REVISED_CDRLS.pdf

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 X OTHER _____________

D. SYSTEM/ITEM

Zoom Boom

E. CONTRACT/PR NO. F. CONTRACTOR

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

Manuals and Associated Supplemental Data 3. SUBTITLE

Tech Manuals & Associated Data

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527C

5. CONTRACT REFERENCE

GSA Contract # GS-30F-0018U

6. REQUIRING OFFICE

PSNS&IMF C/980.1

7. DD 250 REQ

XX

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

A

N/A 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE Final

N/A Draft Reg Repr

16. REMARKS

CONTRACTOR SHALL SUPPLY TECH MANUALS AND ASSOCIATED DATA FOR

THE FOLLOWING ITEMS ASSOCIATED TO THE ZOOM BOOM:

o Operating instructions including pre-operational checks, start-up, shut down, and emergency shutdown procedures o Maintenance, service, and overhaul instructions, including all preventive maintenance schedules and lubrication chart o Trouble-shooting guides o Energy control procedure, in accordance with 29 CFR

1910.47, OSHA Energy Control Standard to bring equipment to a zero energy state for service and maintenance o Safety Data Sheets (in GHS-SDS Format) and Technical/Product Data Sheets for any hazardous material used to manufacture or contained within this machine.

BLOCK 3: THE TECH MANUALS SHALL BE IN THE CONTRACTOR’S FORMAT.

SUPPLEMENTAL DATA SHALL ALSO BE PROVIDED.

BLOCK 12: DATA MANUALS AND DATA SHALL BE PROVIDED WITH DELIVERY OF

ZOOM BOOM TO PSNS.

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

AND ONE (1) ELECTRONIC COPY TO THE GOVERNMENT TECHNICAL POINT OF

CONTACT.

PSNS C/980.1 0 3 1

TOTAL 0 3 1

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

K. Krogstad C/980.1 25 JULY 2018 R. Balter C/980.3 25 JULY 2018

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

0002AB A

A001

DATA ITEM DESCRIPTION

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 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.

2.3 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

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

Zoom Boom

E. CONTRACT/PR NO. F. CONTRACTOR

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

Certification/Data Report

3. SUBTITLE

Certification of Compliance

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

GSA Contract # GS-30F-0018U

6. REQUIRING OFFICE

PSNS & IMF C/980.1

7. DD 250 REQ

XX

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/R 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE Final

N/A Draft Reg Repr

16. REMARKS

CONTRACTOR SHALL PROVIDE:

• Written certification on manufacturer’s letterhead that the machine contains no detectable PCBs.

• Written certification on manufacturer’s letterhead that the machine is in compliance with all specific requirements of “OSHA Safety and Health Standard (29 CFR 1910), “General Industry”, that are applicable to the machine.

BLOCK 3: THE CERTIFICATION OF COMPLIANCE TO SPECIFICATION

REQUIREMENTS STATEMENT SHALL BE IN THE CONTRACTOR’S FORMAT ON

COMPANY LETTERHEAD SIGNED BY COMPANY PRESIDENT OR COGNIZANT

PROJECT MANAGER.

BLOCK 12: THE CONTRACTOR SHALL PROVIDE THE CERTIFICATION OF

COMPLIANCE TO CONTRACT SPECIFICATION REQUIREMENTS WITH THE

DELIVERY OF THE ZOOM BOOM TO PSNS.

BLOCK 14: THE CONTRACTOR SHALL PROVIDE ONE COPY OF EACH

CERTIFICATION OF COMPLIANCE IN ELECTRONIC UNPROTECTED SEARCHABLE

PDF FORMAT TO THE GOVERNMENT TECHNICAL POINT OF CONTACT.

PSNS C/980.1 0 1 0

TOTAL 0 1 0

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

K. Krogstad C/980.1 25 JULY 2018 Rich Balter C/980.3 25 JULY 2018

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

0002AC B

B001

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, 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.

1.1 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.

This DID supersedes UDI-A-23264B.

2 Requirements:

2.1 Format. The report 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 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.

2.4 Certification of personnel. Certifications that personnel have specific qualifications shall be supported by licenses, permits, tests, statements of competency, or other documentation. The specific capabilities to perform an assignment, inspection, or other operations shall be stated in the certification.

2.5 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.

2.6 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

4 End of DI-MISC-80678