5016Q315 EXHIBIT A 1 IN X 85 FT LG HOSE ASS 967 TC.pdf

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ONE (1) INCH REINFORCED RUBBER HOSE ASSEMBLY WITH FEMALE
Solicitation number
N390405016Q315
Issued by

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This is a DD Form 1423 Contract Data Requirements List (CDRL) for an 85-foot hose assembly contract, dated January 22, 2025. The document specifies requirements for a Certificate of Hydrostatic Test (sequence number A001) that must be submitted with the material delivery. The technical office reference is 2310.3, with a one-time submission frequency requirement. Distribution is specified as 410 via mail with no DD Form 250 required.

This CDRL is part of solicitation N390405016Q315 for the Portsmouth Naval Shipyard, which seeks one-inch reinforced rubber hose assemblies with female CRES camlock crimped fittings. The overall contract is a total small business set-aside under NAICS 332912, with quotes due February 28, 2025 at 11:59 PM EST and delivery required by April 25, 2025. The solicitation is for 3 hose assemblies plus one set of CDRLs, with FOB destination pricing required.

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File Type Posted
5016Q315 Combined Synopsis Solicitation Template.pdf PDF
5016Q315 ATTACH 1 to EX A 1 IN X 85 FT LG HOSE ASS 967 TC.pdf PDF
5016Q315 1 IN X 85 FT LG HOSE ASS 967 TC.docx1.pdf PDF

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CONTRACT _________________

PRINTED 22 JANUARY 2025 PAGE________

EXHIBIT A

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

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM: HOSE ASSEMBLY, 85FT CATEGORY ____________

ITEM NO CONTRACTOR

01 SEQ NO A001

02 DATA DESC CERTIFICATE OF HYDROSTATIC TEST

03 SUBTITLE

04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A

05 CONTRACT REF PARA. C.2.1

06 TECH OFFICE 2310.3

07 DD 250 REQ DD

08 APP CODE

09 IAC INPUT

10 FREQUENCY O-TIME

11 AS OF DATE

12 DATE 1ST SUBM WITH MATERIAL

13 DATE SUB SUBM

14 DISTRIBUTION 410 __/ 0 VIA MAIL (N0 DD 250 REQD)

15 TOTAL __

16 REMARKS

SEQ. NO. A001

PREPARED BY ________________________________________________

DATE__________________

APPROVED BY ________________________________________________

DATE__________________

DD FORM 1423

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