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NAVAL AIR SYSTEMS COMMAND
NAVAL AIR WARFARE CENTER AIRCRAFT DIVISION LAKEHURST
Exhibit A
Contract Data Requirements List (CDRLS) for the Repair and Refurbishment of AM2 Matting
For Contract# N68335-19-D-xxxx
Prepared by:
Naval Air Systems Command Naval Air Warfare Center Aircraft Division Lakehurst, New Jersey 08733-5109
Date: 16 April 2019
DISTRIBUTION STATEMENT D: Distribution authorized to DoD and U.S. DoD Contractors only for Critical Technology Use; Export Controlled 14 August 2017. Other requests for this document shall be referred to NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
DESTRUCTION NOTICE: Destroy by any method that shall prevent disclosure of contents or reconstruction of the document.
CONTRACT DATA REQUIREMENTS LIST (CDRL)
| A001 |
| Delivery and Invoicing Plan |
| 3 |
| A005 |
| Engineering Change Proposal (ECP) |
| 7 |
| A006 |
| Request for Variance (RFV) |
| 8 |
| A008 |
| Welding Procedures |
| 10 |
| A009 |
| Welding Procedure Qualification Test Reports |
| 11 |
| A00A |
| Welder Certifications |
| 12 |
| A00B |
| Weld Inspection Reports |
| 13 |
| A00C |
| Material Certifications ( Material Receipt Inspections) |
| 14 |
| A00D |
| Government Furnished Material (GFM) Status Report |
| 15 |
(1 Data Item) 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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER MGMT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Management Plan |
| Delivery and Invoicing Plan |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MGMT-80004A (See Blk 16) |
| SOW Section 11. (a) |
| NAVAIR 6.6.2.10 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
DD
| MTHLY |
| 30 DAC |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D(See Blk 16) |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
A (See Blk 16)
16. REMARKS
SEE BLK 16
BLOCK 4: CONTRACTOR FORMAT IS ACCEPTABLE. APPLIES TO PROVISIONING AND SHIPPING ONLY.
BLK 8: THE CONTRACTOR SHALL INCORPORATE ALL GOVERNMENT COMMENTS AND RESUBMIT WITHIN 7 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT RESPONSE.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
RALPH PAZ, AIR-6.6.2.10
WALTER OLT, AIR-1.3.3.9
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER ADMN |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| TBD |
| 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 |
18. ESTIMATED
TOTAL PRICE
| DI-ADMN-81249B |
| SOW Sections 11. (b) , (c) |
| NAVAIR 1.3.3.9 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
DD
| ASREQ (See Blk 16) |
| ASREQ (See Blk 16) |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D(See Blk 16) |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
A (See Block 16)
16. REMARKS
BLK 8: THE CONTRACTOR SHALL INCORPORATE ALL GOVERNMENT COMMENTS AND RESUBMIT WITHIN 7 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT RESPONSE.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLK 10, 12 & 13: DRAFT DUE 15 CALENDAR DAYS PRIOR TO MEETING & FINAL SUBMISSION INCORPORATING GOVERNMENT CHANGES DUE 7 CALENDAR DAYS BEFORE CONFERENCE.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
SEE PAGE 2 - CDRL A0XX PAGE 1:2 (CONT’D)
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
JESSICA ESCRIBANO, AIR-1.3.3.9
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER ADMN |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| Meeting Minutes |
| _____ |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-ADMN-81250B |
| SOW. Section 11. (d) |
| NAVAIR 1.3.3.9 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
DD
| ASREQ (See Blk 16) |
| ASREQ (See Blk 16) |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D (See Blk 16) |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
A (See Blk 16)
16. REMARKS
BLK 8: THE CONTRACTOR SHALL INCORPORATE ALL GOVERNMENT COMMENTS AND RESUBMIT WITHIN 7 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT RESPONSE.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLK 10, 12 & 13: DRAFT SUBMISSION DUE 10 CALENDAR DAYS AFTER THE CONFERENCE/PROGRAM MANAGEMENT REVIEW & FINAL SUBMISSION INCORPORATING GOVERNMENT CHANGES DUE 7 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT RESPONSE.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES, SEE SUPPLEMENT 1 FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER ADMN |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| Briefing Material |
| _____ |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MGMT-81605 |
| SOW. Section 11. (e) |
| NAVAIR 1.3.3.9 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
DD
| ASREQ (See Blk 16) |
| ASREQ (See Blk 16) |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D (See Blk 16) |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
A (See Blk 16)
16. REMARKS
BLK 8: THE CONTRACTOR SHALL INCORPORATE ALL GOVERNMENT COMMENTS AND RESUBMIT 5 DAYS PRIOR TO THE MEETING.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLK 10, 12 & 13: DRAFT DUE 10 CALENDAR DAYS PRIOR TO MEETING & FINAL SUBMISSION INCORPORATING GOVERNMENT CHANGES DUE 5 DAYS PRIOR TO THE MEETING..
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES, SEE SUPPLEMENT 1 FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item) Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER SESS |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A005 |
| Engineering Change Proposal (ECP) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-SESS-80639D (See Blk 16) |
| SOW Section 4 |
| NAVAIR 6.6.2.10 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD |
| REQUIRED |
| See Blk 16 |
| ASREQ (See Blk 16) |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D(See Blk 16) |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
A
BLK 4: THE ECP PROCESS WILL APPLY TO THE LOWEST CONFIGURATION ITEM. TAILORING OF FORMAT AND CONTENT IS ACCEPTABLE WITH PRIOR APPROVAL OF THE GOVERNMENT.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLKS 10, 12 & 13: CONTRACTOR SHALL REQUEST PERMISSION VIA E-MAIL TO EAF-1 (NAWCAD 1.3.3.9.1) TO SUBMIT ECP WITHIN FIVE BUSINESS DAYS AFTER THE NEED FOR CHANGE OCCURS. IF ACCEPTABLE, EAF- 1 WILL PROVIDE APPROVAL VIA EMAIL TO CONTRACTOR TO PROCEED WITH GENERATION OF ECP DATA DELIVERABLE. THE CONTRACTOR SHALL, WITH THE INTIAL DRAFT, HAVE 30 CALENDAR DAYS UPON RECEIPT OF GOVERNMENT APPROVAL/DISAPPROVAL TO SUBMIT ECP. IF DISAPPROVED WITH GOVERNMENT COMMENTS PROVIDED, THE CONTRACTOR SHALL INCORPORATE ALL GOVERNMENT COMMENTS AND RESUBMIT WITHIN 30 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT RESPONSE.
CONTRACTOR SHALL NOT MODIDFY PRODUCTION BASELINE UNLESS CLASS I ECP IS APPROVED.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
SEE PAGE 2 - CDRL A0XXXX PAGE 1:2 (CONT’D)
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
RALPH PAZ, NAWCADLKE 6.6.2.10
WALTER OLT, NAWCADLKE 1.3.3.9.1
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER SESS |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| ____ |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A006 |
| Request for Variance (RFV) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-SESS-80640D (SEE Blk 16) |
| SOW Section 4 |
| NAVAIR 4.8.1.1 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD |
| REQUIRED |
| See Blk 16 |
| ASREQ (See Blk 16) |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D (See Blk 16) |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
A
BLK 4: TAILOR DID CONTENT TO INCLUDE SUPPLEMENTAL INSTRUCTIONS TO INCLUDE REPORT IN MSWORD COMPATIBLE FILE, NOT XML.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLKS 10, 12 & 13: CONTRACTOR SHALL REQUEST PERMISSION VIA E-MAIL TO EAF-1 (NAWCAD 1.3.3.9.1) TO SUBMIT RFV WITHIN FIVE BUSINESS DAYS AFTER THE NEED FOR VARIANCE OCCURS. IF ACCEPTABLE, EAF- 1 WILL PROVIDE APPROVAL VIA EMAIL TO CONTRACTOR TO PROCEED WITH GENERATION OF RFV DATA DELIVERABLE. THE CONTRACTOR SHALL, WITH THE INITIAL DRAFT, HAVE 30 CALENDAR DAYS UPON RECEIPT OF GOVERNMENT APPROVAL/DISAPPROVAL TO SUBMIT RFV. IF DISAPPROVED WITH GOVERNMENT COMMENTS PROVIDED, THE CONTRACTOR SHALL INCORPORATE ALL GOVERNMENT COMMENTS AND RESUBMIT WITHIN 30 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT RESPONSE.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
SEE PAGE 2 - CDRL A0XXXX PAGE 1:2 (CONT’D)
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
RALPH PAZ, NAWCADLKE 6.6.2.10
WALTER OLT, NAWCADLKE 1.3.3.9.1
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER SAFT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| 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 |
18. ESTIMATED
TOTAL PRICE
| DI-SAFT-81934 (See Blk 16) |
| SOW Section 9, Paragraph 7.7.4 |
| NAVAIR 4.8.1.1 |
7. DD 250 REQ
DD
9. DIST STATEMENT RQD
D (See Blk 16)
10. FREQUENCY
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
45 ADC
14. DISTRIBUTION
(See Block 16)
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBM. |
A (See Blk 16)
| 16. REMARKS |
| EAF- 1 |
| 0 |
| 1 |
| ____ |
BLOCK 4: DID PARAGRAPHS 2.3.3 (B), (G), (H) AND (I) ARE NOT REQUIRED.
BLOCK 8: GOVERNMENT HAS 30 DAYS TO REVIEW AND PROVIDE COMMENTS OR APPROVAL. CONTRACTOR HAS 45 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS TO RESUBMIT.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLOCK 10 & 13: DELIVER IF PROCEDURES HAVE BEEN CHANGED FROM PREVIOUSLY APPROVED.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
ROBERT GALUCCI, NAWCADLKE 4.8.2.6
WALTER OLT, NAWCADLKE 1.3.3.9.1
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER MISC |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
N/A
17. PRICE GROUP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MISC-80875 (See Blk 16) |
| SOW Section 10. (c) |
| NAVAIR 4.8.2.6 |
7. DD 250 REQ
9. DIST STATEMENT RQD
D (See Blk 16)
10. FREQUENCY
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Blk 16)
14. DISTRIBUTION
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBM. |
A (See Blk 16)
| 16. REMARKS |
| EAF- 1 |
| 0 |
| 1 |
| ____ |
BLOCK 4: DID SECTION 7.1 IS AMENDED AS FOLLOWS: WELD PROCEDURES AS SPECIFIED ON THE DRAWINGS AND STATEMENT OF WORK.
BLOCK 8:GOVERNMENT HAS 30 DAYS TO REVIEW AND PROVIDE COMMENTS OR APPROVAL. CONTRACTOR HAS 45 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS TO RESUBMIT.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLOCK 10: DELIVER IF PROCEDURES HAVE BEEN CHANGED FROM PREVIOUSLY APPROVED.
BLOCK 12 &13: SUBMIT AT FIRST ARTICLE TEST & DEMONSTRATION AND AS REQUESTED. REVISED MATERIAL BASED ON UPDATES AND/OR GOVERNMENT COMMENTS DUE 30 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER MISC |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
N/A
17. PRICE GROUP
| A009 |
| Welding Procedure Qualification Test Reports |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MISC-80876 (See Blk 16) |
| SOW Section 10. (c) |
| NAVAIR 4.8.1.1 |
7. DD 250 REQ
9. DIST STATEMENT RQD
D (See Blk 16)
10. FREQUENCY
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Blk 16)
14. DISTRIBUTION
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBM. |
A (See Blk 16)
| 16. REMARKS |
| EAF- 1 |
| 0 |
| 1 |
| ____ |
BLOCK 4: DID SECTION 7.1 IS AMENDED AS FOLLOWS: WELD PROCEDURES AS SPECIFIED ON THE DRAWINGS AND STATEMENT OF WORK.
BLOCK 8:GOVERNMENT HAS 30 DAYS TO REVIEW AND PROVIDE COMMENTS OR APPROVAL. CONTRACTOR HAS 45 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS TO RESUBMIT.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLOCK 10: DELIVER IF PROCEDURES HAVE BEEN CHANGED FROM PREVIOUSLY APPROVED.
BLOCK 12 & 13: SUBMIT AT FIRST ARTICLE TEST & DEMONSTRATION AND AS REQUESTED.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER NDIT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
Welder Certifications
17. PRICE GROUP
| A00A |
| Test / Inspection Reports |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-NDIT-80809 (See Blk 16) |
| SOW Section 10. (c) |
| PMA 251NAVAIR 4.8.1.1 |
7. DD 250 REQ
9. DIST STATEMENT RQD
D (See Blk 16)
10. FREQUENCY
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Blk 16)
14. DISTRIBUTION
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBM. |
A (See Blk 16)
| 16. REMARKS |
| EAF- 1 |
| 0 |
| 1 |
| ____ |
BLOCK 4: DATA REQUIRED FOR THE FOLLOWING: WELDER CERTIFICATIONS FOR WELDERS PERFORMING THE WELD PROCEDURES SPECIFIED ON THE DRAWINGS AND STATEMENT OF WORK.
BLOCK 8:GOVERNMENT HAS 30 DAYS TO REVIEW AND PROVIDE COMMENTS OR APPROVAL. CONTRACTOR HAS 45 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS TO RESUBMIT.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLOCK 10: DELIVER IF PROCEDURES OR WELDERS HAVE BEEN CHANGED FROM PREVIOUSLY APPROVED.
BLOCK 12 &13: SUBMIT AT FIRST ARTICLE TEST & DEMONSTRATION AND AS REQUESTED.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER NDIT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
Weld Inspection Reports
17. PRICE GROUP
| A00B |
| Test / Inspection Reports |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-NDIT-80809 (See Blk 16) |
| SOW Section 10. (c) |
| NAVAIR 4.8.1.1 |
7. DD 250 REQ
9. DIST STATEMENT RQD
D (See Blk 16)
10. FREQUENCY
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Blk 16)
14. DISTRIBUTION
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBM. |
A (See Blk 16)
| 16. REMARKS |
| EAF- 1 |
| 0 |
| 1 |
| ____ |
BLOCK 4: DATA REQUIRED FOR THE FOLLOWING: WELD INSPECTION REPORTS FOR WELD INSPECTIONS PERFORMED AS SPECIFIED ON THE DRAWINGS AND STATEMENT OF WORK.
BLOCK 8: GOVERNMENT HAS 30 DAYS TO REVIEW AND PROVIDE COMMENTS OR APPROVAL. CONTRACTOR HAS 45 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS TO RESUBMIT.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLOCK 10: DELIVER IF PROCEDURES HAVE BEEN CHANGED FROM PREVIOUSLY APPROVED.
BLOCK 12 & 13: SUBMIT AT FIRST ARTICLE TEST & DEMONSTRATION AND AS REQUESTED.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER NDIT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
Material Certifications ( Material Receipt Inspections)
17. PRICE GROUP
| A00C |
| Test / Inspection Reports |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-NDIT-80809 (See Blk 16) |
| SOW Section 10. (c) |
| NAVAIR 4.8.1.1 |
7. DD 250 REQ
9. DIST STATEMENT RQD
D (See Blk 16)
10. FREQUENCY
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Blk 16)
14. DISTRIBUTION
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBM. |
A (See Blk 16)
| 16. REMARKS |
| EAF- 1 |
| 0 |
| 1 |
| ____ |
BLOCK 4: DATA REQUIREMENTS: MATERIAL CERTIFICATIONS FOR ALL ALUMINUM ALLOY COMPONENTS AND COATING SYSTEM THAT COMPRISE THE AM2 MAT.
BLOCK 8: GOVERNMENT HAS 30 DAYS TO REVIEW AND PROVIDE COMMENTS OR APPROVAL. CONTRACTOR HAS 45 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS TO RESUBMIT.
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLOCK 10: DELIVER IF SUPPLIERS HAVE CHANGED FROM PREVIOUSLY APPROVED.
BLOCK 12 & 13: SUBMIT AT FIRST ARTICLE TEST & DEMONSTRATION AND AS REQUESTED.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
Form Approved
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 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: |
| 0032 |
| A |
| TDP ____ |
| TM _____ |
| OTHER MGMT |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Repair and Refurbishment of AM2 Matting |
| N68335-19-D-xxxx |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
Government Furnished Material (GFM) Status Report
17. PRICE GROUP
| A00D |
| Status of Government Furnished Equipment (GFE) Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MGMT-80269 |
| SOW Section 7 |
| NAVAIR 6.6.2.10 |
7. DD 250 REQ
LT
9. DIST STATEMENT RQD
D (See Blk 16)
10. FREQUENCY
Weekly
12. DATE OF FIRST SUBMISSION
See Blk 16
14. DISTRIBUTION
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBM. |
N/A
| 16. REMARKS |
| EAF- 1 |
| 0 |
| 1 |
| ____ |
BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE; EXPORT CONTROLLED (14 AUGUST 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, HIGHWAY 547, LAKEHURST, NJ 08733, CODE 1.3.3.9.1.
BLOCK 12: DATE OF FIRST SUBMISSION: 7 CALENDAR DAYS FROM FIRST RECEIPT OF GFM.
BLK 14: EDITABLE ELECTRONIC COPIES OF ALL DATA SUBMITTALS SHALL BE PROVIDED. A TRANSMITTAL NOTIFICATION SHALL BE PROVIDED BY EMAIL TO ADDRESSEES. SEE EXHIBIT A, SUPPLEMENT 1, FOR DISTRIBUTION CODE DESIGNATIONS AND INSTRUCTIONS.
G. PREPARED BY
RALPH PAZ, NAWCADLKE 6.6.2.10
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
EXHIBIT A - SUPPLEMENT 1
DISTRIBUTION INSTRUCTIONS
FOR
REPAIR AND REFURBISHMENT OF AM2 MATTING
14 August 2017
INSTRUCTIONS FOR CDRL LETTERS OF TRANSMITTAL OR DD-250:
1. A Transmittal Notification (in PDF or MSWord 2007 compatible format) shall be submitted as an attachment to an encrypted email sent to listed addressees in CDRL block 14a. The attachment file name shall relate to the CDRL number and delivery sequence.
2. The Subject line of the email shall contain the Contract Number, CDRL Number, sequence, the short title of the document, the revision # and the document date. For example, if the complete title of the document being submitted as CDRL A002 is “Conference Agenda for the AM2 Program,” the Subject Line should state “Contract N68335-19-D-xxxx, CDRL A002 Submittal, Conference Agenda_REV 0_2019-02-01”.
3. The body of the email shall contain a short description of the CDRL.
4. Electronic copies of all CDRL data submittals shall be provided separately and made accessible via the secure AMRDEC SAFE website: https://safe.amrdec.army.mil/safe/Welcome.aspx
5. The Table below provides the email addresses corresponding to the codes in CDRL block 14a.
Block 14a Address
NAVAIR
Code
| EAF-1 |
| 1.3.3.9.1 |
| walter.olt@navy.mil |
| EAF IPT Lead |
| EAF-2 |
| 1.3.3.9.1 |
| jessica.escribano@navy.mil |
| Deputy EAF IPT Lead |
| EAF-3 |
| 6.6.2.10 |
| ralph.paz@navy.mil |
| Logistics Lead |
| EAF-4 |
| 4.8.2.6 |
| robert.Gallucci@navy.mil |
| Surfacing Lead Engineer |
| EAF-5 |
| 4.8.2.6 |
| jared.lebar@navy.mil |
| In-Service Engineering Team Lead |
| EAF-6 |
| HQMC |
| clint.hunt@navy.mil |
| Fleet Liaison Officer |
| EAF-7 |
| 2.5.2.5.2 |
| rene.brown@navy.mil |
| Contract Specialist |
| EAF-8 |
| 4.8.1.1 |
| andrew.oliverie@navy.mil |
| Systems Engineer |
| EAF-9 |
| 2.5.2.5.2 |
| melissa.bucci@navy.mil |
| Contracting Officer |
| EAF-10 |
| 1.3.3.9.1 |
| ruth.eggleston@navy.mil |
| Data Manager |
