Exhibit A_CDRLs_08032023.pdf

PDF 6 MB Posted

Attached to
Operation and Maintenance of the Emergency Ship Salvage Material System
Solicitation number
N0002423R4304
Issued by

About this file

This document package contains contract data requirement lists (CDRLs) and data item descriptions (DIDs) for a solicitation to provide operation and maintenance services for the Emergency Ship Salvage Material System. Key requirements include weekly status reports, monthly progress reports, a notice of 75% incurred costs, cost estimates in response to delivery orders within 72 hours, a post-training and operations report, and certified statements of cost. The Navy Naval Sea Systems Command is the contracting agency. Response due dates and delivery methods are provided for each required report.

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N0002423R4304_Q and A_01022024.docx DOCX document
N0002423R4304_Q and A_12042023.docx DOCX document
N00024-23-R-4304-0003.pdf PDF
N00024-23-R-4304-0003_CONFORMED.pdf PDF
N0002423R4304_Q and A_12012023.docx DOCX document
N0002423R4304_Q and A_11222023.docx DOCX document
N00024-23-R-4304-0002_CONFORMED.docx DOCX document
J-1 Scheduled Personnel Labor Rates_11162023.xlsx XLSX spreadsheet
N0002423R4304_Q and A_11172023.docx DOCX document
N00024-23-R-4304-0002.docx DOCX document
J-2 Scheduled Personnel Qualifications and Key Personnel_10252023.docx DOCX document
L-2 Cost-Price Proposal Data_10252023.xlsx XLSX spreadsheet
N00024-23-R-4304-0001.docx DOCX document
N0002423R4304_Q and A_10252023.docx DOCX document
N00024-23-R-4304-0001_CONFORMED.docx DOCX document
J-1 Scheduled Personnel Labor Rates_10252023.xlsx XLSX spreadsheet
Terms of Use N00024-23-R-4304.pdf PDF
N0002423R4304_Site Visit Registration_R1.docx DOCX document
L-2 Cost-Price Proposal Data_09202023.xlsx XLSX spreadsheet
N0002423R4304_Site Visit Registration.docx DOCX document
J-4 Wage Determinations_09282023.pdf PDF
J-2 Scheduled Personnel Qualifications and Key Personnel_09262023.docx DOCX document
J-5 Government Furnished Property_09282023.xlsx XLSX spreadsheet
J-3 Draft DD254_03292023.pdf PDF
N00024-23-R-4304.docx DOCX document
J-1 Scheduled Personnel Labor Rates_09282023.xlsx XLSX spreadsheet
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DATA ITEM DESCRIPTION

Title: Contract Summary Report

Number: DI-ADMN-80447A Approval Date: 08 NOV 2006 AMSC Number: 7625 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: NS/DA02 Applicable Forms: N/A

Use/relationship:

This report summaries all work performed under the contract.

This Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

This DID supersedes DI-ADMN-80447.

Requirements:

1. Reference documents. None.

2. Format. The report shall be prepared in contractor’s format.

2.1 It shall be typewritten and is to be duplicated in non-fading ink.

2.2 The data indicated below shall be contained on the title page:

2.2.1 Type of Report, Final

2.2.2 Purchase Description Title

2.2.3 Contract Number

2.2.4 Dates of the Reporting Period

2.3 Security classification and distribution limitation markings shall be included on all pages.

3. Content.

DI-ADMN-80447A

3.1 Table on Contents.

3.2 Brief summary of all work accomplished, to include both negative and positive results. All information shall be referenced to the appropriate Progress Report, or section of the Final Report, where the subject is discussed in detail.

3.3 The body of the report shall describe all work accomplished, including as applicable, theoretical studies, experimental work mechanical design, theory of operation, test procedures, test results, and those drawings, charts, graphs, illustrations, or other material needed to clarify the presentation.

3.4 When test equipment has been designed and constructed for use on this contract, a listing of all such equipment is to be included. This listing shall include all related drawings and associated lists. It shall be referenced in the report and included as an appendix.

