Exhibit A CDRLs. pdf.pdf
PDF 324 KB Posted
- Attached to
- Various Pipings Federal contract opportunity
- Solicitation number
- N6660421Q0288
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| File | Type | Posted |
|---|---|---|
| N6660421Q0288.pdf | ||
| I.5. VIR_W03694.pdf | ||
| I.5. RIR_QAP_W03694.docx | DOCX document |
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages 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 C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
0014 A MISC
542/9070 VARIOUS PIPING
E. CONTRACT/PRNO.
1300903716 TBD
A001
CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE (COC)
DI-MISC-81356A RIR_QAP_W03694 NPT-15-NUWC
LT
D
1 TIME SEE BLOCK 16
N/A N/A N/A
NPT-15-NUWC 1 0
02/10/2021
1 1
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 WARFARE CENTER, KEYPORT
DIVISION.
Block 10: Once
Block 12: Submit certification of compliance data sheet upon completion of each delivered batch.
0 1 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.
B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
A. CONTRACT LINE ITEM NO.
0014 A MISC
542/9070 VARIOUS PIPING
E. CONTRACT/PRNO.
1300903716 TBD
A002
CERTIFICATE OF COMPLIANCE MERCURY FREE CERTIFICATION
DI-MISC-81356A RIR_QAP_W03694 NPT-15-NUWC
LT
D
1 TIME SEE BLOCK 16
N/A N/A N/A
NPT-15-NUWC 1 0
02/10/2021
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 WARFARE CENTER, KEYPORT
DIVISION.
Block 10: Once
Block 12: Mercury Free Certification data sheet upon completion of each delivered batch.
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.
B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
A. CONTRACT LINE ITEM NO.
0014 A MISC
542/9070 VARIOUS PIPING
E. CONTRACT/PRNO.
1300903716 TBD
A003
TECHNICAL REPORT - STUDY/SERVICES CERTIFICATE OF ANALYSIS
DI-MISC-80508B RIR_QAP_W03694 NPT-15-NUWC
LT
D
1 TIME SEE BLOCK 16
N/A N/A N/A
NPT-15-NUWC 1 0
02/10/2021
3 4
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 WARFARE CENTER, KEYPORT
DIVISION.
Block 10: Once
Block 12: Certificate of Analysis data sheet upon completion of each delivered batch.
DD FORM 1423, CONTRACT DATA REQUIREMENTS LIST
BLOCK 16 ADDENDUM
PR 1300903716
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 A003
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.
| CDRLs for PR 1300903716.pdf |
| PR 1300903716 CDRLs (unsigned) |
| CDRLs for PR 1300903716.pdf |
| PR 1300903716 Blk 16 Addendum |
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