8205-3000_CDRLS.pdf

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Attached to
SPMYM2-18-Q-3634 Federal contract opportunity
Solicitation number
SPMYM2-18-Q-3634
Issued by
Defense Logistics Agency Land and Maritime

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CDRLS

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8205-3000_REVISED_SPECIFICATION.pdf PDF
18-Q-3634_AMENDMENT_4.docx DOCX document
18-Q-3634.docx DOCX document
8205-3000_STATEMENT_OF_WORK.pdf PDF
8205-3000_SPECIFICATION.pdf PDF
18-Q-3634_AMENDMENT_3.docx DOCX document
18-Q-3634_AMENDMENT_2.docx DOCX document
8205-3000_STATEMENT_OF_WORK.pdf PDF
18-Q-3634_AMENDMENT.docx DOCX document

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Text version

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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

A

TOP TM OTHERX (MISC)

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

3D Printer

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

A001 Certification/Data Report 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) I

5. CONTRACT REFERENCE

DI-M ISC-80678 JML 82053000

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

REQUIRED SUBMISSION

N/A ASGEN SEE BLOCK 16

8. APP CODE N/A 11. AS OF DATE 13. DATE OF SUBSEQUENT

A SUBMISSION

NIA N/A

16. REMARKS

BLOCK 3:

OSHA A1mroved Certification. 3D PRINTER SYSTEM HAS TO

HAVE OSHA APPROVED CERTIFICATION (SEE EXPANATION

BELOW) AND BE NRTL LISTED AS A UNIT, NOT JUST AS

INDIVIDUAL COMPONENTS. AS AN OPTION FOR LISTING A 3rd

PARTY NRTL INSPECTION AND CERTIFICATION CAN BE USED.

BLOCK 14: CERTIFICATION SHALL BE PROVIDED TO:

Canh Tran

C1010 - APLM Innovation Manager

360-340-5394 Puget Sound Naval Shipyard & Intermediate Maintenance Facility 1400 Farragut Ave.

Bremerton, WA. 98314-500 1 Canh.tran@navy.mil

G. PREPARED BY H. DATE I. APPROVED BY

Mike Baker 24 JULY 2018

OSHA Approved Certification

6. REQUIRING OFFICE

PSNS & IMF C/1010

14. DISTRIBUTION

See Block 16

b. COPIES A.ADDRESSEE Final

Dra Reg ft

C/1010 0 1

TOTAL 0 1

J. DATE

Repr

DD Form 1423-1, FEB 2001 previous edition may be used. Page _1_ of _2_ Pages

17. PRICE GRC

18. ESTIMATE[

TOTAL PRI·

0002AA

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