Upgrade HVAC B109 - Attachment II - Form 66_HVAC Eqpt..pdf
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- Attached to
- Upgrade HVAC B109 Goodfellow AFB Federal contract opportunity
- Solicitation number
- FA303023Q0018
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SCHEDULE OF MATERIAL SUBMITTALS
SOLICITATION/CONTRAC
T NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
ASoW, 1.5 in total Performance Period, Work Schedule/Plan
1 b GA
2 ASoW, 1.7.1 Safety 1 b
ASoW, 1.11, Part 4 Submittals: 1 1 1 1 b GA
ASoW, 1.12 Warranties 1 1 e GA
ASoW, 1.14.1.1Work Clearance Request, AF Form 103
1 c FIO
ASoW, 1.14.2 Utility Outages 1 c GA
ASoW, 1.12, DD Form 1354, Real Property Record
1 e GA
ASoW, 1.15 Detail/Red Line Drawings
1 e FIO
ASoW, 3.4 Material Data/Certificates of Compliance
1 1 1 d/e GA
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
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IO
N
OF
C
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PL
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NC
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OP
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IN
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GS
MA
NU
FA
CT
UR
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'S A
ND
O
TH
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W
AR
RA
NT
IE
S
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
Bldg. 109 HVAC Equipment Upgrade
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
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ON
C
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A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
ATTACHMENT 2
PROJECT NUMBER: 1123527
SA
MP
LE
S
FORM66.xls
SOLICITATION/CONTRAC
T NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S A
ND
O
RA
NT
IE
S
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
Bldg. 109 HVAC Equipment Upgrade
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
ATTACHMENT 2
PROJECT NUMBER: 1123527
SA
MP
LE
S
ASoW, 4.3.k Test and Commissioning Reports
1 d FIO
Asow, 3.2.d Equipment Service Order Report
1 e FIO
Attachment III, 4.4, Hazardous Chemicals Report
1 d/e FIO
Attachment III, 4.5, Hazardous Materials Report
1 d/e FIO
Attachment III, Part 6, Hazardous Wastes SDS and Report (If Applicable)
1 d/e GA
Attachment III, 11.3, Asbestos Free Certification
1 d/e FIO
Attachment III, Part 15, Air Emission Source Reporting
1 d/e GA
SOLICITATION/CONTRAC
T NO.:
TO BE COMPLETED BY THE PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
DATE CONTRACTOR
NOTIFIED
APPROVED DISAPPROVED
L I N E
N U M B E R
ITEM OR DESCRIPTION
OF ITEM, CONTRACT
REFERENCE, TYPE OF
SUBMITTAL
(Ref spec & para no.)
CE
RT
IF
IC
AT
IO
N
OF
C
OM
PL
IA
NC
E
OP
ER
AT
IN
G
IN
ST
RU
CT
IO
NS
SH
OP
D
RA
W
IN
GS
MA
NU
FA
CT
UR
ER
'S A
ND
O
RA
NT
IE
S
REMARKS
DATE
RECEIVED IN
CON-TRACTING
DATE TO CIVIL
ENGINEER-ING
RETURN
SUSPENSE
DATE
FOLLOW UP CONTRACT-TOR
RE-SUBMITTAL
Bldg. 109 HVAC Equipment Upgrade
FINAL
APPROVAL
MA
NU
FA
CT
UR
ER
'S R
EC
OM
ME
ND
AT
IO
NS
CO
LO
R
SE
LE
CT
IO
N
SE
E
P
AR
A
ON
C
OP
IE
S
OT
HE
RS
A
S
SP
EC
IF
IE
D
REQUIRED
SUBMISSION
DATE
ATTACHMENT 2
PROJECT NUMBER: 1123527
SA
MP
LE
S
Attachment III,16.2 Appendix A, 2, Pg.
12 Disposal of Construction Waste Report
1 d/e GA
AF Form 66
(a) As soon as possible but in no case later than 45 calendar days after NTP for Basic Contract
(b) No Later Than 14 Calendar Days after NTP (c) (d)
(e) As Required per Specifications or Contract
Prior to Final Inspection No Later Than 14 Working Days Prior to Beginning On Site Work
Sheet1
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