41238699 CDRL EXHIBIT I_Redacted.pdf
PDF 146 KB Posted
- Attached to
- CONNECTOR, FO RECEP SS Federal contract opportunity
- Solicitation number
- SPMYM224Q1769
About this file
This document is a Contract Data Requirements List (CDRL) for a government contract. It specifies the requirement for a Certificate of Compliance data item, which must be submitted with invoices and receiving reports through the Wide Area Workflow (WAWF) system. The CDRL indicates that the distribution of this data item is restricted to DoD and DoD contractors only.
The related federal contract opportunity is for a Connector, FO Recep SS, which will be issued as a 100% Small Business Set-Aside Sole Source award to Teledyne D.G. O'Brien. The solicitation will be conducted using commercial and simplified acquisition procedures, with a firm-fixed price contract for FOB Destination delivery to Bremerton, WA. Offerors must provide lead time, manufacturer information, and comply with NIST SP 800-171 requirements if applicable. Offers are due by July 1, 2024 at 10:00 AM PDT and should be submitted via email or fax to the Contracting Officer.
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Text version
CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) 0MB No. 0704-0188
The 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 tile collection of information. Send comments regarding this burden estimate or any other aspect of tllis collection of information, including suggestions for reducing tile burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (070Hl188), 1215 Jefferson Davis HighWay, Su�e 1204, Al1ington, VA 22202-4302. Respondents should be aware Illa! notwithstanding any otller provision of law, no person shall be subject to any penalty for failing to comply 'MIil a collection of information if it does not display a currenfly valid 0MB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for tile Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0004AB I TOP X TM
OTHER
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
10001 CERTIFICATE OF COMPLIANCE
SPECIAL EMPHASISCERTIFICATE OF
COMPLIANCE
6. REQUIRING OFFICE 4. AUTHORITY (Data Acquisition Document No.)
DI-M ISC-81356A
5. CONTRACT REFERENCE
PER CONTRACT PURCHASING ACTIVITY
7. 00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
SD
REQUIRED
ONE/R SEE BLOCK 16
8. APP CODE
D
11. AS OF DATE 13. DATE OF SUBSEQUENT
N/A N/A
SUBMISSION
NIA
16. REMARKS
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/2/2024. 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 (Y'JAWF) a-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.
Document Number 41238699
G. PREPARED BY H.DATE
I- 07/26/2024 l!
PPROVED BY
14. DISTRIBUTION
b.COPIES
a. ADDRESSEE Final Draft
Reg Repro
N4523A 0 1 0
15. TOTAL
J. DATE
DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages
Designed using Penorm---pj'o,WHS71JIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
07/26/2024
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