Attachment D1 - 5280ZN01 DD 1423 CDRL Form Certification.pdf
PDF 161 KB Posted
- Attached to
- Special Containers Federal contract opportunity
- Solicitation number
- N4215826QE002
About this file
This is a Contract Data Requirements List (CDRL) for a Department of Defense contract with the following key details:
Data Item Number A001 is a Certification for a container that meets requirements of 49 CFR 173.24 and 49 CFR 173.410. The contract number is N42158-5280ZN01, issued to an unspecified contractor, with the requiring office being NNSY C2305 (Norfolk Naval Shipyard). The distribution statement is limited to the Department of Defense and U.S. DOD Contractors, with a focus on critical technology. The document requires signed certifications to be furnished with materials and packaged inside shipping containers, with the first submission date referenced in Block 16. The form is dated 10/7/2025 and was prepared by David M. Love.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment N4215826QE0020001 SF 30.pdf | ||
| SF 1449 - N4215826QE002.pdf | ||
| Attachment C2 - Continuation Sheet (02).docx | DOCX document | |
| Attachment D2 - 5280ZN02 DD 1423 CDRL Form Certification.pdf | ||
| Attachment C1 - Continuation Sheet (01).docx | DOCX document | |
| Attachment A1 - Specifications RF-3528 626_5000LBS.pdf | ||
| Attachment A2 - Specifications RF-3546 626_1500LBS.pdf | ||
| Attachment B -Technical Capability Statement RFQ N4215826QE002.docx | DOCX document |
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Text version
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item) Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
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 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
Reg Repro
16. REMARKS
15. TOTAL ▬▬▬▬►
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages
| A CONTRACT LINE ITEM NO: TBD | |
| B EXHIBIT: A | |
| D SYSTEMITEM: | |
| E CONTRACTPR NO: N42158-5280ZN01 | |
| F CONTRACTOR: TBD | |
| 1 DATA ITEM NO: A001 | |
| 2 TITLE OF DATA ITEM: CERTIFICATION | |
| 3 SUBTITLE: CONTAINER MEETS THE REQUIREMENTS OF 49 CFR 173.24 AND 49 CFR 173.410 | |
| 17 PRICE GROUP: | |
| 4 AUTHORITY Data Acquisition Document No: DI-NDTI-80809 | |
| 5 CONTRACT REFERENCE: Per Contract-Attachment (A1) | |
| 6 REQUIRING OFFICE: NNSY C2305 | |
| 7 DD 250 REQ: LT | |
| 8 APP CODE: N/A | |
| 9 DIST STATEMENT REQUIRED: D | |
| 10 FREQUENCY: ASREQ* | |
| 12 DATE OF FIRST SUBMISSION: SEE BLK 16 | |
| 11 AS OF DATE: N/A | |
| H DATE: 10/7/2025 | |
| a ADDRESSEE16 REMARKS: Norfolk Naval Shipyard | |
| Draft16 REMARKS: | |
| Reg16 REMARKS: 1 | |
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| a ADDRESSEE16 REMARKS_2: Bldg-276 | |
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| a ADDRESSEE16 REMARKS_3: Portsmouth, VA 23709-5000 | |
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| a ADDRESSEE16 REMARKS_4: Attn: 5280ZN01 | |
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| Draft15 TOTAL: | |
| Reg15 TOTAL: 1 | |
| J DATE: | |
| 18 ESTIMATED TOTAL PRICE: | |
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| Pages: | |
| Page: 1 | |
| 2025-10-07T11:47:43-0400 | |
| LOVE.DAVID.M.1229663867 |
| 13 DATE IF SUBSEQUENT SUBM: SEE BLK 16 |
| Remarks: BLK 9: |
DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL TECHNOLOGY) (27 MAY 2024). OTHER REQUESTS SHALL BE REFERRED TO POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA. 23709-5000
BLK 10, 12, 13 & 14:
SIGNED CERTIFICATIONS ARE REQUIRED PER ATTACHMENT (A), ITEM 2.2 OF THIS CONTRACT.
REPORT(S) SHALL BE FURNISHED WITH MATERIAL, PACKAGED INSIDE SHIPPING CONTAINER.
| C CATEGORY TDP TM OTHER: NDTI |
| TM: |
| TDP: |
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