EXHIBIT_A_.pdf
PDF 93 KB Posted
- Attached to
- LIQUID SILICONE EQUIPMENT Federal contract opportunity
- Solicitation number
- SPMYM2-18-Q-3362
About this file
EXHIBIT A
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| AMENDMENT_2_SPMYM2-18-Q-3362.pdf | ||
| AMENDMENT_1_SPMYM2-18-Q-3362.pdf | ||
| SPMYM2-18-Q-3362.pdf | ||
| KO_SOLE_SOURCE_JUSTIFICATION.pdf | ||
| TECHNICAL_ORDERING_DATA.pdf |
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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 C. CATEGORY
TDP TM OTHER MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
NATIONAL RECOGNIZED TESTING
LABORATORY (NRTL) CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678 (DD)
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D*
10. FREQUENCY
ONE/R
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16*
14. DISTRIBUTION
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 o 16. REMARKS
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 6/28/2018. 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:
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.
N4523A 0 1 0
TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/D OTTAK 6/28/2018 /s/ PMEYERS 6/28/2018
DOCUMENT NO.: 8149-4530
17.
PRICE
18.
ESTIMA
TED
A001
0002AA A
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