015015599.ZAPPPED.TDP.PRINT.PACKAGE.P0004754.pdf

** INTEGRATED TECHNICAL, ITEM MANAGEMENT AND PROCUREMENT **

** TECHNICAL DATA PACKAGE **

** REQUESTED BY USER: ZAP7427 ****** ****** ****** *** * ** *** **

** DELIVER TO: KATIE M DONATO ***** ****** ****** *** * * ** ****

** N9652.06 **** ****** ****** *** ** ** ** ********** ** X-2471 *** ****** ****** *** ***** ** ***********

** REQUESTED COPIES: 001 * ***** ***** ** ***** ** ************

** REMARKS: **

** FOLDER: NA **

** NIIN: 015015599 **

** TYPE: B **

** VERSION: 14 **

TECHNICAL DATA PACKAGE

NIIN: 015015599 VERSION: 014 PAGE 1

ITEM NAME: TILE,RUBBER JULY 21, 2026

1. SCOPE

1.1 This contract/purchase order contains the requirements for manufacture and the contract quality requirements for the TILE,RUBBER .

2. APPLICABLE DOCUMENTS

2.1 Applicable Documents - The document(s) listed below form a part of this contract/purchase order including modifications or exclusions.

2.1.1 "Document References" listed below must be obtained by the Contractor. Ordering information is included as an attachment to this contract/purchase order.

2.2 Identification of Classified Documents - This contract/purchase order requires the Contractor to have authorized access to classified documents in accordance with the attached Contract Security Classification Specification (DD Form 254).

The classified documents and security level are: <SECRET>

2.3

DOCUMENT REFERENCES

SPEC NO. SLASH NO. PART NO REV DATE DISTR CD AMEND CHG NTC SUPP

MIL-STD-129 P 29 OCT 04 A 03

MIL-STD-130 N 16 NOV 12 A

ISO 9001 A

ISO 9002 A

MIL-I-45208 A 01 OCT 96 A 2

3. REQUIREMENTS

3.1 <THE TILE, TYPE 3R, HALF ROUND, 5.6 INCH, "PAINT NOT REQUIRED", RADAR ABSORBING MATERIAL (RAM), PART NUMBER 7338390-3, DESIGN CONTROL ACTIVITY CAGEC: 34008, FURNISHED UNDER THIS CONTRACT/PURCHASE ORDER SHALL BE IAW WITH DWG

7338390, MATERIAL SPECIFICATION, 7538395, 7538398 AND PHS&T

THESE DRAWINGS AND MATERIAL SPECIFICATIONS ARE NOT FURNISHED AS PART OF THIS SOLICITATION. THE PRIOR APPROVED

SOURCES ALREADY HAVE THESE DRAWINGS AND SPECIFICATIONS IN THEIR POSSESSION.>

3.1.1 <This contract/purchase order serves as the procurement vehicle to acquire Radar Absorbing Material (RAM) in the form of Type 3R materials for installation on-board U.S. Navy ships. The design of the RAM material is a Navy design and will not be allowed to be sold, marketed or in any way transferred to other commercial or Government sources without written consent of Naval Sea Systems Command (NAVSEA 05T1). All materials manufactured for this contract/purchase order will be manufactured in accordance with the Material Specification Type 3R (Unclassified and Classified), document number 7538395. Additionally, materials will need to be manufactured IAW their respective drawings.

