1423 TriboLab System NRTL Cert.doc
DOC document 50 KB Posted
- Attached to
- TRIBOLAB BASE SYSTEM Federal contract opportunity
- Solicitation number
- SPMYM120Q0051
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SPMYM120Q00510001 Amendment.pdf | ||
| 1423 TriboLab System Warranty.doc | DOC document | |
| DI-MISC-80678.pdf | ||
| SPMYM120Q0051 Solicitation.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
OMB No. 0704-188
LEAD DOC# 0027B963
Public reporting burden for collection of information is estimated to average 110 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP ___
TM ______
OTHER CERT DATA
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| COLD SPRAY/WEAR TEST EQUIP |
| DOC# 0027B970 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 001 |
| CERTIFICATION/DATA REPORT |
| NATIONAL RECOGNIZED TESTING LABORATORY (NRTL) CERTIFICATION |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MISC-80678 |
| PER CONTRACT |
| NNSY |
| 7. DO 258 REQ |
| 9. DIST STATEMENT |
REQUIRED
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
DD
| O-TIME |
| SEE BLOCK 16 |
b. COPIES
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| Draft |
| Final |
N/A
| N/A |
| N/A |
| Reg |
| Repro |
16. REMARKS
BLOCK 4: Tailored to allow the vendor to only provide 10.1, 10.2, 10.2.4, 10.3 and 10.3.1. Vendor to provide actual values IAW procurement specifications. Ensure certs provided are traceable to material via unique markings IAW 10.5.
BLOCK 9: Distribution Statement “D”. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 1/28/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
BLOCK 12:
Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
NNSY N42158
| 1 |
| 0 |
CODE 265
| 1 |
| 0 |
15. TOTAL
| 2 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| ROGER SURRING |
| 1/28/2020 |
| DAN STANLEY |
| 1/28/2020 |
DD Form 1423-1, JUN. 90
Previous editions are obsolete Page __1__ of _1__ Pages
1007/183
S/N 0102-LF-010-5500
File details come from the government source that posted it. Updated .