3.03_Amendment0001_SOL N0010424QZB53_222990044.pdf

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SEAL ASSEMBLY, SHAFT
Solicitation number
N0010424QZB53
Issued by

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This document is a contract amendment for a solicitation issued by the Department of the Navy Naval Supply Systems Command (NAVSUP) for the procurement of Seal Assemblies, Shaft. The amendment extends the due date for offers to 4:30 PM local time on 2024 NOV 25, increases the quantity from 10 to 33 units, and changes the required Technical Data Package from Revision 5 to Revision 6. Key requirements include first article testing and approval, supplier quality inspection system compliance, OQED documentation, and mercury-free materials. The agency contact is Jeffrey Dietrich at jeffrey.dietrich@navy.mil. This requirement is certified as a priority rating for national defense under the Defense Priorities and Allocations System (DPAS).

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NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE Prescribed by GSA

FAR (48 CFR) 53.243

STANDARD FORM 30 (REV. 10-83)

(a) By completing Items 8 and 15, and returning ____ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDG- MENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

30-105

(If required)

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

tended.

is not ex-is extended,

12. ACCOUNTING AND APPROPRIATION DATA

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)14. DESCRIPTION OF AMENDMENT/MODIFICATION appropriation date, etc.)

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

(Signature of Contracting Officer)

(Specify authority)

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

10A. MODIFICATION OF CONTRACT/ORDER NO.

(SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.(No., street, county, State and Zip Code)8. NAME AND ADDRESS OF CONTRACTOR

6. ISSUED BY

PAGE OF PAGES1. CONTRACT ID CODE

3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO.

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

IN ITEM 10A.

THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

(such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

(Specify type of modification and authority)D. OTHER

BY(Signature of person authorized to sign)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

CODE FACILITY CODE

CODECODE

(Type or print)16A. NAME AND TITLE OF CONTRACTING OFFICER

16B. UNITED STATES OF AMERICA

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

15B. CONTRACTOR/OFFEROR

15A. NAME AND TITLE OF SIGNER (Type or print)

(SEE ITEM 13)

(If applicable)5. PROJECT NO.4. REQUISITION/PURCHASE REQ. NO.

7. ADMINISTERED BY (If other than Item 6)

16C. DATE SIGNED15C. DATE SIGNED

Contractor is not, is required to sign this document and return ____ copies to the issuing office.

10B. DATED

9B. DATED

E. IMPORTANT:

1 8

0001 2024 OCT 24 22299-0044

N00104

NAVSUP WEAPON SYSTEMS SUPPORT MECH

5450 CARLISLE PIKE

MECHANICSBURG, PA 17050-2411

CREATOR OFC CD: N742.7

N00104-24-Q-ZB53

X

2024 APR 26

X X

THE HOUR AND DATE SPECIFIED FOR RECEIPT OF OFFERS IS EXTENDED TO 4:30 PM LOCAL TIME ON 2024 NOV 25.

SEE NEXT PAGE

N00104-24-Q-ZB53 AMEND: 0001 PAGE 2 OF 8

NOTE:

1. NAVSUP WSS point of contact is now Jeffrey Dietrich, jeffrey.dietrich@navy.mil

2. Quantity increase from 10 EA units to 33 EA units.

3. Requirement Technicial Data Package (TDP) is changed from Revision 5 to Revision 6.

4.Solicitation is extended to 25 NOV 2024 for receipt of offers.

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

N00104-24-Q-ZB53 AMEND: 0001 3 8

0001 TDP VERSION NUMBER IS CHANGED FROM 005 TO 006

SEE TECHNICAL REQUIREMENTS IN SECTIONS C, D, E AND ATTACHMENTS

ALL REFERENCES TO WAIVERS ON PRIOR TDPS ARE NO LONGER APPLICABLE

CLIN 0001AD IS INCORPORATED

SHIP TO

0001AD N00104-24-X-5054 W25G1U 23 EA

Receiving Officer, W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND, PA 17070-5002

TP: 3

N00104-24-Q-ZB53 AMEND: 0001 PAGE 4 OF 8

PART I - THE SCHEDULE

SECTION C

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

CLIN: 0001

NIIN: 016544425 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: SEAL ASSEMBLY,SHAFT

1. SCOPE

1.1 <This procurement specification contains the requirements for manufacture and the contract quality requirements for <Seal Assembly, Dynamic (Dash 2)> for use on Navy submarines.>

2. APPLICABLE DOCUMENTS

2.1 Applicable Documents - The document(s) listed below form a part of this contract/purchase order including modifications or exclusions.

2.1.1 Documents, drawings, and publications supplied are listed under "Drawing Number". These items should be retained until an award is made.

2.1.2 "Document References" listed below must be obtained by the Contractor. Ordering information is included as an attachment to this contract/purchase order.

2.1.3 The "Document Changes" section provides supersessions/changes to referenced documents.

2.2 Order of Precedence - In the event of a conflict between the text of this contract/purchase order and the references and/or drawings cited herein, the text of this contract/purchase order shall take precedence. Nothing in this contract/purchase order, however, shall supersede applicable laws and regulations unless a specific exemption has been obtained.

2.3

DRAWING NO. CAGE REV DOC TYPE DISTR CD SHEET NR REV TYPE SIZE

6878927 53711 A FN D3 0001 A 49998 0687949

6878928 53711 - FN D3 0001 - 49998 0008458

6878928 53711 - FN D3 0002 - 49998 0005559

6878928 53711 - FN D3 0003 - 49998 0006388

6878928 53711 - FN D3 0004 - 49998 0006057

6878928 53711 - FN D3 0005 - 49998 0006588

6878928 53711 - FN D3 0006 - 49998 0006364

6878928 53711 - FN D3 0007 - 49998 0006696

6878928 53711 - FN D3 0008 - 49998 0005960

6878928 53711 - FN D3 0009 - 49998 0003779

6878929 53711 A FN D3 0001 A 49998 0842117

6878930 53711 - FN D3 0001 - 49998 0026768

6878931 53711 A FN D3 0001 A 49998 0083215

DOCUMENT REFERENCES

SPEC NO. SLASH NO. PART NO REV DATE DISTR CD AMEND CHG NTC SUPP

FED-STD-H28 20 B 21 DEC 94 A 01

MIL-STD-130N 16 NOV 12 A 01

QQ-N-281D 23 OCT 85 A 2

ASME B46.1 01 JAN 19 A

QQ-B-654A 07 FEB 91 A 01

ISO10012 15 APR 03 A

NCSL Z540.3 03 AUG 06 A

MIL-I-45208A 24 JUL 81 A 1

EIA-649C-2/19 A

ADIPRENE L-167 (90-95A) COM'L A

ISO9001 15 SEP 15 A

MIL-STD-973 13 JAN 95 A 03

3. REQUIREMENTS

3.1 <Design and Manufacturing - The <Seal Assembly, Dynamic (Dash 2)> furnished under this contract/purchase order

N00104-24-Q-ZB53 AMEND: 0001 PAGE 5 OF 8

shall meet the material, physical and mechanical requirements as specified on Drawings 6878927, Dash 2 (consisting of Item Nos. 1, 2, 4 thru 7) and 6878928 including associated specifications mentioned in this procurement. >

3.2 <Marking Requirements - The supplier shall label each first article and production lot unit <Seal Assembly, Dynamic (Dash 2)> in according with Note 6 of Drawing 6878927. The supplier shall mark (bag or tag) each assembly with contract and assembly serial number per MIL-STD-130.>

3.2.1 <The supplier shall mark and identify (bag or tag) each item numbers 1, 2, 5 and 6 of drawing 6878927 (dash

2) with the applicable drawing/part, contract, heat, lot or batch and serial number per MIL-STD-130 until installed on the designated assembly.>

3.3 <First Article Testing/Inspection - (Supplier Testing/Inspection). The first article testing/inspection procedure and approval are required for <Seal Assembly, Dynamic (Dash 2)>. Government approval is required prior to commencement of first article unit.>

3.4 <Notification - The supplier shall notify Naval Surface Warfare Center, Philadelphia Division, (NSWCPD), 5001 S. Broad Street, Philadelphia, PA 19112-1403 by email matthew.j.ogilvie.civ@us.navy.mil, Code 242MO after award of contract.>

3.4.1 <The NSWCPD is the acceptance activity for the Contract Data Requirements List (DD1423) Data Items. NSWCPD WAWF/IRAPT <Acceptor> DODACC is <N64498>.>

3.5 Configuration Control - MIL-STD-973 entitled "Configuration Management", Paragraph 5.4.8, Configuration Control (Short Form Procedure), is hereby incorporated. The Contractor shall submit all Engineering Change Proposals in accordance with MIL-STD-973, Paragraph 5.4.8.2 and Appendix D. Requests for Deviations shall be processed in accordance with MIL-STD-973, Paragraph 5.4.8.3 and Appendix E. Requests for Waivers shall be processed in accordance with MIL-STD-973, Paragraph 5.4.8.4 and Appendix E. (Original and two copies shall be submitted to Contracting Officer, NAVICP-MECH, P. O. Box 2020, Mechanicsburg Pa. 17055-0788.)

