CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports

(0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

X001, X002

B. EXHIBIT A C. CATEGORY:

TDP TM OTHER

MGMT

D. SYSTEM/ITEM

GE M2

E. CONTRACT/PR NO. N000421- F. CONTRACTOR

Colibrium (formerly GE)

1. DATA ITEM NO.

A001

2. TITLE OF DATA

ITEM

Service/Wor k Request Report

3. SUBTITLE

See BLK 16

4. AUTHORITY

(Data

DI-M

Acquisition Document No.)

GMT-81893

5. CONTRACT REFERENCE

SOW Para 3.0

6. REQUIRING OFFICE

AM IPT

7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

CA

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final Reg Repro

16. REMARKS

BLK 3:

Annual Inspections, Hardware/Software Maintenance and Updates

BLK 12:

Provide after each maintenance inspection detailing work accomplished and identifying any parts replaced.

BLK 14:

Unclassified deliveries shall be in electronic Format compatible with MS Office products. Email to the following addresses for initial submission and initial revisions only:

PM: Theodore Gronda, theodore.j.gronda.civ@us.navy.mil PA: Tamera Mebane, tamera.mebane.civ@us.navy.mil

Log: Fernando Zuniga, fernando.zuniga.civ@navy.mil

ENG: John Ullman, joseph.d.ullman.civ@us.navy.mil

See Blk 16

15. TOTAL

PREPARED BY: H. DATE

J. DATE

I. APPROVED BY

09/14/2026

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Designed using PerformPage Pro, WHS/DIOR, of

Pages Aug 96

18.

ESTIMATED

TOTAL

PRICE

17.

PRICE

GROUP

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

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

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

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc. a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, Item D. Enter name of system/item being acquired that data will development, testing, and administration) but which is required by DD support. Form 1423.

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

Item F. Self-explanatory (to be filled in after contract award). Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance

Item G. Signature of preparer of CDRL. with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Item H. Date CDRL was prepared. Government.

Item I. Signature of CDRL approval authority.

b. Group II. Definition - Data which is essential to the performance of Item J. Date CDRL was approved.

the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to Item 1. See DoD FAR Supplement Subpart 4.71 for proper depth of content, format, frequency of submittal, preparation, control, or numbering. quality of the data item.

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

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without

Item 3. Enter subtitle of data item for further definition of data item (optional entry). conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to Item 4. Enter Data Item Description (DID) number, military the Government.

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. c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does Item 5. Enter reference to tasking in contract that generates not require any substantial change to conform to Government requirement for the data item (e.g., Statement of Work paragraph number). requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

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

Estimated Price - Costs to be included under Group III are the Item 7. Specify requirement for inspection/acceptance of the data administrative and other expenses related to reproducing and delivering item by the Government. such data item to the Government.

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

d. Group IV. Definition - Data which is developed by the contractor

Item 9. For technical data, specify requirement for contractor to as part of his normal operating procedures and his effort in supplying mark the appropriate distribution statement on the data (ref. DoDD these data to the Government is minimal. 5230.24).

Item 10. Specify number of times data items are to be delivered. Estimated Price - Group IV items should normally be shown on the DD Form

1423 at no cost.

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

These estimated Item 14. Enter addressees and number of draft/final copies to be data prices shall be developed only from those costs which will be delivered to each addressee. Explain reproducible copies in Item 16. incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in Item 15. Enter total number of draft/final copies to be delivered. performance of the contract if no data were required. The estimated Item 16. Use for additional/clarifying information for Items 1 through data prices shall not include any amount for rights in data. The 15. Examples are: Tailoring of documents cited in Item 4; Government’s right to use the data shall be governed by the pertinent Clarification of submittal dates in Items 12 and 13;

Explanation of provisions of the contract. reproducible copies in Item 14.; Desired medium for delivery of the data item.

DD FORM 1423-1, AUG 96