Exhbits_A-E_CDRLs_Class_A_Disposal_N4215818RE001.pdf
PDF 188 KB Posted
- Attached to
- Class A Low Level Radioactive Waste Disposal
- Solicitation number
- N42158-18-R-E001
About this file
Exhibits A-E, Contract Data Requirements List
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Other files
| File | Type | Posted |
|---|---|---|
| N4215818RE001-0001.pdf | ||
| Attachment_4_-_Transportation_Matrix_18RE001.docx | DOCX document | |
| Attachment_1-Past_Performance_Information_Form_18RE001.docx | DOCX document | |
| Attachment_3_-_Pricing_Worksheet_18RE001.xlsx | XLSX spreadsheet | |
| Attachment_5_-Transportation_Rate_Sheet_18RE001.xlsx | XLSX spreadsheet | |
| Attachment_2-Contractor_Performance_Customer_Input_Sheet_Questionnaire_18RE001.docx | DOCX document | |
| Solicitation_N4215818RE001.pdf |
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Text version
Rev II 04/26/2018
CONTRACT DATA REQUIREMENTS LIST
(1 DATA ITEM)
Form Approved OMB 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT
A
C. CATEGORY
TDP TM OTHER X 1
D. SYSTEM/ITEM
RADIOACTIVE WASTE DISPOSAL
E. CONTRACT/PR NO.
N42158-18-R-E001
F. CONTRACTOR
1. DATA ITEM NO
A001
2. TITLE OF DATA ITEM
CERTIFICATE OF DISPOSAL/BURIAL
3. SUBTITLE
CERTIFICATE OF DISPOSAL/BURIAL
4. AUTHORITY (Data Acquisition Doc. No)
OT-18-20074
5. CONTRACT REFERENCE
SOW, PARA, 3.5.1
6. REQUIRING OFFICE
NNSY Code 106.4 (LSMM)
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
See BLK 16
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 ADDRESSEES Draft
Final
Reg Repro
16. REMARKS
BLK 9: Distribution Statement “A”. Approved for public release; distribution unlimited.
BLKs 10, 12, 13: The certificate of Disposal/Burial shall be provided within ten (10) days of disposal/burial date.
BLK 14: Distribution shall be to the Contracting Officer’s Representative (COR) and the NNPP Site Technical Personnel as set forth in each individual task order.
Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government
POC(s):
NNSY C106.4 COR: Kristin Corrie, 757-396-2432, kristin.corrie@navy.mil
NNSY
C106.4 COR
NNPP Site 1
See BLK 16
15. TOTAL 2
G. PREPARED BY
Kristin Corrie
H. DATE
04/27/2018
I. APPROVED BY
S
J. DATE
04/27/2018
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
CORRIE.KRISTIN
.S.1231189650
Digitally signed by
CORRIE.KRISTIN.S.1231189650
Date: 2018.04.27 14:51:50 -04'00' donyette.rodgers Typewritten Text donyette.rodgers Typewritten Text donyette.rodgers Typewritten Text 0001-4002
(1 DATA ITEM)
Form Approved OMB 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT
B
C. CATEGORY
TDP TM OTHER X 1
D. SYSTEM/ITEM
RADIOACTIVE WASTE DISPOSAL
E. CONTRACT/PR NO.
N42158-18-R-E001
F. CONTRACTOR
1. DATA ITEM NO
B001
2. TITLE OF DATA ITEM
RADIOLOGICAL SURVEY RESULTS
3. SUBTITLE
RADIOLOGICAL SURVEY RESULTS
4. AUTHORITY (Data Acquisition Doc. No)
OT-18-20075
5. CONTRACT REFERENCE
SOW, PARA, 3.5.2
6. REQUIRING OFFICE
NNSY Code 106.4 (LSMM)
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
(SEE BLK 16)
12. DATE OF FIRST SUBMISSION
ASREQ
(SEE BLK 16)
14. DISTRIBUTION
8. APP CODE
N/A
11. AS OF DATE
See BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 ADDRESSEES Draft
Final
Reg Repro
16. REMARKS
BLK 9: Distribution B. Distribution authorized to U.S. Government Agencies (For Official Use Only) (08 February 2018). Other requests for this document shall be referred to Lead Shipyard for Mixed Material, Code 106.4, Bldg. M22-3 Room 317, Norfolk Naval Shipyard, Portsmouth, VA, 23709-1035.
BLKs 10, 12, 13: Radiological survey results shall be provided upon request by either the Contracting Officer's Representative (COR) or the Naval Nuclear Propulsion Program (NNPP) Site Technical Personnel.
BLK 14: Distribution shall be to the COR and the NNPP Site Technical Personnel as set forth in each individual task order. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.
POC(s):
NNSY C106.4 COR: Kristin Corrie, 757-396-2432, kristin.corrie@navy.mil
NNSY
C106.4 COR
NNPP Site 1
See BLK 16
15. TOTAL 2
G. PREPARED BY
Kristin Corrie
H. DATE
04/24/2018
I. APPROVED BY
S
J. DATE
04/27/2018
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
donyette.rodgers Typewritten Text donyette.rodgers
(1 DATA ITEM)
Form Approved OMB 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT
C
C. CATEGORY
TDP TM OTHER X 1
D. SYSTEM/ITEM
RADIOACTIVE WASTE DISPOSAL
E. CONTRACT/PR NO.
N42158-18-R-E001
F. CONTRACTOR
1. DATA ITEM NO
C001
2. TITLE OF DATA ITEM
ASBESTOS WASTE DOCUMENTATION
3. SUBTITLE
ASBESTOS WASTE DOCUMENTATION
4. AUTHORITY (Data Acquisition Doc. No)
OT-18-20076
5. CONTRACT REFERENCE
SOW, PARA, 3.5.3
6. REQUIRING OFFICE
NNSY Code 106.4 (LSMM)
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
See BLK 16
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 ADDRESSEES Draft
Final
Reg Repro
16. REMARKS
BLK 9: Distribution Statement “A”. Approved for public release; distribution unlimited.
