CN 3.pdf
PDF 111 KB Posted
- Attached to
- RAILS FOR WATERVLIET ARSENAL
- Solicitation number
- W911PT26QA111
About this file
This is a Contract Data Requirement List (DD Form 1423) specifying data submission requirements for a federal contract with the Watervliet Arsenal.
The contractor is required to submit a Test/Inspection Report documenting inspection records for a First Article Sample using WVA Form 702-61-R-E (dated 16 March 2016, Change Notice 3). The data item is based on authority DI-NDTI-80809B and is referenced under the First Article Clause. The requiring office is TAWV-CQD-C. Submission must occur with the First Article delivery, with one final copy required to be distributed to addressees specified in the contract or purchase order. The contractor must delete paragraph 10.2 of the referenced Data Item Description and submit both the WVA Form 702-61-R-E showing inspection results and DD Form 1222. Computerized versions of these forms are acceptable with prior approval from the procuring office. Additional quality assurance requirements are detailed in QAP-APPX-WVA paragraph 10. The distribution statement classification is "B Test and Evaluation." The form was approved by William Potter, TAWV-CQD-C, on 2 February 2022. Inquiries may be directed to CCTA-HDW at FAX 518-266-4682. The referenced Data Item Description can be accessed at http://assist.daps.mil.
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Other files
| File | Type | Posted |
|---|---|---|
| CN2.pdf | ||
| CN9.docx | DOCX document | |
| CN23.docx | DOCX document | |
| CN12.docx | DOCX document | |
| Solicitation - W911PT26QA111.pdf |
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Text version
CONTRACT DATA REQUIREMENT LIST – DD Form 1423 Form Approval OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 440 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 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 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
D. SYSTEM/ITEM
E. CONTRACT/PR NO.:
F. CONTRACTOR
1. DATA ITEM NO:
2. TITLE OF DATA ITEM: Test/Inspection Report
3. SUBTITLE: Inspection Records – First Article Sample WVA FORM 702-61-R-E, 16 March 2016 (CN 3)
4. AUTHORITY: DI-NDTI-80809B
5. CONTRACT REFERENCE: First Article Clause
6. REQUIRING OFFICE: TAWV-CQD-C
7. DD250 REQUIRED: *See Block 16
8. APP CODE:
9. DISTRIBUTION STATEMENT REQUIRED: B Test and Evaluation
10. FREQUENCY: ONE/P
11. AS OF DATE:
12. DATE OF FIRST SUBMISSION: With First Article
13. DATE OF SUBSEQUENT SUBMISSIONS: With First Article
14. DISTRIBUTION:
A. ADDRESSEES: As specified in contract or purchase order
B. COPIES:
DRAFT: 0
FINAL: 1
15. TOTAL: 1
16. REMARKS: Delete paragraph 10.2 of referenced DID (Block 4). Submit WVA Form 702-61-R-E showing results of inspections. Also submit DD Form 1222. Computerized versions of these forms may be used with prior approval of the procuring office. See QAP-APPX-WVA paragraph 10 for requirements. * Inspection/acceptance requirements specified in the contract. Data Item Description (DID) referenced in block 4 can be accessed at:
http//assist.daps.mil.
17. PRICE GROUP:
18. ESTIMATED TOTAL PRICE:
19. CCTA-HDW, FAX NUMBER: 518-266-4682
G. PREPARED BY:
H. DATE:
I. APPROVED BY: William Potter, TAWV-CQD-C J. DATE: 2 February 2022
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