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CONTRACT DAT A REQUIREMENTS LIST Form Approved
(1 Data Item) 0MB 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 0MB 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:
0004 A TDP TM OTHER MGMT--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A 00l Contractor's Progress, Status and Management Report Weekly Project Status Report
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80227* SOW Para Section 3.1, 3.2 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
Weekly 14DAC LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SEEBLK 16 SUBMISSION Draft
NIA NIA 7 days Reg Repro
16. REMARKS TPOC
Blk 4: Only steps IO. I, 10.2 and 10.3 (a) through (j) apply. COR
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of 05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents ..
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:03:31 -05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
A. CONTRACT LINE ITEM NO.
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
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 0MB 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:
0004 A TDP TM OTHER MGMT
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A002 Contracting Officer's Management Report Monthly Contract Status Report
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81864A SOW Section 3.1, C-237-W00l (Full T NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEEBLK 16 SEE BLK 16 LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA SEEBLK 16 SEE BLK 16 Reg Repro
16. REMARKS TPOC
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of COR
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of05April2019. Other request for this document shall be referred to NSWCCD Code
807.
BLOCK IO AND 11: Start and end status date same day as start and end dates on WA WF invoice submission. The frequency of this report shall match the frequency of the WA WF invoices.
BLOCK 12 AND 13: Submit report same day as submission of each WA WF invoice throughout the period of performance.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanes sa Goddard DaveM cAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:04:36-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03/03/23 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP ---
D. SYSTEM/ITEM IE. CONTRACT/PR NO.
Code 83 Waterfront Ops at V4Waterfront
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TM OTHER MGMT
F.CONTRACTOR
3. SUBTITLE
A 003 Funds and Labor Hours Expenditure Report Funds and Labor Hours Expenditure Report
4. AUTHORITY (Data Acquisition Document No./ 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-FNCL-81537* SOW Section Para 3.1 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
MNTHLY* 60DAC* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA 30DAC* Reg Repro
16. REMARKS TPOC
Blk 4: Include a incurred cost report and contractor burn rate analysis of expenditure. COR
Show cumulative, and by lowest priced level, either SLIN or CLIN. Format IA W Section J.
(The cost report & the burn rate analysis report shall either be an attachment to the monthly report or uploaded as an attachment to latest WA WF invoice submittal)
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of 05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 10, 12 and 13: Reports shall be generated as required by the Task Order and/or
Technical instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:0S:49-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
A. CONTRACT LINE ITEM NO.
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
0004 A TDP __ TM __ OTHER _______________ _
D. SYSTEM/ITEM IE. CONTRACT/PR NO.
I
F. CONTRACTOR
Code 83 Waterfront Ops at V4Waterfrontl
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER ADMN--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A004 Report/Record of Meeting/Minutes Monthly Program Management Review Record of
Meeting and Minutes
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ADMN-81505 SOW Section Para 3.1 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ* ASREQ* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA ASREQ* Reg Repro
16. REMARKS TPOC
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of COR
Defense and U.S. DoD contractors only for administrative or operational use: 05 April
2019. Other requests for this document shall be referred to: Naval Surface Warfare Center
Carderock Division, Code 807, 9500 MacArthur Blvd., Bethesda, MD 20817.
Blk 10,12,13: Distribution shall be electronically no later than 5 days following meeting as required by the Task Order or Technical Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Micro Soft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:06:54-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
ADMN
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER ADMN--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A005 Presentation Material Presentation Material
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ADMN-81373 SOW Section Para 3.1 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ* ASREQ* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA ASREQ* Reg Repro
16. REMARKS TPOC
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of COR
Defense and U.S. DoD contractors only for administrative or operational use: 05 April
2019. Other requests for this document shall be referred to: Naval Surface Warfare Center
Carderock Division, Code 807, 9500 MacArthur Blvd., Bethesda, MD 20817.
Block 10, 12 and 13. Presentation Material shall be generated one week prior to scheduled meeting date scheduled with Requiring Office as required by the Task Order or Technical
Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 20 2 3.03.0116:15:16-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
ADMN
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER MGMT--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A006 Status Report Detailed Daily Status Report Of All Projects
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80368A * SOW Section Para 3.1 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
Daily lDAC LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA Daily Reg Repro
16. REMARKS TPOC
Blk 4: only steps 2.0, 3.1, 3.2.1.a, 3.2.1.c and 3.2.1.g apply. COR
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of 05April2019. Other request for this document shall be referred to NSWCCD Code
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:16:37-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER MGMT--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A007 Technical Report-Study/Services Required Technical Reports
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B* SOW Section Para 3.1, 3.2, 4.0 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ * ASREQ * LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA ASREQ * Reg Repro
16. REMARKS TPOC
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of COR
Defense and U.S. DoD contractors only for administrative or operational use: 15 November
2019. Other requests for this document shall be referred to: Naval Surface Warfare Center
Carderock Division, Code 807, 9500 MacArthur Blvd., Bethesda, MD 20817.
