ATTACHMENT_2_-_CDRL_&_DID.pdf

PDF 3 MB Posted Jun 15, 2018

Attached to: DUAL MEDIA DISCHARGE ENCLOSURE
Solicitation number: SPMYM2-18-Q-2198
Issued by: Defense Logistics Agency Land and Maritime

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ATTACHMENT 2 TO SPMYM2-18-Q-2198

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File	Type	Posted
A0004_TO_SPMYM2-18-Q-2198.docx	DOCX document	Sep 7, 2018
EXHIBIT_M_TO_ATTACHMENT_1_-_DWG_2301-3921_(Portable_Video_Monitoring_Station).pdf	PDF	Sep 4, 2018
A0003_TO_SPMYM2-18-Q-2198.docx	DOCX document	Sep 4, 2018
A0002_TO_SPMYM2-18-Q-2198.docx	DOCX document	Jul 19, 2018
A0001_TO_SPMYM2-18-Q-2198.docx	DOCX document	Jul 5, 2018
ATTACHMENT_1_-_PROCUREMENT_SPECIFICATION_FOR_P507-18_DMD_COMPLEX.pdf	PDF	Jun 15, 2018
SPMYM2-18-Q-2198.docx	DOCX document	Jun 15, 2018
EXHIBIT_A_TO_ATTACHMENT_1_(PSNS__IMF_BREMERTON_SITE_SPECIFIC_REQUIREMENTS).pdf	PDF	Jun 15, 2018

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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

0002AA A

TDP _________________ TM ____________________ OTHER X (MISC)

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Certification/Data Report 3. SUBTITLE

OSHA Approved Certification

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.8.1

6. REQUIRING OFFICE

PSNS & IMF C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Final

N/A Draft Reg Repr

16. REMARKS

BLOCK 3: THE CONTRACTOR SHALL PROVIDE OSHA APPROVED CERTIFICATION

/ FIELD TEST REPORT FOR THE COMPLETED DMD COMPLEX AS REQUIRED BY

PARA 4.4.8.1. CERTIFICATION SHALL BE IN THE CONTRACTOR’S FORMAT OR

FORMAT PROVIDED BY A THIRD PARTY OSHA NATIONALLY RECOGNIZED

LABROTORY (NRTL).

BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT REVIEW

AND APPROVAL TO VERIFY CONTRACT REQUIREMENTS ARE MET. APPROVAL

WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH

REQUIREMENTS. THE GOVERNMENT WILL HAVE 14 CALENDAR DAYS FOR

REVIEW. THE CONTRACTOR SHALL HAVE 7 CALENDAR DAYS TO REVISE (IF

REQUIRED) AND RESUBMIT FOR A NEW REVIEW.

BLOCK 12: THE CONTRACTOR SHALL PROVIDE THE OSHA CERTIFICATION

FOURTEEN (14) DAYS PRIOR TO DELIVERY OF DMD COMPLEX TO PSNS

BREMERTON WA.

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

APPROVED CERTIFICATION / FIELD TEST REPORT IN ELECTRONIC FORMAT TO

THE FOLLOWING GOVERNMENT TECHNICAL POINT OF CONTACT:

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2nd flr Room 232 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

C/980.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DATA ITEM DESCRIPTION

Title: Certification/Data Report

Number: DI-MISC-80678 Approval Date: 880912

AMSC Number: N4533 Limitation: N/A

DTIC Applicable: N/A GIDEP Applicable: N/A

Office of Primary Responsibility: N/SEA 55Z3

Applicable Forms: N/A

1 Use/relationship: Certification data is required to verify that specific qualifications have been obtained, tests have been performed. The technical effort involved shall be the result of equipment/procurement specification requirements.

1.1 The technical content requirements for this item shall be specified in the contract.

2 Requirements:

2.1 Format. The report shall be typewritten in narrative format on the contractor’s form.

3 End of DI-MISC-80678 Page 2 of 2 Pages

Form Approved

OMB No. 0704-0188

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

0002AB B

TDF TM OTHER MISC

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

PCB / ASBESTOS CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.27 / 4.4.31

6. REQUIRING OFFICE

PSNS C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

A. ADDRESSEE

Final

Draft Reg Repr o

BLOCK 3:

A. THE CONTRACTOR SHALL PROVIDE CERTIFICATION STATING ALL COMPONENTS USED

IN THE MANUFACTURE OF THE COMPLETED DMD COMPLEX IS FREE FROM

POLYCHLORINATED BIPHENYLS (PCB) MATERIALS AS REQUIRED BY PARA 4.4.27. THE

CERTIFICATION SHALL BE SIGNED BY AN AUTHORIZED OFFICIAL OF THE CONTRACTOR

DESIGNATED AS BEING RESPONSIBLE FOR COMPLIANCE.

B. THE CONTRACTOR SHALL PROVIDE CERTIFICATION STATING ALL COMPONENTS USED

IN THE MANUFACTURE OF THE COMPLETED DMD COMPLEX ARE FREE FROM

ASBESTOS MATERIALS AS REQUIRED BY PARA 4.4.31. THE CERTIFICATION SHALL BE

SIGNED BY AN AUTHORIZED OFFICIAL OF THE CONTRACTOR DESIGNATED AS BEING

RESPONSIBLE FOR COMPLIANCE

BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT REVIEW AND

APPROVAL TO VERIFY CONTRACT REQUIREMENTS ARE MET. APPROVAL WILL BE BASED

ON TECHNICAL CONTENT AND COMPLIANCE WITH REQUIREMENTS. THE GOVERNMENT

WILL HAVE 14 CALENDAR DAYS FOR REVIEW. THE CONTRACTOR SHALL HAVE 7 CALENDAR

DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.

BLOCK 11 & 12: CERTIFICATION SHALL BE PROVIDED NO LESS (14) DAYS PRIOR TO THE

SHIPMENT OF THE DMD COMPLEX TO PSNS BREMERTON WA.

BLOCK 14: MEDIA REQUIREMENTS. CERTIFICATION SHALL BE DELIVERED IN UNPROTECTED

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

PSNS C980.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

Number: DI-MISC-80678 Approval Date: 880912 AMSC Number: N4533 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: N/SEA 55Z3 Distribution Statement A: Approved for public release; distribution is unlimited Applicable Forms: N/A

Description/Purpose: Certification data is required to verify that specific qualifications have been obtained, tests have been performed. The technical effort involved shall be the result of equipment/procurement specification requirements.

Application/Interrelationship: Certification may be required for a single event/operation, or may be required for a specified time period, or certification may be required on a continuing basis with periodic re-certification or updating of the original certification.

The technical content requirements for this item shall be specified on the DD Form 1423, Contract Data Requirements List (CDRL).

Requirements:

1 Format: The report shall be typewritten in narrative format on the contractor’s form.

2 End of DI-MISC-80678 Page 2 of 2 Pages

Form Approved

OMB No. 0704-0188

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

0002AC C

TDP _________________ TM ____________________ OTHER X (MISC)

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

Certification/Data Report 3. SUBTITLE

Certification of Warranty

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.35

6. REQUIRING OFFICE

PSNS & IMF C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

8. APP CODE

N/A

N/A 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Final

N/A Draft Reg Repr

16. REMARKS

BLOCK 3: THE CONTRACTOR SHALL PROVIDE WARRANTY CERTIFICATION FOR

THE COMPLETED DMD COMPLEX AS REQUIRED BY PARA 4.4.35. CERTIFICATION

SHALL BE IN THE CONTRACTOR’S FORMAT.

BLOCK 12: THE CONTRACTOR SHALL PROVIDE THE WARRANTY CERTIFICATION

FOURTEEN (14) DAYS PRIOR TO DELIVERY OF DMD COMPLEX TO PSNS

BREMERTON WA.

