SolicitationAttachment3MaterialSubmittalTransmittal_1232SA26Q0764.pdf
PDF 153 KB Posted
- Solicitation number
- 1232SA26Q0764
About this file
This is a Material Approval Submittal form used for federal construction contracts administered by the USDA Agricultural Research Service (USDA/ARS). The form is a template designed to document contractor submissions of materials for approval prior to installation or use on the project titled "Upgrade Siemens Controllers."
The form establishes a three-tier approval process involving the contractor, the Architect/Engineer (A&E), the Contracting Officer Representative/Engineering Project Manager (COR/EPM), and the Contracting Officer. For each material line item submitted, the contractor must provide specification section and paragraph numbers, drawing references, and a detailed description including type, model, and manufacturer. Each reviewing party—A&E, COR/EPM, and Contracting Officer—marks materials as either approved (APP) or disapproved (DISAP) and may reference comments on the reverse side of the form. The contractor certifies upon submission that all materials comply with contract specifications. If any item is disapproved, the contractor must resubmit within a specified number of calendar days of the Contracting Officer's signature. The form includes signature blocks, date fields for tracking receipt by each party, and a comments section on the reverse to document reviewer notes by initials, line number, and detailed remarks.
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
MATERIAL APPROVAL SUBMITTAL
TO: USDA/ARS CO
CC: A&E, COR
FROM: (Contractor) PROJECT TITLE: Upgrade Siemens Controllers CONTRACT NUMBER:
(To be completed by the Contractor) Government Use Only
SUBMITTAL
NUMBER: 001
PREVIOUS SUBMITTAL NUMBER
(only if items listed were submitted previously):
A&E
Recommendation
COR/EPM
Recommendation Contracting Officer Approval/Disapproval
Line No.
Specification Sect.
Para No., Draw No.
Description of Material (Include type, model, mfg) APP DISAP
See Comments on Reverse APP DISAP
See Comments on Reverse APP DISAP
See Comments on
Reverse
If an item is disapproved, a resubmittal is due within ________ calendar days of the Contracting Officer’s signature below.
Contractor (Ktr) A&E COR/EPM Contracting Officer TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE
SIGNATURE: SIGNATURE: SIGNATURE: SIGNATURE:
DATE: DATE: DATE: DATE:
By completing this form, the above signed contractor certifies that the material complies with all specifications of the subject contract.
DATE RECEIVED FROM KTR: DATE RECEIVED FROM A&E: DATE RECEIVED FROM COR:
Material Approval Submittal Cover Sheet (11/2016)
CONTRACT #: SUBMITTAL #:
COMMENTS
Instructions: Enter the initials of the individual making the comment, the Line Number of the item for which the comment is being made, and the comment.
Material Approval Submittal Cover Sheet (11/2016) (Reverse)
File details come from the government source that posted it. Updated .