30440185 CDRLs.pdf

PDF 1 MB Posted

Attached to
TEST WEIGHTS Federal contract opportunity
Solicitation number
SPMYM223Q0984
Issued by
Defense Logistics Agency Land and Maritime

About this file

This document contains four Contract Data Requirements Lists (CDRLs) and supporting documentation for a federal contract opportunity. The CDRLs require the contractor to provide certifications, reports, schedules and other data items during contract performance, including Certificates of Compliance, Material Inspection and Receiving Reports, Weight Certifications, Safety Data Sheets, and Milestone schedules. The documentation specifies submission procedures and distribution statements for the data deliverables.

The related federal contract opportunity is a 100% total small business set-aside solicitation issued by the Defense Logistics Agency Land and Maritime seeking offers for the supply of Test Weights manufactured to material specifications. Offerors must download the RFQ, complete pricing, certifications and representations, provide product information for items quoted, and return the completed solicitation package. The award will be a firm fixed price supply contract for delivery to Bremerton, WA, with responses due by the date specified in the solicitation.

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SPECS AND DRAWINGS.pdf PDF
30440185 (pre-deliverables).pdf PDF
23Q0984 TEST WEIGHTS.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f 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 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

REQUEST FOR SERIAL NUMBER

ASSIGNMENT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-CMAN-81211 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

PSNS &IMF CODE 700

DD ONE/R SEE BLOCK 16 b. COPIES 0-2-0

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: 7.1, 10.1, 10.2 (b), 10.2 (c), 10.2(d),

10.3. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 6/1/2021. 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.

Upon submission in WAWF send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 3044-0185

15. Total 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Rhonda Sparks 3/13/2023 /s/ Malvin Doinog 3/13/2023

DD FORM 1423-1, JUN 90 (EG)

Page 1 of 1 Pages

C0011AC

C001

SPMYM2

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

CERTIFICATION DATA REPORT

WEIGHT 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

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 3/22/2023. 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.

/s/ Rhonda Sparks 3/16/2023 /s/ Malvin Doinog 3/22/2023

DD FORM 1423-1, FEB 2001

D0011AD

D001

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 thus burden estimate or any other aspect of this collection o f 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 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

CERTIFICATE OF COMPLIANCE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-81356A 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

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 3/22/2023. 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

/s/ Rhonda Sparks 3/13/2023 /s/ Malvin Doinog 3/13/2023

E0011AE

E001

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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___NDTI/MISC_________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

WELD REPAIR CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

n/a Draft

Final

Reg Repro

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 3/22/2023. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 – Submit documentation per DI-NDTI-80809B stating weld repairs performed.

Block 12 – Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

N4523A 0 1 0

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

WELD REPAIR CERTIFICATE OF COMPLIANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16 14. DISTRIBUTION

a. ADDRESSEE b. COPIES

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 3/22/2023. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Weld Repair Certificate of Compliance when No Weld Repairs were required. Stating the fact that No Weld Repairs were required.

Block 12 – Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document no.: 3044-0185

N4523A 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

/S/ Rhonda Sparks

H. DATE

3/22/2023

I. APPROVED BY

/S/Malvin Doinog

J. DATE

3/14/2023

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

N/A

F0011AF

F001

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 thus burden estimate or any other aspect of this collection o f 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 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

CERTIFICATION/DATA REPORT

MILESTONE/SCHEDULE

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

Block 4: Tailored to allow the vendor to only provide: 2, 3, 7, 4, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 3/22/2023. 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

/s/ Rhonda Sparks 3/13/2023 /s/ Malvin Doinog

3/13/2023

G0011AG

G001

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

SAFT

SAFETY DATA SHEET (SDS) REPORT PAINT INFORMATION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SAFT-82112 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 Repro

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 3/22/2023. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

/s/ Rhonda Sparks 3/16/2023 /s/ Malvin Doinog 3/22/2023

DD FORM 1423-1, FEB 2001

0011AH

H001

H

SEE BLOCK 16
N4523A
30440185 cdrl 2.pdf
SEE BLOCK 16
N4523A
30440185 cdrl 3.pdf
SEE BLOCK 16
N4523A
30440185 cdrl 5.pdf
SEE BLOCK 16
N4523A
30440185 cdrl 6.pdf
SEE BLOCK 16
N4523A

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