Sol_140P5426Q0005-_Attachment_D_-_Submittal_Form.pdf

PDF 84 KB Posted

Attached to
CLEAN AND INSPECT CULVERTS - FLAMINGO DISTRICT
Solicitation number
140P5426Q0005
Issued by

About this file

This is a National Park Service submittal form template used for contractor submissions on federal construction or service contracts at National Park Service facilities.

The form serves as a standardized transmittal document for Everglades National Park and other NPS parks to facilitate the submission and review of contractor deliverables, materials, and documentation. Contractors must complete the form by identifying the specification section, paragraph number, and providing detailed descriptions of submitted items including size, type, name, manufacturer, and intended use. The form tracks the number of copies submitted and returned, requiring contractor signature and certification that all submittals have been reviewed for accuracy, completeness, and compliance with contract requirements per FAR 52.236-21. The Contracting Officer's Representative reviews submissions and provides approval or comments, with clear notation that approval is for general concurrence only and the Government assumes no responsibility for contractor errors or omissions. The form includes a submittal log section documenting dates of transmission between contractor and reviewer, and distribution checkboxes indicating routing to the contractor, Design Services Center file, Contracting Officer's Representative, A/E representatives, and interim distribution as needed. This is a standard administrative template rather than a solicitation document specifying products, services, pricing, or response requirements.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

TRANSMITTAL - NATIONAL PARK SERVICE

Transmittal No.:

Sheet: of:

Park: Project: Contract No.: PMIS No.: Date:

Contractor: Subcontractor/Supplier:

NPS ACTION

Item No.

S p e c if ic a ti o n

S e c ti o n N o

P a ra g ra p h N o

Description of Item (Size, Type, Name, Manufacturer, Use, Etc.)

N o o f C o p ie s

S u b m it te d

N o f C o p ie

R tu rn

A p p ro v

A p p ro v e d w it h

N te

D is a p p ro v e

R s u b m it

Contractor Signature Recommended by

Title, Date Title Date

I hereby certify that this submittal has been reviewed for accuracy, completeness, and compliance with contract requirements (FAR 52.236-21)

Review Comments

Action By Date

Contracting Officer’s Representative

Approval of this submittal is subject to the provisions of the contract drawings and specifications. This action is for general concurrence only and the Government is not responsible for errors or omission.

SUBMITTAL LOG DATES: From contractor [__________], To reviewer [__________], From reviewer [__________], To Contractor [__________] Distribution: ( ) Contractor ( ) DSC File ( ) COR ( ) A/E ( ) DSC Interim ( ) COR Interim ( ) Contractor Interim CM-16Rev. 4/00

ATTACHMENT F: SUBMITTAL FORM

Transmittal No Sheet of: 1
Sheet: 1
Of: 1
Park: Everglades National Park
Project:
Contract No:
PMIS No:
Date:
Contractor:
SubcontractorSupplier:
Item NoRow1:
ContractorRow2:
Paragraph NoRow1:
Description of Item Size Type Name Manufacturer Use EtcRow1:
Item NoRow2:
ContractorRow3:
Paragraph NoRow2:
Description of Item Size Type Name Manufacturer Use EtcRow2:
Item NoRow3:
ContractorRow4:
Paragraph NoRow3:
Description of Item Size Type Name Manufacturer Use EtcRow3:
Item NoRow4:
ContractorRow5:
Paragraph NoRow4:
Description of Item Size Type Name Manufacturer Use EtcRow4:
Item NoRow5:
ContractorRow6:
Paragraph NoRow5:
Description of Item Size Type Name Manufacturer Use EtcRow5:
Item NoRow6:
ContractorRow7:
Paragraph NoRow6:
Description of Item Size Type Name Manufacturer Use EtcRow6:
Contractor Signature:
Title Date:
Review Comments:

File details come from the government source that posted it. Updated .