3.5.1 Configuration Control - When the Contractor has received authorization on a prior contract for the same NSN for the use of a drawing of a later revision status, that authorization is hereby extended to all succeeding contracts/purchase orders until another drawing revision is approved. The Contractor will notify the PCO of this occurrence in each instance, in the response to the solicitation. Such notification shall be in writing setting forth the contract under which the prior authorization was granted, the date of the granting of the authorization, and the name of the granting authority.

Contractors shall also refer technical inquiries (other than those covered by MIL-STD-973) on company letterhead signed by a responsible company official, with copies distributed as stated below.

The original and two copies of all Contractor generated correspondence regarding configuration shall be submitted to Contracting Officer, NAVICP-MECH, P.O. Box 2020, Mechanicsburg, PA 17055-0788.

Contractors are cautioned that implementing engineering changes, waivers, deviations or technical inquiries into the contract/purchase order without approval of the Contracting Officer will be at the sole risk of the Contractor.

3.6 Mercury Free - The material supplied under this contract/purchase order is intended for use on submarines/surface ships and therefore shall contain no metallic mercury and shall be free from mercury contamination. Mercury contamination of the material will be cause for rejection.

If the inclusion of metallic mercury is required as a functional part of the material furnished under this contract, the Contractor shall obtain written approval from the Procurement Contracting Officer before proceeding with manufacture. The contractor's request shall explain in detail the requirements for mercury, identify specifically the parts to contain mercury, and explain the method of protection against mercury escape. Such a request will be forwarded directly to the Procurement Contracting Officer with a copy to the applicable Government Inspector. Upon approval by the Contracting Officer, the vendor will provide a "Warning Plate" stating that metallic mercury is a functional part of the item and will include name and location of that part.

The use of mercury, mercury compounds, or mercury-bearing instruments and/or equipment in a manner which might cause contamination in the manufacture, assembly, or test of material on this contract is prohibited. The most probable causes of contamination are direct-connected manometers, mercury vacuum pumps, mercury seals, or the handling of mercury in the immediate vicinity. Mercury switches, mercury in glass thermometers, standard cells and other items containing mercury may be used if they are located so as not to constitute a contamination hazard.

If external contamination by metallic mercury occurs or is suspected, the following test may be used to determine whether contamination by metallic mercury exists or whether corrective cleaning measures have been effective. Enclose the equipment in a polyethylene bag or close-fitting airtight container for eight hours at room temperature (70 degrees F minimum).Sample the trapped air and if mercury vapor concentration is 0.01 mg/cu meter or more, the material is mercury contaminated insofar as the requirements of this contract are concerned.

These requirements shall be included in any subcontract or purchase order hereunder and the Contractor shall insure SubContractor compliance with these requirements.

N00104-24-Q-ZB53 AMEND: 0001 PAGE 6 OF 8

Technical questions pertaining to these requirements shall be referred to the Procurement Contracting Officer via the cognizant Administrative Contracting Officer. For background, the following information is provided:

Mercury is corrosive to gold, silver, nickel, stainless steels, aluminum and copper alloys. Stainless steels, nickel, and copper alloys are widely used in reactor plants and other submarine/surface ship systems. Accidental trapping of mercury in a component could cause serious damage to vital parts. Mercury is also toxic if inhaled, ingested, or absorbed through the skin. It is evident that grave consequences could result from small amounts of mercury vapor present in an unreplenished submarine/surface ship atmosphere.

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

CLIN: 0001

NIIN: 016544425 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: SEAL ASSEMBLY,SHAFT

5. PACKAGING

5.1 Preservation, Packaging, Packing and Marking - Preservation, Packaging, Packing and Marking shall be in accordance with the Contract/Purchase Order Schedule and as specified below.

