SPMYM2-22-Q-1983 (SOLICITATION) LEVEL 1 SCREW CAPS.pdf

PDF 625 KB Posted May 30, 2022

Attached to: SCREW, CAPSCREW Federal contract opportunity
Solicitation number: SPMYM2-22-Q-1983
Issued by: Defense Logistics Agency Land and Maritime

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SEE ADDENDUM

(No Collect Calls)

SPMYM222Q1983 30-May-2022

b. TELEPHONE NUMBER

360-813-9218

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 10 Jun 2022

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

SPMYM29. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TIMOTHY J. EASTER

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N4523A21111206

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DLA MARITIME PUGET SOUND

ATTN: TIMOTHY EASTER

7000 FINBACK CIRCLE

SILVERDALE WA 98315

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE N4523A 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFP

PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

TEL: 360-476-7640 FAX:

FAX:

TEL: 360-813-9218 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

332722

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF94

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

SPMYM222Q1983

Section SF 30 - BLOCK 14 CONTINUATION PAGE

CLAUSES INCORPORATED BY FULL TEXT

NOTICE TO VENDORS

Any vendor wishing to submit an offer for consideration must provide an electronic copy of their documented Quality Management System (QMS) meeting MIL-I-45208 or ISO9001:2015 with the calibration system requirements of MIL-STD-45662 or ISO10012 or ANSI-Z540.1 to the contracting officer at no cost to the government prior to the closing date of the solicitation. QMS in accordance with ISO9001:2008, ISO9001:2000, ISO9001:1994, or ISO9002:1994 are acceptable alternates.

Suppliers who already have a copy of their current QMS uploaded into the Product Data Reporting and Evaluation Program (PDREP), on file with the naval shipyard procuring activity, or on file with NAVSUP Weapons System Support (WSS), may request the requirement to submit the QMS again be waived. New or updated QMSs will be uploaded into (PDREP) for historical record and will be used as one factor in determining the award.

IMPORTANT – PLEASE READ

The attached Request for Quote/Request for Proposal is for Level 1 material. It contains a requirement, that you have an effective quality assurance control system that complies with at minimum, ISO-9000. These quality assurance provisions relate to inspections and tests necessary to verify that your finished product conforms to applicable drawings and specifications, including all requirements of the order. These include evidence of completion and results of all required tests and inspections. A variety of additional quality assurance related provisions may also be included which should be reviewed in detail prior to submittal of your quote/offer. (Submission of MIL-I or MIL-Q by contractor will be at Government consideration).

YOU ARE HEREBY CAUTIONED THAT FAILURE ON YOUR PART TO

ENSURE FULL COMPLIANCE WITH ALL QUALITY CONTROL

REQUIREMENTS CONTAINED IN THE SPECIFICATIONS AND THIS

REQUEST DOCUMENT COULD RESULT IN A DETERMINATION THAT

YOU ARE INELIGIBLE FOR A CONTRACT AWARD OR TERMINATION

FOR DEFAULT SHOULD YOU RECEIVE AN AWARD AND FAIL TO

COMPLY WITH THESE REQUIREMENTS.

1. The Contractor’s POC is Phone:

Fax:

E-mail:

2. Buyer POC is: TIMOTHY J, EASTER Phone: 360-813-9218 Fax: 360-396-6585 E-mail: TIMOTHY.EASTER@DLA.MIL

3. Invoice Information:

The contractor shall utilize the electronic invoicing upon delivery of supplies indicated herein. Invoice may be submitted not more than one every two weeks. Invoices must be submitted electronically using Wide Area Work Flow (WAWF) – Receipt and Acceptance. The contractor shall self-register at the web site: https://piee.eb.mil.

Contractor training is available on the Internet at https://pieetraining.eb.mil/wbt/.

Additional support can be accessed by calling the NAVY WAWF Assistance Line: 1-877-251-9293.

See clause 252.232-7006 for WAWF table.

