8._Form_DD1354_Draft 1 .docx
DoD Form DOCX document 39 KB Posted
- Attached to
- Hangar 456 Renovation
- Solicitation number
- FA3022-14-R-0002
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DD Form 1354
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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 .