3.5 Conclusions, recommendations, and proposals.

3.6 Appendixes for any necessary tables, references, photographs, charts, and illustrations.

4. END OF DI-ADMN-80447A

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 (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 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

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A MGMT

ESSM / OPERATIONS SUPPORT TBD TBD

A004 CONTRACTOR'S PROGRESS AND STATUS REPORT WEEKLY STATUS REPORT

TBD NAVSEA 00C

LT

A B

MONTHLY

SEE BLK 16

SEE BLK 16

SEE BLK 16

00C1 0 1 0 00C12A 0 1 0 00C2 0 1 0

00C2 PM 0 1 0

00C3 0 1 0

00C3 PM 0 1 0

00C5 0 1 0

00C5 PM 0 1 0

0 8 0

BLK 4: See NAVSEA SUPSALV format

BLK 8: The Government will have ten (10) days after receipt for review and comment.

BLK 9: IAW DOD 5230 Security Manual: DISTRIBUTION STATEMENT B:

Distribution authorized to US Government agencies only for (Administrative or Operational use) (as of 08-03-2012). Other requests for this document shall be referred to NAVSEA 00C, WNY, Washington DC.

BLK 11, 12 and 13: This report is due on the Friday of each week. When the Friday is a holiday, the report shall be submitted on the following work day.

BLK 14: Media Requirement: Submission shall be delivered in Adobe Acrobat (pdf) via email.

Tina K. Bender Thomasina Robinson-Gore

Adobe Professional 8.0

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

TBD A MGMT

ESSM / OPERATIONS SUPPORT TBD TBD

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 (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 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

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A MGMT

ESSM / OPERATIONS SUPPORT TBD TBD

A005 CONTRACTOR'S PROGRESS AND STATUS REPORT MONTHLY STATUS REPORT

DI-MGMT-81928 TBD NAVSEA 00C

LT

A B

MONTHLY

SEE BLK 16

SEE BLK 16

SEE BLK 16

00C1 0 1 0 00C12A 0 1 0 00C2 0 1 0

00C2 PM 0 1 0

00C3 0 1 0

00C3 PM 0 1 0

00C5 0 1 0

00C5 PM 0 1 0

0 8 0

BLK 4: 2.4, 2.5.c, 2.6, 2.7 do not apply.

BLK 8: The Government will have ten (10) days after receipt for review and comment.

BLK 9: IAW DOD 5230 Security Manual: DISTRIBUTION STATEMENT B:

Distribution authorized to US Government agencies only for (Administrative or Operational use) (as of 08-03-2012). Other requests for this document shall be referred to NAVSEA 00C, WNY, Washington DC.

BLK 11, 12 and 13: This report is due on the tenth (10th) day of each month. When 10th day of the month is a Saturday, Sunday, or Federal Government holiday, the report shall be submitted on the following work day.

BLK 14: Media Requirement: Submission shall be delivered in Adobe Acrobat (pdf) via email.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

TBD A MGMT

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data

Title: CONTRACTOR’S PROGRESS AND STATUS REPORT

Number: DI-MGMT-81928 Approval Date: 20130701 AMSC Number: N9391 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: SH/PEO IWS F Applicable Forms: N/A

Use/Relationship: Contractor’s Progress, Status and Management Report provides the progress of work and the status of the Program and assigned task, report cost and informs management of existing or potential problem areas.

This Data Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

Requirements:

1. Format. The Contractor’s Progress and Status Report shall be in format similar to that of Figures 1, 2 and 3 of this DID.

2. Content. The report shall contain a cover sheet identifying the following:

a. Title of the Report

b. Contractor’s name and address

c. Contract Number

d. Date of report and period by the report

e. Data Item Number listed on the CDRL DD FORM 1423-1

2.1. Results positive or negative obtained related to previously identified problem areas, with conclusions and recommendations shall be identified.

2.2. Any significant changes to the contractor’s organization or method of operation, to the project management network, or to the milestones shall be included.

2.3. Problem areas affecting cost elements, technical or scheduling elements, with background and any recommendations for solutions beyond the scope of the contract shall also include the following items:

a. Funding Issues

(1) Shortfalls

(2) Overfunding

b. Task Area Issues

DI-MGMT-81928

2.4. The report shall contain cost curves showing actual projected conditions throughout the contract and any cost incurred for the reporting period and total contractual expenditures as of the reporting date.

2.5. The report shall contain Man-hours expended for the reporting period and cumulatively for the contract for the following areas:

a. Trip(s) outside the local area, site visited and purpose.

b. Contract schedule status.

c. Plans for activities during the following reporting period.

d. Name and telephone number of signer of the report.

e. Appendixes for any necessary tables, references, photographs, illustrations, and charts.