MIL-STD 2073 PACKAGING APPLIES AS FOUND ELSEWHERE IN THE SCHEDULE

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

CLIN: 0001

NIIN: 016544425 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: SEAL ASSEMBLY,SHAFT

4. QUALITY ASSURANCE

4.1 Responsibility for Inspection - Unless otherwise specified in the contract/purchase order, the Contractor is responsible for the performance of all inspection requirements as specified herein. Except as otherwise specified in the contract/purchase order, the Contractor may use his own or any other facilities suitable for the performance of the inspection requirements specified herein, unless disapproved by the Government. The Government reserves the right to perform any of the inspections set forth in the specification where such inspections are deemed necessary to assure supplies and services conform to prescribed requirements.

4.2 Responsibility for Compliance - All items must meet all requirements of this contract/purchase order. The inspection set forth in this specification shall become a part of the Contractor's overall inspection system or quality program. The absence of any inspection requirements shall not relieve the Contractor of the responsibility of assuring that all products or supplies submitted to the Government for acceptance comply with all requirements of the contract/purchase order. Sampling in quality conformance does not authorize submission of known defective material, either indicated or actual, not does it commit the Government to acceptance of defective material.

4.3 Records - Records of all inspection work by the Contractor shall be kept complete and available to the Government during the performance of contract/purchase order and for a period of 365 calendar days after final delivery of supplies.

4.4 <Inspection System - The Supplier?s Quality Inspection System shall be in accordance with MIL-I-45208 or ISO 9001 and NCSL Z540.3 or ISO 10012. The supplier shall develop and submit their written Quality Inspection and Test approval of the supplier's written Quality Inspection and Test Plan is required by the contract.

CDRL: QUALITY INSPECTION & TEST PLAN per MIL-I-45208, NCSL Z540.3 and DI-QCIC-81110 >

4.5 <Surface Roughness - All surface finishes are in RMS measurements. Where the degree of surface roughness is indicated, the surface shall be free from all visible imperfections as defined by Standard ASME B46.1.>

4.6 <Finishes Edges - Finished edges shall be in accordance with the applicable drawing requirements.>

4.7 <Threads - Threads shall be inspected in accordance with FED-STD-H28/20 System 21 requirements. Thread inspection shall include the measurement and recording of the major diameter for external threads and the minor diameter for internal threads.>

N00104-24-Q-ZB53 AMEND: 0001 PAGE 7 OF 8

4.8 <Material Control - The supplier shall have an effective material control system that provides for certified quantitative mill or industrial laboratory reports of chemical and physical analysis by heat, lot or batch for raw material ordered for first article and production units. If the material(s) is subsequently heat-treated, a certification of physical analysis after heat treatment is also required for each heat, lot, or batch. Also, where the applicable material specification calls out (e.g., corrosion resistance test, macro-etch test, etc.,) these test results shall also be reported on the applicable mill or industrial laboratory report. The physical analysis shall establish the following properties for metallic part: Ultimate Tensile Stren gth, Yield Strength and Elongation.>

4.9 <First Article Testing/Inspection - (Supplier Testing/Inspection). The supplier shall perform first article testing/inspection on the <Seal Assembly, Dynamic (Dash 2)> in accordance with the applicable drawings and their approved first article procedure. >

4.9.1 <The first article inspection shall be made by the cognizant DCMA-QAR at the supplier's and/or subcontractor facility. The supplier shall notify NSWCPD, Code 242MO two weeks in advance prior to the scheduled first article testing/inspection, so an NSWCPD representative has the option of being present during the first article testing/inspection.>

4.9.2 <First Article Approval for Testing/Inspection Procedure and Acceptance - (Supplier Testing/ Inspection).

The supplier shall prepare and submit their First Article Testing/Inspection Procedure for <Seal Assembly, Dynamic (Dash as indicated on the Contract Data Requirements List (DD Form 1423). Government approval of the procedure is required prior to commencement of first article unit.

CDRL: FIRST ARTICLE TESTING/INSPECTION PROC per DI-NDTI-80603A>

4.9.3 <First Article Visual/Dimensional Inspection - The supplier shall visually and physically inspect 100% the first article unit (component parts/assembly) and record the actual measurements of each dimension and threads (also the major diameter for external threads and the minor diameter for internal threads) identified on the applicable drawings including hardness test on (Seal, p/n 6878929).Threads shall be inspected 100% and results recorded.>

4.9.4 <The supplier shall assemble and inspect the <Seal Assembly, Dynamic (Dash 2)> in accordance with the requirements of drawing 6878928 and record results as required by the drawing.>

4.9.5 <First Article Testing/Inspection Reports and Acceptance - (Supplier Testing/Inspection). The supplier shall submit for the completed first article unit <Seal Assembly, Dynamic (Dash 2)> testing/inspection reports in compliance with the requirements of DI-NDTI-80603 and applicable drawings. The report shall also include a copy of <Certified Mill Certification; Certificate of Compliance Material; Certificate of Conformance Material;

Visual/Dimensional Inspection Report including a copy of the completed Assembly and Inspection Drawing 6878928 (Dash 2)> identified in the Objective Quality Evidence Records Section of this document, and as indicated on the Contract Data Requirements List (DD Form 1423). Government approval of the first article testing/inspection report is required prior to commencement of production units.