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

CERTIFICATION IN ELECTRONIC FORMAT TO THE FOLLOWING GOVERNMENT

TECHNICAL POINT OF CONTACT:

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2nd flr Room 232 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

C/980.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

Number: DI-MISC-80678 Approval Date: 880912

AMSC Number: N4533 Limitation: N/A

DTIC Applicable: N/A GIDEP Applicable: N/A

Office of Primary Responsibility: N/SEA 55Z3

Applicable Forms: N/A

1 Use/relationship: Certification data is required to verify that specific qualifications have been obtained, documentation being prepared or reviewed by a contractor. The technical effort involved shall be the result of equipment/procurement specification requirements.

1.1 Certification may be required for a single event/operation, or may be required for a specified time period, or certification may be required on a continuing basis with periodic re-certification or updating of the original certification.

1.2 The technical content requirements for this item shall be specified in the contract.

2 Requirements:

2.1 Format. Shall be typewritten in narrative format on the contractor’s form.

2.2 Content. The report shall contain the contract number and data item sequence number, and shall contain a statement the specifically identifies the purpose and applicability of this certification.

2.3 Certification of compliance. Certification of compliance to specific specification requirements shall be a statement to the effect that the contractor has complied.

3 Technical content:

3.1 The technical content shall be as specified on the DD Form 1423, Contract Date Requirements List.

3.2 Supplemental information. Additional specific material, drawings, sketches, photographs, etc., in support of these certifications shall be as defined in the DD Form 1423.

3.3 Signature. The certification report shall be signed by the contractor’s authorized representative responsible for insuring that the equipment being delivered/service being performed is in accordance with contract requirements.

4 End of DI-MISC-80678 Page 2 of 2 Pages

Form Approved

OMB No. 0704-0188

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

0002AD D

TDF TM OTHER MISC

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

D001

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

CALIBRATION CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.34

6. REQUIRING OFFICE

PSNS C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

A. ADDRESSEE

Final

Draft Reg Repr o

BLOCK 3:

THE CONTRACTOR SHALL PROVIDE CERTIFICATION FOR ALL PRECISION MEASUREMENT

DEVICES (PMD) SUPPLIED AS PART OF THIS EQUIPMENT AS REQUIRED BY PARA 4.4.34. THE

CERTIFICATION SHALL BE SIGNED BY AN AUTHORIZED OFFICIAL OF THE CONTRACTOR

DESIGNATED AS BEING RESPONSIBLE FOR COMPLIANCE.

BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT REVIEW AND

APPROVAL TO VERIFY CONTRACT REQUIREMENTS ARE MET. APPROVAL WILL BE BASED

ON TECHNICAL CONTENT AND COMPLIANCE WITH REQUIREMENTS. THE GOVERNMENT

WILL HAVE 14 CALENDAR DAYS FOR REVIEW. THE CONTRACTOR SHALL HAVE 7 CALENDAR

DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.

BLOCK 11 & 12: CERTIFICATION SHALL BE PROVIDED NO LESS (14) DAYS PRIOR TO THE

SHIPMENT OF THE DMD COMPLEX TO PSNS BREMERTON WA.

BLOCK 14: MEDIA REQUIREMENTS. CERTIFICATION SHALL BE DELIVERED IN UNPROTECTED

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

PSNS C980.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

Description/Purpose: Certification data is required to verify that specific qualifications have been obtained, tests have been performed, parts/assemblies/equipment/systems have been installed, tested, inspected and are ready for operation; that personnel have specific qualifications to perform assignments/operations/inspections; or to certify identicality, interchangeability, compatibility, reliability, or completeness of documentation being prepared or reviewed by a contractor. The technical effort involved shall be the result of equipment/procurement specification requirements.

The technical content requirements for this item shall be specified on the DD Form 1423, Contract Data Requirements List (CDRL).

Requirements:

Form Approved

OMB No. 0704-0188

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

0002AE E

TDP _________________ TM ____________________ OTHER X (MISC)

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

E001

2. TITLE OF DATA ITEM

Certification/Data Report 3. SUBTITLE

OSHA Compliance Statement

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.8

6. REQUIRING OFFICE

PSNS & IMF C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

8. APP CODE

N/A

N/A 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Final

N/A Draft Reg Repr

16. REMARKS

BLOCK 3: THE CONTRACTOR SHALL PROVIDE OSHA COMPLIANCE STATEMENT

FOR THE COMPLETED DMD COMPLEX AS REQUIRED BY PARA 4.4.8.

