CDRLs.pdf
PDF 610 KB Posted
- Attached to
- PORTABLE SANDBLAST BOOTH Federal contract opportunity
- Solicitation number
- SPMYM2-22-Q-0259
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| File | Type | Posted |
|---|---|---|
| SOLICITATION SPMYM2-22-Q-0259.pdf | ||
| SPECIFICATION Portable Blast Room.docx | DOCX document |
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Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
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
SESS
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
WARRANTY PERFORMANCE REPORT WARRANTY DOCUMENTATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-SESS-81639A PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4 - Tailored to allow vendor to provide only 3.1.1 (a, c, d, e), 3.1.2 (a, b, c, d, e, f, g, h, j, k, l, m).
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 11/3/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
RECEIVING OFFICER BLDG 514, ATTN: CODE 133.1
PUGET SOUND NAVAL SHIPYARD & INTERMEDIATE MAINTENANCE
FACILITY
1400 FARRAGUT AVE, BREMERTON, WA 98314-5001
Document No.: 1299-3925
15. Total 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ R. MAGGERT 11/3/2021 /s/ R. MAGGERT 11/3/2021
DD FORM 1423-1, JUN 90 (EG)
Page 1 of 1 Pages
0002AA A
A001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
OMB No. 0704-0188 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.
Please DO NOT RETURN your form to either of these address. 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 MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
FILTER EFFICIENCY CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D*
10. FREQUENCY
ONE/R
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
A. ADDRESSEE Final
N/A Draft Reg Repr o 16. REMARKS
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 11/3/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
N4523A 0 1 0
TOTAL 0 1 0
/s/ R. Maggert 11/3/2021 /s/ R. Maggert 11/3/2021
17. PRICE
18.
ESTIMATED
TOTAL
PRICE
0002AB B
B001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.
Please DO NOT RETURN your form to either of these address. 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 MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
3. SUBTITLE
AIR OPERATING PERMIT CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D*
10. FREQUENCY
ONE/R
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
A. ADDRESSEE Final
N/A Draft Reg Repr o 16. REMARKS
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 11/3/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material
N4523A 0 1 0
TOTAL 0 1 0
/s/ R. Maggert 11/3/2021 /s/ R. Maggert 11/3/2021
17. PRICE
18.
ESTIMATED
TOTAL
PRICE
0002AC C
C001
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
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
TMSS
EQUIPMENT TECHNICAL MANUAL (SANITIZED)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-TMSS-81675 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 5 0
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 11/3/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report
RECIEVING OFFICER BLDG 514, ATTN: CODE 133.1
PUGET SOUND NAVAL SHIPYARD & INTERMEDIATE MAINTENACE FACILITY
0002AD D
D001
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
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
MISC
NATIONAL RECOGNIZED TESTING
LABORATORY (NRTL) CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 (DD) PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 11/3/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report
RECIEVING OFFICER BLDG 514, ATTN: CODE 133.1
PUGET SOUND NAVAL SHIPYARD & INTERMEDIATE MAINTENACE FACILITY
0002AE E
E001
| SEE BLOCK 16 |
| N4523A |
| SEE BLOCK 16 |
| N4523A |
| SEE BLOCK 16 |
| N4523A |
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