Exhibit A - CDRL A001-A003 - X-Ray Film Processor.pdf
PDF 205 KB Posted
- Attached to
- RFQ Industrial X-Ray Film Processor Federal contract opportunity
- Solicitation number
- N68520-23-Q-0020
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| File | Type | Posted |
|---|---|---|
| RFQ N68520-23-Q-0020.pdf | ||
| Attachment 1 - Data Item Transmittal Form.docx | DOCX document |
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Text version
Statement of Work (SOW) Contract Data Requirements List
(DD 1423s)
Procurement of an Automatic Film Processor
FRCSW, Building 250
November 2022
CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) OMB No. 0704-0188
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 thus burden estimate or any other aspect of this collection o f 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 of 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:
0004 A
TDP
TM
X
OTHER
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Automatic Film Processor TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
A001 Commercial Off-The-Shelf (COTS) Manuals None
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-TMSS-81815
SOW paragraphs 3.4, 4.3, 4.3.1, 4.3.2, 4.3.3, 4.3.4, 4.3.5, 4.3.6, 4.3.7, 4.5.3, 6.4.2
FRCSW
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD
A ASREQ
30DAC
b. COPIES
8. APP CODE 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
A N/A N/A Reg Repr o
16. REMARKS TPOC 3
Within 30 days from contract award, contractor shall provide in writing the make, model, capacity, footprint, mechanical, pneumatic, and electrical requirements of the equipment to the TPOC.
The Contractor shall also include in this submittal the following:
- Technical Data
- As-built drawings, schematics
- Training materials
- Training manuals
- Maintenance manuals
- Calibration manuals
- Test procedure report
15. Total
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Heidi Murillo 11/10/2022 William Fields 11/10/2022
DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 2 of 4 Pages
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 thus burden estimate or any other aspect of this collection o f 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 of 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:
SESS
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Automatic Film Processor TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
A002 Parts List None
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-SESS-81359B
SOW paragraphs 4.3, 4.3.1 FRCSW
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD
A 1TIME
DFDEL b. COPIES
8. APP CODE 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
A N/A N/A Reg Repr o
16. REMARKS TPOC 3
The Contractor shall submit a list of all parts that require calibration along with a complete list of all materials, chemicals, substances, and parts used for the maintenance, operation, and calibration of the equipment.
DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 3 of 4 Pages
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 thus burden estimate or any other aspect of this collection o f 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 of 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:
MGMT
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Automatic Film Processor TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
A003 Major Milestone Commonality and Configuration None
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-82022
SOW paragraphs 5.1, 6.0, 6.1, 6.3, 6.4.2, 6.4.3
FRCSW
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD A ASREQ 7DAC b. COPIES
8. APP CODE 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
A N/A N/A Reg Repr o
16. REMARKS TPOC 3
1. The Contractor shall submit the POA&M seven (7) days after contract award.
The POA&M shall consist of:
- Milestones
- Program Scheduling
- Program Review (engineering documentation, system documentation, validation report, system user’s manuals, calibration procedures, maintenance/corrective manuals, provisioning technical documents, schematics/drawings of electrical and mechanical)
- Validation plan and procedure
- Validation of equipment
2. The Contractor shall provide Program Review certificates for validation of equipment.
3. The Contractor shall provide Validation Report
DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 7 of 7 Pages
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