C08.1 Exhibit A CDRL Package.pdf

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Attached to
Repair Two 20, 000-Gallon Oily Wastewater Storage Tanks
Solicitation number
N4523A22Q5720
Issued by

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This document package includes a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines four deliverables required from the contractor: a Quality Control Plan, Gantt Chart/Project Schedule, Certified STI Inspector's Report, and Certified STI/NACE Inspector's Final Report. The deliverables are to be submitted in Microsoft Word format on CDs and hard copies to the Puget Sound Naval Shipyard.

The related federal contract opportunity is to repair two 20,000-gallon oily wastewater storage tanks at Drydock 4 for the Puget Sound Naval Shipyard. The steel tanks have developed corrosion holes, pits and leaks in their primary tanks. The tank repair must meet standards from API, STI, UL and NFPA, while the tank coating must achieve NACE certification. Additional details are provided in attachments to the solicitation, issued by the Department of the Navy Naval Supply Systems Command.

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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 thus burden estimate or any other aspect of this collection o f 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:

0002 A TDP TM OTHER

MISC

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

OWTS # 4 N4523A22Q5720 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A001 CERTIFICATION/DATA REPORT

Quality Control Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

DD ONE/R SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 4 0

Block 3: The contractor shall provide a Quality Control Plan. The format shall be 3 hard copies and 1 CD copy in MS Word

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/16/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Submit the deliverables to PSNS & IMF 1400 Farragut Ave Bremerton, WA 98314. Building 448, Mail Stop 2001 POC TBD

Document No.: N4523A22Q5720 CDRL A001

15. Total 0

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

/s/ Chris Cooper 5/16/2022 /s/ Mike Baker 5/16/2022

DD FORM 1423-1, JUN 90 (EG)

Page 1 of 2 Pages

SEE BLOCK 16

N4523A

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 thus burden estimate or any other aspect of this collection o f 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.

00002 A TDP TM OTHER

A002 CERTIFICATION/DATA REPORT

CONTRACT SCHEDULE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DD ONE/R 10DAC b. COPIES

N/A N/A ASREQ Reg Repr

Block 3: The contractor shall provide a Gantt Chart. The Gantt Chart shall communicate all major milestones and critical path items against a realistic schedule. The format shall be 3 hard copies and 1 CD copy in MS Word

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/16/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Submit the deliverables to PSNS & IMF 1400 Farragut Ave Bremerton, WA 98314. Building 448, Mail Stop 2001 POC TBD

Document No.: N4523A22Q5720 CDRL A002

Page 1 of 1 Pages

10DAC

N4523A

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 thus burden estimate or any other aspect of this collection o f 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.

00002 A TDP TM OTHER

A003 CERTIFICATION/DATA REPORT

Certified STI Inspector’s Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

Block 3: The contractor shall provide a Certified STI Inspector’s Report. The format shall be 3 hard copies and 1 CD copy in MS Word

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/16/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Submit the deliverables to PSNS & IMF 1400 Farragut Ave Bremerton, WA 98314.

Building 448, Mail Stop 2001 POC TBD

Document No.: N4523A22Q5720 CDRL A003

SEE BLOCK 16

N4523A

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 thus burden estimate or any other aspect of this collection o f 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.

0002 A TDP TM OTHER

A004 CERTIFICATION/DATA REPORT

Certified STI / NACE Inspector’s Final Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

Block 3: The contractor shall provide a Certified STI / NACE I Inspector’s Final Report (i.e., Certification that the tank is STI / NACE certified). The format shall be 3 hard copies and 1 CD copy in MS Word

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/16/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Submit the deliverables to PSNS & IMF 1400 Farragut Ave Bremerton, WA 98314.

Building 448, Mail Stop 2001 POC TBD

Document No.: N4523A22Q5720 CDRL A004

SEE BLOCK 16

N4523A

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