Type 3R materials will be installed on U.S. Navy ships. During this time, the material will be exposed to a shipboard environment that will include significant fluctuations in humidity and temperature, the corrosive effects of salt spray and the damage caused by UV exposure.>

3.2 Changes in Design, Material Servicing, or Part Number - Except for a Code 1 change, which shall be processed as provided in the code statement shown below, no substitution of items shall be made until the NAVICP-MECH Contracting Officer has notified and approval has been given by issuance of a written change order. When any change in design, material, servicing or part number is made to replace or substitute any item to be furnished on this contract/purchase order, the Contractor shall furnish, for the substituting/replacement item, a drawing and an explanation of the reason for the change, explaining the reason therefor. If finished detail drawings are not available, shop drawings in the form used by the manufacturer will be acceptable for Government evaluation. When notifying the Procurement Contracting Officer of the reasons for making substitutions, the type of change shall be indicated by code number in accordance with one of the following statements:

Code 1: PART NUMBER CHANGE ONLY - If the Manufacturer's Part Number indicated thereon has changed, but the parts are identical in all respects, supply the item and advise NAVICP-MECH immediately of the new part number.

Code 2: Assembly (or set or kit) not furnished - Used following detail parts.

Code 3: Part not furnished separately - Use assembly.

Code 4: Part redesigned - Old and new parts are completely interchangeable.

Code 5: Part redesigned - New part replaces old. Old part cannot replace new.

Code 6: Part redesigned - Parts not interchangeable.

3.3 <The contractor shall manufacture all Type 3R material to meet all the requirements in the Material

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ITEM NAME: TILE,RUBBER JULY 21, 2026

Specification Type 3R (Unclassified and Classified). In the event that there is a conflict between the text of this contract/purchase order and the refernces and/or drawings cited herein, the material specification shall take precedence. Nothing in this contract/purchase order, however, shall supersede applicable laws and regulations unless a specific exemption has been obtained.>

3.4 <Assignment of Serial Numbers - All materials will be assigned a sequential serial number at the completion of the fabrication phase. The assignment shall be done prior to performing any electrical testing or other type of testing. If the contractor observes any obvious cosmetic problems, they have the option to remove the material prior to performing either environmental or electrical testing, but this material shall still receive a serial number. The contractor shall be required to submit a report listing the serial numbers of the materials, method of failure and the certification of destruction IAW Contract Data Requirements List (CDRL), DI-S-30591, every Six (6) months.>

3.5 <Assignment of Lot Numbers - Lot size is defined as 2000 Type 3R tiles, plus twenty (20), ordered on a given task order. Lot numbers shall be associated with each item.>

3.6 <Post-Production - When the Government takes delivery of the material, all requirements must be met.>

3.7 <ECPs, Waivers and Deviations - (FAR 46.102/46/407): All critical, major and minor Waivers and Deviations will be written on DD 1694 Forms. The request will be submitted for review and approval/disapproval by PHD NSWC.>

3.8 <Production Lot Test Procedures are required as specified in the Contract Data Requirements List (CDRL)

DI-NDTI-80603.>

3.8.1 <The Production Lot Test Procedure shall be submitted and approved by PHD NSWC, S13 prior to commencing production.>

3.9 <Special Test Equipment: Special test Equipment is required per the Material Specification (7538395) and is not furnished by the Government.>

3.10 <Special Marking, Packaging and Serial Number Requirements: Special marking, Packaging and Serialization are required by the PCMS, Packaging, Handling, Storage and Transportation Instruction (PHS&T), Drawing No. 7538398 and NAVSEA Drawing Number 7338390.>

3.11 <Security Form DD 254 (Far 53.204-1a): Classified testing is required per the Material Specification. This material requires strict accountability, any loss of this material that can not be reconciled shall be reported to PHD NSWC, Code S13. Reasonable operational security will be taken to ensure that only authorized personnel are allowed access to this material and data. ONLY U.S. CITZENS are authorized to accomplish and partake in the manufacture, packaging, handling, storage and transportation of this material.

