AF_Form_66.pdf
PDF 553 KB Posted
- Attached to
- FY16 Pavements IDIQ Federal contract opportunity
- Solicitation number
- FA3030-16-R-0002
About this file
Material Submittals
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Revised_SOW.pdf | ||
| FA3030-16-R-0002-0003.pdf | ||
| TE-5_Scherz_Handicap_Ramps.pdf | ||
| FA3030-16-R-0002-0002.pdf | ||
| Repair_Scherz_Combined_Files.pdf | ||
| FA3030-16-R-0002-0001.pdf | ||
| Site_Visit_Notes_and_Questions.pdf | ||
| Combined_SOW.pdf | ||
| Wage_Determination_TX160007.pdf | ||
| FA3030-16-R-0002_Pavements_IDIQ.pdf | ||
| Combined_Drawings.pdf | ||
| Past_Performance_Questionnaire.pdf | ||
| Seed_Project.pdf | ||
| Insurance_Requirements.pdf | ||
| BAL_-_Base_Access_List.pdf |
Show all 15
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SCHEDULE OF MATERIAL SUBMITTALS
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
Section 01010, 2.1.1.5, Traffic Control/Maintenance Schedule
4 b GA
Section 01010, 2.1.1.6, Utilty Outage 4 e GA
Section 01010, 2.2, AF Form 3064 & 4 b GA
Section 01010, 4.2, Accident Prevention Plan
4 a FIO
Section 01010, 4.4, Radiation Permit 4 a/b GA
Section 01010, 4.5, Confined Space Plan 4 e FIO
Section 01010, 7, Storage Area 4 b GA
Section 01010, 12.1, As-Builts, 12.3, DD Form 1354 Checklist
4 d/e GA
Section 01010, 12.2, Daily Reports 4 e GA
Section 01010, 15, Warranties 4 d FIO
Section 01020, 2.1, Work Clearance Request, AF Form
4 b GA
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 15-1700
SA
MP
LE
S
PROJECT TITLE: Base Pavements IDIQ
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
FORM66.xls
FA3030-16-R-0002
Attachment 4
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 15-1700
SA
MP
LE
S
PROJECT TITLE: Base Pavements IDIQ
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
01020, Para 3.1, Planned Outages 4 d GA
Section 01020, 4, Fire Hydrant Use Request
4 b/e FIO
Section 01400, 2.4,
2.4.3 NOI/NOT 4 b GA
Section 01400, 2.4.1, SWPPP 4 b GA
Section 01400, 2.6, Air Quality Report 4 b/e FIO
Section 01400, 3.3 & 7.1, Hazardous Wastes SDS
4 b GA
Section 01400, 3.3.5, Disposal of Waste 4 b GA
Section 01400, 4, Pollution Control Training
4 b GA
Section 01400, 5, Reports 4 b FIO
Section 01400, 6, EMS Awareness Training
4 b GA
Section 01400, 7, EPCRA Information 4 b FIO
Section 01400, 7.1,
7.2 HazMat, EPCRA 4 b FIO
FORM66.xls
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 15-1700
SA
MP
LE
S
PROJECT TITLE: Base Pavements IDIQ
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
Section 01400, 9.1, 9.2, 10.1-3, Demolition ifi i S
4 b FIO
Section 01400, 12, AF-EMIS
Authorization Request Works and Construction Waste Management Form
4 b FIO
Section 01540, 1.3.1, Affirmative Procurement Reporting Form
4 a GA
Section 01540, 1.3.2, Manufacturer Data, Certificates, & Samples
4 a FIO
Section 02050, 1.3.1, Demolition Work 4 b GA
Section 02050, 1.3.2, Procedures for Removal of Asbestos
4 b GA
Section 02110, 1.5, 2.1, 2.2, 2.3 Crack Sealant Material Data
4 b GA
Section 02125, 1.4, Mix Design 4 b FIO
FORM66.xls
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 15-1700
SA
MP
LE
S
PROJECT TITLE: Base Pavements IDIQ
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
Section 02222, 1.3, Test Reports & Certificates
4 e GA
Section 02222, 1.3, Location of Stockpile Area
4 b FIO
Section 02241, 1.4, Test Reports and Results
4 e GA
Section 02241, 1.7, Records 4 e GA
Section 02310, Para 1.2, Sampling and Testing
4 e GA
Section 02511, Para 1.3, Test Reports 4 e, d GA
Section 02511, Para 1.3, Records 4 d GA
Section 02511, Para 1.3, Material Data/Certificates of Compliance
4 b FIO
Section 02511, Para 1.3, Concrete Mix Design
4 b FIO
FORM66.xls
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 15-1700
SA
MP
LE
S
PROJECT TITLE: Base Pavements IDIQ
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
Section 02550, 1.2, Test Reports and Records
4 e GA
Section 02551, 1.3,
1.8 & 1.11, Records, Sampling/Testing, Waybill/delivery tickets
4 e GA
Section 02555, 1.2, Records/Waybills/De livery tickets
4 e GA
Section 02555, 3.2, Manufacturer's Test Reports
4 d GA
Section 02558, 1.2, Test Results/Records/Way bill & Tickets
4 e GA
Section 02559, 1.2, Test Reports and Records
4 e GA
Section 02577, 1.2.1, Paint 4 b GA
Section 02577, 1.2.2, Pavement Markers 4 b GA
FORM66.xls
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 15-1700
SA
MP
LE
S
PROJECT TITLE: Base Pavements IDIQ
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
Section 02720, 1.2, Product Material, Pipeline Testing, Certified Test Results
4 b GA
Section 02932, 2.1 thru 2.8 Materials and SDS's
4 b GA
Section 02940, 1.2, Site Plan and Product Data
4 b GA
Section 03200, 1.2.1, Detail Drawings 4 b GA
Section 03300, 1.2, Concrete Mix, Test Results, Certificate of Compliance
4 b,d GA
Section 03320, 1.2, Test Reports & R d
4 e GA
Section 03330, Para 1.2, 2.2.1, 2.2.2, Sampling and Testing
4 d GA
Section 03450, Para 1.4, Calculations/Mix Design/ Detailed Drawings
4 b GA
Section 03450, Para 1.4, Test Reports 4 d GA
FORM66.xls
SOLICITATION/CONTRACT NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S W
AR
RA
NT
Y
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
PROJECT NUMBER: JCGU 15-1700
SA
MP
LE
S
PROJECT TITLE: Base Pavements IDIQ
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
AF Form 66
(a) As soon as possible but in no case later than 45 calendar days after NTP for Basic Contract
(b) No Later Than 7 Calendar Days after Task Order NTP
(c) Prior to Final Inspection of Task Order
(d) Final Inspection of Task Order
(e) As Required per Specifications or Task Order
FORM66.xls
File details come from the government source that posted it. Updated .