DD1423 - W911QX24Q0002 (DRAFT).pdf

PDF 211 KB Posted Oct 19, 2023

Attached to: SMALL BUSINESS SET-ASIDE FOR Recertification of Helium Trailers.
Solicitation number: W911QX24Q0002
Issued by: Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground

About this file

Written by GovTribe AI · Dec 21, 2023

This document contains a Contract Data Requirements List (CDRL) and related information for a federal contract opportunity. The CDRL outlines six required data items for the recertification of helium trailers, including status updates, inspection reports, testing records and final test reports, and a government property status report. The opportunity is a small business set-aside issued by the Department of the Army Materiel Command for the recertification work. Responses are due as indicated in the CDRL, with the first government property status report due one year after award and subsequent reports due as requested. The federal agency and point of contact information is not yet determined.

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Other files

File	Type	Posted
Amendment 0001 Questions and Answers Document for W911QX24Q0002_Redacted.pdf	PDF	Oct 26, 2023
Provisions and Clauses Full-Text Attachment (for Combo Synopsis-Solicitation) - W911QX24Q0002.pdf	PDF	Oct 19, 2023
PWS - W911QX24Q0002_Redacted.pdf	PDF	Oct 19, 2023

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

The 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 the Department of Defense, Executive Services and Communications Directorate (0704-1088). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

0001,0003,0004

B. EXHIBIT

C. CATEGORY:

TDP_____ TM ______ OTHER: MISC

D. SYSTEM/ITEM

Recertification of Helium Trailers

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

status of any or all recertification work in progress

3. SUBTITLE

Status Updates

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356a

5. CONTRACT REFERENCE

PWS C.2.2

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

AREQ

12. DATE OF FIRST

SUBMISSION See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16

Draft Final

Reg Repro

16. REMARKS

BLOCK 12: The Contractor shall make available to the Technical Point of Contact (TPOC) the status of any or all recertification work in progress upon request.

BLOCK 13: SUBSEQUENT SUBMISSIONS ARE DUE WHEN REQUESTED.

BLOCK 14a: ADDRESSSE –

POINT OF CONTACT: TBD

EMAIL ADDRESS: TBD

BLOCK 14.b: SUBMIT ELECTRONIC COPIES BY EMAIL.

TBD 1

15. TOTAL 1

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

0001,0003,0004

B. EXHIBIT

C. CATEGORY:

TDP_____ TM ______ OTHER: MISC

D. SYSTEM/ITEM

Recertification of Helium Trailers

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Incoming Equipment Inspection reports (DD Form 626)

3. SUBTITLE

Incoming Equipment Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356a

5. CONTRACT REFERENCE

PWS C.4.1.1

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

AS REQUIRED

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16

Draft Final

Reg Repro

16. REMARKS

BLOCK 12: Equipment inspection reports shall be submitted to the DEVCOM-ARL TPOC by equipment serial number via email within three (3) days of report.

BLOCK 13: SUBSEQUENT SUBMISSIONS ARE DUE WHEN REQUESTED.

BLOCK 14a: ADDRESSSE –

POINT OF CONTACT: TBD

EMAIL ADDRESS: TBD

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

0001,0003,0004

B. EXHIBIT

C. CATEGORY:

TDP_____ TM ______ OTHER: MISC

D. SYSTEM/ITEM

Recertification of Helium Trailers

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Maintenance Inspection Report

3. SUBTITLE

Maintenance Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356a

5. CONTRACT REFERENCE

PWS C.4.1.2

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

AS REQUIRED

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16

Draft Final

Reg Repro

16. REMARKS

BLOCK 12: Within fourteen (14) working days the Contractor shall inspect equipment and submit to the TPOC a detailed list of repairs required to return the equipment to usable, serviceable and roadworthy condition. In addition to this detailed list, the Contractor shall also include digital photographs of equipment indicating the Contractor’s proposed repairs.

BLOCK 13: SUBSEQUENT SUBMISSIONS ARE DUE WHEN REQUESTED.