2.6 The report shall contain all of the information specified in Figure 3, and shall identify Employee movement, color coded/highlighted in comments column.

2.7. The report shall contain also all of the information specified in Figures 1, 2, and 3.

2.8. The report shall identify the following:

a. Title i.e.: Professional Support Services for the Program Executive Office (PEO)

Integrated Warfare System (IWS)

b. Contract Number

c. Latest Contract Modification (# and Date)

d. Period of Performance

e. Reporting Period

f. Contractor’s POC

g. Government PM

h. Government COR

2.5 Financial/Labor Data. The report shall contain all of the information contained to Figure 1 including:

a. Contract Value

b. Funded to date

c. Cost of work performed during period (period to be defined as CY)

d. Planned travel for the upcoming Calendar Month to include location, number of contractor personnel and purpose.

e. Actual: Monthly Hours Burned by each contractor/employee

f. Invoice Date/Amount/Number

3. End of DI-MGMT-81928.

DI-MGMT-81927

Task Sub-task Nr. Task Description Customer Name/Employee Labor or ODCs

(Fully Burdened) Value Funded to Date

Funding Required to End of CY

(Cost)

Funding Required to End of CY (Fixed Fee)

Funding Required to End of CY

(Total) ACTUAL: Mthly Hours Burned Invoice Number Invoiced Amount Invoiced To Date

Red indicates costs have exceeded funding

Yellow indicates costs are close to exceeding funding.

1.1

3.1

Totals

Page 3 of 5 Pages

FINANCIAL/LABOR HOUR DATA BY TASK- FIGURE 1

WORK COMPLETED BY TASK

CLIN/SLIN ACRN PR Number Ref Doc/ACRN MOD Appropriation Subhead OBJ PARM RFM AAA TT PPA Project Unit Funded Expended Balance

Totals $ - $ - $

Totals $ - $ - $

Totals $ - $ - $

Totals $ - $ - $

Totals $ - $ - $

Totals $ - $ - $

Grand Totals

Page 4 of 5 pages

WORK COMPLETED BY CLIN/SLIN - FIGURE 2

STAFFING PLAN - FIGURE 3

NAME/EMPLOYEE LABOR TASK AREA CONTRACTOR / COMPANY GOVERNMENT FTE HOURS COMMENT

CATEGORY SUPPORTED SUBCONTRACTOR NAME SITE

Page 5 of 5 pages

Task 1 -

Task 2 -

Task3 -IWS Technical - Provide Support to PEO IWS Advanced Technology

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 (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 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

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A OT

ESSM / OPERATIONS SUPPORT TBD TBD

A006 COST ESTIMATE N/A

OT-23-XXX (draft) TBD NAVSEA 00C

LT

A B

ASREQ

N/A

SEE BLK 16

SEE BLK 16

00C1 0 1 0 00C12A 0 1 0 00C2 0 1 0

00C2 PM 0 1 0

00C3 0 1 0

00C3 PM 0 1 0

00C5 0 1 0

00C5 PM 0 1 0

0 8 0

BLK 8: Approval shall be for administrative content and format. The Government has five

(5) days upon initiation of Delivery Order to review.

BLK 9: IAW DOD 5230 Security Manual: DISTRIBUTION STATEMENT B:

Distribution authorized to US Government agencies only for (Administrative or Operational use) (as of 08-03-2012). Other requests for this document shall be referred to NAVSEA 00C, WNY, Washington DC.

BLK 10, 12, 13: Submission of the cost estimate will be no longer than seventy-two (72) hours after the contractor receives notification from the Government of potential tasking via a Delivery Order issued under this contract.

BLK 14: Media Requirement: Submission shall be delivered in Adobe Acrobat (pdf) via email.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

TBD A OT

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data

Title: Cost Estimate

Number: OT-23- Approval Date: Draft AMSC Number: N/A Limitation:

DTIC Applicable: N/A Preparing Activity: SH/SEA 00C Contract/PR Number:

Applicable Forms: N/A

GIDEP Applicable: N/A Project Number:

Use/relationship: The Cost Estimate provides the government with written estimate of cost relating to potential contract taskings under a delivery order.

This Data Item Description (DID) contains the format, content, and intended use information for the data product resulting from the work task described in the contract SOW.

DID Number OT-23-_______ is for use only the Solicitation Number N00024-23-R-4304.

