Attachment_25_-_Appendix_9_1354_Example.pdf

TRANSFER AND ACCEPTANCE OF DoD REAL PROPERTY Form Approved OMB No. 0704-0188

PAGE OF PAGES

1. FROM (Organization Name) 2. DATE PREPARED

(YYYYMMDD)

3. PROJECT/JOB

NUMBER

4. SERIAL NUMBER

7. CONTRACT

NUMBER(S)

5. TO (Organization - Installation Code and Name) 6. RPSUID/SITENAME/

INSTCODE/INSTNAME

8. TRANSACTION DETAILS

a. METHOD (X all that apply)

ACQUISITION BY CONSTRUCTION

TRANSFER BETWEEN SERVICES

CAPITAL IMPROVEMENT

INVENTORY ADJUSTMENT

PARTIAL ASSET

PLACED-IN-SERVICE

TOTAL ASSET

PLACED-IN-SERVICE

9.

ITEM

NO.

11.

CATEGORY

CODE

12.

CATCODE

DESCRIPTION

14.

SUST.

CODE

20.

FUND

SOURCE

15.

PRIMARY

UM

18.

SECONDARY UM

QUANTITY

17.

SECONDARY

UM

16.

PRIMARY UM

QUANTITY

19.

COST

23.

ITEM

REMARKS

24. STATEMENT OF COMPLETION. The facilities listed hereon are in accordance with maps, drawings, and specifications and change orders approved by the authorized representative of the using agency except for the deficiencies listed on the reverse side.

25a. ACCEPTED BY (Typed Name and Signature) b. DATE SIGNED

(YYYYMMDD)

a. TRANSFERRED BY (Typed Name and Signature)

c. TITLE (Area Engr./Base Engr./DPW/Construction Agent)

b. DATE SIGNED

(YYYYMMDD)

c. TITLE (DPW/RPAO) 26. PROPERTY

VOUCHER NUMBER

PREVIOUS EDITION MAY BE USED.̀̀

b. WHEN/EVENT (X one)

7a. PLACED-IN-

SERVICE DATE

(YYYYMMDD)

c. TYPE (X one)

DRAFT INTERIMFINAL

10a.

FACILITY

NO.

AREA OTHER 21.

FUND

ORG

22.

INTER-

EST

CODE

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

Adobe Designer 9.0

10b.

RPUID

13.

TYPE

CODE

The public reporting burden for this collection of information is estimated to average 30 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 the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria,VA 22350-3100 (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if itdoes not display a currently valid OMB control number.

DD FORM 1354, AUG 2013

Dana.Walton Sticky Note

4-1.2 1. FROM

Enter the name of the construction or transfer agent accomplishing the new construction or capital improvement of existing facilities, or initiating the transfer of existing real property.

Dana.Walton Sticky Note Unmarked set by Dana.Walton

Dana.Walton Sticky Note

4-1.3 2. DATE PREPARED

Enter the date the DD Form 1354 is actually prepared. Use the DoD standard YYYYMMDD format for all dates. This is the date used to track different editions when revisions are necessary. The form is considered prepared when it is ready for signatures in blocks 23 and

Dana.Walton Sticky Note Work Order and Project Number

Dana.Walton Sticky Note 4-1.5 4. SERIAL NUMBER – designed to be used for version control as needed This is an optional number that may be assigned to the DD Form 1354 for version control. Each version of the DD Form 1354 for the same project can have a new Serial Number.

Dana.Walton Sticky Note

4-1.6 5. TO

Enter the name of the receiving organization or agency to which the transfer will be made. Always include the installation code and name of the gaining installation. Installation codes are available from individual Service databases of installations or can be provided by the gaining installation RPAO.

4-1.7 6. REAL PROPERTY SITE UNIQUE IDENTIFIER/SITE NAME/INSTALLATION CODE/INSTALLATION NAME Enter the Real Property Site Unique Identifier (RPSUID), Site Name, Installation Code, and Installation Name of the physical location for the real property asset being transferred/accepted.

4-1.8 7. CONTRACT NUMBER(S)

Enter the construction contract number (multiple contract numbers if applicable) in this block if any project work is performed under a contract. Include the delivery order number in addition to the contract number if the contract could authorize work under different delivery orders that are not related to the project described in the DD Form 1354. For internally-executed projects, enter the Work Order Number(s). These are Service-specific number(s) related to the project. For transfers and inventory adjustment (found on site), the field is optional.