CERTIFICATION SHALL BE IN THE CONTRACTOR’S FORMAT.

BLOCK 12: THE CONTRACTOR SHALL PROVIDE THE OSHA COMPLIANCE

STATEMENT FOURTEEN (14) DAYS PRIOR TO DELIVERY OF DMD COMPLEX TO

PSNS BREMERTON WA.

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

COMPLIANCE STATEMENT IN ELECTRONIC FORMAT TO THE FOLLOWING

GOVERNMENT TECHNICAL POINT OF CONTACT:

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2nd flr Room 232 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

C/980.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

Number: DI-MISC-80678 Approval Date: 880912

AMSC Number: N4533 Limitation: N/A

DTIC Applicable: N/A GIDEP Applicable: N/A

Office of Primary Responsibility: N/SEA 55Z3

Applicable Forms: N/A

1 Use/relationship: Certification data is required to verify that specific qualifications have been obtained, tests have been performed, parts/assemblies/equipment/systems have been installed, tested, inspected and are ready for operation; that personnel have specific qualifications to perform assignments/operations/inspections; or to certify identicality, interchangeability, compatibility, reliability, or completeness of documentation being prepared or reviewed by a contractor. The technical effort involved shall be the result of equipment/procurement specification requirements.

1.2 The technical content requirements for this item shall be specified in the contract.

2 Requirements:

2.1 Format. The report shall be typewritten in narrative format on the contractor’s form.

2.2 Certification of data reviews. Certifications that documentation/data has been reviewed shall contain a statement of the “depth” of the examination and the results thereof. If the documentation being reviewed cannot be certified, the report shall so state and shall list the reasons, i.e., deficiencies, conflicting data, etc.

2.3 Certification of compliance. Certification of compliance to specific specification requirements shall be a statement to the effect that the contractor has complied.

3 Technical content:

3.1 The technical content shall be as specified on the DD Form 1423, Contract Date Requirements List.

3.2 Supplemental information. Additional specific material, drawings, sketches, photographs, etc., in support of these certifications shall be as defined in the DD Form 1423.

Form Approved

OMB No. 0704-0188

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

0002AF F

TDF TM OTHER MISC

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

F001

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

PRESSURE VESSEL CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.29

6. REQUIRING OFFICE

PSNS C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

A. ADDRESSEE

Final

Draft Reg Repr o

BLOCK 3:

THE CONTRACTOR SHALL PROVIDE CERTIFICATION FOR ALL SIGNED, WRITTEN

CERTIFICATION OF COMPLIANCE FROM THE MANUFACTURE FOR ALL PRESSURE VESSELS

SUPPLIED AS PART OF THIS EQUIPMENT AS REQUIRED BY PARA 4.4.29. THE CERTIFICATION

SHALL BE SIGNED BY AN AUTHORIZED OFFICIAL OF THE CONTRACTOR DESIGNATED AS

BEING RESPONSIBLE FOR COMPLIANCE.

BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT REVIEW AND

APPROVAL TO VERIFY CONTRACT REQUIREMENTS ARE MET. APPROVAL WILL BE BASED

ON TECHNICAL CONTENT AND COMPLIANCE WITH REQUIREMENTS. THE GOVERNMENT

WILL HAVE 14 CALENDAR DAYS FOR REVIEW. THE CONTRACTOR SHALL HAVE 7 CALENDAR

DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.

BLOCK 11 & 12: CERTIFICATION SHALL BE PROVIDED NO LESS (14) DAYS PRIOR TO THE

SHIPMENT OF THE DMD COMPLEX TO PSNS BREMERTON WA.

BLOCK 14: MEDIA REQUIREMENTS. CERTIFICATION SHALL BE DELIVERED IN UNPROTECTED

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

PSNS C380.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

The technical content requirements for this item shall be specified on the DD Form 1423, Contract Data Requirements List (CDRL).

