CDRL_A018_Certification_Data.docx
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- Part 3 of 3- Complete RFP (Sections A through M) for Mortar Weapon System: W15QKN-15-R-0017
- Solicitation number
- W15QKN15R0017
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CDRL A018
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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 440 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 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 Managements and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20403. Please DO NO 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 NO.LINE ITEM |
| B. EXHIBIT |
| C. CATEGORY: |
| | |
| TDP______ TM______ OTHER____________________ |
| | |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| | |
| Mortar Weapon Systems |
| | |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
CERTIFICATION DATA
| 3. SUBTITLE |
| | |
| 17. PRICE GROUP |
A018
| Material/Personnel/Data Certification |
| | |
4. AUTHORITY (Data Acquisition Document No.)
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| | |
| 18 ESTIMATED |
| DI-MISC-80678 |
| C.4.17.1 / C.4.17.2 / C.4.17.3 |
| SFAE-AMO-CAS |
| | |
| TOTAL PRICE |
| 7. DD 250REQ |
| 9. DIST STATEMENT REQUIRED |
D
| 10. FREQUENCY |
| 12. DATE OF FIRST SUB. |
| 14. DISTRIBUTION |
| AS REQ |
| See BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
| | |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBS. SUB |
| Draft |
| Final |
| | |
A
| See BLK 16 |
| AS REQ |
| Reg |
| Repro |
| | |
16. REMARKS
RDAR-MEM-M
Mortar Weapons Systems
C.4.17.1 Material Certification (CERTS) BLK 11: Provide material Certification (CERTS) for all Material used in the manufacture of deliverable items.
BLK 12: provide material certification 30 days prior to FAT and thereon upon request and be made available for review by the USG representative.
C.4.17.2 Personnel Certification BLK 11: Provide documentation for personnel certification for all inspection and tests that require specialized test or inspection (example: Non destructive inspection NDI/NDT - welding.
BLK 12: provide personnel certification 30 days prior to any required FAT/LAT and thereon upon request and be made available for review by the USG representative.
C.4.17.3 Certificate of Compliance (CoC)
BLK 11: Provide CoC for all deliverable items
BLK 12: Provide CoC 15 days prior to FAT and 7 days before LAT and thereon upon request.
BLK 14: Submit electronically to:
See Section J
SFAE-AMO-CAS-GMS
| 15. TOTAL ----------> |
| 0 |
| 2 |
| 0 |
| | |
G. PREPARED BY
F.CHASTEK
RDAR-EIQ-PE
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| | |
| 20 JAN 2015 |
| F.CHASTEK |
RDAR-EIQ-PE //s//
| 20 JAN 2015 |
| | |
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITIONS ARE OBSOLETE Page____ of____Pages |
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