Exhibit A CDRLS PVA.pdf

PDF 170 KB Posted

Attached to
Polyvinyl Alcohol Solution Federal contract opportunity
Solicitation number
W519TC-24-Q-2271
Issued by
Department of the Army Materiel Command Contracting Command Rock Island Arsenal

About this file

This document is a Contract Data Requirements List (DD Form 1423-2) that specifies data items required under a federal contract. It lists two data items:

  1. Technical Report Certificate of Analysis (DI-MISC-80508B) - Each lot of the product must be accompanied by test data and a report indicating performance data as requested in the purchase description. The report must be mailed or emailed to the Contracting Officer.

  2. Test/Inspection Report First Article Test Report (DI-NDTI-80809B) - The contractor must provide a minimum of 15 days notice to the government's Product Quality Manager and the Procuring Contracting Officer to allow the government to witness the First Article Test.

The related federal contract opportunity is for 132,525 lbs of Polyvinyl Alcohol, Grade B, Class 2, to be packaged in 465 lb drums. This requirement is issued as a 100% Small Business Set-Aside under NAICS code 325199 - All Other Basic Organic Chemical Manufacturing. The contract will be a single Firm Fixed Price award with a 100% Option.

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Text version

D. SYSTEM/ITEM

A. CONTRACT LINE ITEM NO.

16. REMARKS

B. EXHIBIT

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 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

17. PRICE GROUP

18. ESTIMATED

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 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

I. APPROVED BYH. DATE J. DATE

E. CONTRACT/PR NO. F. CONTRACTOR

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

13. DATE OF SUBSEQUENT

13. DATE OF SUBSEQUENT

SUBMISSION

11. AS OF DATE8. APP CODE

SUBMISSION

11. AS OF DATE8. APP CODE

C. CATEGORY:

15. TOTAL

15. TOTAL

PREVIOUS EDITIONS ARE OBSOLETE.DD Form 1423-2, JUN 1990

DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

TDP TM OTHER

REQUIRED

TOTAL PRICE

REQUIRED

TOTAL PRICE

Page of Pages APD PE v2.00

9. DIST STATEMENT

9. DIST STATEMENT 14.

14.

Public reporting burden for this collection of information is estimated to average 220 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 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.

Form Approved OMB No. 0704-0188

A001 Technical Report Certificate of Analysis DI-MISC-80508B Sec E JMPB-MMQ

No

No Each Lot First Lot

As REQ Each Lot

EACH LOT SHALL BE ACCOMPANIED BY TEST DATA AND REPORT INDICATING

PERFORMANCE DATA REQUESTED IN THE PURCHASE DESCRIPTION.

Mail or Email to: Contracting Officer

Contracting: Please forward reports to:

Mr. Darin Pecanty Pine Bluff Arsenal 10-020 Kabrich Circle

ATTN: JMPB-MMQ

Pine Bluff, AR 71602-9500 Phone: (870) 540-3966 alton.d.pecanty.civ@army.mil

JMPB-MMQ 1

A002

CONTRACTOR SHALL PROVIDE A MIMIMUM OF 15 DAYS NOTICE TO THE

GOVERNMENT PRODUCT QUALITY MANAGER AND THE PCO LISTED TO ALLOW

GOVERNMENT TO WITNESS THE FAT.

Mail or Email to: Contracting Officer

Contracting: Please forward reports to:

Mr. Darin Pecanty Pine Bluff Arsenal 10-020 Kabrich Circle

ATTN: JMPB-MMQ

Pine Bluff, AR 71602-9500 Phone: (870) 540-3966 alton.d.pecanty.civ@army.mil

Test/Inspection Report First Article Test Report DI-NDTI-80809B* with Notice 1 TAILORED Sec E JMPB-MMQ

No

No FAT at FAT

As REQ

JMPB-MMQ 1

07Mar24 07Mar24Digitally signed by

PECANTY.ALTON.DARIN.1376421933

Date: 2024.03.07 14:36:18 -06'00'

DANIEL.KENNETH.G.1264

917502

Digitally signed by

DANIEL.KENNETH.G.1264917502

Date: 2024.03.07 14:43:11 -06'00'

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