1300626193_DD1423-2_-_A001_and_A002_2017_Rev_1_RFQ.pdf
DoD Form Rev. 1, 2017 PDF 118 KB Posted
- Solicitation number
- N66604-17-Q-1739
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Contract Data Requirements List (CDRL)
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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 220 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:
0001 A TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Compressed Gas BPA 1300626193
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 Status Report Monthly Report- No. of Cylinders &
Type of Gas
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80368A SOW 4.2 NUWCDIVNPT Code 0221 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED MTHLY See Blk 16 b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
N/A 0 See Blk 16 Reg Repr o
16. REMARKS Code 1023 1
Blk 9 – See Block 16 Addendum
BLK 10, 11, 12 13 submit reports 10 days after reporting period ends (end of the month) and monthly thereafter.
Blk 14a Send to: Stacie Parquette, EMP2 Air Quality
Compliance, Bldg. 679-2, Code 1023, email: Stacie.paquette@navy.mil.
See Blk 16
15. TOTAL 1
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
0002 Status Report Quarterly Report on number of orders to Contract Negotiator
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80368A SOW 4.3 NUWCDIVNPT Code 0221 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED QTRLY See Blk 16 b. COPIES
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
N/A 0 See Blk 16 Reg Repr o
16. REMARKS Code 0221 1
Blk 9 See Block 16 Addendum
Blk 10, 11, 12, 13 submit reports 10 days after reporting period ends (end of the quarterly period; and quartly thereafter.
Blk 14a Send to: Pamela J. Sheehan-McGuire, Contract
Negotiator, Contracts Department, Bldg. 1258, Code 0221, email:
Pamela.sheehanmcguir@navy.mil
See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Pamela J. Sheehan-McGuire 03/08/2017 Martha Merriwether 4/5/2017
DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
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