Requirements:

1 Format: The report shall be typewritten in narrative format on the contractor’s form.

2 Content: The report shall contain the contract number and data item sequence number, and shall contain a statement the specifically identifies the purpose and applicability of this certification.

2.1 Certification of completion: Certification that tests have been performed, inspections made, parts/assemblies/equipment/systems have been installed, tested, inspected, and area ready for operation, or that specific qualifications have been obtained shall provide objective evidence in support of the certification. Objective evidence may include such items as spectrographs, radiographs, material sampling, analysis, inspection and testing reports, or any other necessary documentation.

2.3 Certification of compliance. Certification of compliance to specific specification requirements shall be a statement to the effect that the contractor has complied.

3 Technical content:

3.1 The technical content shall be as specified on the DD Form 1423, Contract Data Requirements List.

3.2 Supplemental information: Additional specific material, drawings, sketches, photographs, etc., in support of these certifications shall be as defined in the DD Form 1423.

3.3 Signature: The certification report shall be signed by the contractor’s authorized representative responsible for insuring that the equipment being delivered/service being performed is in accordance with

Form Approved

OMB No. 0704-0188

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

0002AG G

TDF TM OTHER MISC

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

G001

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

SWIVEL HOIST RING CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.30

6. REQUIRING OFFICE

PSNS C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

A. ADDRESSEE

Final

Draft Reg Repr o

BLOCK 3:

THE CONTRACTOR SHALL PROVIDE THE MANUFACTURER’S SIGNED, WRITTEN

CERTIFICATION OF COMPLIANCE FOR ALL SWIVEL HOIST RING (SHR) SUPPLIED AS PART OF

THIS EQUIPMENT AS REQUIRED BY PARA 4.4.30.

BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT REVIEW AND

APPROVAL TO VERIFY CONTRACT REQUIREMENTS ARE MET. APPROVAL WILL BE BASED

ON TECHNICAL CONTENT AND COMPLIANCE WITH REQUIREMENTS. THE GOVERNMENT

WILL HAVE 14 CALENDAR DAYS FOR REVIEW. THE CONTRACTOR SHALL HAVE 7 CALENDAR

DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.

BLOCK 11 & 12: CERTIFICATION SHALL BE PROVIDED NO LESS (14) DAYS PRIOR TO THE

SHIPMENT OF THE DMD COMPLEX TO PSNS BREMERTON WA.

BLOCK 14: MEDIA REQUIREMENTS. CERTIFICATION SHALL BE DELIVERED IN UNPROTECTED

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

PSNS C980.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

The technical content requirements for this item shall be specified on the DD Form 1423, Contract Data Requirements List (CDRL).

Requirements:

1 Format: The report shall be typewritten in narrative format on the contractor’s form.

2 Content: The report shall contain the contract number and data item sequence number, and shall contain a statement the specifically identifies the purpose and applicability of this certification.

2.3 Certification of compliance. Certification of compliance to specific specification requirements shall be a statement to the effect that the contractor has complied.

3 Technical content:

3.1 The technical content shall be as specified on the DD Form 1423, Contract Data Requirements List.

3.2 Supplemental information: Additional specific material, drawings, sketches, photographs, etc., in support of these certifications shall be as defined in the DD Form 1423.

Form Approved

OMB No. 0704-0188

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

0002AH H

TDF TM OTHER MISC

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

H001

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

ELECTRICAL TEST CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.4.12.9

6. REQUIRING OFFICE

PSNS C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

A. ADDRESSEE

Final

Draft Reg Repr o

BLOCK 3:

THE CONTRACTOR SHALL PROVIDE ELECTRICAL TEST CERTIFICATION AS REQUIRED BY

PARA 4.4.12.9. THE CERTIFICATION SHALL BE SIGNED BY AN AUTHORIZED OFFICIAL OF THE

CONTRACTOR DESIGNATED AS BEING RESPONSIBLE FOR COMPLIANCE.

BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT REVIEW AND

APPROVAL TO VERIFY CONTRACT REQUIREMENTS ARE MET. APPROVAL WILL BE BASED

ON TECHNICAL CONTENT AND COMPLIANCE WITH REQUIREMENTS. THE GOVERNMENT

WILL HAVE 14 CALENDAR DAYS FOR REVIEW. THE CONTRACTOR SHALL HAVE 7 CALENDAR

DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.

BLOCK 11 & 12: CERTIFICATION SHALL BE PROVIDED NO LESS (14) DAYS PRIOR TO THE

SHIPMENT OF THE DMD COMPLEX TO PSNS BREMERTON WA.

BLOCK 14: MEDIA REQUIREMENTS. CERTIFICATION SHALL BE DELIVERED IN UNPROTECTED

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

PSNS C980.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

The technical content requirements for this item shall be specified on the DD Form 1423, Contract Data Requirements List (CDRL).

Requirements:

Form Approved

OMB No. 0704-0188

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

0002AJ J

TDP__________ TM X OTHER _____________

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

J001

2. TITLE OF DATA ITEM

Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data

3. SUBTITLE

Operation, Maintenance, and Repair Manuals

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527C

5. CONTRACT REFERENCE

Specification Paragraph 4.4.25

6. REQUIRING OFFICE

PSNS&IMF C/980.2

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Final

N/A Draft Reg Repr

16. REMARKS

BLOCK 3: THE CONTRACTOR SHALL PROVIDE OPERATION, MAINTENANCE, AND

REPAIR MANUALS AS REQUIRED BY PARA 4.4.25. MANUALS SHALL BE IN THE

CONTRACTOR’S FORMAT. SUPPLEMENTAL DATA SHALL ALSO BE PROVIDED.

BLOCK 12: COMMERCIAL TECHNICAL DATA SHALL BE PROVIDED NOT LESS THAN

TEN (10) DAYS PRIOR TO DELIVERY OF DMD COMPLEX.

BLOCK 14: THE CONTRACTOR SHALL PROVIDE THREE (3) BOUND COPIES AND

TWO (2) ELECTRONIC COPIES (IN SEARCHABLE PDF FORMAT) ELECTRONIC

COPIES SHALL BE PROVIDED ON OPTICAL DISCS (DVD). TO THE GOVERNMENT

TECHNICAL POINT OF CONTACT:

Mike Wood Code 980.2 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA 98314-5000

PSNS Code 980.2 0 5 0

TOTAL 0 5 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

Title: Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data

Number: DI-TMSS-80527C Approval Date: 20110812

AMSC Number: 9207 Limitation: No

DTIC Applicable: No GIDEP Applicable: No

Office of Primary Responsibility: TM

Applicable Forms: None

1 Use/relationship. Commercial Off-the-Shelf Manuals may be used as is or with supplementation to support equipment used by DOD. This DID is used to:

a. Acquire sample manuals for evaluation.

b. Acquire manuals which have been evaluated and found to be acceptable.

c. Acquire associated supplemental data, if required.

This DID contain the format, content, and intended use information for the data deliverable(s).

This DID supersedes DI-TMSS-80527B.

2 Requirements:

2.1 Content. The manual shall contain all technical information on the assembly, installation, operation, parts, and maintenance of commercial equipment.

2.2 Evaluation. The manual(s) shall be reviewed for acceptability by the receiving activity.

2.3 Supplementation. The manual(s) may be supplemented with additional data to comply with the contract (any data that augments or compliments a commercial off-the-shelf manual whether by change, correction, or addition to make the manual acceptable for use by the Department of Defense).

2.4 Format. The basic manual shall be in the contractor's format. Supplemental data shall be in the format specified by the contracting activity.

2.5 Digital files. Interactive Electronic Technical Manuals (IETMs) or PDFs are preferred for electronic

COTS manuals.

2.6 PDF Files. PDF files shall be searchable, capable of having links added, and have fonts embedded.

2.7 Paper manuals. If paper manuals are acquired, the data shall be clearly legible and on paper of sufficient quality for long term use.