In addition a Non-Disclosure statement must be signed, and returned to the PCO prior to receiving technical data/specifications from the ISEA.>

IF THE CONTRACTOR CHANGES LOCATIONS OF THE THEIR MANUFACTURING FACILITY OR GOES THROUGH GREATER THAN 50% TURNOVER IN PERSONNEL IN LESS THAN 2 MONTHS TIME, THE GOVERNMENT HAS THE UNILATERAL RIGHT TO REQUIRE REQUALIFICATION OF THE NEW MATERIAL AND MANUFACTURING PROCESS AND NO DELAYS TO THE AGREED UPON DELIVERY SCHEDULE WILL BE PERMITTED. IF THE CONTRACTOR CANNOT COMPLY WITH THESE REQUIREMENTS THE GOVERNMENT HAS THE RIGHT TO TERMINATE THE CONTRACT FOR DEFAULT

PURSUANT TO FAR CLAUSE 52.249-8.

3.12 Security Clearance Required - This contract/purchase order requires the Contractor to have a Government Security Clearance in accordance with the attached Contract Security Classification Specification (DD Form 254).

4. QUALITY ASSURANCE

4.1 Responsibility for Compliance - All items must meet all requirements of this contract/purchase order. The inspection set forth in this specification shall become a part of the Contractor's overall inspection system or quality program. The absence of any inspection requirements shall not relieve the Contractor of the responsibility of assuring that all products or supplies submitted to the Government for acceptance comply with all requirements of the contract/purchase order. Sampling in quality conformance does not authorize submission of known defective material, either indicated or actual, not does it commit the Government to acceptance of defective material.

4.2 <Production Lot - Production Lot Acceptance Testing: Suppliers must perform 100% electrical testing as stated in the Material Specification (7538395). The Government reserves the right to review and audit the suppliers approved written Production Procedures and witness any Production Testing so stipulated in the approved written procedures.

After each acceptable production lot run of (2000 Ea. plus 20), suppliers will submit test specimen samples (1% of 2000 Ea.) and electrical test data, in accordance with the CDRLs, as specified elsewhere in this contract/purchase order.

Serial numbers of each tile tested shall be annotated on the test report.

Sample size of 1% may be decreased to .25% after completion of the first two (2) production lots at the discretion of the Government.>

THE GOVERNMENT WILL HAVE A COMPLETED TEST REPORT WITHIN 60 DAYS OF RECEIPT OF THE SAMPLES AND SUBSEQUENT ELECTRICAL

TEST REPORT FOR EACH PRODUCTION LOT FROM THE CONTRACTOR.

4.2.1 <These samples and data will be used for Compatibility Test evaluation by PHD.

A written Compatibility Test Report will be submitted to the Procuring Contracting Officer (PCO), by PHD. The PCO

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ITEM NAME: TILE,RUBBER JULY 21, 2026

will communicate the report results to the supplier, notifying them of its findings.>

4.2.2 <Electrical Testing: The contractor shall comply with all the requirements of the material specification identified in paragraph 2. Any variance to the procedures identified in this document must have prior written approval from the Government. Additionally, the contractor must comply with the following test requirements:

Material is to be tested only one time in the 0 and 90 degree orientation or parallel and perpendicular polarizations. If the material does not meet the required performance levels identified in the material specification, the material is to be set aside without further testing. During this time the contractor may choose to re-work or condition the material. After re-work or conditioning, the contractor may test the material again to see if it is now within the specification requirements. If the material still does not meet the minimum requirements of the electrical specifications it must be set aside and not tested further. The last set of test results for this tile will be considered it's final test result. The contractor may contact the Government to discuss the disposition of the material. This testing specifically precludes multiple (more than 2 test) to try to get the material to meet the required minimum requirements.>

4.3 Production Lot Test/Inspection Report - The Contractor shall prepare and submit a report in accordance with the Contract Data Requirements List (DD Form 1423).

4.4 Production Lot Test Approval - Production Lot Test approval is required prior to shipment of the Production Lot.

4.5 <ISO 9001 is required to be maintained and be current, for the purpose of maintaining engineering source approval. DCMA's only need to verify that the ISO 9001 Certificate is current.

