A8_CDRL_A001 Acceptance Test Report_KC_S.pdf

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SOLE SOURCE - RF Amplifier
Solicitation number
N0016425Q0601
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This document is a Contract Data Requirements List (CDRL) for a Test/Inspection Report with Test Data Sheets. The CDRL is associated with a sole source procurement by the Naval Surface Warfare Center (NSWC) Crane for RF Amplifiers from Kratos Microwave. Key details include:

The document specifies electronic submission of test data sheets for each asset delivered to NSWC Crane, with distribution restricted due to export control regulations. The data item (A001) requires test/inspection reports with accompanying test data sheets, to be submitted electronically and compatible with Microsoft Office. The distribution is limited to one copy to Kimberly Christenberry, with specific warning about export restrictions under the Arms Export Control Act and potential criminal penalties for unauthorized disclosure or reconstruction of the documents.

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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

A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A
TDP:
TM:
OTHER: X
DSYSTEMITEM: Code WXPS ALQ-161 and WXPS ALQ-184
E_CONTRACTPR_NO: TBD
FCONTRACTOR: Kratos Microwave
1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: Test/Inspection Report
3_SUBTITLE: Test Data Sheets
4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B
5_CONTRACT_REFERENCE: 4.2.1
6_REQUIRING_OFFICE: NSWC Crane Code WXPS
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: See Block 16
10_FREQUENCY: See Block 16
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See Block 16
13_DATE_OF_SUBSEQUENT_SUB: N/A
addressee1: Kimberly Christenberry
draft1: 0
reg1: 1
repro1: 0
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16_REMARKS: Block 4 - DI-NDTI-80809B - Electronic Submittals shall be electronic file submittals and shall be compatible with Microsoft Office.

Block 9 - DISTRIBUTION STATEMENT D APPLIES - "Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751 et sea), or Executive Order 12470. Violation of these export laws are subject to severe criminal Penalties." "Destruction Notice - For classified documents, follow the Procedures in DOD 5200.22-M, Industrial Security 11-19 or DOD 5200-1-R, Information Security Program Regulation, Chapter 1X. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document."

Block 10/12 - The Contractor shall submit a test data sheet with each asset delivered to NSWC, Crane, IN.

Block 14 - Kimberly Christenberry, kimberly.k.christenberry.civ@us.navy.mil, 812-854-3326.

Commander NAVSURFWARCENDIV Crane 300 Highway 361 Crane, IN 47522-5001 Attn: Kimberly Christenberry, Code WXPM, Bldg 3168 kimberly.k.christenberry.civ@us.navy.mil

title:
ADN:
send_to:
H_DATE:
J_DATE:
reg38t: 1
17_1:
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17_c:
17_d:
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
Page:
of_pages:
Reset:
2025-01-15T14:37:34-0500
CHRISTENBERRY.KIMBERLY.K.1230298404
2025-02-26T13:45:07-0500
WAGLER.MAKAYLA.S.1374762229

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