A002.pdf

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Production Support: Forklift Drivers
Solicitation number
N4215826RS005
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This document is a Contract Data Requirements List (CDRL) for an IKE Forklift Driver position at Norfolk Naval Shipyard. The CDRL (Data Item No. A002) requires a Certification Data Report focused on personnel qualifications and training records. The report must be submitted electronically and include specific details for each employee: name, trade, qualifications, and qualification expiration date. Submission requirements include an initial report two weeks before task order start, subsequent weekly submissions until 100% manning is achieved, and final submission upon task order completion. Distribution is authorized to U.S. Government agencies and their contractors, with additional requests to be referred to Norfolk Naval Shipyard in Portsmouth, VA. The document is dated 23 September 2025 and specifies reporting in accordance with Performance Work Statement (PWS) Paragraphs 4.1.1.7 and 5.7.

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CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) Form Approved 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

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

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

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL ▬▬▬▬►

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

Report shall be limited to the following information:

1. Employee name

2. Trade

3. Qualifications

4. Qualification expiration date

Block 9: DISTRIBUTION C. Distribution authorized to U.S.

Government agencies and their contractors [controlling DOD office] [23 September 2025]. Other requests for this document shall be referred to the Norfolk Naval Shipyard, Portsmouth, VA.

BLOCK 10: As required due to personnel replacement.

BLOCK 11: Last submission upon completion of Task Order.

BLOCK 12: First submission shall begin two weeks prior to start of task order.

BLOCK 13: Subsequent submissions shall be delivered each week until 100% Manning is achieved and as required due to replacement of personnel.

BLOCK 14: Media requirement. The report shall be submitted electronically

A MISC

IKE Forklift Driver TBD

A002 Certification Data Report QUALIFICATIONS/ TRAINING RECORD

NNSY C900R AND C452

LT

N/A C SEE BLK 16 SEE BLK 16

NNSY TPOC

NNSY COR

NNSY C452

ANNLY ASREQ

PWS Para 4.1.1.7 and 5.7

09232025

A CONTRACT LINE ITEM NO:
B EXHIBIT:
D SYSTEMITEM:
E CONTRACTPR NO:
F CONTRACTOR:
1 DATA ITEM NO:
2 TITLE OF DATA ITEM:
3 SUBTITLE:
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No:
5 CONTRACT REFERENCE:
6 REQUIRING OFFICE:
7 DD 250 REQ:
8 APP CODE:
9 DIST STATEMENT REQUIRED:
10 FREQUENCY:
12 DATE OF FIRST SUBMISSION:
11 AS OF DATE:
H DATE:
a ADDRESSEE16 REMARKS:
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Draft15 TOTAL:
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J DATE:
18 ESTIMATED TOTAL PRICE:
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Pages:
Page: 1
2025-09-23T10:42:31-0400
SHUNK.JEFFREY.LYNN.1079397900
13 DATE IF SUBSEQUENT SUBM:
Remarks:
C CATEGORY TDP TM OTHER:
TM:
TDP:

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