3 End of DI-TMSS-80527C

Form Approved

OMB No. 0704-0188

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

0002AK K

TDP__________ TM X OTHER _____________

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

K001

2. TITLE OF DATA ITEM

Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data

3. SUBTITLE

SPARE PARTS LIST

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527C

5. CONTRACT REFERENCE

Specification Paragraph 4.4.26

6. REQUIRING OFFICE

PSNS&IMF C/980.2

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Final

N/A Draft Reg Repr

16. REMARKS

BLOCK 3: THE CONTRACTOR SHALL PROVIDE A LIST OF RECOMMENDED

CONSUMABLE SPARE PARTS TO SUPPORT ONE YEAR OF OPERATION AS

REQUIRED BY PARA 4.4.26.

BLOCK 12: COMMERCIAL TECHNICAL DATA SHALL BE PROVIDED NOT LESS THAN

TEN (10) DAYS PRIOR TO DELIVERY OF DMD COMPLEX.

BLOCK 14: THE CONTRACTOR SHALL PROVIDE ONE (1) ELECTRONIC COPY (IN

SEARCHABLE PDF FORMAT) ELECTRONIC COPIE SHALL BE PROVIDED TO THE

GOVERNMENT TECHNICAL POINT OF CONTACT:

Mike Wood Code 980.2 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA 98314-5000

PSNS Code 980.2 0 1 0

TOTAL 0 11 0

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

Number: DI-TMSS-80527C Approval Date: 20110812

AMSC Number: 9207 Limitation: No

DTIC Applicable: No GIDEP Applicable: No

Office of Primary Responsibility: TM

Applicable Forms: None

1 Use/relationship. Supplementation to support COTS equipment used by DOD. This DID is used to:

a. Acquire associated supplemental data required.

This DID contain the format, content, and intended use information for the data deliverable(s).

This DID supersedes DI-TMSS-80527B.

2 Requirements:

2.1 Format. Supplemental data shall be in the format specified by the contracting activity.

2.2 Digital files. Interactive Electronic Technical Manuals (IETMs) or PDFs are preferred for electronic

COTS manuals.

2.3 PDF Files. PDF files shall be searchable, capable of having links added, and have fonts embedded.

Form Approved

OMB No. 0704-0188

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

0002AL L

TDP__________ TM X OTHER _____________

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

L001

2. TITLE OF DATA ITEM

Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data

3. SUBTITLE

SUB COMPONENT LITERATURE

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527C

5. CONTRACT REFERENCE

Specification Paragraph 4.5.13

6. REQUIRING OFFICE

PSNS&IMF C/980.2

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Final

N/A Draft Reg Repr

16. REMARKS

BLOCK 3: THE CONTRACTOR SHALL PROVIDE ALL LITERATURE (AS-BUILT

DRAWINGS, I.E. OWNER MANUALS, SERVICES MANUALS, INSTALLATION

INSTRUCTIONS) PROVIDED WITH SUB COMPONENTS AS REQUIRED BY PARA

4.5.13.

BLOCK 12: COMMERCIAL TECHNICAL DATA SHALL BE PROVIDED NOT LESS THAN

TEN (10) DAYS PRIOR TO DELIVERY OF DMD COMPLEX.

BLOCK 14: THE CONTRACTOR SHALL PROVIDE FOUR (4) BOUND COPIES AND

ONE (1) ELECTRONIC COPY (IN SEARCHABLE PDF FORMAT) ELECTRONIC COPY

SHALL BE PROVIDED TO THE GOVERNMENT TECHNICAL POINT OF CONTACT:

Mike Wood Code 980.2 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA 98314-5000

PSNS Code 980.2 0 4 1

TOTAL 0 4 1

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

Mike Wood 2 Oct 2017

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

Number: DI-TMSS-80527C Approval Date: 20110812

AMSC Number: 9207 Limitation: No

DTIC Applicable: No GIDEP Applicable: No

Office of Primary Responsibility: TM

Applicable Forms: None

1 Use/relationship. Commercial Off-the-Shelf Manuals may be used as is or with supplementation to support COTS equipment used by DOD. This DID is used to:

a. Acquire sample COTS manuals for evaluation.

b. Acquire COTS manuals which have been evaluated and found to be acceptable.

c. Acquire associated supplemental data, if required.

