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DD FORM 1423-2, AUG 96

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT

SUBMISSION

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

14. DISTRIBUTION

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

Page ____ of ____ Pages

A_CONTRACT_LINE_ITEM_NO: 0004

B_EXHIBIT: A

TDP: Yes

TIM: Off

OTHER:

D_SYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

1_DATA_ITEM_NO1: A003

2_TITLE_OF_DATA_ITEM1: Monthly Staffing Chart

3_SUBTITLE1:

4_AUTHORITY1:

5_CONTRACT_REFERENCE1: SOW Section 2

6_REQUIRING_OFFICE1: NRL Code 5660

7_DD_250_REQ1: LT

8_APP_CODE1:

9_dist1: A

10_FREQUENCY1: Monthly

11_AS_OF_DATE1: See Blk 16

12_DATE_OF_FIRST_SUB1: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB1: See Blk 16 addr1_1: COR (See contract draft1_1:

reg1_1: 1 repro1_1:

1_DATA_ITEM_NO2: A004

2_TITLE_OF_DATA_ITEM2: Test Plan/Report(s)

3_SUBTITLE2:

4_AUTHORITY2:

5_CONTRACT_REFERENCE2: SOW Section 2

6_REQUIRING_OFFICE2: NRL Code 5660

7_DD_250_REQ2: LT

8_APP_CODE2:

9_dist2: A

10_FREQUENCY2: See Blk 16

11_AS_OF_DATE2: See Blk 16

12_DATE_OF_FIRST_SUB2: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB2: See Blk 16 addr2_1: COR (See contract draft2_1:

reg2_1: 1 repro2_1:

addr1_2: section G-2) draft1_2:

reg1_2:

repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

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draft1_4:

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addr1_14:

draft1_14:

reg1_14:

repro1_14:

15_total_Draft1: 0

15_TOTALReg1: 1

15_TOTALRepro1: 0

16_REMARKS1: The Contractor shall provide a Monthly Staffing Chart showing the current staff and related responsibilities. The chart shall be in the Contractor's format as approved by the COR.

Chart may be included as part of the Technical Status Report with concurrence of the COR.

17_PRICE_GROUP1:

18_totalprice1:

addr2_2: section G-2) addr2_3:

addr2_4:

16_REMARKS2: For each Task Order awarded as required in Section 2 of the Statement of Work, the contractor shall submit draft test plan(s) to be approved by the COR. After approval, formal test report(s) shall be provided within a negotiated number of days of the completion of any formal test for which the contractor is responsible. The report shall describe the purpose of the test, the test set-up, the detailed actual procedure, and the outcome. The report shall include any test anomalies that occurred during the test and their resolution.

This report shall be in the Contractors format as approved by the COR.

17_PRICE_GROUP2:

18_totalprice2:

addr2_5:

addr2_6:

addr2_7:

addr2_8:

addr2_9:

addr2_10:

addr2_11:

addr2_12:

addr2_13:

addr2_14:

draft2_2:

reg2_2:

repro2_2:

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15_total_Draft2: 0

15_TOTALReg2: 1

15_TOTALRepro2: 0

G_PREPARED_BY: NRL Code 5660.2

H_DATE:

1_APPROVED_BY: Michael L. Wilson

J_DATE:

Page: 2 of_pages: 4

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

A_CONTRACT_LINE_ITEM_NO: 0004

B_EXHIBIT: A

TDP: Yes

TIM: Off

OTHER:

D_SYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

1_DATA_ITEM_NO1: A005

2_TITLE_OF_DATA_ITEM1: Software, Algorithms, Programs, Documentation, Instructions and Source Code

3_SUBTITLE1:

4_AUTHORITY1:

5_CONTRACT_REFERENCE1: SOW Section 2

6_REQUIRING_OFFICE1: NRL Code 5660

7_DD_250_REQ1: LT

8_APP_CODE1:

9_dist1: A

10_FREQUENCY1: As Required

11_AS_OF_DATE1: See Blk 16

12_DATE_OF_FIRST_SUB1: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB1: See Blk 16 addr1_1: COR (See contract draft1_1:

reg1_1: 1 repro1_1:

1_DATA_ITEM_NO2: A006

2_TITLE_OF_DATA_ITEM2: Design Review Materials

3_SUBTITLE2:

4_AUTHORITY2:

5_CONTRACT_REFERENCE2: SOW Section 2

6_REQUIRING_OFFICE2: NRL Code 5660

7_DD_250_REQ2: LT

8_APP_CODE2:

9_dist2: A

10_FREQUENCY2: As Required

11_AS_OF_DATE2: See Blk 16

12_DATE_OF_FIRST_SUB2: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB2: See Blk 16 addr2_1: COR (See contract draft2_1:

reg2_1: 1 repro2_1:

addr1_2: Section G-* draft1_2:

reg1_2:

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15_total_Draft1: 0

15_TOTALReg1: 1

15_TOTALRepro1: 0

16_REMARKS1: The contractor shall provide to the COR copies of all software and data developed under each Task Order awarded under this contract. In particular, the Contractor shall provide documentation, as required, to facilitate the efficient use of the research and development required by the Statement of Work.

The Contractor shall provide numerical data in a form that can be read by programs written in FORTRAN, C, C++, MatLab and IDL. Upon request, other data shall be in a computer readable form.

The Contractor shall ensure that all software and data delivered have no proprietary markings.

Shall be in a accordance with Version Description Document (VDD), see Section J of the contract.

17_PRICE_GROUP1:

18_totalprice1:

addr2_2: Section G-* addr2_3:

addr2_4:

16_REMARKS2: As required for each Task Order awarded the contractor shall prepare and present formal review material that explains and defends their designs. This material will be required by the various programs this contract will support and will include but not be limited to Software Requirements Reviews, Preliminary Design Reviews, Critical Design Reviews, Code Walk Throughs, Test Readiness Reviews, and Pre-Ship Reviews.

The design review material will be in the Contractors format as approved by the COR.

17_PRICE_GROUP2:

18_totalprice2:

addr2_5:

addr2_6:

addr2_7:

addr2_8:

addr2_9:

addr2_10:

addr2_11:

addr2_12:

addr2_13:

addr2_14:

draft2_2:

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15_total_Draft2: 0

15_TOTALReg2: 1

15_TOTALRepro2: 0

G_PREPARED_BY: NRL Code 5660.2

H_DATE:

1_APPROVED_BY: Michael L. Wilson

J_DATE:

Page: 3 of_pages: 4

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

A_CONTRACT_LINE_ITEM_NO: A007

B_EXHIBIT: A

TDP: Yes

TIM: Off

OTHER:

D_SYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

1_DATA_ITEM_NO1: A007

2_TITLE_OF_DATA_ITEM1: Contractor On-Site/Off-Site Labor Report

3_SUBTITLE1:

4_AUTHORITY1:

5_CONTRACT_REFERENCE1: SOW Section 2

6_REQUIRING_OFFICE1: NRL CODE 5660

7_DD_250_REQ1: LT

8_APP_CODE1:

9_dist1: A

10_FREQUENCY1: Monthly

11_AS_OF_DATE1: See Blk 16

12_DATE_OF_FIRST_SUB1: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB1: See Blk 16 addr1_1: COR (See contract draft1_1:

reg1_1: 1 repro1_1:

1_DATA_ITEM_NO2: A008

2_TITLE_OF_DATA_ITEM2: Final Technical Report/ Contract Summary Report

3_SUBTITLE2:

4_AUTHORITY2:

5_CONTRACT_REFERENCE2: SOW Section 2

6_REQUIRING_OFFICE2: NRL CODE 5660

7_DD_250_REQ2:

8_APP_CODE2:

9_dist2: A

10_FREQUENCY2: One Time

11_AS_OF_DATE2: See Blk 16

12_DATE_OF_FIRST_SUB2: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB2: N/A

addr2_1: COR (See contract draft2_1:

reg2_1: 1 repro2_1:

addr1_2: Section G-*) draft1_2:

reg1_2:

repro1_2:

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15_total_Draft1: 0

15_TOTALReg1: 1

15_TOTALRepro1: 0

16_REMARKS1: For each Task Order awarded the Contractor shall deliver the On-Site/Off-Site Labor Report no later than fifteen (15) days after the end of each reporting month (may be included with A001). The report must include as a minimum the following data:

Reporting Period: Contract Number (and Order Number, if applicable):

Contract/Order Value:

Current Funding:

Amount Expended in Current Period:

Total Expended to Date:

Date Submitted:

Labor (including subcontractors) - Show employee name, number of hours, and total amount billed for contractor employees working on-site and off-site for NRL. If the contractor employees worked on multiple tasks or for different divisions or directorates (as defined by the COR), the numbers of hours worked on each task must be shown separately.

