Jib Crane CDRLs.pdf
PDF 577 KB Posted
- Attached to
- 3 TON PILLAR JIB CRANE
- Solicitation number
- SPMYM220Q0771
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Other files
| File | Type | Posted |
|---|---|---|
| SPMYM2-20-Q-0771-0001.pdf | ||
| SPMYM2-20-Q-0771-0002.pdf | ||
| SPMYM2-20-Q-0771.pdf | ||
| Bldg 431 Jib Spec,2019-11-07.doc | DOC document | |
| Jib Crane CDRLs Pre-deliverables.doc.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
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
NDTI
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT
NON DESTRUCTIVE TEST REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
BLOCK 3: CONTRACTOR SHALL SUBMIT NON DESTRUCTIVE TEST REPORT AS
REQUIRED BY PARAGRAPH 8.1 OF CONTRACT SPECIFICATION.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND
DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE
11/25/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 12 - CERTIFICATION/DATA REPORT DOCUMENTATION SHALL BE ATTACHED
IN THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
UPON SUBMISSION IN WAWF 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.
Block 14 – FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN THE
WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: SCHEDULE SHALL BE PROVIDED IN AN ELECTRONIC,
UNPROTECTED, AND SEARCHABLE PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
BRIAN.WEIRTH@NAVY.MIL
15. Total 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Brian Weirth 11/25/2019 /s/ Mike Baker 11/25/2019
DD FORM 1423-1, JUN 90 (EG)
Page 1 of 1 Pages
0003AA G
B001
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
MISC
CERTIFICATION/DATA REPORT
PRE-SHIPMENT CONDITION REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
BLOCK 3: CONTRACTOR SHALL SUBMIT PRE-SHIPMENT CONDITION REPORT AS
REQUIRED BY PARAGRAPH 10.1 OF CONTRACT SPECIFICATION.
BLOCK 4: TAILORED TO ALLOW THE VENDOR TO ONLY PROVIDE: 10.1, 10.3,
10.3.1-PROVIDE ACTUAL VALUES IAW PROCUREMENT SPECIFICATION. ENSURE
CERTS PROVIDED ARE TRACEABLE TO MATERIAL/CONTRACT VIA UNIQUE
MARKINGS, 10.4, 10.5.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND
DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE
11/25/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 12 - PRE-SHIPMENT CONDITION REPORT SHALL BE ATTACHED IN THE WIDE
AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
UPON SUBMISSION IN WAWF SEND EMAIL NOTIFICATIONS TO:
PSNS.WAWFQACERTIFICATIONS.FCM@NAVY.MIL. ACCEPTANCE/REJECTION OF
CERTIFICATION/DATA REPORT DOCUMENTATION WILL BE ACCOMPLISHED WITH
MEDIA REQUIREMENTS: SCHEDULE SHALL BE PROVIDED IN AN ELECTRONIC,
UNPROTECTED, AND SEARCHABLE PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
0003AB H
B002
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
PUNCH LIST ITEMS RESOLUTIONS
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
BLOCK 3: CONTRACTOR SHALL SUBMIT PUNCH LIST ITEMS RESOLUTIONS AS
REQUIRED BY PARAGRAPH 10.2 AND OF CONTRACT SPECIFICATION.
BLOCK 4: TAILORED TO ALLOW THE VENDOR TO ONLY PROVIDE: 10.1, 10.2, 10.2.1,
10.3, 10.3.1-PROVIDE ACTUAL VALUES IAW PROCUREMENT SPECIFICATION. ENSURE
CERTS PROVIDED ARE TRACEABLE TO MATERIAL/CONTRACTL VIA UNIQUE
MARKINGS, 10.5.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND
DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE
11/25/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 12 - INSPECTION RECORDS SHALL BE ATTACHED IN THE WIDE AREA
WORKFLOW (WAWF) E-BUSINESS SUITE.
UPON SUBMISSION IN WAWF SEND EMAIL NOTIFICATIONS TO:
PSNS.WAWFQACERTIFICATIONS.FCM@NAVY.MIL. ACCEPTANCE/REJECTION OF
CERTIFICATION/DATA REPORT DOCUMENTATION WILL BE ACCOMPLISHED WITH
MEDIA REQUIREMENTS: SCHEDULE SHALL BE PROVIDED IN AN ELECTRONIC,
UNPROTECTED, AND SEARCHABLE PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
0003AC J
B003
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
MAST ALIGNMENT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
BLOCK 3: CONTRACTOR SHALL SUBMIT MAST ALIGNMENT MEASUREMENTS AS
REQUIRED BY PARAGRAPH 11.3 OF CONTRACT SPECIFICATION.
