Fillable Form 652 SUBMITTAL COVER SHEET NJSDA 652 Design Consultant Submitting (New Jersey Schools Development Authority)

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Form 652 SUBMITTAL COVER SHEET NJSDA 652 Design Consultant Submitting (New Jersey Schools Development Authority)

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SUBMITTAL COVER SHEET NJSDA 652
File: _____________ /sd-_
Form NJSDA 652 Rev. 11/10/11
1. Is submittal required by contract?
2. Is submitted item in accordance with Contract Requirements?
3. Is submittal a substitution?
4. If so, is reason for substitution included?
5. Is consideration offered for substitution?
6. Is submittal complete (warranties, test reports, model numbers, sizes,
weights, dimensions, colors, supporting information required to show that
performance characteristics comply with specified or scheduled
performance?
7. Does submittal meet Specified Standards (ASTM, ANSI, UL, etc.)?
8. Does submittal meet all code requirements?
9. Are all accessories and ancillary devices as specified?
10. Estimated procurement time:
(days/weeks)
Submitted By:
Print Name
Title
Signature Date:
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
PMF:
Contract Name:
Submittal Date:
Design Consultant
Contract No.:
Date:
Items Submitted:
Specification
Submittal No.:
Subdivision:
No. of Copies
Sepias Submitted:
Division:
Division:
Note: This form must be attached to all submittals. Submittals will be returned as incomplete when not
accompanied by this form and when "YES" is not marked for all except 1 or 3 above.
Contractor:
Submitting
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Form 652 SUBMITTAL COVER SHEET NJSDA 652 Design Consultant Submitting (New Jersey Schools Development Authority)

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Completed 21 July 2020

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