4. Inspection Level:

QA 1 45 days inspection

5. Defense Biometric Identification System (DBIDS):

Effective 14 August 2017, NCACS credentials will no longer be accepted for base access. Any new contractor, vendor or supplier requesting base access will be required to obtain a Defense Biometric Identification System (DBIDS) credential. NCACS credentials will no longer be issued. Only DBIDS credentials will be issued to ALL contractors, vendors and suppliers seeking base access AFTER 30 June 2017. Defense Biometric Identification System (DBIDS) increases installation security and communications by receiving frequent database updates on changes to personnel/credential status, law enforcement warrants, lost/stolen cards, and force protection conditions.

The system provides continuous vetting anytime the DBIDS card is scanned at an installation entry point.

If you currently have a Navy Commercial Access Control System (NCACS) card, the following is required to get a DBIDS credential:

Present your NCACS Card and a completed copy of the SECNAV FORM 5512/1 to the base Visitor Control Center (VCC) representative.

The VCC will pull up your information in the computer, ensuring all information is current and correct.

Once your information is validated, a temporary DBIDS credential is provided.

Your temporary credential will have an expiration date, prior to which you will need to obtain your permanent DBIDS credential (~ 180 days).

For each additional U.S. Navy installation to which you need access, the first time you visit you only need to bring your DBIDS credential and statement of purpose for base access when arriving at the Visitor Control Center.

The representative will enter base access authorization and then you may proceed to work.

If you do NOT have an NCACS Card, the following is required to obtain a DBIDS credential:

Present a letter or official document from any government sponsoring organization that provides the purpose for your access.

Present valid identification, such as a passport or Real ID Act-compliant state driver's license.

Present a completed copy of the SECNAV 5512/1 form to obtain your background check.

Upon completion of the background check, the Visitor Control Center representative will complete the

DBIDS enrollment process, which includes your photo, finger prints, base restrictions, and several other assessments; after all this is done, you will be provided with your new DBIDS credential.

All deliveries must pass through the base Truck Inspection Station. All delivery vehicles are subject to inspection.

Drivers should expect delays due to heightened security.

For access to the main, perimeter gates at any Navy Base Kitsap installation, contractors are required to be a US Citizen and have either:

(a) DBIDS badge or

(b) Request a One-day Visitor badge at Pass & ID. Be prepared to present:

-Photo ID -Original proof of citizenship (any one of the following is acceptable):

State Certified Birth Certificate (must have the raised seal) Unexpired U.S. passport/Passport Card Alien Registration Card State Issued ENHANCED Drivers License Naturalization papers Certificate/Statement of Birth Born Abroad)

-Current vehicle registration and insurance -Bill of lading that has the delivery address on it

Please note: The DBIDS badge does not give access through the second, Operational Area (OA) gate to lower base Bangor or to the Controlled Industrial Area (CIA) at Puget Sound Naval Shipyard (PSNS). To gain access to either the OA Gate or CIA area, a Navy Region Bangor or NAVSEA Badge is required.

To request a NAVY REGION NW badge, https://www.bavr.cnic.navy.mil/. Sponsor email is trina.williamson@navy.mil

To request a NAVSEA badge, call PSNS Pass & ID 360-476-4882.

FOR MORE INFORMATION VISIT: https://www.cnic.navy.mil/om/dbids.html

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 4 Each

SCREW, CAP

FFP

SCREW, CAP

SCREW, CAPSCREW, SOCKET HEAD CAP, STEEL

0.500"-20UNRF-3A X 3.875", PER MIL-DTL-1222, TYPE II, GRADE A574

WITH MODIFICATION TO INCLUDE 12% MINIMUM ELONGATION

P/N: M1222SN8F362GINN

CLAUSES: 52.246-11, E18, C542, CD301 APPLY

SOURCE: QUALIFIED FASTENERS INC

LIQUID PENETRANT (PT) PERSONNEL QUALS ORDERED ON

DOCUMENT 2126-1201

LIQUID PENETRANT (PT) TEST PROCEDURES ORDERED ON

DOCUMENT 2126-1202

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

MILSTRIP: N4523A21111206

MFR PART NR: M1222SN8F362GINN

PURCHASE REQUEST NUMBER: N4523A21111206

PROJECT: 683

SIGNAL CODE: A

PSC CD: 5305

NET AMT

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

SEE ATTACHED CONTRACT DATA REQUIREMENT LIST (CDRLS) 6

EACH FOR DETAILS

MILSTRIP: N4523A21111206

PURCHASE REQUEST NUMBER: N4523A21111206

PROJECT: 683

0002AA 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

INSPECTION AND TEST PLAN / QAULITY MANAGEMENT SYSTEMS

Paragraph 10.4 of DI-QCIC-81110 does not apply.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 5/9/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - All suppliers of Level I/SUBSAFE (LI/SS) material are required to submit a copy of their current documented quality management systems manual to the Procurement Contracting Officer (PCO) prior to award of any contract/purchase order. Suppliers that have a copy of their current quality management systems manual on file at the Procuring Activity may request the PCO waive this requirement.

