A042 CDRL Certification Data Report Quals.pdf

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Attached to
YT-808 Class Ship Alteration YT-0110D Federal contract opportunity
Solicitation number
N4523A24R1063
Issued by
Department of the Navy Naval Supply Systems Command

About this file

This document is a Contract Data Requirements List (CDRL) for a federal contract opportunity. It specifies the certification and data report required for the YT-808 Class Ship Alteration YT-0110D contract.

The key details include:

  • The report must be submitted within 5 working days of contract award, with revisions/updates within 3 working days of each change.
  • The report shall be delivered electronically in Adobe Acrobat version DC as an email attachment to the Contracting Officer's Representative.
  • Distribution is limited to the Department of Defense and DoD contractors only for administrative or operational use.
  • The preparation instructions include deleting certain paragraphs and modifying others related to the report content.

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Text version

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

1_DATA_ITEM_NO: A042
2_TITLE_OF_DATA_ITEM: CERTIFICATION/DATA REPORT - Inspect & Provide

Technical Guidance

3_SUBTITLE: N/A
4_AUTHORITY_Data_Acquisit: DI-MISC-80678*
5_CONTRACT_REFERENCE: SOW PARAGRAPH 1.25.6
6_REQUIRING_OFFICE: PSNS & IMF C/101.11
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: D(See Block 16)
10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*
13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*
addressee1: PSNS & IMF C/101.11
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16_REMARKS: BLOCK 4:

Preparation Instructions Block: Delete paragraphs 10.1, 10.2.3, 10.2.4.

Paragraph 10.2.1, Delete after the word Objective evidence, "may", Delete after the words "such items as", spectrographs, radiographs, material sampling, analysis"

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/101.11, Bremerton, WA 98314.

BLOCK 10, 12, and 13: Submit initial report within 5 working days of contract award. Submit revisions/updates within 3 working days of each change.

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:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE: 4/26/2024
1_APPROVED_BY:
J_DATE: 4/26/24
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO: 0003
B_EXHIBIT: A
TDP:
TM:
OTHER: MISC
DSYSTEMITEM: YT-808
E_CONTRACTPR_NO: N4523A24R1063
FCONTRACTOR: TBD
of_pages: 1
Reset:
2024-04-26T12:48:16-0700
MARROW.JOSEPH.WILLIAM.1367419004
2024-04-26T12:54:14-0700
STUBBLEFIELD.MATTHEW.COR.1166829778

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