SPMYM2-23-0169 (CDRLS) HOSE ASSEMBLY NONMETALLIC.pdf
PDF 1 MB Posted
- Attached to
- HOSE ASSEMBLY NON METALLIC Federal contract opportunity
- Solicitation number
- SPMYM2-23-Q-0169
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| File | Type | Posted |
|---|---|---|
| SPMYM2-23-Q-0169 (SOLICITATION) HOSE ASSEMBLY NONMETALLIC.pdf | ||
| SPMYM2-23-0169 (MATERIAL SPECIFICATION DATA) HOSE ASSEMBLY NONMETALLIC.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved
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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.
Please DO NOT RETURN your form to either of these address. 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
CERTIFICATE OF COMPLIANCE
3. SUBTITLE
CONFORMANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D*
10. FREQUENCY
ONE/R
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
A. ADDRESSEE
Final
Draft Reg Repr o 16. REMARKS
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 10/26/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:
Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).
Upon submission in iRAPT send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. 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: 2293-9976
N4523A 0 1 0
TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Grace Booker 10/20/2022 Malvin Doinog 10/24/2022
DD Form 1423-1, FEB 2001 Page 1 of 2 Page(s)
S/N 0102-LF-010-5600
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
A0002AA
AA01
Form Approved
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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.
Please DO NOT RETURN your form to either of these address. 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
TEST/INSPECTION REPORT
3. SUBTITLE
HYDROSTATIC TEST REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D*
10. FREQUENCY
ONE/R
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
A. ADDRESSEE
Final
Draft Reg Repr o16. REMARKS
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 10/26/2022. 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 to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:
Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).
Upon submission in iRAPT send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. 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: 2293-9976
ATAT
N4523A 0 1 0
TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Grace Booker 10/26/2022 Malvin Doinog 10/24/22
DD Form 1423-1, JUN 90 Page 1 of 2 Page(s)
S/N 0102-LF-010-5600
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AB B
AB01
Form Approved
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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.
Please DO NOT RETURN your form to either of these address. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. Listed
NATIONAL ASSOCIATION FOR HOSE
ACCESSORIES DISTRIBUTION (NAHAD)
CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
SUBMISSION
N/A
A. ADDRESSEE
Final be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:
Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).
Upon submission in iRAPT send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of
/s/ Grace Booker 10/26/2022 Malvin Doinog 10/24/2022
DD Form 1423-1, JUN 90 Page 1 of 2 Page(s)
TOTAL PRICE
0002AC C
AC01
Form Approved
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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.
Please DO NOT RETURN your form to either of these address. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. Listed
UNITED STATES COAST GUARD
CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
REQUIRED
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
SUBMISSION
N/A
A. ADDRESSEE
Final be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:
Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).
Upon submission in iRAPT send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of
/s/ Grace Booker 10/26/2022 Malvin Doinog 10/24/2022
DD Form 1423-1, JUN 90 Page 1 of 2 Page(s)
TOTAL PRICE
0002AD D
AD01
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