0106-05 - Antenna Backplate Redesign - CDRL A002.pdf

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Greenwave Antenna System Backplate Redesign Federal contract opportunity
Solicitation number
N0017820Q6687
Issued by
Department of the Navy Naval Sea Systems Command

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0106-05 - Antenna Backplate Redesign - DI-QCIC-81187.pdf PDF
0106-05 - Antenna Backplate Redesign - CDRL A001.pdf PDF
0106-05 - Antenna Backplate Redesign - DI-NDTI-80809B.pdf PDF
SF18 N0017820Q6687.pdf PDF

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

1_DATA_ITEM_NO: A002
2_TITLE_OF_DATA_ITEM: QUALITY ASSESSMENT REPORT
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-QCIC-81187
5_CONTRACT_REFERENCE: SOW 3.8, 6.2
6_REQUIRING_OFFICE: NSWCDD, E13
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: D(SEE BLK 16)
10_FREQUENCY: OTIME
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16
13_DATE_OF_SUBSEQUENT_SUB: N/A
addressee1: TPOC1
draft1: 0
reg1: 1
repro1:
addressee2: TPOC2
draft2: 0
reg2: 1
repro2:
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total_draft: 0
total_repro: 0
16_REMARKS: BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (ADMINISTRATIVE OR OPERATIONAL USE) (06 JANUARY 2020). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO THE NAVAL SURFACE WARFARE CENTER, DAHLGREN DIVISION (NSWCDD), E10 DIVISION.

BLK 12: SUBMISSION DUE PRIOR TO SYSTEM PACKAGING AND SHIPPING TO NSWCDD.

BLK 14: ELECTRONIC MEDIA: SUBMISSION MAY BE SENT VIA ELECTRONIC MAIL (EMAIL) TO THE TECHNICAL POINTS OF CONTACT (TPOC) LISTED IN THE STATEMENT OF WORK.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page: 2
reg38t: 2
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A
TDP:
TM:
OTHER: X - QCIC
DSYSTEMITEM: GREENWAVE ANTENNA BACKPLATE
E_CONTRACTPR_NO:
FCONTRACTOR: PACIFIC ANTENNA SYSTEMS LLC
of_pages: 2
Reset:
2019-08-13T08:04:50-0400
JEND.DAVID.JOSEPH.1233506253
2019-08-13T13:44:39-0400
WHITE.JEFFREY.STEPHEN.1501664690

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