CDRL 0004_ITEMIZED WORK ORDER_USNS SACAGAWEA.pdf

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Attached to
USNS SACAGAWEA MHE - 23Q2216
Solicitation number
N3220523Q2216
Issued by

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This document contains a contract data requirements list (CDRL) and itemized work order template for maintenance performed on materials handling equipment aboard the USNS Sacagawea. The CDRL requires the contractor to submit itemized lists of all maintenance work performed on forklifts and pallet jacks to the Military Sealift Command in Norfolk, Virginia on a final and draft basis. The itemized work order template includes fields for the vendor name, equipment details, part numbers, descriptions, quantities, unit prices, installation costs if applicable, and extended totals. The related federal contract opportunity is solicitation number N3220523Q2216 for MHE services aboard the USNS Sacagawea issued by the Department of the Navy Military Sealift Command.

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i::

TOP TM --- OTHER

A.CONTRACT LINE ITEM NO. B.EXHIBIT C. CATEGORY:

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 0MB 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no rson shall be subject to any penalty for failing to com� with a collection of information if it does not display a currenUy valid 0MB control number. Please DO NOT RETURN your rm to the above address. Send completed form to the ovemment Issuing Contracting Officer for the Contract/PR No. listed in Block E.

CLIN 0004

D.SYSTEMnTEM Material Handling Equipment

E.CONTRACT/PR NO. F.CONTRACTOR

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

D0004 MHE Work Order

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 8.REQUIRING OFFICE

Production

18.ESTIMATED

TOTAL PRICE

$47,500.00

11. 13. a.ADDRESSEE Final SEE BLOCK 16 Draft

Reg Repro

18.REMARKS MHE HELP DESK

Service provider shall submit an itemized list of all maintenance that was performed MSC MHEOHE®US.NA VY.MIL including parts with associated cost on each forklift/pallet jack asset to Military Sealift Command, Norfolk, VA. (CORL0004).

G.PREPARED BY H.DATE I. APPROVED BY N441 Acting

15.TOTAL

J.DATE

PREVIOUS EDITION MAY BE USED. Page_1_of 1 Pages Designed using Perform Pro, WHSloiOR, Aug 96

I sow 1 Para 6.6 N32205

7.DD 250 REQ

NIA

9. DIST STATEMENT

REQUIRED

10.FREQUENCY

ASGEN

AS OF DATE

N/A

12.DATE OF FIRST SUBMISSION

SEE BLOCK 16

DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b.COPIES

B.APPCODE

DD FORM 1423-1, AUG 96 (EG)

D XXXX

CDRL 0004 ITEMIZED WORK ORDER

Vendor Name: Location: Equipment Manufacturer: Serial Number: Point of Contact Email: MSC Registration Number:

Part Number Description Quantity Unit Price in US Dollars Installation Cost/If Applicable Extended Price $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

EXTENDED TOTAL PRICE $0.00

Sheet1

2023-08-29T10:59:03-0400
HADLEY.RICHARD.T.III.1454717569
2023-08-29T11:05:33-0400
Dennis Lewis

File details come from the government source that posted it. Updated .