Oakland Street Lighting Conversion Project - Navigator

APPENDIX BAttachment 2Material SubmittalSubsection 2-5.3.3Supplier/Manufacturer:_____________________________________________________Address:________________________________________________________________Telephone:____________________________ Fax: ______________________________Item Description: __________________________________ Spec. #: ________________Use of Item: _____________________________________________________________Note to the Supplier: The attached project special provisions modify the 2009 StandardSpecifications for Public Works Construction (Green Book). These special provisions detail therequirements for the proposed material. Please review the special provisions, the Green Book andthe text in the box below to ensure that the proposed material meets the project specifications.Include this signed form with all necessary documents for the material submittal.I certify that the proposed material is in compliance with the contract specifications with no exceptions. with exceptions as noted. Submittal Item Number _____(Use numbering system from Attachment1.)Signature of Supplier’s Representative:____________________________ Date: __________Signature of Contractor’s Representative: ____________________________Date: __________Submittal Review□ No exceptions taken □ Exceptions taken as Noted □ Reviewed□ Rejected□ Revise and Resubmit□ Review Not Required □ Submit Specified Item□ __________________________________________________Review is only for the general conformance w ith the project design concept and general compliance w ith theinformation provided in the Contract Documents. The Contractor is responsible for conformance w ith allrequirements of the Contract Documents, including, but not limited to, dimensions that shall be field verified,fabrication processes and construction techniques, coordination of w ork, and satisfactory performance of allw ork. Deviations from the Contract Documents are not review ed unless specifically requested by theContractor in w riting. Review on resubmission w ill only cover designated changes on this submittal and otherchanges specifically identified by the Contractor.CITY OF OAKLAND PWA, Dept. of Engineering and ConstructionComments:Reviewer:Date:Oakland Street Lighting Conversion ProjectProject Special Provisions D-43 Bid Documents: Feb 2012 Update