Dana.Walton Sticky Note 3-1.2.3 Once the construction agent, sponsoring entity, inspection engineers, RPAO and other approving parties attending the inspection have agreed that the construction is acceptable, the construction agent accepts the construction from a contractor on behalf of the government using contract procedures. The construction agent then provides the DD Form 1354 and other supporting documentation to the RPAO or approved accepting official for acceptance into the federal inventory, which is the placed-in-service date. The construction agent shall include a copy of contractual deficiencies as an enclosure to the DD Form 1354 and reference it in block 26. Government liability starts upon occupancy or formal acceptance of the real property asset, whichever comes first. Occupancy of new construction or improvements should not occur prior to government acceptance of the real property asset.

Dana.Walton Sticky Note 4-1.9.2.2 Partial Asset Placed-in-service - Check when the transfer or acceptance documented by this interim DD Form 1354 is for only a portion of the project or a phased turnover of one or more facilities in a multiple facilities project. When each phase is placed-in-service it will have its own interim DD Form 1354.

Dana.Walton Sticky Note 4-1.9.1.3 CAPITAL IMPROVEMENT- Increases the real property asset size or capacity, useful life, change in functionality, or operating efficiency of an existing real property asset

Dana.Walton Sticky Note

4-1.19 19. COST

The DD Form 1354 identifies the cost of individual real property assets listed on the form. These costs are required as part of the Service’s Financial Statements. The preparer must identify the total project cost and determine which elements are to be capitalized as Real Property, as well as costs assigned to each facility...The construction agent must provide distinct break out costs for each different building, linear structure and structure constructed as part of the project. No Maintenance work costs should be entered on the DD Form 1354.

4-1.19.1 If demolition is within the footprint of a new construction project, then demolition costs are considered site preparation costs and included as part of the new facility costs on the DD Form 1354. If demolition is not within the footprint of new construction, its cost is expensed and is not included on the DD Form 1354.

4-1.19.2 Costs provided in a DD Form 1354 can be either preliminary or final. Costs on the draft and interim DD Forms 1354 are preliminary costs. Costs on a final DD Form 1354 are the final costs. The office preparing an interim DD Form 1354 must maintain a suspense file to ensure that the accepting RPAO is furnished with an updated DD Form 1354 with the final actual construction costs entered upon financial closeout. Final costs are generally available in several months or, if legal claims are involved, one or more years after physical completion and facility transfer. For real property assets found on post, or for other existing facilities with unknown original construction costs, an effort should be made to determine the actual costs. If the actual costs cannot be determined, then develop and thoroughly document an estimate of these costs. In these cases, the estimates will become the final costs.

4-1.19.3 The preparer should place the total project cost in Project Remarks (block 27) broken out in four components of total project cost as:

• P&D, including project management costs

• Construction contract supervision and administration (SIOH and post-award project management costs)

• Construction costs (including site preparation, which also includes demolition within the footprint of the existing facilities)

• Project funded equipment costs will be reported in accordance with Service guidance

The construction agent prorates P&D and SIOH costs among the real property assets comprising the project and includes the prorated P&D and SIOH costs in the real property asset costs in column 19 for each real property asset. Estimated costs may be used to prorate P&D and SIOH costs to the individual item number in column 9.

PLEASE READ PARAGRAPH 4-1.19.16 FOR ADDITIONAL GUIDANCE ON COST METHODOLOGY!

Dana.Walton Sticky Note

4-1.14 13. TYPE

Indicate the type of construction: P = Permanent, S = Semi-permanent, and T = Temporary.

Dana.Walton Sticky Note

4-1.24 24. STATEMENT OF COMPLETION

\2\This block is signed (either electronically or manually) by an individual in the construction agent organization responsible for and authorized to transfer accountability. Normally the construction agent signs (either electronically or manually) and dates block 24 for new construction and capital improvements. The RPAO normally signs (either electronically or manually) when transferring real property from one installation to another. Enter the date at the time of signature. The date must be prior to, or the same as, the date of acceptance in block 24 on the DD Form 1354 in order to simultaneously transfer property responsibility and accountability. Use the standard date format YYYYMMDD./2/

Dana.Walton Sticky Note

4-1.25 25. ACCEPTED BY

\2\This block is signed (either electronically or manually) by the individual responsible for, and authorized to accept accountability for, the properties described. In most cases, the RPAO signs (either electronically or manually) block 25. The properties accepted must have been inspected and determined to meet standards except for the deficiencies listed in block 27.

