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This document is a DD Form 1423-1, Contract Data Requirements List, containing three required data items for a contract supporting the 2026 Low Speed Vehicle Preventive Maintenance program under Contract Number 1301379881. The requiring office is NSWC PCD Code 1021, with contractor status listed as TBD.

The three data items required are: (1) Data Item A001—Test/Inspection Report with Cost Estimate to Repair Failed Component(s), citing DI-NDTI-80809B and SOW Paragraph 3.2, requiring submission within 3 business days of equipment assessment; (2) Data Item A002—Maintenance Service Report, citing DI-MGMT-80995A and SOW Paragraph 3.3, also requiring submission within 3 business days of equipment assessment; and (3) Data Item A003—Technical Report–Study/Services with Option Year Estimate, citing DI-MISC-80508B and SOW Paragraphs 3.4 and 3.5, requiring submission within 10 business days of receipt of updated equipment list from the Government. All three data items must be delivered in Microsoft Office 11 compatible format via email with distribution to both NSWC PCD Code 1021 and NSWC PCD Code 024. Each report requires one draft copy and one final copy. The contractor must include distribution limitation statements in all technical documents and associated repair pricing with inspection and maintenance reports.

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DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 5 Pages

1161/183

CUI

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden estimate or any other aspect of this collection of 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:

A TDP X TM OTHER NDTI

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

2026 Low Speed Vehicle Preventive Maint. 1301379881 TBD

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

A001 Test/Inspection Report Cost Estimate To Repair Failed Component(s)

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

DI-NDTI-80809B SOW Paragraph 3.2 NSWC PCD Code 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE

D

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 1021 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

The Contractor shall ensure that an associated price for necessary repairs is included with the report.

Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.

Blk 12: Submit within 3 business days of equipment assessment.

Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail addresses will be provided at award.

NSWC PCD Code 024 0 1 0

15. TOTAL 0 2 0

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 5 Pages

NSWC PCD Code 1021

See Section G.

Jason Zimmerman, NSWC PCD Code 02T

See Section I.

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 5 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 this burden estimate or any other aspect of this collection of 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

A TDP TM OTHER MGMT

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

2026 Low Speed Vehicle Preventive Maint. 1301379881 TBD

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

A002 Maintenance Service Report

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

DI-MGMT-80995A SOW Paragraph 3.3 NSWC PCD Code 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 1021 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

The Contractor shall ensure that an associated price for necessary repairs is included with the report.

Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.

Blk 12: Submit within 3 business days of equipment assessment.

Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 5 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 this burden estimate or any other aspect of this collection of 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

A TDP TM OTHER MISC

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

2026 Low Speed Vehicle Preventive Maint. 1301379881 TBD

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

A003 Technical Report – Study/Services Option Year Estimate

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

DI-MISC-80508B SOW Paragraphs 3.4 and 3.5 NSWC PCD Code 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 1021 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.

Blk 12: Submit within 10 business days of receipt of updated equipment list from the Government.

Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 5 Pages

File details come from the government source that posted it. Updated .