N39040254276Q307 Exhibit A (Contract Data Requirements List DD1423).pdf

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Rubber Hose: 2 inch 75 feet long
Solicitation number
N39040254276Q307
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This is a Contract Data Requirements List (DD Form 1423) for a rubber hose procurement, specifically requiring certification of hydrostatic testing. The document is dated October 17, 2024, and falls under DAR Clause 16-815 as a mechanized equivalent form.

The form specifies one data item (SEQ NO A001) requiring certification of hydrostatic test, referencing contract paragraph C.3.1 and technical office 2380.2. The submission is required one time with the material delivery, with distribution to code 410 via mail without DD Form 250 required. The document is part of solicitation N39040254276Q307 for a 2-inch, 75-foot rubber hose being procured by the Portsmouth Naval Shipyard under a total small business set-aside.

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Text version

CONTRACT _________________

PRINTED 17 OCTOBER 2024 PAGE _______

EXHIBIT A

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

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM: RUBBER HOSE CATEGORY ____________

ITEM NO CONTRACTOR

01 SEQ NO A001

02 DATA DESC CERTIFICATION OF HYDROSTATIC TEST

03 SUBTITLE

04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A

05 CONTRACT REF PARA. C.3.1

06 TECH OFFICE 2380.2

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 410 __/ 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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