Contract Data Requirements List - A004

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

A. CONTRACT LINE ITEM NO.
TBD

C. CATEGORY:

B. EXHIBIT

A

TDP

OTHER SESS

TM

D. SYSTEM/ITEM

E. CONTRACT/PR NO.
Vandenberg Building 9320 Hoist/Crane Replacement
TBD

F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

Acquisition & Sustainment Package Engineering Design Data/Lists

Electrical Documentation (Single-Lines & Schematics)

A004

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-SESS-82351A

7. DD 250 REQ

LT

10. FREQUENCY

A

11. AS OF DATE

A

17. PRICE GROUP

6. REQUIRING OFFICE

SOW Paragraph 3.10.2

9. DIST STATEMENT

REQUIRED

8. APP CODE

TBD

N/A

309 MXSG/MASO

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

2/TIME (Initial and Final)

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Block 16
Block 16

16. REMARKS

0.00

b. COPIES

Block 16

NSP

18. ESTIMATED

TOTAL PRICE

Final
Reg

Repro

(9) DISTRIBUTION STATEMENT A: Approved for public release. Distribution is unlimited.
(12) Initial submission is due 30 calendar days prior to the start of fabrication. The contractor shall not proceed with electrical panel fabrication or component purchasing until Government approval is granted. (13) Final "As-Built" electrical drawings reflecting any field changes shall be delivered concurrent with final system turnover.
(14) One (1) copy of each submittal shall be provided electronically to each addressee in block 16 in Microsoft Office compatible format.
Addressees:
Alan Taylor 309 MMXG - EN
[email protected]
DSN: 586-9298

COMM: 801-586-9298

Mason Figueroa 309 MXSS/MXDVAAC
[email protected]
DSN: 777-2545

COMM: 801-777-2545

Shane Weston MXSG/MXDEQ
[email protected]
DSN: 586-8624

COMM: 801-586-8624

John Pedri 309 MXSG - COR
[email protected]
DSN: 775-6122

COMM: 801-775-6122

15.TOTAL

G. PREPARED BY

H. SIGNATURE

I. APPROVED BY

J. SIGNATURE

Paulette Johnson

DD FORM 1423, FEB 2024

UNCLASSIFIED

PREVIOUS EDITION MAY BE USED.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award).