8._Form_DD1354_Draft 1 .docx

DOCX document 39 KB Posted

Attached to
Hangar 456 Renovation Federal contract opportunity
Solicitation number
FA3022-14-R-0002
Issued by
Department of the Air Force Air Education and Training Command

About this file

DD Form 1354

View the file

Other files for this federal contract opportunity

Other files attached to Hangar 456 Renovation, newest first.
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2.__Concept_Dwgs_FY-2014 1 .pdf PDF
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Text version

TRANSFER AND ACCEPTANCE OF DoD REAL PROPERTY Form Approved OMB No. 0704-0188

PAGE 1 OF 1 PAGES

The public reporting burden for this collection of information is estimated to average 30 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 the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155 (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. FROM (Organization Name) (Contractor Company Name and Address)

2. DATE PREPARED

(YYYYMMDD)

3. PROJECT/JOB

NUMBER

EEPZ 10-1001

4. SERIAL NUMBER
8. TRANSACTION DETAILS
a. METHOD (X all that apply)
b. WHEN/EVENT (X one)

TOTAL ASSET PLACED-IN-SERVICE

PARTIAL ASSET PLACED-IN-SERVICE

ACQUISITION BY CONSTRUCTION TRANSFER BETWEEN SERVICES CAPITAL IMPROVEMENT

INVENTORY ADJUSTMENT

5. TO (Organization - Installation Code and Name)

14 CES / BCE

555 Simler Blvd Columbus AFB, MS 39710

6. RPSUID/SITENAME/

INSTCODE/INSTNAME

7. CONTRACT

NUMBER(S)

7a. PLACED-IN-

SERVICE DATE

(YYYYMMDD)

c. TYPE (X one)

DRAFT

FINAL

INTERIM

9. ITEM NO.
10a.

FACILITY NO.

10b. RPUID
11.

CATEGORY CODE

12.

CATCODE DESCRIPTION

13. TYPE CODE
AREA
OTHER
18. COST
19. FUND SOURCE
20. FUND ORG
21. INTER- EST CODE
22. ITEM

REMARKS

14.

PRIMARY UM

15.

PRIMARY UM QUANTITY

16.

SECONDARY UM

17.

SECONDARY UM QUANTITY

610811

880211

880221

890121

890272

851143

852289

890273

211111

880201 Administrative Office Space, Non Air Force Closed Head Automatic Sprinkler Automatic Fire Detection A/C-Heating Plant 5-25 tons Energy Management Control System Field Equipment Curbs and Gutters Sidewalk Energy Management Control System Data Links Maintenance Hangar

High Expansion Foam System P P P P P P 4 P P P

SF SF SF TN EA

LF SY LF SF

SF

EA EA

SF

Non restroom or shower Areas Admin wing Admin wing Tons: Admin wing

For new HVAC to report to Bldg 385.

Road curbcut at sidewalk.

Sidewalk from entry canopy to road.

Connect from new EMCS to existing EMCS data lines.

Cost of hangar replacement elements (~ incl new items) Added cost of high expansion foam system

23. STATEMENT OF COMPLETION. The facilities listed hereon are in accordance with maps, drawings, and specifications and change orders approved by the authorized representative of the using agency except for the deficiencies listed on the reverse side.
24.a. ACCEPTED BY (Typed Name and Signature)
b. DATE SIGNED

(YYYYMMDD)

a. TRANSFERRED BY (Typed Name and Signature)
b. DATE SIGNED

(YYYYMMDD)

c. TITLE (DPW/RPAO)
25. PROPERTY VOUCHER NUMBER

c. TITLE (Area Engr./Base Engr./DPW/Construction Agent)

Attachment 8 FA3022-14-R-0002 Page 1 of 1

DD FORM 1354, SEP 2009 PREVIOUS EDITION IS OBSOLETE.

Adobe Professional 8.0

26.

CONSTRUCTION

DEFICIENCIES

(Attach blank sheet for continuations) 27.

