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IMQ
| ATTACHMENT 4: IDIQ CDRL 4124AS1153-1.XLSX | | | Form Approved |
| (1 Data Item) | | | 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 | |
| A | TDP________ TM _________ OTHER: Engineering Data | |
| D. SYSTEM/ITEM | E. CONTRACT / PR NO. | F. CONTRACTOR |
| Turnover Trolley Bearing | | |
PIN 4124AS1153-1
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE |
| DI-MISC-82386/T3 | Process & Material Certifications | Initial Material Qualification (IMQ) |
| 4. AUTHORITY (Data Acquisition Documentation No.) | | | 5. CONTRACT REFERENCE | | 6. REQUIRING OFFICE | | | | |
| NAWCADLKE-BL41200-DDR-001 Section 5.1 | | | SOW: 3.3.7 Process & Material Certifications | | NAVAIRLKE BL41200 | | | | |
| 7. DD Form 250 | 9. DIST STMNT | 10. FREQUENCY | | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | | | | |
| LT | D | See block 16. | | See block 16. | See block 16. | | | | |
| | | | | a. ADDRESSEE | b. COPIES | | | |
| 8. APP CODE | | 11. AS OF DATE | | 13. DATE OF NEXT SUBMISSION | | Draft | Final | | 17. PRICE GROUP |
| | N/A | | See block 16. | | | Reg | Repro | |
| 16. Remarks | NAVAIRLKE | 18. ESTIMATED TOTAL PRICE |
| Blocks 10, 12, 13: Only required if deviating from Additive Manufactuing Process Description indentified in NAVAIR Drawing package for PIN 4124AS1153-1 Electronic copy of a report in portible document format (pdf) supporting Initial Material Qualification (IMQ) is due 60 days after contract award | | |
Block 14: BL41200 email address is Joshua.a.Moser6.civ@us.navy.mil.
Joshus Moser BL41200 1
| | | 15. TOTAL | 1 | 1 |
| G. PREPARED BY | H. DATE | I. APPROVED BY | | J. DATE | |
| John Schmelzle, Code BL20000 | 21-Feb-25 | John Schmelzle, Code BL20000 | | 21-Feb-25 | |
DD Form 1423-2 Jun 90 Previous editions are obsolete
IQ
| CONTRACT DATA REQUIREMENTS LIST | | | Form Approved |
| (1 Data Item) | | | 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 | |
| A | TDP________ TM _________ OTHER: Engineering Data | |
| D. SYSTEM/ITEM | E. CONTRACT / PR NO. | F. CONTRACTOR |
| Turnover Trolley Bearing | | |
PIN 4124AS1153-1
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE |
| DI-MISC-82386/T3 | Process & Material Certifications | Installation Qualification (IQ) |
| 4. AUTHORITY (Data Acquisition Documentation No.) | | | 5. CONTRACT REFERENCE | | 6. REQUIRING OFFICE | | | | |
| NAWCADLKE-BL41200-DDR-001 Section 5.2.1 | | | SOW: 3.3.7 Process & Material Certifications | | NAVAIRLKE BL41200 | | | | |
| 7. DD Form 250 | 9. DIST STMNT | 10. FREQUENCY | | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | | | | |
| LT | D | See block 16. | | See block 16. | See block 16. | | | | |
| | | | | a. ADDRESSEE | b. COPIES | | | |
| 8. APP CODE | | 11. AS OF DATE | | 13. DATE OF NEXT SUBMISSION | | Draft | Final | | 17. PRICE GROUP |
| | N/A | | See block 16. | | | Reg | Repro | |
| 16. Remarks | NAVAIRLKE | 18. ESTIMATED TOTAL PRICE |
| Blocks 10, 12, 13: 3 Electronic copy of a report in portible document format (pdf) supporting IQ is due 15 days after contract award. | | |
Joshus Moser BL41200 1
| | | 15. TOTAL | 1 | 1 |
| G. PREPARED BY | H. DATE | I. APPROVED BY | | J. DATE | |
| John Schmelzle, Code BL20000 | 21-Feb-25 | John Schmelzle, Code BL20000 | | 21-Feb-25 | |
DD Form 1423-2 Jun 90 Previous editions are obsolete
OQ
| CONTRACT DATA REQUIREMENTS LIST | | | Form Approved |
| (1 Data Item) | | | 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 | |
| A | TDP________ TM _________ OTHER: Engineering Data | |
| D. SYSTEM/ITEM | E. CONTRACT / PR NO. | F. CONTRACTOR |
| Turnover Trolley Bearing | | |
PIN 4124AS1153-1
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE |
| DI-MISC-82386/T3 | Process & Material Certifications | Operational Qualification (OQ) |
| 4. AUTHORITY (Data Acquisition Documentation No.) | | | 5. CONTRACT REFERENCE | | 6. REQUIRING OFFICE | | | | |
| NAWCADLKE-BL41200-DDR-001 Section 5.2.2 | | | SOW: 3.3.7 Process & Material Certifications | | NAVAIRLKE BL41200 | | | | |
