Attachment_2_-_Form_66.pdf
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- Replace Lighting Bldg 286 Federal contract opportunity
- Solicitation number
- FA4528-17-R-0004
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Attachment 2 - Form 66
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SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 1 OF 6 PAGES
Replace Lighting B286
01 11 00 SD-01 Preconstruction Submittals
1.6.1Utility Outage Requests
1.6.1Utility Connection Requests
1.6.2Excavation Permits
1.6.2Welding Permits
01 33 00 SD-01 Preconstruction Submittals
1.9 GSubmittal Register
01 45 00.10 20 SD-01 Preconstruction Submittals
1.6 GQC Plan
01 57 19 SD-01 Preconstruction Submittals
1.6.1Preconstruction Survey
1.11 GSolid Waste Management Permit
1.6.2 GRegulatory Notifications
1.7 GEnvironmental Protection Plan
1.7.9.1 GDirt and Dust Control Plan
1.6.5 GEmployee Training Records
1.6.4 GEnvironmental Manager
Qualifications
SD-06 Test Reports
3.7.1.1.2Laboratory Analysis
3.2.1.3Inspection Reports
3.7.2.1 GSolid Waste Management Report
SD-07 Certificates
1.6.5 GEmployee Training Records
1.6.5.1Certificate of Competency
SD-11 Closeout Submittals
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
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ITEM SUBMITTED
P A R A G R A P H
C L A S S I F I C A T I O N
G O V T
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NEEDED
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A C T I O N
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OF
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DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
AUTH REMARKS
(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r)
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 2 OF 6 PAGES
01 57 19 3.7.1 GWaste Determination
Documentation
3.7.3.6 GDisposal Documentation for
Hazardous and Regulated Waste
1.6.5 GAssembled Employee Training
Records
3.7.3.1 GHazardous Waste/Debris
Management
1.6.2 GRegulatory Notifications
3.7.2.1 GSales Documentation
3.7.2.1Contractor Certification
3.2.1.5As-Built Topographic Survey
01 74 19 SD-01 Preconstruction Submittals
1.6 GWaste Management Plan
SD-11 Closeout Submittals
1.7Records
01 78 23 SD-10 Operation and Maintenance
Data
1.4 GO&M Database
3.1.1 GTraining Plan
3.1.3 GTraining Outline
3.1.2 GTraining Content
SD-11 Closeout Submittals
3.1.4 GTraining Video Recording
3.1.6 GValidation of Training Completion
02 41 00 SD-01 Preconstruction Submittals
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
O R
A E
R E V W
R SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 3 OF 6 PAGES
02 41 00 1.2.1 GDemolition Plan
1.2.1 GDeconstruction Plan
1.11Existing Conditions
SD-07 Certificates
1.7 GNotification
SD-11 Closeout Submittals
3.3.5Receipts
26 05 19.10 10 SD-03 Product Data
2.1.1 GWire and Cable
2.1.3.1 GConductors
3.1Cable Manufacturing Data
SD-06 Test Reports
3.2 GTest Report(s), Inspection
Report(s), and Verification
Report(s)
26 51 00 SD-02 Shop Drawings
1.5.1 GLuminaire Drawings
1.5.2 GOccupancy/Vacancy Sensor
Coverage Layout
SD-03 Product Data
2.2 GLuminaires
2.4 GLight Sources
2.3 GDrivers, Ballasts and Generators
1.6.1 GLED Luminaire Warranty
1.5.4 GLuminaire Design Data
2.5.3.2 GVacancy Sensors
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
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ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
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NEEDED
BY
A C T I O N
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DATE
OF
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DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 4 OF 6 PAGES
26 51 00 2.5.2 GDimming Controllers (Dimmers)
2.5.4 GLighting Contactor
2.5.5 GTimeswitch
2.8 GPower Hook Luminaire Hangers
2.6.1 GExit Signs
2.6.2 GEmergency Lighting Unit (EBU)
2.6.3 GLED Emergency Drivers
2.6.4 GFluorescent Emergency Ballasts
2.5.3.1 GOccupancy Sensors
3.1.8 GAmbient Light Level Sensor
2.5.6 GBi-Level HID Controller
2.5.7 GLighting Control Panel
SD-06 Test Reports
1.5.5 GLED Luminaire - IES LM-79 Test
Report
1.5.6 GLED Light Source - IES LM-80
Test Report
1.5.7 GLED Light Source - IES TM-21
Test Report
1.5.8 GOccupancy/Vacancy Sensor
Verification Tests
1.5.11.3 GEnergy Efficiency
SD-07 Certificates
1.6.1.1 GLuminaire Useful Life Certificate
1.5.3 GLED Driver and Dimming Switch
Compatibility Certificate
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
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DESCRIPTION
ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
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APPROVAL
NEEDED
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NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 5 OF 6 PAGES
26 56 00 SD-01 Preconstruction Submittals
1.5.3 GPhotometric Plan
1.7.1 GLED Luminaire Warranty
SD-02 Shop Drawings
1.5.1.1 GLuminaire drawings
1.5.1.2 GPoles
SD-03 Product Data
GLED Luminaires
2.2.2 GLuminaire Light Sources
2.2.3 GLuminaire[ Ballasts,][
Generators][ and][ Power Supply
Units (Drivers)]
2.4.3 GLighting contactor
2.4.2 GTime switch
2.4.4 GLighting Control Relay Panel
2.4.5 GMotion Sensor
2.4.6 GBi-level HID Controller
2.4.1 GPhotocell
2.5.1 GConcrete poles
2.5.2 GAluminum poles
2.5.3 GSteel poles
2.5.5 GFiberglass poles
2.6Brackets
2.3 GObstruction Marker Luminaires
SD-04 Samples
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
N O
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DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
SUBMITTAL FORM,Jan 96 PREVIOUS EDITION IS OBSOLETE PAGE 6 OF 6 PAGES
26 56 00 2.2 G[HID,] [LPS,] [Fluorescent,]
[Induction] [and] [LED] Luminaires
SD-05 Design Data
1.5.4 GDesign Data for luminaires
SD-06 Test Reports
1.5.5 GLED Luminaire - IES LM-79 Test
Report
1.5.6 GLED Light Source - IES LM-80
Test Report
1.5.2Pressure treated wood pole quality
1.5.7 GTests for fiberglass poles
3.2Operating test
SD-07 Certificates
1.7.1 GLuminaire Useful Life Certificate
SD-08 Manufacturer’s Instructions
2.5.1Concrete poles
2.5.5Fiberglass poles
SD-10 Operation and Maintenance
Data
1.7.2Electronic Ballast Warranty
1.8Operational Service
SUBMITTAL REGISTER
CONTRACT NO.
TITLE AND LOCATION CONTRACTOR
CONTRACTOR:
SCHEDULE DATES
CONTRACTOR
ACTION
APPROVING AUTHORITY
A C T I V I T Y
N O
T R A N S M I T T A L
N O
S P E C
S E C T
DESCRIPTION
ITEM SUBMITTED
P A R A G R A P
A S S I F I C A T I O N
G O V T
O R
A E
R E V W
R SUBMIT
APPROVAL
NEEDED
BY
MATERIAL
NEEDED
BY
A C T I O N
C O D E
DATE
OF
ACTION
DATE FWD
TO APPR
AUTH/
DATE RCD
FROM
CONTR
DATE FWD
TO OTHER
REVIEWER
DATE RCD
FROM OTH
REVIEWER
A C T I O N
C O D E
DATE
OF
ACTION
MAILED
TO
CONTR/
DATE RCD
FRM APPR
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