CDRL Form - Exhaust Fans C2 C4 C5 - 11_30_2024 DRAFT - Copy.pdf

Statement of Work (SOW) Contract Data Requirements List (DD 1423s)

TITLE

FRCSW, Building 472

Date 11/30/2024

APN - EXHAUST FANS C2, C4, C5

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 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 thus burden estimate or any other aspect of this collection o f 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:

N/A TDP X TM OTHER

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

Exhaust Fans C2, C4, C5 N68520-24-RFPREQ-KN00000-0145

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

GROUP

A001 Technical Data Package (TDP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL

PRICE

DI-SESS-80776B

Section 3.3; 7.1 FRCSW

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 1 TIME 30DAC b. COPIES

8. APP CODE D 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE DRAFT FINAL

N/A N/A N/A TPOC Reg Repr o

16. REMARKS FRCSW TPOC 1

Block 4: Deliverable shall be in Microsoft Office file format (i.e. 2016 Microsoft Word, Excel, PowerPoint, and Project) and must be completely accessible (including formulas) to the Government. Forms, letters, and signed documents shall be in fully searchable Portable Document Format (.pdf) file. Use of other electronic file formats will be rejected. Data deliverables are not proprietary and shall not be marked as proprietary.

The Contractor shall provide three (3) hard copies and one (1) electronic copy to the TPOC.

This deliverable shall include all engineering drawings, operator manuals, diagnostic procedures, preventative maintenance, and software manuals.

Block 9: Use Distribution Statement D: Distribution authorized to U.S. Government Agencies and their Contractors administrative or operational use. Other requests shall be referred to Materials Engineering Laboratory, Fleet Readiness Center Southwest (FRCSW), NAS North Island, San Diego, CA.

Block 14: Administrative and Technical Data deliverables shall not be marked proprietary nor be marked with any other non-conforming or unjustified markings. See DFARS 252.227-7013, Right in Technical Data - Noncommercial Items, and DFARS 252.227-7015, Technical Data - Commercial Items.

15. Total

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

Khoi A. Nguyen 11/30/2024 William K. Fields 11/30/2024

DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 1 of 7 Pages

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 thus burden estimate or any other aspect of this collection o f 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:

N/A TDP TM OTHER

X

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

GROUP

A002 Safety Assessment Report (SAR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL

PRICE

DI-SAFT-80102

Section 3.6 FRCSW

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD OTME (1 TIME) 30DAC b. COPIES

8. APP CODE D 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE DRAFT FINAL

N/A N/A N/A TPOC Reg Repr o

16. REMARKS FRCSW TPOC 1

Block 4: Deliverable shall be in Microsoft Office file format (i.e. 2016 Microsoft Word, Excel, PowerPoint, and Project) and must be completely accessible (including formulas) to the Government. Forms, letters, and signed documents shall be in fully searchable Portable Document Format (.pdf) file. Use of other electronic file formats will be rejected. Data deliverables are not proprietary and shall not be marked as proprietary.

Block 9: Use Distribution Statement D: Distribution authorized to U.S. Government Agencies and their Contractors administrative or operational use. Other requests shall be referred to Materials Engineering Laboratory, Fleet Readiness Center Southwest (FRCSW), NAS North Island, San Diego, CA.

3.6 - Safety and Health Requirements: All parts, components, mechanisms, and assemblies furnished on the C2, C4 and C5 fans, whether or not specifically required herein, shall comply with all of the requirements of references cited in paragraphs 2.1.1a, 2.1.3a, 2.1.3b, and 2.2.2c. The Contractor shall provide a Safety and Health plan, and more importantly shall follow all applicable Federal, State, County and local laws related to worker safety and health.

DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 2 of 7 Pages

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 thus burden estimate or any other aspect of this collection o f 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:

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

GROUP

A003 Acceptance Verification Procedure

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL

PRICE

OT-25-20007 Section 4.11 FRCSW

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 1 TIME 30DAC b. COPIES

8. APP CODE D 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE DRAFT FINAL

N/A N/A N/A TPOC Reg Repr o

16. REMARKS TPOC 1

4.11 - Acceptance 4.11.1 4.11.2

Block 4: Deliverable shall be in Microsoft Office file format (i.e. 2016 Microsoft Word, Excel, PowerPoint, and Project) and must be completely accessible (including formulas) to the Government. Forms, letters, and signed documents shall be in fully searchable Portable Document Format (.pdf) file. Use of other electronic file formats will be rejected. Data deliverables are not proprietary and shall not be marked as proprietary.

Block 9: Use Distribution Statement D: Distribution authorized to U.S. Government Agencies and their Contractors administrative or operational use. Other requests shall be referred to Materials Engineering Laboratory, Fleet Readiness Center Southwest (FRCSW), NAS North Island, San Diego, CA.

Block 12: The Contractor shall submit the initial ATP thirty (30) calendar days after contract award for Government review and approval.

Block 14: Administrative and Technical Data deliverables shall not be marked proprietary nor be marked with any other non-conforming or unjustified markings. See DFARS 252.227-7013, Right in Technical Data

- Noncommercial Items, and DFARS 252.227-7015, Technical Data - Commercial Items.

DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 3 of 7 Pages

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 thus burden estimate or any other aspect of this collection o f 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:

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

GROUP

A004 Weight Handling Procedures

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL

PRICE

0T-24-20069 Section 6.1 FRCSW

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 1 TIME 30DAC b. COPIES

8. APP CODE A 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE DRAFT FINAL

N/A N/A N/A TPOC Reg Repr o

16. REMARKS TPOC 1

6.1 - Weight Handing Requirements:

--- "Contractor Crane or Rigging Operation Checklist, Lift Plan" --- "Lift Plan Certificate of Compliance"

Block 4: Deliverable shall be in Microsoft Office file format (i.e. 2016 Microsoft Word, Excel, PowerPoint, and Project) and must be completely accessible (including formulas) to the Government. Forms, letters, and signed documents shall be in fully searchable Portable Document Format (.pdf) file. Use of other electronic file formats will be rejected. Data deliverables are not proprietary and shall not be marked as proprietary.

Block 8: Contractor will provide the TPOC with a Certificate of Compliance (COC).

Contractor is required to fill out the COC with the Technicians name, signature, and date of service completion. FRCSW TPOC will review and countersign the COC and provide a signed copy of the COC to the Contractor prior to End of Contract.

Block 14: Distribution shall be via Email. Email notification shall be delivered to the

FRCSW.

Requirements:

1. Reference Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

2. Format. Use format as defined below. If the element does not apply to the platform or project, annotate as Not Applicable for that paragraph.

3. Content. The Weight Handling Procedures shall include the following:

3.1. The contract number.

3.2. Date.

3.3. The specific type, class, etc. of weight handling equipment to be used for the delivery and installation of the Exhaust Fans.

3.4. A Lift Plan and Certification that is in compliance with NAVFAC P-307 (June 2016) with applicable sections 11, 14, and Appendix P.

DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 4 of 7 Pages

DISTRIBUTION STATEMENT ON TECHNICAL DOCUMENTS

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 thus burden estimate or any other aspect of this collection o f 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:

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

GROUP

A005 Key Events Schedule (POA&M)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL

PRICE

DI-MGMT-81791 Section 7.0 FRCSW

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 1 TIME 30DAC b. COPIES

8. APP CODE D 11. ASN/A OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE DRAFT FINAL

N/A N/A N/A TPOC Reg Repr o

16. REMARKS FRCSW TPOC 1

7.0 - Post Award: “The Government shall conduct a post award conference with the Contractor to verify information for a Plan of Action and Milestones (POA&M) report to identify dates for Contractor performance of all major events, from the time of contract award to final completion of all the contractual requirements. The report and its data must be reviewed and approved by the TPOC. The Contractor shall be notified prior to any changes being made to the POA&M. TPOC and Contracting Officer (KO) shall approve all changes prior to the changes being made by TPOC.”

Block 4: Deliverable shall be in Microsoft Office file format (i.e. 2016 Microsoft Word, Excel, PowerPoint, and Project) and must be completely accessible (including formulas) to the Government. Forms, letters, and signed documents shall be in fully searchable Portable Document Format (.pdf) file. Use of other electronic file formats will be rejected. Data deliverables are not proprietary and shall not be marked as proprietary.

Block 9: Use Distribution Statement D: Distribution authorized to U.S. Government Agencies and their Contractors administrative or operational use. Other requests shall be referred to Materials Engineering Laboratory, Fleet Readiness Center Southwest (FRCSW), NAS North Island, San Diego, CA.

Blocks 10 and 12: Contractor is required to provide the Government the Key Events Schedule or the Plan of Action Milestones (POA&M) one time, thirty (30) days after contract award.

DD FORM 1423-1, JUN 90 (EG) Previous editions are obsolete Page 5 of 7 Pages

The purpose of this supplement attachment is to establish procedures for marking technical documents, including production, engineering and logistics information, to denote the extent to which they are available for distribution, release, and dissemination without additional approvals or authorizations.

Distribution covers all engineering drawings, standards, specifications, technical manuals, blueprints, drawings, plans, instructions, computer software and documentation, and other technical information that can be used or be adapted for use to design, engineer, produce, manufacture, operate, repair, overhaul, or reproduce any military or space equipment or technology concerning such equipment.

The distribution statement markings shall be mandatory for all technical documents, including such informal documents as working papers, memoranda, and preliminary reports if those documents are not already in the public domain and if they are likely to be disseminated outside of the Department of Defense.

The distribution statement shall be displayed conspicuously on technical documents so as to be recognized readily by recipients.

The following shall apply for standard written or printed material:

1. The distribution statement shall appear on each front cover, title page, and DD Form 298 “Report Documentation Page”.

2. When practicable, the abstract of the document, the DD Form 1423 and bibliographic citations shall be written in such a way that the information will not be subject to distribution statement B.

If the technical information is not prepared in the form of an ordinary document and does not have a cover or title page (such as forms and charts), the applicable distribution statement shall be stamped, printed, written, or affixed by other means in a conspicuous position.

A distribution statement marking is distinct from and in addition to a security classification marking.

DISTRIBUTION STATEMENT DEFINITIONS:

1. DISTRIBUTION STATEMENT A. Approved for public release, distribution is unlimited.

2. DISTRIBUTION STATEMENT B Distribution authorized to Department of Defense (DoD) and U.S.

DoD contractors only. Other requests for this document shall be referred to FRCSE Counsel via Process Engineer and the Contracting Office.

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