Requirements:

1. Format. The Cost Estimate shall be in a format similar to that of Figures 1 and 2.

2. Content. The Cost Estimate shall contain all of the information specified in Figures 1 and 2 and it shall be for the current Ordering Period.

3. Media Requirements. The electronic media for The Certified Statement of Cost shall be in 2010 Adobe Acrobat (PDF).

5. End of OT-23-___.

OT-23-

Figure 1

FORM DATE

CONTRACTOR: ESTIMATE NO.:

CONTRACT # :

DELIVERY ORDER NO. : DATE SUBMIT:

SCOPE OF WORK

Estimated Complete Date:

RECOMMENDATION CPFF / CPAF PLACE YES IN BLOCK

TOTAL COST + FIXED FEE (CPFF) = YES

TOTAL COST + AWARD FEE (CPAF) =

ESTIMATE AWARD FEE FIXED FEE

ODC's G&A

TOTAL ODC's $0 $0

FIXED FEE @ $0

AWARD FEE @ $0 $0

SCHED LABOR

NON-SCHED LABOR

G&A

TOTAL NON-SCHED LABOR $0 $0

FIXED FEE @ $0

AWARD FEE @ $0 $0

COST-PLUS-FIXED FEE- (CPFF)

COST LESS FIXED FEE $0

FIXED FEE $0

MAXIMUM ON CONTRACT $0

COST-PLUS-AWARD-FEE- (CPAF)

MAXIMUM LIABILITY ON CONTRACT $0

AWARD FEE SET ASIDE $0

TOTAL COST (Max Liability + AF) $0

SUBJ

NON-OPERATIONAL/OPERATIONAL AWARD FEE / FIXED FEE DELIVERY ORDER ESTIMATE

ESTIMATE IS GOOD FOR DAYS

FROM TO: NAVSEA ESTIMATE NO.: 0

POC POC: SUBJ

DELIVERY ORDER # IF MOD. : 0000

SUPSALV PROJECT # : DATE SUBMIT:

SCOPE OF WORK

LABOR LABOR BREAK DOWN

DESCRIPTION SCHD NON-SCHED SCHED NON-SCHED

MANDAYS MANDAYS COST COST

PROGRAM MANAGER $0

BASE MANAGER $0

ASSIST BASE MANAGER 0.0 $0

FOREMAN 0.0 $0 $0

LEAD MACHANIC 0.0 $0 $0

MACHANIC 0.0 $0 $0

RIGGING 0.0 $0 $0

WAREHOUSE 0.0 $0 $0

SUPPLY 0.0 $0 $0

PURCHASING $0 $0

ADMIN / ACCOUNTING $0 $0

0.0 0.0 $0 $0

(A) (B)

G&A NON-SCHEDULED LABOR (B x 3.5%) C $0

NON-SCHEDULED LABOR PLUS G&A (B + C) D $0

TOTAL ODC's $ BROUGHT FORWARD FROM PAGE 2= E G&A ODC's (E x 3.5%) F $0

TOTAL ODC COST + G&A (E+F) G $0

AWARD FEE 10% x NON-SCHEDULED LABOR (D) = H $0 AWARD FEE 3% ODC's (G) = I $0

TOTAL AWARD FEE (H+I) = J $0

MAX LIABILITY FOR CONTRACT (A+D+G) = K $0

TOTAL FUNDS REQUIRED WITH AWARD FEE(J + K) = (M) $0

SIGNATURE OF COORDINATOR: DATE:

SIGNATURE OF OP MGR/PROJ MGR: DATE:

Figure 2

FROM TO: NAVSEA ESTIMATE NO.: 0

POC POC: 0 SUBJ

SUPSALV PROJECT # DATE SUBMIT:

SCOPE OF WORK

Estimated Complete Date: 1/0/1900

OTHER DIRECT COSTS QTY UNIT TOTAL

DESCRIPTION COST COST

MATERIAL $0

Consumables 0 Repair Parts 0 Filters / Oils / Fuels 0 Service (Certify Life Raft) 0

TRAVEL $0

Per Diem 0 0 0 Air Fare 0 0 0 Rental Car 0 0 0

SHIPPING COST $0

Trucking 0 0 0

TOTAL ODC's $0

FACILITY 0 $0

TOTAL ODC's = $0

VIRGINIA TAX 5 % IF REQUIRED=

TOTAL ODC's COST PLUS TAX IF REQUIRED = $0

TOTAL

CATEGORY

COST

Figure 3

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 (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 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

