Exhibit B YC-1571 CDRLs and DIDs.pdf
PDF 2 MB Posted
- Attached to
- YC-1591 & YC-1571 Maintenance
- Solicitation number
- N4523A20R1054
About this file
This solicitation seeks proposals for maintenance, repair, and preservation work on two yard craft barges, YC-1591 and YC-1571, owned by the Department of the Navy. For YC-1591, the work includes washing and cleaning the vessel, replacing zincs, blasting and preserving the hull and decks, ultrasonic testing of the hull and decks, visual inspection of the hull and decks and tanks, replacing tank covers and hardware, and air testing of the tanks. For YC-1571, the work consists of docking, washing and cleaning exterior surfaces, blasting and preserving three tanks, visual inspection of three tanks, and undocking the vessel. The period of performance is from March 17, 2020 to May 27, 2020. Offerors must be registered in the System for Award Management to receive the award. Drawings of the vessels are available upon request after January 2, 2020. The solicitation was issued by the Regional Maintenance Center at Puget Sound Naval Shipyard and Intermediate Maintenance Facility.
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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 and Communications 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
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(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 and Communications 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
DATA ITEM DESCRIPTION
Title: COATING SYSTEM DATA REPORT
Number: DI-QCIC-82111 Approval Date: 20170327
AMSC Number: N9784 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: QCIC-2017-004
Applicable Forms: N/A
Use/Relationship: Coating System data report is used by the Government to define product requirements.
This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.
The Website cited in this DID can be accessed at: http://www.nstcenter.biz/tech-documents/astm-f718s/
Requirements:
1. References Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.
2. Format. The Report shall be in contractor’s format.
3. Content. The Report shall include all of the information specified in The American Society of Testing and Materials, Standard Specification for Shipbuilders and Marine Paints and
Coatings Product/Procedure Data Sheet(ASTM) F-718.
End of DI-QCIC-82111
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T14:42Z http://www.nstcenter.biz/tech-documents/astm-f718s/ http://www.nstcenter.biz/tech-documents/astm-f718s/
(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 and Communications 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
Title: SAFETY DATA SHEET (SDS) REPORT
Number: DI-SAFT-82112 Approval Date: 20170327
AMSC Number: N9785 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: SAFT-2017-004
Use/Relationship: The SDS Report will be used by the Government to define product safety and environmental procedures.
The Website cited in this DID can be accessed at:
https://www.osha.gov/Publications/OSHA3514.html
1. References.
1.1 Occupational Safety and Health Administration (OSHA) Part Number 1910.1200 App D
SDS, Subpart Z Toxic and Hazardous Substances.
3. Content. The Report shall include all of the information specified in the Occupational
Safety and Health Administration (OSHA) Part Number 1910.1200 App D SDS, Subpart Z
Toxic and Hazardous Substances.
End of DI-SAFT-82112
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T14:43Z
(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 and Communications 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
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
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(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 and Communications 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
Title: SAFETY DATA SHEET (SDS) REPORT
Number: DI-SAFT-82112 Approval Date: 20170327
AMSC Number: N9785 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: SAFT-2017-004
Use/Relationship: The SDS Report will be used by the Government to define product safety and environmental procedures.
The Website cited in this DID can be accessed at:
1. References.
1.1 Occupational Safety and Health Administration (OSHA) Part Number 1910.1200 App D
SDS, Subpart Z Toxic and Hazardous Substances.
3. Content. The Report shall include all of the information specified in the Occupational
Safety and Health Administration (OSHA) Part Number 1910.1200 App D SDS, Subpart Z
Toxic and Hazardous Substances.
End of DI-SAFT-82112
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T14:43Z
(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 and Communications 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
Title: PAINT PRESERVATION APPENDICES REPORT
Number: DI-MISC-82120 Approval Date: 20170410
AMSC Number: N9794 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: MISC-2017-006
Use/Relationship: The Preservation Appendices Report will provide the Government with evidence of completed preservation operations.
by the specific and discrete task requirements as delineated in the contract.
