Attachmemt 2 AF FORM 66.pdf
PDF 94 KB Posted
- Attached to
- Rec Camp Seal Coat
- Solicitation number
- FA303025Q0050
About this file
This AF Form 66 Submittal Register is for a project titled "Rec Camp Roads Seal Coat" with project number JCGU 25-7005. The document outlines nine key submission requirements for the contractor, including:
- Work Breakdown Schedule/Project Schedule (4 copies required)
- Work Clearance Request (AF Form 103)
- Technical design submissions with 14-day advance notice, including:
- Hot Cracksealer Design
- Sealcoat Design
- Sand Type
- Striping Paint
- Traffic Control Plan
- Daily Quality Control Report (prior to final inspection)
- DD Form 1354 (prior to final inspection)
The register provides a structured template for tracking document submissions, approvals, and key milestone dates, with specific instructions such as submissions being required no later than 10 days after Notice to Proceed and 7 days prior to beginning work.
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Text version
PROJECT NUMBER
JCGU 25-7005
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
Work Breakdown Schedule/Project Schedule 4 (a) FIO
01020, Para 2.1, Work Clearance Request, AF Form
4 x (a) GA
Hot Cracksealer Design 4 14 Days Prior
(c ) GA
Sealcoat Design 4 14 Days Prior
(c ) GA
Sand Type 4 14 Days Prior
(c ) GA
Striping Paint 4 14 Days Prior
(c ) GA
Traffic Control Plan 14 Days Prior
(c )
Daily Quality Control Report Prior to Final
Inspection (d)
DD Form 1354 Prior to Final
Inspection (d)
ATTACHMENT #: AF FORM 66 SUBMITTAL REGISTER
PROJECT TITLE: SOLICITATION/CONTRACT NO.
Rec Camp Roads Seal Coat
REMARKS
DATE
RECEIVED
IN CON-
TRACTING
DATE TO
CIVIL
ENGINEER-
ING
RETURN
SUSPENSE
DATE
FOLLOW UP
CONTRACT-
TOR RE-
SUBMIT-
TAL
FINAL
APPROVAL
IN
ST
RU
CT
IO
NS
SE
E
P
AR
A
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
CO
LO
R
SE
LE
CT
IO
N
MA
NU
FA
CT
UR
ER
'S
RE
CO
MM
EN
DA
TI
ON
S
MA
NU
FA
CT
UR
ER
'S
W
AR
RA
NT
Y
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
SH
OP
D
RA
W
IN
GS
SA
MP
LE
S
OP
ER
AT
IN
G
FORM66.xls
JCGU 25-7005
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
ATTACHMENT #: AF FORM 66 SUBMITTAL REGISTER
PROJECT TITLE: SOLICITATION/CONTRACT NO.
Rec Camp Roads Seal Coat
REMARKS
DATE
RECEIVED
IN CON-
TRACTING
DATE TO
CIVIL
ENGINEER-
ING
RETURN
SUSPENSE
DATE
FOLLOW UP
CONTRACT-
TOR RE-
SUBMIT-
TAL
FINAL
APPROVAL
IN
ST
RU
CT
IO
NS
SE
E
P
AR
A
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
CO
LO
R
SE
LE
CT
IO
N
MA
NU
FA
CT
UR
ER
'S
RE
CO
MM
EN
DA
TI
ON
S
MA
NU
FA
CT
UR
ER
'S
W
AR
RA
NT
Y
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
SH
OP
D
RA
W
IN
GS
SA
MP
LE
S
OP
ER
AT
IN
G
JCGU 25-7005
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
ATTACHMENT #: AF FORM 66 SUBMITTAL REGISTER
PROJECT TITLE: SOLICITATION/CONTRACT NO.
Rec Camp Roads Seal Coat
REMARKS
DATE
RECEIVED
IN CON-
TRACTING
DATE TO
CIVIL
ENGINEER-
ING
RETURN
SUSPENSE
DATE
FOLLOW UP
CONTRACT-
TOR RE-
SUBMIT-
TAL
FINAL
APPROVAL
IN
ST
RU
CT
IO
NS
SE
E
P
AR
A
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
CO
LO
R
SE
LE
CT
IO
N
MA
NU
FA
CT
UR
ER
'S
RE
CO
MM
EN
DA
TI
ON
S
MA
NU
FA
CT
UR
ER
'S
W
AR
RA
NT
Y
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
SH
OP
D
RA
W
IN
GS
SA
MP
LE
S
OP
ER
AT
IN
G
AF Form 66
(a) No later than 10 days after Notice To Proceed
(b) Prior to starting Phase Two & prior to demo/construction
JCGU 25-7005
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
ATTACHMENT #: AF FORM 66 SUBMITTAL REGISTER
PROJECT TITLE: SOLICITATION/CONTRACT NO.
Rec Camp Roads Seal Coat
REMARKS
DATE
RECEIVED
IN CON-
TRACTING
DATE TO
CIVIL
ENGINEER-
ING
RETURN
SUSPENSE
DATE
FOLLOW UP
CONTRACT-
TOR RE-
SUBMIT-
TAL
FINAL
APPROVAL
IN
ST
RU
CT
IO
NS
SE
E
P
AR
A
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
CO
LO
R
SE
LE
CT
IO
N
MA
NU
FA
CT
UR
ER
'S
RE
CO
MM
EN
DA
TI
ON
S
MA
NU
FA
CT
UR
ER
'S
W
AR
RA
NT
Y
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
SH
OP
D
RA
W
IN
GS
SA
MP
LE
S
OP
ER
AT
IN
G
( c) 7 days prior to beginning work
(d) Prior to Final Inspection
(e) Final Inspection
(f) As required per Statement of Work
(g) Prior to Notice to Proceed
Sheet1
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