Exibit 3 CDRL A003 - Qualified Peronnel Certifications - 6085VL00.pdf
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- Attached to
- 1 YEAR LN2-IDIQ LIQUID NITROGEN REFILL SUPPLY
- Solicitation number
- N4523A26Q1313
About this file
This is a Contract Data Requirements List (CDRL) form for a Liquid Nitrogen Fill Contract with the Naval Postgraduate School and Industrial Maintenance Facility (PSNS & IMF) Code 2320.2. The contract requires the contractor to submit a Certification Data Report (Data Item A003) documenting Qualified Personnel Certifications as the sole deliverable under this CDRL.
The contractor must provide Qualified Personnel Certifications within five business days upon Government request in electronic PDF format to the PSNS & IMF Contract Representative. A hard copy must also be submitted to Commander, PSNS & IMF, Building 850A, ATTN: Code 2320.2, 1400 Farragut Ave, Bremerton, WA 98314-5001. The submission is governed by Statement of Work (Para. 8.3) under authority DI-MISC-82386* and is referenced to contract TBD. The form indicates zero estimated total price, with distribution to two addressees (one draft copy and one final copy). The CDRL was prepared on 3/27/26 and approved by BENZA.KYLE.D.1 on the same date. Data Item Descriptions are available online at the Defense Logistics Agency Quick Search website.
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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:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
Reg Repro
16. REMARKS
15. TOTAL ▬▬▬▬►
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages
| A CONTRACT LINE ITEM NO: TBD | |
| B EXHIBIT: A | |
| D SYSTEMITEM: Liquid Nitrogen Fill Contract | |
| E CONTRACTPR NO: TBD | |
| F CONTRACTOR: TBD | |
| 1 DATA ITEM NO: A003 | |
| 2 TITLE OF DATA ITEM: Certification Data Report* | |
| 3 SUBTITLE: Qualified Personnel Certifications | |
| 17 PRICE GROUP: | |
| 4 AUTHORITY Data Acquisition Document No: DI-MISC-82386* | |
| 5 CONTRACT REFERENCE: Statement of Work (Para. 8.3) | |
| 6 REQUIRING OFFICE: PSNS & IMF Code 2320.2 | |
| 7 DD 250 REQ: DD | |
| 8 APP CODE: N/A | |
| 9 DIST STATEMENT REQUIRED: A | |
| 10 FREQUENCY: ASREQ* | |
| 12 DATE OF FIRST SUBMISSION: ASREQ* | |
| 11 AS OF DATE: N/A | |
| H DATE: 3/27/26 | |
| a ADDRESSEE16 REMARKS: PSNS & IMF C421* | |
| Draft16 REMARKS: 0 | |
| Reg16 REMARKS: 1 | |
| Repro16 REMARKS: 0 | |
| a ADDRESSEE16 REMARKS_2: PSNS & IMF COR* | |
| Draft16 REMARKS_2: 0 | |
| Reg16 REMARKS_2: 1 | |
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| Draft15 TOTAL: 0 | |
| Reg15 TOTAL: 2 | |
| J DATE: 3/27/26 | |
| 18 ESTIMATED TOTAL PRICE: | |
| Repro15 TOTAL: 0 | |
| Pages: 1 | |
| Page: 1 | |
| 2026-03-27T05:16:06-0700 | |
| COSPER.RICHARD.W.1088106772 |
| 2026-03-27T09:19:12-0700 | |
| BENZA.KYLE.D.1249735660 |
| 13 DATE IF SUBSEQUENT SUBM: ASREQ* |
| Remarks: BLOCK 2: Sections 4 is not required. Technical content shall be in accordance with contract requirements. |
BLOCK 4: Data Item Descriptions (DIDs) can be obtained Online at: https://quicksearch.dla.mil/qsSearch.aspx.
LOCK 10, BLOCK 12, and BLOCK 13: The contractor shall provide the Qualified Personnel Certifications within five business days when requested by the Government.
BLOCK 14: The Qualified Personnel Certifications shall be submitted in electronic (PDF) format to the PSNS & IMF Contract Representative.
A hard copy of the Qualified Personnel Certifications shall also be submitted to the address below:
Commander, PSNS & IMF Building 850A, ATTN: Code 2320.2 1400 Farragut Ave, Bremerton, WA 98314-5001
Doc No.: 6085VL00
| C CATEGORY TDP TM OTHER: MISC |
| TM: |
| TDP: |
File details come from the government source that posted it. Updated .