DRAFT DD1423 CDRLS_11.16.2021 (v2)_NTC.docx

DOCX document 156 KB Posted

Attached to
H-53 Depot Level Modifications IDIQ Federal contract opportunity
Solicitation number
N0001922R0044
Issued by
Department of the Navy Naval Air Systems Command

About this file

This document package includes a draft solicitation and related Contract Data Requirements List (CDRL) for depot-level modifications to H-53 aircraft.

The Navy seeks to award an indefinite-delivery/indefinite-quantity contract through full and open competition as a small business set-aside. Work includes non-recurring and recurring efforts to fabricate, assemble, integrate, install, and support engineering changes to designated aircraft. An industry day was held on December 7, 2021 to provide information and collect questions. The final date for advanced questions was December 2, 2021. The draft solicitation is expected to be released in the second quarter of fiscal year 2022.

The CDRL lays out requirements for data items to be delivered under the contract. It identifies nine CDRL line items including integrated program management reports, conference minutes, scientific and technical reports, a transition plan, ground operations procedures, performance and cost reports, technical reports, engineering change documentation, and certificates of conformance. Submission details, distribution statements, and delivery methods are provided for each required data item.

View the file

Other files for this federal contract opportunity

Other files attached to H-53 Depot Level Modifications IDIQ, newest first.
File Type Posted
N0001922R0044 Q_A RFP Amendment 3.xlsx XLSX spreadsheet
Attachment_L4_CostPrice Summary Table_2ndDraft.xlsx XLSX spreadsheet
Attachment_L5_Other Entity Cost Summary_2ndDraft.xlsx XLSX spreadsheet
Attachment_L6_Section B CLINs and Prices_2ndDraft.docx DOCX document
DRAFT Exhibit_A_DD1423_CDRLS_2ndDraft.docx DOCX document
Summary of Changes_2ndDraft.docx DOCX document
Attachment_L8_Offeror_Information_Table_2ndDraft.xlsx XLSX spreadsheet
Enclosure_(4)_Blank_Engineering_Action_Chit_2ndDraft.pdf PDF
Draft N001922R0044_2ndDraft.docx DOCX document
Attachment_1_SOW_DEPOTMODIDIQCOMP_2ndDraft.docx DOCX document
Enclosure (1) H53 Depot Mod FY Schedule and Locations_2ndDraft.xlsx XLSX spreadsheet
Enclosure_(3)_GfpAttachmentTemplate_2ndDraft.pdf PDF
Attachment_L2_Corporate Experience Table T1_T2_2ndDraft.xlsx XLSX spreadsheet
Attachment_L3_Contract Reference Experience Tables_2ndDraft.xlsx XLSX spreadsheet
Attachment_L4_CostPrice Summary Table_2ndDraft.xlsx XLSX spreadsheet
Attachment_L5_Other Entity Cost Summary_2ndDraft.xlsx XLSX spreadsheet
Attachment_L7_Proposed_Additional_GFP_Requirements_2ndDraft.xlsx XLSX spreadsheet
Enclosure_(5)_Over_and_Above_Work_Request_2ndDraft.docx DOCX document
Attachment_4_N00019-22-R-0044_BID_DD254_signed_2ndDraft.pdf PDF
Attachment_L1_TechLibraryContents_2ndDraft.xlsx XLSX spreadsheet
Attachment_L9_Business_System_Status_2ndDraft.xlsx XLSX spreadsheet
N0001922R0044 IndustryDay 2 Brief.pptx PPTX presentation
Attachment_L5_CostPrice Summary Table 4-27-22.xlsx XLSX spreadsheet
Attachment_L4_CostPrice Summary Table 4-27-22.xlsx XLSX spreadsheet
Enclosure (2) SOW_TD Alignment.xlsx XLSX spreadsheet
Draft N0001922R0044_4-20-22.docx DOCX document
Attachment_L5_CostPrice Summary Table.xlsx XLSX spreadsheet
Attachment_L4_CostPrice Summary Table.xlsx XLSX spreadsheet
Attachment_L1_TechLibraryContents.xlsx XLSX spreadsheet
DRAFT Exhibit_A_DD1423_CDRLS.docx DOCX document
Attachment_L2_Corporate Experience Table T1_T2.xlsx XLSX spreadsheet
Enclosure (3)_GfpAttachment.pdf PDF
Attachment_4_N00019-22-R-0044_BID_DD254_signed.pdf PDF
Attachment_L7_Proposed_Additional_GFP_Requirements.xlsx XLSX spreadsheet
Attachment_L8_Offeror_Information_Table.xlsx XLSX spreadsheet
Attachment_L3_Contract Reference Experience Tables.xlsx XLSX spreadsheet
Enclosure_(4)_Blank_Engineering_Action_Chit.pdf PDF
Enclosure (1) H53 Depot Mod FY Schedule and Locations.xlsx XLSX spreadsheet
Attachment_3_ Labor Categories_ Rates.xlsx XLSX spreadsheet
Attachment_1_SOW_DEPOTMODIDIQCOMP.docx DOCX document
Enclosure_(6)_TechLibraryContents.xlsx XLSX spreadsheet
Enclosure_(5)_Over_and_Above_Work_Request.docx DOCX document
QA N0001922R0044 Form.xlsx XLSX spreadsheet
Attachment L6_Section B CLINs and Prices.docx DOCX document
N0001922R0044 Industry Day QA.xlsx XLSX spreadsheet
Draft Section B_NTC (1).xlsx XLSX spreadsheet
Draft N0001922R0044.docx DOCX document
Enclosure (X) H53 Depot Mod FY Schedule and Locations 24 Nov 21.xlsx XLSX spreadsheet
CUI_STATEMENT OF WORK_DEPOTCOMP_DRAFT FOR INDUSTRY DAY 24 Nov 21 (1).docx DOCX document
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Text version