This DID contain the format, content, and intended use information for the data deliverable(s).

This DID supersedes DI-TMSS-80527B.

2 Requirements:

2.1 Content. The manual shall contain all technical information on the assembly, installation, operation, parts, and maintenance of commercial equipment.

2.2 Evaluation. The manual(s) shall be reviewed for acceptability by the receiving activity.

2.4 Format. The basic manual shall be in the contractor's format. Supplemental data shall be in the format specified by the contracting activity.

2.5 Digital files. Interactive Electronic Technical Manuals (IETMs) or PDFs are preferred for electronic

COTS manuals.

2.6 PDF Files. PDF files shall be searchable, capable of having links added, and have fonts embedded.

2.7 Paper manuals. If paper manuals are acquired, the data shall be clearly legible and on paper of sufficient quality for long term use.

Form Approved

OMB No. 0704-0188

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

0002AM M

TDF TM OTHER X (NDTI)

D. SYSTEM/ITEM

DMD COMPLEX

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

M001

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

SEAL WELD TEST REPORTS

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

PARA 4.4.32.4.2

6. REQUIRING OFFICE

PSNS & IMF C/980.2

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASGEN

12. DATE OF FIRST

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A 11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

A. ADDRESSEE

Final

Draft Reg Repr o

16.

BLOCK 3: THE CONTRACTOR SHALL PROVIDE PHOTO/VIDEO DOCUMENTING COMPLETION

OF SEAL WELDS AS REQUIRED BY PARA 4.4.32.4.2.

BLOCK 8: PHOTO/VIDEO DOCUMENTING SHALL BE SUBMITTED FOR GOVERNMENT REVIEW

TO VERIFY CONTRACT REQUIREMENTS HAVE BEEN MET. APPROVAL WILL BE BASED ON

TECHNICAL CONTENT AND COMPLIANCE WITH REQUIREMENTS. THE GOVERNMENT WILL

HAVE 14 CALENDAR DAYS FOR REVIEW. THE CONTRACTOR SHALL HAVE 7 CALENDAR

DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.

BLOCK 11 & 12: THE CONTRACTOR SHALL PROVIDE SEAL WELD PHOTO/VIDEO

DOCUMENTING ON OPTICAL DISCS (DVD). TO THE GOVERNMENT TECHNICAL POINT OF

CONTACT.

BLOCK 14: THE TEST REPORTS SHALL BE PROVIDED ELECTRONICALLY IN UNPROTECTED,

SEARCHABLE PDF FORMAT AS AN EMAIL ATTACHMENT TO ALL ADDRESSEES.

PSNS C/980.2 1 1 0

Mr. Michael Wood Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2nd flr Room 232 1400 Farragut Ave.

Bremerton, WA. 98314-5001 michael.j.wood@navy.mil

TOTAL 1 1 0

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

Mike Wood 2 Oct 2017

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

17. PRICE GROUP

Title: Test/Inspection Report

Number: DI-NDTI-80809B Approval date: 970124

AMSC Number: N/A Limitation: N/A

DTIC Applicable: N/A GIDEP Applicable: N/A

Office of Primary Responsibility: F/AFMC-DOP

Applicable Forms: N/A

Distribution Statement A: Approved for public release. Distribution is unlimited.

Description/Purpose: The test/inspection report is used to document test/inspection results, findings, and analyses that will enable the Government or Contracting Agency to evaluate compliance with system requirements, performance objectives, specifications, and test/inspection plans.

Application/interrelationship: This Data Item Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

This DID is applicable to engineering (developmental), preliminary qualification, qualification, and acceptance testing.

Requirements:

1 Format. Contractor format is acceptable. Organize the information required by paragraph 2 and its subparagraphs…

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