Attachment 5 - Contract Data Requirements Lists (CDRLs).pdf

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MK 60 Mod 2 All Up Round (AUR) Simulator Capsule Tube Assemblies
Solicitation number
N66604-21-R-0314
Issued by

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This document contains a solicitation for build-to-print MK 60 Mod 2 All Up Round Simulator Capsule Tube Assemblies. Naval Undersea Warfare Center Division, Newport (NUWCDIVNPT) seeks offers for the production of these assemblies in accordance with the attached statement of work. Offerors must provide pricing for all contract line items by October 4, 2021 to be considered for award. The requirement is set aside for small businesses and involves fabrication of pipe fittings per NAICS code 332996. If awarded, the contractor must deliver the assemblies to Newport, RI by the schedule in the CLIN structure. Payment will be processed through WAWF.

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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 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 of these addresses. Send complete 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

TBD A TDP____ ___ TM ______________________ OTHER _____MISC__________________________

D. SYSTEM / ITEM

MK60 All Up Round Simulator Capsule

E. CONTRACT / PR NO.

N66604-21-R-0314

F. CONTRACTOR

TBD

1. DATA ITEM

NO.

A001

2. TITLE OF DATA ITEM

Certification / Data Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

SOW Para 4.1.1

6. REQUIRING OFFICE

NUWCDIVNPT CODE 4512

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT See B k 16 See B k 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A See Blk 16 N/A See B k 16 Reg Repro

16. REMARKS NUWC Code 4512 1 1 0

B k 4: Contractor format is acceptable.

B k 9: See Block 16 Distribution Statement Addendum

B ks 10,12 & 13: The contractor shall provide NAVSEA S9074-AQ-GIB-010/248 weld qualifications approvals. The weld qualifications approvals are required within 6 months of award of contract or as approved by NUWC. The government will review and comment within 14 Days.

The contractor shall provide final 14 days after receipt of Government comments.

15. TOTAL ------------- 1 1 0

1. DATA ITEM

NO.

A002

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW Para 4.2.3, 4.3.2

6. REQUIRING OFFICE

NUWCDIVNPT CODE 4512

7. DD250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT See B k 16 See B k 16 b. COPIES

8. APP CODE D

See Block 16

13. DATE OF SUBSEQUENT

Draft Final

N/A N/A N/A Reg Repro

16. REMARKS NUWC Code 4512 0 1 0

B k 4: Contractor format is acceptable.

B k 9: See Block 16 Distribution Statement Addendum B ks 10-12: The contractor shall provide a certificate of compliance to include all material certification data/OQE as identified in the statement of work for each of the Capsule delivered.

This COC shall be submitted to NUWC at least seven (7) days prior to the Capsule Tube Assembly Delivery.

15. TOTAL -------------- 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, AUG 96 (EG) Previous Edition May be Used Page 1 of 3

(1 DATA ITEM)

Form Approved 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 of these addresses. Send complete 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

TBD A TDP____ ___ TM ______________________ OTHER _____See Blk 16__________________________

D. SYSTEM / ITEM

MK60 All Up Round Simulator Capsule

E. CONTRACT / PR NO.

N66604-21-R-0314

F. CONTRACTOR

TBD

1. DATA ITEM

NO.

A005

Contractor Status Report

DI-MGMT-81991

5. CONTRACT REFERENCE

SOW Para 4.1.2

6. REQUIRING OFFICE

NUWCDIVNPT CODE 4512

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT MNTHLY 30 DAC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft

Final

N/A See Blk 16 N/A N/A Reg Repro

16. REMARKS NUWC Code 4512 0 1 0

B k C: (Other): MISC B k. 4: Contractor format is acceptable.

BLk. 9: See Block 16 Distribution Statement Addendum

15. TOTAL ------------- 0 1 0

1. DATA ITEM

NO.

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD250 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

Draft Final

Reg Repro

16. REMARKS

***INTENTIONALLY LEFT BLANK***

15. TOTAL --------------

G. PREPARED BY H. DATE III. APPROVED BY J. DATE

DD Form 1423-2, AUG 96 (EG) Previous Edition May be Used Page 3 of 3

DD FORM 1423

BLOCK 16 DISTRIBUTION STATEMENT ADDENDUM

BLOCK 9: 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.

Distribution Statement D. Applies to CDRL Items A001 - A005. Distribution authorized to the DoD and U.S. DoD contractors only; Critical Technology. Dated when data generated. Other requests for this document shall be referred to Naval Undersea Warfare Center Division, Newport, RI, Code 4512.

The following “EXPORT CONTROL WARNING NOTICE” must be used in conjunction with DISTRIBUTION STATEMENTS identified in the above CDRL item:

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.

File details come from the government source that posted it. Updated .