| 7. DD Form 250 | 9. DIST STMNT | 10. FREQUENCY | | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | | | | |
| LT | D | See block 16. | | See block 16. | See block 16. | | | | |
| | | | | a. ADDRESSEE | b. COPIES | | | |
| 8. APP CODE | | 11. AS OF DATE | | 13. DATE OF NEXT SUBMISSION | | Draft | Final | | 17. PRICE GROUP |
| | N/A | | See block 16. | | | Reg | Repro | |
| 16. Remarks | NAVAIRLKE | 18. ESTIMATED TOTAL PRICE |
| Blocks 10, 12, 13: 3 Electronic copy of a report in portible document format (pdf) supportingOQ is due 15 days after contract award. | | |
Joshus Moser BL41200 1
| | | 15. TOTAL | 1 | 1 |
| G. PREPARED BY | H. DATE | I. APPROVED BY | | J. DATE | |
| John Schmelzle, Code BL20000 | 21-Feb-25 | John Schmelzle, Code BL20000 | | 21-Feb-25 | |
DD Form 1423-2 Jun 90 Previous editions are obsolete
SOURCE SELECTION SENSITIVE
PCD (A003-2)
| CONTRACT DATA REQUIREMENTS LIST | | | Form Approved |
| (1 Data Item) | | | 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 | |
| A | TDP________ TM _________ OTHER: Engineering Data | |
| D. SYSTEM/ITEM | E. CONTRACT / PR NO. | F. CONTRACTOR |
| Turnover Trolley Bearing | | |
PIN 4124AS1153-1
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE |
| DI-MISC-82386/T3 | Process & Material Certifications | Process Control Document (PCD) |
| 4. AUTHORITY (Data Acquisition Documentation No.) | | | 5. CONTRACT REFERENCE | | 6. REQUIRING OFFICE | | | | |
| NAWCADLKE-BL41200-DDR-001 Section 5.3 | | | SOW: 3.3.7 Process & Material Certifications | | NAVAIRLKE BL41200 | | | | |
| 7. DD Form 250 | 9. DIST STMNT | 10. FREQUENCY | | 12. DATE OF FIRST SUBMISSION | 14. DISTRIBUTION | | | | |
| LT | D | See block 16. | | See block 16. | See block 16. | | | | |
| | | | | a. ADDRESSEE | b. COPIES | | | |
| 8. APP CODE | | 11. AS OF DATE | | 13. DATE OF NEXT SUBMISSION | | Draft | Final | | 17. PRICE GROUP |
| | N/A | | See block 16. | | | Reg | Repro | |
| 16. Remarks | NAVAIRLKE | 18. ESTIMATED TOTAL PRICE |
| Blocks 10, 12, 13: 3 Electronic copy of the PCD in portible document format (pdf) is due 15 days after approval of the First Article Test Inspection. | | |
Joshus Moser BL41200 1
| | | 15. TOTAL | 1 | 1 |
| G. PREPARED BY | H. DATE | I. APPROVED BY | | J. DATE | |
| John Schmelzle, Code BL20000 | 21-Feb-25 | John Schmelzle, Code BL20000 | | 21-Feb-25 | |
DD Form 1423-2 Jun 90 Previous editions are obsolete
Inspection (A009)
| CONTRACT DATA REQUIREMENTS LIST | | | Form Approved |
| (1 Data Item) | | | 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 | |
| A | TDP________ TM _________ OTHER: Engineering Data | |
| D. SYSTEM/ITEM | E. CONTRACT / PR NO. | F. CONTRACTOR |
| Turnover Trolley Bearing | | |
PIN 4124AS1153-1
| 1. DATA ITEM NO. | 2. TITLE OF DATA ITEM | 3. SUBTITLE |
| DI-NDTI-80809 | Inspection report | |
| 4. AUTHORITY (Data Acquisition Documentation No.) | | | 5. CONTRACT REFERENCE | | | 6. REQUIRING OFFICE | | | | |
| NAVAIR PDDSs | | | | | | | | | | |
| 4124AS1117, 4124AS1127, 4124AS1137 | | | SOW: 3.3.5. Quality Inspection and Testing | | | NAVAIRLKE BL41200 | | | | | |
| 7. DD Form 250 | 9. DIST STMNT | 10. FREQUENCY | | 12. DATE OF FIRST SUBMISSION | | 14. DISTRIBUTION | | | | |
| LT | D | See block 16. | | See block 16. | | See block 16. | | | | |
| | | | | | | a. ADDRESSEE | b. COPIES | | | |
| 8. APP CODE | | 11. AS OF DATE | | 13. DATE OF NEXT SUBMISSION | | | Draft | Final | | 17. PRICE GROUP |
| | | N/A | | See block 16. | | | | Reg | Repro | |
| 16. Remarks | NAVAIRLKE | 18. ESTIMATED TOTAL PRICE |
| Blocks 10, 12, 13: 3 A paper copy as well as an electronic copy in portible document format (pdf) of an inspection report is due with the delivery of of each production item. | | |
Joshus Moser BL41200 1
| | | 15. TOTAL | 1 | 1 |
| G. PREPARED BY | H. DATE | I. APPROVED BY | | J. DATE | |
| John Schmelzle, Code BL20000 | 10-Feb-25 | John Schmelzle, Code BL20000 | | 21-Feb-25 | |
DD Form 1423-2 Jun 90 Previous editions are obsolete