A04_CDRL_A001.pdf

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SOLE SOURCE KG-204
Solicitation number
N0016426Q0271
Issued by

About this file

This is a DD Form 1423-1, Contract Data Requirements List (CDRL), a federal contracting form used to specify data deliverables required from a contractor.

The form documents a single data item requirement (A001) for General Dynamics under contract KG-204 DARE with the Naval Air Systems Command (NSWC Crane Code MXPP). The required deliverable is a Certificate of Compliance, categorized as miscellaneous data, with authority derived from DI-MISC-81356A and SOW paragraphs 3.1 and 3.2. The submission frequency is As-Required (ASREQ), with no specific initial or subsequent submission dates specified. The data item must be submitted as a hard copy along with one copy in electronic format (Microsoft Word, Excel, or Adobe PDF) to zachary.l.stoll.civ@us.navy.mil, unless the data is classified or confidential. The Certificate of Compliance is required with each procured and repaired asset. The form notes that electronic submissions must be compatible with Microsoft Office, and all deliverables must comply with DoD Distribution Statement D marking requirements per DoD 5230.24. Export control restrictions apply per the Arms Export Control Act and Export Administration Act, with violations subject to severe criminal penalties. The estimated total price and price group fields are not populated.

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A04_SOW_Final.docx DOCX document
A04_APPENDIX-F---MATERIAL-INSPECTION-AND-RECEIVING-REPORT (1).pdf PDF
CJA_Redacted.pdf PDF
C07_Synopsis.docx DOCX document
A04_CDRL_A002.pdf PDF
C07_RFQ_N0016426Q0271.pdf PDF

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Text version

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER

Form Approved OMB No. 0704-0188

15. TOTAL

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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. 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

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

DIST

22202-4302.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: Certificate of Compliance
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-MISC-81356A
5_CONTRACT_REFERENCE: SOW Para 3.1, 3.2
6_REQUIRING_OFFICE: NSWC Crane Code MXPP
7_DID_250_REQ: LT
8_APP_CODE: N/A
10_FREQUENCY: ASREQ
12_DATE_OF_FIRST_SUBMISSI: ASREQ
13_DATE_OF_SUBSEQUENT_SUB: N/A
DIST_STATEMENT: See Block 16
11_AS_OF_DATE: N/A
addressee1: See Block 16
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16_REMARKS: Block 4: DI-MISC-81356A Electronic submissions shall be compatible with Microsoft Office

Block 9: Distribution Statement: The contractor shall mark deliverables in accordance with (IAW) DoDI 5230.24, Distribution Statements and Technical Documents and Supplement 1; "DISTRIBUTION STATEMENT D for Administrative or Operational Use (date of determination - to be provided by the contractor). Other requests shall be referred to Naval Air Systems Command (PMA-262)." For deliverables in which an Export Control Warning label applies, the Contractor shall mark IAW with DoDI 5230.24, Distribution Statements and Technical Documents and Supplement 1.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 as amended Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DOD 5220.22-M, Industrial Security Manual, Section 11-19 or DOD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or

Block 10 and 12: The Contractor shall submit a Certificate of Compliance with each procured and repaired asset.

Block 14: Data Deliverable shall be submitted as a hard copy with the delivery of asset and submitted in electronic media, utilizing Microsoft Word, Microsoft Excel, and/or Adobe PDF Format to the following addresses, unless the data is confidential or classified:

Block 14, e-mail to:

zachary.l.stoll.civ@us.navy.mil

A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A
TDP:
TM:
OTHER: MISC
DSYSTEMITEM: KG-204 DARE
E_CONTRACTPR_NO:
FCONTRACTOR: General Dynamics
of_pages: 1
Reset:
ADN:
send_to:
17_1:
17_b:
17_c:
17_d:
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
2023-11-30T08:24:48-0500
STOLL.ZACHARY.LYNN.1602627485
H_DATE:
J_DATE:
Page: 1
reg38x:
reg38t: 1
title:

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