Updated_Exhibits_A_-_Z.pdf

PDF 9 MB Posted Nov 15, 2017

Attached to: 2010 SLEEVES Federal contract opportunity
Solicitation number: SPMYM218Q0162
Issued by: Department of the Navy Naval Supply Systems Command

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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 collect ion of information is est imated 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 o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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.

0004AC

B. EXHIBIT

C. CATEGORY

TDP ______ TM ________ OTHER___MISC_________

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

1. DATA ITEM NO.

Q001

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

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

N4523A 0 1 0

15. TOTAL 0 1 0

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

QUALIFICATIONS PRIOR ACCEPTANCE

07DAC 14. DISTRIBUTION

a. ADDRESSEE b. COPIES

Draft Final

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

Administration and operations only, effective 11/7/2017. 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 iRAPT for certification acceptance prior to prior to performance of any test.

Block 14 - 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.

Document number: 7290-9634

N4523A

0 1 0

G. PREPARED BY

/S/JENSEN, DUSTIN P

H. DATE

11/7/2017

I. APPROVED BY

/S/Gilger, Frank R.

J. DATE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be

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.

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.

EXHIBIT Q

(1 Data Item)

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

0004AD R

TDP ___________ TM _______________ OTHER NDTI

R001

TEST/INSPECTION REPORT

LIQUID PENETRANT TEST REPORT

DI-NDTI-80809B

ONE/R

12. DATE OF FIRST

SEE BLOCK 16*

11. AS OF DATE

A. ADDRESSEE

Draft Reg Repr o 16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 11/15/2017. 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, 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.

ATAT

TOTAL 0 1 0

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

/s/ JENSEN, DUSTIN P 11/15/2017 /s/ Gilger, Frank R. 11/15/2017

DD Form 1423-1, JUN 90 Page 1 of 2 Page(s)

S/N 0102-LF-010-5600

Document no: 7290-9635

18. ESTIMATED

EXHIBIT R

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

0004AE S

TDP TM OTHER MISC

S001

WELDABILITY CERTIFICATION

A. ADDRESSEE Final

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of

TOTAL 1 0

DD Form 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

Document No: 7290-9636

EXHIBIT S

The public reporting burden for this collect ion of information is est imated 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 other aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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

0004AF

T001

WELDING PROCEDURE QUALIFICATION TEST REPORT

WELDING PROCEDURE

DI-MISC-80876

SEE BLOCK 16

Draft

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

WELDING PROCEDURE QUALIFICATION TEST

REPORT PRIOR ACCEPTANCE

Welding Procedure Qualification Test Report prior to performance of any welding.

performance of any test.

Document number: 7290-9637

15. TOTAL

only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be

Block 10 - Submit Welding Procedure Qualification Test Report unless proof of prior acceptance by NAVSEA Activity.

performance of any welding.

EXHIBIT T

0004AG

U001

WELDING PERSONNEL QUALIFICATIONS

REPORT

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

PERSONNEL QUALIFICATIONS PRIOR

ACCEPTANCE

Personnel Qualifications Report prior to performance of any welding.

prior to performance of any welding.

Document number: 7290-9638 only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be

Activity prior to performance of any welding.

EXHIBIT U

The public reporting burden for this collect ion of information is est imated 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 other aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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

0004AH

TDP ______ TM ________ OTHER___NDTI/MISC_________

V001

WELD REPAIR CERTIFICATION

TDP: CONTRACT

N/A D 11. AS OF DATE

n/a Draft

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

CERTIFICATE OF COMPLIANCE

WELD REPAIR CERTIFICATE OF

COMPLIANCE

DI-MISC-81356A

SEE BLOCK 16 14. DISTRIBUTION

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

Administration and operations only, effective 11/15/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Weld Repair Certificate of Compliance when No Weld Repairs were required. Stating the fact that No Weld Repairs were required.

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. .

Document no.: 7290-9639

/S/ JENSEN, DUSTIN P

11/15/2017

/S/.Gilger, Frank R.

Block 12 – Certification/Data Report documentation shall be attached to the

EXHIBIT V

0004AJ

W001

RADIOGRAPHY TEST (RT) PERSONNEL

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

Document number: 7290-9640

/S/Gilger, Frank R only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be material shipment

EXHIBIT W

The public reporting burden for this collect ion of information is est imated 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 other aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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

0004AK

X001

RADIOGRAPHY (RT) TEST PROCEDURES REPORT

DI-NDTI-80603A

N?AReg Repro

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

RADIOGRAPHY (RT) TEST PROCEDURES

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.