BLKs 10, 12, 13: Copies of all signed waste shipment manifests and records shall be provided within ten (10) days of shipment receipt at the disposal facility. A signed Certificate of Disposal (COD) shall also be provided within ten (10) days of burial of such asbestos waste and any asbestos containing daughter waste products.
BLK 14: Distribution shall be to the Contracting Officer's Representative (COR) and the Naval Nuclear Propulsion Program (NNPP) Site Technical Personnel as set forth in each individual task order. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.
POC(s):
NNSY C106.4 COR: Kristin Corrie, 757-396-2432, kristin.corrie@navy.mil
NNSY
C106.4 COR
NNPP Site 1
See BLK 16
15. TOTAL 2
G. PREPARED BY
Kristin Corrie
H. DATE
04/27/2018
I. APPROVED BY
S
J. DATE
04/27/2018
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
donyette.rodgers
(1 DATA ITEM)
Form Approved OMB 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT
D
C. CATEGORY
TDP TM OTHER X 1
D. SYSTEM/ITEM
RADIOACTIVE WASTE DISPOSAL
E. CONTRACT/PR NO.
N42158-18-R-E001
F. CONTRACTOR
1. DATA ITEM NO
D001
2. TITLE OF DATA ITEM
GENERATOR WASTE STATUS REPORT
3. SUBTITLE
GENERATOR WASTE STATUS REPORT
4. AUTHORITY (Data Acquisition Doc. No)
OT-18-20077
5. CONTRACT REFERENCE
SOW, PARA, 3.5.4
6. REQUIRING OFFICE
NNSY Code 106.4 (LSMM
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
B (See BLK 16)
10. FREQUENCY
MTHLY &
ANNLY (SEE
BLK 16)
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 ADDRESSEES Draft
Final
Reg Repro
16. REMARKS
BLK 9: Distribution B. Distribution authorized to U.S. Government Agencies (For Official Use Only) (8 February 2018). Other requests for this document shall be referred to Lead Shipyard for Mixed Material, Code 106.4 M-22 RM 317, Norfolk Naval Shipyard, Portsmouth, VA 23709-1035.
BLKs 10, 12 & 13: The monthly report shall be provided by the 10th day of each month the contract is in effect. The annual report shall be provided by January 5th of each year the contract is in effect.
BLK 14: Distribution shall be to the Contracting Officer's Representative (COR) set forth in contract, and to a list of personnel from the Naval Nuclear Propulsion Program (NNPP) sites provided to the contractor by the COR. The distribution list will be updated as needed throughout the contract. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.
POC(s):
NNSY C106.4 COR: Kristin Corrie, 757-396-2432, kristin.corrie@navy.mil
NNSY
C106.4 COR
NNPP Site 1
See BLK 16
15. TOTAL 2
G. PREPARED BY
Kristin Corrie
H. DATE
04/27/2018
I. APPROVED BY
S
J. DATE
04/27/2018
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
donyette.rodgers
(1 DATA ITEM)
Form Approved OMB 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT
E
C. CATEGORY
TDP TM OTHER X 1
D. SYSTEM/ITEM
RADIOACTIVE WASTE DISPOSAL
E. CONTRACT/PR NO.
N42158-18-R-E001
F. CONTRACTOR
1. DATA ITEM NO
E001
2. TITLE OF DATA ITEM
COMPLETED WASTE SHIPPING DOCUMENTATION
3. SUBTITLE
COMPLETED WASTE SHIPPING
DOCUMENTATION
4. AUTHORITY (Data Acquisition Doc. No)
OT-18-20078
5. CONTRACT REFERENCE
SOW, PARA, 3.5.5
6. REQUIRING OFFICE
NNSY Code 106.4 (LSMM
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
A
10. FREQUENCY
ASGEN See
BLK 16
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 ADDRESSEES Draft
Final
Reg Repro
16. REMARKS
BLK 9: Distribution Statement “A”. Approved for public release; distribution unlimited.
BLKs 10, 12, 13: Copies of signed manifests shall be provided within ten (10) days of receipt at the disposal facility.
BLK 14: Distribution shall be to the Contracting Officer's Representative (COR) and the Naval Nuclear Propulsion Program (NNPP) site technical personnel as set forth in each individual task order. Distribution shall be via fax, hard copy, or by electronic method, as directed by the Government.
POC(s):
NNSY C106.4 COR: Kristin Corrie, 757-396-2432, kristin.corrie@navy.mil
NNSY
C106.4 COR
NNPP Site 1
See BLK 16
15. TOTAL 2
G. PREPARED BY
Kristin Corrie
H. DATE
04/27/2018
I. APPROVED BY
S
J. DATE
04/27/2018
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
CORRIE.KRISTIN
.S.1231189650
Digitally signed by
CORRIE.KRISTIN.S.1231189650
Date: 2018.04.27 14:52:14 -04'00' donyette.rodgers
File details come from the government source that posted it.