DD Form 1423-1, 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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

C. CATEGORY:

TDP ____ TM ____ OTHER MGMT

D. SYSTEM/ITEM

CH-53

E. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

INTEGRATED PROGRAM MANAGEMENT DATA AND ANALYSIS REPORT (IPMDAR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DI-MGMT-81861C

5. CONTRACT REFERENCE

SOW Para 3.14.1.1, 3.14.1.2, 3.14.7.5

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

(See Block 16)

b. COPIES

16. REMARKS

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 10: Monthly submissions due 15 calendar days after the end of each month.

Block 13: The Government shall have 30 days for review and approval/disapproval. Revisions, if required, shall be submitted no later than 30 days after receipt of Government comments.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

DRAFT

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

D. CATEGORY:

TDP ____ TM ____ OTHER MISC

D. SYSTEM/ITEM

F. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Conference Minutes

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

DI-ADMIN-81250C

5. CONTRACT REFERENCE

SOW Para 3.14.2, 3.14.11

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

b. COPIES

16. REMARKS

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 12: Deliverable shall be submitted by the close of the business day one day prior to the initial weekly meeting via email of the first week of contract full performance. The day of the week to be determined by joint agreement between the government and the Contractor.

Block 13: Deliverable shall be submitted by the close of the business day one day prior to the weekly meeting via email. The day of the week to be determined by joint agreement between the government and the Contractor.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

E. CATEGORY:

D. SYSTEM/ITEM

G. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SRM PHASE 2

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

DI-MISC-80711A

5. CONTRACT REFERENCE

SOW Para 3.14.3

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

45 DAC

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

b. COPIES

16. REMARKS

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 11: Contractor shall deliver the monthly Program Management Report on the 15th of each month, summarizing the previous months activities.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

F. CATEGORY:

D. SYSTEM/ITEM

H. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

TRANSITION PLAN PHASE-OUT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

DI-MGMT-81945

5. CONTRACT REFERENCE

SOW Para 2.8.6.2

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

One/R

12. DATE OF FIRST SUBMISSION

60 DAC

14. DISTRIBUTION

8. APP CODE

A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

b. COPIES

16. REMARKS

Block 7: Government has five days after submission to review and provide comments or actions. Contractor shall have two days to update and resubmit final report.