BLOCK 14a: ADDRESSSE –

POINT OF CONTACT: TBD

EMAIL ADDRESS: TBD

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

0001,0003,0004

B. EXHIBIT

C. CATEGORY:

TDP_____ TM ______ OTHER: MISC

D. SYSTEM/ITEM

Recertification of Helium Trailers

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Annual Inspection Report

3. SUBTITLE

Annual Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356a

5. CONTRACT REFERENCE

PWS C.4.1.3

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

AS REQUIRED

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16

Draft Final

Reg Repro

16. REMARKS

BLOCK 12: The Contractor shall provide a copy of the annual report to the DEVCOM-ARL TPOC via email within three (3) days of report.

BLOCK 13: SUBSEQUENT SUBMISSIONS ARE DUE WHEN REQUESTED.

BLOCK 14a: ADDRESSSE –

POINT OF CONTACT: TBD

EMAIL ADDRESS: TBD

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

0001,0003,0004

B. EXHIBIT

C. CATEGORY:

TDP_____ TM ______ OTHER: MISC

D. SYSTEM/ITEM

Recertification of Helium Trailers

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Cylinder Disposal Report

3. SUBTITLE

Cylinder Disposal Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356a

5. CONTRACT REFERENCE

PWS C.8

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

AS REQUIRED

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16

Draft Final

Reg Repro

16. REMARKS

BLOCK 12: A report shall be provided by the Contractor to DEVCOM-ARL after the work has been accomplished. Reference attachment titled “Disposal of Compressed Gas Cylinders Form”.

BLOCK 13: SUBSEQUENT SUBMISSIONS ARE DUE WHEN REQUESTED.

BLOCK 14a: ADDRESSSE –

POINT OF CONTACT: TBD

EMAIL ADDRESS: TBD

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

0001,0003,0004

B. EXHIBIT

C. CATEGORY:

TDP_____ TM ______ OTHER: MISC

D. SYSTEM/ITEM

Recertification of Helium Trailers

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

TESTING RECORDS AND FINAL TEST REPORTS

3. SUBTITLE

Final Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356a

5. CONTRACT REFERENCE

PWS C.11 (C.11.1-C.11.5)

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

AS REQUIRED

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16

Draft Final

Reg Repro

16. REMARKS

BLOCK 12: Please see PWS Section “C.11 TESTING RECORDS AND FINAL TEST REPORTS” for information regarding this deliverable.

BLOCK 13: SUBSEQUENT SUBMISSIONS ARE DUE WHEN REQUESTED.

BLOCK 14a: ADDRESSSE –

POINT OF CONTACT: TBD

EMAIL ADDRESS: TBD

Please do not return your form to the above organization. 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: X-MGMT

D. SYSTEM/ITEM

Recertification of Helium Trailers

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Government Property Status Report

3. SUBTITLE

Recert Helium Trailers Government Property Status

Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

TBD

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

ASREQ

12. DATE OF FIRST

SUBMISSION

One Year after award

8. APP CODE

N/A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION See Block 16

Draft Final

Reg Repro

16. REMARKS

Block 4. Government Property (GP) Status Report. This report describes the status and supply data of Government Furnished Property (GFP) and Contractor Acquired Property (CAP) which the contractor has received or acquired under the contract.

This report will be used to review the condition, installation, and effectiveness of the GP. This DID is applicable to contracts in which GP has been provided or acquired in support of the contract. Format provided in Government Property Status Report template (embedded below) to ensure all 52.245-1(f)(1)(iii)(A)(1-10) requirements are met. Note: Instructions to populate data is located in the Instructions Tab within the spreadsheet.

Government Property Status Repo

Block 10,11,12,13:

The contractor shall submit the Government Furnished Property Status Report once the contractor receives the Property and when the contractor sends the Property back.

Block 14:

REPORT COPY TO BE SENT TO: TBD

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

X Contract Specialist

X Contracting Officer (KO)

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here Any Subtitles Go Here

By Some Author and Another Author

Month XXXX

Prepared by

Whatever Technology Corporation 0000 Research Drive

Anywhere, ST 20006-1000

Under contract

W911QX-XX-C-XXXX

DISTRIBUTION STATEMENT GOES HERE

EXHIBIT A – ATTACHMENT 2

The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

Citation of manufacturer's or trade names does not constitute an official endorsement or approval of the use thereof.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

File details come from the government source that posted it. Updated Oct 19, 2023.