Enter the date at the time of signature. This is the Placed-in-Service Date. The date must be after, or the same as, the date of Statement of Completion in block 24 on the DD Form 1354. For real property that is acquired as inventory adjustment (found on site), the date of signature (either electronically or manually) by the RPAO in block 25 will be the Placed-in-Service Date until further substantiating documentation is located.

Dana.Walton Sticky Note 2-3.1 Draft DD Form 1354 2-3.1.1 The draft version of the DD Form 1354, although not required, is generally used for the Acquisition by Construction and Capital Improvement to Existing Facilities acquisition methods. It is often initiated to enable effective capture of information during the design or Request for Proposal (RFP) preparation stage. This information may be updated upon any of the following:

• Changes in scope

• Changes in cost estimates

• Addition or deletion of RPUID

2-3.1.2 The purpose of the draft DD Form 1354 is to capture the information obtained once funding has been authorized and to forecast the changes to the real property inventory. The draft establishes the level of detail and the different components of a project, and shall be provided by the construction agent in accordance with the Services’ guidelines.

2-3.1.3 The draft may include expected project costs to be capitalized by RPUID and costs such as planning and design (P&D); supervision, inspection and overhead (SIOH); and estimated construction contract costs. Appendix C provides a list of the costs typically UFC 1-300-08 16 April 2009 Change 2, August 2011 5 included. This list is part of the Real Property Construction in Progress Requirements (CIPR) document, developed by representatives of the Military Departments, Defense Agencies, and ODUSD(I&E)BEI

Dana.Walton Sticky Note 2-3.2 Interim DD Form(s) 1354 2-3.2.1 The purpose of an interim DD Form 1354 is to allow transfer of accountability from the construction agent to the accountable Service on the placed-in-service date prior to determination of final costs, such as in contract closeout, claims settlement, etc. The interim DD Form 1354 may be required for both the Acquisition by Construction and Capital Improvement to Existing Facilities acquisition methods. It may be initiated at any point after the draft but is usually prepared after substantial completion of construction, in preparation for the facility acceptance.

2-3.2.2 The interim DD Form 1354 will include actual project costs to be capitalized as reflected in the CIP account by RPUID. It includes costs such as P&D, SIOH, and construction contracts. The cost matrix illustrating the types of construction costs that should be accumulated in the CIP account is available in the CIPR document. The interim DD Form 1354 should also include primary and secondary units of measure by category code(s) for each RPUID.

2-3.2.3 Multiple interim DD Forms 1354 may be required when a construction project contains multiple facilities with different turnover dates, or when a portion of a single large facility or a phase of a multi-phase construction project is placed into service. At this time, all cost information accumulated in the CIP account is transferred to the real property asset account. All additional project costs incurred following the placed-in-service date shall be transferred from the CIP account to the real property asset account by RPUID in accordance with the final DD Form 1354.

Dana.Walton Sticky Note 2-3.3 Final DD Form 1354 2-3.3.1 Acquisition by Construction and Capital Improvement to Existing Facilities – When final costs of construction are accrued, the construction agent furnishes the final DD Form 1354 to the accountable Service. There is only one final project DD Form 1354, even where there are multiple interim DD Forms 1354. The purpose of the final DD Form 1354 is to establish in writing the final costs incurred for each facility in a project. All additional expenses incurred following the placed-in-service date or the date the interim DD Form 1354 was signed shall be transferred from the CIP account to the real property asset account in accordance with the final DD Form 1354. The final DD Form 1354 distributes unallocated costs across the assets as appropriate.

Dana.Walton Sticky Note

"SUSTAINABILITY

Reporting on Sustainability of assets is required for FY 2012 reporting.

Sustainability reporting is required for all building assets greater than 5,000 GSF. Sustainability may not be reported for land assets, structure assets, or building assets less than or equal to 5,000 GSF. The sustainability goal in Section 2 (g) (iii) of Executive Order 13514 is applicable only to buildings greater than 5,000 GSF.

