PRVT_CDRL's.pdf

PDF 2 MB Posted May 9, 2018

Attached to: PRE-FABRICATED STRUCTURE Federal contract opportunity
Solicitation number: SPMYM218Q2603
Issued by: Defense Logistics Agency Land and Maritime

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Other files for this federal contract opportunity

Other files attached to PRE-FABRICATED STRUCTURE, newest first.
File	Type	Posted
Procurement_specification_for_P708-18_PRVT_Complex(Revised_8-15-18).pdf	PDF	Aug 28, 2018
DWG_2301-3869_Rev_A_(Bangor_PRVT_Enclosure).pdf	PDF	Aug 28, 2018
SPMYM2-18-Q-2603-0005.pdf	PDF	Aug 28, 2018
SPMYM2-18-Q-2603-0004.pdf	PDF	Aug 21, 2018
SPMYM2-18-Q-2603-0003.pdf	PDF	Aug 13, 2018
SPMYM2-18-Q-2603-0002.pdf	PDF	Jul 20, 2018
SPMYM2-18-Q-2603-0001.pdf	PDF	Jun 29, 2018
ATTACHMENT_A_PSNS__IMF_BREMERTON_SITE_SPECIFIC_REQUIREMENTS_(Bangor_PRVT).docx	DOCX document	May 9, 2018
SPMYM2-18-Q-2603.pdf	PDF	May 9, 2018
Procurement_specification_for_P708-18_PRVT_Complex.doc	DOC document	May 9, 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

TDP _________________ TM ____________________ OTHER X (MISC)

D. SYSTEM/ITEM

PRVT COMPLEX

E. CONTRACT/PR NO. F. CONTRACTOR

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: 4.3.30

6. REQUIRING OFFICE

PSNS & IMF C/380.2

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 PRVT COMPLEX AS REQUIRED BY

PARA 4.3.30. 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 TEN

(10) DAYS PRIOR TO DELIVERY OF PRVT COMPLEX TO PSNS & IMF BANGOR

SITE.

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 380.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2 nd flr Room 232

1400 Farragut Ave.

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

C/380.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 3 March 2018

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

0002AA

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

PRVT COMPLEX

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

PCB CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PARA: 4.3.28

6. REQUIRING OFFICE

PSNS C/380.2

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 STATING ALL COMPONENTS USED IN

THE MANUFACTURE OF THE COMPLETED PRVT COMPLEX ARE FREE FROM

POLYCHLORINATED BIPHENYLS (PCB) AS REQUIRED BY PARA 4.3.28. 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 (10) DAYS PRIOR TO THE

SHIPMENT OF THE PRVT COMPLEX TO PSNS & IMF BANGOR SITE.

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

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 380.2MW 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 5 March 2018

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

17. PRICE GROUP

18. ESTIMATED

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

A003

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: 4.3.36

6. REQUIRING OFFICE

PSNS & IMF C/380.2

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 PRVT COMPLEX AS REQUIRED BY PARA 4.3.36. CERTIFICATION

SHALL BE IN THE CONTRACTOR’S FORMAT.

BLOCK 12: THE CONTRACTOR SHALL PROVIDE THE WARRANTY CERTIFICATION

TEN (10) DAYS PRIOR TO DELIVERY OF PRVT COMPLEX TO PSNS & IMF BANGOR

SITE.

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 380.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2 nd flr Room 232

1400 Farragut Ave.

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

C/380.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 5 March 2018

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

TDP _________________ TM ____________________ OTHER X (MISC)

D. SYSTEM/ITEM

A004

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: 4.3.30

6. REQUIRING OFFICE

PSNS & IMF C/380.2

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 PRVT COMPLEX AS REQUIRED BY PARA 4.3.30.

CERTIFICATION SHALL BE IN THE CONTRACTOR’S FORMAT.

BLOCK 12: THE CONTRACTOR SHALL PROVIDE THE OSHA COMPLIANCE

STATEMENT TEN (10) DAYS PRIOR TO DELIVERY OF PRVT COMPLEX TO PSNS &

IMF BANGOR SITE.

