Technical Exhibit C - DA 4283 Submission Form.pdf

PDF 167 KB Posted

Attached to
Facilities Infrastructure and Logistics Operations Support Services (FI&LOSS)
Solicitation number
W91ZLK-25-R-0002
Issued by

About this file

This is Technical Exhibit "C", which details the required submission components for a DA Form 4283 (Facilities Engineering Work Request) package. The document outlines 10 mandatory enclosures that must accompany a DA 4283 submission, including: Statement of Work or clear description of proposed work, Environmental Review (NEPA document), floor plans for interior work, site plans for exterior work, GIS maps from DPW, Safety Review (RAC assessment), pictures/catalog cuts/renderings, applicable inspection reports, engineering drawings (if required, at parametric, 35%, 50%, or 100% stages), and any supporting documentation providing additional context.

The document includes a blank DA Form 4283 template and emphasizes that G4 proponents must aggregate and review all documents for accuracy and project consistency before formal submission. The form cannot be submitted without being properly completed and accompanied by all applicable enclosures. The form itself is used for facilities engineering work requests and complies with Title 10 USC Section 2461 for maintenance, repair and construction contracts using Operation and Maintenance funds.

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Text version

Technical Exhibit “C”

DA 4283 Submission Form

The following enclosure(s) must also accompany a DA 4283 submission:

1. Statement of Work (SOW) or Clear Description of Proposed Work

2. Environmental Review (NEPA document: REC or EA)

3. Floor Plans (for interior work)

4. Site Plans (for exterior work)

5. GIS Maps (provided by DPW)

6. Safety Review (RAC assessment)

7. Pictures, Catalog Cuts, Renderings

8. Inspection Reports (if applicable, Fire Dept., Industrial Hygiene, Structural Assessment, etc.)

9. Engineering Drawings (if applicable, parametric, 35%, 50%, 100%)

10. Any supporting documentation that gives additional context to the review process

*Note: Some enclosures are prepared by other reviewers/stakeholders – G4 proponents aggregate and review all documents for accuracy and project consistency prior to formal submission of the package. A DA 4283 package cannot be submitted without a completed DA 4283 form accompanied by applicable enclosures.

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