PROJECT

REMARKS

(Attach blank sheet for continuations)

INSTRUCTIONS

GENERAL.

This form has been designed and issued for use in connection with the transfer 10a.

Facility

Number.

Assigned in accordance with the

Installation/Base

Master

Numbering

Plan.

of military real property between the military departments and to or from other government agencies.

It supersedes

ENG

Forms and

290B

(formerly used by the

Army and

Air 10b.

RPUID.

Real

Property

Unique

Identifier

Identified in

Real

Property

Inventory.

Force) and

NAVDOCKS Form

(formerly used by the

Navy).

11.

Category

Code.

The category code describes the facility usage.

Existing instructions issued by the military departments relative to the preparation of

DD

Form are applicable to this revised form to the extent that the various items and 12.

Catcode

Description

The category code name which describes the facility usage.

columns on the superseded forms have been retained.

The military departments may promulgate additional instructions, as appropriate.

13.

Type

Code.

Construction

Type

Code

Type of construction:

P for

Permanent;

S for

Semi-permanent;

T for

Temporary.

For detailed instructions on how to fill out this form, please refer to

Unified

Facilities Criteria

(UFC)

1-300-08, dated 16

April 2009 or later.

14.

Primary

Unit

Of

Measure.

Area unit of measure;

use the unit of measure associated with the category code selected in

11.

SPECIFIC

DATA

ITEMS.

15.

Primary

Unit of

Measure

Quantity.

The total area for the measure identified in

Item

14.

Use negative numbers for demolition.

From.

Name of the transferring agency.

16.

Secondary

Unit of

Measure.

Unit of

Measure is the capacity or other measurement unit

(e.g., Date

Prepared.

Date of actual preparation.

Enter all dates in

YYYYMMDD

format

LF,

MB,

EA,

etc.).

(Example:

March

31, 20100331).

17.

Secondary

Unit of

Measure

Quantity.

The total capacity/other for the measure identified in

Item Project/Job

Number.

Project number on a

DD

Form or

Individual Job

Order 16.

Number.

18.

Cost.

Cost for each facility;

for capital improvements to existing facilities, show amount of increase only.

If there is no increase for the capital improvement, enter

N/A.

Serial

Number.

Sequential serial number assigned by the preparing organization (e.g., 2010-0001).

19.

Fund

Source.

Enter the

Fund

Source

Code for this item.

To.

Name and address of the receiving installation, activity, and

Service of the

Real 20.

Funding

Organization.

Enter the code for the organization responsible for acquiring this facility.

Property

Accountable

Officer (RPAO).

21.

Interest

Code.

RPA

Interest

Type

Code.

Enter the code that reflects government interest or ownership in the facility.

RPSUID/SITENAME/INSTCODE/INSTNAME.

Real

Property

Site

Unique

Identifier and Site

Name or

Installation Code and

Installation Name where the constructed facility is 22.

Item

Remarks.

Remarks pertaining only to the item number identified in

Item

9;

show cost located.

sharing.

Contract

Number(s).

Contract number(s) for this project.

23.

Statement of

Completion.

Typed name, signature, title, and date of signature by the responsible transferring individual or agent.

7a.

Placed-In-Service

Date.

RPA

Placed

In

Service Date.

This is the date the asset is 24.

Accepted

By.

Typed name, signature, title, and date of signature by the

RPAO

or accepting actually placed-in-service.

official.

Transaction

Details.

25.

Property

Voucher

Number.

Next sequential number assigned by the

RPAO

in voucher register.

Method of

Transaction.

Mark

(X) as many boxes as apply.

When/Event.

When or event causing preparation of

DD

Form

1354.

X only one box.

26.

Construction

Deficiencies.

List construction deficiencies in project during contractor turnover Type.

Draft, interim, or final DD

Form

1354.

X only one box.

inspection.

Item

Number.

Use a separate item number for each facility, no item number for additional 27.

Project

Remarks.

Project level remarks and continuation of blocks.

usages.

Reset

DD FORM 1354 (BACK), SEP 2009

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