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 380.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2 nd flr Room 232

1400 Farragut Ave.

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

C/380.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 6 March 2018

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

0002AE E

TDF TM OTHER MISC

D. SYSTEM/ITEM

A005

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: 4.3.31

6. REQUIRING OFFICE

PSNS C/380.2

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 SIGNED, WRITTEN CERTIFICATION OF COMPLIANCE

FROM THE MANUFACTURE FOR ALL PRESSURE VESSELS SUPPLIED AS PART OF THIS

EQUIPMENT AS REQUIRED BY PARA 4.3.31. 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 (10) DAYS PRIOR TO THE

SHIPMENT OF THE PRVT COMPLEX TO PSNS & IMF BANGOR SITE.

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

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 380.2MW 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 5 March 2018

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:

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 contract 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

0002AF F

TDF TM OTHER MISC

D. SYSTEM/ITEM

A006

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: 4.3.32

6. REQUIRING OFFICE

PSNS C/380.2

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 RINGS (SHR) SUPPLIED AS PART

OF THIS EQUIPMENT AS REQUIRED BY PARA 4.3.32.

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 (10) DAYS PRIOR TO THE

SHIPMENT OF THE PRVT COMPLEX TO PSNS & IMF BANGOR SITE.

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

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 380.2MW 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 5 March 2018

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.

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.

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

A007

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: 4.3.13.9

6. REQUIRING OFFICE

PSNS C/380.2

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 4.3.13.9. 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 (10) DAYS PRIOR TO THE

SHIPMENT OF THE PRVT COMPLEX TO PSNS & IMF BANGOR SITE.

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

PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.

Mr. Michael Wood Code 380.2MW 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 5 March 2018

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

17. PRICE GROUP

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

0002AH H

TDP__________ TM X OTHER _____________

D. SYSTEM/ITEM

A008

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 4.3.26

6. REQUIRING OFFICE

PSNS&IMF C/380.2

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 4.3.26. 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 PRVT 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 380.2 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA 98314-5000

PSNS Code 380.2 0 5 0

TOTAL 0 11 0

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

Mike Wood 5 March 2018

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

0002AJ J

TDP__________ TM X OTHER _____________

D. SYSTEM/ITEM

A009

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 4.3.27

6. REQUIRING OFFICE

PSNS&IMF C/380.2

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 4.3.27.

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

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

BLOCK 14: THE CONTRACTOR SHALL PROVIDE TWO (2) ELECTRONIC COPIES (IN

SEARCHABLE PDF FORMAT) ELECTRONIC COPIE SHALL BE PROVIDED TO THE

GOVERNMENT TECHNICAL POINT OF CONTACT:

Mike Wood Code 380.2 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA 98314-5000

PSNS Code 380.2 0 2 0

TOTAL 0 11 0

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

Mike Wood 5 March 2018

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.

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

A010

2. TITLE OF DATA ITEM

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

3. SUBTITLE

IUID DATA

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527C

5. CONTRACT REFERENCE

Specification Paragraph 4.3.10

6. REQUIRING OFFICE

PSNS&IMF C/380.2

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 REPORT OF DATA CONTAINED ON

THE IUID TAGS FOR EACH MAJOR COMPONENT / LEVEL OF THE PRVT COMPLEX

AS REQUIRED BY PARA 4.3.10

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: IUID DATA SHALL BE PROVIDED NOT LESS THAN TEN (10) DAYS PRIOR

TO DELIVERY OF PRVT 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 380.2 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA 98314-5000

PSNS Code 380.2 1 1 0

TOTAL 1 1 0

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

Mike Wood 5 March 2018

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 equipment used by DOD. This DID is used to:

2 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

0002AL L

TDF TM OTHER X (NDTI)

D. SYSTEM/ITEM

A011

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

LIFTING ATTACHMENT CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SECTION 4.3.34.1

6. REQUIRING OFFICE

PSNS & IMF C/380.2

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 THE FOLLOWING TEST REPORTS FOR THE

PRVT COMPLEX:

A. CERTIFIED LOAD TESTS REPORTS FOR ALL LIFTING ATTACHMENTS THAT REQUIRE

TESTING AND INSPECTION, AS REQUIRED BY SECTION 4.3.34.1. AND ENGINEERING

DRAWINGS INCLUDED IN CONTRACT.

B. THE REPORT SHALL INCLUDE PHOTOGRAPHS OF THE LOAD TESTS AS REQUIRED BY

PARA 4.4.34.1.

BLOCK 8: TEST REPORTS 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 MANUFACTURER SHALL PROVIDE TEST REPORTS 20 DAYS PRIOR TO

THE SHIPMENT OF PRVT COMPLEX TO PSNS & IMF BANGOR SITE.

