Attachment 0003- CDRLs- Gymnasticator WVA Specification 06-22-3419.docx

DD FORM 1423-E, APR 00 PAGE 1 OF 1

CONTRACT DATA REQUIREMENTS LIST Form Approval OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 440 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 these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO......: A001

2. TITLE OF DATA ITEM: Equipment Technical Manual (Sanitized)

3. SUBTITLE..........: Instructions for the Maintenance and Adjustment of Equipment Components.

4. AUTHORITY.........: DI-TMSS-81675

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.5, contractor format is authorized.

1. DATA ITEM NO......: A002

2. TITLE OF DATA ITEM: Plates and Tags for Identification of Equipment, General Specification For

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

1. DATA ITEM NO......: A003

2. TITLE OF DATA ITEM: Certification Data Report

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.9.5, contractor format is authorized.

1. DATA ITEM NO......: A004

2. TITLE OF DATA ITEM: Material Safety Data, Transportation Data and Disposal Data for Hazardous Materials Furnished to Government Activities

3. SUBTITLE..........: Material Safety Data Sheets

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: Proposal Submission

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Copies of the Material Safety Data Sheets shall be submitted with the solicitation proposal.

Inclusive of the items in section 3.9.6, contractor format is authorized.

1. DATA ITEM NO......: A005

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Lead Free and Chromium Free Paint Certification

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.9.7, contractor format is authorized.

1. DATA ITEM NO......: A006

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: PCB Free Certification

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.9.8, contractor format is authorized.

1. DATA ITEM NO......: A007

2. TITLE OF DATA ITEM: Equipment Technical Manual (Sanitized)

3. SUBTITLE..........: Lockout/Tagout Procedures

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.9.9, C.3.12 contractor format is authorized.

Information shall be incorporated into the maintenance manual.

1. DATA ITEM NO......: A008

2. TITLE OF DATA ITEM: Plates and Tags for Identification of Equipment, General Specification For

3. SUBTITLE..........: Operator’s Workstation Data Plate

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

1. DATA ITEM NO......: A009

2. TITLE OF DATA ITEM: Certification Data Report

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Proposal Submission

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

1. DATA ITEM NO......: A010

2. TITLE OF DATA ITEM: Plates and Tags for Identification of Equipment, General Specification For

3. SUBTITLE..........: Lubrication Plate

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Lubrication plate shall be provided with machine at time of machine delivery.

1. DATA ITEM NO......: A011

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: List of Lubricants, Hydraulic Fluids, Oils and Coolants

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: 30 Calendar Days Prior to Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.14.2, contractor format is authorized.

1. DATA ITEM NO......: A012

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: List of Standard Paint Colors Supplied by Contractor

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: No Later Than 30 Days After Contract Award.

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.16, contractor format is authorized.

1. DATA ITEM NO......: A013

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Foundation Drawings, Standard or Special

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: 30 Calendar Days Prior to Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Foundation Drawings shall be delivered 30 calendar days prior to delivery of machine. One hardcopy and one AutoCAD electronic copy shall be delivered.

1. DATA ITEM NO......: A014

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Machine and Equipment Floor Plan

4. AUTHORITY.........: DI-MISC-82386

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: Upon Proposal Submission

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.20.2, contractor format is authorized. One copy shall be a hardcopy and the other shall be an AutoCAD electronic copy.

1. DATA ITEM NO......: A015

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Catalog of Standard Tooling and Accessories

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: 30 Calendar Days After Contract Award

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.3, contractor format is authorized. Both copies shall be hardcopies.

1. DATA ITEM NO......: A016

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Drawings and Specifications for Non-Standard (Special Tooling and Accessories

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.4, contractor format is authorized. One copy shall be a hardcopy and the other shall be an AutoCAD electronic copy.

1. DATA ITEM NO......: A017

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Installation Instructions and Drawings

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: 60 Calendar Days Prior to Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.5, contractor format is authorized. One copy shall be a hardcopy and the other shall be an AutoCAD electronic copy.

1. DATA ITEM NO......: A018

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Lubrication Diagram and Instructions

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.6, contractor format is authorized. One copy shall be in hardcopy format and the other shall be an AutoCAD electronic copy.

1. DATA ITEM NO......: A019

2. TITLE OF DATA ITEM: Equipment Technical Manual (Sanitized)

3. SUBTITLE..........: Operating Instructions

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 4

16. REMARKS:

Inclusive of the items in section 3.20.7, contractor format is authorized. The four copies shall be in hardcopy format.