Format. The Paint Preservation Appendices Report shall be in contractor’s format.
Content. The Paint Preservation Appendices Report shall contain all the information contained in
Sample Figures 1 through 9.
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DI-MISC-82120
SAMPLE FIGURE-1
SAMPLE FIGURE-2
SAMPLE FIGURE-3
SAMPLE FIGURE-4
SAMPLE FIGURE-5
SAMPLE FIGURE-6
SAMPLE FIGURE-7
SAMPLE FIGURE-8
End of DI-MISC-82120
SAMPLE FIGURE 9
(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 and Communications 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
Title: Hazardous Waste Report
Number: DI-MGMT-82129 Approval Date: 20170608
AMSC Number: N9814 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: MGMT-2017-026
Use/Relationship: The Hazardous Waste Report will identify type, amount, and disposal cost of hazardous waste removed during the period of performance. It will provide the Government with evidence of proper hazardous waste disposal.
1. Format. The Report shall be in contractor’s format.
2. Content. The report shall contain:
2.1. Name, title, description, and quantity of each item.
2.2. Analysis used to identify the hazardous waste.
2.3. Copies of paid invoices and receipts for the disposal of hazardous wastes.
End of DI-MGMT-82129
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(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 and Communications 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
Title: GAS FREE PROGRAM REPORT
Number: DI-MGMT-82093 Approval Date: 20161208
AMSC Number: N9754 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: MGMT-2017-001
Use/Relationship: The Gas Free Program Report will provide the Government with proof of the
Contractor’s confined space entry/gas free certification processes and qualified personnel, including sub-contractors.
by the specific and discrete task requirements as delineated in the contract.
2. Content. The Gas Free Program Report shall contain the following Sections:
2.1 Objective.
2.2 Background.
2.3 Assignment of Responsibility for:
a. Employer
b. Program Manager
c. Entry Supervisors
d. Attendants
e. Rescue Team
f. Entrants/Affected Employees
2.4 Training:
a. Training Frequency
b. General Training
c. Specific Training
d. Verification of Training
2.5 Identification of Hazards and Evaluation of Confined Spaces:
a. Survey
b. Hazard Reevaluation
c. Pre-Entry Hazard Assessment
d. Hazard Controls
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DI-MGMT-82093
2.6 Entry Permits:
a. Key Elements of Entry Permits
b. Permit Scope and Duration
2.7 Entry Procedures:
a. Prior to Entry
b. Opening a Confined Space
c. Atmospheric Testing
d. Isolation and Lockout/Tagout Safeguards
e. Ingress/Egress Safeguards
f. Warning Signs and Symbols
2.8 Maintenance of Safe Conditions:
a. Conditions
b. Tests required
2.9 Emergency Response:
a. Emergency Response Plan
b. Retrieval Systems and Methods of Non-Entry Rescue
2.10 Current Roster of the following personnel:
a. Certified National Fire Protection Association (NFPA) Marine Chemists
b. Certified Industrial Hygienists
c. Qualified Competent Persons
End of DI-MGMT-82093
Source: https://assist.dla.mil -- Downloaded: 2017-01-05T18:11Z
(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 and Communications 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
Title: TEST AND INSPECTION PLAN (TIP)
Number: DI-MGMT-82062
AMSC Number: N9711
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
GIDEP Applicable: No
Project Number: MGMT-2016-049
Use/Relationship: This DID is used to identify all inspections and tests required by zero-tier references and first tier references, as well as symbols (I)(V)(Q) test/inspections and (G) government notification identified in the Work Item, and any additional tests and inspections the contractor deems necessary to substantiate product conformance.
Format. The TIP shall be in the contractor’s format.