**after award no submittal in WAWF is required**

In accordance with Exhibit A; CDRL; Authority DI-QCIC-81110; Ref: Per Contract; Item Number: 0002AA; Seq Number: AA01.

THIS CLIN APPLIES TO CLIN 0001

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT A

FOB: Destination

MILSTRIP: N4523A21111206

PURCHASE REQUEST NUMBER: N4523A21111206

0002AB 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION/DATA REPORT / SPECIAL EMPHASIS CERTIFICATE OF

COMPLIANCE

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide IAW TDP Section 3. Ensure certs provided are traceable to material via unique markings, 10.5.

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.

In accordance with Exhibit B; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0002AB; Seq Number: AB01.

THIS CLIN APPLIES TO CLIN 0001

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT B

FOB: Destination

MILSTRIP: N4523A21111206

PURCHASE REQUEST NUMBER: N4523A21111206

0002AC 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION DATA FOR NON NUCLEAR LEVEL1 MATERIAL /

CHEMICAL AND MECHANICAL (PHYSICAL) PROPERTIES.

In accordance with Exhibit C; CDRL; Authority DI-MISC-81020; Ref: Per Contract; Item Number: 0002AC; Seq Number: AC01.

THIS CLIN APPLIES TO CLIN 0001

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT C

FOB: Destination

MILSTRIP: N4523A21111206

PURCHASE REQUEST NUMBER: N4523A21111206

0002AD 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

TEST/INSPECTION REPORT / LIQUID PENETRANT TEST REPORT

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 5/8/2022. 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.

In accordance with Exhibit D; CDRL; Authority: DI-NDTI-80809B;;Ref: Per Contract; Item Number: 0002AD; Seq Number: AD01.

THIS CLIN APPLIES TO CLIN 0001

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT D

FOB: Destination

MILSTRIP: N4523A21111206

PURCHASE REQUEST NUMBER: N4523A21111206

0002AE 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERABLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS REPORT

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 5/8/2022. 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

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

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.

In accordance with Exhibit E; CDRL; Authority: DI-MISC-80678;Ref: Per Contract; Item Number: 0002AE; Seq Number: AE01.

THIS CLIN APPLIES TO CLIN 0001

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT E

FOB: Destination

MILSTRIP: N4523A21261201

PURCHASE REQUEST NUMBER: N4523A21111206

0002AF 1 Each

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERABLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT

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.

In accordance with Exhibit F; CDRL; Authority DI-NDTI-80603A; Ref: Per Contract; Item Number: 0008AF; Seq Number: AF01.

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT PRIOR ACCEPTANCE

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 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.

In accordance with Exhibit F; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0002AF; Seq Number: AF01.

