About this file

This document is a Contract Data Requirements List (DD Form 1423-1) specifying two data deliverables required for a contract involving Custom Machined Items at the Naval Surface Warfare Center, Port Hueneme Division (NSWC PCD).

The first data item (A001) requires submission of a Certificate of Compliance with authority reference DI-MISC-81356, cited in Statement of Work paragraph 3.1. The initial submittal is due at the time of delivery, with the government conducting a review and validation to confirm items meet specifications and compliance requirements. Upon receipt of government comments, the contractor must address feedback and resubmit the final documentation within two working days. The second data item (A001) requires a Technical Report – Study/Services with Material Certification under authority reference DI-MISC-80508B, also referenced in SOW paragraph 3.1, with a one-time submission due at delivery. Both deliverables must be marked in accordance with SOW paragraph 8.0 and submitted as Microsoft Office 2016 compatible files via email to addresses provided at contract award. The requiring office is NSWC PCD Code S, prepared and approved on 05/26/2026 by A. Johns, NSWC PCD Code 02T. Distribution is limited to one final copy for the first item and one final copy for the second item, with reproduction restricted.

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CUI

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. B. EXHIBIT C. CATEGORY:

A TDP TM OTHER MISC

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

Custom Machined Items

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Certificate of Compliance

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

DI-MISC-81356 SOW para. 3.1 NSWC PCD Code S 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ONE/R SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code S 1 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blks 8, 10, 12,13: Initial submittal due at time of delivery. The Government will review and validate that the items are within spec/compliance and provide comment.

Comments shall be addressed and the data resubmitted as final within 2 working day after receipt of comments.

Blk 9: Data shall be marked in accordance with SOW para. 8.0

Blk 14: MEDIA Requirements: Microsoft Office 2016 compatible files via e-mail. E-mail addresses will be provided at award.

LT ONLY

NSWC PCD Code 024

15. TOTAL 1 1 0

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

NSWC PCD Code S

05/26/2026

A. Johns, NSWC PCD Code 02T

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 2 Pages

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. B. EXHIBIT C. CATEGORY:

A TDP TM OTHER MISC

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

Custom Machined Items

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Technical Report – Study / Services Material Certification

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

DI-MISC-80508B SOW para. 3.1 NSWC PCD Code S 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ONCE SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code S 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blks 8, 10, 12,13: Initial submittal due at time of delivery.

Blk 9: Data shall be marked in accordance with SOW para. 8.0

Blk 14: MEDIA Requirements: Microsoft Office 2016 compatible files via e-mail. E-mail addresses will be provided at award.

LT ONLY

NSWC PCD Code 024

15. TOTAL 0 1 0

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

NSWC PCD Code S

A. Johns, NSWC PCD Code 02T

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 2 Pages

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