CDRL_A006.pdf

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Attached to
Sonar Domes Federal contract opportunity
Solicitation number
N66604-16-Q-0263
Issued by
Department of the Navy Naval Sea Systems Command

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CDRL A006

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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

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

BLOCK 9: The following information is specifically included in amplification of the Block 9 Distribution Statement selected:

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

CDRLs : ALL

Distribution Statement D: Distribution authorized to DoD and DoD Contractors only; Critical Technology; (date data generated). Other requests for this document shall be referred to NUWCDIVNPT Code 1535.

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

20150930 Item 01 CDRL A006 PR 1300535351
DD1423 Addendum PR 1300535351
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A
TDP:
TM:
OTHER: X
DSYSTEMITEM: CW-1181D/E DOMES
E_CONTRACTPR_NO: PR 1300535351
FCONTRACTOR:
1_DATA_ITEM_NO: A006
2_TITLE_OF_DATA_ITEM: TRANSDUCER/HYDROPHONE CERTIFICATION CARD
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: SEE BLK 16
5_CONTRACT_REFERENCE: SOW 4.6
6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: D (SEE BLK 16)
10_FREQUENCY: SEE BLOCK 16
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16
13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16
addressee1: F. FRATANTONIO
draft1:
reg1: 1
repro1:
addressee2: S. DZIEKAN
draft2:
reg2: 1
repro2:
addressee3:
draft3:
reg3: 1
repro3:
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total_draft: 0
total_repro: 0
16_REMARKS: BLK 4: CERTIFICATION CARD TEMPLATE WILL BE PROVIDED AS GFI (GFI ITEM 5.1)

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10, 12 & 13: ONE TEST CERTIFICATION CARD

SHALL BE PACKED WITH ITS ASSOCIATED HARDWARE AT THE TIME

OF SHIPMENT. EACH CERTIFICATION CARD SHALL BE SCANNED IN. THE ELECTRONIC COPY (.PDF FORMAT) OF EACH CERTIFICATION CARD SHALL BE SENT TO EACH ADDRESSEE.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY: 1535 SHARON DZIEKAN
H_DATE: 9/30/15
1_APPROVED_BY: Martha Merriwether
J_DATE: 12/4/2015
Page: 5
of_pages:
Reset:
reg38t: 3

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