26Q7873_EXHIBIT B-CDRL-NRTL.pdf
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- VISCOMETER
- Solicitation number
- SPMYM226Q7873
About this file
This is a Contract Data Requirements List (CDRL) form (DD Form 1423-1) specifying a single data item requirement for a federal contract.
The required data item is a Certification Data Report for National Recognized Testing Laboratory (NRTL) Certification, designated as Data Item B001 under contract line item 0003. The authority for this requirement is Data Acquisition Document DI-MISC-82386. The vendor must provide actual values in accordance with the procurement specification, ensure certificates are traceable to material via unique markings, and meet requirements 2, 3, 4, 5, and 9 as tailored in Block 4. Documentation shall be submitted one time in draft and final format through the Wide Area Workflow (WAWF) e-Business Suite, with acceptance or rejection occurring concurrent with corresponding material shipment and prior to material shipment. Distribution Statement D applies, authorizing distribution to Department of Defense and DoD contractors only for administration and operations, effective 7/16/2025, with other U.S. requests referred to COMNAVSEASYSCOM. The contracting activity purchasing office is N4523A. All draft and final certification documentation must be sent to Anna G. Almonte-Blake at anna.g.almonteblake.civ@us.navy.mil. The document was prepared on 5/11/26 and approved by Richard E. Hawkins. The form indicates one final copy is required with an estimated total price group designation of N/A.
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Other files
| File | Type | Posted |
|---|---|---|
| SPMYM226Q7873.pdf | ||
| 26Q7873-SALIENT CHARACTERISTICS.pdf | ||
| 26Q7873_EXHIBIT C-CDRL-WARRANTY.pdf | ||
| 26Q7873_EXHIBIT A-CDRL-MANUALS.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188
The public reporting burden for this 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 completing 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization.
Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
MISC
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
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-82386 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R 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 Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide requirements: 2, 3, 4-Provide actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings and 9.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 7/16/2025. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Block 16 – Send draft and Final Certification/Data Report Documentation to:
Anna G. Almonte-Blake @ anna.g.almonteblake.civ@us.navy.mil
Document No.:
15. Total 0 1 0
G. PREPARED BY I. APPROVED BYH. DATE J. DATE
DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages
0003 B
B001
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