Content. The TIP shall include the following information:
Ship’s name/hull number
Work Item number
Work Item Paragraph number
Identification of item/component to be inspected/tested
Standard Item Number
Standard Item Paragraph
Location
Sub-Contractor (if applicable)
Inspection Symbol (I, V, Q, G)
Accept/Reject Criteria
Test Result (Accept or Reject)
Notify Date
Notify Time
Request Date
Request Time
Inspection Date
Name of Person Notified
Name of Government Representative at Inspection
Name of Contractor’s authorized representative who witnessed/performed test.
End of DI-MGMT-82062
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(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 and Communications 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
Title: VESSEL DOCKING AND UNDOCKING PLAN
Number: DI-MGMT-82094 Approval Date: 20161208
AMSC Number: N9755 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: MGMT-2017-002
Use/Relationship: The plan will document a detailed plan to safely dock and undock the vessel(s). It is used by the Government to review, comment, and approve docking and undocking plans prior to each docking and undocking evolution.
1. Format. The Plan shall be in contractor’s format.
2. Content. The Plan shall include the following Docking Procedures:
a. Operating Practices
b. Safety and Security Plans
c. Special precautions or actions required by the characteristics of the dock, marine railway, or other docking methods
d. Pumping/flooding schedule
e. Specific list, trim, and stability requirements
3. The Plan shall contain:
a. Set and align docking blocks
b. A scaled drawing including block size, block spacing, and location of vessel with respect to the blocks at landing
c. Docking clearances utilizing references for guidance
d. The use of haul, fixed, or fitted blocks
e. The number, distance from centerline, and square footage of the side blocks per side sufficient to resist overturning moments
4. The Plan shall show that at least 90 percent of blocks land on longitudinal strength members or main transverse bulkheads.
End of DI-MGMT-82094
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(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 and Communications 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
Title: VESSEL FINAL DOCKING REPORT
Number: DI-MGMT-82130 Approval Date: 20170608
AMSC Number: N9815 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: MGMT-2017-027
Applicable Forms: NAVSEA Forms 9997/1 through 9997/5
Use/Relationship: The report will document the results of various vessel drydocking evolutions. It will provide the Government with historical information to be applied to future drydockings.
The NAVSEA forms 9997/1 through 9997/5 can be obtained as specified in the contract.
2. Content. The Vessel Final Docking Report shall contain completed NAVSEA forms
9997/1 through 9997/5 applicable to each vessel.
End of DI-MGMT-82130
Source: https://assist.dla.mil -- Downloaded: 2017-06-16T14:14Z
(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 and Communications 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
Title: STRUCTURAL INSPECTION REPORT
Number: DI-MGMT-82065
AMSC Number: N9714
DTIC Applicable: No
Preparing Activity: SH
Applicable Forms: N/A
Approval Date: 20161003
Limitation: N/A
GIDEP Applicable: No
Project Number: MGMT-2016-052
Use/Relationship: This DID will report the conditions found during structural inspection of each exposed piping penetration, deck drain, deck plating and bulkheads for structural integrity, deterioration, pitting, cracks, and areas of damage or distortion.
1. Format. The report shall be in the contractor’s format.
2. Content. The report shall contain the following information:
a. Name and Hull number of ship
b. Job Order
c. Work Item
d. Paragraph numbers including standard item paragraph number
e. Compartment (number and name)
f. Date of inspection
g. Material condition
h. Deficiencies noted
i. Recommendation for repairs
End of DI-MGMT-82065
Source: https://assist.dla.mil -- Downloaded: 2016-10-13T13:23Z
(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 and Communications 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
Title: AIR TEST REPORT
Number: DI-NDTI-82110 Approval Date: 20170327
AMSC Number: N9783 Limitation: N/A
DTIC Applicable: No GIDEP Applicable: No
Preparing Activity: SH Project Number: NDTI-2017-003
Use/Relationship: The report will be used to provide Objective Quality Evidence (OQE) evidence of the contractor’s Air Test and to evaluate the need for vessel repairs that are not covered by the work specifications.
