Template-AE SoS-Attachment-5_Template-Attachment B-Supplemental Design Certification and Transmittal Form.docx
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- Solicitation number
- W9128F-21-R-0057
About this file
This solicitation is for demolition services at two fueling stations located at Fort Pickett Army National Guard Maneuver Training Center. The solicitation seeks demolition of fueling equipment and associated electrical and civil components at POL-2 and POL-3, including underground storage tanks, fuel dispensers, canopies, and truck fillstands. Facilities at the two locations will be returned to the installation from the Defense Logistics Agency Real Property. The contractor must commence work within 10 days of notice to proceed and complete the work within 330 calendar days. Performance and payment bonds are required. The estimated construction cost is between $500,000 and $1,000,000. The solicitation will close on September 20, 2021 and is restricted to women-owned small businesses. All questions must be directed to the identified Army Corps of Engineers contract specialist.
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Text version
ATTACHMENT B - SUPPLEMENTAL DESIGN CERTIFICATION AND TRANSMITTAL FORM
[Contractor's Letterhead]
[Date: __________________] [Contract No. ____________]
[Reviewing Component Address]
Subj: SUPPLEMENTAL DESIGN CERTIFICATION AND TRANSMITTAL FORM [Project Title ____________________] [Project Location _________________] [Contract No. _____________________]
Gentlemen
The supplemental design items listed below and the attached documents, unless identified otherwise, I hereby certify are in compliance with the RFP requirements of the subject construction contract and are compatible with other elements of work, subject to Government conformance review:
1. Nature and Features of the Design Variation(s):
2. Why each Design Variation is desirable and Beneficial to the Government:
3. List of any additional Deviations from the RFP:
4. List of Specific Documents Supporting Design Variation(s):
a. Design Drawings
(1) Sketches:
(2) Reissued Drawings:
(3) Descriptive Changes:
b. Project Specification
(1) Reissued or New Sections:
(2) Descriptive Changes:
c. Design Analysis
(1) Reissued Pages:
(2) Reissued or New Calculations:
d. Any other Design Deliverable:
[Typed Name, Date and Signature of an Officer of the Contractor's Company]
[Typed Name, date, and Signature of the Contractor Quality Control (CQC) System Manager along with Stamp of Approval]
[Typed Name, date, and Signature of the Designer of Record (Registered Professional Engineer) along with PE Stamp of Approval]
Copy to:
[As standard with the Contractor]
Attachment B
File details come from the government source that posted it. Updated .