CDRLs - Catapults 1 and 3 - Fluid Remediation - SOLICITATION.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

CONTRACT/PR N0. N42158-23-TBD

CVN 75 CATAPULTS 1 & 3 FLUID REMEDIATION

TABLE OF CONTENTS

ITEM SUBTITLE

A001 PROGRESS REPORT

A002 CERTIFICATION DATA REPORT

CVN 75 CATAPULTS 1 & 3 FLUID REMEDIATION

G. PREPARED BY

R. Kevin Williams

H. DATE

05/18/23

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to 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.

0001 & 0002

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER MGMT 1

D. SYSTEM/ITEM

CVN 75- CATAPULTS 1 AND 3 FLUID

REMEDIATION

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A001

2. TITLE OF DATA ITEM

CONTRACTOR’S PROGRESS AND STATUS REPORT

3. SUBTITLE

PROGRESS REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81928

5. CONTRACT REFERENCE

SOW, PARA 3.10

6. REQUIRING OFFICE

NNSY, CODE 263

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

(SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) ( 9 JUNE 2023). OTHER REQUESTS SHALL BE REFERRED TO POC AT

NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORT SHALL BE SUBMITTED. DAILY UNTIL WORK IS COMPLETED.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

ADDRESSEE LIST:

NNSY 263:

TO BE DETERMINED

NNSY C400:

TO BE DETERMINED

NNSY C263 0 2 0

NNSY C400 0 1 0

15. TOTAL 0 3 0

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

CVN 75 CATAPULTS 1 & 3 FLUID REMEDIATION

G. PREPARED BY

R. Kevin Williams

H. DATE

05/18/23

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to 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.

0001 & 0002

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER MISC 1

D. SYSTEM/ITEM

CVN 75- CATAPULTS 1 AND 3 FLUID

REMEDIATION

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

CERTIFICATION DATA REPORT

3. SUBTITLE

CERTIFICATION REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-MISC- 82386

5. CONTRACT REFERENCE

SOW, PARA 3.13

6. REQUIRING OFFICE

NNSY, CODE 263

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

(SEE BLK 16)

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (9 JUNE 2023). OTHER REQUESTS SHALL BE REFERRED TO POC AT

NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13 REPORTS IAW PARAGRAPH 3.11 OF SOW SHALL BE SUBMITTED

ONE (1) TIME WITHIN ONE (2) DAYS AFTER RESULTS ARE KNOWN.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

ADDRESSEE LIST:

NNSY 263:

TO BE DETERMINED

NNSY C400:

TO BE DETERMINED

NNSY C263 0 1 0

NNSY C432 0 1 0

15. TOTAL 0 2 0

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE