21523070 cdrl A.doc
DOC document 82 KB Posted
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- PLATFORM Federal contract opportunity
- Solicitation number
- SPMYM222Q2030
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| File | Type | Posted |
|---|---|---|
| 21523070 cdrl H.doc | DOC document | |
| 21523070 cdrl F.doc | DOC document | |
| 21523070 cdrl B.doc | DOC document | |
| 21523070 cdrl D.doc | DOC document | |
| 22Q2030 PLATFORM.pdf | ||
| 21523070 cdrl C.doc | DOC document | |
| 21523070 cdrl J.doc | DOC document | |
| 21523070 cdrl E.doc | DOC document | |
| 21523070 cdrl G.doc | DOC document | |
| Coverpage.docx | DOCX document |
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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 |
| 0002AA |
| A |
| TDP _________________ TM ____________ OTHER MISC MISCMISC____________________________________ |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
MATERIAL CHEMICAL AND MECHANICAL
(PHYSICAL) PROPERTIES
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
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 |
| Repro |
16. REMARKS
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 6/4/2022. 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.
| N4523A |
| 0 |
| 1 |
| 0 |
| TOTAL |
| 0 |
| 1 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| /s/ M. Shamion C/2370 |
| 6/4/2022 |
| /s/ R. Balter C/980.3 |
| 6/4/2022 |
DD Form 1423-1, FEB 2001 Previous edition may be used.
Page 1 of 1 Pages
For Document no: 2152-3070
17. PRICE GROUP
18. ESTIMATED� TOTAL PRICE
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