Sustainability reflects whether or not an asset meets the sustainability criteria set forth in Section 2 (g) (iii) of Executive Order 135144. To be considered sustainable and report "Yes," the asset must meet the five Guiding Principles for High Performance and Sustainable Buildings5. Note: If a building was registered with an American National Standards Institute (ANSI)- accredited organization prior to October 1, 2008 AND subsequently certified by the ANSI - accredited organization, then the asset can count as sustainable. Valid codes are in parentheses:

Yes (1) - asset has been evaluated and meets guidelines set forth in Section 2 (g) (iii) of Executive Order 13514

No (2) - asset has been evaluated and does not meet guidelines set forth in Section 2 (g) (iii) of Executive Order 13514

Not yet evaluated (3) - asset has not yet been evaluated on whether or not it meets guidelines set forth in Section 2 (g) (iii) of Executive Order 13514

Not applicable (4) - guidelines set forth in Section 2 (g) (iii) of Executive Order 13514"

27. CONSTRUCTION DEFICIENCIES (Attach blank sheet for continuations) 28. PROJECT REMARKS (Attach blank sheet for continuations)

INSTRUCTIONS

GENERAL. This form has been designed and issued for use in connection with the transfer of military real property between the military departments and to or from other government agencies. It supersedes ENG Forms 290 and 290B (formerly used by the Army and Air Force) and NAVDOCKS Form 2317 (formerly used by the Navy).

Existing instructions issued by the military departments relative to the preparation of DD Form 1354 are applicable to this revised form to the extent that the various items and columns on the superseded forms have been retained. The military departments may promulgate additional instructions, as appropriate.

For detailed instructions on how to fill out this form, please refer to Unified Facilities Criteria (UFC) 1-300-08, dated 16 April 2009 or later.

SPECIFIC DATA ITEMS.

1. From. Name of the transferring agency.

2. Date Prepared. Date of actual preparation. Enter all dates in YYYYMMDD format (Example: March 31, 2010 = 20100331).

3. Project/Job Number. Project number on a DD Form 1391 or Individual Job Order Number.

4. Serial Number. Sequential serial number assigned by the preparing organization (e.g., 2010-0001).

5. To. Name and address of the receiving installation, activity, and Service of the Real Property Accountable Officer (RPAO).

6. RPSUID/SITENAME/INSTCODE/INSTNAME. Site Unique Identifier and name or installation code and name where the constructed facility is located.

7. Contract Number(s). Contract number(s) for this project.

7a. Placed-In-Service Date. RPA Placed In Service Date. This is the date the asset is actually placed-in-service.

8. Transaction Details.

a. Method of Transaction. Mark (X) as many boxes as apply.

b. When/Event. When or event causing preparation of DD Form 1354. X only one box.

c. Type. Draft, interim, or final DD Form 1354. X only one box.

9. Item Number. Use a separate item number for each facility, no item number for additional usages.

10a. Facility Number. Assigned in accordance with the Installation/Base Master Numbering Plan.

10b. RPUID. Identified in Real Property Inventory.

11. Category Code. The category code describes the facility usage.

12. Catcode Description. The category code name which describes the facility usage.

13. Type. Type of construction: P for Permanent; S for Semi- permanent; T for Temporary.

14. Sustainability Code. Reports whether or not an asset meets the sustainability guidelines set forth in Section 2(g) of Executive Order 13514. Valid values are: 1 (asset meets the guidelines); 2 (asset does not meet the guidelines); 3 (asset not evaluated); 4 (asset not subject to guidelines).

15. Area: UM 1. Area unit of measure; use the unit of measure associated with the category code selected in 11.

16. Total Quantity UM 1. The total area for the measure identified in Item 15. Use negative numbers for demolition.

17. Other: UM 2. Unit of Measure 2 is the capacity or other measurement unit (e.g., LF, MB, EA, etc.).

18. Total Quantity UM 2. The total capacity/other for the measure identified in Item 17.

19. Cost. Cost for each facility; for capital improvements to existing facilities, show amount of increase only. If there is no increase for the capital improvement, enter N/A.