CDRL: FIRST ARTICLE TESTING/INSPECTION REPORT per DI-NDTI-80809B>

4.10 <Production Lot. >

4.10.1 <Visual/Dimensional Inspection - The supplier shall visually and physically inspect 100% the production lot units (component parts/assemblies) and record the actual measurements of each dimension and threads (also the major diameter for external threads and the minor diameter for internal threads) identified on the applicable drawings including hardness test on (Seal, p/n 6878929). Threads shall be inspected 100% and results recorded.>

4.10.2 <The supplier shall assemble and inspect each <Seal Assembly, Dynamic (Dash 2)> in accordance with the requirements of drawing 6878928 and record results as required by the drawing.>

4.10.3 <Production Lot Testing/Inspection Reports and Acceptance - (Supplier Testing/Inspection). The supplier shall submit for the completed production units <Seal Assembly, Dynamic(Dash 2)> testing/inspection reports in ompliance with the applicable Data Item Descriptions (DIDs) and drawings. The Production Lot Testing /Inspection report shall consist of <Certified Mill Certification; Certificate of Compliance Material; Certificate of Conformance Material; Visual/ Dimensional Inspection Report including a copy of the comple ted Assembly and Inspection Drawing 6878928 (Dash 2) and Mercury Exclusion Certification> identified in the Objective Quality Evidence Records Section of this document, and as indicated on the Production Lot Test/ Inspection (PLT) Contract Data Requirements List (DD Form 1423). Government approval of the production lot testing/inspection report is required prior to shipment of production lot units.

CDRL: PRODUCTION LOT TESTING/INSPECTION REPORT per DI-NDTI-80809B>

4.11 <Production Lot Inspection/Acceptance - (Supplier Testing/Inspection). The supplier shall submit for the production lot units, the inspection and test reports identified in the Objective Quality Evidence Records Section of this document and as indicated on the Production Lot Testing/Inspection (PLT) Contract Data Requirements List (DD Form 1423). Government approval is required prior to shipment of production units. >

4.12 <Final Inspection and Acceptance - Final inspection and acceptance of production lots shall be made by the cognizant DCMA-QAR in conjunction with the Specific Government Inspection Instructions (SGIIs) furnished by NSWCPD.

In addition to the normal DCMA surveillance, the production unit(s) shall be under the surveillance of NSWCPD Quality Assurance Specialist as required.>

N00104-24-Q-ZB53 AMEND: 0001 PAGE 8 OF 8

4.13 <Objective Quality Evidence Records - The supplier shall maintain Objective Quality Evidence Data (OQEDs) of raw material and finished parts <OK276 Seal Assembly, Dynamic (Dash 2)>. Records shall be traceable by drawing/part, heat, lot, batch, serial and contract number. All OQEDS shall be clearly legible including name and title. The supplier may provide exact (quality) photocopies of objective quality evidence records being delivered under this purchase order instead of originals.>

4.13.1 <The supplier shall furnish a copy of the following OQEDs listed below and as indicated on the Contract Data Requirements List (DD Form 1423) for acceptance. The reports shall be correlated to the drawing/part, heat lot or batch, serial and contract number. Supplier format is acceptable for the below listed CDRLs.

a.Certified Quantitative Mill or Industrial Laboratory Certification (chemical and physical analysis for Item Nos. 1, 5 and 6 of drawing 6878927). CDRL: CERTIFIED QUANTITATIVE MILL CERTIFICATION per DI-MISC-82386 b.Certificate of Compliance for Materials:(1) Certifying drawing 6878929 material ADIPRENE L-167, 90-95 Durometer, Shore A, No Fillers or Color Additives to drawing requirements.(2) Certifying Item No. 4 of drawing 6878927 material Epoxy Adhesive 1751 B/A to drawing requirements.