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

SEARCHABLE PDF AND JPEG FORMAT AS APPLICABLE IN AN EMAIL ATTACHMENT TO ALL

ADDRESSEES.

PSNS C/380.2 1 1 0

Mr. Michael Wood Code 380.2MW 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 5 March 2018

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 in a manner that facilitates presentation and understanding.

2 Content. The test/inspection report shall contain the following information, as applicable.

2.1 The following information shall appear on the outside front cover and title page:

a. Report date

b. Report number (contractor or Government)

c. Contractor’s name, address, and commercial and Government code

d. Contract number and contract line item number or sequence number (if applicable)

e. Type of test/inspection (for example, first article acceptance test, quality performance inspection, developmental test, qualification test, environmental test)

f. Identification of item tested/inspected

g. Date or period of test/inspection

2.2 Summary. Complete test/inspection report summary including the following:

a. A brief discussion of the significant test/inspection results, observations, conclusions, and recommendations covered in greater detail elsewhere in the report

b. Proposed corrective actions and schedules for failures or problems encountered

c. Identification of deviations, departures, or limitations encountered, referenced to the contract requirements

d. Tables, graphs, illustrations, or charts as appropriate to simplify the summary data

2.3 Referenced documents. Complete identification of all documents referenced in the test/inspection report including the following, as applicable:

a. Prior test/inspection reports on the same item

b. Test/inspection plans and procedure documents

c. Prior certifications of compliance

d. Contractor’s file designation where test/inspection records are maintained

e. Input parameters used

Note: The applicable issue of the documents cited therein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

Page 2 of 3 Pages

2.4 Body of report. The body of the test/inspection report shall be as follows:

2.4.1 Test equipment identification. Complete identification of each item of test equipment used in the test/inspection including the following:

a. Nomenclature

b. Model number

c. Serial number

d. Manufacture

e. Calibration status

f. Accuracy data

g. Comments, if applicable

2.4.2 Test/inspection facility installation and set-up. Complete description of the physical set-up used in conducting the test/inspection to include the following:

a. Location or orientation of the item

b. Location, orientation, or settings of test equipment and instrumentation

c. Location, orientation, or settings of sensors and probes

d. Location or orientation of interconnections, cables, and hoop-ups

e. Electrical power, pneumatic, fluidic, and hydraulic requirements

Drawings, illustrations, and photographs may be used for clarification

2.4.3 Test/inspection procedures. Complete description of the procedures used in conducting the test/inspection to include the following:

a. Item selection and inspection that verified suitability for test/inspection

b. Summarized sequence of testing/inspection steps, including a description of how the item was operated during the test/inspection, and any control condition imposed

2.4.4 Test/inspection results and analysis. A copy of all test/inspection results and analysis to include the following:

2.4.4.1 Recorded data. The actual recorded data (for example, log book entries, oscillographs, instrument readings, plotter graphs). If the recorded data is extensive, it shall be provided in an appendix.

2.4.4.2 Test/inspection results. Identification of all test/inspection results to include the following:

a. Matrices comparing results achieved against test/inspection objectives or requirements

b. A discussion of these matrices as to their significance, and how they compare to any prior test/inspection

c. Calculation examples

d. Discussion of any anomalies, deviations, discrepancies, or failures including their impact, causes, and proposed corrective actions. The discussion shall address discrepancies between design requirements and the tested/inspected configuration.

2.4.5 Conclusions. Test/inspection conclusions distinguished between objective and subjective to include the following:

a. The effectiveness of the test/inspection procedures in measuring item performance

b. The success or failure of the item to meet required test/inspection objectives

c. The need for repeat, additional, or alternative tests/inspections

d. The need for item redesign or further development

e. The need for improved test/inspection procedures, techniques, or facilities

f. The adequacy and completeness of the test/inspection requirements

2.5 Appendices. Appendices shall be used to append detailed test/inspection data, drawings, photographs, or other documentation too voluminous to include in the main body of the report. This includes referenced documentation not previously provided by the Government, and test/inspection reports from any associated test/inspection activity that may have performed some of the testing/inspecting requirements.

3 End of DI-NDTI-80809B Page 3 of 3 Pages

Form Approved

OMB No. 0704-0188

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it.