A001 CDRL Asbestos - MC-4C Alignment Sleeve Retainer-PN PHD38999_31FE20-9July24.pdf

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Attached to
OEM ITT Cannon Alignment Sleeve Retainers for MQ-4C USN and RAAF
Solicitation number
N6833524Q0874
Issued by

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This document is a Contract Data Requirements List (CDRL) that specifies the requirement for an Asbestos Containing Material Certification for the MC-4C Alignment Sleeve Retainer, P/N PHD38999/31FE20. The CDRL requires the contractor to submit the certification as requested, with delivery instructions to email the certification to specific Navy personnel. It references the relevant Statement of Work paragraph.

The related federal contract opportunity is for the procurement of Original Equipment Manufacturer (OEM) ITT Cannon Alignment Sleeve Retainers, P/N: PHD38999/31FE20 for the MQ-4C Unmanned Air Systems Program, United States Navy (USN) and Royal Australian Air Force (RAAF) Aircraft. This is a 100% Total Small Business Set-Aside solicitation, anticipated to result in a single award Firm Fixed-Price Purchase Order. The solicitation has been amended to update the issue date to 15 August 2024 and the quotation submission deadline to 30 August 2024.

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DD FORM 1423-1, JUN 09 PREVIOUS EDITIONS ARE OBSOLETE PAGE (1) OF (1) 10 June 2009 CONTRACT DATA REQUIREMENTS LIST (1 Data Item) FORM APPRVD 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 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 HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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.

TBD

B. Exhibit

A

C. Category: TDP ( ) TM( ) Other ( XX )

D. System/Item MC-4C Alignment Sleeve Retainer – P/N

PHD38999/31FE20

E. Contract/PR No.

F. Contractor

1. Data Item No.

A001

2. Title of Data Item Asbestos Containing Material Certification

3. Subtitle

N/A

4. Authority (Data ID No.)

DI-SESS-80640D, See Block 16

5. Contract Reference SOW Para. 3.1

6. Requiring Office

NAVAIR LKE, UAS SE BR, BL24100

7. DD 250 REQ LT 9. Dist.

Statement Req.

D

10. Frequency

AS REQ

12. Date of first submission

AS REQ

14. Distribution

See Block 16

8. APPCODE

A-See Block 16

See Block 16 11. As of Date

AS REQ

13. Date of Subsequent Submission

AS REQ

Address D r a ft

Reg R e p r

16. Remarks elizabeth.a.reid16.civ@us.navy.

mil

Rober.m.hull30.civ@us.navy.mil 1

Block 4: Request for Asbestos Containing Material Certification shall be submitted IAW this CDRL and section 3.1.2 of the Statement of Work (SOW). MIL-HDBK-61 referenced in the Data Item Description (DID) associated with this CDRL is for guidance only.

Jeffery.a.glines.civ@us.nvay.mil

Block 8: Government approval/disapproval shall be provided 30 days after receipt.

Block 14: Delivery Media: Distribution of data shall conform to Electronic Media

Compatible with MS Word, MS-Excel or PDF. Asbestos Containing Material Certification shall be emailed to the following individuals:

Elizabeth (Lizzy) Reid: elizabeth.a.reid16.civ@us.navy.mil Robert Hull at robert.m.hull30.civ@us.navy.mil Jeffery Glines at jeffery.a.glines.civ@us.navy.mil

TOTAL 3

G.Prepared By

Jennifer Etri

H. Date I. Approved By

Adam Smiga

J. Date

17. Price Group 18. Estimated Total Price:

mailto:elizabeth.a.reid16.civ@us.navy.mil mailto:elizabeth.a.reid16.civ@us.navy.mil mailto:Rober.m.hull30.civ@us.navy.mil mailto:Jeffery.a.glines.civ@us.nvay.mil mailto:elizabeth.a.reid16.civ@us.navy.mil mailto:robert.m.hull30.civ@us.navy.mil mailto:jeffery.a.glines.civ@us.navy.mil

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