A002 General Incident LFI Strips.pdf

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Manufacturing of LFI Strips
Solicitation number
W911SR-23-R-0005
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This document contains a Contract Data Requirements List (CDRL) for reporting production or delivery problems related to a federal contract. The CDRL requires the contractor to report any incidents to the government that could result in program, production, or delivery delays within one day by telephone and provide a written report within three business days. The written reports are to be submitted via email in Microsoft Office format to two specified government recipients. The CDRL does not include pricing or quantity information.

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT:
TDP:
TM:
OTHER: x
DSYSTEMITEM:
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
1_DATA_ITEM_NO: A002
2_TITLE_OF_DATA_ITEM: Report, Production or Delivery Problem(s)
3_SUBTITLE: General Incident Report
4_AUTHORITY_Data_Acquisit: DI-MGMT-81178
5_CONTRACT_REFERENCE:
6_REQUIRING_OFFICE: JPL CBRND EB-DBPAO
7_DID_250_REQ:
8_APP_CODE:
DIST_STATEMENT:
10_FREQUENCY: ASREQ
11_AS_OF_DATE:
12_DATE_OF_FIRST_SUBMISSI: see blk 16
13_DATE_OF_SUBSEQUENT_SUB:
addressee1: See address in
draft1:
reg1:
repro1:
addressee2: blk 16
draft2:
reg2:
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reg38x:
repro38:
total_draft: 0
total_repro: 0
16_REMARKS: Blk 4. DIDs can be obtained from https://quicksearch.dla.mil/qsSearch.aspx.

Blk 10. and Blk 12. The Contractor shall report any incident to the Government that could result in a program, production, or delivery delay (refer to paragraph 3.2 of DID for examples). Telephonically contact the Government within one day of incident. A written report shall be submitted within three business days of an incident.

Blk 14. and Blk 15. Submit via e-mail in Microsoft Office format to:

lsusan.e.ruzicka2.civ@army.mil and bryan.d.necciai.civ@army.mil

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE: 1/6/2023
1_APPROVED_BY:
J_DATE:
Page:
of_pages:
Reset:
reg38t: 0
2023-01-06T14:07:39-0500
REDMOND.BRADY.WAYNE.1280051590

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