SPMYM2-22-Q-1826 (CDRLS FOR CLINS 0028 - 0030) SLEEVE SEAL.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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:

TDP TM OTHER

MISC

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

CERTIFICATION/DATA REPORT CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/7/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 2081-9860

15. Total 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s Erik Sterbentz 4/7/2022 /s Nicole Martinez 4/7/2022

DD FORM 1423-1, FEB 2001

A

AA01

0052AA

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:

TDP TM OTHER

NDTI

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

TEST/INSPECTION REPORT LIQUID PENETRANT TEST REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-80809B TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10.2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c. e, and g.

10.2.7.1. 10.2.7.3

Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 4/7/2022. Other U.S.

requests must be referred to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, must be submitted and approved before testing unless otherwise specified in contract.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 2081-9860 15. Total 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Erik Sterbentz 4/7/2022 /s/ Nicole Martinez 4/7/2022

DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages

B

AB01

0052AB

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:

TDP TM OTHER

NDTI

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

TEST/INSPECTION REPORT VISUAL INSPECTION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 2081-9860 15. Total 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Erik Sterbentz 4/7/2022 /s/ Nicole Martinez 4/7/2022

DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages

C

AC01

0052AC

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

The 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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.

B. EXHIBIT C. CATEGORY

TDP ______ TM ________ OTHER___MISC_________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 4 – Tailored to allow vendor to provide only 10.2.2.

Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

N4523A 0 1 0

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

07DAC 14. DISTRIBUTION

a. ADDRESSEE b COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 4 - Tailored to allow vendor to provide only 10.2.4.

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Personnel Qualifications Report prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

Document number: 2081-9861

N4523A

0 1 0

16. TOTAL 0 1 0

G. PREPARED BY

/S/ Erik Sterbentz

H. DATE

4/7/2022

I. APPROVED BY

/S/ Nicole Martinez

J. DATE

4/7/2022

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

AD01

AD01

A. CONTRACT LINE ITEM NO.

0052AD

D0052AD

mailto:ddpw_wawf_group.fct@navy.mil mailto:ddpw_wawf_group.fct@navy.mil

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

The 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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.

B. EXHIBIT C. CATEGORY

TDP ______ TM ________ OTHER___NDTI/MISC_________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

LIQUID PENETRANT (PT) TEST PROCEDURES

REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

N4523A 0 1 0

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

LIQUID PENETRANT (PT) TEST PROCEDURES

REPORT PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

07DAC 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft Final

Reg Repro

16. REMARKS

Block 4 - Tailored to allow vendor to provide only 10.2.4.

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

Document number: 2081-9862

N4523A

0 1 0

15. TOTAL

0 1 0

G. PREPARED BY

/S/ Erik Sterbentz

H. DATE

7-Apr-22

I. APPROVED BY

/S/ Nicole Martinez

J. DATE

7-Apr-22

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

N/ A

AE01

AE01

A. CONTRACT LINE ITEM NO.

0052AE00

00052AE E

mailto:ddpw_wawf_group.fct@navy.mil mailto:ddpw_wawf_group.fct@navy.mil