CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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 the burden, to the Department of Defense, Executive Services 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:

TBD A TDP ____ TM _____ OTHER X NDTI

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

MK46 PACKING, PREFORMED TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 TEST/INSPECTION REPORT

WRITTEN TEST REPORTS FOR MK46 PACKING

PREFORMED

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-80809B SOW, SEE BLK 16 N00253

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD REQUIRED ASREQ, SEE

BLK 16

SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D (SEE BLK 16)

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

A N/A SEE BLK 16 Reg Repro

16. REMARKS TECHNICAL POC 1 1

BLK 5: ALL WRITTEN TEST DATA IN ACCORDANCE WITH 5268354 REV F SHALL ACCOMPANY THE

DELIVERY OF ALL PRODUCTION AND PERIODIC UNITS. A CERTIFICATE OF CONFORMANCE WILL

ALSO ACCOMPANY EACH DELIVERY OF MATERIAL.

VENDOR IS TO SHIP 5 (FIVE) RANDOM SAMPLES FROM PRODUCTION LOT FOR OTTO IMMERSION

TESTING. PRODUCTION LOT WILL NOT BE SHIPPED UNTIL SUCCESSFUL TESTING RESULTS

HAVE BEEN MET AND NUWC KEYPORT HAS NOTIFIED FOR PRODUCTION UNITS TO BE SHIPPED.

BLK 8: ALLOW 60 DAYS FOR TESTING AND INSPECTION. IF THE MATERIAL RESULTS IN FAILURE

TO PASS TESTING NEW MATERIAL MUST BE RECEIVED WITHIN 21 DAYS AFTER NOTIFICATION.

ALL NEW LOTS OF MATERIAL MUST BE TESTED, ALLOW 45-60 DAYS FOR TESTING.

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE U.S. DEPARTMENT OF

DEFENSE AND DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY; 4/02/2012. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO SUB (PMS404).

DESTRUCTION NOTICE - FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD

THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10, 12-13: TEST DATA IS TO BE DELIVERED WITH EACH SHIPMENT OF MATERIAL

(PRODUCTION AND PERIODIC UNITS). (SEE CONTRACT FOR DELIVERY SCHEDULE)

BLK 14: DELIVERABLE FORMAT:

TEXT DOCUMENT: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT WORD (.DOC)

PRESENTATION: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT POWERPOINT (.PPT)

SPREADSHEET: MICROSOFT EXCEL (.XLS)

DISTRIBUTION ADDRESSEES AND ELECTRONIC MAILING ADDRESSES ARE PROVIDED BELOW:

1) NUWC DIVISION KEYPORT, JENNIFER SWAN, TECH POC, JENNIFER.M.SWAN@NAVY.MIL

2) NUWC DIVISION KEYPORT, MONIQUE KLOSE, PCO (CONTRACTING OFFICER),

MONIQUE.KLOSE@NAVY.MIL

3) NUWC DIVISION KEYPORT, XXXXXXXXXXX, CONTRACT SPECIALIST,

MAILING ADDRESS:

COMMANDER

NAVAL UNDERSEA WARFARE CENTER

DIVISION KEYPORT

610 DOWELL STREET

KEYPORT, WA 98345-7610

PCO 1 1

CONTRACT SPECIALIST 1 1

15. TOTAL ▬▬▬▬► 3 3

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

JENNIFER SWAN

5 Oct 2017

5 Oct 2017

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