CDRL A001-A002.pdf
PDF 269 KB Posted
- Solicitation number
- N0042126Q1068
About this file
This document is a Contracts Data Requirements List (DD Form 1423-1) specifying deliverables for contract PR 1301319640 between the Department of the Navy and Coleman Microwave Co. The contract is managed by the Naval Air Warfare Center Aircraft Division (NAWCAD) at Patuxent River, Maryland, with Thomas Ackerson (TW16700) as the requiring office contact. The form identifies two data items required under Statement of Work (SOW) Paragraph 5.
Data Item A001 requires a Technical Report - Study/Services Acceptance Test Report (DI-MISC-80508B) to be delivered within two weeks after equipment has been repaired and tested, following completion of Acceptance Testing. Data Item A002 requires a Certificate of Compliance/Certificate of Conformance (DI-MISC-81356A), also due within two weeks after equipment repair and testing and upon completion of Acceptance Testing. Both deliverables are submitted as single occurrences (1 TIME frequency) in electronic format (Microsoft 2010 or compatible), with hard copies provided only upon request. Deliverables must be sent to the Department of the Navy Commander at NAVAIRWARCENACDIV, Bldg. 8271, 17454 Webster Field Road, St. Inigoes, MD 20684. The forms were prepared by Shelly Hammett and approved by Thomas Ackerson on January 9, 2026.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| GFPN0042126Q1068_1.pdf | ||
| Solicitation - N0042126Q1068.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACTS DATA REQUIREMENTS LIST Form Approved
(1 Data Item) OMB No. 0704-0188
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP_________ TM Other MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
RPLI Coleman Microwave Co.
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A001
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
8. APP CODE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft
N/A Reg Repro
16. REMARKS NAWCAD TW16700 0 1 0
Block 11: The deliverable shall be provided within two weeks after equipment has been repaired and tested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or compatible).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander
NAVAIRWARCENACDIV
ATTN: Thomas Ackerson, TW16700
Bldg. 8271
17454 Webster Field Road
St Inigoes, MD 20684
15. TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Shelly Hammett 1/9/2026
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 1
1007/183
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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.
PR 1301319640
Technical Report - Study/Services Acceptance Test Report
DI-MISC-80508B (See Block 16) SOW Para 5 NAWCAD WOLF TW16700
Block 4: The deliverable for this effort shall be provided after completion of Acceptance Testing.
1/9/2026
N/A 1 TIME N/A
b. COPIES
N/A 11. AS OF DATE Final
See Block 16 N/A
CONTRACTS DATA REQUIREMENTS LIST Form Approved
(1 Data Item) OMB No. 0704-0188
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP_________ TM Other MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
RPLI Coleman Microwave Co.
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A002
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
8. APP CODE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft
N/A Reg Repro
16. REMARKS NAWCAD TW16700 0 1 0
Block 11: The deliverable shall be provided within two weeks after equipment has been repaired and tested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or compatible).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander
NAVAIRWARCENACDIV
ATTN: Thomas Ackerson, TW16700
Bldg. 8271
17454 Webster Field Road
St Inigoes, MD 20684
15. TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Shelly Hammett 1/9/2026
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 1
1007/183
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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.
PR 1301319640
Certificate of Compliance Certificate of Conformance
DI-MISC-81356A (See Block 16) SOW Para 5 NAWCAD WOLF TW16700
Block 4: The deliverable for this effort shall be provided after completion of Acceptance Testing.
1/9/2026
N/A 1 TIME N/A
b. COPIES
N/A 11. AS OF DATE Final
See Block 16 N/A
| 2026-01-09T13:38:13-0500 | |
| ACKERSON.THOMAS.LONGSTREET.1367854401 |
| 2026-01-09T13:38:36-0500 | |
| ACKERSON.THOMAS.LONGSTREET.1367854401 |
File details come from the government source that posted it. Updated .