CDRL_A009_Asbestos_Containing_Material_Report.pdf
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- Solicitation number
- N6449824R4028
About this file
This document contains a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines reporting requirements for any incidents involving asbestos-containing materials encountered during contract work. Reports are due no more than 24 hours after an occurrence and must be submitted electronically.
The related federal contract opportunity is a solicitation from the Naval Surface Warfare Center Philadelphia Division for preventative maintenance, repair, cooling water analysis, and chemical treatment services at various government buildings. The requirement is set aside for small businesses. A site visit will be held on February 20, 2024 for interested parties to attend.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_0002_N6449824R4028.pdf | ||
| Amendment_0001_N6449824R4028.pdf | ||
| Attachment_7_PPQ.docx | DOCX document | |
| Attachment_5_Performance Requirements.docx | DOCX document | |
| CDRL_A007_Accident_Reports.pdf | ||
| Attachment_1_CoolingWater_PNBC_Site_Map.pdf | ||
| CDRL_A001_Contract Status Report.pdf | ||
| CDRL_A008_OSHA Citations and Violations CAR.pdf | ||
| Attachment_2_ELINS.xlsx | XLSX spreadsheet | |
| Attachment_6_PM_Checklists_1_thru_8.docx | DOCX document | |
| RFP N6449824R4028.pdf | ||
| CDRL_A005_Accident_Prevention_Plan.pdf | ||
| CDRL_A006_Activity_Hazard_Analysis.pdf | ||
| Attachment_6A_PM_Checklist_9.docx | DOCX document | |
| CDRL_A003_Contractors_Personnel_Roster.pdf | ||
| Attachment_3_Equipment List.xlsx | XLSX spreadsheet | |
| Attachment_4_Historical Repair Call.xlsx | XLSX spreadsheet | |
| CDRL_A002_Contractors_Maintenace_Program_Plan.pdf | ||
| CDRL_A004_Contractors_Quality_Management_Plan.pdf |
Show all 19
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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: Cooling Water/Chemical Treatment | |
| E CONTRACTPR NO: TBD | |
| F CONTRACTOR: TBD | |
| 1 DATA ITEM NO: A009 | |
| 2 TITLE OF DATA ITEM: Asbestos Containing Material (ACM) Report | |
| 3 SUBTITLE: N/A | |
| 17 PRICE GROUP: | |
| 4 AUTHORITY Data Acquisition Document No: DI-SAFT-82081 | |
| 5 CONTRACT REFERENCE: PWS 4.9 | |
| 6 REQUIRING OFFICE: Code 1022 | |
| 7 DD 250 REQ: LT | |
| 8 APP CODE: N/A | |
| 9 DIST STATEMENT REQUIRED: See BLK 16 | |
| 10 FREQUENCY: See BLK 16 | |
| 12 DATE OF FIRST SUBMISSION: See BLK 16 | |
| 11 AS OF DATE: See BLK 16 | |
| H DATE: 2 Oct 2023 | |
| a ADDRESSEE16 REMARKS: Tech POC | |
| Draft16 REMARKS: 0 | |
| Reg16 REMARKS: 1 | |
| Repro16 REMARKS: | |
| a ADDRESSEE16 REMARKS_2: COR | |
| Draft16 REMARKS_2: 0 | |
| Reg16 REMARKS_2: 1 | |
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| a ADDRESSEE16 REMARKS_3: Alternate TPOC | |
| Draft16 REMARKS_3: 0 | |
| Reg16 REMARKS_3: 1 | |
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| a ADDRESSEE16 REMARKS_4: KO | |
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| Draft15 TOTAL: | |
| Reg15 TOTAL: 3 | |
| J DATE: 2 Oct 2023 | |
| 18 ESTIMATED TOTAL PRICE: | |
| Repro15 TOTAL: | |
| Pages: 1 | |
| Page: 1 | |
| 2023-10-02T08:11:55-0400 | |
| WALDING.LAUREN.MICHELLE.1607979312 |
| 2023-10-02T13:57:03-0400 | |
| LAGATTA.MARK.D.1398632172 |
| 13 DATE IF SUBSEQUENT SUBM: See BLK 16 |
| Remarks: Block 4: Asbestos containing insulation, flooring, and other building materials (ACMs) may be encountered by the Contractor during the performance of work under this contract, and the Contractor shall remain alert to this possibility. If ACM is encountered or suspected in the performance of work, the Contractor shall avoid removing, sanding, abrading, or disturbing the material. The Contractor shall verbally notify the TPOC or COR within one hour and submit a written ACM Notification within 24 hours. |
Block 9: Distribution authorized to personnel listed in Block 14, Distribution Statement B. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Block 10: Reports are required for every incident that occurs.
Block 12: Reports shall be submitted no later than 24 hours after occurrence.
Block 13: Revisions, changes, updates or other known discrepancy shall result in an amended report no later than 24 hours after knowledge of change.
Block 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.
| C CATEGORY TDP TM OTHER: SAFT |
| TM: |
| TDP: |
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