Attachment 7 - TRADOC_928-R_Submittal_Form.pdf

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Attached to
Electronic Security System (ESS) Maintenance and Service- Fort Leavenworth, KS
Solicitation number
W91QF4-26-R-A010
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About this file

This is a TRADOC Form 928-R, a Material Approval Submittal form used for federal contracting under TRADOC Regulation 715-3. The form serves as a template for contractors to submit materials for government approval and for government personnel to evaluate and approve or disapprove submitted materials.

The form is divided into two primary sections: contractor completion and government use only. Contractors must complete the header information including the contracting officer recipient, contractor name, contract number, submission number, project number, and previous submission number (if applicable). The contractor then lists items requiring approval by item number, specification/paragraph/drawing number, and provides a detailed description of the material including type, model number, catalog number, and manufacturer. The contractor certifies compliance with all contract specifications by providing a signature, printed name, title, and date. The government evaluation section includes checkboxes for approval, disapproval with comments on the reverse side, or recommendation for approval or disapproval. Multiple government personnel sign off in sequence, including an initial evaluator, a recommending official, and a final approval authority. The final approval block indicates whether items are approved or disapproved, with disapproved items requiring resubmittal within a specified number of days. This template facilitates the material approval process for military contracting activities.

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Text version

[ ] NEW [ ] RESUBMIT

ITEM SPECIFICATION SECJ AP- DISAP- SEE INITIAL

No PARA. NO./DWG. NO. PROVED PROVED REVERSE

TYPE OR PRINT NAME TITLE

TYPE OR PRINT NAME AND GRADE

TYPE OR PRINT NAME AND GRADE

TYPE OR PRINT NAME AND GRADE

TRADOC FORM 928-R, Nov 91

TO:

[ ] Approved [ ] Disapprove as indicated Above and Subject to Any Applicable Comments on the Reverse Side. Request Resubmittal on Disapproved.

items Within _______________ Days of Date Shown Below.

DATE SIGNATURE

TO:

DATE SIGNATURE

Recommend [ ] Approval [ ] Disapproval as indicated Above and Subject to Any Applicable Comments on the Reverse

TO:

FOR GOVERNMENT USE ONLY

For Evaluation and Action

DATE SIGNATURE

MATERIAL APPROVAL SUBMITTAL

TRADOC Reg 715-3

BY COMPLETEING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

DATE

PREVIOUS SUBMISSION NUMBER PROJECT NUMBER

SUBMITTALSUBMISSION NUMBER

DESCRIPTION OF MATERIAL

DATE SIGNATURE

TO: (Contracting Officer) FROM: (Contractor)

TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY

(Include Type, Model Number, Catalog Number, Mfg., etc.)

CONTRACT NUMBER

(for Digital Signature)

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