APPENDIX C - CONTRACT DATA REQUIREMENTS LISTS (CDRLs)DRAFT.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

DRAFT

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Documentation of Meeting Minutes

3_SUBTITLE: Kick-Off Meeting Minutes

4_AUTHORITY_Data_Acquisit: DI-ADMN-81505

5_CONTRACT_REFERENCE: PWS 6.1.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: B

10_FREQUENCY: OTIME

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 10 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: Norfolk Naval Shipyard draft1:

reg1:

repro1:

addressee2: Portsmouth, VA draft2:

reg2:

repro2:

addressee3: Russell Harris draft3:

reg3:

repro3:

addressee4: 757-636-4908 draft4:

reg4:

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16_REMARKS: Contractor shall provide the meeting minutes within 10 calendar days from the completion date of the kick-off meeting.

Contractor's meeting minutes shall be written clearly and concisely to include the following (minimum):

• Date of meeting

• Time the meeting was called to order

• Names of the meeting participants and absentees

• Agenda

• Any changes to the agenda

• Motions taken or rejected

• Actions taken or agreed to be taken

• Next steps

• Items to be held over

• New business

• Open discussion or public participation

• Time of adjournment

Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for administrative/operational use. Other requests for this document shall be referred to the Program Officer in the contract.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: ADMN

DSYSTEMITEM: IPE Maintenance

E_CONTRACTPR_NO:

FCONTRACTOR:

of_pages: 1

Reset:

The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Service Reports

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: PWS 6.2.1.2. & 6.2.2.3.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Weekly

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 7 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: Norfolk Naval Shipyard draft1:

reg1:

repro1:

addressee2: Portsmouth, VA draft2:

reg2:

repro2:

addressee3: Russell Harris draft3:

reg3:

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addressee4: 757-636-4908 draft4:

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16_REMARKS:

On-Site Project Management and Subject Matter Expert(s) (SME) shall each file and organize weekly electronic service reports in the approved format to be referenced in the future.

Service reports shall be submitted in the form of a PDF and include a minimum of the following (if applicable):

• Identity of Personnel

• Date

• Description of Work Done throughout the Week

• List of Assets Worked on

• Total Man-Hours

• Breakdown of Man-Hours

- Man-Hours with contractors

- Man-Hours per asset

- Man-Hours providing technical oversight

- Man-Hours providing on-the-job training

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP: x

TM:

OTHER:

DSYSTEMITEM: IPE Maintenance

E_CONTRACTPR_NO:

FCONTRACTOR:

of_pages: 1

Reset:

The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Preventive Maintenance Service Report

3_SUBTITLE: Diagnostic Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-81893

5_CONTRACT_REFERENCE: PWS 16.1.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 10 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: Norfolk Naval Shipyard draft1:

reg1:

repro1:

addressee2: Portsmouth, VA draft2:

reg2:

repro2:

addressee3: Russell Harris draft3:

reg3:

repro3:

addressee4: 757-636-4908 draft4:

reg4:

repro4:

addressee5: russell.r.harris@navy.mil draft5:

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16_REMARKS:

The contractor shall complete and submit a preventive and comprehensive diagnostic report for all of the equipment listed in Appendix A of the PWS. The contractor shall immediately notify the COR verbally and provide in writing within 10 calendar days of the event, all deficiencies identified during the performance of a PM event. The contractor shall submit a work performed summary consisting of PM performed and description of operational issues identified, replacement parts and services recommended.

The submission of this report is acceptable in the contractor's format.

Reports shall contain a minimum of the following:

• Identification of Personnel Performing Work

• Date

• DoD Asset Number

• Dates and Time of Maintenance Action

• General Condition (Machine hours, location, serial number)

• Status of the Machine by Major Component

• Description of PM performed

• Description of operational issues identified

• Corrective Action Statement (Status of System, description of malfunction, location of system)

• Changes in Operating Procedures (if any)

• List of References Used

• List of Recommended Replacement Parts (by nomenclature) and Services

• Cost Breakdown of Recommended Replacement Parts (by nomenclature) and Services

• Estimated Repair Time (Estimated time for Parts to be Received, Repair to be Performed, Cost of Parts and Service)

• Fire and Safety Violations (Location of Violations, Actions Taken (if any) to Correct Violations, Cost Breakdown by Parts and Services to Repair Violations)

• Number of Mechanical Man-Hours

• Number of Electrical/Electronic Man-Hours

• Total Man-Hours

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP: x

TM:

OTHER:

DSYSTEMITEM: IPE Maintenance

E_CONTRACTPR_NO:

FCONTRACTOR:

of_pages: 1

Reset:

The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Recommend Change of Preventative Maintenance (PM)

3_SUBTITLE: Change of PM

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: PWS 9.6.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 5 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: Norfolk Naval Shipyard draft1:

reg1:

repro1:

addressee2: Portsmouth, VA draft2:

reg2:

repro2:

addressee3: Russell Harris draft3:

reg3:

repro3:

addressee4: 757-636-4908 draft4:

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16_REMARKS:

The contractor shall deliver recommended modifications, changes or additions to the PM tasks or schedule, the contractor shall notify the Contracting Officers Representative (COR) in writing of proposed changes and rationale for the recommended change of PM for the assets in contractor format.

