Attach 5_ Consolidated Contract Data Requirements List (CDRLs).pdf

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 collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP _ _ TM _ _ OTHER __ MISC__

D. SYSTEM/ITEM

OMTS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Technical Report-Study/Services

3. SUBTITLE

Management and Technical Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS Sections 3.1.2, 3.1.13.1

6. REQUIRING OFFICE

AVTB

7. DD 250 REQ

DD (see Block 16) 9. DIST

STATEMENT

D

10. FREQUENCY

See Block 16

12. DATE OF 1ST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

N/A Draft

Final

Reg Repro

16. REMARKS

Blk 7: The contractor shall initiate a zero-cost receiving report in Procurement Integrated Enterprise Environment (PIEE) suite (formerly known as iRAPT/Wide Area Workflow (WAWF)) immediately after submitting the data in accordance with Blk 14. An iRAPT/WAWF receiving report is required for every data item submission (initial and subsequent submission) to the Government.

Blk 9: For unclassified reports without controlled unclassified information (CUI) per DoDM 5200.01-V4 (e.g., one or more of FOIA Exemptions 2 through 9 apply for 'FOUO' information); the contractor shall incorporate the following Distribution D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020.

Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

For classified reports the contractor shall incorporate the following Distribution D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020.

Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

"WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

Blk 10 and 12: Contractor’s Management and Technical Plan shall be submitted as specified in the performance requirements that accompany an individual order for services issued against this MATOC.

Blk 14: Distribution shall be made via electronic mail. All submissions shall be in the version of Microsoft Office used by AVTB. Deliverable submissions shall be marked, handled, and delivered in accordance with the procedures and guidelines detailed in DODM 5200.01 VOL 4. The email subject line shall include the contract number, CDRL data item number and reporting period (e.g., M68909-21-R-7903, CDRL B001, 10 September 2020). For data submissions with an electronic file size greater than 10 MB or if the combined size of the attachments to the email are greater than 10 MB, please coordinate the delivery with the COR.

COR 1

15. TOTAL 1

G. PREPARED BY

Harold Kang

H. DATE

01 January 2021

I. APPROVED BY

LtCol Hohmann

J. DATE

01 January 2021

DD Form 1423-1, FEB 2001 (EG) Previous editions are obsolete Page _1_ of _7

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 collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP _ _ TM _ _ OTHER __ MISC__

D. SYSTEM/ITEM

OMTS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

Accident Mishap Report

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-82188 (see Block 16)

5. CONTRACT REFERENCE

PWS Section 3.1.8

6. REQUIRING OFFICE

AVTB

7. DD 250 REQ

DD (see Block 16) 9. DIST

STATEMENT

D

10. FREQUENCY

See Block 16

12. DATE OF 1ST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

N/A Draft

Final

Reg Repro

16. REMARKS

Blk 4: (Tailoring) - Figure 1 referred to in paragraph 1 and 2 is replaced with Attachment J15 (MCSC Mishap Form). Refer to DoDM 5200.01-V3, Enclosure (6), Appendix 1, Figure 2 (Report of Security Incident Inquiry or Investigation) with respect to reports with security implications.

Blk 7: The contractor shall initiate a zero-cost receiving report in Procurement Integrated Enterprise Environment (PIEE) suite (formerly known as iRAPT/Wide Area Workflow (WAWF)) immediately after submitting the data in accordance with Blk 14. An iRAPT/WAWF receiving report is required for every data item submission (initial and subsequent submission) to the Government.

Blk 9: Marking of the Accident Mishap Report shall be "Unclassified/For Official Use Only." The Accident Mishap Report shall be appropriately marked with a destruction notice, the applicable CUI marking(s), and a FOIA exemption notice (Exemption 6 applies). In addition, the contractor shall incorporate the following Distribution Statement D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

Blk 10 and 12: Accident Mishap Reports shall be submitted as specified in the performance requirements that accompany an individual order for services issued against this MATOC.

