CLIN 0003 EXHIBIT C-M _ 52793037 CDRL 1-9.pdf
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- Attached to
- DISPOSAL CONTAINERS
- Solicitation number
- SPMYM226Q5194
About this file
This document is a Contract Data Requirements List (DD Form 1423-1) detailing nine data items required for a Large SBDC (Specialized Bulk Dry Container) contract. The contract is managed by the Naval Sea Systems Command (COMNAVSEASYSCOM) with document number 5279-3037, dated December 2, 2025. All data submissions must be attached to the Wide Area Workflow (WAWF) e-Business Suite with email notifications sent to PSNS.WAWFQACertifications.FCM@navy.mil. Distribution is limited to DoD and DoD contractors only under Distribution Statement D, effective through December 2, 2025.
The nine required data items include: (A001) Product Quality Assurance Test, Demonstration, and Evaluation Plan covering first article inspection of Large SBDC containers with detailed workmanship and compliance demonstrations; (A002) Non-Destructive Test Report documenting NDT/proof testing; (A003) Load Test Report for all lift attachments; (A004) Weight Record Report documenting container weights per contract specifications; (A005) Material Certificates for new materials including paints; (A006) Blasting/Painting Certification confirming blast preparation and paint application compliance; (A007) Calibration Certificate/Report for all calibrated equipment including scales, thread inspection gages, and torque wrenches; (A008) Certification statement confirming all welding performed per AWS D1.1 standards; and (A009) Overall Certificate of Compliance on company letterhead signed by company president or project manager. All data items have a submission frequency of one per requirement (ONE/R) with submission required at block 16, and acceptance/rejection must accompany corresponding material without prior shipment.
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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.
A001
2. TITLE OF DATA ITEM
PRODUCT QUALITY ASSURANCE TEST, DEMONSTRATION,
AND EVALUATION PLAN
3. SUBTITLE
FIRST ARTICLE (INITIAL PRODUCTION)
INSPECTION
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-81199
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 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 12/2/2025. 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.
BLOCK 12 –
First Article Inspection of Large SBDC:
A first article unit shall be fully refurbished, repaired, inspected and tested Large SBDC container per contract requirements. A buyer representative will inspect the first article for workmanship and compliance to contract requirements at the seller’s facility. Upon acceptance of the first article, the seller is released to manufacture all remaining Large SBDC units.
The First Article Inspection will cover the following workmanship and compliance items:
a) A demonstration that key features such as lift attachments and holes are properly located, dimensions conform with DWG details, and lid lays flat with mating flange/gaskets such that no visible gaps are present, lid fasteners are inserted into mating holes and seat properly, container is free of sharp edges and weld splatter, welds are smooth and properly sized free of visible voids, porosity, or undercutting.
b) A demonstration of Go/No-Go gage checks of threaded lift hole in the container lid to confirm compliance with Go/NoGo criteria specified in contract drawings and ensure holes are free of dirt/debris or thread defects.
CONTINUE ON PAGE 2
N4523A 0 1 0
TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ M. SHAMION C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
12/2/2025
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 2 Pages
For Document no: 5279-3037
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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.
PRODUCT QUALITY ASSURANCE TEST, DEMONSTRATION,
AND EVALUATION PLAN
FIRST ARTICLE (INITIAL PRODUCTION)
INSPECTION
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-81199
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
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
c) A demonstration of inserting a safety hoist ring into each threaded lift hole to observe fit-up of safety hoist ring with mating surfaces. Threaded lift holes shall be perpendicular to base metal mating surfaces such that the bearing washer of the safety hoist ring makes full contact with mating surface when inserted into the applicable threaded lift hole.
d) Observation of equipment used for performing the torque tests, load tests, weighing, gaging holes, and similar processes to ensure tools are in-test and in accordance with contract drawing requirements.
e) Observation of in-process record keeping methods used for documenting load tests, weight, go/no-go gage checks, materials used, and similar processes.
/s/ M. SHAMION C/2370 12/2/2025 /s/ D. FRANCIS C/900.F.32
12/2/2025
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 2 of 2 Pages
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.
