CDRL_A002.pdf

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Attached to
FIBER OPTIC PLANT MAINTENANCE Federal contract opportunity
Solicitation number
N7027219Q0025
Issued by
Department of the Navy Naval Supply Systems Command

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CDRL A002

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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

1_DATA_ITEM_NO: A002
2_TITLE_OF_DATA_ITEM: TECHNICAL REPORT - STUDY/SERVICES
3_SUBTITLE: After Action Report for Corrective Maintenance
4_AUTHORITY_Data_Acquisit: DI-MISC-80508A
5_CONTRACT_REFERENCE: PWS 7.3.2
6_REQUIRING_OFFICE: NCTAMS LANT N5/N8
7_DID_250_REQ: N/A
8_APP_CODE: N/A
DIST_STATEMENT: PWS para. 13.1
10_FREQUENCY: As needed
11_AS_OF_DATE: Start of Contract
12_DATE_OF_FIRST_SUBMISSI: As needed
13_DATE_OF_SUBSEQUENT_SUB: As needed*
addressee1: COR/ACOR
draft1: 1
reg1: 1
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total_draft: 1
total_repro: 0
16_REMARKS: Block 13: Report is required on an as needed basis through the end of the contract.

Block 14: E-mail distribution preferred

The report shall be formatted in Microsoft Office compatible file to provide the time and date of the initial incident, time contractor was notified, contractor arrival time on site, condition found, corrective action taken, any test results, and contractor departure time from the site. The report is due to the COR by the end of the 10th business day after corrective maintenance is completed.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY: LeMar Blount
H_DATE: 8/16/2019
1_APPROVED_BY: Christopher Jensen
J_DATE:
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER:
DSYSTEMITEM:
E_CONTRACTPR_NO:
FCONTRACTOR: TBD
of_pages: 1
Reset:

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