About this file

This is a Contract Data Requirements List (DD Form 1423-1) specifying ten technical report data items that must be delivered under a Performance Work Statement (PWS) for NCTAMS LANT Norfolk. All data items are categorized as "OTHER" technical reports related to study/services and reference authority DI-MISC-80508B.

The ten required data items are: (A001) Switch Platform Report, (A002) User Service Guide due ten calendar days after contract performance start, (A003) Damage Report, (A004) Preventive Maintenance Schedule on a quarterly basis, (A005) Preventive Maintenance Record on a quarterly basis, (A006) Equipment Database, (A007) OEM Engineering Change Release, (A008) Pre-Existing Conditions Report (one-time delivery), (A009) Preliminary Injury Report, and (A010) Detailed Injury Report. Reports with "AS REQUIRED" frequency have submission dates and subsequent revision dates set forth in the PWS paragraphs referenced (7.1.4, 7.1.6.1.3, 7.1.7, 7.2, 7.2.2, 7.5, 7.7, 7.15, 9.2, and 9.2 respectively). Distribution statements are required per PWS paragraph 13.1, with email distribution preferred. All deliverables are submitted to the Contracting Officer Representative (COR) and Alternate Contracting Officer Representative (ACOR) at NCTAMS LANT, with one final copy of each document required. The form was prepared by Douglas S. Smith on 16 December 2025.

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CONTRACT DATA REQUIREMENTS LIST

(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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A001

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

SWITCH PLATFORM REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.1.4

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 1 of 10

Attachment (5)

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A002

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

USER SERVICE GUIDE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.1.6.1.3

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: Ten (10) calendar days after start of contract performance.

Block 13: Ten (10) calendar days after need for revision is identified.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 2 of 10

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A003

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

DAMAGE REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.1.7

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 3 of 10

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A004

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

PREVENTIVE MAINTENANCE SCHEDULE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.2

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

QUARTERLY

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 4 of 10

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 information. Send comments 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 Government Issuing Contracting Officer for the Contract/PR No. Listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

TDP _________ TM ________________ OTHER _________X____________

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

1. DATA ITEM

NO.

A005

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

PREVENTIVE MAINTENANCE RECORD

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.2.2

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

QUARTERLY

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 5 of 10

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A006

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

EQUIPMENT DATABASE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.5

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 6 of 10

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A007

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

OEM ENGINEERING CHANGE RELEASE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.7

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARS. 13.1

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 7 of 10

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A008

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

PRE-EXISTING CONDITIONS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 7.15

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

ONE REPORT

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 8 of 10

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A009

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

PRELIMINARY INJURY REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 9.2

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 9 of 10

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 information. Send comments 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 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 _________X____________

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

1. DATA ITEM

NO.

A010

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

DETAILED INJURY REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS PARA. 9.2

6. REQUIRING OFFICE

NCTAMS LANT NORFOLK

7. D.D. 250 REQ

N/A

9. DISTRIBUTION

STATEMENT

REQUIRED

PWS PARA. 13.1

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. A.P. CODE

N/A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 11: Start of contract performance.

Block 12: and 13; As set forth in Block 5.

Block 14: Use of email distribution is preferred.

COR – NCTAMS LANT 1

ACOR – NCTAMS LANT 1

15. TOTALS 2

G. PREPARED BY

Douglas S. Smith

H. DATE

16 DEC 2025

I. APPROVED BY J. DATE

D.D. Form 1423-1, JUN 90 previous editions are obsolete Page 10 of 10

File details come from the government source that posted it. Updated .