Exhibit F CDRL F004 Work Authorization Form.pdf

PDF 343 KB Posted

Attached to
Commercial Industrial Services (CIS) Interior Decking Services, follow-on indefinite delivery, indefinite-quantity (IDIQ)
Solicitation number
N5523623R0004
Issued by

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This document is a Contract Data Requirements List (CDRL) for work authorization forms related to interior deck covering system services on naval vessels. The CDRL requires electronic and hard copy submission of a work authorization form prior to commencement of any work, to the Southwest Regional Maintenance Center (SWRMC) Codes 300AB, 350, and the ship's Work Authorization Form Program Coordinator. Distribution of the work authorization form is restricted to the Department of Defense and U.S. DoD contractors. The related solicitation is for follow-on commercial industrial services for interior decking services from the Department of the Navy Naval Sea Systems Command, issued as an indefinite delivery, indefinite quantity contract.

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RFP N5523623R0004 Amendment 0001.pdf PDF
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Exhibit F CDRL F001 Test and Inspection Plan.pdf PDF
Attachment S-2 - Request for Specification Clarification.docx DOCX document
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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:

0002 F TDP TM _____ OTHER MGMT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

SEE BLK 16 N5523623R0004 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

F004 WORK AUTHORIZATION FORM N/A

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

TOTAL PRICE

DI-MGMT-81912 SEE BLOCK 16 SEE BLOCK 16

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

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D*

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

N/A 0 SEE BLK 16 Reg Repro

16. REMARKS SWRMC CODE 300AB (SBS) 0 1 0

BLOCK D: INTERIOR DECK COVERING SYSTEM SERVICES

BLOCK 5. PARAGRAPHS C.1.1, C.3.4, C.3.5, AND C.22.1

BLOCK 6: SWRMC CODE 300AB, SWRMC CODE 350, AND SHIP'S WAF PROGRAM COORDINATOR.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL AND HARD COPIES SHALL BE

DELIVERED IN PERSON

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE AND U.S. DOD CONTRACTORS ONLY (OPERATIONAL USE) (22 MAY 2013). OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, SOUTHWEST

REGIONAL MAINTENANCE CENTER CODE 400, NAVAL BASE SAN DIEGO, 3755 BRINSER STREET

SUITE 1, SAN DIEGO CA 92136.

BLOCKS 10, 11, 12, AND 13: THE WORK AUTHORIZATION FORM (WAF) SHALL BE AUTHORIZED IN

ACCORDANCE WITH THE THE SHIPS WAF PROGRAM, PARAGRAPH C.3.3 OF THE STATEMENT OF

WORK, AND PRIOR TO THE START OF ANY PRODUCTIVE WORK. ONE (1) HARD COPY AND ONE

(1) ELECTRONIC COPY OF THE WAF SHALL BE SUBMITTED TO THE SBS AT THE TIME OF

BILLING/INVOICING.

BLOCK 14: MEDIA REQUIREMENT: THE WORK AUTHORIZATION FORM SHALL BE IN ADOBE

ACROBAT (PDF) FORMAT.

CURRENT SWRMC CODE 300AB SHIP BUILDING SPECIALIST (SBS)

CURRENT SWRMC CODE 350 CIS COORDINATOR

SHIP'S WAF PROGRAM COORDINATOR

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

SWRMC CODE 350 (CIS) 0 1 0

SHIPS WAF COORDINATO 0 1 0

15. TOTAL ▬▬▬▬► 0 3 0

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

PAUL DAMIAN

GENER SANGO

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

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