Exhibit_F_ENG_Form_4025.pdf
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- Fort Drum MATOC (Construction) Federal contract opportunity
- Solicitation number
- W911S2-17-R-0002
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Exhibit F - ENG Form 4025
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CHECK ONE
TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES OR
MANUFACTURER'S CERTIFICATES OF COMPLIANCE
For use of this form, see ER 415-1-10; the proponent agency is CEMP-CE (Read instructions on the reverse side prior to initiating this form)
ENG FORM 4025, MAR 1995 PREVIOUS EDITIONS ARE OBSOLETE.
DATE (YYYYMMDD) SIGNATURE OF APPROVING AUTHORITY
THIS IS A NEW TRANSMITTAL
ITEM
NO.
a.
REMARKS
SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section will be initiated by the contractor)
SHEET OF
DATE (YYYYMMDD) TRANSMITTAL NUMBER
TO FROM CONTRACT NUMBER
THIS IS A RESUBMITTAL OF
TRANSMITTAL
SPECIFICATION SCTION NUMBER (Cover only one section with each transmittal)
PROJECT TITLE AND LOCATION CHECK ONE: THIS TRANSMITTAL IS FOR
FIO GOVERNMENT APPROVAL
DESCRIPTION OF ITEM SUBMITTED
(Type size, model number/etc.,) b.
MFG. OR CONTR. CAT.
CURVE DRAWING OR
BROCHURE NO.
(See instruction no. 8) c.
NO. OF
COPIES
d.
CONTRACT REFERENCE
DOCUMENT
SPEC. PARA.
NO.
e.
DRAWING
SHEET. NO.
f.
FOR
CONTRACTOR
USE CODE
g.
VARIATION
(See instruction
No. 6) h.
FOR CE USE
CODE
i.
SECTION II - APPROVAL ACTION
I CERTIFY THAT THE ABOVE SUBMITTED ITEMS HAVE BEEN REVIEWED IN DETAIL AND ARE CORRECT AND
IN STRICT CONFORMANCE WITH THE CONTRACT DRAWINGS AND SPECIFICATIONS EXCEPT AS
OTHERWISE NOTED.
ENCLOSURES RETURNED (List by item number)
CNTRACTOR SIGNATURE
NAME AND TITLE OF APPROVING AUTHORITY
CONTRACTOR NAME
INSTRUCTIONS
1. SECTION I WILL BE INITIATED BY THE CONTRACTOR IN THE REQUIRED NUMBER OF COPIES
2. EACH TRANSMITTAL SHALL BE NUMBERED CONSECUTIVELY IN THE SPACE PROVIDED FOR "TRANSMITTAL NO." THIS NUMBER, IN ADDITION TO THE CONTRACT NUMBER, WILL FORM A SERIAL NUMBER FOR IDENTIFYING EACH SUBMITTAL. FOR NEW SUBMITTALS OR RESUBMITTALS MARK THE APPROPRIATE BOX; ON RESUBMITTALS, INSERT TRANSMITTAL
NUMBER OF LAST SUBMISSION AS WELL AS THE NEW SUBMITTAL NUMBER.
3. THE "ITEM NO." WILL BE THE SAME "ITEM NO." AS INDICATED ON ENG FORM 4288-R FOR EACH ENTRY ON THIS FORM.
4. SUBMITTALS REQUIRING EXPENDITOUS HANDLING WILL BE SUBMITTED ON A SEPARATE FORM.
5. SEPARATE TRANSMITTAL FORM WILL BE USED FOR SUBMITTALS UNDER SEPARATE SECTIONS OF THE SPECIFICATION.\S.
6. A CHECK SHALL BE PLACED IN THE "VARIATION" COLUMN WHEN A SUBMITTAL IS NOT IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS - ALSO, A WRITTEN STATEMENT TO
THAT EFFECT SHALL BE INCLUDED IN THE SPACE PROVIDED FOR "REMARKS".
7. FORM IS SELF TRANSMITTAL, LETTER OF TRANSMITTAL IS NOT REQUIRED.
8. WHEN A SAMPLE OF MATERIAL OR MANUFACTURER'S CERTIFICATE OF COMPLIANCE IS TRANSMITTED, INDICATE "SAMPLE" OR "CERTIFICATE" IN COLUMN c, SECTION I.
9. U.S. ARMY CORPS OF ENGINEERS APPROVING AUTHORITY WILL ASSIGN ACTION CODES AS INDICATED BELOW IN SPACE PROVIDED IN SECTION I, COLUMN i TO EACH ITEM SUBMITTED. IN ADDITION THEY WILL ENSURE ENCLOSURES ARE INDICATED AND ATTACHED TO THE FORM PRIOR TO RETURN TO THE CONTRACTOR. THE CONTRACTOR WILL ASSIGN ACTION CODES AS INDICATED BELOW IN SECTION I, COLUMN g, TO EACH ITEM SUBMITTED.
THE FOLLOWING ACTION CODES ARE GIVEN TO ITEMS SUBMITTED
A - APPROVED AS SUBMITTED.
B - APPROVED, EXCEPT AS NOTED ON DRAWINGS.
C - APPROVED, EXCEPT AS NOTED ON DRAWINGS, REFER TO ATTACHED SHEET RESUBMISSION REQUIRED.
D - WILL BE RETURNED BY SEPARATE CORREPONDENCE.
E - DISAPPROVED (See attached)
F - RECEIPT ACKNOWLEDGEED.
FX - RECEIPT ACKNOWLEDGED, DOES NOT COMPLY AS NOTED WITH CONTRACT REQUIREMENTS.
