CDRL - F001 Test and Inspection Plan.pdf

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:

0002 F TDP TM _____ OTHER MGMT

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

PUMPS AND MOTORS SERVICES N55236-22-R-0015 TBD

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

F001 TEST AND INSPECTION PLAN (TIP) N/A

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

TOTAL PRICE

DI-MGMT-82062 SEE BLK 16 SWRMC CODE 300AB AND CODE 131

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D*

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

N/A 0 SEE BLK 16 Reg Repro

16. REMARKS SWRMC CODE 300AB SBS 0 1 0

BLOCK 5: STATEMENT OF WORK PARAGRAPHS C.1.1, C.2.13, AND C.16.1.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL AND HARD COPIES SHALL BE

DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE AND U.S. DOD CONTRACTORS ONLY (OPERATIONAL USE) (22 MAY 2013). OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, SOUTHWEST

REGIONAL MAINTENANCE CENTER CODE 400, NAVAL BASE SAN DIEGO, 3755 BRINSER STREET

SUITE 1, SAN DIEGO CA 92136.

BLOCKS 10, 11, 12 AND 13: ONE (1) ELECTRONIC COPY OF THE TEST INSPECTION PLAN SHALL

BE SUBMITTED TO THE SBS AND QA SPECIALIST NO LATER THAN ONE DAY PRIOR TO THE

START OF PRODUCTIVE WORK. ONE (1) HARD COPY AND ONE (1) ELECTRONIC COPY OF THE

TEST AND INSPECTION PLAN SHALL BE SUBMITTED TO THE SBS AT THE TIME OF

BILLING/INVOICING.

BLOCK 14, MEDIA REQUIREMENT: THE TEST AND INSPECTION PLAN SHALL BE PRESENTED IN A

MICROSOFT OFFICE SUITE, VERSION 2007 OR NEWER, OR ADOBE ACROBAT (PDF) AND

DELIVERED AS AN E-MAIL ATTACHMENT TO ALL ADDRESSEES.

CURRENT SWRMC CODE 300AB SHIP BUILDING SPECIALIST (SBS)

CURRENT SWRMC CODE 300AB QUALITY ASSURANCE SPECIALIST (QAS)

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT.

SWRMC CODE 300AB QAS 0 1 0

15. TOTAL ▬▬▬▬► 0 2 0

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

PAUL DAMIAN

28 Apr 2022

GENER SANGO

28 Apr 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages