J-11_DRYDOCK_EVALUATION_FORM_rev.rtf

ATTACHMENT J - 11

Attachment J – 11

MSC DRYDOCK EVALUATION FORM

Ship name:

USNS ZEUS

Hull No:

T-ARC 7

PART A (to be completed by MSC)

PART B (to be completed by ALL shipyards)

Drydock Certification / Classification Info

Shipyard name

Drydock No.

Drydock Type Graving Floating Marine Railway I

Certified? Yes No

Certifying / Classifying Agency

Certificate No.

Date of expiration

Ship Characteristics English measure Metric measure

Provide date in English and Metric Units:

Length, overall ft -in

0.0 m

Drydock Characteristics Breadth, molded ft -in

0.0 m

Length, overall ft-in m

Draft, light load line ft - 11 3/4 in

0.0 m

Breadth ft-in m

Gross Tonnage (U. S.)

14,934 Tons

MT

Displacement, Full Load 15,986

LT

Maximum drydock lift capability

Minimum Displacement/Draft

Displacement 11,873

Draft - forward ft -in m

Maximum entry draft rating:

LT

MT

Draft – aft ft -in m

Max stern trim for graving dock ft -in m

Water depths around dock ft-in area and approaches, tidal conditions, Anticipated Arrival Draft and any unusual conditions for entering/

Draft - forward ft -in leaving the drydock.

Draft - aft ft -

Depth Over Floor

Positioning Clearances

Depth Over Blocks m

Bottom: keel to drydock floor ft -in m

Depth Over Sill ft-in m

Side: hull to drydock wall ft -in m

Depth Over KEEL

Loading Pressures

Max block loading 0.40 Tons Per square ft.

per sq mtr

Note: All blocks to be positioned under longitudinal strength members and transverse bulkheads.

Max Block Loading Capability

Blocking Requirements

Block Capability

LT/ft2

LT/m2

Construction HardWood

Keel & Side Block Information

Cap material Soft Wood

Construction

Cap thickness (min)

Cap Material

Side blocks (e.g., shaped, wedged, etc.)

Shaped

Cap Thickness cm

Block Age

Hardwood: White Oak, California Laurel, Oregon Myrtle, Iron bark, Height ft-in m Blue Gum, American Rock Elm or Preserved Red Oak.

Width ft-in m Softwood: Douglas Fir, Tamarack, Long Leaf Pine or Hemlock

Length ft-in m MSC DRYDOCK EVALUATION FORM (cont’d)

PART A (to be completed by MSC)

PART B (to be completed by ALL shipyards)

Provide data in English and Metric units Minimum Required Services

Electrical power

Minimum Available Services AC volts

VAC

Electrical power number of phases

AC volts

VAC

amperage (total) Amps number of phases frequency Hz amperage (total) amps number of lines frequency

Hz number of lines

Ground connections number

Ground connections cable size, each 500,000 cir mils number cable size, each cir mils

Sewage connections number

Sewage connections pipe size 2 1/2 inch ips number capacity 1,000 gals per day 3,785 liters per day pipe size cm capacity gal/day ltr/day Fire Main number of connections

Fire Main connection size 2 1/2 number of connections pressure Psig

8.8 kg per sq cm connection size inch ips cm capacity 1,000 gals per min 3,785 liters per min pressure psig kg/m2 capacity gpm ltr/min Aux Seawater pressure Psig

7.0 kg per sq cm

Aux Seawater capacity gals per min 2,271 liters per min pressure capacity

Fresh Water pressure Psig

4.2 kg per sq cm

Fresh Water capacity gals per min 378 liters per min pressure capacity

Compressed Air pressure Psig

8.8 kg per sq cm

Compressed Air capacity cu ft per min 5664 liters per min pressure capacity cfm

Shore Steam pressure psig

7.0 kg per sq cm

Shore Steam capacity 6,000 lbs per hour 2,722 kg per hour pressure capacity lb/hr kg/hr High Pressure Water Wash pressure 3,000

211 kg per sq cm

High Pressure Water Wash pressure kg per sq cm

Safety Response Plans Required

Safety Response Plans Available (circle correct answer)

Firefighting Yes X No

Firefighting Yes No

Flooding (accidental) Yes X No

Flooding (accidental)

No

Earthquake Yes No X

Earthquake

No

Typhoon Yes No X

Typhoon

No

MSC DRYDOCK EVALUATION FORM (cont’d)

PART C (to be completed by Shipyard if drydock is not certified by IACS or under MIL STD 1625C)

Dockmaster info

Contractor name

Dockmaster name

Certifying Agency

Certificate No.

Years experience

Drydock Insurance Info

Is Drydock insured?

Yes No Insurer

Policy No.

Amount Insured

Date of expiration

IS SNUBBING NECESSARY?

YES NO

IS FIRE PROTECTION AVAILABLE

ON BUILDING WAY?

YES NO

TIDAL RANGE (DIFF. OF M.L. M.H)

CERTIFICATION DATE &

CERTIFIED BY WHOM

LIFT CAPACITY

(std. tons)

TYPE

CRANES SERVING WAY

NO.

AT DROP

OFF

OVER

WAY END

DEPTH OF WATER

LENGTH OF LAUNCHING RUN DEPTH OF RUN AT M.L.W.

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

NO. LAUNCHING DIMENSIONS MAXIMUM SHIP SIZE

OF (check one) (ton 2,240 lbs)

WAY

[ ] END LENGTH: LENGTH:

[ ] SIDE

[ ] BASIN WIDTH: WIDTH:

[ ] SLAB

DEPTH: DEPTH:

BUILDING WAYS (M. I. W.)

SHIPYARD DATA

Telephone No:

Telex No:

Date Found:

SHIPYARD AND ADDRESS

Commander (Code M-4E3) Military Sealift Command Washington, DC 20390 NOTE: If survey form has been previously submitted, then enter changes only.

MSC SHIP REPAIR FACILITY SURVEY

LIST ANY OTHER RESTRICTIONS (include projects under construction which will after navigational restrictions) DISTANCE TO NEAREST DISTANCE TO NEAREST AIRPORT RAILROAD CONNECTION (identify)

MAXIMUM SHIP SIZE

ACCOMMODATED

LENGTH OA-BEAM

DOCK

NO.

DRY DOCKS (continued) LEGEND (abbreviation of services) Fresh Water --- F.W. - G.P.M. - P.S.I. Steam --- S - P/HR - P.S.I. Electric Power --- E - V - AC - AMP Fire Protection --- FP - G.P.M. - P.S.I.

Salt Water ----- S.W. - G.P.M. - P.S.I Air ------ A - C.F.M. - P.S.I. Electric Power --- E - V- DC - AMP Sanitary Sewer --SS - YES - NO

DATE CERTIFIED, CERTIFIED BY WHOM, &

DATE CERTIFICATION EXPIRES

LIFTING CAPACITY

(ton 2,240)

DEPTH/DRAFT

OVER OVER OVER

SILL FLOOR KEEL

(GD) BLOCKS

CLEAR WIDTH

at top cradle (MR), at keel at top inboard block wing wall (FD, GD) height

LENGTH

at coping (GD), at keel blocks OVERALL on cradle (MR), on PONTOON

(FD)

MATERIAL TYPE

Floating--(FD) Graving--(GD) Marine Railway (MR)

DOCK

SERVICES AVAILABLE

(Use abbreviation of service below)

USE

REPAIR/

OUTFIT-

ING

HEIGHT

OF

DOCK

(M.L.W.)

OUT-

BOARD

IN-

BOARD

WATER DEPTH

(M. L. W.)

LENGTH

(actual & usable)

ACT:

USE:

ACT:

USE:

ACT:

USE:

ACT:

USE:

ACT:

USE:

ACT:

USE:

TYPE

NAVIGATIONAL RESTRICTIONS (indicate at M.L.W.)

