Exhibits A-K.pdf
PDF 1 MB Posted
- Attached to
- Solicitiation Posting Federal contract opportunity
- Solicitation number
- SPMYM221R0012
About this file
This document contains fourteen Contract Data Requirements Lists (CDRLs) for the procurement of HEPA filtered electric and pneumatic hazmat vacuums. The CDRLs require the following deliverables: HEPA filter efficiency certifications traceable to unique filter markings; PCB certifications from the manufacturer stating equipment contains less than 2 ppm PCBs; warranty documentation covering defects in design, materials and workmanship; three copies each of operation, maintenance and repair manuals; and spare parts lists including recommended consumable spare parts and sources. The CDRLs specify DI-MISC-80678, DI-SESS-81639A and DI-TMSS-80257C as the governing data item descriptions. Distribution is limited to the DoD and its contractors. The Defense Logistics Agency Land and Maritime is listed as the contracting agency. The solicitation number is SPMYM221R0012 and seeks duplicate postings of solicitation SPMYM22R0012 for HEPA filtered electric and pneumatic hazmat vacuums.
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|---|---|---|
| Attachment 1.pdf | ||
| Attachment 2.pdf | ||
| SPMYM2-21R-0012.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) OMB No. 0704-0188
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 thus burden estimate or any other aspect of this collection o f 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.
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 HEPA FILTER EFFICIENCY CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 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 3: Each HEPA filter shall be marked IAW paragraph 3.2.7.7. of the specification.
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3052
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
0002AA A
A001
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
MISC
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
B001 CERTIFICATION/DATA REPORT POLYCHLORINATED BIPHENYL (PCB)
CERTIFICIATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 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 3: The Contractor shall provide written certification from the manufacturer that the equipment contains no detectable PCBs (less than two (2) parts-per-million). The certification shall be on manufacturer’s letterhead, and signed by a company official who is empowered to provide same IAW paragraph 3.5.3 of the specification.
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
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.: 1132-3052
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
00002AB B
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
SESS
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
WARRANTY PERFORMANCE REPORT WARRANTY DOCUMENTATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-SESS-81639A 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 3: Supplies and services furnished shall be covered by warranty from defects in design, materials and workmanship IAW paragraph 3.5.5 of the specification.
Block 4 - Tailored to allow vendor to provide only 3.1.1 (a, c, d, e), 3.1.2 (a, b, c, d, e, f, g, h, j, k, l, m).
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3052 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
0002AC C
C001
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
TMSS
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
D001 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS
AND ASSOCIATED SUPPLEMENTAL DATA
OPERATION, MAINTENANCE, AND
REPAIR MANUALS
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-TMSS-80257C 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 3 0
Block 3: The equipment shall be furnished with three (3) printed copies of the manufacturer’s standard Operation, Maintenance, and Repair Manual(s) IAW Paragraph
3.5.1 of the specification.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3052
15. Total 0 3 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
0002AD D
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
TMSS
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
E001 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS
AND ASSOCIATED SUPPLEMENTAL DATA
SPARE PARTS LIST
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-TMSS-80257C 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 3: The vender shall provide a list of recommended consumable spare parts and possible sources for procurement IAW Paragraph 3.5.2 of the specification.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3052
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
0002AE E
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
MISC
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 HEPA FILTER EFFICIENCY CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 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 3: Each HEPA filter shall be marked IAW paragraph 3.3.6.8. of the specification.
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3053
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
0004AA F
F001
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
MISC
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
G001 CERTIFICATION/DATA REPORT POLYCHLORINATED BIPHENYL (PCB)
CERTIFICIATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 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 3: The Contractor shall provide written certification from the manufacturer that the equipment contains no detectable PCBs (less than two (2) parts-per-million). The certification shall be on manufacturer’s letterhead, and signed by a company official who is empowered to provide same IAW paragraph 3.6.3 of the specification.
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
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.: 1132-3053
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
0004AB G
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
SESS
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
WARRANTY PERFORMANCE REPORT WARRANTY DOCUMENTATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-SESS-81639A 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 3: Supplies and services furnished shall be covered by warranty from defects in design, materials and workmanship IAW paragraph 3.6.6 of the specification.
Block 4 - Tailored to allow vendor to provide only 3.1.1 (a, c, d, e), 3.1.2 (a, b, c, d, e, f, g, h, j, k, l, m).
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3053 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
0004AC H
H001
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
TMSS
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
J001 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS
AND ASSOCIATED SUPPLEMENTAL DATA
OPERATION, MAINTENANCE, AND
REPAIR MANUALS
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-TMSS-80257C 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 3 0
Block 3: The equipment shall be furnished with three (3) printed copies of the manufacturer’s standard Operation, Maintenance, and Repair Manual(s) IAW Paragraph
3.6.1 of the specification.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3053
15. Total 0 3 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
0004AD J
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 thus burden estimate or any other aspect of this collection o f 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
TMSS
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
K001 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS
AND ASSOCIATED SUPPLEMENTAL DATA
SPARE PARTS LIST
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-TMSS-80257C 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 3: The vender shall provide a list of recommended consumable spare parts and possible sources for procurement IAW Paragraph 3.6.2 of the specification.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2021. 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.: 1132-3053
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ T. J. DeLacy 5/13/2021 /s/ Mike Baker 5/13/2021
0004AE K
| 11323052-03224-1132-3052 PCB CERTIFICATION CDRL DI-MISC-80678 REV 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323052-03224-1132-3052 WARRANTY DOCUMENTATION CDRL DI-SESS-81639A 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323052-03224-11323052 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS AND ASSOCIATED SUPPLEMENTAL DATA CDRL DI-TMSS-80275C REV 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323052-03224-11323052 spare parts list SUPPLEMENTAL DATA CDRL DI-TMSS-80275C REV 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323053-03225-1132-3053 FILTER EFFICIENCY CERTIFICATION CDRL DI-MISC-80678 REV 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323053-03225-1132-3053 PCB CERTIFICATION CDRL DI-MISC-80678 REV 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323053-03225-1132-3053 WARRANTY DOCUMENTATION CDRL DI-SESS-81639A 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323053-03225-11323053 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS AND ASSOCIATED SUPPLEMENTAL DATA CDRL DI-TMSS-80275C REV 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
| 11323053-03225-11323053 spare parts list SUPPLEMENTAL DATA CDRL DI-TMSS-80275C REV 2-27-2020.pdf |
| SEE BLOCK 16 |
| N4523A |
File details come from the government source that posted it. Updated .