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A OT

ESSM / OPERATIONS SUPPORT TBD TBD

A008 OPERATIONAL DELIVERY ORDER COST TRACKING

REPORT

FIELD ACCOUNTING

OT-23-XXX (draft) TBD NAVSEA 00C

LT

A B

WKLY

SEE BLK 16

SEE BLK 16

SEE BLK 16

00C1 0 1 0 00C12A 0 1 0 00C2 0 1 0

00C2 PM 0 1 0

00C3 0 1 0

00C3 PM 0 1 0

00C5 0 1 0

00C5 PM 0 1 0

0 8 0

BLK 8: Approval for administrative content and format. Government has five (5) days from initial week of work to review.

BLK 9: IAW DOD 5230 Security Manual: DISTRIBUTION STATEMENT B:

Distribution authorized to US Government agencies only for (Administrative or Operational use) (as of 08-03-2012). Other requests for this document shall be referred to NAVSEA 00C, WNY, Washington DC.

BLK 11, 12, 13: Submission of the operational delivery order (d/o) cost tracking report will be no later than seventy-two (72) hours after the contractor's first week of work on a d/o issued under the contract.

BLK 14: Media Requirement: Submission shall be delivered in Adobe Acrobat (pdf) via email.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

TBD A OT

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data

Title: Operational Delivery Order Cost Tracking

Number: OT-23- Approval Date: Draft AMSC Number: N/A Limitation: N/A DTIC Applicable: N/A Preparing Activity: SH/SEA 00C Contract/PR Number: N000241721560

Applicable Forms: N/A

GIDEP Applicable: N/A Project Number:

Use/relationship: The Operational Delivery Order Cost Tracking will provide the weekly accounting data required for individual Operational Delivery Orders assigned under this contract.

This Data Item Description (DID) contains the format, content, and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

DID Number OT-23-_______ is for use only the Solicitation Number N00024-23-R-4304.

Requirements:

1. Format. The Operational Delivery Order Cost Tracking shall contain all of the information specified in Figure 1.

2. Content. The Operational Delivery Order Cost Tracking shall contain the following:

a. As shown in Figure 1.

3. Media Requirements. The Operational Delivery Order Cost Tracking shall be in 2010 Adobe Acrobat (PDF).

4. End of OT-23-.

OT-23- Figure 1

COST THIS

DAY/WEEK

CUMULATIVE

TO DATE

TOTAL COSTS: $ $

*D o no t e dit numbe rs in this se c tion direc tly, summs a utoma tic a lly from se c tions be low *M ust enter X% fo r G&A , N o n-Scheduled Labo r, and A ward F ee as applicable to invidiual co ntracto r - edit fo rmulas acco rdingly.

COST THIS

WEEK

CUMULATIVE

COST

1. SCHEDULED LABOR $0.00 $0.00

2. SCHEDULED EQUIPMENT $0.00 $0.00

3. NON-SCHEDULED LABOR $0.00 $0.00

4. SUBCONTRACTED EQUIPMENT $0.00 $0.00

5. SUBCONTRACTED SERVICES $0.00 $0.00

6. PERSONNEL TRANSPORTATION $0.00 $0.00

7. EQUIPMENT TRANSPORTATION $0.00 $0.00

8. PER DIEM $0.00 $0.00

9. PURCHASE MATERIAL/MISCELLANEOUS COST $0.00 $0.00

10. MATERIAL HANDLING $0.00 $0.00

11. G&A @ X%

ESTIMATED TOTAL OF ITEMS 3-10

$0.00 $0.00

12. TOTAL COST - MAXIMUM LIABILITY $0.00 $0.00

13. AWARD FEE @ X% $0.00 $0.00

14. TOTAL INCLUDING AWARD FEE $0.00 $0.00

$0.00

B. ESTIMATED COSTS FOR REMAINDER OF OP:

ON-SITE OPERATIONS

FINAL REPORT

DEMOBILIZATION COSTS

EQlJIPMENT REFIJRBISHMENT COSTS

TOTAL ESTIMATED COST FOR TASK COMPLETION

$0.00

$0.00

$0.00

$0.00

NAVY SUPSALV REPRESENTATIVE:

CONTRACTOR REPRESENTATIVE:

F. AWARD FEE SET ASIDE

C. FUNDS REMAINING IN TASK

D. EXCESS FUNDS (IF B IS LESS THAN C)

E. PROJECTED ADDITIONAL FUNDING REQUIRED (IF B IS MORE THAN D)

AWARD FEE:

A.MAXIMUM LIABILITY OF CONTRACT TASK

WEEKLY COST TRACKING FOR OPERATIONAL DELIVERY ORDERS

OPERATION:

CONTRACTOR:

DELIVERY ORDER NO.

