N39040Q6134V600 Exhibit A_Work Platform.pdf
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- Solicitation number
- N39040Q6134V600
About this file
This is a Contract Data Requirements List (CDRL) documented on DD Form 1423 for Contract N39040Q6134V600 covering a Work Platform (RF-2204) system/item.
The CDRL specifies seven data submission requirements, all of which are one-time submissions (O-TIME frequency) required to be delivered with material. All submissions must include a Certificate of Compliance (COC) with a quantity of one per item and be distributed to Code 410 via WAWF (Wide Area Workflow). The technical office responsible is 2370.1, and all data submissions require DD 250 documentation marked as "SD" (Source Data). The specific requirements include: (1) Certificate of Compliance per contract paragraph C.3.1.; (2) Visual Certification before proof load test per C.3.2.; (3) Go/No-Go assessment before proof load test per C.3.2.; (4) Penetrant Testing before proof load test per C.3.2.; (5) Visual Certification after proof load test per C.3.3.; (6) Penetrant Testing after proof load test per C.3.3.; and (7) Material Safety Data Sheets for applicable materials per C.4. The document was prepared by Matthew Wurtz (Employee ID 49556) on 6/25/2026 and requires approval signature and date, which remain blank on the current version.
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Text version
CONTRACT N39040Q6134V600
EXHIBIT A
(ADP DD FORM 1423 (MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)
CONTRACT DATA REQUIREMENTS LIST
SYSTEM/ITEM: WORK PLATFORM (RF-2204)
CATEGORY ____________
ITEM NO CONTRACTOR
01 SEQ NO A002
02 DATA DESC CERTIFICATE OF COMPLIANCE
03 SUBTITLE
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. C.3.1.
06 TECH OFFICE 2370.1
07 DD 250 REQ SD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME; SUBMIT ONE COC PER ITEM
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 0_-_N/A________/(1) - Code 410 VIA WAWF
15 TOTAL 1 __
16 REMARKS 1 SUBMITTAL; QTY (1) COC
SEQ. NO.:
PREPARED BY _/s/ Matthew Wurtz 49556____________________________
DATE__6/25/2026 _______
APPROVED BY _______________________________ _________________
DATE__________________
DD FORM 1423
01 SEQ NO A002AA
02 DATA DESC VISUAL CERT
03 SUBTITLE BEFORE PROOF LOAD TEST
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. C.3.2.
06 TECH OFFICE 2370.1
07 DD 250 REQ SD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME; SUBMIT ONE COC PER ITEM
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 0_-_N/A________/(1) - Code 410 VIA WAWF
APPROVED BY _______________________________ _________________
01 SEQ NO A002AB
02 DATA DESC GO/NO-GO
03 SUBTITLE BEFORE PROOF LOAD TEST
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. C.3.2.
06 TECH OFFICE 2370.1
07 DD 250 REQ SD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME; SUBMIT ONE COC PER ITEM
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 0_-_N/A________/(1) - Code 410 VIA WAWF
APPROVED BY _______________________________ _________________
01 SEQ NO A002AC
02 DATA DESC PENETRANT TESTING
03 SUBTITLE BEFORE PROOF LOAD TEST
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. C.3.2.
06 TECH OFFICE 2370.1
07 DD 250 REQ SD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME; SUBMIT ONE COC PER ITEM
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 0_-_N/A________/(1) - Code 410 VIA WAWF
APPROVED BY _______________________________ _________________
01 SEQ NO A002AD
02 DATA DESC VISUAL CERT
03 SUBTITLE AFTER PROOF LOAD TEST
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. C.3.3.
06 TECH OFFICE 2370.1
07 DD 250 REQ SD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME; SUBMIT ONE COC PER ITEM
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 0_-_N/A________/(1) - Code 410 VIA WAWF
APPROVED BY _______________________________ _________________
01 SEQ NO A002AE
02 DATA DESC PENETRANT TESTING
03 SUBTITLE AFTER PROOF LOAD TEST
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. C.3.3.
06 TECH OFFICE 2370.1
07 DD 250 REQ SD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME; SUBMIT ONE COC PER ITEM
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 0_-_N/A________/(1) - Code 410 VIA WAWF
APPROVED BY _______________________________ _________________
01 SEQ NO A003
02 DATA DESC MATERIAL SAFETY DATA SHEETS
03 SUBTITLE FOR APPLICABLE MATERIALS
04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A
05 CONTRACT REF PARA. C.4.
06 TECH OFFICE 2370.1
07 DD 250 REQ SD
08 APP CODE
09 IAC INPUT
10 FREQUENCY O-TIME; SUBMIT ONE COC PER ITEM
11 AS OF DATE
12 DATE 1ST SUBM WITH MATERIAL
13 DATE SUB SUBM
14 DISTRIBUTION 0_-_N/A________/(1) - Code 410 VIA WAWF
APPROVED BY _______________________________ _________________
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