CN3.docx
DOCX document 19 KB Posted
- Attached to
- CONTAINERS FOR THE WATERVLIET ARSENAL
- Solicitation number
- W911PT26QA018
About this file
This is a Contract Data Requirement List (DD Form 1423) specifying deliverable documentation requirements for a first article inspection at Watervliet Arsenal. The contractor must submit a Test/Inspection Report in the form of WVA Form 702-61-R-E documenting inspection results for the CONTAINER, TUBE CANNON, 120MM, M256 (part number 11579789, CAGE code 19206). The submission is required with the first article sample and must include one final copy; no draft copies are needed. The inspection authority references DI-NDTI-80809B, with paragraph 10.2 deleted from the standard Data Item Description. Additionally, the contractor must submit DD Form 1222 alongside the inspection report, with computerized versions permitted upon procuring office approval.
The data requirement is categorized under Test and Evaluation with distribution statement B and applies to CLINs 0001, 0003, and 0005 under solicitation W911PT26QA018. The contracting officer is the Department of the Army Materiel Command Contracting Command Detroit Arsenal (TAWV-CQD-E). Submission must comply with QAP-APPX-WVA paragraph 10 requirements, and the inspection/acceptance criteria are specified in the contract itself. The form was prepared by J Cannon on 3 March 2025 and approved by William Potter (TAWV-CQD-E) on the same date.
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Other files
| File | Type | Posted |
|---|---|---|
| CN5.docx | DOCX document | |
| W911PTQA018.pdf | ||
| CN12.docx | DOCX document |
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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 702-CQD-E 61 8 Jan 2025(CN 3)
4. AUTHORITY: DI-NDTI-80809B
5. CONTRACT REFERENCE: First Article Clause
6. REQUIRING OFFICE: TAWV-CQD-C CQD-E
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:
G. PREPARED BY: J Cannon H. DATE: 3 Mar 2025 I. APPROVED BY: William Potter, TAWV-CQD-E J. DATE: 3 March 2025
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