TDP ___________ TM _______________ OTHER NDTI
D. SYSTEM/ITEM
E. CONTRACT/PR NO. F. CONTRACTOR
A002
TEST/INSPECTION REPORT
NON DESTRUCTIVE TEST REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
A. ADDRESSEE
Final
Draft Reg Repr referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
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.
NDT/Proof Test Report for each Large SBDC container in accordance with contract DWG requirements
ATAT
N4523A 0 1 0
/s/ M. SHAMION C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
12/2/2025
DD Form 1423-1, JUN 90 Page 1 of 1 Page(s)
S/N 0102-LF-010-5600
Document no: 5279-3037
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.
TDP ___________ TM _______________ OTHER NDTI
1. DATA ITEM NO
A003
TEST/INSPECTION REPORT
LOAD TEST
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
SUBMISSION
A. ADDRESSEE
Final referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
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
Load Testing Reports for all Large SBDC lift attachments required by contract DWGs
/s/ M. Shamion C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages
Document No: 5279-3037
17. PRICE
GROUP
18.
ESTIMATE
D
TOTAL
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.
TDP ________ TM ____________ OTHER MISC
A004
CERTIFICATION/DATA REPORT
WEIGHT RECORD REPORT
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
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 12/2/2025. 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
Weight Records Report for each Large SBDC container in accordance with contract DWG requirements
/s/ M. Shamion 12/2/2025 /s/ D. FRANCIS C/900F.32
DOCUMENT NO.: 5279-3037
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.
A005
MATERIAL CERTIFICATES
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
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 12/2/2025. 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 Certificates for new materials used for each Large SBDC container (including paints used) in accordance with DWG requirements.
/s/ M. SHAMION C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages
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.
TDP ___________ TM _______________ OTHER MISC
A006
PAINT/BLASTING QUALITY
CONFORMANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
SUBMISSION
N/A
A. ADDRESSEE
Final
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 12/2/2025. 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
Blasting/Painting Certification for each Large SBDC container confirming blast preparation and application of paint is accordance with DWG requirements.
/s/ M. Shamion C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
12/2/2025
DD Form 1423-1, JUN 90 Page 1 of 1 Page(s)
S/N 0102-LF-010-5600
DOCUMENT NO.: 5279-3037
17. PRICE
GROUP
18. ESTIMATED
PRICE
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.
A007
CALIBRATION CERTIFICATE/REPORT
CALIBRATION RECORDS
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-80798C
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A 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 records for calibrated equipment used for Large SBDC contract work including scales, thread inspection gages, test load recording instruments, torque wrenches, and similar calibrated tools.
/s/ M. SHAMION C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
DOCUMENT NO.: 5279-3037
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.
A008
WELDING QUALITY CONFORMANCE
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
SUBMISSION
N/A
A. ADDRESSEE
Final
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 12/2/2025. 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 statement that all new welding performed in accordance with AWS D1.1 (for carbon steel welding), including welding procedures used for Large SBDCs. Welder qualifications should be made available upon request but need not be submitted with documentation package.
/s/ M. SHAMION C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
12/2/2025
DD Form 1423-1, JUN 90 Page 1 of 1 Page(s)
S/N 0102-LF-010-5600
DOCUMENT NO.: 5279-3037
17. PRICE
GROUP
18. ESTIMATED
PRICE
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.
TDP _______________ TM _____________ Other MISC
A009
CERTIFICATE OF COMPLIANCE
COMPLIANCE
DI-MISC-81356A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
SUBMISSION
N/A
A. ADDRESSEE
Final
Draft Reg Repr 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.
Overall Certificate of Compliance (COC) on company letter-head signed by the company President or cognizant Project Manager for Large SBDC Containers. As a minimum, the COC should include the contact #, applicable DWGs used, quantity and identification numbers of containers COC is applicable to, and a statement that the Large SBDC containers comply with contract requirements.
/s/ M. SHAMION C/2370 12/2/2025 /s/ D. FRANCIS C/900F.32
12/2/2025
DD Form 1423-1, JUN 90 Page 1 of 2 Page(s)
S/N 0102-LF-010-5600
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