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 0

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP: X

TM:

OTHER:

DSYSTEMITEM: IPE Maintenance

E_CONTRACTPR_NO:

FCONTRACTOR:

of_pages: 1

Reset:

The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Certification and Calibration (C&C) Report

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-81893

5_CONTRACT_REFERENCE: PWS Paragraph 16.2.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 30 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: Norfolk Naval Shipyard draft1:

reg1:

repro1:

addressee2: Portsmouth, VA draft2:

reg2:

repro2:

addressee3: Russell Harris draft3:

reg3:

repro3:

addressee4: 757-636-4908 draft4:

reg4:

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addressee5: russell.r.harris@navy.mil draft5:

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16_REMARKS:

The contractor shall submit a comprehensive, detailed Certification and Calibration report to the COR for all equipment listed in Appendix A within 30 calendar days after each PM service and yearly thereafter.

The submission of this report is acceptable in the contractor's format.

Reports shall contain a minimum of the following:

• Identification of Personnel Performing Work

• Date

• DoD Asset Number

• Dates and Time of Certification and Calibration Action

• Status of the Machine by Major Component

• Description of Certifications and Calibrations performed

• List of References Used

• Number of Mechanical Man-Hours

• Number of Electrical/Electronic Man-Hours

• Total Man-Hours

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

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E_CONTRACTPR_NO:

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The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A006

2_TITLE_OF_DATA_ITEM: Corrective Maintenance Repair Report

3_SUBTITLE: Repair Work Completed

4_AUTHORITY_Data_Acquisit: DI-MGMT-81893

5_CONTRACT_REFERENCE: PWS 16.3.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 10 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS:

The contractor shall submit a comprehensive, detailed Corrective Maintenance Repair Report within 10 calendar days after each event for all unscheduled minor and major adjustments, repairs, urgent repairs, non-urgent repairs and repair resolution services conducted on any equipment listed in Appendix A. Unscheduled repair reports shall include all applicable information regarding tests, calibrations and/or measurements taken to verify repair and operation of the machine.

The submission of this report is acceptable in the contractor's format.

Reports shall contain a minimum of the following:

• Identification of Personnel Performing Work

• Date

• DoD Asset Number

• Dates and Time of Maintenance Action

• Description of Repairs Completed

• Changes in Operating Procedures (if any).

• Changes in Preventative Maintenance (if any) - See Data Item A003

• List of References Used

• List of Replaced Parts (Note if OEM, Upgrade or Approved Equal Replacement)

• Cost Breakdown of each Replaced Parts and Labor

• Number of Mechanical Man-Hours

• Number of Electrical/Electronic Man-Hours

• Total Man-Hours

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

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The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the russell.r.harris

Highlight

1_DATA_ITEM_NO: A007

2_TITLE_OF_DATA_ITEM: Quality Management (QM) Plan

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-82184

5_CONTRACT_REFERENCE: PWS 17.2.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Yearly

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 60 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS:

The contractor shall deliver a Quality Management (QM) Plan in contractor format no more than 60 days after the contract award and within 7 days after any changes.

Quality Management (QM) Plan shall include but not be limited to:

• Policy and objectives of Quality Management System (QMS)

• Quality organization:

- List of personnel

- Responsibilities & lines of authority

- Training and qualifications

• Approach to assuring quality of services provided and conformance with OEM specifications

• Methods and procedures for effective planning, operation and control of processes and performance of work

• Procedures for inspection and surveillance of services:

- Scheduling and performance of inspection and surveillance

- Measurement, data collection and analysis

- Corrective action, preventive action, and continuous improvement

- Oversight of subcontracted work

• Documentation and records management

• Communication with government (customers)

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

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The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A008

2_TITLE_OF_DATA_ITEM: Quality Inspection and Surveillance Report

3_SUBTITLE: Inspection and Surveillance System

4_AUTHORITY_Data_Acquisit: DI-QCIC-80107

5_CONTRACT_REFERENCE: PWS 17.4.1.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Monthly

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: 30 days after event

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS:

Quality Inspection and Surveillance Plan: Contractor shall establish and maintain an inspection and surveillance system in accordance with the FAR Clause 52.246-4, INSPECTION OF SERVICES – FIXED PRICE, to ensure that the work performed conforms to the contract requirements. The Contractor shall document and maintain a file of all scheduled and performed inspections and surveillances, inspection and surveillance results, and dates and details of corrective and preventive actions. The quality inspection and surveillance file shall be the property of the Government and made available during the Government’s regular working hours. The file shall be turned over to the KO within five calendar days of termination of the contract or end of base or option year.

Quality Inspection and Surveillance Report: The Contractor shall submit a copy of the Contractor Quality Inspection and Surveillance Report per the QASP. The Contractor Quality Inspection and Surveillance Report shall include a summary and results of the quality inspection and surveillance events performed and assessment-driven corrective actions and process adjustments during the previous month. The Government may adjust the frequency of the submittal based on the Contractor’s quality of performance.

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

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Reset:

The 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 comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

1_DATA_ITEM_NO: A009

2_TITLE_OF_DATA_ITEM: Certificate of Completion (COC)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-82061

5_CONTRACT_REFERENCE: PWS 17.5.1.

6_REQUIRING_OFFICE:

7_DID_250_REQ:

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: Yearly

11_AS_OF_DATE: Contract Award Date

12_DATE_OF_FIRST_SUBMISSI: End of Contract

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS:

Contractor shall provide a Certificate of Completion (COC) in the vendors format attesting that work completed meets all technical requirements. After maintenance and repairs have been completed, the contractor shall provide a Certificate of Completion (COC) attesting to the work completed meets all technical requirements and the COR, TPOC, or designated alternate will certify that the equipment performs to OEM standards and sign the service call ticket.

Block 9: Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the Program Officer listed in the contract.

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A_CONTRACT_LINE_ITEM_NO:

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TDP: x

TM:

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DSYSTEMITEM: IPE Maintenance

E_CONTRACTPR_NO:

FCONTRACTOR:

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