ALL CDRLs.pdf

PDF 259 KB Posted

Attached to
BALANCE MACHINE
Solicitation number
SPMYM226Q7922
Issued by

About this file

This document is a Contract Data Requirements List (DD Form 1423-1) containing five data items required for a balancing machine contract with the Navy at Puget Sound Naval Shipyard (PSNS).

The five required data items are: (1) Acceptance Test Report (ATR) containing test data results, with one final copy required to be submitted with the machine; (2) Site Preparation Requirements and Installation Plan with Installation Drawings, requiring one final copy in PDF format including facility modification proposals, design plans, engineering drawings, and specifications; (3) Equipment Technical Manual (Sanitized) O&M Manuals, requiring three hard copies and one electronic copy to be provided with the machine; (4) Certification Data Report containing NRTL Field Evaluation Certification Report, requiring one final copy tailored to provide specific vendor requirements including actual values and material traceability; and (5) Warranty Performance Report containing Warranty Documentation, requiring one final copy tailored to specific warranty provisions. All submissions must be attached to the Wide Area Workflow (WAWF) e-Business Suite with acceptance/rejection accomplished concurrent with material receipt and not prior to shipment. All data items carry Distribution Statement D, limiting distribution to DoD and DoD contractors only, effective 9/3/2026, with other requests referred to COMNAVSEASYSCOM. The primary points of contact are Benson Galicinao (360-476-3690) and Garvey Yasuda (564-252-4468) at PSNS, with the reference document number 6128-6443.

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

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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:

0002AA A TDP TM OTHER

QCIC

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

BALANCING MACHINE TBD TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A001 ACCEPTANCE TEST REPORT (ATR) TEST DATA RESULTS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-QCIC-81891 PER CONTRACT PARA 6.4 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 9/3/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 5 The Contractor shall submit written test reports of all tests conducted at origin and destination IAW paragraph 6.4.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Ref. Document No.: 6128-6443 TECH DATA

PSNS PRIMARY POC

Benson Galicinao PH: (360) 476-3690, Email: benson.k.galicinao.civ@us.navy.mil Garvey Yasuda PH: (564) 252-4468, Email: garvey.s.yasuda.civ@us.navy.mil

15. Total 0

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

/s/ Ruben Arauz 9/3/2026 /s/ Daniel Francis 9/3/2026

DD FORM 1423-1, FEB 2001

Page 1 of 1 Pages

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:

0002AB B TDP TM OTHER

MGMT

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

BALANCING MACHINE TBD TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B001 Site Preparation Requirements and Installation Plan Installation Drawings

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80033A PER CONTRACT PARA 6-6.1.1 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 0 1

Block 4 - Tailored to allow vendor to provide only 2, 3, 4 (a, b, c, e, f, g, and i (2)).

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 9/3/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 5 The Contractor shall complete and submit one (1) PDF facility modification proposal including design and installation plans, engineering drawings, and specifications for PSNS & IMF facility IAW paragraphs 6 through 6.1.1

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document No.: TBD

0 1

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:

0002AC C TDP TM OTHER

TMSS

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

BALANCING MACHINE TBD TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

C001 EQUIPMENT TECHNICAL MANUAL (SANITIZED) O&M MANUALS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-TMSS-81675 PER CONTRACT PARA 6.3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

16. REMARKS N4523A 0 3 1

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 9/3/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 5 Three (3) hard copies and one (1) electronic copy of O&M Manuals shall be provided with the machine IAW paragraph 6.3.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document No.: TBD

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:

0002AD D TDP TM OTHER

MISC

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

BALANCING MACHINE TBD TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

D001 CERTIFICATION DATA REPORT

NRTL FIELD EVALUATION

CERTIFICATION REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-82386 PER CONTRACT PARA 6.2 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide requirements: 2, 3, 4-Provide actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings, 6, and 9.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 9/3/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

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:

0002AE E TDP TM OTHER

SESS

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

BALANCING MACHINE TBD TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

E001 WARRANTY PERFORMANCE REPORT WARRANTY DOCUMENTATION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-81639B PER CONTRACT PARA 6.5 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 4 - Tailored to allow vendor to provide only 3.1.1 (a, c, d, e), 3.1.2 (a, b, c, d, e, f, g, h, j, k, l, m).

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 9/3/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

SEE BLOCK 16
N4523A
CDRL Drawings.pdf
SEE BLOCK 16
N4523A
CDRL Drawings.pdf
SEE BLOCK 16
N4523A
CDRL Manuals.pdf
SEE BLOCK 16
N4523A
CDRL NRTL Report.pdf
SEE BLOCK 16
N4523A
CDRL Warranty.pdf
SEE BLOCK 16
N4523A

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