CDRL_A004_FCP_Software-Frimeare_ChangeRequestv1_CDM_Cert_061416.doc
DOC document 81 KB Posted
- Attached to
- Force Calibration Press
- Solicitation number
- N64267-16-R-0113
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CDRL A004 FCP Software-Firmware Change Request
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Text version
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: |
| TBD |
| A |
| TDP________ |
| TM _______ |
| OTHER MISC |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Force Calibration Press |
| N64267-16-R-XXXX |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| Software/Firmware Change Request |
| Software/Firmware Change Request |
II
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-MISC-81807
(See Block 16) SOW Paragraph: 4.8 (See Block 16)
NAVAIRLKE 41L400B
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| A |
| ASREQ |
| (See Block 16) |
| (See Block 16) |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See BLK 16)
| N/A |
| (See Block 16) |
| Draft |
| Reg. |
| Repro |
| 16. REMARKS |
| Pat Brannick 41L400B |
| 1 |
| 1 |
| 0 |
Block 4/5: DI-MISC-81807 shall be used as guidance and is provided as reference. SOW specification paragraph 4.8 is mandatory to this procurement and is provided for reference. Requirement items listed in DI-MISC-81807 that are not relevant to the procurement need not be included in the format.
Block 8: Software/Firmware Change Requests (CDRL A004 subtitle) for the Force Calibration Press system require government approval. Submit draft(s) for approval as required after contract award. Government will approve/disapprove within 30 days after receipt. Submit final copy(s) 15 days after receipt of Government approval of the draft(s).
Block 12: Date of first submission shall be IAW first contractor anticipated need for a software/firmware change.
Block 13: Date of subsequent submissions shall be IAW SOW specification paragraph 4.8.
Block 14: Submission in contractor format is acceptable. Electronic format is preferred if in a widely available commercial document format such as MS-Excel or MS Word. Electronic submission of data is also accepted on CD-ROM. Quantity and copies shall be provided IAW CDRL distribution (Block 14). Addressee's POC information provided on CDRL supplemental page 2.
| Jeff Trajano (MS33) |
| 1 |
| 1 |
| 0 |
| Corry Barnhouse 6.7.6.3S |
| 1 |
| 1 |
| 0 |
| 15. TOTAL |
| 3 |
| 3 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| P. Brannick, NAVAIRLKE 4.1.12.4 |
| 03/02/2016 |
| //s//K. Bergland, NSWC Corona Div MSD CDM |
| 06/14/2016 |
DD Form 1423-1 JUN 90 Previous editions are obsolete.
Page 1 of 2 Pages DD FORM 1423 (CDRL) Supplemental
BLOCK 14 ENTRY COMPLETE ADDRESS
Patrick Brannick, patrick.brannick@navy.mil
NAWCAD 4.1.12.4
JB MDL
Highway 547, Building 120-3, Rm. 269
Lakehurst, NJ 08733 Jefferson Trajano, NSWC, Corona MS33, jefferson.trajano@navy.mil NSWC Corona Division
MS Department (Attn: Jefferson Trajano, MS33)
PO Box 5000
Corona CA 92878-5000 Corry Barnhouse, corry.barnhouse@navy.mil
NAVAIR METCAL 6.7.6.3S
Bldg 1403
22113 Fortin Circle, Unit 7
Patuxent River, MD 20670
Page 2 of 2 Pages
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