Exhibit 17_CDRL_CDRL A013 Provisioning Parts List.pdf
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- Attached to
- Electronic Personal Dosimeters (EPD) Federal contract opportunity
- Solicitation number
- N00167-24-R-0040
About this file
This document is a Contract Data Requirements List (CDRL) for an Electronic Personal Dosimeter Provisioning Parts List. It provides the requirements for the contractor to deliver a Provisioning Parts List for the Electronic Personal Dosimeter (EPD) system. The Provisioning Parts List is to be delivered 30 days prior to the Provisioning Conference, with the final version due within 30 days of the Provisioning Conference completion. The Government will review and provide comments during the conference, then accept or reject the final list within 60 days. The parts list must be submitted electronically in Microsoft Excel format. The document is Distribution Statement C, restricting it to U.S. Government agencies and their contractors for administrative/operational use.
The related federal contract opportunity is a Request for Proposal (RFP) issued by the Naval Surface Warfare Center, Carderock Division (NSWCCD) for the procurement of Electronic Personal Dosimeters (EPD). The Government anticipates awarding a firm fixed price purchase order for a total of 30,600 photon EPDs and 50 software-interface readers, along with incidental training, quarterly program reviews, and data deliverables over a five-year period. The contract will be awarded on a lowest price technically acceptable (LPTA) basis, with the Government reserving the right to conduct discussions if necessary.
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Text version
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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
16. REMARKS
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE Draft
b. COPIES
Final
Reg Repro
15. TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
| CONTRACT DATA REQUIREMENTS LIST |
| A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY: |
| D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR |
| G. PREPARED BY H. DATE I. APPROVED BY J. DATE |
DD FORM 1423-1 (BACK), FEB 2001
| Text9: Electronic Personal Dosimeter Provisioning Parts List |
| Text10: Provisioning Parts List |
| Text11: A013 |
| Text12: DI-MGMT-82106 |
| Text13: SOW Section 3.6.1 |
| Text14: NAVSEA 04ND |
| Text15: |
| Text16: |
| Text33: LT |
| Text34: A (See Block 16) |
| Text35: C (See Block 16) |
| Text36: ASREQ (See Block 16) |
| Text37: N/A |
| Text38: ASREQ (See Block 16) |
| Text39: ASREQ (See Block 16) |
| Text40: Block 8: The draft Provisioning Parts List shall be delivered 30 days prior to the Provisioning Conference. The Government will provide comments at the Provisioning Conference. The final Provisioning Parts List shall be delivered within 30 days of completion of the Provisioning Conference. The Government will accept or reject the final Provisioning Parts List within 60 days of final submittal. |
Block 9: Distribution Statement C: Distribution authorized to US Government Agencies and their contractors; Administrative/Operational Use: April 2022. Other requests for this document shall be referred to Naval Sea Systems Command (NAVSEA 04ND).
Information produced for this CDRL shall be considered Controlled Unclassified Information (CUI). In accordance with the DoD phased CUI Program implementation, all documents must carry CUI markings in accordance with 5200.48 – Controlled Unclassified Information (CUI).
Block 10, 12 and 13: The final Provisioning Parts List shall be delivered 30 days after the completion of the Provisioning Conference.
Block 14: Media Requirement: Preliminary and final issues shall be submitted electronically in Microsoft Excel 2010 through newer versions. Preliminary and final issues shall be submitted electronically as attachments to:
mark.d.dinezza.civ@us.navy.mil
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| DINEZZA.MARK.D.1291760500 |
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| ROUSSELLE.ANDREW.RAYMOND.1154667365 |
| Text43: 10MAY22 |
| Text44: 21Nov22 |
| Check Box4: Off |
| Check Box5: Off |
| Text3: MGMT |
| Text6: Electronic Personal Dosimeter |
| Text1: TBD |
| Text2: A |
| Text7: TBD |
| Text8: TBD |
| Text17: |
| 0: NSWCCD Code 631 |
| 1: See Block 16 |
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