N3904026Q5642 Exhibit A.pdf
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- Attached to
- NAVSUP Off Gas Testing
- Solicitation number
- N3904026Q5642
About this file
Contract Data Requirements List Summary
This is a Contract Data Requirements List (DD Form 1423, FEB 2024) specifying two data deliverables for an off-gas testing contract with the Navy's DSS (requiring office). The first data item (001) is a Test Plan (Authority: DI-NDTI-80566A) that must be submitted for government approval prior to performing off-gas testing and chemical analysis, with government approval or disapproval to be returned within 15 business days of receipt. The contractor must submit the test plan before testing begins, with the "as of date" being the date of test plan creation. If the government requests revisions or disapproves the plan, the contractor has 10 business days to submit corrected amendments, with resubmitted documents highlighting revised text for rapid review. The second data item (002) is a Certification Data Report/Off-Gas Test Report (Authority: DI-MISC-82386) to be submitted upon completion of testing and no later than 15 business days after testing is completed, with any subsequent reporting submissions due within 5 business days.
Both deliverables must be electronically submitted to jason.d.stutting.civ@us.navy.mil and through Wide Area Workflow (WAWF). Distribution is required to C420 (1 copy) and DSS (1 copy). A DD 250 is required for the Test Plan. The document was prepared by Jason Stutting and approved by Amanda Kenney on June 24, 2026. Both data items are categorized as "OTHER" and classified as UNCLASSIFIED with required distribution statement A. No price group or estimated total price information is specified in the form.
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Text version
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 2
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER NDTI
D. SYSTEM/ITEM
OFF-GAS TESTING
E. CONTRACT/PR NO. F. CONTRACTOR
N/A
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
TEST PLAN
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80566A
5. CONTRACT REFERENCE
SOW Para. 3.7.2
6. REQUIRING OFFICE
DSS
7. DD 250 REQ
DD
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
1TIME
11. AS OF DATE
See Block 16
12. DATE OF FIRST SUBMISSION
ASREQ
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
Block 8. App Code: Test Plan shall be submitted for approval from the government prior to the performance of off-gas testing and chemical analysis. Government approval/disapproval and technical comments will be returned to the Contractor within 15 business days after receipt of the submittal.
Block 11. As of Date shall be the date of the test plan creation.
Block 12. Date of First Submission shall be prior to performance of off-gas testing and chemical analysis.
Block 13. Date of Subsequent Submission shall be required if revisions are required. Disapproval or requests for amendments will be communicated via Contracting Officer (CO) or Contracting Officer’s Representative (COR), detailing the reasons for rejection. The Contractor shall submit a corrected/amended plan within 10 business days after receipt of the Government's written comments. Resubmitted documents shall highlight revised text for rapid review.
Block 14. Distribution shall be electronically submitted to jason.d.stutting.civ@us.navy.mil and submitted through Wide Area Workflow (WAWF).
C420* 1
DSS 1
15.TOTAL 0 0 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Jason Stutting
H. SIGNATURE I. APPROVED BY
Amanda Kenney
J. SIGNATURE
STUTTING.JASO
N.D.1403939893
Digitally signed by
STUTTING.JASON.D.1403939893
Date: 2026.06.24 15:05:57 -04'00'
KENNEY.AMAN
DA.N.1641025638
Digitally signed by
KENNEY.AMANDA.N.1641025638
Date: 2026.06.24 15:33:32 -04'00'
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 2
(Updated 20260326)UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
OFF-GAS TESTING
E. CONTRACT/PR NO. F. CONTRACTOR
N/A
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
CERTIFICATION DATA REPORT
3. SUBTITLE
OFF-GAS TEST REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-82386
5. CONTRACT REFERENCE
SOW Para. 3.7.3.
6. REQUIRING OFFICE
DSS
7. DD 250 REQ
DD
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
1TIME
11. AS OF DATE
See Block 16
12. DATE OF FIRST SUBMISSION
ASREQ
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
Block 11. As of Date shall be the date of the testing results.
Block 12. Date of First Submission shall be upon completion of testing and no later than 15 business days after testing completed.
Block 13. Date of Subsequent Submission shall be if any reporting to be submitted after initial submission and no later than 5 business days.
Block 14. Distribution shall be submitted electronically to jason.d.stutting.civ@us.navy.mil and through Wide Area Workflow (WAWF).
C420* 1
DSS* 1
15.TOTAL 0 0 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY
Jason Stutting
H. SIGNATURE I. APPROVED BY
Amanda Kenney
J. SIGNATURE
STUTTING.JASO
N.D.1403939893
Digitally signed by
STUTTING.JASON.D.1403939893
Date: 2026.06.24 15:05:34 -04'00'
KENNEY.AMAN
DA.N.1641025638
Digitally signed by
KENNEY.AMANDA.N.1641025638
Date: 2026.06.24 15:34:11 -04'00'
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024 Page 2 of 2
(Updated 20260326)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
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