Attachment_07_AF_Form_66.pdf

8 11

/REPLACE BACKFLOW

PREVENTERS, BASEWID

AF FORM 66 SCHEDULE OF

MATERIAL SUBMITTALS

Page Intentionally Left Blank

PROJECT NUMBER SOLICITATION/CONTRACT NO.

FA4819-18-C-XXXX

NO. OF COPIES REQUIRED

L I N E

N U M B E R

ITEM OR DESCRIPTION OF ITEM, CONTRACT

REFERENCE, TYPE OF SUBMITTAL

C

ER

TI

FI

C

AT

E O

F C

O M

PL

IA

N C

E

SH

O

P D

R

AW

IN

G

S

SA

M

PL

ES

C O

LO

R

S

EL

EC

TI

O N

M

AN

U

FA

C

TU

R

ER

'S R

EC

O

M M

EN

D

AT

IO

N S

M

AN

U

FA

C

TU

R

ER

'S W

AR

R

AN

TY

C

AT

AL

O

G D

AT

A

O

PE

R

AT

IN

G

IN

ST

R U

C

TI

O N

S

AS

-B U

IL

T

D R

AW

IN

G S

D

IS

K

D O

C U

M

EN

TA

TI

O N

A S

R

EQ

U

IR

ED

R

EQ

U

IR

ED

S

U

BM

IS

SI

O N

D

AT

E

D

AT

E R

EC

EI

VE

IN

C

N

TR

AC

TI

N G

D

AT

E

TO

C

IV

IL

EN

G

IN

EE

R

IN

G

R

ET

U R

N S

U

SP

SE

E

SU

BM

IT

TA

L N

U M

BE

R

S

DATE CONTRACTOR NOTIFIED

C O

N

TR

AC

TO

R

ES

U

BM

IT

TA

L

FI

N

AL

A

PP

R

O

VA

L

REMARKS

APPROVED DISAPPROVED

1 Kick-Off Meeting Award + 7 Days

2 Meeting Minutes (All Meetings) Meeting + 2 Days

3 Project Schedule - AF Form 3064 At Kick-Off Meeting

4 Work Clearance Request / Digging Permit - AF Form 103

10 Days Prior to Commencing

Work

3 Contractor Badging Applications Award + 14 Days

4 HAZMAT Inventory Form 81 & 82 14 Days Prior to

Commencing Work

5 Regulatory Agency Permit / Exemption Documentation

14 Days Prior to Commencing

Work

6 Contractor's Work Plan

5 Days After Each Field Condition

Assessment

7 Material Approval - AF Form 3000 1 1 1 1 7 Days Prior to Order

8 Progress Report - AF Form 3065 Weekly

R E F

Backflow Assembly Testing Reports 3 Days After Field Testing

R E F

Construction Material Testing Reports Upon Receipt

1 1

SCHEDULE OF MATERIAL SUBMITTALS

PROJECT TITLE

XLWU 18-1011 REPAIR/REPLACE BACKFLOW PREVENTERS, BASEWIDE

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR

AF Form 66 1 of 2

PROJECT NUMBER SOLICITATION/CONTRACT NO.

FA4819-18-C-XXXX

NO. OF COPIES REQUIRED

L I N E

N U M B E R

ITEM OR DESCRIPTION OF ITEM, CONTRACT

REFERENCE, TYPE OF SUBMITTAL

C

ER

TI

FI

C

AT

E O

F C

O M

PL

IA

N C

E

SH

O

P D

R

AW

IN

G

S

SA

M

PL

ES

C O

LO

R

S

EL

EC

TI

O N

M

AN

U

FA

C

TU

R

ER

'S R

EC

O

M M

EN

D

AT

IO

N S

M

AN

U

FA

C

TU

R

ER

'S W

AR

R

AN

TY

C

AT

AL

O

G D

AT

A

O

PE

R

AT

IN

G

IN

ST

R U

C

TI

O N

S

AS

-B U

IL

T

D R

AW

IN

G S

D

IS

K

D O

C U

M

EN

TA

TI

O N

A S

R

EQ

U

IR

ED

R

EQ

U

IR

ED

S

U

BM

IS

SI

N

E

D

AT

E R

EC

EI

VE

IN

C

N

TR

AC

TI

N G

D

AT

E

TO

C

IV

IL

G

IN

EE

R

IN

G

R

ET

U R

N S

U

SP

SE

E

SU

BM

IT

TA

L N

U M

BE

R

S

DATE CONTRACTOR NOTIFIED

C O

N

TR

AC

TO

ES

U

BM

IT

TA

L

FI

N

AL

A

PP

R

O

VA

L

REMARKS

APPROVED DISAPPROVED

SCHEDULE OF MATERIAL SUBMITTALS

PROJECT TITLE

XLWU 18-1011 REPAIR/REPLACE BACKFLOW PREVENTERS, BASEWIDE

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR

R E F

Production of Delivery Problem Report Same Day of Problem

R E F

Welding/Burn Permit - As Required 3 Days Prior to Commencing

Hot Work R E F

Draft DD 1354 - Transfer & Acceptance of Military Real Property NTP +30 Days

R E F

Pre-Final Inspection Report Pre-Final + 3 Days

R E F

Contractor Environmental Reporting Entry - TAFB Form 83

Prior to Final Inspection

R E F

Equipment Manuals and Parts Lists Prior to Final Inspection

R E F

Final DD 1354 - Transfer & Acceptance of Military Real Property

At Final Inspection

R E F

Comprehensive Device Installation List At Final Inspection

R E F

Project Close Out Documents Final

Inspection + 7 Days

1 1 1

1 1

AF Form 66 2 of 2

AF 66