1. DATA ITEM NO......: A020

2. TITLE OF DATA ITEM: Equipment Technical Manual (Sanitized)

3. SUBTITLE..........: Maintenance and Troubleshooting Instructions

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 4

16. REMARKS:

Inclusive of the items in section 3.20.8, contractor format is authorized. Two copies shall be in hardcopy format and the other two shall be electronic copies (CDs).

1. DATA ITEM NO......: A021

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Electronic and Hydraulic Schematics

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: No Later Than 90 Calendar Days After Contract Award.

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.9, contractor format is authorized. One copy shall be in hardcopy format and the other shall be an electronic copy (CD).

1. DATA ITEM NO......: A022

2. TITLE OF DATA ITEM: Spares Cataloging Data Sheets

3. SUBTITLE..........: Repair Parts Catalog

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.10, contractor format is authorized. The contractor shall deliver two hardcopies and one electronic copy of the Repair Parts Catalog.

1. DATA ITEM NO......: A023

2. TITLE OF DATA ITEM: Equipment Technical Manual (Sanitized)

3. SUBTITLE..........: Program Manuals

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.11, contractor format is authorized. One copy shall be a hardcopy and one copy shall be an electronic copy (CD).

1. DATA ITEM NO......: A024

2. TITLE OF DATA ITEM: Computer Software Product End Items

3. SUBTITLE..........: Software Documentation

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: No Later Than 30 Calendar Days After Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.20.12, contractor format is authorized. One copy shall be a hardcopy and one copy shall be an electronic copy (CD). One copy of the system memory backup (S-Ram) shall be provided on compact flash drive at startup of machine.

1. DATA ITEM NO......: A025

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Training

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: Proposal Submission

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.21, contractor format is authorized. Training schedule shall show the hours of training for each person under their assigned category.

1. DATA ITEM NO......: A026

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Repair/Replacement Parts and Service Data

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: ASREQ

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 3.22, contractor format is authorized.

1. DATA ITEM NO......: A027

2. TITLE OF DATA ITEM: Spares Cataloging Data Sheets

3. SUBTITLE..........: List of Recommended Spare Machine Parts

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 2

16. REMARKS:

Inclusive of the items in section 3.22, contractor format is authorized. The contractor shall deliver two hardcopies and one electronic copy of the List of Recommended Spare Parts.

1. DATA ITEM NO......: A028

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Contractor Personnel Rigging Qualifications

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ASREQ

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: ASREQ

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: N/A

16. REMARKS:

Any contractor personnel operating forklifts on Government facilities shall provide valid forklift licenses.

1. DATA ITEM NO......: A029

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Certification of Completeness

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: 14 Calendar Days Prior to Scheduled Preliminary Testing

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 6.1.1, contractor format is authorized.

1. DATA ITEM NO......: A030

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Notification of Readiness for Preliminary Acceptance Inspection

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: 14 Calendar Days Prior to Scheduled Preliminary Testing

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 7.2, contractor format is authorized. X

1. DATA ITEM NO......: A031

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Manufacturer’s Certification of Completeness

4. AUTHORITY.........: DI-MISC-82386

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: With Delivery of Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in section 7.3.1, contractor format is authorized. X

1. DATA ITEM NO......: A032

2. TITLE OF DATA ITEM: Warranty Performance Report

3. SUBTITLE..........: Warranty

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: One Time

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: Upon Final Acceptance of the Machine

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Warranty shall commence for two years upon final acceptance of the machine. X

1. DATA ITEM NO......: A033

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Federal, State, and Local Environmental Law and Regulation Licenses and Certifications

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: Contract Award Date

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

1. DATA ITEM NO......: A034

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Analytical Results of Wastewater Samples

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: No Later Than 24 Hours After Results Are Available

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in paragraph 12A of Attachment D, contractor format is authorized.

1. DATA ITEM NO......: A035

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Hazardous Waste Manifests

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: ASREQ

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in paragraph 12A of Attachment D, contractor format is authorized.

1. DATA ITEM NO......: A036

2. TITLE OF DATA ITEM: Certification Data Report

3. SUBTITLE..........: Disposal Receipts, Weight Slips, Recycling Receipts

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: No Later Than 24 Hours After Receipt By Contractor

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

1. DATA ITEM NO......: A037

2. TITLE OF DATA ITEM:

3. SUBTITLE..........: Hazardous Material Inventory

4. AUTHORITY.........:

9. DIST. STMT. REQD..: A

10. FREQUENCY.........: ONE/R

11. AS OF DATE........: Contract Award Date

12. DATE OF FIRST SUB.: 30 Calendar Days Prior to Commencement of Work

13. DATE OF SUBS. SUB.: ASREQ

15. TOTAL: 1

16. REMARKS:

Inclusive of the items in paragraph 13 of Attachment D, contractor format is authorized.