17_PRICE_GROUP1:

18_totalprice1:

addr2_2: Section G-*) addr2_3:

addr2_4:

16_REMARKS2: For each Task Order awarded the Contractor shall provide a Final Report defined as a scientific or technical report which concisely and comprehensively summarize the technical and scientific objectives, findings and recommendations for all work accomplished under the contract. The report shall be in the Contractors format as approved by the COR.

The report shall be delivered within 90 days after task order completion.

17_PRICE_GROUP2:

18_totalprice2:

addr2_5:

addr2_6:

addr2_7:

addr2_8:

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15_total_Draft2: 0

15_TOTALReg2: 1

15_TOTALRepro2: 0

G_PREPARED_BY: NRL Code 5660.2

H_DATE:

1_APPROVED_BY: Michael L. Wilson

J_DATE:

Page: 4 of_pages: 4

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Blank Page

A_CONTRACT_LINE_ITEM_NO: 0004

B_EXHIBIT: A

TDP: Yes

TIM: Off

OTHER:

D_SYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

1_DATA_ITEM_NO1: A001

2_TITLE_OF_DATA_ITEM1: Monthly Status & Financial Report

3_SUBTITLE1:

4_AUTHORITY1: N/A

5_CONTRACT_REFERENCE1: SOW Section 2

6_REQUIRING_OFFICE1: NRL Code 5660

7_DD_250_REQ1: LT

8_APP_CODE1:

9_dist1: A

10_FREQUENCY1: Monthly

11_AS_OF_DATE1: See Blk 16

12_DATE_OF_FIRST_SUB1: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB1: See Blk 16 addr1_1: COR (See contract draft1_1:

reg1_1: 1 repro1_1:

addr1_2: section G-*) draft1_2:

reg1_2:

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15_TOTALReg1: 1

15_TOTALRepro1: 0

16_REMARKS1: The Contractor shall provide a Monthly Status and Financial Report for each task order awarded. The report shall be submitted by the 10th day after the first full month of performance and every 10th day of the month thereafter. The report shall be in the Contractor's format as approved by the COR.

The report shall include:

1) Reporting period, task number, task value, current funding, expended in current period, expended to date, expected cost end of period of performance and to completion. Shall be broken down by CLIN if applicable.

2) Labor (including subcontractors); show employees name and number of hours worked (identifying separately the number of hours worked on each task) and total amount billed (base rate, overhead, G&A and fee)

3) Materials (description, cost & use on contract by task)

4) Travel (Traveler's name, dates of trip, reason for trip and total cost)

17_PRICE_GROUP1:

18_totalprice1:

1_DATA_ITEM_NO2: A002

2_TITLE_OF_DATA_ITEM2: Monthly Technical Status Report

3_SUBTITLE2:

4_AUTHORITY2:

5_CONTRACT_REFERENCE2: SOW Section 2

6_REQUIRING_OFFICE2: NRL Code 5660

7_DD_250_REQ2: LT

8_APP_CODE2:

9_dist2: A

10_FREQUENCY2: Monthly

11_AS_OF_DATE2: See Blk 16

12_DATE_OF_FIRST_SUB2: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB2: See Blk 16 addr2_1: COR (See contract draft2_1:

reg2_1: 1 repro2_1:

addr2_2: section G-*) draft2_2:

reg2_2:

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15_total_Draft2: 0

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15_TOTALRepro2: 0

16_REMARKS2: The Contractor shall provide a Monthly Technical Status/Progress Report for each task order awarded. The report shall be submitted by the 10th day after the first full month of performance and every 10th day of the month thereafter. The report shall be in the Contractor's format as approved by the COR.

The report shall provide a brief narrative status of the technical process and status of each major task effort, any significant technical or project-specific problems, and the proposed resolution of the identified problem areas. The report shall identify any items that have affected or will affect schedule performance, cost, or task schedules. The report shall provide a status of materials, supplies, subcontracts, Government Furnished Materials or Equipment (GFM/GFE) for the duration of the effort. The reports shall be in the Contractor’s format as approved by the COR. Submission in electronic formats compatible with MS-Office are acceptable. Report may be submitted with CDRL A001.

17_PRICE_GROUP2:

18_totalprice2:

G_PREPARED_BY: NRL Code 5660.2

H_DATE:

1_APPROVED_BY: Michael L. Wilson

J_DATE:

Page: 1 of_pages: 4

Reset: