A002 CDRL RAAF Asbestos Containing Material Certification SAM.pdf

PDF 187 KB Posted

Attached to
MQ-4C Zeroize and Fill Cable Sets Federal contract opportunity
Solicitation number
N6833524Q0210
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

About this file

This document is a Contract Data Requirements List (CDRL) for the MQ-4C RAAF Zeroize and Fill Cable Set. The CDRL requires the contractor to submit an Asbestos Containing Material Certification per Statement of Work paragraph 3.2. The CDRL specifies the submission instructions, including the required format, distribution, and email addresses for Michael Kirchner and Jeff Glines. The government will provide approval/disapproval within 30 days of receipt.

The related federal contract opportunity is for the competitive procurement of the Zeroize and Fill Cable Sets, P/N: 4106AS0130-1, in support of the MQ-4C Triton Unmanned Air Systems for the United States Navy and Royal Australian Air Force. The solicitation is expected to result in a single award, three-year, fixed-price Indefinite Delivery/Indefinite Quantity (IDIQ) contract. The contracting agency is the Department of the Navy Naval Air Systems Command Naval Air Warfare Center.

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DD FORM 1423-1, JUN 09 PREVIOUS EDITIONS ARE OBSOLETE PAGE (1) OF (1) 10 June 2009 CONTRACT DATA REQUIREMENTS LIST (1 Data Item) FORM APPRVD 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 HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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.

TBD

B. Exhibit

A

C. Category: TDP ( ) TM( ) Other ( XX )

D. System/Item

MQ-4C RAAF

Zeroize and Fill Cable Set PN 4106AS0130-1

E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A002

2. Title of Data Item

Asbestos Containing Material Certification

3. Subtitle

N/A

4. Authority (Data ID No.)

DI-SESS-80640D, See Block 16

5. Contract Reference SOW Para. 3.2

6. Requiring Office

NAVAIR LKE, UAS SE BR, BL24100

7. DD 250 REQ

LT

9. Dist. Statement Req.

D

10. Frequency

AS REQ

12. Date of first submission

AS REQ

14. Distribution

See Block 16

8. APPCODE

A-See Block 16

See Block 16

11. As of Date

AS REQ

13. Date of Subsequent Submission

AS REQ

Address D r a ft

Reg R e p r

16. Remarks Michael Kirchner 1 Jeff Glines 1 Block 4: Request for Asbestos Containing Material Certification shall be submitted IAW this CDRL and section 3.0 of the Statement of Work (SOW). MIL-HDBK-61 referenced in the Data Item Description (DID) associated with this CDRL is for guidance only.

Block 8: Government approval/disapproval shall be provided 30 days after receipt.

Block 14: Delivery Media: Distribution of data shall conform to Electronic Media Compatible with MS Word, MS-Excel or PDF. Asbestos Containing Material Certification shall be emailed to the following individuals:

Michael Kirchner at michael.d.kirchner2.civ@us.navy.mil Jeff Glines at jeffery.a.glines.civ@us.navy.mil

TOTAL 1

G. Prepared By

Jennifer M. Etri

H. Date

I. Approved By

Adam M. Smiga

J. Date

17. Price Group 18. Estimated Total Price:

mailto:michael.d.kirchner2.civ@us.navy.mil mailto:jeffery.a.glines.civ@us.navy.mil

File details come from the government source that posted it. Updated .