Ex(A)_CDRLs_A001-A004 and Addendum.pdf
PDF 360 KB Posted
- Attached to
- OK-276 Cable Pulleys & Associated Components Federal contract opportunity
- Solicitation number
- N6660420Q8439
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| II.I_N6660420Q8439_Amend 0003.pdf | ||
| II.I_N6660420Q84390002.pdf | ||
| II.I_N6660420Q84390001.pdf | ||
| II.G_N6660420Q8439 Solicitation_FINAL.pdf | ||
| Att(2)_RIR_QAP_W03489_R1_For RFQ.pdf | ||
| Att(3)_VIR_W03489.pdf |
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Text version
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of Pages 1
Adobe Professional 8.0
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 Directorate (0704-0188). 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.
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
15 - 276 CABLE PULLEY & ASSOCIATED HARDWARE
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
CERTIFICATE OF COMPLIANCE
3. SUBTITLE
CERTIFICATE OF COMPLIANCE (COC)
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
RIR_QAP_W03489_R1
6. REQUIRING OFFICE
NPT-15-NUWC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
1 TIME
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
Draft Final
Reg Repro
16. REMARKS
Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology. Other requests for this document shall be referred to Naval Undersea
Ware Center, Keyport Division.
Block 10: Once
Block 12: Submit certification of compliance data sheet upon completion of each delivered batch.
NPT-15-NUWC 0 1 0
15. TOTAL 0 1 0
G. PREPARED BY
HODGE, RONALD F.
H. DATE
06/04/2020
I. APPROVED BY J. DATE
TOTAL PRICE
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 Directorate (0704-0188). 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.
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
15 - 276 CABLE PULLEY & ASSOCIATED HARDWARE
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
A002
CERTIFICATE OF COMPLIANCE
3. SUBTITLE
MERCURY FREE CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
RIR_QAP_W03489_R1
6. REQUIRING OFFICE
NPT-15-NUWC
7. DD 250 REQ
LT
1 TIME
12. DATE OF FIRST SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology. Other requests for this document shall be referred to Naval Undersea
Block 12: Mercury Free Certification data sheet upon completion of each delivered batch.
HODGE, RONALD F.
H. DATE
TOTAL PRICE
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 Directorate (0704-0188). 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.
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
15 - 276 CABLE PULLEY & ASSOCIATED HARDWARE
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
A003
TECHNICAL REPORT - STUDY/SERVICES
3. SUBTITLE
CERTIFICATE OF ANALYSIS
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
RIR_QAP_W03489_R1
6. REQUIRING OFFICE
NPT-15-NUWC
7. DD 250 REQ
LT
1 TIME
12. DATE OF FIRST SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology. Other requests for this document shall be referred to Naval Undersea
Block 12: Certificate of Analysis data sheet upon completion of each delivered batch.
HODGE, RONALD F.
H. DATE
TOTAL PRICE
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 Directorate (0704-0188). 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.
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
15 - 276 CABLE PULLEY & ASSOCIATED HARDWARE
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
A004
TECHNICAL REPORT - STUDY/SERVICES
3. SUBTITLE
PROCESS CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
RIR_QAP_W03489_R1
6. REQUIRING OFFICE
NPT-15-NUWC
7. DD 250 REQ
LT
1 TIME
12. DATE OF FIRST SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology. Other requests for this document shall be referred to Naval Undersea
Block 12: Process Certification data sheet upon completion of each delivered batch.
HODGE, RONALD F.
H. DATE
Enclosure (3)
DD FORM 1423, CONTRACT DATA REQUIREMENTS LIST
BLOCK 16 ADDENDUM
PR 1300860750
BLOCK 9: The following information is provided in amplification of the Block 9 Distribution
Statement shown on each DD FORM 1423.
Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.
CDRLs A001 through A004
Distribution Statement D . Distribution authorized to U.S. Government Agencies and their contractors (Critical Technology) (4/26/2017). Other requests for this document shall be referred to insert (controlling DoD office – NUWCDIVNPT Code 1534
The following 'EXPORT CONTROL WARNING NOTICE' must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items:
WARNING -This document contains technical data whose export is restricted by the Arms
Export Control Act (Title 22, U.S.C. Sec. 2751, et seq.) or the Export Administration Act of
1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD
Directive 5230.25.
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