Encl (2) CDRL A001 - Test Report.pdf
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- Solicitation number
- N0016726Q1166
About this file
This is a DD Form 1423 (Contract Data Requirements List) dated February 2024 that specifies data deliverables for a contract involving the IM-272A/WDQ Air Particle Detector system. The form identifies a single data item requirement: Test/Inspection Reports for the air particle detector, referenced under Performance Work Statement sections 3.1.5 and 3.2.3, with the requiring office designated as NAVSEA 04RD (Naval Sea Systems Command).
The contractor must deliver a draft test report within 60 days of completing testing, with the government providing comments within 60 days of draft receipt. The contractor shall incorporate government comments and submit the final test report no later than 30 days after receiving comments, with government acceptance or rejection required within 60 days of final submittal. The overall delivery timeline for the final test report is 150 days after completion of testing. All reports must be submitted electronically in Adobe PDF format to the technical points of contact identified in the contract. The information produced is classified as Controlled Unclassified Information (CUI) under DoD guidance 5200.48, with Distribution Statement C authorization limiting distribution to U.S. Government agencies and their contractors, with administrative and operational use through November 2025. The form indicates contract line item number, contract number, and contractor information are to be determined (TBD), as this is a template prepared by Adrienne Capil and approved by Connie Hall at NSWCCD Code 631.
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PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 2
(Updated 20250617)UNCLASSIFIED
UNCLASSIFIED
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CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER NDTI
D. SYSTEM/ITEM
IM-272A/WDQ Air Particle Detector
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Test/Inspection Reports
3. SUBTITLE
IM-272A/WDQ Test Reports
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PWS 3.1.5, 3.2.3
6. REQUIRING OFFICE
NAVSEA 04RD
7. DD 250 REQ
LT
8. APP CODE
A (See Block 16)
9. DIST STATEMENT
REQUIRED
C (See Block 16)
10. FREQUENCY
ASREQ (See Block 16)
11. AS OF DATE
N/A
12. DATE OF FIRST SUBMISSION
ASREQ (See Block 16)
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ (See Block 16)
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
Block 8: The draft test report shall be delivered 60 days after completion of testing. The Government will provide comments on the draft test report within 60 days after receipt of the draft. The Contractor shall incorporate comments and deliver the final test report no later than 30 days after receipt of Government comments. The Government will accept or reject the test report no later than 60 days after final submittal.
Block 9: Distribution Statement C: Distribution authorized to US Government Agencies and their contractors; Administrative/Operational Use: November 2025. Other requests for this document shall be referred to Naval Sea Systems Command (NAVSEA 04RD).
Information produced for this CDRL shall be considered Controlled Unclassified Information (CUI). In accordance with the DoD phased CUI Program implementation, all documents carry CUI markings in accordance with 5200.48 - Controlled Unclassified Information (CUI).
Block 10, 12, and 13: The final test report shall be delivered within 150 days after completion of testing.
Block 14: Media Requirement: Test reports shall be submitted electronically in Adobe PDF format as attachments to the TPOCs identified in the contract.
add continuation
NSWCCD Code 631 1 1 0
15.TOTAL 1 1 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Adrienne Capil
H. SIGNATURE I. APPROVED BY
Connie Hall
J. SIGNATURE + -
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024 Page 2 of 2
(Updated 20250617)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. 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.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
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.
a. 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 the performance 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.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
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 requirement 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 rights to use the data shall be governed by the pertinent provisions of the contract.
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES Draft Final Reg Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. 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.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
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.
a. 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 the performance 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.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
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 requirement 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 rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List"
| CurrentPage: |
| PageCount: |
| Select Classification from drop-down list.: 1 |
| CUI Indicator Information: |
| Click on this button to attach a file(s).: |
| A. CONTRACT LINE ITEM NUMBER: TBD |
| exhibit: A |
| C. CATEGORY: Select for "TDP.": 0 |
| C. CATEGORY: Select for "TM.": 0 |
| C. CATEGORY: Select for "OTHER.": 1 |
| C. CATEGORY: Enter specification for "Other.": NDTI |
| System: IM-272A/WDQ Air Particle Detector |
| ContractNum: TBD |
| Contractor: TBD |
| 1. DATA ITEM NUMBER: A001 |
| titleDataItem: Test/Inspection Reports |
| subtitle: IM-272A/WDQ Test Reports |
| 4. AUTHORITY (Data Acquisition Document Number): DI-NDTI-80809B |
| contractRef: PWS 3.1.5, 3.2.3 |
| reqOffice: NAVSEA 04RD |
| 7. DD 250 REQUIREMENT: LT |
| 8. APPROVAL CODE : A (See Block 16) |
| 9. DISTRIBUTION STATEMENT REQUIRED: C (See Block 16) |
| freq: ASREQ (See Block 16) |
| asOfDate: N/A |
| dateFirstSub: ASREQ (See Block 16) |
| dateSubseqSub: ASREQ (See Block 16) |
| 16. REMARKS: Block 8: The draft test report shall be delivered 60 days after completion of testing. The Government will provide comments on the draft test report within 60 days after receipt of the draft. The Contractor shall incorporate comments and deliver the final test report no later than 30 days after receipt of Government comments. The Government will accept or reject the test report no later than 60 days after final submittal. |
Block 9: Distribution Statement C: Distribution authorized to US Government Agencies and their contractors; Administrative/Operational Use: November 2025. Other requests for this document shall be referred to Naval Sea Systems Command (NAVSEA 04RD).
Information produced for this CDRL shall be considered Controlled Unclassified Information (CUI). In accordance with the DoD phased CUI Program implementation, all documents carry CUI markings in accordance with 5200.48 - Controlled Unclassified Information (CUI).
Block 10, 12, and 13: The final test report shall be delivered within 150 days after completion of testing.
Block 14: Media Requirement: Test reports shall be submitted electronically in Adobe PDF format as attachments to the TPOCs identified in the contract.
| Click to add continuation field for Remarks: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: NSWCCD Code 631 |
| 15.TOTAL - Total draft copies is automatically calculated.: 1 |
| 15.TOTAL - Total draft copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: 0 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: 0 |
| priceGrp: |
| estTotalPrice: |
| remarks: |
| preparedBy: Adrienne Capil |
| J. SIGNATURE: H. SIGNATURE |
| J. SIGNATURE: J. SIGNATURE |
| J. SIGNATURE: |
| approvedBy: Connie Hall |
| Click to add additional data items.: |
| Click to delete additional data items.: |
File details come from the government source that posted it. Updated .