AF Form 3000.xls
Air Force Form XLS spreadsheet 37 KB Posted
- Attached to
- Longhaul Upgrade Services
- Solicitation number
- FA4486-12-R-0010
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provided is attachment 3 AF Form 3000 for solicitation FA4486-12-R-0012.
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Sheet1
| MATERIAL APPROVAL SUBMITTAL (attachment 3) | FORM APPROVED | |||||||
| (See Instructions on Reverse) | OMB NO. 9000-0062 | |||||||
| Expires Apr.30 1993 | ||||||||
| Public reporting burden for this collection of information is estimated to average 20 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 this burden to the Department of Defense, Washington Headquarters. Services. Directorate for information Operations and Reports. 1215 Jefferson Davis Highway, Suite 1204, Arlinton VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington DC 20503. Please DO NOT RETURN your form either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000. | ||||||||
| TO: ( Contracting Officer) | FROM: (Contactor) | DATE | ||||||
| CONTRACT NUMBER | SUBMISSION NUMBER | SUBMITTAL | ||||||
| NEW | RESUBMITTAL | |||||||
| PREVIOUS SUBMITTAL NUMBER | PROJECT NUMBER | |||||||
| TO BE COMPLETED BY CONTRACTOR | FOR GOVERNMENT USE ONLY | |||||||
| ITEM | SPECIFICATION SECTION / | DESCRIPTION OF MATERIAL | APPROVED | DISAP-PROVED | SEE REVERSE | INITIAL | ||
| NO. | PARA NO./DRAWING NO. | (Include Type, Model Number, Catalog, Mfg.,etc.) | ||||||
| BY COMPANLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT | ||||||||
| THE MATERIAL COMPLIES WITH ALL SPEICIFICATIONS OF SUBJECT CONTRACT. | ||||||||
| DATE | TYPE OR PRINT NAME AND TITLE | SIGNATURE | ||||||
| FOR GOVERNMENT USE ONLY | ||||||||
| TO: (Base Civil Engineering Officer) | ||||||||
| For Evaluation and Action | ||||||||
| DATE | TYPE OR PRINT NAME AND GRADE | SIGNATURE | ||||||
| TO: (AF Contracting Office) | ||||||||
| RECOMMEND | APPROVAL | DISAPPROVAL AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE | ||||||
| DATE | TYPE OR PRINT NAME AND GRADE | SIGNATURE | ||||||
| TO: (CONTRACTOR) | ||||||||
| DISAPPROVED AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE SIDE. | ||||||||
| REQUEST RESUBMITTAL ON DISAPPROVED ITENS WITHIN _______________ DAYS OF DATE SHOWN BELOW. | ||||||||
| DATE | TYPE OR PRINT NAME AND GRADE | SIGNATURE | ||||||
| AF FORM 3000, 19910901 (EF-V2) | PREVIOUS EDITION IS OBSOLETE |
&RAtch 7
APPROVED
| COMMENTS |
| (Number to correspond with applicable Item Number on reverse) |
| INSTRUCTIONS TO CONTRACTORS |
| 1. The term "material " is defined as articles, supplies, raw materials, equipment, parts, components, and end items that are to be incorporated into the work required by the contract. |
| 2. Tlhis form is to be used by contractors for submitting Shop Drawing, Equipment Data, Manufacturer's Literature and Certificates and samples of Materials to the Government for approval in accordance with the provisions of this contract. Unless otherwise specified, it is to prepared in 4 copies,signed, and provide to the contracting officer with appropriate attachments. |
| 3. Item(s) to be approved will be clearly tabbed or identified. Data pertainin to item(s) to be approved will be clearly identified or tabbed, particularly where documents are voluminous, in order to properly evaluate the materials or articles to be incorporated in the work. Each attachment will be numbered to correspond with the item number shown on the face of this form. |
| 4. Request submittal shal be numbered consecutively, by contract. In the space entitled "Submission No". This number, in addition to the contract No., will be used to identify each Material Approval Submittal. Resubmissions will be indicated in the appropriate block and the insertion of previous submission number and data in addition to a new submission number. A Single submission should be used for all work of a section of the specifications, but in NO instace should the submission include work for more than one (1) contract. Submittals requiring priority handliing will be submitted by seprate submittal using the form and so marked across the face of the form. |
| 5. This Material Approval Submittal is not valid unless it is signed by the contracting officer. This approval is required as called for by the contracting officer under the terms of this contract. |
| AF FORM 3000, 199109011 (EF-V2) (REVERSE) |
Sheet3
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