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If yes, requires prior approval by a Level One Contracting Officer. Provide the following:
Description: _______________________________________________________
Spec Section and/or Dwg. No.: _________________________________________
Spec Para. or Drawing View: ___________________________________________
Obtain copy of justification form from PL. Will require approval of a Level One
Contracting Officer. Attach completed form.
2. Reference FAR 52.211-10 Commencement, Prosecution, and Completion of
Work and Alternate I
a. Complete the entire work ready for use not later than ______calendar days after
notice to proceed.
b. Phasing sequence as follows:________________________________________
3. Reference FAR 52.223-3, Hazardous Material Identification and Material Safety
Will this contract require delivery of hazardous material that will remain in place when
the project is completed and for which the station requires Material Safety Data
Sheets? Yes_____ No_____
a. Location of hazardous material:______________________________________
b. Material Safety Data Sheet information:________________________________
4. Reference FAR 52.225-5, Buy America ACT - Construction Materials
Does the project have any exemptions to the Buy America ACT? Yes ___ No ___
Prior approval is required for an exemption. If yes, fill in table below:


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