The file's text, extracted by GovTribe without its formatting.
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items) 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: |
TM
| D. | SYSTEM/ITEM |
| E. | CONTRACT/PR NO. |
| F. | CONTRACTOR |
LCAC Propeller Duct Aft Foundation Fittings
| 1. | DATA ITEM NO. |
| 2. | TITLE OF DATA ITEM |
| 3. | SUBTITLE |
17. PRICE GROUP
| A001 |
| Status Report |
| Monthly Status Report |
| 4. | AUTHORITY (Data Acquisition Document No.) |
| 5. | CONTRACT REFERENCE |
| 6. | REQUIRING OFFICE |
| DI-MGMT-80368A |
| SOW PAR 3.4 |
| NSWC PCD CODE E32 |
| 7. | DD 250 REQ |
| 9. | DIST STATEMENT |
| 10. | FREQUENCY |
| 12. | DATE OF FIRST SUBMISSION |
| 14. | DISTRIBUTION |
b. COPIES
| 8. | APP CODE |
| B | |
| 11. | AS OF DATE |
| 13. | DATE OF SUBSEQUENT |
| SUBMISSION | |
| a. ADDRESSEE | |
| Draft | |
| Final | |
SEE BLK 16
| 16. | REMARKS |
| NSWC PCD CODE E32 | |
| 0 | |
| 1 | |
| 0 | |
BLK 4: Contractor format is acceptable. The DID is cited for guidance only as to content. DID paragraph 3.2.1e does not apply. DID paragraph 3.2.3 does not apply for a firm fixed price contract.
Blk 9: Document shall be marked with Distribution Limitation Statements in accordance with SOW paragraph 8.0
Blk 13: By the 10th of each month during the period of performance.
Blk 14: MEDIA REQUIREMENT - Submit via e-mail in Microsoft Office 2010 compatible files. E-mail addresses will be provided at award.
| 1. | DATA ITEM NO. |
| 2. | TITLE OF DATA ITEM |
| 3. | SUBTITLE |
17. PRICE GROUP
| A002 |
| Certificate of Compliance |
| Certificate of Conformance |
| 4. | AUTHORITY (Data Acquisition Document No.) |
| 5. | CONTRACT REFERENCE |
| 6. | REQUIRING OFFICE |
| DI-MISC-81356A |
| SOW PAR 3.2 |
| NSWC PCD CODE E32 |
| 7. | DD 250 REQ |
| 9. | DIST STATEMENT |
| 10. | FREQUENCY |
| 12. | DATE OF FIRST SUBMISSION |
| 14. | DISTRIBUTION |
| LT | |
| REQUIRED |
| OTIME | |
| SEE BLK 16 | |
b. COPIES
| 8. | APP CODE |
| B | |
| 11. | AS OF DATE |
| 13. | DATE OF SUBSEQUENT |
| SUBMISSION | |
| a. ADDRESSEE | |
| Draft | |
| Final | |
| 16. | REMARKS |
| NSWC PCD CODE E32 | |
| 0 | |
| 1 | |
| 0 | |
BLK 4: Certificate of conformance that delivered products conform to all requirements of the drawing and contract.
Blk 9: Document shall be marked with Distribution Limitation Statements in accordance with SOW paragraph 8.0.
Blk 12: Submit with the delivered end items
Blk 14: Same as A001
| G. | PREPARED BY |
| H. | DATE |
| I. | APPROVED BY |
| J. | DATE |
R. Ivy, NSWC PCD Code E32
01/19/2016
W.T. Sawyer, NSWC PCD Code 0213
| DD Form 1423-2, JUN 90 |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 2 |
| Pages |
1161/183
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items) 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: |
TM
| D. | SYSTEM/ITEM |
| E. | CONTRACT/PR NO. |
| F. | CONTRACTOR |
LCAC Propeller Duct Aft Foundation Fittings
| 1. | DATA ITEM NO. |
| 2. | TITLE OF DATA ITEM |
| 3. | SUBTITLE |
17. PRICE GROUP
| A003 |
| Test / Inspection Report |
| QA Inspection Report / Dye Penetrant Inspection |
| 4. | AUTHORITY (Data Acquisition Document No.) |
| 5. | CONTRACT REFERENCE |
| 6. | REQUIRING OFFICE |
| DI-NDTI-80809B |
| SOW PAR 3.2 |
| NSWC PCD CODE E32 |
| 7. | DD 250 REQ |
| 9. | DIST STATEMENT |
| 10. | FREQUENCY |
| 12. | DATE OF FIRST SUBMISSION |
| 14. | DISTRIBUTION |
| LT | |
| REQUIRED |
| OTIME | |
| SEE BLK 16 | |
b. COPIES
| 8. | APP CODE |
| B | |
| 11. | AS OF DATE |
| 13. | DATE OF SUBSEQUENT |
| SUBMISSION | |
| a. ADDRESSEE | |
| Draft | |
| Final | |
N
| 16. | REMARKS |
| NSWC PCD CODE E32 | |
| 0 | |
| 1 | |
| 0 | |
BLK 4: Contractor format is acceptable.
Blk 9: Document shall be marked with Distribution Limitation Statements in accordance with SOW Paragraph 8.0
Blk 12: Submit with the delivered end items
Blk 14: MEDIA REQUIREMENT - Submit via e-mail in Microsoft Office 2010 compatible files. E-mail addresses will be provided at award.
LT ONLY
NSWC PCD CODE 024
| 1. | DATA ITEM NO. |
| 2. | TITLE OF DATA ITEM |
| 3. | SUBTITLE |
17. PRICE GROUP
| 4. | AUTHORITY (Data Acquisition Document No.) |
| 5. | CONTRACT REFERENCE |
| 6. | REQUIRING OFFICE |
| 7. | DD 250 REQ |
| 9. | DIST STATEMENT |
| 10. | FREQUENCY |
| 12. | DATE OF FIRST SUBMISSION |
| 14. | DISTRIBUTION |
REQUIRED
b. COPIES
8. APP CODE
| 11. | AS OF DATE |
| 13. | DATE OF SUBSEQUENT |
| SUBMISSION | |
| a. ADDRESSEE | |
| Draft | |
| Final | |
16. REMARKS
THIS DATA ITEM INTENTIONALLY BLANK
15. TOTAL
| G. | PREPARED BY |
| H. | DATE |
| I. | APPROVED BY |
| J. | DATE |
R. Ivy, NSWC PCD Code E32
W.T. Sawyer, NSWC PCD Code 0213
| DD Form 1423-2, JUN 90 |
| Previous editions are obsolete |
| Page |
| 2 |
| of |
| 2 |
| Pages |
1161/183 image1.png