Block 10, 12 and 13. Reports shall be generated when at preliminary data, interim data, and final data, as required by the Task Order or Technical Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:18:38-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER ILSS--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A008 Training Materials Required Training Material
4. AUTHORITY (Data Acquisition Document No./ 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ILSS-80872 SOW Section Para 3.1, 3.2 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ* ASREQ* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA ASREQ* Reg Repro
16. REMARKS TPOC
COR
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of 05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 10, 12 and 13. Reports shall be generated as required by the Task Order and/or
Technical Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:19:32-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
ILSS
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER MGMT--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A009 Contractor Roster Monthly Contractor Roster
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81596 SOW Section Para 3.1 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
MNTHLY* 60DAC* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA MNTHLY* Reg Repro
16. REMARKS TPOC
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of COR
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 10, 12 and 13. Reports shall be generated as required by the Task Order and/or
Technical Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:20:27-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER MGMT--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A0l0 Test/Inspection Report Equipment Maintenance, Test and Calibration
Reports
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80809B* SOW Section Para 3.1 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ* ASREQ* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA ASREQ* Reg Repro
16. REMARKS TPOC
COR
Blk 4: Report shall only address sections IO.I, 10.2.1.e, f, g, 10.2.3.1, 10.2.3.2 a through h,
10.2.3.3 a, b, and 10.2.3.4 a and b.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 10, 12 and 13. Reports shall be generated as required by the Task Order and/or
Technical Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:21:42-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER SESS--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A0ll Configuration Audit Plan Equipment installation documentation/inspection
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-81646B* SOW Section Para 3.2 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ* ASREQ* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA ASREQ* Reg Repro
16. REMARKS TPOC
COR
Blk 4: Only steps 2, 4, 5.a through 5.d, 7.a, 7.b, 7.d and 7.e apply.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 10, 12 and 13. Reports shall be generated as required by the Task Order and/or
Technical Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:22:39-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
SESS
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER MISC--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A012 Craft Test Status Report Monthly Craft Test/Status Report
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-81620* SOW Section Para 3.2 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
MNTHLY 60DAC LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA 30 days Reg Repro
16. REMARKS TPOC
Blk 4: Only 1, 2, 2.1 and 2.2 apply. COR
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of 05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:24:11-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MISC
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER ILSS--- --
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A013 Repairable Item Inspection Report Craft Damage Report
4. AUTHORITY (Data Acquisition Document No./ 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ILSS-80386* SOW Section Para 3.2 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ* ASREQ* LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA ASREQ* Reg Repro
16. REMARKS TPOC
COR
Blk 4: only steps 10.1.1.b, h and i apply.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of05April2019. Other request for this document shall be referred to NSWCCD Code
807.
Blk 10, 12 and 13. Reports shall be generated as required by the Task Order and/or
Technical Instruction.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:26:31 -05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
ILSS
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
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 0MB 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:
0004 A TDP TM OTHER MGMT--- --
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F.CONTRACTOR
Code 83 Waterfront Ops at V47
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A014 Government Furnished Property (GFP) Inventory Report GFP Quarterly Report
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80441C SOW Section Para 3.1, 4.0 NSWCCD Code 807
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEEBLK 16 SEE BLK 16 LT b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D* SUBMISSION Draft
NIA NIA SEE BLK 16 Reg Repro
16. REMARKS TPOC
BLK 4: The contractor shall utilize the MS Excel Tracking Template provided by COR
Contracting Officer's Representative. DI-MGMT-80441C shall be tailored in accordance with the following instructions:
The contractor shall only report on Government Furnished Property and should not capture
Contractor Acquired Property in this report.
Blk 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of
Defense and U.S. DoD contractors only for administrative or Operational use. Determined as of 05April2019. Other request for this document shall be referred to NSWCCD Code
807.
BLKS 10, 12 AND 13: The Government Furnished Property Baseline Report shall be provided by the contractor within three months after Task Order award. Subsequent submissions shall be provided every three months thereafter.
Blk 14: Distribution by electronic mail preferred. Reports shall be in electronic format using Microsoft Office product(s) or Portable Document Format (PDF) suitable for reproduction, with all fonts and images embedded within the documents.
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY
Vanessa Goddard DaveMcAfee GODDARD.V ANESSA.MARIE.12 DigitaJly signed by
GODDARD.VANESSA.MARIE.1274461213
01 Mar 2023 MCAFEE.DA VID.R. l 027464 Dig;t,11y ,;gno1 by
74461213 Date: 2023.03.01 16:27:44-05'00'
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
MCAFEE.DA VID.R.1027464030
Page
0 2 0
J.DATE
03103123 of Pages
Adobe Professional 8. 0
17. PRICE GROUP
D. SYSTEM/ITEM
CONTRACT DAT A REQUIREMENTS LIST
(1 Data Item)
I
B. EXHIBIT
I
C. CATEGORY:
MGMT
A TDP __ TM __ OTHER _______________ _
Code 83 Waterfront Ops at V47 I
E. CONTRACT/PR NO.
I
F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page
File details come from the government source that posted it. Updated .