NNK16552269R_J-7_Tech_Reference_003_Shop_Dwg_Approval_Cover_Sheet.doc

SHOP DRAWING FOR APPROVAL

contract no.:

prime contractor:

to be submitted in copies transmittal # resubmittal # specification # section #

s.d.

design org.

recom-mendation

GOV’T

disposi-tion

I certify that I have reviewed the materials being proposed and they comply with all contract, specification, and drawing provisions including the Buy American Act requirements of FAR clause 52.225-11 (MAY 2014) or its predecessor (52.225-5, June 1997). I have submitted a ‘Deviation/Waiver’ request and/or a ‘Request for Determination of Inapplicability of the Buy American Act’ for each non-compliant submittal item.

Subcontractor Name :

by:

date:

Prime Contractor Name :

by:

date:

requested in house due date:

construction due date to contractor:

NATIONAL AERONAUTICS AND SPACE ADMINISTRATION

FORMCHECKBOX

A: APPROVED

FORMCHECKBOX

NA: NOT APPROVED (RESUBMITTAL REQUIRED)

FORMCHECKBOX

RC: RETURN FOR CORRECTION (RESUBMITTAL REQUIRED)

FORMCHECKBOX

AN: APPROVED AS NOTED

FORMCHECKBOX

MD: MULTIPLE DISPOSITIONS (RESUBMIT ONLY ITEMS NOT APPROVED OR

ITEMS RETURNED FOR CORRECTION)

FORMCHECKBOX

RO: FOR RECORD ONLY

REFER TO SPECIFICATIONS

ARCHITECT ENGINEER DATE

LEAD DESIGN ENGINEER DATE

APPROVAL DOES NOT RELIEVE THE CONTRACTOR OF THE

RESPONSIBILITY FOR ERRORS, OMISSIONS, CORRECTNESS

OF DIMENSIONS, ADEQUACY OF DETAILS, AND COMPLIANCE

WITH SPECIFICATIONS.

by:

date:

contracting officer’s technical representative: returned herewith