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

G. CATEGORY:

D. SYSTEM/ITEM

I. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Technical Support – Study/Services

3. SUBTITLE

Contractor’s Ground Operation Procedures

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

DI-QCIC-81794A

5. CONTRACT REFERENCE

SOW Para 2.8.7

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

30 DAC

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

8. APP CODE

A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

b. COPIES

16. REMARKS

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

H. CATEGORY:

D. SYSTEM/ITEM

J. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Performance and Cost Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

DI-FNCL-80912

5. CONTRACT REFERENCE

SOW Para 2.8.8

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

QRTLY

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

QRTLY

b. COPIES

16. REMARKS

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

I. CATEGORY:

D. SYSTEM/ITEM

K. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Technical Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Para 2.8.9

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

BI-WE

12. DATE OF FIRST SUBMISSION

15 DAC

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

BI-WE

b. COPIES

16. REMARKS

Block 4: The format, content, and intended use information for the data deliverable required by the Statement of Work Paragraph.

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

J. CATEGORY:

D. SYSTEM/ITEM

L. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A00A

2. TITLE OF DATA ITEM

Technical Report

3. SUBTITLE

Draft Engineering Action Chit

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

5. CONTRACT REFERENCE

SOW Para 2.9.1

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

b. COPIES

16. REMARKS

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 10: In the event of changes to the previously approved procedures, the Contractor shall submit updated versions to the Government for review and acceptance.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

K. CATEGORY:

D. SYSTEM/ITEM

M. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A00B

2. TITLE OF DATA ITEM

Validation (VAL)/Verification (VER)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

5. CONTRACT REFERENCE

SOW Para 2.9.1

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

b. COPIES

16. REMARKS

Block 4: Contractor shall complete 5515/12 Verification/Certification form.

Block 9: Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 10: In the event of changes to the previously approved procedures, the Contractor shall submit updated versions to the Government for review and acceptance.

Block 13: Submit subsequent inventory reports as required with Technical Directives.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(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 source, gathering and maintaining the data needed, and completing and reviewing the collection of information. Sent 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.

TBD

B. EXHIBIT

TBD

L. CATEGORY:

D. SYSTEM/ITEM

N. CONTRACT/PR NO.

N0001922R0044

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A00C

2. TITLE OF DATA ITEM

Certificate of Conformance

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)17. PRICE GROUP

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW Para 2.10

6. REQUIRING OFFICE

PMA-261

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

N/A

D (See Block 16)
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

b. COPIES

16. REMARKS

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (INSERT CUI REASON) (INSERT DATE OF DETERMINATION). OTHER REQUESTS SHALL BE REFERRED TO (INSERT CONTROLLING DoD OFFICE, normally: PROGRAM EXECUTIVE OFFICER, AIR ASW ASSAULT AND SPECIAL MISSION PROGRAM (PMA261), 47123 Buse Road, Bldg 2272, Room 155 Patuxent River, MD 20670 PATUXENT RIVER, MD).

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 CONTROL REFORM ACT OF 2018 (TITLE 50, U.S.C., CHAPTER 58, SEC. 4801-4852). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE SHALL BE IAW DODI 5230.24, ENCLOSURE 3, PARAGRAPH 17.

Block 12 & 13: Submissions are required with each Aircraft delivery. Additional submissions are required if the data is revised by the Contractor. Subsequent submissions shall be delivered no later than seven working days after revision or Government request.

Block 14: This deliverable shall be submitted in digital IAVA scanned format compatible with Navy Marine Corps Intranet (https://www.homeport.navy.mil/services/ngen-core-build ); one copy as Adobe Acrobat Document Format (PDF) and one copy of Technical document shall be provided in Microsoft Office 2010 compatible format. The encrypted Deliverables shall be provided to PMA 261 DM via DoD SAFE (Secure Access File Exchange) ( https://safe.apps.mil), with notification email of CDRL availability to CH-53K Data Manager at the following email address: PMA261_DM@navy.mil. Alternatively, in absence of authenticated CAC user at CONTRACTOR XXX Data Management, PMA261 DM will perform the file request from CONTRACTOR XXX, via DOD SAFE, after receipt of email notification.

a. ADDRESSEE

FINAL

Reg
Repro
(See Block 16)
1
1
0
15. TOTAL
1
1
0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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