Contract Data Requirements List - A008

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

A. CONTRACT LINE ITEM NO.
TBD

C. CATEGORY:

B. EXHIBIT

A

TDP

OTHER NDTI

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

Test/Inspection Report

Final Test Reports & Crane Certification

A008

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-NDTI-80809B

7. DD 250 REQ

LT

10. FREQUENCY

A

11. AS OF DATE

A

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

309 MXSG/MASO

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

1/TIME (One time)
N/A

NSP

6. REQUIRING OFFICE

SOW Paragraph 3.11.4

9. DIST STATEMENT

REQUIRED

8. APP CODE

TBD

13. DATE OF SUBSEQUENT

SUBMISSION

0.00

b. COPIES

Block 16

a. ADDRESSEE

Draft

N/A

Final
Reg

Repro

16. REMARKS

(9) DISTRIBUTION STATEMENT A: Approved for public release. Distribution is unlimited.
(12) Due within 10 calendar days of successful test completion; resubmittal only if required to correct deficiencies identified during Government review
(14) One (1) copy of each submittal shall be provided electronically to each addressee in block 16 in Microsoft Office compatible format.
Submit electronically per SOW 3.11.4. Reports and certifications shall be provided as searchable PDFs. Content shall include written reports for static and dynamic proof load testing, final crane certification signed by a qualified person, and all NDE results and certifications required for inclusion in the final test report.
Final Government acceptance and warranty commencement will not occur until this report is reviewed and approved.
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.,