Exhibit A CDRL Redacted.pdf

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Attached to
Brand Name Mandatory 3M Scott Functional Testing of SCBAs
Solicitation number
N3904026Q0041
Issued by

About this file

This is a Contract Data Requirements List (CDRL) form documenting a single data item requirement for a Department of Defense contract.

The required data item is a Test/Inspection Report (Data Item No. 001) to be submitted by the contractor under contract DI-NDTI-80809B. The report pertains to testing and certification of SCBA Bottles and Harnesses, with authority derived from the Statement of Work paragraphs 2.8 through 2.9.1 and section 5.3. The requiring office is C931, with distribution to both C931 and C420, each receiving one copy in final format. Test/Inspection Reports are acceptable in the contractor's format and must be submitted electronically through WAWF and email to PNSY_EST_SERVICE_REPORTS@us.navy.mil. The initial submission is due three days after test/inspection completion, with subsequent submissions due three days after additional testing is completed. The frequency of submissions corresponds to the conduct of testing and certification activities. The form was prepared on 12/22/2025 and approved by A.N.1641025638 on the same date.

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Other files

File Type Posted
N3904026Q0041 Combined Synopsis.pdf PDF
LSJ_Redacted.pdf PDF
Attachment 2 Wage Determination.pdf PDF
Attachment 3 Authorization Form for UPPR.pdf PDF
Attachment 1 OPSEC Redacted.pdf PDF

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Text version

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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

File details come from the government source that posted it. Updated .