2. Content. The Report shall contain:
2.1 Test result.
2.2 Recommendation for corrective action.
2.3 Estimated costs, including labor, subcontractors, material, rework, and any additional costs to on-going work resulting from the inclusion of the proposed work.
2.4 Identification of related changes, if any, to production completion dates.
End of DI-NDTI-82110
Source: https://assist.dla.mil -- Downloaded: 2017-03-28T14:41Z
| A019 CDRL Progress and Status Report |
| A019 DID DI-MGMT-80227 |
| A020 CDRL Coating Systems Data Report |
| A020 DID DI-QCIC-82111 |
| A021 CDRL Safety Data Sheets |
| A021 DID DI-SAFT-82112 |
| A022 CDRL CFR |
| A022 DID DI-MGMT-81648 |
| DATA ITEM DESCRIPTION |
| A023 CDRL Safety Data Sheets |
| A023 DID DI-SAFT-82112 |
| A024 CDRL Paint Preservation Appendices |
| A024 DID DI-MISC-82120 |
| A025 CDRL Hazardous Waste Report |
| A025 DID DI-MGMT-82129 |
| A026 CDRL Gas Free Program |
| A026 DID DI-MGMT-82093 |
| A027 CDRL Test Plan |
| A027 DID DI-MGMT-82062 |
| A028 CDRL Docking and Undocking Plan |
| A028 DID DI-MGMT-82094 |
| A029 CDRL Final Docking Report |
| A029 DID DI-MGMT-82130 |
| A030 CDRL Structural Inspection |
| A030 DID DI-MGMT-82065 |
| A031 CDRL Air Test |
| A031 DID DI-NDTI-82110 |
| A_CONTRACT_LINE_ITEM_NO: 0003 |
| B_EXHIBIT: A |
| TDP: |
| TM: |
| OTHER: MGMT |
| DSYSTEMITEM: YC-1571 |
| E_CONTRACTPR_NO: N4523A20R1054 |
| FCONTRACTOR: TBD |
| 1_DATA_ITEM_NO: A019 |
| 2_TITLE_OF_DATA_ITEM: Contractor's Progress, Status and Management Report |
| 3_SUBTITLE: N/A |
| 4_AUTHORITY_Data_Acquisit: DI-MGMT-80227* |
| 5_CONTRACT_REFERENCE: SOW PARAGRAPH 1.5.1 |
| 6_REQUIRING_OFFICE: PSNS & IMF C/411 |
| 7_DID_250_REQ: LT |
| 8_APP_CODE: N/A |
| DIST_STATEMENT: D(See Block 16) |
| 10_FREQUENCY: WEKLY* |
| 11_AS_OF_DATE: N/A |
| 12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16* |
| 13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16* |
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| 16_REMARKS: BLOCK 4: Paragraph 10.2: Delete "This report shall be typewritten on standard size (e.g. 8 1/2" by 11'") white paper, and securely stapled.". |
Delete Paragraphs 10.3.d; 10.3.g; 10.3.i; 10.3.j; 10.3.k; 10.3.l.
BLOCK 9: “DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational use (February 2016). Other requests shall be referred to PSNS&IMF, C/411, Bremerton, WA 98314.
BLOCK 10, 12, and 13:
Submit first report 5 working days prior to project start date.
Submit report 24 hours prior to each weekly scheduled production meeting.
BLOCK 14: Media requirement. The report shall be delivered electronically in Adobe Acrobat Version DC, as an e-mail attachment to the Contracting Officer's Representative (COR) specified in the contract.
| 17_PRICE_GROUP: |
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| G_PREPARED_BY: |
| H_DATE: 10/31/2019 |
| 1_APPROVED_BY: |
| J_DATE: 11/1/19 |
| Page: 1 |
| of_pages: 1 |
| Reset: |
File details come from the government source that posted it. Updated .