Fill the blanks (XXXXXX) as follows:
( 1 ) Provide 5 - 7 line spaces.
( 2 ) Specification Number.
(3) Construction Contract Number.
(4) Enter "MCON" for UMC project and "O&MN" for special
(5) Special Project Number: special, MCON, or NAF as
indicated in the A-E statement of work.
(6) Work Request Number.
(7) PDE's Code and Name.
(8) Type or stamp the statement on the cover sheet
whenever removal of asbestos contained materials is
i n c l u d e d in the project.
( 9 ) Exact Name of Project.
(10) Activity's name as addressed in the A-E statement of
work, such as "U.S. Naval Supply Depot, Yokosuka,
(11) Prime A-E's name and address as shown on the contract
drawings. such as "Yamada Engineering Co., Ltd., 10-10
10-chome, Honcho, Yokosuka-shi, Kanagawa-ken, Japan.
I f entire specification sections were prepared by the
prime A-E, the heading should be combined to read
"DESIGN & SPECIFICATION BY:"
(12) Place the names of preparers and signature. Type firm
name below the preparer's name if consultant was
used. In addition, the cover sheet shall be signed by
a corporate member of the A-E firm responsible for
s u b m i t t i n g the specifications.
( 1 3 ) Final submittal date. I f corrections were required on
t h e final submittal, enter the date when the
corrections were submitted to the PDE.
(14) Leave blank.
(15) Leave blank.
( 1 6 ) Provide 10 - 15 line spaces for stamp of program
m a n a g e r officer.
Set the top and bottom margins to 6, the left margin to
10 and the right margin to 70.
(Encl 1 - 2/2)