8. AF Form 3000 Material Aprroval Submittal.pdf

PDF 70 KB Posted

Attached to
Sustain Pad 5, Phase III Federal contract opportunity
Solicitation number
FA9401-12-R-0019
Issued by
Department of the Air Force Global Strike Command

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Other files attached to Sustain Pad 5, Phase III, newest first.
File Type Posted
FA9401-12-R-0019 Amendment 1.pdf PDF
Addendum 1 FA9401-12-R-0019.pdf PDF
Response to Pad 5 Questions.pdf PDF
4a. Corrected AF Form 3052 Contractor Proposal Form.xlsx XLSX spreadsheet
FA9401-12-R-0019 Site Visit Sign In.pdf PDF
FA9401-12-R-0019.pdf PDF
14. AF Form 3064 Progress Schedule.xls XLS spreadsheet
4. AF Form 3052 Government Price Schedule Summary.xlsx XLSX spreadsheet
1. Statement of Work —
7. AIR FORCE FORM 103 - Base Civil Engineering Work Clearance Request - Dig Permit.pdf PDF
3. Sustain Pad 5 Phase III Specs.pdf PDF
13. KAFB Map for Site Visit Location —
6. Permit Requirements Memo.pdf PDF
10. Wage Determination- NM120013- NM13-Heavy.pdf PDF
11. Wage Determination- NM120047- NM47- Highway.pdf PDF
12. Past Performance Information Form.docx DOCX document
9. AF Form 66 Schedule of Material Submittals.pdf PDF
2. Drawings 070054B-C1-Layout1.pdf PDF
5. AF 3065 Progress Report.pdf PDF
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PREVIOUS EDITION IS OBSOLETE.

MATERIAL APPROVAL SUBMITTAL

(See Instructions on Reverse)

TO: (Contracting Officer)

PROJECT NUMBER

FOR GOVERNMENT USE ONLY

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, Arlington 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 to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.

FROM: (Contractor)

DATE

For Evaluation and Action

TO: (Base Civil Engineering Officer)

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

APPROVED

DISAPROVED AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE SIDE. REQUEST

TO: (Contractor)

DATE TYPE OR PRINT NAME AND GRADE SIGNATURE

DATE

DATE TYPE OR PRINT NAME AND GRADE SIGNATURE

AF FORM 3000, SEP 91 (EF)

SUBMITTALSUBMISSION NUMBER

CONTRACT NUMBER

NEW RESUBMITTAL

PREVIOUS SUBMISSION NUMBER

ITEM

NO.

SPECIFICATION SECTION/

PARA NO./DRAWING NO.

DESCRIPTION OF MATERIAL

(Include Type, Model Number, Catalog Number, Mfg., etc.)

SEE

REVERSE INITIAL

BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

AP-

PROVED

DISAP-

PROVED

TO BE COMPLETED BY CONTRACTOR

DATE TYPE OR PRINT NAME AND TITLE

SIGNATURE

FOR GOVERNMENT USE ONLY

Form Approved OMB No 9000-0062 Expires Apr 30, 1993

RESUBMITTAL ON DISAPPROVED ITEMS WITHIN DAYS OF DATE SHOWN BELOW.

FROM Contractor:
DATE:
SUBMISSION NUMBER:
NEW: Off
RESUBMITTAL: Off
PROJECT NUMBER:
SPECIFICATION SECTION PARA NODRAWING NORow1:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow1:
AP PROVEDRow1:
DISAP PROVEDRow1:
SEE REVERSERow1:
INITIALRow1:
SPECIFICATION SECTION PARA NODRAWING NORow2:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow2:
AP PROVEDRow2:
DISAP PROVEDRow2:
SEE REVERSERow2:
INITIALRow2:
SPECIFICATION SECTION PARA NODRAWING NORow3:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow3:
AP PROVEDRow3:
DISAP PROVEDRow3:
SEE REVERSERow3:
INITIALRow3:
SPECIFICATION SECTION PARA NODRAWING NORow4:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow4:
AP PROVEDRow4:
DISAP PROVEDRow4:
SEE REVERSERow4:
INITIALRow4:
SPECIFICATION SECTION PARA NODRAWING NORow5:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow5:
AP PROVEDRow5:
DISAP PROVEDRow5:
SEE REVERSERow5:
INITIALRow5:
SPECIFICATION SECTION PARA NODRAWING NORow6:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow6:
AP PROVEDRow6:
DISAP PROVEDRow6:
SEE REVERSERow6:
INITIALRow6:
SPECIFICATION SECTION PARA NODRAWING NORow7:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow7:
AP PROVEDRow7:
DISAP PROVEDRow7:
SEE REVERSERow7:
INITIALRow7:
SPECIFICATION SECTION PARA NODRAWING NORow8:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow8:
AP PROVEDRow8:
DISAP PROVEDRow8:
SEE REVERSERow8:
INITIALRow8:
SPECIFICATION SECTION PARA NODRAWING NORow9:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow9:
AP PROVEDRow9:
DISAP PROVEDRow9:
SEE REVERSERow9:
INITIALRow9:
SPECIFICATION SECTION PARA NODRAWING NORow10:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow10:
AP PROVEDRow10:
DISAP PROVEDRow10:
SEE REVERSERow10:
INITIALRow10:
SPECIFICATION SECTION PARA NODRAWING NORow11:
DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow11:
AP PROVEDRow11:
DISAP PROVEDRow11:
SEE REVERSERow11:
INITIALRow11:
TYPE OR PRINT NAME AND TITLE:
SIGNATURE:
TYPE OR PRINT NAME AND GRADE:
SIGNATURE_2:
TYPE OR PRINT NAME AND GRADE_2:
SIGNATURE_3:
APPROVED: Off
undefined: Off
DAYS OF DATE SHOWN BELOW:
TYPE OR PRINT NAME AND GRADE_3:
SIGNATURE_4:
Text1:
Text2:
Text3:
Text5:
DATE_2:
APPROVAL:

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