THIS CLIN APPLIES TO CLIN 0001

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT F

FOB: Destination

MILSTRIP: N4523A21261202

PURCHASE REQUEST NUMBER: N4523A21111206

0003 4 Each

SCREW CAP

FFP

SCREW CAP

SCREW, SOCKET HEAD CAP, STEEL, 0.500"-20UNRF-3A X 3.875" , PER

MIL-DTL-1222, TYPE II, GRADE A574 WITH MODIFICATION TO INCLUDE

12% MINIMUM ELONGATION

P/N: M1222SN8F362GINN

CLAUSES: 52.246-11, E18, C542, & CD301 APPLY

SOURCE: QUALIFIED FASTENERS INC

LIQUID PENETRANT (PT) PERSONNEL QUALS ORDERED ON

DOCUMENT 2126-1203

LIQUID PENETRANT (PT) TEST PROCEDURES ORDERED ON

DOCUMENT 2126-1204

FOB: Destination

MILSTRIP: N4523A21111207

MFR PART NR: M1222SN8F362GINN

PURCHASE REQUEST NUMBER: N4523A21111206

PROJECT: 683

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

SEE ATTACHED CONTRACT DATA REQUIREMENT LIST (CDRLS) 6

EACH FOR DETAILS

MILSTRIP: N4523A21111207

PURCHASE REQUEST NUMBER: N4523A21111206

0004AA 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

INSPECTION AND TEST PLAN / QAULITY MANAGEMENT SYSTEMS

Paragraph 10.4 of DI-QCIC-81110 does not apply.

**after award no submittal in WAWF is required**

In accordance with Exhibit A; CDRL; Authority DI-QCIC-81110; Ref: Per Contract; Item Number: 0004AA; Seq Number: AA01.

THIS CLIN APPLIES TO CLIN 0003

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT A

FOB: Destination

MILSTRIP: N4523A21111207

PURCHASE REQUEST NUMBER: N4523A21111206

0004AB 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION/DATA REPORT / SPECIAL EMPHASIS CERTIFICATE OF

COMPLIANCE

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide IAW TDP Section 3. Ensure certs provided are traceable to material via unique markings, 10.5.

In accordance with Exhibit B; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0004AB; Seq Number: AB01.

THIS CLIN APPLIES TO CLIN 0003

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT B

FOB: Destination

MILSTRIP: N4523A21111207

PURCHASE REQUEST NUMBER: N4523A21111206

0004AC 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION DATA FOR NON NUCLEAR LEVEL1 MATERIAL /

CHEMICAL AND MECHANICAL (PHYSICAL) PROPERTIES.

In accordance with Exhibit C; CDRL; Authority DI-MISC-81020; Ref: Per Contract; Item Number: 0004AC; Seq Number: AC01.

THIS CLIN APPLIES TO CLIN 0003

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT C

FOB: Destination

MILSTRIP: N4523A21111207

PURCHASE REQUEST NUMBER: N4523A21111206

0004AD 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

TEST/INSPECTION REPORT / LIQUID PENETRANT TEST REPORT

10.2.7.3

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

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.

In accordance with Exhibit D; CDRL; Authority: DI-NDTI-80809B;;Ref: Per Contract; Item Number: 0004AD; Seq Number: AD01.

THIS CLIN APPLIES TO CLIN 0003

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT D

FOB: Destination

MILSTRIP: N4523A21111207

PURCHASE REQUEST NUMBER: N4523A21111206

0004AE 1 Each

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERABLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS REPORT

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.

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

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

In accordance with Exhibit E; CDRL; Authority: DI-MISC-80678;Ref: Per Contract; Item Number: 0004AE; Seq Number: AE01.

THIS CLIN APPLIES TO CLIN 0003

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT E

FOB: Destination

MILSTRIP: N4523A21261203

PURCHASE REQUEST NUMBER: N4523A21111206

0004AF 1 Each

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERABLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT

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.

In accordance with Exhibit F; CDRL; Authority DI-NDTI-80603A; Ref: Per Contract; Item Number: 0004AF; Seq Number: AF01.

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT PRIOR ACCEPTANCE

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 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.

In accordance with Exhibit F; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0004AF; Seq Number: AF01.

