Attachment 0003 - CDRL NW end 299 Electrical.pdf

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

18-3-02 Electrical for B299 Zone-6

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Initial Design Drawings

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 this information in electronic and paper format with 120-days of the award of the contract (sooner is acceptable).

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

The contractor will provide drawings of the planned equipment (including make/models of major items) and will identify specific locations and capacities of equipment. If equipment requires description that would be inconvenient for being place on a drawing, a MS Word document can be used for the description with correlating marking on the drawings.

These drawings will be reviewed by the Garrison Public Works prior to allowing work to begin.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-IFF

Dave Holgorsen Bldg 220-B-D28 Rock Island, IL 61299-6400

15. TOTAL

G. PREPARED BY

Bradley D. Niles

H. DATE

21-Apr-2021

I. APPROVED BY

J. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 2 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 instructi ons, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inf ormation. 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 c ompleted 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

18-3-02 Electrical for B299 Zone-6

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

“As-Built” Drawings and Data

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

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 this information in electronic and paper format with 60-days of the award of the contract (sooner is acceptable).

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

The contractor will provide “As-Built” drawings of the project as actually executed. This will include makes/models of all major items and will identify specific locations and capacities of equipment. If equipment requires description that would be inconvenient for being place on a drawing, a MS Word document can be used for the description with correlating marking on the drawings. Details regarding any concrete work will be included (e.g. size, thickness, psi rating and any reinforcement).

Cut sheets will be included for all major equipment items.

These drawings will be provided to the Garrison Public Works to allow them to update their infrastructure drawings and to allow them to maintain the equipment.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-IFF

Dave Holgorsen Bldg 220-B-D28 Rock Island, IL 61299-6400

15. TOTAL

G. PREPARED BY

Bradley D. Niles

H. DATE

21-Apr-2021

I. APPROVED BY

J. DATE