C2 N4523A26Q0016 Lift Rod Thermal Spray Exhibit A - CDRLs and DIDs.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 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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

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

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

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

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

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

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

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

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

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

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

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

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

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: CONDITIONS FOUND REPORT sub: CONDITIONS FOUND REPORT auth: DI-MGMT-81648A ref: SOW PARA 7 req_ofc: N68438 TRF BANGOR dd250: N appcode: NA dist: D freq: ONE/R asof: SEE BLK 16* firstsub: SEE BLK 16* subsub: NA addressee1: Code 422 COR draft1: 0 reg1: 0 repro1: 1 addressee2:

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total_draft: 0 total_reg: 0 total_repro: 1 remarks: BLOCK 9: "DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defence and U.S. DoD contractors only for Administrative or Operational use. Other requests shall be referred to TRF BANGOR C/420 Silverdale, Wa 98315

BLOCK 11 & 12: Submit one copy within three days following receipt of QTY: 10 Lift Rods.

Block 14: Media requirement. Report shall be a legible copy submitted in approved transferable media.

group:

total_price:

prep_name:

line_item:

exhibit: NA xtdp: Yes xtm: Off othercat:

system: SSTG LIFT ROD THERMAL SPRAY ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page: 1 of_pages: 1 app: Adobe Professional 8.0

DATA ITEM DESCRIPTION

Title: Work Completion Certification Certificate

Number: DI-MGMT-82050 Approval Date: 20160705

AMSC Number: N9679 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: SH Project Number: MGMT-2016-043

Applicable Forms: N/A

Use/relationship: This DID will certify that all contracted work has been performed and completed.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

Requirements:

1. Format. The report shall be similar to that of Sample Figure 1.

2. Content. The report shall contain all the information specified in Sample Figure 1.

Source: https://assist.dla.mil -- Downloaded: 2026-08-04T18:43Z Check the source to verify that this is the current version before use.

DI-MGMT-82050

DI-MGMT-82050

End of DI-MGMT-82050

DD FORM 1423-1, FEB 2001

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 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.

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

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

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

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

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

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

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

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

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

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

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

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

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

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A002 title: WORK COMPLETION CERTIFICATION CERTIFICATE sub: THERMAL SPRAY FORM auth: DI-MGMT-82061 ref: SOW PARA 7 req_ofc: N68438 TRF BANGOR dd250: N appcode: NA dist: D freq: ONE/R asof: SEE BLK 16* firstsub: SEE BLK 16* subsub: NA addressee1: Code 422 COR draft1: 0 reg1: 0 repro1: 1 addressee2:

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total_draft: 0 total_reg: 0 total_repro: 1 remarks: BLOCK 9: "DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defence and U.S. DoD contractors only for Administrative or Operational use. Other requests shall be referred to TRF BANGOR C/420 Silverdale, Wa 98315

BLOCKS 11 & 12: Submit one copy within five days following completion of thermal spray work.

Block 14: Media requirement. Report shall be a legible copy submitted in approved transferable media.

group:

total_price:

prep_name:

line_item:

exhibit: NA xtdp: Yes xtm: Off othercat:

system: SSTG LIFT ROD THERMAL SPRAY ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page: 1 of_pages: 1 app: Adobe Professional 8.0

DATA ITEM DESCRIPTION

Title: CONDITION FOUND REPORT

Number: DI-MGMT-81648A Approval Date: 20210930

AMSC Number: N10253 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: SH Project Number: MGMT-2021-007

Applicable Forms: None

Use/relationship: The Condition Found Report (CFR) will be used by the Government to identify needed repairs and recommend corrective action for work discovered during the contract performance period, which are not covered by the work specifications. The CFR specifies if the issue has a technical, cost, or schedule impact and recommends corrective action.

This DID contains the format, content, and intended use information for the data product resulting from the work task described in the contract.

This DID supersedes DI-MGMT-81648.

Requirements:

1. Reference documents. N/A

2. Format. The CFR shall be in a format similar to Sample Figure 1 below. If there is a cost impact to the CFR, cost details shall be provided in a separate accompanying document; contractor format shall be acceptable for the cost impact.

3. Content. The report shall be serialized by CFR Number, and shall include the following:

a. Title of CFR, project name, contract number, task order number, ship name, and hull number

b. Work Item Number to which the CFR relates

c. Specific location of the work requirement

d. Date work requirement was discovered, date CFR was submitted, requested response date, period of performance end date of the contract

e. Impact type (Technical, Schedule, Cost, or any combination of all three) and clear description of the impact

f. Cause of CFR

g. Recommendation if a Liaison Action Request (LAR) or Period of Performance

(PoP) extension is required to resolve the issue

h. Clear description of the work requirement

i. Recommendation for corrective action

Source: https://assist.dla.mil -- Downloaded: 2026-08-04T18:33Z

DI-MGMT-81648A

3.1 Recommendation for appropriate or best time to accomplish the corrective action (i.e.

during current availability with or without schedule change, future CNO or Continuous

Maintenance Availability), and supporting rationale for the recommendation (such as: cost efficiencies, availability of work force, availability of material, premium expenditures, etc.).

3.2 Cost and time estimates and the time frame for which it is valid, including:

a. Class “C” cost estimates. For work requirements that could be estimated within five working days, a class “F” estimate (+/-40%) identifying any potential impact to the current schedule shall be included. The Class “F” estimate shall also contain the date on which a class “C” estimate is provided.

b. Estimated Premium/Acceleration Costs, including premium costs for material, subcontractors, man-hours, rework, and any additional costs to ongoing work resulting from inclusion of the CFR work requirement.

c. Identification of related changes, if any, to the internal milestones and production and contract completion dates shall be included. When no changes were required a statement to that fact shall also be included

3.3 If the CFR has a cost impact, detailed financial information shall accompany the CFR.

This information shall include:

a. CFR serial number which the cost impact document is accompanying.

b. Financial details of the contract broken out by Contract Line Item Number (CLIN) to include: ceiling awarded for each CLIN, funding obligated on each CLIN to date, and estimated weekly expenditures (burn curve) per CLIN.

c. Detailed breakdown of the estimated costs. For cost estimates that include labor expenses, this breakdown shall include description of labor category, quantity of hours per labor category, hourly cost per labor category, total cost per labor category, and total labor cost (including any added fees). For cost estimates that include Other

Documented Cost (ODC) expenses, this breakdown shall include a description of each expense, unit of measurement of each expense, cost per unit, quantity of units, total cost per expense, and total ODC cost (including any added fees).

4. Media. The electronic media requirements shall be as specified on the DD 1423 CDRL.

CONDITION FOUND REPORT (CFR)

CFR Serial Number: CFR Title:

Project Name: Contractor:

Ship Name: Hull #: Compartment/Location:

Date condition discovered: Date CFR submitted: Response need by date:

Contract #: Task Order/TI#: PoP End Date:

CFR Impacts

Select Impact Type Select Cause of CFR

LAR Recommended?

YES NO

PoP Extension Anticipated?

YES NO

Labor Cost:

ODC Cost:

Provide attachment with financial details if there is a cost impact.

Detailed Description of Condition Found, Contractor Recommendation, & Schedule Impact (if applicable):

Contractor Signature Block Originator (optional) Reviewer (optional) Submitter (required)

Printed Name

Title

Date

Signature

Govt. Response: Project Manager has validated CFR is within contract scope? YES NO Applicable SOW Section(s)

Government Signature Block On-site Representative (optional) Project Manager (required)

Printed Name/Code

Date

Signature

Sample Figure 1

End of DI-MGMT-81648A