CN2.docx
DOCX document 24 KB Posted
- Solicitation number
- W911PT26QA127
About this file
This is a Contract Data Requirement List (DD Form 1423) specifying data submission requirements for a Certified Test Report (CTR) related to minor forgings, castings, and materials. The data item, identified as CN2 and sourced from authority DI-MISC-80678, requires contractors to submit chemical and mechanical test results for materials supplied under the contract with the Department of the Army at Watervliet Arsenal. The CTR must document all testing performed in accordance with applicable drawings and material specifications referenced in Quality Assurance Procedure Appendix WVA (QAP-APPX-WVA), specifically paragraph 4.6.
The completed Certified Test Report must be submitted as one final copy with each shipment to the Department of the Army, Attn: TAWV-CQD-E, Building 35-E, Watervliet Arsenal, 1 Buffington Street, Watervliet, NY 12189-4000. No DD Form 250 is required, and the report carries a Distribution Statement B classification. Contractors must exclude paragraphs 10.3 and 10.4 from the referenced Data Item Description (DID) when preparing submissions. The form was prepared by J Cannon and approved by William Potter, TAWV-CQD-E, on March 3, 2025, and applies to the procurement of Ferrium round bar material for 81MM M54 Mortar applications.
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| File | Type | Posted |
|---|---|---|
| 010731-QAP-APPX-BL.docx | DOCX document | |
| W911PT26QA127.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: Certification/Data Report
3. SUBTITLE: Certified Test Report (CTR), Minor Forgings/Castings & Material (CN2)
4. AUTHORITY: DI-MISC-80678
5. CONTRACT REFERENCE: QAP-APPX-WVA and applicable drawing or material specification
6. REQUIRING OFFICE: TAWV-CQD-E
7. DD250 REQUIRED: No
8. APP CODE:
9. DISTRIBUTION STATEMENT REQUIRED: B Test and Evaluation
10. FREQUENCY: With Each Submission
11. AS OF DATE:
12. DATE OF FIRST SUBMISSION: With Each Shipment
13. DATE OF SUBSEQUENT SUBMISSIONS: With Each Shipment
14. DISTRIBUTION:
A. ADDRESSEES: DEPARTMENT OF THE ARMY, Attn: TAWV-CQD-E Bldg. 35-E, Watervliet Arsenal, 1 Buffington Street, Watervliet NY 12189-4000
B. COPIES:
DRAFT: 0
FINAL: 1
15. TOTAL: 1
16. REMARKS: Delete paragraph 10.3, 10.4 of referenced DID (Block 4). Submit a CTR showing the results of all chemical and mechanical tests required by the drawing and/or specification. See QAP-APPX-WVA paragraph 4.6 for the requirement. Data Item Description (DID) referenced in block 4 can be accessed at: http//assist.daps.mil.
17. PRICE GROUP:
18. ESTIMATED TOTAL PRICE:
G. PREPARED BY: J Cannon H. DATE: 3 Mar 2025 I. APPROVED BY: William Potter, TAWV-CQD-E J. DATE: 03 Mar 2025
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