Exhibit 26_CDRL_CDRL B005 Validation Certificate for TM and TRS.pdf
PDF 82 KB Posted
- 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) form for an Electronic Personal Dosimeter validation certificate. It specifies the data item details, including the title "Validation Certificate for TM and TRS," the contract reference, the requiring office, and the distribution requirements. The key details are: the final validation certificate must be delivered 30 days after the validation is complete, it is categorized as Other data, and the Government will accept or reject the certificate within 60 days of submittal. The document also includes information on the applicable CDRL number, authority, and related federal contract opportunity.
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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 Validation Certificate |
| Text10: Validation Certificate for TM and TRS |
| Text11: B005 |
| Text12: DI-TMSS-81819A |
| Text13: SOW Section 3.4.2.9 |
| Text14: NAVSEA 04ND |
| Text15: |
| Text16: |
| Text33: LT |
| Text34: N/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 Government will accept or reject the Validation Certificate for the TM and TRS within 60 days of 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 Validation Certificate for the TM and TRS shall be delivered 30 days after the Validation is complete.
Block 14: Media Requirement: Final issue shall be submitted electronically in Adobe PDF format as attachments to:
mark.d.dinezza.civ@us.navy.mil
| 2022-05-10T13:53:21-0400 | |
| DINEZZA.MARK.D.1291760500 |
| 2022-11-21T07:27:04-0500 | |
| ROUSSELLE.ANDREW.RAYMOND.1154667365 |
| Text43: 10MAY22 |
| Text44: 21Nov22 |
| Check Box4: Off |
| Check Box5: Off |
| Text3: TMSS |
| Text6: Electronic Personal Dosimeter |
| Text1: TBD |
| Text2: B |
| Text7: TBD |
| Text8: TBD |
| Text17: |
| 0: NSWCCD Code 631 |
| 1: See Block 16 |
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