Eng Form 4025 R PDF Details

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QuestionAnswer
Form NameEng Form 4025 R
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesusace submittal form, eng form 4025, eng 4025r, 4025

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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 CECW-CE.

DATE

TRANSMITTAL NO.

SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section will be initiated by the contractor)

TO:

FROM:

CONTRACT NO.

CHECK ONE:

THIS IS A NEW TRANSMITTAL THIS IS A RESUBMITTAL OF

TRANSMITTAL

SPECIFICATION SEC. NO. (Cover only one section with each transmittal)

PROJECT TITLE AND LOCATION

THIS TRANSMITTAL IS FOR: (Check one)

FIO GA DA CR DA/CR DA/GA

ITEM

NO.

(See

Note 3)

a.

DESCRIPTION OF SUBMITTAL ITEM

(Type size, model number/etc.)

b.

SUBMITTAL TYPE CODE

(See Note 8)

c.

NO.

OF

COPIES

d.

CONTRACT DOCUMENT

REFERENCE

SPEC.

DRAWING

PARA. NO.

SHEET NO.

e.

f.

 

 

CONTRACTOR

REVIEW

CODE

g.

VARIATION

Enter "Y" if requesting

avariation (See Note 6)

h.

USACE ACTION CODE

(Note 9)

i.

REMARKS

I certify that the above submitted items had been reviewed in detail and are correct and in strict conformance with the contract drawings and specifications except as otherwise stated.

NAME OF CONTRACTOR

SIGNATURE OF CONTRACTOR

 

 

SECTION II - APPROVAL ACTION

ENCLOSURES RETURNED (List by item No.)

NAME AND TITLE OF APPROVING AUTHORITY

SIGNATURE OF APPROVING AUTHORITY

DATE

ENG FORM 4025-R, MAR 2012

REPLACES EDITION OF MAR 95, WHICH IS OBSOLETE.

Page 1 of 2

INSTRUCTIONS

1.Section I will be initiated by the Contractor in the required number of copies.

2.Each Transmittal shall be numbered consecutively. The Transmittal Number typically includes two parts separated by a dash (-). The first part is the specification section number. The second part is a sequential number for the submittals under that spec section. If the Transmittal is a resubmittal, then add a decimal point to the end of the original Transmittal Number and begin numbering the resubmittal packages sequentially after the decimal.

3.The "Item No." for each entry on this form will be the same "Item No." as indicated on ENG FORM 4288-R.

4.Submittals requiring expeditious handling will be submitted on a separate ENG Form 4025-R.

5.Items transmitted on each transmittal form will be from the same specification section. Do not combine submittal information from different specification sections in a single transmittal.

6.If the data submitted are intentionally in variance with the contract requirements, indicate a variation in column h, and enter a statement in the Remarks block describing he detailed reason for the variation.

7.ENG Form 4025-R is self-transmitting - a letter of transmittal is not required.

8.When submittal items are transmitted, indicate the "Submittal Type" (SD-01 through SD-11) in column c of Section I. Submittal types are the following:

SD-01

- Preconstruction

SD-02 - Shop Drawings

SD-03 - Product

Data

SD-04 - Samples

SD-05 - Design Data

SD-06 - Test Reports

SD-07

- Certificates

SD-08 - Manufacturer's Instructions

SD-09

- Manufacturer's Field Reports

SD-10 - O&M Data

SD-11 - Closeout

9.For each submittal item, the Contractor will assign Submittal Action Codes in column g of Section I. The U.S. Army Corps of Engineers approving authority will assign Submittal Action Codes in column i of Section I. The Submittal Action Codes are:

A

-- Approved as submitted.

F

--

Receipt acknowledged.

B

-- Approved, except as noted on drawings. Resubmission not required.

X

--

Receipt acknowledged, does not comply with contract requirements, as noted.

C -- Approved, except as noted on drawings. Refer to attached comments.

G

--

Other action required (Specify)

 

Resubmission required.

K

--

Government concurs with intermediate design. (For D-B contracts)

D -- Will be returned by separate correspondence.

R

--

Design submittal is acceptable for release for construction. (For D-B contracts)

E-- Disapproved. Refer to attached comments.

10.Approval of items does not relieve the contractor from complying with all the requirements of the contract.

ENG FORM 4025-R, MAR 2012

Page 2 of 2

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This document needs specific information; in order to ensure correctness, be sure to adhere to the next guidelines:

1. Whenever filling out the submittals form, make sure to complete all of the needed fields in its relevant part. It will help speed up the work, allowing your details to be processed without delay and appropriately.

Writing section 1 in form eng 4025 r form fillable

2. The third stage is usually to submit the next few blank fields: REMARKS, I certify that the above submitted, ENCLOSURES RETURNED List by item No, NAME AND TITLE OF APPROVING, SIGNATURE OF APPROVING AUTHORITY, DATE, SECTION II APPROVAL ACTION, NAME OF CONTRACTOR, SIGNATURE OF CONTRACTOR, ENG FORM R MAR, REPLACES EDITION OF MAR WHICH IS, and Page of.

Filling in section 2 of form eng 4025 r form fillable

It's very easy to make errors when completing your SIGNATURE OF CONTRACTOR, and so make sure to look again before you'll send it in.

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