A04 DD Form 1423 - A002 Shock Test Procedure rev1_SR-signed.pdf
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- Solicitation number
- N0016724Q0043
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This document package includes a Contract Data Requirements List (DD Form 1423) and a related federal contract solicitation. The DD Form 1423 outlines requirements for a Shock Test Procedure data item to be delivered under the contract. It requires an initial draft procedure within 180 days of award and allows 90 days for government comments before the final is due 60 days later. Distribution is limited to the U.S. Government and contractors. The related solicitation seeks vibration, shock, and EMI testing services for a Navy Ballast Water Treatment System. Testing will be conducted in accordance with MIL standards at Naval Surface Warfare Center Carderock Division to a firm fixed price. The incumbent contractor will perform the environmental testing and deliver test reports.
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Text version
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 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
| data_item: A002 |
| title: High Impact Shock Test Procedures |
| sub: Shock Test Procedure |
| auth: DI-ENVR-80709A |
| ref: PWS Section |
| req_ofc: NSWCCD Code 633 |
| dd250: LT |
| appcode: A |
| dist: C |
| freq: R/ASR |
| asof: N/A |
| firstsub: ASREQ |
| subsub: ASREQ |
| addressee1: TA |
| draft1: 1 |
| reg1: 1 |
| repro1: 0 |
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| total_repro: 0 |
| remarks: BLOCK 8: The Government will provide comments on the draft Shock Test Procedure no later than 90 days after receipt of draft. The contractor shall incorporate comments and submit the final report no later than 60 days after the receipt of comments. |
BLOCK 9: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors only; Administrative or Operational Use; Month Year. Other requests for this document shall be referred to the NAVSEA Wet Environmental Systems and Discharges Technical Warrant Holder (SEA 05P5), Washington Navy Yard, DC 20376-5173.
BLOCK 12: Initial draft Shock Test Procedure shall be submitted within 180 days after contract award.
BLOCK 14: Media Requirement: The draft report shall be submitted electronically in the Microsoft Word 2016 format. The final report shall be submitted electronically in Microsoft Word 2016 format and in Adobe PDF format. Reports shall be submitted electronically.
| group: | |
| total_price: | |
| prep_name: Sheila Riggs | |
| prep_date: 10/16/2023 | |
| app_by: Connie Hall | |
| app_date: 10/16/2023 | |
| Page: | |
| app: Adobe Professional 7.0 | |
| line_item: TBD | |
| exhibit: TBD | |
| xtdp: Off | |
| xtm: Off | |
| othercat: MISC | |
| system: BWTS /Shock Testing | |
| ctr_no: TBD | |
| contr: TBD | |
| of_pages: | |
| Reset: | |
| 2023-10-16T12:19:12-0400 | |
| RIGGS.SHEILA.B.1229365530 |
| 2023-10-17T10:05:54-0400 | |
| HALL.CONNIE.A.1229341851 |
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