THIS CLIN APPLIES TO CLIN 0003

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT F

FOB: Destination

MILSTRIP: N4523A21261204

PURCHASE REQUEST NUMBER: N4523A21111206

0005 4 Each

SCREW CAP

FFP

SCREW CAP

SCREW, SOCKET HEAD CAP, STEEL, 0.438"-20UNRF-3A X 1.500", PER

MIL-DTL-1222, TYPE II, GRADE A574 WITH MODIFICATION TO INCLUDE

12% MINIMUM ELONGATION

P/N: M1222SN7F324GINN

CLAUSES: 52.246-11, E18, C542, & CD301 APPLY

SOURCE: QUALIFIED FASTENERS INC

LIQUID PENETRANT (PT) PERSONNEL QUALS ORDERED ON

DOCUMENT 2126-1205

LIQUID PENETRANT (PT) TEST PROCEDURES ORDERED ON

DOCUMENT 2126-1206

FOB: Destination

MILSTRIP: N4523A21111208

MFR PART NR: M1222SN7F324GINN

PURCHASE REQUEST NUMBER: N4523A21111206

PROJECT: 683

CONTRACT DATA REQUIREMENT LIST

SEE ATTACHED CONTRACT DATA REQUIREMENT LIST (CDRLS) 6

EACH FOR DETAILS

MILSTRIP: N4523A21111208

PURCHASE REQUEST NUMBER: N4523A21111206

0006AA 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

INSPECTION AND TEST PLAN / QAULITY MANAGEMENT SYSTEMS

Paragraph 10.4 of DI-QCIC-81110 does not apply.

**after award no submittal in WAWF is required**

In accordance with Exhibit A; CDRL; Authority DI-QCIC-81110; Ref: Per Contract; Item Number: 0006AA; Seq Number: AA01.

THIS CLIN APPLIES TO CLIN 0005

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT A

FOB: Destination

MILSTRIP: N4523A21111208

PURCHASE REQUEST NUMBER: N4523A21111206

0006AB 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION/DATA REPORT / SPECIAL EMPHASIS CERTIFICATE OF

COMPLIANCE

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide IAW TDP Section 3. Ensure certs provided are traceable to material via unique markings, 10.5.

In accordance with Exhibit B; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0006AB; Seq Number: AB01.

THIS CLIN APPLIES TO CLIN 0005

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT B

FOB: Destination

MILSTRIP: N4523A21111208

PURCHASE REQUEST NUMBER: N4523A21111206

0006AC 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION DATA FOR NON NUCLEAR LEVEL1 MATERIAL /

CHEMICAL AND MECHANICAL (PHYSICAL) PROPERTIES.

In accordance with Exhibit C; CDRL; Authority DI-MISC-81020; Ref: Per Contract; Item Number: 0006AC; Seq Number: AC01.

THIS CLIN APPLIES TO CLIN 0005

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT C

FOB: Destination

MILSTRIP: N4523A21111208

PURCHASE REQUEST NUMBER: N4523A21111206

0006AD 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

TEST/INSPECTION REPORT / LIQUID PENETRANT TEST REPORT

10.2.7.3

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

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.

In accordance with Exhibit D; CDRL; Authority: DI-NDTI-80809B;;Ref: Per Contract; Item Number: 0006AD; Seq Number: AD01.

THIS CLIN APPLIES TO CLIN 0005

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT D

FOB: Destination

MILSTRIP: N4523A21111208

PURCHASE REQUEST NUMBER: N4523A21111206

0006AE 1 Each

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERABLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS REPORT

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.

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

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

In accordance with Exhibit E; CDRL; Authority: DI-MISC-80678;Ref: Per Contract; Item Number: 0006AE; Seq Number: AE01.

THIS CLIN APPLIES TO CLIN 0005

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT E

FOB: Destination

MILSTRIP: N4523A21261205

PURCHASE REQUEST NUMBER: N4523A21111206

0006AF 1 Each

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERANLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT

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.

In accordance with Exhibit F; CDRL; Authority DI-NDTI-80603A; Ref: Per Contract; Item Number: 0006AF; Seq Number: AF01.

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT PRIOR ACCEPTANCE

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 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.

In accordance with Exhibit F; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0006AF; Seq Number: AF01.