Document number: 7290-9641

Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA

EXHIBIT X

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

0004AL Y

Y001

RADIOGRAPHY FILM AND TEST

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of

DD Form 1423-1, JUN 90 Page 1 of 1 Page(s)

Document no:7290-9642

EXHIBIT Y

0004AM

Z001

RADIOGRAPHIC SHOOTING SKETCHES

DI-MISC-80678 (RSS)

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

PRIOR ACCEPTANCE

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

Radiographic Shooting Sketches

Document number: 7290-9643 only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Radiographic Shooting Sketches report unless proof of prior prior to performance of any test

EXHIBIT Z

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

0002AA A

A001

CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

N/A Draft Reg Repr

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages

For Document no: 7290-9619

EXHIBIT A

0002AB

B001

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

Document number: 7290-9620 only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be

EXHIBIT B

0002AC

C001

LIQUID PENETRANT (PT) TEST PROCEDURES

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

Document number: 7290-9621 only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

EXHIBIT C

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

B. EXHIBIT C. CATEGORY

0002AD D

D001

LIQUID PENETRANT TEST REPORT

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of

ATAT

DD Form 1423-1, JUN 90 Page 1 of 2 Page(s)

Document no: 7290-9622

EXHIBIT D

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

0002AE E

E001

WELDABILITY CERTIFICATION

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of

TOTAL 1 0

DD Form 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

Document No: 7290-9623

EXHIBIT E

0002AF

F001

WELDING PERSONNEL QUALIFICATIONS

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

PERSONNEL QUALIFICATIONS PRIOR

ACCEPTANCE

Personnel Qualifications Report prior to performance of any welding.

Document number: 7290-9624 only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be

Activity prior to performance of any welding.

EXHIBIT F

The public reporting burden for this collect ion of information is est imated 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 other aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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

0002AG

D001

WELDING PROCEDURE QUALIFICATION TEST REPORT

WELDING PROCEDURE

DI-MISC-80876

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

WELDING PROCEDURE QUALIFICATION TEST

Welding Procedure Qualification Test Report prior to performance of any welding.

Document number: 7290-9625

Block 10 - Submit Welding Procedure Qualification Test Report unless proof of prior performance of any welding.

EXHIBIT G

The public reporting burden for this collect ion of information is est imated 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 other aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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

0002AH

H001

WELD REPAIR CERTIFICATION

n/a Draft

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

CERTIFICATE OF COMPLIANCE

WELD REPAIR CERTIFICATE OF

COMPLIANCE

DI-MISC-81356A

SEE BLOCK 16 14. DISTRIBUTION

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

Administration and operations only, effective 11/15/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Weld Repair Certificate of Compliance when No Weld Repairs were required. Stating the fact that No Weld Repairs were required.

Document no.: 7290-9626

/S/ JENSEN, DUSTIN P

/S/.Gilger, Frank R.

Block 12 – Certification/Data Report documentation shall be attached to the

EXHIBIT H

The public reporting burden for this collect ion of information is est imated 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 other aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing sugges t ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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

0002AJ

J001

RADIOGRAPHY (RT) TEST PROCEDURES REPORT

N?AReg Repro

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

RADIOGRAPHY (RT) TEST PROCEDURES

Document number: 7290-9627

EXHIBIT J

0002AK

K001

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

Document number: 7290-9628

/S/Gilger, Frank R only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be material shipment

EXHIBIT K

0002AL

L001

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

PRIOR ACCEPTANCE

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

Radiographic Shooting Sketches

Document number: 7290-9629 only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Radiographic Shooting Sketches report unless proof of prior prior to performance of any test

EXHIBIT L

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

B. EXHIBIT C. CATEGORY

0002AM M

M001

RADIOGRAPHY FILM AND TEST

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of

DD Form 1423-1, JUN 90 Page 1 of 1 Page(s)

Document no:7290-9630

EXHIBIT M

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

0004AA N

N001

CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

N/A Draft Reg Repr

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages

For Document no: 7290-9632

EXHIBIT N

0004AB

P001

Block 12 – Certification/Data Report documentation shall be submitted via Wide Area Workflow (WAWF) e-Business Suite:

Document number: 7290-9633 only. Administration and operations only, effective 11/7/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

EXHIBIT P

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