Approved sources must provide a PDF copy of their ISO 9001 certificate when renewed or recertified, to the appropriate ISEA. >

MATERIAL FAILURE ADJUDICATION: IF THE MATERIAL IS FOUND TO BE NON-COMPLIANT WITH THE MATERIAL SPECIFICATION, THE CONTRACTOR SHALL BE REQUIRED TO CONDUCT A FAILURE ANALYSIS AND SHALL TAKE ALL NECESSARY ACTIONS TO REMEDIATE THE FAILURE AT NO COST TO THE GOVERNMENT. ANY SUCH FAILURE(S) SHALL BE REPLACED OR RECONDITIONED BY THE CONTRACTOR TO MEET ALL REQUIREMENTS IDENTIFIED IN THE MATERIAL SPECIFICATION AT NO COST TO THE GOVERNMENT. THE GOVERNMENT HAS THE RIGHT TO RETEST THE REPLACED OR RECONDITIONED MATRERIAL TO ENSURE COMPLIANCE WITH THE SPECIFICATION BEFORE ACCEPTING

THE MATERIAL IN QUESTION.

5. PACKAGING

5.1 Preservation, Packaging, Packing and Marking - Preservation, Packaging, Packing and Marking shall be in accordance with the Contract/Purchase Order Schedule and as specified below.

5.2 <The marking requirements for both the Marking of Materials (MIL-STD-130) and the Outside Container Markings (MIL-STD-129) should be as follows:

DOM: YY/MM/DD

Inspect/Test Date: YY/MM>

MIL-STD 2073 PACKAGING APPLIES AS FOUND ELSEWHERE IN THE SCHEDULE

6. NOTES

6.1 Ordering Information for Document References - The Department of Defense Single Stock Point (DODSSP), Website http://www.dsp.dla.mil/, provides product information for the Department Of Defense Index Of Specifications and Standards (DODISS) (i.e.Military/Federal Specifications and Standards), Data Item Descriptions (DIDs), and other DODSSP Products. Most Specifications can obtained directly from http://quicksearch.dla.mil/

A. Availability of Cancelled Documents - The DODSSP offers cancelled documentsthat are required by private industry in fulfillment of contractual obligationsin paper format. Documents can be requested by phoning the Subscription Services Desk.

B. Commercial Specifications, Standards, and Descriptions - These specifications, standards and descriptions are not available from Government sources. Theymay be obtained from the publishers of the applicable societies.

C. Ordnance Standards (OS), Weapons Specifications (WS), and NAVORD OSTD 600 Pages - These type publications may be obtained by submitting a request to:

Commander, Indian Head Division, Naval Surface Warfare Center Code 8410P, 101 Strauss Avenue Indian Head, MD 20640-5035

D. On post-award actions, requests for "Official Use Only" and "NOFORN" (Not Releasable To Foreign Nationals) documents must identify the Government ContractNumber, and must be submitted via the cognizant Defense Contract Management Command (DCMC) for certification of need for the document. On pre-award actions such requests must be submitted to the PCO for certification of need for the document.

E. NOFORN Military Specifications and Standards (including Amendments, Change Notices and Supplements, but NOT

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ITEM NAME: TILE,RUBBER JULY 21, 2026

interim Changes) to be ordered from:

Contracting Officer

NAVSUP-WSS

Code 87321 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

F. Nuclear Reactor Publications Assigned NAVSEA Documents and Identification Numbers (i.e. NAVSEA Welding Standard, NAVSEA 250-1500-1) are to be ordered enue:

Commanding Officer

NAVSUP-WSS

Code 009 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

G. Technical Manuals Assigned NAVSEA Identification Numbers (i.e. NAVSEA Welding And Brazing Procedure, NAVSEA S9074-AQ-GIB-010/248) are to be ordered from:

Commanding Officer

NAVSUP-WSS

Code 1 Support Branch 700 Robbins Avenue Philadelphia, Pa. 19111-5094

H. Interim Changes and Classified Specifications must be obtained by submitting a request on DD Form 1425 to

NAVSUP-WSS.

