WITH ALL SPECIFICIFICATIONS OF SUBJECT CONTRACT
FOR GOVERNMENT USE ONLY
RECOMMEND
AF IMT 3000, 20030901, V1 PREVIOUS EDITION IS OBSOLETE
RESUBMITTAL ON DISAPPROVED ITEMS WITHIN ____ DAYS OF DATE SHOWN BELOW.
| 1. | The term “material” is defined as articles, supplies, raw materials, equipment, parts, components, and end items that are to be incorporated into the work required by the contract. |
| 2. | This form is to be used by contractors for submitting Shop Drawings, Equipment Data, Manufacturer's Literature and Certificates and sample of Materials to the Government for approval in accordance with the provisions of this contract. Unless otherwise specified, it is to be prepared in 4 copies, signed, and provided to the contracting officer with appropriate attachments. |
3. Item(s) to be approved will be clearly tabbed or identified. Data pertaining to items(s) to be approved will be clearly identified or tabbed, particularly where documents are voluminous, in order to properly evaluate the materials or articles to be incorporated in the work. Each attachment will be numbered to correspond with the item number shown on the face of the form.
4. Request submitted shall be numbered consecutively, by contract, in the space entitled “Submission No.”. This number, in addition to the Contract No., will be used to identify each Material Approval Submittal. Resubmissions will be indicated in the appropriate block and the insertion of previous submission number data in addition to a new submission number. A single submission should be used for all work of a section of the specifications, but in NO instance should the submission include work for more than (1) one contract. Submittals requiring priority handling will be submitted by separate submittal using the form and so marked across the face of the form.
5. This material Approval Submittal is not valid unless it is signed by the contracting officer. This approval is required as called for by the contracting officer under the terms of this contract.
INSTRUCTIONS TO CONTRACTORS
AF IMT 3000, 20030901, V1 (REVERSE)
11.0.1.20130826.2.901444.899636
| To: |
| From: |
| Date_1: |
| Contract_Number: |
| New: |
| Resubmittal: |
| Previous_Contract_Number: |
| Cell1: |
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| ApprovedCheckBox: 0 |
| DispprovedCheckBox: 0 |
| SeeReverseCheckBox: 0 |
| Initials: |
| Cell4: 0 |
| Cell4: 0 |
| Cell4: 0 |
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| Cell5: 0 |
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| Cell6: 0 |
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| CheckBox1: 0 |
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| Contractor: |
| Civil_Engineer: |
| To_Eval: |
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| Base: |
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| APPROVED_CHECK: 0 |
| DISAPPROVED_CHECK: 0 |
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| For_Eval_Action: |
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