Attachment 5 CDRL Final.pdf
PDF 178 KB Posted
- Attached to
- Air Flask Rerubisment Federal contract opportunity
- Solicitation number
- N66604-21-Q-0246
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 6 Statement of Work Rev1 dated 2-4-2021.pdf | ||
| Attachment 2 Section2 5.pdf | ||
| Attachment 1 Section 4.pdf | ||
| Attachment 4 Statement of Work.pdf | ||
| Attachment 3.pdf |
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Page _1_ of _3_ Pages
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved
OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 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:
CLIN 0005 A TDP TM OTHER SEE BLK 16 C
L
I
N
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
SVTT Mk 32 Air Flask
TBD
TBD
TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 TEST / INSPECTION REPORT SEE BLK 16
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80809B SOW 4.1.2 & 4.2.4 NUWCDIVNPT CODE 45 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ
9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT SEE BLK 16 SEE BLK 16 b. COPIES
8. APP CODE D 11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
SEE BLK 16 SEE BLK 16 N/A SEE BLK 16 Reg Repro
16. REMARKS TPM 0 1 0
SEE BLOCK 16 ADDENDUM FOR REMARKS
COR 0 1 0
15. TOTAL
________________> 0 2 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 CERTIFICATION/DATA REPORT DOT Certification
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80678 SOW 4.3.1 NUWCDIVNPT CODE 45 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ
9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT SEE BLK 16 SEE BLK 16 b. COPIES
8. APP CODE D 11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro
16. REMARKS TPM 0 1 0
BLK C: MISC
BLK 9: See BLK 16 Addendum
BLK 10/12/13: A copy of the DOT Certification is due upon contract award, subsequent submission required in the event of changes / renewal
BLK 14a: Letter of Transmittal to COR only
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page _2_ of _3_ Pages
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved
OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 220 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:
CLIN 0005 A TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
SVTT Mk 32 Air Flask
TBD
TBD
TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 Contractor’s Status Report (CSR) Progress Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81991 SOW 5.0 NUWCDIVNPT CODE 45 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ
9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT MTHLY 30DAC b. COPIES
8. APP CODE D 11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
N/A SEE BLK 16 N/A MTHLY THEREAFTER Reg Repro
16. REMARKS TPM 0 1 0
BLK 9: SEE BLK 16 Addendum
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ
9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE 11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
Reg Repro
16. REMARKS
INTENTIONALLY LEFT BLANK
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
12/16/20
Page _3_ of _3_ Pages
DD FORM 1423 CONTRACT DATA REQUIREMENTS LIST - BLOCK 16 ADDENDUM
CONTRACT NO. TBD
CDRL A001-A003
The following information is specifically included in amplification of the Block 9 Distribution Statement selected.
Distribution Statement paragraphs are in addition to Classification Markings of the data. The below distribution applies to all CDRL Items.
BLOCK 9:
Distribution Statement D: Distribution authorized to DoD and U.S. DoD Contractors only; Critical
Technology; Other requests for this document shall be referred to Contracting Officer Representative (COR) as listed in clause G-242-H001.
The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION
STATEMENTS identified in all CDRL Items.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act
(Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of Dod Directive 5230.25.
CDRL A001; BLK 16
BLK C: NDTI
BLK 4: Contractor Format is acceptable. Report shall include results of inspection, hydrostatic testing and refurbishment testing as applicable.
BLK 9: See BLK 16 Addendum
Specific to SOW Para 4.1.2:
BLK 3: SVTT Air Flask Inspection
BLK 8: A
BLK 10: 1TIME
BLK 12&13: Report shall be submitted within 10 days of completion of inspection testing of the lot. The
Government will review and comment within 10 days. The contractor shall provide final with shipment of
Air Flasks.
Specific to SOW Para 4.2.4:
BLK 3:SVTT Air Flask Refurbishment
BLK 8: N/A
BLK 10: 1TIME
BLK 12: Report shall be submitted with shipment of Air Flasks.
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