CDRLS_A011-A020.pdf

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, FEB 2001 PagesPage of

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A011 Technical Report–Study/Services REWORK ITEMS LIST

DI-MISC-80508B Section 00 73 02, Subsection 4 NSWC PHD CODE 1022

LT

N/A D

MONTHLY

N/A

SEE BLK 16

SEE BLK16

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12: First Submission for Rework Items List should be the last working day of the month following the construction start date.

BLK 13: Submit subsequent Rework Items List by last working day of the following month.

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), forrest.w.linder.civ@us.navy.mil (CODE 1022-RG)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 1022-RG 1

BD33-COR 1

CODE 0231-KO 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:38:45 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 10:09:11 -07'00'

3/27/2023

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A ADMN

CONSTRUCTION SERVICES TBD TBD

A012 Meeting Minutes PERFORMANCE EVALUATION MEETING MINUTES

DI-ADMN-81250C Section 00 73 02, Subsection 8 NSWC PHD CODE 1022

LT

A D

ASREQ

N/A

SEE BLK 16

N/A

BLK 8: APP CODE A - Preliminary draft required. Government will have five (5) business days for review and signature. Vendor has up to five (5) business day to resubmit.

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12: First Submission for Performance Evaluation Meeting Minutes should be within two (2) days of first Performance Evaluation Meeting for signatures.

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), forrest.w.linder.civ@us.navy.mil (CODE 1022-RG)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1 1

CODE 1022-RG 1 1

BD33-COR 1 1

CODE 0231-KO 1 1

4 4

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:39:42 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 10:10:32 -07'00'

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A013 Technical Report–Study/Services JOINT SCOPING REVIEW

DI-MISC-80508B Section 00 73 02, Subsection 11 NSWC PHD CODE 1022

LT

N/A D

ASREQ

N/A

SEE BLK 16

N/A

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12-13: Submission for Joint Scope Review should be within three (3) business days following the site visit.

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), forrest.w.linder.civ@us.navy.mil (CODE 1022-RG)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 1022-RG 1

BD33-COR 1

CODE 0231-KO 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:40:22 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 10:48:51 -07'00'

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A014 Technical Report–Study/Services Non Pre-Priced Tasks Information

DI-MISC-80508B Section 00 73 02, Subsection 12 NSWC PHD CODE 1022

LT

N/A D

ASREQ

N/A

SEE BLK 16

SEE BLK 16

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12 and 13: Submission for the Non Pre-Priced Tasks Information should be prior to Task Orders 0001 - 0003 to establish .

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 0231-KO 1

BD33-COR 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:40:42 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 10:22:55 -07'00'

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A016 Technical Report–Study/Services Completion of Task Order/Final Release

DI-MISC-80508B Section 00 73 02, Subsection 17 NSWC PHD CODE 1022

LT

N/A D

ASREQ

N/A

SEE BLK 16

N/A

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12 and 13: Submission for the Final Release should be upon each Task Order completion and Government acceptance of the work.

The number of calendar days for Task Order completion is as follows unless the number of days is otherwise negotiated and agreed to by the Contractor and the Contracting Officer.

$2,000-$25,000 - 60 days $25,001-$100,000 - 120 days $100,001-$500,000 - 150 days Over $500,000 - 180 days (Contractor is not required to accept orders over $1.5M)

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), forrest.w.linder.civ@us.navy.mil (CODE 1022-RG)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 1022-RG 1

BD33-COR 1

CODE 0231-KO 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:42:38 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 11:01:02 -07'00'

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A017 Technical Report–Study/Services Construction Schedule

DI-MISC-80508B Section 00 73 02, Subsection 20 NSWC PHD CODE 1022

LT

N/A D

ASREQ

N/A

SEE BLK 16

N/A

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12 and 13: Submission for the Construction Schedule should be within 15 days after Task Order issuance.

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), forrest.w.linder.civ@us.navy.mil (CODE 1022-RG)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 1022-RG 1

BD33-COR 1

CODE 0231-KO 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:43:07 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 11:03:50 -07'00'

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A018 Technical Report–Study/Services Preconstruction Submittals

DI-MISC-80508B Section 00 73 02, Subsection 20 NSWC PHD CODE 1022

LT

N/A D

ASREQ

N/A

SEE BLK 16

N/A

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12 and 13: Submission for the Preconstruction Submittals should be prior to construction start date.

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), forrest.w.linder.civ@us.navy.mil (CODE 1022-RG)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 1022-RG 1

BD33-COR 1

CODE 0231-KO 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:44:04 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 11:04:51 -07'00'

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A019 Technical Report–Study/Services Work Schedule

DI-MISC-80508B Section 00 73 02, Subsection 26 NSWC PHD CODE 1022

LT

N/A D

ASREQ

N/A

SEE BLK 16

N/A

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 12: First Submission for the Work Schedule should be prior to start of the work included on the respective schedule.

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR), forrest.w.linder.civ@us.navy.mil (CODE 1022-RG)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 1022-RG 1

BD33-COR 1

CODE 0231-KO 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:44:30 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 11:07:28 -07'00'

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

16. REMARKS

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1 1

0001 A MISC

CONSTRUCTION SERVICES TBD TBD

A020 Technical Report–Study/Services LIMITATIONS ON SUBCONTRACTING

CERTIFICATION

DI-MISC-80508B Section 00 73 02, Subsection 28 NSWC PHD CODE 1022

LT

N/A D

ASREQ

N/A

SEE BLK 16

SEE BLK16

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only 18 JAN 2023. Other requests shall be referred to NSWC PHD.

BLK 10: As required if the vendor is a HUBZone Contractor.

BLK 12 and 13: Submission shall be at the end of the first 6 months after contract award and every six

(6) months thereafter.

BLK 14 &14a: Media Requirement. The report shall be delivered in Microsoft Office format (NMCI current deployed version) with E-mail notification to the following: ted.l.reed.civ@us.navy.mil (023- CS), siouzann.r.lende.civ@us.navy.mil (0231-KO), miguel.alamo4.civ@us.navy.mil (BD33-COR)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE

CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

CODE 023-CS 1

CODE 0231-KO 1

BD33-COR 1

N/A

Forrest Linder

LINDER.FORREST.WILLIAM.1545953788 Digitally signed by LINDER.FORREST.WILLIAM.1545953788 Date: 2023.03.24 12:45:01 -07'00'

3/24/2023 Wendy Doman

DOMAN.WENDY.JO.1070425692 Digitally signed by DOMAN.WENDY.JO.1070425692 Date: 2023.03.27 11:11:38 -07'00'