MINIMUM CHANNEL (depth width) MINIMUM HORIZONTAL AND VERTICAL BRIDGE CLEARANCES

BERTHING, SHOP OR YARD CRANES; STATIONARY, RAIL, MOBILE, OR BRIDGE (3 tons or over)

MAX REACH HEIGHT OF HOOK

NO TYPE CAPACITY MAX SPAN CAPACITY BOOM HEIGHT ABOVE BASE HEIGHT OF HOOK AREA SERVICE DATE CERTIFIED, CERTIFIED BY WHOM & (STD TONS) (BRIDGE) AT REACH LENGT HINGE ABOUT REACH (BRIDGE) DATE CERTIFICATION EXPIRES

ACREAGE LEGALLY CONTROLLED

IN USE DEVELOPED TOTAL

EXISTING LOCAL ORDINANCES LIMITING PRODUCTIVE USE

LIMITATION IMPOSED BY PROPERTY ZONING CLASSIFICATION

LIST TYPES OF WORK NORMALLY SUBCONTRACTED

RAW STEEL STORAGE (SQ. FT.) ___________________________________________________________

WELDING AND ASSEMBLY (SQ. FT.) _______________________________________________________

ALL OTHER SHOPS

(LIST NAMES AND DIMENSIONS)

LARGEST EXIT

WIDTH HEIGHT

DIMENSIONS OF

SHOP OR BUILDING

NAME OF SHOP

OR BUILDING

FABRICATING

PLATE

SHEET METAL

SUBASSEMBLY

WOOD WORKING

BOAT ASSEMBLY

OR MOLDING

BOILER

MACHINE

ELECTRICAL

ELECTRONIC

PIPE

FOUNDRY

RIGGER

STORAGE SPACE FOR COMPONENTS AND MATERIALS

(LIST DIMENSIONS FOR EACH AREA, PLUS TYPE MATERIAL STORED)

PRINCIPAL SHOPS AND BUILDINGS

NAME AND TITLE OF SENIOR SURVEYOR SIGNATURE DATE SIGNED

ARE YOU CERTIFIED AS A SMALL BUSINESS? YES NO

REQUIRED SUBMITTALS TO ACCOMPANY THIS FORM:

1. PLOT PLAN OF YARD.

2. CERTIFIED DEPTH OF WATER PLOT

3. FOR EACH SHOP LISTED ON SHEET 4, A LIST OF MACHINE TOOLS AND

EQUIPMENT WHICH INDICATES THE CAPACITIES OF THE SHOP.

4. A GENERAL STATEMENT (INCLUE, NAME OF SHIP, DATES, AND

DOLLAR AMONT OF JOB) OF SHIP REPAPIR WORK WHICH HAS BEEN

ACCOMPLISHED BY THE APPLICANT.

5. LISTING OF OFFICIALS AND THE QUALIFICATIONS OF EACH FOR SHIP

REPAIR (INCLUDE AS A MINIMUM JOBS HELD, YEARS, HELD, ONE LINE

6. IF FACILITIES ARE LOCATED AT MORE THAN ONE LOCATION THEN

LIST EACH FACILITY AND ITS LOCATION.

7. POINT OF CONTACT FOR INFORMATION SUBMITTED IN THIS FORM

(NAME/TITLE/PHONE NUMBER).

NORMAL

SHIFTS

NORMAL

MAXIMUM

POTENTIAL MAXIMUM

CURRENT

CURRENT

EMPLOYMENT

MANAGEMENT, ADMINISTRATION

PROFESSIONAL ENGINEERING

PRODUCTION SKILLED

PRODUCTION UNSKILLED

NONPRODUCTION

TOTAL:

LIST ANY EQUIPMENT OR CAPABILITY NOT OTHERWISE DESCRIBED IN THIS FORM

SHIPYARD:

MSC SHIP REPAIR FACILITY SURVEY (continued)

PART D (to be completed by ALL Shipyards)

1. The Offeror shall provide a list of the vessels (and their principal characteristics) drydocked in this drydock over the past 2 years. (Attach a separate page)

I hereby certify that the above information is true and accurate.

Name and Title of Shipyard Official

Signature of Shipyard Official

Date