THIS CLIN APPLIES TO CLIN 0005

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT F

FOB: Destination

MILSTRIP: N4523A21261206

PURCHASE REQUEST NUMBER: N4523A21111206

0007 4 Each

SCREW CAP

FFP

SCREW CAP

SCREW, SOCKET HEAD CAP, STEEL, 0.438"-20UNRF-3A X 1.500", PER

MIL-DTL-1222, TYPE II, GRADE A574 WITH MODIFICATION TO INCLUDE

12% MINIMUM ELONGATION

P/N: M1222SN7F324GINN

CLAUSES: 52.246-11, E18, C542, & CD301 APPLY

SOURCE: QUALIFIED FASTENERS INC

LIQUID PENETRANT (PT) PERSONNEL QUALS ORDERED ON

DOCUMENT 2126-1207

LIQUID PENETRANT (PT) TEST PROCEDURES ORDERED ON

DOCUMENT 2126-1208

FOB: Destination

MILSTRIP: N4523A21111209

MFR PART NR: M1222SN7F324GINN

PURCHASE REQUEST NUMBER: N4523A21111206

PROJECT: 683

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

SEE ATTACHED CONTRACT DATA REQUIREMENT LIST (CDRLS) 6

EACH FOR DETAILS

MILSTRIP: N4523A21111209

PURCHASE REQUEST NUMBER: N4523A21111206

0008AA 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

INSPECTION AND TEST PLAN / QAULITY MANAGEMENT SYSTEMS

Paragraph 10.4 of DI-QCIC-81110 does not apply.

**after award no submittal in WAWF is required**

In accordance with Exhibit A; CDRL; Authority DI-QCIC-81110; Ref: Per Contract; Item Number: 0008AA; Seq Number: AA01.

THIS CLIN APPLIES TO CLIN 0007

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT A

FOB: Destination

MILSTRIP: N4523A21111209

PURCHASE REQUEST NUMBER: N4523A21111206

0008AB 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION/DATA REPORT / SPECIAL EMPHASIS CERTIFICATE OF

COMPLIANCE

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide IAW TDP Section 3. Ensure certs provided are traceable to material via unique markings, 10.5.

In accordance with Exhibit B; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0008AB; Seq Number: AB01.

THIS CLIN APPLIES TO CLIN 0007

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT B

FOB: Destination

MILSTRIP: N4523A21111209

PURCHASE REQUEST NUMBER: N4523A21111206

0008AC 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

CERTIFICATION DATA FOR NON NUCLEAR LEVEL1 MATERIAL /

CHEMICAL AND MECHANICAL (PHYSICAL) PROPERTIES.

In accordance with Exhibit C; CDRL; Authority DI-MISC-81020; Ref: Per Contract; Item Number: 0008AC; Seq Number: AC01.

THIS CLIN APPLIES TO CLIN 0007

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT C

FOB: Destination

MILSTRIP: N4523A21111209

PURCHASE REQUEST NUMBER: N4523A21111206

0008AD 1 Each

CONTRACT DATA REQUIREMENT LIST

FFP

CONTRACT DATA REQUIREMENT LIST

TEST/INSPECTION REPORT / LIQUID PENETRANT TEST REPORT

10.2.7.3

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

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.

In accordance with Exhibit D; CDRL; Authority: DI-NDTI-80809B;;Ref: Per Contract; Item Number: 0008AD; Seq Number: AD01.

THIS CLIN APPLIES TO CLIN 0007

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT D

FOB: Destination

MILSTRIP: N4523A21111209

PURCHASE REQUEST NUMBER: N4523A21111206

0008AE 1 Each

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERABLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS REPORT

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.

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

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

In accordance with Exhibit E; CDRL; Authority: DI-MISC-80678;Ref: Per Contract; Item Number: 0008AE; Seq Number: AE01.

THIS CLIN APPLIES TO CLIN 0007

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT E

FOB: Destination

MILSTRIP: N4523A21261207

PURCHASE REQUEST NUMBER: N4523A21111206

0008AF 1 Each

CONTRACT DATA REQUIREMENT LIST (PRE DELIVERABLE)

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT

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.

In accordance with Exhibit F; CDRL; Authority DI-NDTI-80603A; Ref: Per Contract; Item Number: 0008AF; Seq Number: AF01.

CERTIFICATION/DATA REPORT / LIQUID PENETRANT (PT) TEST

PROCEDURES REPORT PRIOR ACCEPTANCE

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 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.

In accordance with Exhibit F; CDRL; Authority DI-MISC-80678; Ref: Per Contract; Item Number: 0008AF; Seq Number: AF01.

THIS CLIN APPLIES TO CLIN 0007

TO BE DELIVERED AND FORWARDED IN ACCORDANCE WITH

EXHIBIT F

FOB: Destination

MILSTRIP: N4523A21261208

PURCHASE REQUEST NUMBER: N4523A21111206

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

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File details come from the government source that posted it. Updated May 30, 2022.