18Q0272_Attachment_1_-_Specifications.pdf

REQ DOC NO. - 8115V047 ATTACHMENT 1

CONTINUATION SHEET CONTRACT NO. - N3904018Q0272 PAGE

NAME OF OFFER OR/CONTRACTOR

ITEM # SUPPLIES/SERVICES QTY U/I

FLUID FILTER 3 EA

C. DESCRIPTION/SPECIFICATIONS.

C.1 2 INCH NPT CONNECTION, STAINLESS STEEL 300 SERIES, 75 GPM

MINIMUM FLOW RATE, CUNO P/N 5164101, CUNO FILTER ASSEMBLY

NUMBER EB-01GH1, CUNO FILTER CARTRIDGE51539-02 EDGE TYP FILTER.

HOUSING AND CARTRIDGE CLEANED TO MIL-STD-767 (L/R).

C.2 DATA REQUIREMENTS:

C.2.1 CERTIFICATE OF COMPLIANCE; EXHIBIT A SEQUENCE A001.

C.4 C500 MERCURY CONTROL.

C.5 C528 SPECIFICATION CHANGES.

D. PRESERVATION/PACKAGING/PACKING.

D.1 D4 PREPARATION FOR DELIVERY (COMMERCIALLY PACKAGED).

E. INSPECTION AND ACCEPTANCE.

E.1 E2 INSPECTION AND ACCEPTANCE (DESTINATION).

E.2 FAR 52.246-1 CONTRACTOR INSPECTION REQUIREMENTS (APR 1984).

E.3 G505 VENDOR DISPOSITION OF NONCONFORMING MATERIAL.

CONTRACT N3904018Q0272

PRINTED 06/19/2018 PAGE 1 of 1

EXHIBIT A

(ADP DD FORM 1423 (MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM FLUID FILTER CATEGORY

ITEM NO 0002 Data for item 0001

CONTRACTOR

01 SEQ NO A001

02 DATA DESC CERTIFICATION OF COMPLIANCE

03 SUBTITLE

04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A

05 CONTRACT REF PARA. C.2.1

06 TECH OFFICE 2380

07 DD 250 REQ DD

08 APP CODE

09 IAC INPUT

10 FREQUENCY O-TIME

11 AS OF DATE

12 DATE 1ST SUBM WITH MATERIAL

13 DATE SUB SUBM

14 DISTRIBUTION ___ __/ 0 VIA MAIL (N0 DD 250 REQD)

15 TOTAL __

16 REMARKS

SEQ. NO. A001

PREPARED BY DATE

APPROVED BY DATE

DD FORM 1423

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ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)

CONTRACT/SOLICITATION __N3904018Q0272__________________________

ITEM _0002_________ (DATA FOR ITEM ___0001__________________)

REQUIRED CERTIFICATION

A. CERTIFICATION SHALL BE SUPPLIED WITH EACH SHIPMENT OF MATERIAL.

CERTIFICATION (CERTIFICATE OF COMPLIANCE) SHALL BE SUPPLIED AS

OUTLINED IN PARAGRAPH B. THE VENDOR IS LIABLE FOR CONDUCTING ALL

TESTS, ANALYSES, INSPECTIONS, AND EXAMINATIONS, ETC., AS SPECIFIED BY

THE CONTRACT AND SPECIFICATIONS WHETHER CERTIFICATIONS ARE

REQUIRED OR NOT.

1. CERTIFICATE OF COMPLIANCE (PROVIDE THE FOLLOWING VERBATIM

STATEMENT OR COMPLETE THE OPTIONAL FORM AT THE END OF THIS PART:

"I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL

COMPLIANCE WITH MIL-DTL-767 AND ALL CONTRACT REQUIREMENTS."

B. CERTIFICATION SHALL BE SUPPLIED PER THE FOLLOWING INSTRUCTIONS:

1. THE CERTIFICATE OF COMPLIANCE SHALL CONTAIN THE SIGNATURE AND

TITLE OF THE VENDOR OFFICIAL DESIGNATED RESPONSIBLE FOR QUALITY

ASSURANCE.

2. THE CERTIFICATE OF COMPLIANCE SHALL INCLUDE THE CONTRACT

NUMBER ASSIGNED IN THE CONTRACT.

3. THE CERTIFICATE OF COMPLIANCE SHALL SPECIFY THAT THE DELIVERIES

WILL COMPLY WITH COMMERCIAL ITEM DESCRIPTION CID-A-A-59155.

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ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)

CERTIFICATE OF COMPLIANCE

COMPANY NAME

MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO. -___________________ ORDER NO. _________________

ITEM NO. __0002 Data for Item 0001______

NATIONAL/LOCAL STOCK NO. NSN/LSN ___________________________________

MANUFACTURER'S PART NO. _____________________________________________

MANUFACTURER'S SERIAL NO. ___________________________________________

DRAWING AND PIECE NO. _______________________________________________

MANUFACTURER'S LOT/HEAT NOS. AS MARKED ON THE MATERIAL ___________

I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE

WITH ALL CONTRACT REQUIREMENTS.

SIGNATURE _______________________________ DATE ________

QUALITY ASSURANCE OFFICIAL

TITLE ______________________________________________

N3904018Q0272