20. Fund Source. Enter the Fund Source Code for this item.

21. Funding Organization. Enter the code for the organization responsible for acquiring this facility.

22. Interest Code. Enter the code that reflects government interest or ownership in the facility.

23. Item Remarks. Remarks pertaining only to the item number identified in Item 9; show cost sharing.

24. Statement of Completion. Typed name, signature, title, and date of signature by the responsible transferring individual or agent.

25. Accepted By. Typed name, signature, title, and date of signature by the RPAO or accepting official.

26. Property Voucher Number. Next sequential number assigned by the RPAO in voucher register.

27. Construction Deficiencies. List construction deficiencies in project during contractor turnover inspection.

28. Project Remarks. Project level remarks and continuation of blocks.

DD FORM 1354 (BACK), AUG 2013

Dana.Walton Sticky Note

4-1.27 27. CONSTRUCTION DEFICIENCIES

\2\Enter any significant construction deficiencies for the project. Do not list any perceived deficiencies in the scope or design of the project on this document, as this transfer document identifies only deficiencies in the awarded construction contract performance that the Government needs completed before declaration of completion of the contracted work. If there are more entries than fit on a single page, attach the construction deficiencies as a separate document or spreadsheet or as an electronic file.

Dana.Walton Sticky Note

4-1.28 28. PROJECT REMARKS

Enter any project-related text that would help others understand the real property transaction identified on the DD Form 1354. Remarks that pertain to only one Item should be listed in column 23. Block 28 may contain:

• Full description of capital improvements UFC 1-300-08 16 April 2009 Change 2, August 2011 25

• Explanation if the Other option is selected in subpart A or B of block 8

• Continuation of data that does not fit in blocks 1 through 8, and columns 20 through 23.

• List of attachments to DD Form 1354 (e.g., Building Information Checklist)

• Total project cost and four individual components of total project cost

• Contact information for DD Form 1354 preparer

If there are more remarks than fit in block 28 on a single page, attach the additional remarks as a separate document or spreadsheet (hard copy or electronic).

DD Form 1354, Transfer and Acceptance of DoD Real Property, August 2013

WHS/ESD/IMD

9.0.0.2.20120627.2.874785 TRANSFER AND ACCEPTANCE OF DoD REAL PROPERTY Form Approved OMB No. 0704-0188

PAGE

OF

PAGES

1. FROM (Organization Name)

2. DATE PREPARED

(YYYYMMDD)

3. PROJECT/JOB

NUMBER

4. SERIAL NUMBER

7. CONTRACT

NUMBER(S)

5. TO (Organization - Installation Code and Name)

6. RPSUID/SITENAME/

INSTCODE/INSTNAME

8. TRANSACTION DETAILS

a. METHOD (X all that apply)

ACQUISITION BY CONSTRUCTION

TRANSFER BETWEEN SERVICES

CAPITAL IMPROVEMENT

INVENTORY ADJUSTMENT

PARTIAL ASSET

PLACED-IN-SERVICE

TOTAL ASSET

PLACED-IN-SERVICE

9.

ITEM

NO.

11.

CATEGORY

CODE

12.

CATCODE

DESCRIPTION

14.

SUST.

CODE

20.

FUND

SOURCE

15.

PRIMARY

UM

18.

SECONDARY UM

QUANTITY

17.

SECONDARY

UM

16.

PRIMARY UM

QUANTITY

19.

COST

23.

ITEM

REMARKS

24. STATEMENT OF COMPLETION. The facilities listed hereon are in accordance with maps, drawings, and specifications and change orders approved by the authorized representative of the using agency except for the deficiencies listed on the reverse side.

25a. ACCEPTED BY (Typed Name and Signature)

b. DATE SIGNED

(YYYYMMDD)

a. TRANSFERRED BY (Typed Name and Signature)

c. TITLE (Area Engr./Base Engr./DPW/Construction Agent)

b. DATE SIGNED

(YYYYMMDD)

c. TITLE (DPW/RPAO)

26. PROPERTY

VOUCHER NUMBER

PREVIOUS EDITION MAY BE USED.̀̀

b. WHEN/EVENT (X one) 7a. PLACED-IN-

SERVICE DATE

(YYYYMMDD)

c. TYPE (X one)

DRAFT

INTERIM

FINAL

10a.

FACILITY

NO.

AREA

OTHER

21.

FUND

ORG

22.

INTER-

EST

CODE

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

Adobe Designer 9.0 10b.

RPUID

13.

