CDRL_ELIN_A003-Test_Inspection_Report.pdf
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- Attached to
- Next Generation Self-Contained Breathing Apparatus Federal contract opportunity
- Solicitation number
- FA8534-20-R-0006
About this file
This Contract Data Requirements List outlines testing and inspection reporting requirements for a Next Generation Self-Contained Breathing Apparatus contract. The Air Force Materiel Command Lifecycle Management Center at Robins Air Force Base requires commercial Self-Contained Breathing Apparatus airpaks, masks including Chemical Warfare Component masks with military modifications for Chemical, Biological, Radioactive, and Nuclear capability, and Supplied-Air Respirator Kits. Delivery will be FOB Destination. The firm fixed price, requirements-type contract includes a one-year base period and four one-year options. The Master National Stock Number is 4240-01-686-7961. Reports are due 60 days after testing for approval or disapproval, with initial submission 180 days after award and resubmissions as needed within 90 days of disapproval.
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
| 1_DATA_ITEM_NO: A003 |
| 2_TITLE_OF_DATA_ITEM: TEST/INSPECTION REPORT(S) |
| 3_SUBTITLE: |
| 4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B |
| 5_CONTRACT_REFERENCE: SOW, Paragraph 3.5.1.3 |
| 6_REQUIRING_OFFICE: AFLCMC/WNUS |
| 7_DID_250_REQ: DD |
| 8_APP_CODE: A |
| DIST_STATEMENT: D |
| 10_FREQUENCY: AS REQ'D |
| 11_AS_OF_DATE: See Block 16 |
| 12_DATE_OF_FIRST_SUBMISSI: See Block 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: See Block 16 |
| addressee1: AFLCMC/WNUS |
| draft1: 1 |
| reg1: 1 |
| repro1: 0 |
| addressee2: 235 Byron St Ste 19A |
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| addressee3: Robins AFB, GA 31098-1670 |
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| reg5: 1 |
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| total_draft: 1 |
| total_repro: 0 |
| 16_REMARKS: |
Media shall be submitted as one copy on paper and one in Microsoft Word Format.
Electronic data shall be submitted via Multi-user ECP Automated Review System (MEARS).
AFLCMC/WNUS is the approving authority.
Block 11: 60 days shall be required to approve/disapprove data submitted.
Block 12: 180 days after award of contract.
Block 13: 90 days after disapproval of data.
| 17_PRICE_GROUP: | |
| ESTIMATED_TOTAL_PRICE: | |
| G_PREPARED_BY: Rebekah Less / Rondey Patterson | |
| H_DATE: 01 June 2020 | |
| 1_APPROVED_BY: | |
| J_DATE: 01 June 2020 | |
| Page: 1 | |
| reg38t: 2 | |
| A_CONTRACT_LINE_ITEM_NO: 0004 | |
| B_EXHIBIT: A | |
| TDP: X | |
| TM: | |
| OTHER: | |
| DSYSTEMITEM: Self-Contained Breathing Apparatus | |
| E_CONTRACTPR_NO: | |
| FCONTRACTOR: | |
| of_pages: 1 | |
| Reset: | |
| 2020-07-01T09:13:37-0400 | |
| WADDELL.DONALD.B.JR.1229915629 |
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