MATERIAL SUBMITTAL FORM

Asset Management Directorate

Power Planning and Development Department
Power Network Performance Section
Project Name: Material Description :

Contract No. : Quantity of Material :

Manufacturer /Supplier
Contractor : Name :
Place of Origin :

Consultant : Model / Type :

E-mail Address:
Supply Arrangement
Request No. : Concernd contact
person information in
Project Start Date: UAE: Tel:
Project Finish Date: Fax:

Attachments (shall be in a Folder splited with separators) :

A Copy of Approved Supply Arrangement Request Yes. No.
ADEWA Technical Data Sheet (DTS) Compliance with Consultant
B Remarks and Stamps
Yes. No.

C Copy of Contract Drawing/Sketch Yes. No.

D Copy of AADC Approved Single Line Diagram for the Project Yes. No.

E Catalogue / Brochure (Original + 3 copies) Drawings Yes. No.

Consultant's Stamp, Signature &
Date
F Manufacturer Quality Certificate (ISO or Other) Yes. No.

G Copy of Certificates (Type test, Non-Toxicity or Other) Yes. No.

H Copy of Previous Approvals Yes. No.

FAT to be witnessed by AADC Engineers, cost shall be bourne by

I Contractor
Yes. No.

J FAT Protocols and Procedures Yes. No.

Any Deviation from the Project's Specification

K (If yes, please give Justifications on a separate sheet)
Yes. No.

Contractor's Stamp, Signature &

L Other Enclosure (if any) Yes. No.
Date
For Use of AADC :

Status : Approved Approved with Comments Not Approved

Comments :

Engineer Head of Section Department Manager

AADC Stamp
Signatures & Date

Note:-
The above Comments and/or approvals do not relieve the Contractor from his obligation under the Contract to ensure conformance to the specification.
Any specification deviations found subsequent to approval shall be corrected by the CONTRACTOR to the satisfaction of AADC Engineer.