CDRLS_N3598A25NA005.pdf
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- Solicitation number
- N0010425QK039
About this file
The document is a Contract Data Requirements List (CDRL) for a Department of the Navy contract involving two data item submissions: a Failure Analysis/Corrective Action Report (A001) and a Contractor's Progress, Status and Management Report (A002). The contract is specifically for a 5935-01-678-7255 SWA5 Adapter, Connector with Ethernet Capability/Connectivity, and is restricted to NewVac, LLC.
The CDRL outlines specific reporting requirements, including a Failure Analysis/Corrective Action Report due within 10 days of lot failure notification and a final report due 30 days after lot failure notification. The monthly progress report must be submitted via mail or email by the 5th day of each month after contract award. The requiring office is NUWC KEYPORT, and distribution includes the Contract Administration Office, NAVSUP WSS Contracting Officer, NAVSUP ALC, and NUWC-Newport. The document was prepared and approved on 22 October 2024 by Richard Rzomp and Philip Lindley, respectively.
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Text version
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Je erson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting O icer for the Contract/PR No.
listed in Block E.
A. CONTRACT LINE ITEM
NO.
B. EXHIBIT
C. CATEGORY:
TDP ☐ TM ☐ OTHER ☐
D. SYSTEM/ITEM
4T – 5935-01-678-7255
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA
ITEM NO.
A001
2. TITLE OF DATA ITEM
Failure Analysis/Corrective Action Report
3. SUBTITLE
17. PRICE
GROUP
4. AUTHORITY (Data Acquisition Document No.)
DID-80255
5. CONTRACT REFERENCE
Section E
6. REQUIREING OFFICE
NUWC KEYPORT
18.
ESTIMATED
TOTAL PRICE
7. DD 250
REQ
LT
9. DIST
STATEMENT
REQUIRED
D
10. FREQUENCY
SEE BLOCK 16
12. DATE OF
FIRST
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
11. AS OF DATE Final
8. ADP
CODE
13. DATE OF
SUBSEQUENT
SUBMISSION
SEE BLOCK 16
Draft
Reg Repro
16.REMARKS
BLK 5: INCLUDE AND TAKE ACTION ON SECTION I IF FAT IS
REQUIRED.
BLK 10: FREQUENCY - IS DETERMINED BY NUMBER OF FAT/LAT
FAILURES.
BLK 12: DATE OF FIRST SUBMISSION – NLT AN INTERIM REPORT
IS DUE NLT
10 DAYS AFTER NOTIFICATION OF LOT FAILURE. A FINAL REPORT
IS DUE 30
DAYS AFTER NOTIFICATION OF LOT FAILURE.
BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 10 DAYS
AFTER FAT
COMPLETION OF SECOND FAILED LOT AND BEYOND.
BLK 14: Distribution List
1. Contract Administration O ice (CAO)
2. NAVSUP WSS Contracting O icer N772
3. NAVSUP ALC, Code A151
4. NUWC-Newport Code 8554
See section H for distribution POC’s and their emails.
SEE BLOCK 14 0 1 0
15. TOTAL 0 1 0
G. PREPARED BY
Richard Rzomp
H. DATE
22 October
I. APPROVED BY
Philip Lindley
J. DATE
22 October 2024
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE
USED.
Page 1 of 2 Pages
CONTRACT DATA REQUIREMENTS LIST
(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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Je erson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting O icer for the Contract/PR No.
listed in Block E.
A. CONTRACT LINE ITEM
NO.
B. EXHIBIT
C. CATEGORY:
TDP ☐ TM ☐ OTHER ☐
D. SYSTEM/ITEM
4T – 5935-01-678-7255
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA
ITEM NO.
A002
2. TITLE OF DATA ITEM
Contractor’s Progress, Status and Management Report
3. SUBTITLE
17. PRICE
GROUP
4. AUTHORITY (Data Acquisition Document No.)
DID-81928
5. CONTRACT REFERENCE
6. REQUIREING OFFICE
NUWC KEYPORT
18.
ESTIMATED
TOTAL PRICE
7. DD 250
REQ
LT
9. DIST
STATEMENT
REQUIRED
D
10. FREQUENCY
MNTHLY
12. DATE OF
FIRST
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. ADP
CODE
11. AS OF DATE
13. DATE OF
SUBSEQUENT
Draft
Final
Reg Repro
16. REMARKS
BLK 11, 12,14: THE DD-375 REPORT SHALL BE SUBMITTED VIA
MAIL OR EMAIL ON OR BEFORE THE 5TH DAY OF EAC MONTH
AFTER CONTRACT AWARD.
BLK 14: Distribution List
1. Contract Administration O ice (CAO)
SEE BLOCK 14 0 1 0
2. NAVSUP WSS Contracting O icer N772
3. NAVSUP ALC, Code A151
4. NUWC-Newport Code 8554
See section H for distribution POC’s and their emails.
15. TOTAL
G. PREPARED BY
Richard Rzomp
H. DATE
22 October
I. APPROVED BY
Philip Lindley
J. DATE
22 October 2024
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE
USED.
Page 2 of 2 Pages
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