CDRL II - Signed.pdf

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Attached to
DRAIN PANELS Federal contract opportunity
Solicitation number
N4215824QE089
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This document is a Contract Data Requirements List (CDRL) related to a federal contract opportunity. The CDRL specifies the requirement for a Test/Inspection Report(s) for hydrostatic testing under Contract N421584200ZN04, which is managed by the Norfolk Naval Shipyard. The report(s) must be submitted as required, with the first report due on an unspecified date. The report(s) are subject to Distribution Statement D, which restricts distribution to the Department of Defense and its contractors only. The federal contract opportunity is for the procurement of Drain Panels, with the Solicitation Number N4215824QE089, issued by the Department of the Navy Naval Sea Systems Command.

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Other files attached to DRAIN PANELS, newest first.
File Type Posted
TECHNICAL CAPABILITY STATEMENT.docx DOCX document
CERTIFICATE OF COMPLIANCE.pdf PDF
CERTIFIED TEST REPORT.pdf PDF
N4215824QE089 SOL..pdf PDF
CDRL I - Signed.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST (CORL) Form Approved ( 1 Data Item) 0MB 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 infonmation. Send comments regarding this burden estimate or any other aspect of this collection of infonmation, 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 0MB 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. I� EXHIBIT

I

C. CATEGORY:

TBD TOP TM OTHER NDTI

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

PANEL N421584200ZN04 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001 TEST/INSPECTION REPORT(S) REPORT(S) FOR HYDROSTATIC TESTING

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTl-80809 JML4200ZN04, Attachment A NNSY C2305

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED ASREQ* SEE BLK 16 b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. a. ADDRESSEE Final

N/A N/A SEE BLK 16

Draft

Reg Repro

16. REMARKS Norfolk Naval Shipyard 1

BLK 9: Bldg-276

DISTRIBUTION STATEMENT D DISTRIBUTION Portsmouth, VA 23709-5000

AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND

Attn: 4200ZN04

U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (27 MAY 2024 ). OTHER REQUESTS

SHALL BE REFERRED TO POC AT NORFOLK NAVAL

SHIPYARD, PORTSMOUTH, VA. 23709-5000

BLK 10, 12, 13 & 14:

SIGNED CERTIFIED TEST REPORTS ARE REQUIRED

PER ATTACHMENT (A) OF THIS CONTRACT.

TEST REPORT(S) SHALL BE FURNISHED WITH

MATERIAL, PACKAGED INSIDE SHIPPING CONTAINER.

15. TOTAL ---► 1

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

HOLT.TODD.ALL Digitally signed by

EN.1294083959

HOL T.TODD.ALLEN.1294083959

Date: 2024.07.25 09:35:36 .04'00'

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of_ Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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CDRL II
CDRL Instructions
2024-09-13T16:33:02-0400
RIGGINS.REBEKAH.R.1108966021

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