J-4_-_CDRLs.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

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.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

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. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work 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, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 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.

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 right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A003 title: Contractor’s Material Handling Equipment (MHE) Training and Qualification Report sub: N/A auth: DI-MGMT-82087 ref: PWS paragraph 3.4.2 req_ofc: PSNS and IMF dd250: LT appcode: N/A dist: D freq: ASREQ asof: See BLK 16 firstsub: ASREQ subsub: See BLK 16 addressee1: C/400 COR draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Block 4: DISTRIBUTION D: Distribution authorized to Department of Defense and US DoD contractors only (administrative or operational use) (As of 7-8-2016). Other requests for the document shall be referred to PSNS and IMF, 1400 Farragut Ave. Bremerton WA, 98314.

Block 11 and 13: Submit at least 24 hours prior to arrival on-site group:

total_price:

prep_name:

line_item: CLIN 000X exhibit: A xtdp: Off xtm: Off othercat: X system: Self-Propelled Modular Transporter (SPMT) ctr_no: N4523A-19-X-XXX contr: TBD remarksb:

Page2:

Reset:

2018-11-28T12:08:19-0800

WORLEY.DAVID.KELSEY.1120052736

prep_date:

app_by:

2018-11-28T12:08:37-0800

WORLEY.DAVID.KELSEY.1120052736

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

DATA ITEM DESCRIPTION

Title: ACCEPTANCE TEST REPORT (ATR) Number: DI-QCIC-81891 Approval Date: 20130118 AMSC Number: N9313 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: AS/PMA251 Applicable Forms: N/A

Use/relationship:

The ATR contains the results of the qualification tests performed by the contractor to demonstrate that the system conforms to the performance specifications, work authorization document, or contract requirements.

This Data Item Description (DID) contains format, content, and intended use information for the data product resulting from the work task described in the Statement of Work (SOW).

Requirements:

1. Format. Contractor’s format is acceptable.

2. Content. The ATR shall contain the following:

a. Test article identification and full description of test specimens utilized, including any deviations for the configuration specified in the applicable test plan.

b. Date and location of test or evaluation.

c. The operator who conducted the test.

d. Results obtained, including specific identification and discussion of objectives demonstrated satisfactorily and those not demonstrated satisfactorily.

e. Contractor’s conclusions, corrective action anticipated, recommendation to correct. deficiencies, and suggested improvements based on evaluation of the test.

f. All analysis and supporting data.

g. All data sheets.

3. End of DI-QCIC-81891.

Source: https://assist.dla.mil -- Downloaded: 2018-02-22T19:07Z Check the source to verify that this is the current version before use.

Title: Certificate of Compliance Number DI-MISC-81356A Approval Date: 20071218 AMSC Number: N9036 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: NAVICP Code 8741 Applicable Forms: N/A

Use/Relationship: The Certificate of Compliance provides certification from the contractor that the materiel supplied is in full compliance with all contract requirements. This DID contains the format, content, and intended use information for the data deliverable required by the contract.

This DID supersedes DI-MISC-81356.

Requirements:

1. Format. The Certificate of Compliance shall be presented in a format similar to that of Figure 1.

2. Content. The Certificate of Compliance shall contain:

a. Contractor’s name.

b. Contractor’s address.

c. Contractor’s phone number.

d. Date.

e. Contracting Agency’s name.

f. Contract Number.

g. National Stock Number (NSN).

h. Item nomenclature.

i. A statement certifying that all items furnished on the contract are in full compliance with all specification and contract requirements.

j. Authorized personnel’s signature.

k. Authorized personnel’s printed name and title.

Source: https://assist.dla.mil -- Downloaded: 2017-10-17T17:46Z

DI-MISC-81356A

From: ______________________ (Contractor’s name)

Address: ______________________ (Contractor’s address)

Phone Number: ________________ (Contractor’s phone number)

Date: ________________

To: _______________ (Contracting Agency)

Contract Number: _______________

National Stock Number: _______________

Item Nomenclature: ___________________

“All items furnished on this contract are in full compliance with all specification and contract requirements.”

(Signature of Authorized Personnel

(Printed Name and Title of Authorized Personnel)

Note: The recording of false, fictitious, or fraudulent statements or entries on this document may be punished as a felony under Federal Statutes.

3. End of DI-MISC-81356A

Figure 1 – Sample format for a Certificate of Compliance

Source: https://assist.dla.mil -- Downloaded: 2017-10-17T17:46Z

Title: CONDITION FOUND REPORT

Number: DI-MGMT-81648 Approval Date: 20040809 AMSC Number: N7531 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: N PEO SHIPS-FL32 Applicable Forms: N/A

Use/Relationship: The Condition Found Report identifies needed repairs and recommends corrective action for work discovered during the contract performance period which are not covered by the work specifications.

This DID contains the format, content, and intended use information for the data product resulting from the work task described in the contract.

Requirements:

1. Reference documents. N/A.

2. Format. The report shall be in contractor’s format.

3. Content. The report shall be serialized by CFR Number, and shall include the following:

a. Contract number, ship and hull number

b. Work Item Number to which the CFR relates

c. Date work requirement was discovered

d. Clear description of the work requirement

e. Specific location of the work requirement

f. Recommendation for corrective action

3.1 Recommendation for appropriate/best time to accomplish (i.e. during current availability with or without schedule change, future CNO or Continuous Maintenance Availability), and supporting rationale for the recommendation (such as cost efficiencies, availability of work force, availability of material, premium expenditures, etc.).

3.2 Cost and time estimates and the time frame for which it is valid, including:

a. Class “C” cost estimates. For work requirements which could be estimated within five working days, a class “F” estimate (+/-40%) identifying any potential impact which may affect the current schedule shall be included. The Class “F” estimate shall also contain the date on which a class “C” estimate will be provided.

b. Estimated Premium/Acceleration Costs, including premium costs for; material, subcontractors, man-hours, rework and any additional costs to on going work resulting from inclusion of the CFR work requirement.

c. Identification of related changes, if any, to the internal milestones and production and contract completion dates shall be included. When no changes were required a statement to that fact shall also be included

4. Media. The electronic media requirements shall be as specified in the contract on the DD 1423 CDRL.

5. End of DI-MGMT-81648

Source: https://assist.dla.mil -- Downloaded: 2018-11-28T13:30Z

DATA ITEM DESCRIPTION