Attachment_3_-_AF_FORM_66_for_Pavt_IDIQ.pdf

APPROVED DIS APPROVED

1 Sect 00001, Para 1.4.A.2 Quality Control Plan X X

Sect 00001, Para 1.4.A.2.b.1Accident Prevention (Safety) Plan

X X

3 Sect 00001, Para 1.4.A.2.b.2 Confined Space Entry Plan X X

4 Sect 00001, Para 1.4.A.1 Key Management Personnel X X

Project Number

AGGN 00-0000

SCHEDULE OF MATERIAL SUBMITTALS Solicitation / Control No.

Name: COMBINED IDIQ, Airfield and Base Pavements

D at e

R ec ei ve d In

C on tra ct in g

S

H O

P D

R A

W

IN

G

A M

P

LE

S

C O

LO

R

TO BE COMPLETED BY CONTRACT ADMINISTRATOR

C on tra ct or

R es ub m itt al

N um be r

Fi na l A pp ro va l

Remarks

TO BE COMPLETED BY THE PROJECT ENGINEER

on tra ct C lo se ou t S ub m itt al

Date Contractor Notified

O

M

In st ru ct io ns

P re C on st ru ct io n

S ub m itt al

M

FR

'S

IN

S

TR

U

C

TI

O N

M

FR

'S

P R

O D

U C

T D

TA

W

R

R A

TY

R et ur n S us pe ns e

D e ub m itt al

N um

E P

O

TS

TH

E

R

Item or Description of Item Contract Reference Type of Submittal

Li ne N um

E R

TI

FI

C A

TI

D e

To C iv il en gi ne er in g

AF Form 66 1 of 1

FA4419-16-R-0100

Attachment 3