CDRL A001_SDS_MK77_r45-ipdi_BD_NBC (1).pdf
PDF 132 KB Posted
- Attached to
- R45 & IPDI M21 Ingredients
- Solicitation number
- N0017426Q1072
About this file
This is a Contract Data Requirements List (DD Form 1423, February 2024) that specifies data deliverables for a federal contract with the Naval Surface Warfare Center Indian Head Division (NSWC IHD).
The contract requires submission of a Safety Data Sheet (SDS) Report for R45 and IPDI systems/items, identified as Data Item A001. The SDS must be provided once upon delivery, with the first submission date specified in Block 16 of the form. The data item is classified under the "OTHER SAFT" (Safety) category and references contract section 3.1.2. Contractor-prepared SDS formats are acceptable, and the data carries Distribution A classification (approved for public release with unlimited distribution). The contractor must submit the SDS in both electronic and physical formats: an electronic copy in Microsoft Office or PDF format must be emailed within five days of contract award to the designated points of contact, and a physical paper copy must be attached to the delivery package. Two copies of the final document are required. Submissions should be directed to NSWC IHD at 4895 McMahon Road, Building 863, Indian Head, MD 20640, with primary contacts being Abron Deer (abron.w.deer.civ@us.navy.mil, 301-744-4813) and Patricia Nalborczyk (patricia.r.nalborczyk.civ@us.navy.mil, 301-861-9035). The form was prepared by Abron Deer and approved by Normary Camacho Cardoza.
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Other files
| File | Type | Posted |
|---|---|---|
| CDRL A002_COACOC_MK77_r45-ipdi (002)_BD NBC (2).pdf | ||
| SOW_IPDI-R45_mk77__BD2 COPY.pdf | ||
| Solicitation - N0017426Q1072.pdf |
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Text version
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 2
(Updated 20250617)UNCLASSIFIED
UNCLASSIFIED
Show Attachment Bar
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
A001
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER SAFT
D. SYSTEM/ITEM
R45 & IPDI
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Safety Data Sheet (SDS) Report
3. SUBTITLE
Safety Data Sheet
4. AUTHORITY (Data Acquisition Document No.)
DI-SAFT-82112
5. CONTRACT REFERENCE
3.1.2
6. REQUIRING OFFICE
NSWC IHD
7. DD 250 REQ
LT
8. APP CODE
a
9. DIST STATEMENT
REQUIRED
a
10. FREQUENCY
Once on Delivery
11. AS OF DATE
N/A
12. DATE OF FIRST SUBMISSION
See Block 16
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
BLK 4: Contractor format acceptable.
BLK 9: DISTRIBUTION A: Approved for public release: distribution is unlimited.
BLK 14 & 16: All data shall be submitted to the designated recipients in both electronic and physical formats. An electronic copy of the Safety Data Sheet (SDS), in either Microsoft Office or PDF format, must be sent via email within five days of the contract award. Additionally, a physical paper copy must be attached to the package at the time of delivery.
DISTRIBUTION ADDRESSEE -
Naval Surface Warfare Center Indian Head Division 4895 McMahon Rd.
Bldg. 863 Indian Head, MD 20640
POC: Abron Deer Email: abron.w.deer.civ@us.navy.mil Phone: (301) 744-4813
POC: Patricia Nalborczyk Email: patricia.r.nalborczyk.civ@us.navy.mil Phone: 301.861.9035 add continuation
See Block 16 2 2 0
15.TOTAL 2 2 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Abron Deer
H. SIGNATURE I. APPROVED BY
Normary Camacho Cardoza
J. SIGNATURE + -
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024 Page 2 of 2
(Updated 20250617)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES Draft Final Reg Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List"
| CurrentPage: |
| PageCount: |
| Select Classification from drop-down list.: 1 |
| CUI Indicator Information: |
| Click on this button to attach a file(s).: |
| A. CONTRACT LINE ITEM NUMBER: A001 |
| exhibit: A |
| C. CATEGORY: Select for "TDP.": 0 |
| C. CATEGORY: Select for "TM.": 0 |
| C. CATEGORY: Select for "OTHER.": 1 |
| C. CATEGORY: Enter specification for "Other.": SAFT |
| System: R45 & IPDI |
| ContractNum: TBD |
| Contractor: TBD |
| 1. DATA ITEM NUMBER: A001 |
| titleDataItem: Safety Data Sheet (SDS) Report |
| subtitle: Safety Data Sheet |
| 4. AUTHORITY (Data Acquisition Document Number): DI-SAFT-82112 |
| contractRef: 3.1.2 |
| reqOffice: NSWC IHD |
| 7. DD 250 REQUIREMENT: LT |
| 8. APPROVAL CODE : a |
| 9. DISTRIBUTION STATEMENT REQUIRED: a |
| freq: Once on Delivery |
| asOfDate: N/A |
| dateFirstSub: See Block 16 |
| dateSubseqSub: N/A |
| 16. REMARKS: BLK 4: Contractor format acceptable. |
BLK 9: DISTRIBUTION A: Approved for public release: distribution is unlimited.
BLK 14 & 16: All data shall be submitted to the designated recipients in both electronic and physical formats. An electronic copy of the Safety Data Sheet (SDS), in either Microsoft Office or PDF format, must be sent via email within five days of the contract award. Additionally, a physical paper copy must be attached to the package at the time of delivery.
DISTRIBUTION ADDRESSEE -
Naval Surface Warfare Center Indian Head Division 4895 McMahon Rd.
Bldg. 863 Indian Head, MD 20640
POC: Abron Deer Email: abron.w.deer.civ@us.navy.mil Phone: (301) 744-4813
POC: Patricia Nalborczyk Email: patricia.r.nalborczyk.civ@us.navy.mil Phone: 301.861.9035
| Click to add continuation field for Remarks: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: See Block 16 |
| 15.TOTAL - Total draft copies is automatically calculated.: 2 |
| 15.TOTAL - Total draft copies is automatically calculated.: 2 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 2 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 2 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: 0 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: 0 |
| priceGrp: |
| estTotalPrice: |
| remarks: |
| preparedBy: Abron Deer |
| J. SIGNATURE: H. SIGNATURE |
| J. SIGNATURE: J. SIGNATURE |
| J. SIGNATURE: |
| approvedBy: Normary Camacho Cardoza |
| Click to add additional data items.: |
| Click to delete additional data items.: |
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