A8_CDRL A002_Cert_7.3.26_signed.pdf

PDF 268 KB Posted

Attached to
Pedestal Fixture Forging
Solicitation number
N0016726Q0011
Issued by

About this file

This is a DD Form 1423-1, Contract Data Requirements List (CDRL), a federal contracting document that specifies data deliverables required from a contractor. The form documents one data item requirement for a Pedestal Fixture Forging contract under the contract/PR number TBD with contractor TBD. The required data item is a Certificate of Conformance (CoC) with data item number A002, categorized as miscellaneous (MISC) rather than a Technical Data Package (TDP) or Technical Manual (TM).

The Certificate of Conformance is referenced to DI-MISC-81356A and tied to contract reference PWS 3.3, with the requiring office identified as NSWC Code 808. The submission frequency is marked as "OTIME" (on-time), with the first submission date and subsequent submission dates both marked as ASREQ (as required). The certification package must meet the requirements referenced in the Performance Work Statement (PWS). Distribution is authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use as of the contract award date, with content marked as controlled unclassified information (CUI) subject to Export Control Act restrictions and DoD Directive 5230.25. The data must be submitted electronically via DoD SAFE (Secure Access File Exchange) in Microsoft Office or PDF format with all fonts and images embedded. The document is categorized under Price Group NSP (Not Separately Priced) with no estimated cost shown, indicating this is likely a Group IV item requiring minimal contractor effort. The CDRL was prepared by Kelsey Arden, Code 653, and approved by Yara Zidan, Code 808, both dated 07/23/2026.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A002
title: Certificate of Conformance (CoC)
sub:
auth: DI-MISC-81356A
ref: PWS 3.3
req_ofc: NSWCCD Code 808
dd250: LT
appcode: N/A
dist: D
freq: OTIME
asof: N/A
firstsub: ASREQ*
subsub: ASREQ*
addressee1: TA
draft1:
reg1: 1
repro1: 0
addressee2:
draft2:
reg2:
repro2:
addressee3:
draft3:
reg3:
repro3:
addressee4:
draft4:
reg4:
repro4:
addressee5:
draft5:
reg5:
repro5:
addressee6:
draft6:
reg6:
repro6:
addressee7:
draft7:
reg7:
repro7:
addressee8:
draft8:
reg8:
repro8:
addressee9:
draft9:
reg9:
repro9:
addressee10:
draft10:
reg10:
repro10:
addressee11:
draft11:
reg11:
repro11:
addressee12:
draft12:
reg12:
repro12:
addressee13:
draft13:
reg13:
repro13:
addressee14:
draft14:
reg14:
repro14:
addressee15:
draft15:
reg15:
repro15:
addressee16:
draft16:
reg16:
repro16:
addressee17:
draft17:
reg17:
repro17:
addressee18:
draft18:
reg18:
repro18:
addressee19:
draft19:
reg19:
repro19:
addressee20:
draft20:
reg20:
repro20:
addressee21:
draft21:
reg21:
repro21:
addressee22:
draft22:
reg22:
repro22:
addressee23:
draft23:
reg23:
repro23:
addressee24:
draft24:
reg24:
repro24:
addressee25:
draft25:
reg25:
repro25:
addressee26:
draft26:
reg26:
repro26:
addressee27:
draft27:
reg27:
repro27:
addressee28:
draft28:
reg28:
repro28:
addressee29:
draft29:
reg29:
repro29:
addressee30:
draft30:
reg30:
repro30:
addressee31:
draft31:
reg31:
repro31:
addressee32:
draft32:
reg32:
repro32:
addressee33:
draft33:
reg33:
repro33:
addressee34:
draft34:
reg34:
repro34:
addressee35:
draft35:
reg35:
repro35:
addressee36:
draft36:
reg36:
repro36:
addressee37:
draft37:
reg37:
repro37:
addressee38:
draft38:
reg38x:
repro38:
total_draft: 0
total_reg: 1
total_repro: 0
remarks:

Block 4: Certification package shall meet the requirements of references invoked in the PWS.

Block 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use as of {insert Contract Award date}. Other requests shall be referred to the Advanced Propulsor Management Office, Code 808. Content includes controlled unclassified information (CUI) . Blk 14 addressees will protect CUI from unauthorized disclosure. The Contractor shall portion mark as "CUI" or may apply a standard contractor business confidential (proprietary) legend.

and-

Export Control Act (Title 22, U.S.C. Sec. 2751, et seq.) or Executive Order 12470 as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of DOD Directive 5230.25. Destruction Notice – Destroy by any method that will prevent disclosure of contents or reconstruction of the document."

Block 10, 12 and 13: Reports shall be generated when at preliminary data, interim data, and final data, as required by the contract.

BLOCK 10, 12,13: Report shall be submitted at end-item delivery/completion.

Block 14: Electronically distribute information to ALL addressees via DoD SAFE (Secure Access File Exchange) at https://safe.apps.mil/ and utilize the procedures for encryption prior to uploading. Report shall be in electronic format using Microsoft Office product(s) or Portable Document Format (pdf) suitable for reproduction, with all fonts and images embedded within the document.

group: NSP
total_price:
prep_name: Kelsey Arden, Code 653
line_item: TBD
exhibit: A
xtdp: Off
xtm: Off
othercat: MISC
system: PEDESTAL FIXTURE FORGING
ctr_no: TBD
contr: TBD
remarksb:
Page2:
Reset:
2026-07-23T12:58:26-0400
ARDEN.KELSEY.MARIE.1454351637
prep_date: 07/23/2026
app_by: Yara Zidan, Code 808
2026-07-23T11:28:18-0400
ZIDAN.YARA.M.1543122412
app_date: 7/23/2026
Page: 2
of_pages: 2
app: Adobe Professional 8.0

File details come from the government source that posted it. Updated .