BLOCK 4: TAILORED TO ALLOW THE VENDOR TO ONLY PROVIDE: 10.1, 10.2, 10.2.1,
10.3, 10.3.1-PROVIDE ACTUAL VALUES IAW PROCUREMENT SPECIFICATION. ENSURE
CERTS PROVIDED ARE TRACEABLE TO MATERIAL VIA UNIQUE MARKINGS, 10.5.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND
DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE
11/25/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 12 - MAST ALIGNMENT SHALL BE ATTACHED IN THE WIDE AREA
WORKFLOW (WAWF) E-BUSINESS SUITE.
UPON SUBMISSION IN WAWF SEND EMAIL NOTIFICATIONS TO:
PSNS.WAWFQACERTIFICATIONS.FCM@NAVY.MIL. ACCEPTANCE/REJECTION OF
CERTIFICATION/DATA REPORT DOCUMENTATION WILL BE ACCOMPLISHED WITH
MEDIA REQUIREMENTS: SCHEDULE SHALL BE PROVIDED IN AN ELECTRONIC,
UNPROTECTED, AND SEARCHABLE PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
0003AD K
B004
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
QCIC
QULAIFICATION TEST REPORT (QTR)
CRANE TEST REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-QCIC-81890 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS
BLOCK 3: CONTRACTOR SHALL SUBMIT CRANE TEST REPORT AS REQUIRED BY
PARAGRAPH 12.1 OF CONTRACT SPECIFICATION.
N4523A 0 1 0
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND
DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE
11/25/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 12 – CRANE TEST REPORT SHALL BE ATTACHED IN THE WIDE AREA
WORKFLOW (WAWF) E-BUSINESS SUITE.
UPON SUBMISSION IN WAWF SEND EMAIL NOTIFICATIONS TO:
PSNS.WAWFQACERTIFICATIONS.FCM@NAVY.MIL. ACCEPTANCE/REJECTION OF
CERTIFICATION/DATA REPORT DOCUMENTATION WILL BE ACCOMPLISHED WITH
MEDIA REQUIREMENTS: SCHEDULE SHALL BE PROVIDED IN AN ELECTRONIC,
UNPROTECTED, AND SEARCHABLE PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
0003AE L
B005
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
TMSS
EQUIPMENT TECHNICAL MANUAL OPERATION AND MAINTENANCE MANUALS
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-TMSS-81675 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
BLOCK 3: CONTRACTOR SHALL SUBMIT OPERATION AND MAINTENANCE MANUALS
AS REQUIRED BY PARAGRAPH 14 OF CONTRACT SPECIFICATION.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND
DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE
11/25/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 12 - OPERATION AND MAINTENANCE MANUALS SHALL BE ATTACHED IN THE
WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
UPON SUBMISSION IN WAWF SEND EMAIL NOTIFICATIONS TO:
PSNS.WAWFQACERTIFICATIONS.FCM@NAVY.MIL. ACCEPTANCE/REJECTION OF
CERTIFICATION/DATA REPORT DOCUMENTATION WILL BE ACCOMPLISHED WITH
MEDIA REQUIREMENTS: SCHEDULE SHALL BE PROVIDED IN AN ELECTRONIC,
UNPROTECTED, AND SEARCHABLE PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
0003AF M
B006
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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.
Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.
Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
SESS
WARRANTY PERFORMANCE REPORT WARRANTY DOCUMENTATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-SESS-81639A PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ASREQ SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
BLOCK 3: CONTRACTOR SHALL SUBMIT WARRANTY DOCUMENTAION AS REQUIRED
BY PARAGRAPH 15 OF CONTRACT SPECIFICATION.
BLOCK 4 - TAILORED TO ALLOW VENDOR TO PROVIDE ONLY 3.1.1 (A, C, D, E), 3.1.2
(A, B, C, D, E, F, G, H, J, K, L, M).
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND
DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE
11/25/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 12 - WARRANTY DOCUMENTATION SHALL BE ATTACHED IN THE WIDE AREA
WORKFLOW (WAWF) E-BUSINESS SUITE.
UPON SUBMISSION IN WAWF SEND EMAIL NOTIFICATIONS TO:
PSNS.WAWFQACERTIFICATIONS.FCM@NAVY.MIL. ACCEPTANCE/REJECTION OF
CERTIFICATION/DATA REPORT DOCUMENTATION WILL BE ACCOMPLISHED WITH
MEDIA REQUIREMENTS: SCHEDULE SHALL BE PROVIDED IN AN ELECTRONIC,
UNPROTECTED, AND SEARCHABLE PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
0003AG N
B007
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