N61331-14-R-0010_CDRLS.doc
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- Solicitation number
- N61331-14-R-0010
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CDRL
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| N61331-14-R-0010_OBM-VA.doc | DOC document | |
| OBM_-_SOW_Draft.docx | DOCX document |
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved OMB No. 0704-0188
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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:
A
TDP
TM
| OTHER |
| ILSS |
D.
SYSTEM/ITEM
E.
CONTRACT/PR NO.
F.
CONTRACTOR
Small Outboard Motor Repairs
1.
DATA ITEM NO.
2.
TITLE OF DATA ITEM
3.
SUBTITLE
17. PRICE GROUP
| A001 |
| Repairable Item Inspection Report |
| Limited Technical Inspection Report (LTI) |
4.
AUTHORITY (Data Acquisition Document No.)
5.
CONTRACT REFERENCE
6.
REQUIRING OFFICE
| DI-ILSS-80386 |
| SOW Paragraph 3.1 |
| NSWC PCD Code E12 |
ESTIMATED
TOTAL PRICE
7.
DD 250 REQ
9.
DIST STATEMENT
10.
FREQUENCY
12.
DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
LT
REQUIRED
| ASREQ |
| SEE BLK 16 |
b. COPIES
8.
APP CODE
| D |
| 11. |
AS OF DATE
13.
DATE OF SUBSEQUENT
SUBMISSION
| a. ADDRESSEE |
| Draft |
| Final |
| A |
| SEE BLK 16 |
SEE BLK 16
| Reg |
| Repro |
16.
REMARKS
| NSWC PCD Code E12 |
| 0 |
| 1 |
| 0 |
Blk 4: Contractor format is acceptable.
Blks 8,10, 12, 13: The contractor shall submit a LTI report no later than 10 days after the completion of each inspection per lot for each unit detailed in SOW paragraph 3.1. The Government will review the report and provide approval or non-approval to proceed with repairs within 10 days after receipt.
Blk 9: Reports shall be marked in accordance with Section D of the contract.
Blk 14: MEDIA REQUIREMENT - shall be submitted as Microsoft Word 2010 files on electronic media or via e-mail. E-mail addresses will be provided at award.
| NSWC PCD G2 |
| 0 |
| 1 |
| 0 |
15.
TOTAL
G.
PREPARED BY
H.
DATE
I.
APPROVED BY
J.
DATE
Mark Jeffries, NSWC PCD E12
30 October 2013
W.T. Sawyer, NSWC PCD Code G4 30 October 2013
| DD Form 1423-1, JUN 90 |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
1161/183
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