Blk 14: Distribution shall be made via electronic mail. All submissions shall be in the version of Microsoft Office used by AVTB. Deliverable submissions shall be marked, handled, and delivered in accordance with the procedures and guidelines detailed in DODM 5200.01 VOL 4. The email subject line shall include the contract number, CDRL data item number and reporting period (e.g., M68909-21-R-7903, CDRL B002, 10 September 2020). For data submissions with an electronic file size greater than 10 MB or if the combined size of the attachments to the email are greater than 10 MB, please

Harold Kang

H. DATE

01 January 2021

I. APPROVED BY

LtCol Hohmann

J. DATE

DD Form 1423-1, FEB 2001 (EG) Previous editions are obsolete Page _2_ of _7

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 collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP _ _ TM _ _ OTHER __ MISC__

D. SYSTEM/ITEM

OMTS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

Trip/Travel Report

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81943

5. CONTRACT REFERENCE

PWS Section 3.1.11

6. REQUIRING OFFICE

AVTB

7. DD 250 REQ

DD (see Block 16) 9. DIST

STATEMENT

D

10. FREQUENCY

See Block 16

12. DATE OF 1ST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

N/A Draft

Final

Reg Repro

16. REMARKS

Blk 7: The contractor shall initiate a zero-cost receiving report in Procurement Integrated Enterprise Environment (PIEE) suite (formerly known as iRAPT/Wide Area Workflow (WAWF)) immediately after submitting the data in accordance with Blk 14. An iRAPT/WAWF receiving report is required for every data item submission (initial and subsequent submission) to the Government.

Blk 9: Only unclassified information shall be included in each report. Typical reports are not expected to contain controlled unclassified information (CUI) per DoDM 5200.01-V4 (e.g., one or more of FOIA Exemptions 2 through 9 apply for 'FOUO' information). In addition, the contractor shall incorporate the following Distribution Statement D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

Blk 10 and 12: Trip/Travel Reports shall be submitted for all approved travel. A draft deliverable is due by the due date established by the Government. The final deliverable is due 5 working days after receipt of government comments on the initial submission, unless a different schedule is agreed to by the Government and the Contractor.

Blk 14: Distribution shall be made via electronic mail. All submissions shall be in the version of Microsoft Office used by AVTB. Deliverable submissions shall be marked, handled, and delivered in accordance with the procedures and guidelines detailed in DODM 5200.01 VOL 4. The email subject line shall include the contract number, CDRL data item number and reporting period (e.g., M68909-21-R-7903, CDRL B003, 10 September 2020). For data submissions with an electronic file size greater than 10 MB or if the combined size of the attachments to the email are greater than 10 MB, please

15 TOTAL 1

Harold Kang

H. DATE

01 January 2021

I. APPROVED BY

LtCol Hohmann

J. DATE

DD Form 1423-1, FEB 2001 (EG) Previous editions are obsolete Page _3_ of _7

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 collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP _ _ TM _ _ OTHER __ MGMT__

D. SYSTEM/ITEM

OMTS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM

Contractor's Progress, Status and Management Report

3. SUBTITLE

Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81928 (see Block 16)

5. CONTRACT REFERENCE

PWS Section 3.1.13.2

6. REQUIRING OFFICE

AVTB

7. DD 250 REQ

DD 9. DIST

STATEMENT

D

10. FREQUENCY

See Block 16

12. DATE OF 1ST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

See Block 16 Draft

Final

Reg Repro

16. REMARKS

Blk 7: The contractor shall initiate a zero-cost receiving report in Procurement Integrated Enterprise Environment (PIEE) suite (formerly known as iRAPT/Wide Area Workflow (WAWF)) immediately after submitting the data in accordance with Blk 14. An iRAPT/WAWF receiving report is required for every data item submission (initial and subsequent submission) to the Government.

Blk 9: For unclassified reports without controlled unclassified information (CUI) per DoDM 5200.01-V4 (e.g., one or more of FOIA Exemptions 2 through 9 apply for 'FOUO' information); the contractor shall incorporate the following Distribution D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

For classified reports the contractor shall incorporate the following Distribution D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests for this document shall be referred to Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

"WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25."

Blk 10, 12, 13: A draft shall be provided to the Government on the 6th day of each month for review.

The final report shall be delivered by the 10th of each month.

Blk 14: Distribution shall be made via electronic mail. All submissions shall be in the version of Microsoft Office used by AVTB. Deliverable submissions shall be marked, handled, and delivered in accordance with the procedures and guidelines detailed in DODM 5200.01 VOL 4. The email subject line shall include the contract number, CDRL data item number and reporting period (e.g., M68909-21- R-7903, CDRL B004, 10 September 2020). For data submissions with an electronic file size greater than 10 MB or if the combined size of the attachments to the email are greater than 10 MB, please

Harold Kang

H. DATE

01 January 2021

I. APPROVED BY

LtCol Hohmann

J. DATE

DD Form 1423-1, FEB 2001 (EG) Previous editions are obsolete Page _4_ of _7

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 collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP _ _ TM _ _ OTHER __ ADMN__

D. SYSTEM/ITEM

OMTS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B005

2. TITLE OF DATA ITEM

Conference Agenda

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81249B

5. CONTRACT REFERENCE

PWS Section Error! Reference source not found.

6. REQUIRING OFFICE

AVTB

7. DD 250 REQ

DD 9. DIST

STATEMENT

D

10. FREQUENCY

See Block 16

12. DATE OF 1ST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

See Block 16 Draft

Final

Reg Repro

16. REMARKS

Blk 7: The contractor shall initiate a zero-cost receiving report in Procurement Integrated Enterprise Environment (PIEE) suite (formerly known as iRAPT/Wide Area Workflow (WAWF)) immediately after submitting the data in accordance with Blk 14. An iRAPT/WAWF receiving report is required for every data item submission (initial and subsequent submission) to the Government.

Blk 9: Only unclassified information shall be included in each report. Typical reports are not expected to contain controlled unclassified information (CUI) per DoDM 5200.01-V4 (e.g., one or more of FOIA Exemptions 2 through 9 apply for 'FOUO' information). In addition, the contractor shall incorporate the following Distribution Statement D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

Subsequent Conference Agenda submissions shall be marked as specified in each DD- Form 1423-1 that accompanies an order for services issued against the MATOC.

Blk 10, 12, 13: Conference Agendas shall be submitted as specified in the performance requirements that accompany an individual order for services issued against this MATOC.

The first Conference Agenda shall be submitted no later than 5 calendar days after contract award to support the Post Award Conference identified in the PWS.

Blk 14: Distribution shall be made via electronic mail. All submissions shall be in the version of Microsoft Office used by AVTB. Deliverable submissions shall be marked, handled, and delivered in accordance with the procedures and guidelines detailed in DODM 5200.01 VOL 4. The email subject line shall include the contract number, CDRL data item number and reporting period (e.g., M68909-21-R-7903, CDRL B005, 10 September 2020). For data submissions with an electronic file size greater than 10 MB or if the combined size of the attachments to the email are greater than 10 MB, please

Harold Kang

H. DATE

01 January 2021

I. APPROVED BY

LtCol Hohmann

J. DATE

DD Form 1423-1, FEB 2001 (EG) Previous editions are obsolete Page _5_ of _7

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 collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP _ _ TM _ _ OTHER __ ADMN__

D. SYSTEM/ITEM

OMTS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B006

2. TITLE OF DATA ITEM

Conference/Meeting Minutes

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81250A

5. CONTRACT REFERENCE

PWS Section Error! Reference source not found.

6. REQUIRING OFFICE

AVTB

7. DD 250 REQ

DD 9. DIST

STATEMENT

D

10. FREQUENCY

As Required

12. DATE OF 1ST SUBMISSION

As Required

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

As Required Draft

Final

Reg Repro

16. REMARKS

Blk 7: The contractor shall initiate a zero-cost receiving report in Procurement Integrated Enterprise Environment (PIEE) suite (formerly known as iRAPT/Wide Area Workflow (WAWF)) immediately after submitting the data in accordance with Blk 14. An iRAPT/WAWF receiving report is required for every data item submission (initial and subsequent submission) to the Government.

Blk 9: Only unclassified information shall be included in each report. Typical reports are not expected to contain controlled unclassified information (CUI) per DoDM 5200.01-V4 (e.g., one or more of FOIA Exemptions 2 through 9 apply for 'FOUO' information). In addition, the contractor shall incorporate the following Distribution Statement D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

Blk 10, 12, 13: Conference Minutes shall be submitted as specified in the performance requirements that accompany an individual order for services issued against this MATOC.

The first Conference Minutes shall be submitted no later than 5 calendar days after the Post Award Conference identified in PWS.

Blk 14: Distribution shall be made via electronic mail. All submissions shall be in the version of Microsoft Office used by AVTB. Deliverable submissions shall be marked, handled, and delivered in accordance with the procedures and guidelines detailed in DODM 5200.01 VOL 4. The email subject line shall include the contract number, CDRL data item number and reporting period (e.g., M68909-21-R-7903, CDRL B006, 10 September 2020). For data submissions with an electronic file size greater than 10 MB or if the combined size of the attachments to the email are greater than 10 MB, please

Harold Kang

H. DATE

01 January 2021

I. APPROVED BY

LtCol Hohmann

J. DATE

DD Form 1423-1, FEB 2001 (EG) Previous editions are obsolete Page _6_ of _7

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 collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __ MISC__

D. SYSTEM/ITEM

OMTS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Technical Report-Study/Services

3. SUBTITLE

Technical Documentation

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS Section 3.1.13.6

6. REQUIRING OFFICE

AVTB

7. DD 250 REQ

DD 9. DIST

STATEMENT

D

10. FREQUENCY

As Required

12. DATE OF 1ST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

See Block 16 Draft Final

Reg Repro

16. REMARKS

Blk 4: Technical products shall be delivered to the Government in the current AVTB template format. If AVTB does not have a template, the products shall be delivered to the Government, per commercial best practices.

Technical documentation includes, but is not limited to, detailed test plans (DTPs), final test reports (FTRs), quick look reports (QLRs), interim data reports (IDRs), technical notes, and any document specified in each DD-Form 1423-1 that accompanies an order for services issued against the MATOC.

Blk 7: The contractor shall initiate a zero-cost receiving report in Procurement Integrated Enterprise Environment (PIEE) suite (formerly known as iRAPT/Wide Area Workflow (WAWF)) immediately after submitting the data in accordance with Blk 14. An iRAPT/WAWF receiving report is required for every data item submission (initial and subsequent submission) to the Government.

Blk 9: For unclassified reports without controlled unclassified information (CUI) per DoDM 5200.01-V4 (e.g., one or more of FOIA Exemptions 2 through 9 apply for 'FOUO' information); the contractor shall incorporate the following Distribution D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests shall be referred to: Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

For classified reports the contractor shall incorporate the following Distribution D on the CDRL deliverable:

“DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative or Operational Use, September 2020. Other requests for this document shall be referred to Director, Amphibious Vehicle Test Branch, PO Box 555217, Bldg. 210536 Kraus St., Camp Pendleton, CA 92055-5171.”

"WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

Blk 10, 12, 13: A draft deliverable shall be submitted as specified in the performance requirements that accompany an individual order for services issued against this MATOC. A draft deliverable is due by the due date established by the Government. The final deliverable is due 5 working days after receipt of government comments on the initial submission, unless a different schedule is agreed to by the Government and the Contractor.

Blk 14: Distribution shall be made via electronic mail. All submissions shall be in the version of Microsoft Office used by AVTB. Deliverable submissions shall be marked, handled, and delivered in accordance with the procedures and guidelines detailed in DODM 5200.01 VOL 4. The email subject line shall include the contract number, CDRL data item number and reporting period (e.g., M68909-21-R-7903, CDRL A001, 10 September 2020). For data submissions with an electronic file size greater than 10 MB or if the combined size of the attachments to the email are greater than 10 MB, please coordinate the delivery with the COR.

15. TOTAL --------- 1

Harold Kang

H. DATE

01 January 2021

I. APPROVED BY

LtCol Hohmann

J. DATE

DD Form 1423-1, FEB 2001 (EG) Previous editions are obsolete Page _7_ of _7_ Pages