EXHIBIT B 61391304 CDRL.pdf
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- BELLOWS
- Solicitation number
- SPMYM226Q7927
About this file
This document is a Contract Data Requirements List (DD Form 1423-1) that specifies three distinct data submission requirements for a Navy contract, Document No. 6139-1304, prepared by David Cho and approved by Errnell Quebral on 5/20/2026.
The first data item (DI-MISC-82386) requires submission of a Certification Material Test Report (CMTR) as a miscellaneous category item. The vendor must provide actual values in accordance with the procurement specification, ensure certifications are traceable to material via unique markings, and submit documentation one time only (ONE/R frequency) via the Wide Area Workflow (WAWF) e-Business Suite. The second data item (DI-QCIC-82089) requires a Hydrostatic Test Report in the test/inspection category, with the requirement that the report be traceable to material via unique marking, submitted one time with the same WAWF delivery method. The third data item (DI-NDTI-80809B) requires a Liquid Penetrant Test Report for bellows in the test/inspection category, with tailored requirements allowing the vendor to provide only specific sections (10.2.1c, d, f, g; 10.2.3.2a, b; 10.2.3.3a, b; 10.2.5b; 10.2.6.1a, b, c, e, g; 10.2.7.1; and 10.2.7.3) and ensuring traceability via unique markings. All three data items have Distribution Statement D (authorized to DoD and DoD contractors only, with other U.S. requests referred to COMNAVSEASYSCOM), require one final copy addressed to N4523A, and mandate that acceptance/rejection occur concurrent with material shipment, not prior.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation - SPMYM226Q7927.pdf | ||
| EXHIBIT D 61391306 CDRL.pdf | ||
| EXHIBIT C 61391305 CDRL.pdf | ||
| EXHIBIT A 61391303 CDRL_.pdf | ||
| EXHIBIT E 61391303 MEMO.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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
MISC
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
CERTIFICATION DATA REPORT
Certification Material Test Report (CMTR)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-82386 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A
Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide requirements: 2, 3, 4-Provide actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings and 9
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/20/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No.: 6139-1304
15. Total 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ David Cho 5/20/2026 /s/ Errnell Quebral 5/20/2026
DD FORM 1423-1, FEB 2001
Page 1 of 1 Pages
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.
NDTI
TEST/INSPECTION REPORT
HYDROSTATIC TEST REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-QCIC-82089 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
16. REMARKS N4523A 0 1 0
Block 4: 2.a Ensure hydrostatic test report is traceable to material via unique marking.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/20/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
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.
NDTI
TEST/INSPECTION REPORT LIQUID PENETRANT TEST REPORT
BELLOWS
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B TDP: Section 3 PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10.2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c. e, and g.
10.2.7.1. 10.2.7.3
Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 5/20/2026. Other U.S. requests must be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
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