Attachment 1 - CDRLs.pdf

PDF 106 KB Posted Jul 13, 2020

Attached to: TAHEF Systems: Coil FOrms, Sensor Caps, Cases, and Tranducers, and Levelwind Driveshaft
Solicitation number: N66604-20-Q-8093
Issued by: Department of the Navy Naval Sea Systems Command

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Other files

File	Type	Posted
Solicitation N66604-20-Q-8093.pdf	PDF	Jul 13, 2020
GFI 5.1 - VIR_W03476.pdf	PDF	Jul 13, 2020
Attachment 4 - 2VIR_W03404 for Levelwind Driveshaft.pdf	PDF	Jul 13, 2020
Attachment 2 - RIR_QAP_W03476_R1.pdf	PDF	Jul 13, 2020
Attachment 3 - VIR_W03476 Coil Forms.pdf	PDF	Jul 13, 2020

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CONTRACT DATA REQUIREMENTS LIST

(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 Service, 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

TDP_________ TM___________ OTHER xxxx

D. SYSTEM/ITEM

15 - TPU CASE, CAP, TRANSDUCER

E. CONTRACT / PR NO.

1300838865

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

PROCESS CERTIFICATION - WELD

PROCEDURE SPECIFICATION (WPS)

17. PRICE

GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW 4.0

6. REQUIRING OFFICE

NPT-15-NUWC

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

9. DIST STATEMNT

REQUIRED 10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

1 TIME SEE BLOCK 16 b. COPIES

8. APP CODE

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL

TECHNOLOGY; 000907. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE

REFERRED TO NUWC DIVISION NPT CODE 2531.

Block 10: Once

Block 12: Submit process certification data sheet upon completion of each delivered batch.

15. TOTAL

______> 0 1 0

G. PREPARED BY:

HODGE, RONALD F.

H. DATE

06/19/20

I. APPROVED BY

J. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 1 of 5 Pages

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP_________ TM___________ OTHER xxxx

D. SYSTEM/ITEM

15 - TPU CASE, CAP, TRANSDUCER

E. CONTRACT / PR NO.

1300838865

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

CERTIFICATE OF COMPLIANCE (COC)

17. PRICE

GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW 4.4.1

7. DD 250 REQ

9. DIST STATEMNT

REQUIRED

10. FREQUENCY

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL

TECHNOLOGY; 000907. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE

REFERRED TO NUWC DIVISION NPT CODE 2531.

Block 10: Once

Block 12: Certificate of Compliance data sheet upon completion of each delivered batch.

G. PREPARED BY:

HODGE, RONALD F.

H. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 2 of 5 Pages

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP_________ TM___________ OTHER xxxx

D. SYSTEM/ITEM

15 - TPU CASE, CAP, TRANSDUCER

E. CONTRACT / PR NO.

1300838865

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

MERCURY FREE CERTIFICATION

17. PRICE

GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW 4.4.2

7. DD 250 REQ

9. DIST STATEMNT

REQUIRED 10. FREQUENCY

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL

TECHNOLOGY; 000907. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE

REFERRED TO NUWC DIVISION NPT CODE 2531.

Block 10: Once

Block 12: Submit certification of mercury free certification sheet upon completion of each delivered batch.

G. PREPARED BY:

HODGE, RONALD F.

H. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 3 of 5 Pages

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP_________ TM___________ OTHER xxxx

D. SYSTEM/ITEM

15 - TPU CASE, CAP, TRANSDUCER

E. CONTRACT / PR NO.

1300838865

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

TECHNICAL REPORT - STUDY/SERVICES

3. SUBTITLE

CERTIFICATE OF ANALYSIS

17. PRICE

GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW 4.4.3

7. DD 250 REQ

9. DIST STATEMNT

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL

TECHNOLOGY; 000907. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE

REFERRED TO NUWC DIVISION NPT CODE 2531.

Block 10: Once

Block 12: Submit certificate of analysis sheet upon completion of each delivered batch.

G. PREPARED BY:

HODGE, RONALD F.

H. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 4 of 5 Pages

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP_________ TM___________ OTHER xxxx

D. SYSTEM/ITEM

15 - TPU CASE, CAP, TRANSDUCER

E. CONTRACT / PR NO.

1300838865

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

TECHNICAL REPORT - STUDY/SERVICES

3. SUBTITLE

METROLOGY /CMM REPORT

17. PRICE

GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW 4.4.4

7. DD 250 REQ

9. DIST STATEMNT

N/A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL

TECHNOLOGY; 000907. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE

REFERRED TO NUWC DIVISION NPT CODE 2531.

Block 10: Once

Block 12: Submit metrology/cmm report sheet upon completion of each delivered batch.

G. PREPARED BY:

HODGE, RONALD F.

H. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 5 of 5 Pages

File details come from the government source that posted it. Updated Jul 13, 2020.