PWS Appendix 5 Atch B - Transmittal Cover Sheet.pdf

Section 01 33 00 Appendix B, Transmittal Cover Sheet, June 2019 Page 1 of 2

DISA FACILITIES ENGINEERING, DENVER

TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES, OR

MANUFACTURER'S CERTIFICATES OF COMPLIANCE

DATE TRANSMITTAL NO. (See Note 2)

SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section to be initiated by the Contractor)

TO: FROM: CONTRACT NO. CHECK ONE:

NEW TRANSMITTAL

RESUBMITTAL OF TRANSMITTAL

SPECIFICATION SEC. NO. (Cover only one section with each transmittal) (See Note 6) PROJECT TITLE AND LOCATION CHECK TRANSMITTAL REVIEWER(S): (See Note 7)

G DOR CxA CR

ITEM NO.

(See Note 8)

DESCRIPTION OF SUBMITTAL ITEM

(Type size, model number/etc.)

SUBMITTAL

TYPE CODE

(See Note 9)

CONTRACT DOCUMENT REFERENCE VARIATION

Enter "Y" if requesting a variation

(See Note 11)

DISA

ACTION

CODE

(See Note 12)

SECTION

PARAGRAPH NO.

(See Note 10

DRAWING

SHEET NO.

a. b. c. e. f. g. h.

REMARKS I certify the above submitted items have been reviewed in detail, are correct, and in strict conformance with the Contract requirements, design drawings and specifications except as otherwise noted.

NAME OF CONTRACTOR SIGNATURE OF CONTRACTOR

SECTION II - APPROVAL ACTION

ENCLOSURES RETURNED (List by item No.) NAME AND TITLE OF APPROVING AUTHORITY SIGNATURE AND DATE OF APPROVING AUTHORITY

Section 01 33 00 Appendix B, Transmittal Cover Sheet, January 2019 Page 2 of 2

INSTRUCTIONS

1. Contractor initiates Section I in the required number of copies.

2. Consecutively number each Transmittal. The Transmittal Number typically includes two parts separated by a dash (-). The first part is the Specification Section number.

The second part is a sequential number for the submittals under that Specification Section. If the Transmittal is a Contract requirement which is not part of a Specification Section, use “SOW” as the first part of the Transmittal Number. If the Transmittal is a resubmittal, then add a decimal point to the end of the original Transmittal Number and begin numbering the resubmittal packages sequentially after the decimal.

3. Complete a separate DISA Transmittal Form for each submittal requiring expeditious handling.

4. All items transmitted on a single DISA Transmittal Form must be from the same Specification Section. Do not combine submittals from different Specification Sections.

5. A letter of transmittal is not required.

6. List the Specification Section number. In the case there is no Specification Section, enter the document which requires the submittal (i.e., SOW).

7. Identify the required reviewer(s) for the transmittal:

G – Government Review (required for all approvals) CR – Government Conformance Review of Drawings DOR – Designer of Record Review CxA – Commissioning Agent Review

8. Use the same "Item No." for each entry in column (a) of Section I as on the project Submittal Register.

9. When submittal items are transmitted, indicate the "Submittal Type" (SD-00 through SD-11) in column (c) of Section I. Submittal types are the following:

SD-00 – SOW or other Contract document SD-03 – Product Data SD-06 – Test Reports SD-09 – Manufacturer's Field Reports

SD-01 – Preinstallation Submittals SD-04 – Samples SD-07 – Certificates SD-10 – O&M Data

SD-02 – Shop Drawings SD-05 – Design Data SD-08 – Manufacturer's Instructions SD-11 – Closeout Submittals

10. List the Specification Section paragraph number in column (e) of Section I. If the submittal is a Contract requirement which is not part of a Specification Section, list “SOW.”

11. If the data submitted are intentionally in variance with the Contract requirements, indicate a variation in column (g) and enter a statement in the Remarks block describing the detailed reason for the variation, in accordance with Contract documents.

12. For each submittal item, the Approving Authority will assign Submittal Action Codes in column (h) of Section I. The Submittal Action Codes are:

A – Approved as submitted. Complete D – Will be returned by separate correspondence. Complete.

B – Approved, except as noted on drawings. Resubmission not required. E – Disapproved. Refer to attached comments. Resubmission Required.

C – Approved, except as noted on drawings. Refer to attached comments. F – Receipt acknowledged. Complete.

Resubmission Required.

13. Approval of items does not relieve the Contractor from complying with all the requirements of the Contract.