1.06_CDRLs_26NA005.pdf

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1355-00-433-3214 TA68
Solicitation number
N0010426RK002
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This document is a Contract Data Requirements List (DD Form 1423-1) for a federal contract involving a system with the item number 4T-1355-00-433-3214-TA68. The document outlines five distinct data items that the contractor must submit: (1) Test Procedure, (2) Test/Inspection Report, (3) Failure Analysis/Corrective Action Report, (4) Contractor's Progress, Status and Management Report, and (5) Certificate of Compliance. The contract requires detailed reporting on production lot quality, testing procedures, potential failures, monthly progress updates, and compliance certifications.

The primary federal agencies involved are NAVSUP WSS Contracting Officer, NAVSUP ALC, and NUWC-Keyport. Key submission requirements include a preliminary test procedure within 60 days after contract award, monthly progress reports by the 5th day of each month, and certificates of compliance with each delivery. The documents emphasize quality control, adherence to specifications, and rigorous documentation of production processes, with distribution limited to DoD and U.S. DoD contractors due to critical technology and export control considerations.

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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 Jefferson 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 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

4T-1355-00-433-3214-TA68

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test Procedure

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI 80603A

5. CONTRACT REFERENCE

ALL DRAWINGS

6. REQUIREING OFFICE

KEYPORT

18. ESTIMATED TOTAL

PRICE

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE TIME

12. DATE OF FIRST SUBMISSION

60 DADC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. ADP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

THE PLAN IS TO SPECIFY PROCESS CONTROL INSTRUCTIONS AND INSPECTION

PROCEDURES NEEDED TO ENSURE PRODUCT CONFORMANCE TO DRAWINGS,

SPECIFICATIONS, AND CONTRACT REQUIREMENTS IAW ASQ-Q9001-2008

OR EQUIVALENT. THE PLAN IS TO INCLUDE FIRST ARTICLE AND PRODUCTION

LOT QUALITY CONFORMANCE INSPECTION PROCEDURES IAW DID-80603 ALONG

WITH ALL APPLICABLE DATA ENTRY SHEETS TO BE USED TO DOCUMENT PROCESS

INSPECTIONS.

BLK 10 & 12: VENDOR SHALL PROVIDE PRELIMINARY TEST PROCEDURE WITHIN

60 DAYS AFTER CONTRACT AWARD. GOVERNMENT WILL PROVIDE RESPONSE

WITHIN 10 DAYS. VENDOR SHALL PROVIDE FINAL TEST PROCEDURE WITHIN 10

DAYS UPON GOVERNMENT APPROVAL OF DRAFT.

BLK 14: Distribution List

1. NAVSUP WSS Contracting Officer N772

2. NAVSUP ALC, Code A151

3. NUWC-Keyport Code N323 See section H for distribution POC’s and their emails.

Contract Officer 1 1 0

Program Analyst 1 1 0

Engineer 1 1 0

15. TOTAL 3 3 0

G. PREPARED BY

Robert Kovach

H. DATE

28 August 2025

I. APPROVED BY

John Knecht

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 5 Pages

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 Jefferson 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 Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A002

Test/Inspection Report

3. SUBTITLE

Pre-Production & Production Test

DI-NDTI 80809B

ALL DRAWINGS

SD

PER LOT

SEE BLOCK 16

Reg Repro

16.REMARKS

THE REPORT IS TO VERIFY PRODUCTION LOT CONFORMANCE TO THE APPLICABLE

DRAWINGS, SPECIFICATIONS, AND CONTRACT REQUIREMENTS. THE REPORT

CONSISTS OF THE PLAN (A001) CONTAINING ALL REQUIRED INSPECTION

RESULTS DOCUMENTED ON THE PLAN’S DATA ENTRY SHEETS. IN ADDITION, THE

REPORT IS TO INCLUDE MATERIAL CERTIFICATIONS AND ALL OTHER PERTINENT

OBJECTIVE QUALITY EVIDENCE. THE REPORT MUST BE APPROVED BY NAVSUP

WSS CONTRACTING OFFICER BEFORE FINAL ACCEPTANCE OF THE LOT.

BLK 12: DATE OF PRE-PRODUCTION TEST REPORT SUBMISSION – NLT 15 DAYS

AFTER FIRST ARTICLE TEST COMPLETION.

BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 15 DAYS AFTER LOT

ACCEPTANCE TESTING OF SECOND LOT AND BEYOND.

BLK 14: Distribution List

1. NAVSUP WSS Contracting Officer N772

2. NAVSUP ALC, Code A151

Contract Officer 1 1 0

Program Analyst 1 1 0

Engineer 1 1 0

15. TOTAL 3 3 0

Robert Kovach

H. DATE

28 August 2025

I. APPROVED BY

John Knecht

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 5 Pages

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 Jefferson 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 Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A003

Failure Analysis/Corrective Action Report

DI-SESS-80255B

Section E

LT

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. NAVSUP WSS Contracting Officer N772

2. NAVSUP ALC, Code A151

Contract Officer 0 1 0

Program Analyst 0 1 0

Engineer 0 1 0

15. TOTAL 0 3 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 5 Pages

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 Jefferson 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 Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A004

Contractor’s Progress, Status and Management Report

DI-MGMT-81928

MNTHLY

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. NAVSUP WSS Contracting Officer N772

2. NAVSUP ALC, Code A151

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 of 5 Pages

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 Jefferson 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 Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A005

Certificate of Compliance

3. SUBTITLE

Certificate of Compliance

DI-MISC-81356

13. DATE OF SUBSEQUENT

SUBMISSION

Reg Repro

16.REMARKS

BLK 5: ENSURE COMPLIANCE IAW DWG 1300711 REV M. CERTIFICATES

OF COMPLIANCE (COC) ARE TO BE PROVIDED TO SHOW CONFORMANCE TO ALL

ASSOCIATED DRAWINGS, NOTICES OF REVISION, SPECIFICATIONS, AND

CONTRACT REQUIREMENTS AS PROVIDED IN TECHNICAL DATA PACKAGE.

BLK 9: DISTRIBUTION STATEMENT "D" - DISTRIBUTION AUTHORIZED TO

DOD AND U.S. DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY, EXPORT

CONTROLLED (8/25/2016). OTHER REQUESTS SHALL BE REFERRED TO

PEO-SUBS (PMS404).

"WARNING" THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT

IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C. SEC.

2751 ET. SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED,

TITLE 50, U.S.C. APP. 2401 ET. SEQ. VIOLATORS OF THESE EXPORT LAWS

ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE PER THE

PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE - FOR UNCLASSIFIED, LIMITED DOCUMENTS,

DESTROY BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF

CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10-13: COC SHALL BE SUBMITTED WITH EACH DELIVERY, INCLUDING

FIRST ARTICLE DELIVERY.

BLK 14: Distribution List

1. NAVSUP WSS Contracting Officer N772

2. NAVSUP ALC, Code A151

Robert Kovach

H. DATE

28 August 2025

I. APPROVED BY

John Knecht

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 of 5 Pages

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