1085V002 SMALL SHEAR BLOCK CONTAINER 773 TC Attachment 3.docx

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ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)

REQ DOC NO. - __1085V002 ATTACHMENT _________

CONTINUATION SHEET CONTRACT NO. - _______________ PAGE ___ OF ___

NAME OF OFFER OR/CONTRACTOR

______________________________________________________________________________ITEM # SUPPLIES/SERVICES QTY U/I

SMALL SHEAR BLOCK DISPOSAL CONTAINER 1 JO

C. DESCRIPTION/SPECIFICATIONS

C.1 LARGE SHEAR BLOCK DISPOSAL CONTAINER RF-2203, STEEL

C.1.1 8 COMPLETE UNITS

C.1.2 MANUFACTURE IN ACCORDANCE WITH PNS 2370A0000389 REV ORIG. DRAWING IS ATTACHED.

C.2 PNSY PLANS TO INSPECT THE CONTAINERS AT AN APPROXIMATE HALF WAY POINT OF CONSTRUCTION, DURING THE MAGNETIC PARTICLE TESTING AND AT COMPLETION OF CONSTRUCTION.

C.2.1 CONTRACTOR SHALL NOTIFY PNSY WITH PROJECTED WORK SCHEDULE. HALFWAY POINT OF CONSTRUCTION SHALL BE DETERMINED BY THE CONTRACTOR AND PNSY AFTER AWARD OF CONTRACT.

C.3 PERFORM A VISUAL TEST PER AWS S1.1/D.1.1M:2020; STRUCTURAL WELDING CODE – STEEL; 24TH EDITION, APPROVED 19 DECEMBER 2019.

C.4 PERFORM MAGNETIC PARTICLE TESTING PER NAVSEA TECHNICAL PUBLICATION T9074-AS-GIB-010/271 REV 1; REQUIREMENTS FOR NONDESTUCTIVE TESTING METHODS AND MIL-STD-2035A; NONDESTRUCTIVE TESTING ACCEPTANCE CRITERIA.

C.5 PERFORM LOAD/PROOF TEST ON SAFETY HOIST RING AND LIFTING LUGS PER THE INSTRUCTIONS AND REQUIREMENTS OF THE STATEMENT OF TESTS AND DRAWING. BOTH ARE ATTACHED.

C.6 GOVERNMENT INSPECTION IS REQUIRED DURING MANUFACTURE AND PRIORTO SHIPMENT FROM THIS FACILITY. UPON RECEIPT OF THIS ORDER, PROMPLTLY NOTIFY THE REPRESENTATIVE OF THE GOVERNMENT OFFICE WHO NORMALLY SERVES YOUR FACILITY SO THAT APPROPRIATE PLANNING FOR GOVERNMENT INSPECTION CAN BE ACCOMPLISHED. IN THE EVENT A REPRESENTATIVE OF THE GOVERNMENT OFFICE CANNOT BE LOCATED, THE PURCHASING AGENT SHOULD BE NOTIFIED PROMPLTLY.

C.7 DATA REQUIREMENTS PER EXHIBIT A (DD-1423) & ATTCHMENT #1, FOR SAFETY HOIST RING

C.7.1 CERTIFICATE OF COMPLIANCE; EXHIBIT A SEQUENCE A001.

C.7.2 BEFORE VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A002.

C.7.3 AFTER VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A003.

C.7.4 BEFORE MAGNETIC PARTICLE TEST CERIFICATION, EXHIBIT A SEQUENCE A004.

C.7.5 AFTER MAGNETIC PARTICLE TEST CERIFICATION, EXHIBIT A SEQUENCE A005.

C.7.6 LOAD/PROOF TEST CERIFICATION, EXHIBIT A SEQUENCE A006.

C.8 DATA REQUIREMENTS PER EXHIBIT A (DD-1423) & ATTCHEMT #1, FOR LIFTING LUGS.

C.8.1 CERTIFICATE OF COMPLIANCE; EXHIBIT A SEQUENCE A007.

C.8.2 BEFORE VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A008.

C.8.3 AFTER VISUAL TEST CERTIFICATION, EXHIBIT A SEQUENCE A009.

C.8.4 BEFORE MAGNETIC PARTICLE TEST CERTIFICATION, EXHIBIT A SEQUENCE A010.

C.8.5 AFTER MAGNETIC PARTICLE TEST CERTIFICATION, EXHIBIT A SEQUENCE A011.

C.8.6 LOAD/PROOF TEST CERIFICATION, EXHIBIT A SEQUENCE A012.

C.8.7 MATERIAL SAFETY DATA SHEETS, EXHIBIT A SEQUENCE A013.

D. PACKING/PACKAGING/MARKINGS:

D.1 FOLLOWING SATISFACTORY COMPLETION OF LOAD/PROOF TEST, PERMANENTLY MARK ITEMS AS REQUIRED PER DRAWING AND STATEMENT OF REQUIRED TESTS.

(ADP DD FORM 1423 (MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)

CONTRACT DATA REQUIREMENTS LIST

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EXHIBIT A

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CONTRACT/SOLICITATION ________________________________________________________________ ITEM ___________________________________________ (DATE FOR ITEM) ___________________

REQUIRED CERTIFICATION

A. CERTIFICATION SHALL BE SUPPLIED WITH EACH SHIPMENT OF MATERIAL. CERTIFICATION (CERTIFICATE OF COMPLIANCE) SHALL BE SUPPLIED AS OUTLINED IN PARAGRAPH B. THE VENDOR IS LIABLE FOR CONDUCTING ALL TESTS, ANALYSES, INSPECTIONS, AND EXAMINATIONS, ETC., AS SPECIFIED BY THE CONTRACT AND SPECIFICATIONS WHETHER CERTIFICATIONS ARE REQUIRED OR NOT.

CERTIFICATE OF COMPLIANCE (PROVIDE THE FOLLOWING VERBATIM STATEMENT OR COMPLETE THE OPTIONAL FORM AT THE END OF THIS PART)

"I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS".

B. CERTIFICATION SHALL BE SUPPLIED PER THE FOLLOWING INSTRUCTIONS:

1. THE CERTIFICATION OF COMPLIANCE SHALL CONTAIN THE SIGNATURE AND TITLE OF THE VENDOR OFFICIAL DESIGNATED RESPONSIBLE FOR QUALITY ASSURANCE.

2. THE MATERIAL IDENTIFICATION (E.G. LOT, BATCH, PART #, ETC.) SHALL BE INCLUDED ON THE CERTIFICATE OF COMPLIANCE.

CERTIFICATE OF COMPLIANCE

COMPANY NAME

MATERIL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO. ______________ ORDER NO. ________________ ITEM NO. ____________________ NATIONAL/LOCAL STOCK NO. NSN/LSN ____________________________________________________ MANUFACTURER’S PART NO. _____________________________________________________________ MANUFACTURER’S SERIAL NO. ___________________________________________________________ DRAWING AND PIECE NO. _________________________________________________________________

MANUFACTURER’S LOT/HEAT NOS. AS MARKED ON THE MATERIAL _________________________

ALL INSPECTIONS AND TEST REPORTS REQUIRED BY ATTACHMENT I TO EXHIBIT A (DD FORM 1423) FOR TRACEABILITY TO EACH CONTRACT ITEM MUST ACCOMPANY THIS SIGNED STATEMENT:

THE INSPECTION AND TEST REPORTS (AS APPLICABLE) PROVIDED REPRESENT THE ACTUAL ATTRIBUTES OF THE ITEMS FURNISHED ON THIS CONTRACT AND INDICATE FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS. I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL CONTRACT REQUIREMENTS.