Attachment0001_CDRL.docx.pdf

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 1 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T (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 com ments 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 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 Governme nt Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

D. SYSTEM/ITEM

Flooring Repair Leveling/Resurfacing

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

MSDS Sheets

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide one (1) copy of MSDS sheet information in electronic or paper format for all required liquids, gasses and potentially hazardous materials which will be used during the performance of the resulting contract.

Acceptable electronic formats include acrobat files (.pdf) and /or Microsoft Word or Excel.

This information shall be provided as part of your quote package and sent to:

Army Contracting Command – Rock Island (ACC-RI)

Attn: Sabrina Lowe

Email: sabrina.l.lowe.civ@mail.mil

15. TOTAL G. PREPARED BY

Kris Davis

H. DATE

October 6, 2016

I. APPROVED BY

J. DATE

mailto:sabrina.l.lowe.civ@mail.mil

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 com ments 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 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 Governme nt Issuing

2. TITLE OF DATA ITEM

Permits

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a list of all required permits in electronic or paper format at the time of quote submission.

This information shall be provided as part of your quote package and sent to:

Army Contracting Command – Rock Island (ACC-RI)

Attn: Sabrina Lowe

Email: sabrina.l.lowe.civ@mail.mil

H. DATE

mailto:sabrina.l.lowe.civ@mail.mil

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 com ments 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 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 Governme nt Issuing

2. TITLE OF DATA ITEM

Maintenance Proceedures

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide one (1) copy of maintenance processed for the installed flooring systems upon completion of installation. This information shall be provided in electronic or paper format.

Information shall be provide to the following:

Rock Island Arsenal

Attn: TARA-PT (Kris Davis)

Bldg 210, Room 301

Rock Island, IL 61299-5000

H. DATE