Attachment 1: TAFBF3000

Form Approved

OMB No 9000-062

Expires May 31, 2005

MATERIAL APPROVAL SUBMITTAL

(See Instructions on Reverse)

Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington D.C. 20593. Please DO NOT RETURN your form to either of the addresses Send your completed for to: SAF/AQCP, 1050 Air Force Pentagon, Washington, D.C. 20330

TO: (Contracting Officer’s Representative)

FROM: (Contractor)

DATE (YYYYMMDD)

CONTRACT NUMBER

SUBMISSION NUMBER

SUBMITTAL

New

PREVIOUS SUBMISSION NUMBER

PROJECT NUMBER

TO BE COMPLETED BY CONTRACTOR

ITEM

NO.

SPECIFICATION SECTION/

PARA NO./DRAWING NO

RESUBMITTAL

FOR GOVERNMENT USE ONLY

DESCRIPTION OF MATERIAL

APDISAPSEE

INITIAL

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

BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICIFICATIONS OF SUBJECT CONTRACT

DATE (YYYYMMDD)

[Contractor] TYPE OR PRINT NAME AND GRADE

Signature

FOR GOVERNMENT USE ONLY

TO: (Base Civil Engineering Project Manager)
For Evaluation and Action

DATE (YYYYMMDD)

[Base Civil Engineering CM/Inspector] TYPE OR PRINT NAME Signature

TO: (AF Contracting Officer’s Representative)

RECOMMEND

APPROVAL

DATE (YYYYMMDD)

DISAPPROVAL AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE

[Base Civil Engineering Project Mgr] TYPE OR PRINT NAME

APPROVED

Signature

DISAPROVED AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE

RESUBMITTAL ON DISAPPROVED ITEMS WITHIN

DAYS OF DATE SHOWN BELOW.

TO: (Contractor)

DATE (YYYYMMDD)

AF IMT 3000, 20030901, V1

[Contracting Officer’s Representative] TYPE OR PRINT NAME Signature

PREVIOUS EDITION IS OBSOLETE

COMMENTS

(Number to correspond with applicable Item Number on reverse)

1.
2.
3.
4.

5.

INSTRUCTIONS TO CONTRACTORS

The term “material” is defined as articles, supplies, raw materials, equipment, parts, components, and end items that are to be incorporated into the work