6.2 In accordance with OPNAVINST 5510.1 all documents and drawings provided by the U.S. Navy to perspective Contractors must include a "Distribution Statement" to inform the contractor of the limits of distribution, and the safeguarding of the information contained on those documents and drawings.

There are 7 (seven) seperate distribution statement codes used for non-classified documents and drawings. The definition for each is as follows:

A... approved for public release; distribution is unlimited.

B... distribution authorized to US Governments agencies only.

C... distribution authorized to US Government agencies and their contractors.

D... distribution authorized to DoD and DoD contractors only.

E... distribution authorized to DoD Components only.

F... further distribution only as directed by Commander, Naval Sea

Systems Command, code 09T.

X... distribution is authorized to US Government agencies and private individuals or enterprises eligible to obtain export controlled technical data in accordance with OPNAVINST 5510.161.

6.3 <Parties interested in qualifying for the manufacture of the Type 3R tiles should contact:

PHD NSWC

Code S13, Bldg 1214 4363 Missile Way Port Hueneme, Ca 94043 ATTN: Robin Nussear>

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B 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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM ________ OTHER ______________________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

15. TOTAL

J. DATE G. PREPARED BY H. DATE I. APPROVED BY

X

TILE,RUBBER

PRODUCTION LOT TEST

TEST PROCEDURE

DI-NDTI-80603 SEE REMARKS NAVSUP WSS

LT 1 TIME ASREQ

A E NA NA

DCMA/QAR 00 01 00

<Block 16 Block 5 - As specified by Naval Sea Systems Command NAVSUP WSS PCO 00 01 00 drawing 7338390 and 7538395.

Block 12 - Test procedures shall be submitted NLT 30 days PHD CODES13 00 01 00 after contract award.

Approval or reason for disapproval shall be given NLT 30 days after received by PHD NSWC Code S13.

Block 13 - NLT 30 days after disapproval.

00 03 00

PRODUCTION LOT

TEST REPORT

DI-NDTI-80809B SEE REMARKS NAVSUP WSS

LT ASREQ ASREQ

A A NA NA

PHD CODES13 00 01 00

<Block 16 Block 5 - Test reports shall be IAW Naval Sea Systems Command drawing 7338390 and 7538395.

Block 12 - Test report shall be submitted NLT 15 days after completion of testing along with test samples to PHD NSWC Code S13.>

00 01 00

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NAVSUP WSS N9652.07 2025 JUL 22 DAVID A SCHWARTZ 2025 JUL 22

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DD FORMo1423-2 REVERSE, JUN 90

5010.12-L (AMSDL), or one-time DID number, that defines data

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14,; Desired medium for delivery of the data item.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will support

Self-explanatory

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

b. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to theperformance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirements to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data.

The Government's right to use the data shall be governed by the pertinent provisions of the contract.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative and other expenses related toreproducing and delivering such data item to the Government.

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B 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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM ________ OTHER ______________________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

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17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

15. TOTAL

J. DATE G. PREPARED BY H. DATE I. APPROVED BY

X

TILE,RUBBER

SERIAL NUMBER ASSIGNMENT

DATA AND/OR ANALYSIS SUMMARY

DI-S-30591 SEE REMARKS NAVSUP WSS

LT SEMIA ASREQ

NA E NA NA

DCMA/QAR 00 01 00

<Block 12 - Contractor shall submit a report listing the serial numbers of the material, method of failure and NAVSUP WSS PCO 00 01 00 certification of destruction beginning six (6) months after the start of production and continuing at six (6) PHD CODES13 00 01 00 month intervals.>

00 03 00

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DD FORMo1423-2 REVERSE, JUN 90

5010.12-L (AMSDL), or one-time DID number, that defines data

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14,; Desired medium for delivery of the data item.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will support

Self-explanatory

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

b. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to theperformance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirements to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data.

The Government's right to use the data shall be governed by the pertinent provisions of the contract.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative and other expenses related toreproducing and delivering such data item to the Government.