EXHIBIT_A.pdf

PDF 114 KB Posted

Attached to
DRUM HAULER & EXTERNAL CHARGER
Solicitation number
SPMYM2-18-Q-1291
Issued by

About this file

EXHIBIT A

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

A

C. CATEGORY TBD

TDP TM OTHER

D. SYSTEM/ITEM

DRUM HAULER

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

PCB Certification

3. SUBTITLE

PCB Certification

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

7. DD 250 REQ 9. DIST

5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

PSNS & IMF, S/31

xx

STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

17. PRICE GRC

8. APP CODE 1 1. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Draft

Final

Reg Repr 18.

ESTIMATE[

TOTAL PRI' 16. REMARKS

BLOCK 3: THE PCB CERTIFICATION SHALL BE IN THE CONTRACTOR'S FORMAT.

BLOCK 12: THE CONTRACTOR SHALL PROVIDE THE PCB CERTIFICATION TEN

(10) DAYS PRIOR TO THE DELIVERY OF THE EQUIPMENT TO PSNS BREMERTON

WA.

BLOCK 14: THE CONTRACTOR SHALL PROVIDE ONE COPY OF THE PCB

CERTIFICATION IN ELECTRONIC UNPROTECTED SEARCHABLE PDF FORMAT TO

THE FOLLOWING GOVERNMENT TECHNICAL POINT OF CONTACT:

Nicole Martinez s/31 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA 98314-5000

G. PREPARED BY H. DATE

PSNS S/31

x

TOTAL 1

Nicole Martinez 2/1/18

I APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 3 Pages

File details come from the government source that posted it.