G - OTHER (Specify)
10. APPROVAL OF ITEMS DOES NOT RELIEVE THE CONTRACTOR FROM COMPLYING WITH ALL REQUIREMENTS OF THE CONTRACT PLANS AND SPECIFICATIONS.
ENG FORM 4025INST, MAR 1995 PREVIOUS EDITIONS ARE OBSOLETE.
CHECK ONE
TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES OR MANUFACTURER'S CERTIFICATES OF COMPLIANCE For use of this form, see ER 415-1-10; the proponent agency is CEMP-CE (Read instructions on the reverse side prior to initiating this form)
ENG FORM 4025, MAR 1995 PREVIOUS EDITIONS ARE OBSOLETE.
ITEM
NO.
a.
SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section will be initiated by the contractor)
SHEET OF
SPECIFICATION SCTION NUMBER (Cover only one section with each transmittal)
CHECK ONE: THIS TRANSMITTAL IS FOR
DESCRIPTION OF ITEM SUBMITTED
(Type size, model number/etc.,) b.
MFG. OR CONTR. CAT. CURVE DRAWING OR BROCHURE NO.
(See instruction no. 8) c.
NO. OF COPIES
d.
CONTRACT REFERENCE DOCUMENT
SPEC. PARA. NO.
e.
DRAWING SHEET. NO.
f.
FOR CONTRACTOR USE CODE
g.
VARIATION (See instruction No. 6) h.
FOR CE USE CODE
i.
SECTION II - APPROVAL ACTION
I CERTIFY THAT THE ABOVE SUBMITTED ITEMS HAVE BEEN REVIEWED IN DETAIL AND ARE CORRECT AND IN STRICT CONFORMANCE WITH THE CONTRACT DRAWINGS AND SPECIFICATIONS EXCEPT AS OTHERWISE NOTED.
INSTRUCTIONS
1. SECTION I WILL BE INITIATED BY THE CONTRACTOR IN THE REQUIRED NUMBER OF COPIES
2. EACH TRANSMITTAL SHALL BE NUMBERED CONSECUTIVELY IN THE SPACE PROVIDED FOR "TRANSMITTAL NO." THIS NUMBER, IN ADDITION TO THE CONTRACT NUMBER, WILL FORM A SERIAL NUMBER FOR IDENTIFYING EACH SUBMITTAL. FOR NEW SUBMITTALS OR RESUBMITTALS MARK THE APPROPRIATE BOX; ON RESUBMITTALS, INSERT TRANSMITTAL NUMBER OF LAST SUBMISSION AS WELL AS THE NEW SUBMITTAL NUMBER.
3. THE "ITEM NO." WILL BE THE SAME "ITEM NO." AS INDICATED ON ENG FORM 4288-R FOR EACH ENTRY ON THIS FORM.
4. SUBMITTALS REQUIRING EXPENDITOUS HANDLING WILL BE SUBMITTED ON A SEPARATE FORM.
5. SEPARATE TRANSMITTAL FORM WILL BE USED FOR SUBMITTALS UNDER SEPARATE SECTIONS OF THE SPECIFICATION.\S.
6. A CHECK SHALL BE PLACED IN THE "VARIATION" COLUMN WHEN A SUBMITTAL IS NOT IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS - ALSO, A WRITTEN STATEMENT TO THAT EFFECT SHALL BE INCLUDED IN THE SPACE PROVIDED FOR "REMARKS".
7. FORM IS SELF TRANSMITTAL, LETTER OF TRANSMITTAL IS NOT REQUIRED.
8. WHEN A SAMPLE OF MATERIAL OR MANUFACTURER'S CERTIFICATE OF COMPLIANCE IS TRANSMITTED, INDICATE "SAMPLE" OR "CERTIFICATE" IN COLUMN c, SECTION I.
9. U.S. ARMY CORPS OF ENGINEERS APPROVING AUTHORITY WILL ASSIGN ACTION CODES AS INDICATED BELOW IN SPACE PROVIDED IN SECTION I, COLUMN i TO EACH ITEM SUBMITTED. IN ADDITION THEY WILL ENSURE ENCLOSURES ARE INDICATED AND ATTACHED TO THE FORM PRIOR TO RETURN TO THE CONTRACTOR. THE CONTRACTOR WILL ASSIGN ACTION CODES AS INDICATED BELOW IN SECTION I, COLUMN g, TO EACH ITEM SUBMITTED.
THE FOLLOWING ACTION CODES ARE GIVEN TO ITEMS SUBMITTED
A - APPROVED AS SUBMITTED.
B - APPROVED, EXCEPT AS NOTED ON DRAWINGS.
C - APPROVED, EXCEPT AS NOTED ON DRAWINGS, REFER TO ATTACHED SHEET RESUBMISSION REQUIRED.
D - WILL BE RETURNED BY SEPARATE CORREPONDENCE.
E - DISAPPROVED (See attached)
F - RECEIPT ACKNOWLEDGEED.
FX - RECEIPT ACKNOWLEDGED, DOES NOT COMPLY AS NOTED WITH CONTRACT REQUIREMENTS.
G - OTHER (Specify)
10. APPROVAL OF ITEMS DOES NOT RELIEVE THE CONTRACTOR FROM COMPLYING WITH ALL REQUIREMENTS OF THE CONTRACT PLANS AND SPECIFICATIONS.
ENG FORM 4025INST, MAR 1995 PREVIOUS EDITIONS ARE OBSOLETE.
1.0 mark.a.cooper@usace.army.mil 20100915 Form Design Team CEIT-IPS-D ENG FORM 4025 Trans of Shop Drawings Equip Data Material Samples or Manu Cert of Comp MAR 1995 Mark Cooper ENG FORM 4025 Trans of Shop Drawings Equip Data Material Samples or Manu Cert of Comp MAR 1995 20100915
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