CDRL: CERTIFICATE OF COMPLIANCE per DI-MISC-82386 c.Certificate of Conformance for Material (certifying Item No. 7 of drawing 6878927 to drawing and Specification QQ-B-654 requirements).

CDRL: CERTIFICATE OF CONFORMANCE per DI-MISC-82386 d.Visual/Dimensional Inspection Report shall show all the characteristics, the actual measurement results of each dimension inspected (component parts/assemblies) including threads (also the major diameter for external threads and the minor diameter for internal threads), hardness test, contract number, name of supplier, drawing/part number, drawing revision letter, heat, lot, batch and serial number of finished part and assembly, item nomenclature, inspector's acceptance signature and date. The supplier shall include a copy of the completed Assembly and Inspection Drawing 6878928 (Dash 2) and shall annotate the contract, assembly part and assembly serial number on the completed document.

CDRL: VISUAL/DIMENSIONAL INSPECTION REPORT per DI-NDTI-80809B e.Mercury Exclusion Certification (representing the contract units shipment) CDRL: MERCURY EXCLUSION CERTIFICATION per DI-MISC-82386>

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

CLIN: 0001

NIIN: 016544425 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: SEAL ASSEMBLY,SHAFT

DOCUMENT NAME EXHBT/ATTCHMNT

NOTES ATTACHMENT 1

DD1423 EXHIBIT A

N00104-24-Q-ZB53 AMEND: 0001

ATTACHMENT 1 PAGE: 1

CLIN: 0001

NIIN: 016544425 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: SEAL ASSEMBLY,SHAFT

6. NOTES

6.1 Ordering Information for Document References - The Department of Defense Single Stock Point (DODSSP), Website http://www.dsp.dla.mil/, provides product information for the Department Of Defense Index Of Specifications and Standards (DODISS) (i.e.Military/Federal Specifications and Standards), Data Item Descriptions (DIDs), and other DODSSP Products.

A. Availability of Cancelled Documents - The DODSSP offers cancelled documents that are required by private industry in fulfillment of contractual obligations in paper format. Documents can be requested by phoning the Subscription Services Desk.

B. Commercial Specifications, Standards, and Descriptions - These specifications, standards and descriptions are not available from Government sources. They may be obtained from the publishers of the applicable societies.

C. Ordnance Standards (OS), Weapons Specifications (WS), and NAVORD OSTD 600 Pages - These type publications may be obtained by submitting a request to:

Commander, Indian Head Division, Naval Surface Warfare Center Code 8410P, 101 Strauss Avenue Indian Head, MD 20640-5035

D. On post-award actions, requests for "Official Use Only" and "NOFORN" (Not Releasable To Foreign Nationals) documents must identify the Government Contract Number, and must be submitted via the cognizant Defense Contract Management Command (DCMC) for certification of need for the document. On pre-award actions such requests must be submitted to the PCO for certification of need for the document.

E. NOFORN Military Specifications and Standards (including Amendments, Change Notices and Supplements, but NOT interim Changes) to be ordered from:

Contracting Officer

NAVICP-MECH

Code 87321 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

F. Nuclear Reactor Publications Assigned NAVSEA Documents and Identification Numbers (i.e. NAVSEA Welding Standard, NAVSEA 250-1500-1) are to be ordered from:

Commanding Officer

NAVICP-MECH

Code 009 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

G. Technical Manuals Assigned NAVSEA Identification Numbers (i.e. NAVSEA Welding And Brazing Procedure, NAVSEA S9074-AQ-GIB-010/248) are to be ordered from:

Naval Inventory Control Point Code 1 Support Branch 700 Robbins Avenue Phildelphia, Pa. 19111-5094

H. Interim Changes and Classified Specifications shall be obtained by submitting a request on DD Form 1425 to

NAVICP-MECH.

