Solicitation_Exhibits.pdf

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CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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

I c.

EGORY

T�A nTi-H=� ••1cr

D. SYSTEM/ITEM

I E.

CONTRACT/PR NO. F. CONTRACTOR

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

CERTIFICATION/DATA REPORT

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE

DI-MISC-80678 PER CONTRACT

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

REQUIRED SUBMISSION

SD D* ONE/R SEE BLOCK 16

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

N/A N/A SUBMISSION

N/A

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 1/18/2018. 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:

BREM.PSNS.WAWFQA.FCT@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.

G. PREPARED BY H. DATE I. APPROVED BY

Isl Mize, Jordan 111812018 Isl Gilger, Frank A.

CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

6. REQUIRING OFFICE

PURCHASING ACTIVITY

14. DISTRIBUTION

b. COPIES

A.ADDRESSEE

Final

Draft Reg

N4523A 0 1

TOTAL 0 1

J. DATE

111812018

Repr

DD Form 1423-1, FEB 2001 Previous edition may be used. Page _1_of_1_Pages

For Document no: 8018-9621

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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A001

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B001

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C001

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D001

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E001

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F001

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G001

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HJ001

0002AJ J

J001

0002AK

K

K001

0002AL L

L001

0002AM M

M001

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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.

EGORY

TM ()TH�R MIC:f'

D. SYSTEM/ITEM

E. CONTRACT/PR NO. F. CONTRACTOR

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

CERTIFICATION/DATA REPORT

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE

DI-MISC-80678 PER CONTRACT

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

REQUIRED SUBMISSION

SD o· ONE/R SEE BLOCK 16

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

N/A N/A SUBMISSION

N/A

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 1/26/2018. 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:

BREM.PSNS.WAWFQA.FCT@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.

G. PREPARED BY H. DATE I. APPROVED BY

/s/ Mize, Jordan 1/26/2018 /s/ Gilger, Frank R.

CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

6. REQUIRING OFFICE

PURCHASING ACTIVITY

14. DISTRIBUTION

b. COPIES A. ADDRESSEE Final

Draft Reg

N4523A 0 1

TOTAL 0 1

J. DATE

1/26/2018

Repr

DD Form 1423-1, FEB 2001 Previous edition may be used. Page _1_ of _1 _ Pages

For Document no: 8026-9629

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

0004AA N

N001

0004AB P

P001

0004AC Q

Q001

0004AD R

R001

0004AE

S001

S

0004AF T

T001

0004AG U

U001

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V001

0004AJ W

W001

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X001

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Z001