TYPE

CODE

The public reporting burden for this collection of information is estimated to average 30 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 the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria,VA 22350-3100 (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if itdoes not display a currently valid OMB control number.

DD FORM 1354, AUG 2013

27. CONSTRUCTION DEFICIENCIES (Attach blank sheet for continuations)

28. PROJECT REMARKS (Attach blank sheet for continuations)

INSTRUCTIONS

GENERAL. This form has been designed and issued for use in connection with the transfer of military real property between the military departments and to or from other government agencies. It supersedes ENG Forms 290 and 290B (formerly used by the Army and Air Force) and NAVDOCKS Form 2317 (formerly used by the Navy).

Existing instructions issued by the military departments relative to the preparation of DD Form 1354 are applicable to this revised form to the extent that the various items and columns on the superseded forms have been retained. The military departments may promulgate additional instructions, as appropriate.

For detailed instructions on how to fill out this form, please refer to Unified Facilities Criteria (UFC) 1-300-08, dated 16 April 2009 or later.

SPECIFIC DATA ITEMS.

1. From. Name of the transferring agency.

2. Date Prepared. Date of actual preparation. Enter all dates in YYYYMMDD format (Example: March 31, 2010 = 20100331).

3. Project/Job Number. Project number on a DD Form 1391 or Individual Job Order Number.

4. Serial Number. Sequential serial number assigned by the preparing organization (e.g., 2010-0001).

5. To. Name and address of the receiving installation, activity, and Service of the Real Property Accountable Officer (RPAO).

6. RPSUID/SITENAME/INSTCODE/INSTNAME. Site Unique Identifier and name or installation code and name where the constructed facility is located.

7. Contract Number(s). Contract number(s) for this project.

7a. Placed-In-Service Date. RPA Placed In Service Date. This is the date the asset is actually placed-in-service.

8. Transaction Details.

a. Method of Transaction. Mark (X) as many boxes as apply.

b. When/Event. When or event causing preparation of DD Form 1354. X only one box.

c. Type. Draft, interim, or final DD Form 1354. X only one box.

9. Item Number. Use a separate item number for each facility, no item number for additional usages.

10a. Facility Number. Assigned in accordance with the Installation/Base Master Numbering Plan.

10b. RPUID. Identified in Real Property Inventory.

11. Category Code. The category code describes the facility usage.

12. Catcode Description. The category code name which describes the facility usage.

13. Type. Type of construction: P for Permanent; S for Semi- permanent; T for Temporary.

14. Sustainability Code. Reports whether or not an asset meets the sustainability guidelines set forth in Section 2(g) of Executive Order 13514. Valid values are: 1 (asset meets the guidelines); 2 (asset does not meet the guidelines); 3 (asset not evaluated); 4 (asset not subject to guidelines).

15. Area: UM 1. Area unit of measure; use the unit of measure associated with the category code selected in 11.

16. Total Quantity UM 1. The total area for the measure identified in Item 15. Use negative numbers for demolition.

17. Other: UM 2. Unit of Measure 2 is the capacity or other measurement unit (e.g., LF, MB, EA, etc.).

18. Total Quantity UM 2. The total capacity/other for the measure identified in Item 17.

19. Cost. Cost for each facility; for capital improvements to existing facilities, show amount of increase only. If there is no increase for the capital improvement, enter N/A.

20. Fund Source. Enter the Fund Source Code for this item.

21. Funding Organization. Enter the code for the organization responsible for acquiring this facility.

22. Interest Code. Enter the code that reflects government interest or ownership in the facility.

23. Item Remarks. Remarks pertaining only to the item number identified in Item 9; show cost sharing.

24. Statement of Completion. Typed name, signature, title, and date of signature by the responsible transferring individual or agent.

25. Accepted By. Typed name, signature, title, and date of signature by the RPAO or accepting official.

26. Property Voucher Number. Next sequential number assigned by the RPAO in voucher register.

27. Construction Deficiencies. List construction deficiencies in project during contractor turnover inspection.

28. Project Remarks. Project level remarks and continuation of blocks.

DD FORM 1354 (BACK), AUG 2013

Kansas City District Area Engineer

Hill Air Force Base Installation Code: 2349

6. Real Property Site Unique Identifier and site name or installation code and name.: 2349

KRSM0001

Hill Air Force Base