A004 - Material Certification -
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- Attached to
- M31 FIN RFP W15QKN-19-R-0015
- Solicitation number
- W15QKN-19-R-0015
About this file
This document is a Contract Data Requirements List (CDRL) outlining reporting requirements for a federal contract to produce M31 fin components for 120mm mortar cartridges. Key details include:
The contractor must submit Material Certification, Inspection Certification, and Independent Verification reports with First Article Testing and have them available during production for government inspection. Certificate of analysis is also required. Reports are to be submitted electronically to various Army offices, with email addresses to be provided after award. The CDRL specifies distribution of draft, regulated, and reproduction copies of the reports to offices including ACC-NJ-CA, RDAR-MEA-P, RDAR-EIQ-PE, and the Government Quality Assurance Representative. The related solicitation is for the M31 FIN RFP under number W15QKN-19-R-0015 issued by the Department of the Army Materiel Command Contracting Command at Picatinny Arsenal.
CDRL A004
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED Page____of____
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB 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 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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 ____________________________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13.13. DATE OF SUBSEQUENT SUBMISSION
Draft Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
| 1 DATA ITEM NO: A004 |
| 2 TITLE OF DATA ITEM: Certification/Data Report |
| 3 SUBTITLE: Material & Inspection Certification; Independent Verification/Data Report |
| 5 CONTRACT REFERENCE: C.3.2; C12.1; C12.2; C12.5 |
| 6 REQUIRING OFFICE: RDAR-EIQ-PE |
| 7 DD 250 REQ: LT |
| 9 DIST STATEMENT REQD: D |
| 10 FREQUENCY: As Required |
| 12 DATE OF FIRST SUBMISSION: As Required |
| 11 AS OF DATE: As Required |
| 13 DATE OF SUBSEQUENT SUBMISSION: As Required |
| a ADDRESSEERow1: ACC-NJ-CA |
| DraftRow1: 1 |
| RegRow1: 1 |
| ReproRow1: |
| a ADDRESSEERow2: RDAR-MEA-P |
| DraftRow2: 1 |
| RegRow2: 1 |
| ReproRow2: |
| a ADDRESSEERow3: RDAR-EIQ-PE |
| DraftRow3: 1 |
| RegRow3: 1 |
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| a ADDRESSEERow4: Government QAR |
| DraftRow4: 1 |
| RegRow4: 1 |
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| a ADDRESSEERow5: SFAE-AMO-CAS |
| DraftRow5: 1 |
| RegRow5: 1 |
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| a ADDRESSEERow6: RDAR-EIQ-MC |
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| Draft15 TOTAL: 6 |
| Reg15 TOTAL: 6 |
| Repro15 TOTAL: |
| H DATE: 28 Mar 2018 |
| J DATE: 28 Mar 2018 |
| A CONTRACT LINE ITEM NO: |
| B EXHIBIT: |
| TDP: X |
| TM: |
| OTHER: |
| D SYSTEMITEM: M31 Fin for 120MM Mortar Cartridges |
| E CONTRACTPR NO: |
| F CONTRACTOR: |
| Pg: |
| Remarks: Material Certification, Inspection Certification and/or Independent Verification shall be submitted with FAT and shall have them available on site during production for Government inspection. |
Certificate of analysis is required.
BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.
| 2018-03-28T07:22:36-0400 | |
| CHAMBERS.DARRIN.S.1367772740 |
| 2018-03-28T07:22:25-0400 | |
| CHAMBERS.DARRIN.S.1367772740 |
| 8 APP CODE: |
| 4 AUTHORITY Data Acquisition Document No: N/A |
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