Attachment 0002 Contract Data Requirements List.pdf

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 5 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T (1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

D. SYSTEM/ITEM

25-3-08 Free-Standing Cranes

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Equipment Characteristics

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information for each contract line item in electronic format no later than 30-calendar-days after award of the contract. The contractor shall provide this information in electronic format using Microsoft Excel format.

The specific data required is:

Manufacturer Name:

Supplier Name:

Manufacturer Model Number:

Manufacturer Serial Number:

Equipment Weight (when operational without payload):

Overall Size/Dimensions:

Max. Payload Capacity:

Span Length:

Trolley/Hoist Travel:

Hook Saddle Height from Floor (min/max):

15. TOTAL

G. PREPARED BY

Bradley D. Niles

H. DATE

04-Feb-2025

I. APPROVED BY

J. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 5 Pages

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Footprint Drawing

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information in electronic format a minimum of 60-calendar-days prior to delivery of equipment.

The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and Microsoft Word (.doc).

A dimensioned drawing shall be provided to accurately depict the layout of system, showing contours. It shall be fully dimensioned and include net operating clearance for moving components which travel beyond the gross contour. The drawing shall distinguish between the base of the equipment at floor level and the gross contour where it may overhang the base. Location of access doors for servicing of the equipment shall also be designated.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-LGC

Drew Canada 2744 Rodman Ave (B220-B-D28) Rock Island, IL 61299-6400

Bradley D. Niles

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 5 Pages

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Installation Drawing

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information in electronic format a minimum of 60-calendar-days prior to delivery of equipment.

The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and Microsoft Word (.doc).

This drawing may be combined with either the Foundation Drawing or the Footprint Drawing, providing clarity is maintained. This drawing will provide location dimensions for anchor bolts including both the anchor bolt size and height of anchor bolt concrete surfaces clearly shown.

Dimensions will be from a common baseline, not chain dimensions. This is to prevent tolerance stack-up errors. Locations of the first connection points for all required power sources shall be shown and dimensioned.

Approximate gross weight of each separate component shall be indicated.

This drawing shall show capacity requirements at each utility point of first connection.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-LGC

Drew Canada

Bradley D. Niles

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 4 of 5 Pages

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Electrical Schematic

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information in electronic format a minimum of 60-calendar-days prior to delivery of equipment.

The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and Microsoft Word (.doc).

The equipment includes this type of utility and a complete system schematic is required. The capacity required at the point of first connection must be clearly stated.

ATTN: TARA-LGC

Drew Canada

Bradley D. Niles

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 5 of 5 Pages

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Maintenance Manual

3. SUBTITLE

Safety Lockout Procedure

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (3) copies of this manual/information with delivery of the equipment. Of these, (2) will be paper, and (1) shall be electronic. Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and Microsoft Word (.doc).

This shall be a written procedure describing safe machine shutdown and the sequence by which lockout devices, and if necessary, line blocks and other restraints are affixed and removed prior to maintenance and service.

This may include drawings or photographs for clarity.

ATTN: TARA-LGC

Drew Canada

Bradley D. Niles

H. DATE