B

B

B

B

B

B

B

B

B

B

B

B

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B

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B 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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

15. TOTAL

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

0001AC A X

SEAL ASSEMBLY,DYNAM N0010423X0792

QUALITY CONTROL

A001 INSPECTION AND TEST PLAN

DI-QCIC-81110 SEE SECTION E NAVSUPWSSMECH

SD ONE/R ASREQ

A E NA NA

DCMA-QAR 00 01 00

<<APPROVAL OF THE QUALITY INSPECTION PLAN BY NSWC

PHILADELPHIA DIVISION IS REQUIRED PRIOR TO FIRST NAVSUP N7 00 01 00

ARTICLE.>>

NSWCPD 242MO 00 01 00

<<NSWCPD IS THE ACCEPTANCE ACTIVITY FOR CDRL DATA ITEM

A001. NSWCPD WAWF/IRAPT ACCEPTOR DODACC IS "N64498".>>

00 03 00

FIRST ARTICLE/INSPECTION

A002 TEST PROCEDURE

DI-NDTI-80603A SEE SECTION E NAVSUPWSSMECH

SD ONE/R ASREQ

A E NA NA

DCMA-QAR 00 01 00

<<APPROVAL OF THE PROCEDURE BY NSWC PHILADELPHIA DIVISION

IS REQUIRED PRIOR TO COMMENCEMENT OF FIRST ARTICLE UNIT.>> NAVSUP N7 00 01 00

<<NSWCPD IS THE ACCEPTANCE ACTIVITY FOR CDRL DATA ITEM NSWCPD 242MO 00 01 00

A002. NSWCPD WAWF/IRAPT ACCEPTOR DODACC IS "N64498".>>

00 03 00

KLMNOPQRST

NAVSUP WSS N9761.17 2024 OCT 23 CANDACE MCCLURE 2024 OCT 23

1 2

DD FORMo1423-2 REVERSE, JUN 90

5010.12-L (AMSDL), or one-time DID number, that defines data

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14,; Desired medium for delivery of the data item.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will support

Self-explanatory

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

b. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to theperformance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirements to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data.

The Government's right to use the data shall be governed by the pertinent provisions of the contract.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative and other expenses related toreproducing and delivering such data item to the Government.

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B 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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

15. TOTAL

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

0001AC A X

SEAL ASSEMBLY,DYNAM N0010423X0792

FIRST ARTICLE TEST/INSPECTION

A003 TEST REPORT

DI-NDTI-80809B SEE SECTION E NAVSUPWSSMECH

SD ONE/R ASREQ

A A NA NA

DCMA-QAR 00 01 00

<<APPROVAL OF THE REPORT BY NSWC PHILADELPHIA DIVISION IS

REQUIRED PRIOR TO COMMENCEMENT OF PRODUCTION LOT UNITS>> NAVSUP N7 00 01 00

<<NSWCPD IS THE ACCEPTANCE ACTIVITY FOR CDRL DATA ITEM NSWCPD 242MO 00 01 00

A003.NSWCPD WAWF/IRAPT ACCEPTOR DODACC IS "N64498".>>

00 03 00

PLT LOT TEST/INSPECTION REPORT

A004 TEST REPORT

DI-NDTI-80809B SEE SECTION E NAVSUPWSSMECH

SD ASREQ ASREQ

A A NA NA

DCMA-QAR 00 01 00

<<SUPPLIER FORMAT IS ACCEPTABLE>>

NAVSUP N7 00 01 00

<<PLT REPORT SHALL CONSIST OF OQED RECORDS LISTED IN

CONTRACT SECTION E: CERTIFIED MILL CERTIFICATE; NSWCPD 242MO 00 01 00

CERTIFICATION OF COMPLIANCE MATERIAL; CERTIFICATE OF

CONFORMANCE MATERIAL; VISUAL/DIMENSIONAL INSPECTION REPORT

INCLUDING A COPY OF THE COMPLETED ASSEMBLY & INSPECTION

DOCUMENT 6878928 (DASH 2) AND MERCURY EXCLUSION

CERTIFICATION.>>

<<APPROVAL OF THE REPORT BY NSWC PHILADELPHIA DIVISION IS

REQUIRED PRIOR TO SHIPMENT OF PRODUCTION LOT UNITS.>>

<<NSWCPD IS THE ACCEPTANCE ACTIVITY FOR CDRL DATA ITEM

A004.NSWCPD WAWF/IRAPT ACCEPTOR DODACC IS "N64498".>>

00 03 00

KLMNOPQRST

NAVSUP WSS N9761.17 2024 OCT 23 CANDACE MCCLURE 2024 OCT 23

2 2

DD FORMo1423-2 REVERSE, JUN 90

5010.12-L (AMSDL), or one-time DID number, that defines data

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14,; Desired medium for delivery of the data item.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will support

Self-explanatory

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

b. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to theperformance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirements to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data.

The Government's right to use the data shall be governed by the pertinent provisions of the contract.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative and other expenses related toreproducing and delivering such data item to the Government.

File details come from the government source that posted it. Updated .