CONTRACT NO. N00024·

CURRENT DATE:

$0.00

$0.00

$0.00

$0.00

$0.00

1. SCHEDULE LABOR:

(edit as necessary for positions used)

TITLE NAME

S.T.

HOURS

S.T.

RATE

G.T.

HOURS

G.T.

RATE

TOTAL

COST

PROJECT MANAGER 0 $0.00 0 $0.00 $0.00

ASSISTANT PROJECT MANAGER 0 $0.00 0 $0.00 $0.00

FIELD WRITER 0 $0.00 0 $0.00 $0.00

LEAD ENGINEER 0 $0.00 0 $0.00 $0.00

FIELD ACCOUNTANT 0 $0.00 0 $0.00 $0.00

FIELD LOGISTIC SPECIALIST 0 $0.00 0 $0.00 $0.00

FIELD MECHANIC/OPERATOR 0 $0.00 0 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

2. NON-SCHEDULED LABOR

(edit as necessary)

TITLE NAME

S.T.

HOURS

S.T.

RATE

G.T.

HOURS

G.T.

RATE

TOTAL

COST

0 $0.00 0 $0.00 $0.00 0 $0.00 0 $0.00 $0.00 0 $0.00 0 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

3. SUBCONTRACTED EQUIPMENT

(edit as necessary)

TITLE/NAME NAME

QTY UNIT

COST

TOTAL

COST

0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

4. SUBCONTRACTED SERVICES

(edit as necessary)

TITLE/NAME NAME

QTY UNIT

COST

OT

HOURS

OT

RATE

TOTAL

COST

0 $0.00 0 $0.00 $0.00 0 $0.00 0 $0.00 $0.00 0 $0.00 0 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

5. PERSONNEL TRANSPORTATION

(edit as necessary)

TITLE NAME

RENTAL

CAR

DAYS

RENTAL

CAR

TOTAL

RENTAL

CAR

TAXI/

TRAIN

TOTAL

RENTAL

CAR

AIR

FARE

TOTAL

COST

0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

6. EQUIPMENT TRANSPORTATION

(edit as necessary)

TITLE/NAME NAME

RENTAL

CAR

DAYS

RENTAL

CAR

TOTAL

RENTAL

CAR

TAXI/

TRAIN

TOTAL

RENTAL

CAR

AIR

FARE

TOTAL

COST

0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

7. PER DIEM

(edit as necessary)

TITLE NAME

# DAYS RATE TOTAL

COST

0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

8. PURCHASE MATERIAL /

MISCELLANEOUS COST

TITLE/NAME NAME

QTY UNIT

COST

TOTAL

COST

0 $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00

TOTAL COST THIS WEEK $0.00

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 (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 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

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A MISC

ESSM / OPERATIONS SUPPORT TBD TBD

A008 TECHNICAL REPORT - STUDY/SERVICES TECHNICAL REPORT

DI-MISC-80508B TBD NAVSEA 00C

LT

A B

ASREQ

N/A

SEE BLK 16

SEE BLK 16

00C1 0 1 0 00C12A 0 1 0 00C2 0 1 0

00C2 PM 0 1 0

00C3 0 1 0

00C3 PM 0 1 0

00C5 0 1 0

00C5 PM 0 1 0

0 8 0

BLK 4: 2.a does not apply.

BLK 8: Approval shall be for technical accuracy and content. The Government has thirty

(30) days from submission to review. Contractor has fifteen (15) days to incorporate comments.

BLK 9: IAW DOD 5230 Security Manual: DISTRIBUTION STATEMENT B:

Distribution authorized to US Government agencies only for (Administrative or Operational use) (as of 08-03-2012). Other requests for this document shall be referred to NAVSEA 00C, WNY, Washington DC.

BLK 10: Delivery Orders issued under this contract will specify if this data report is required.

BLK 12 and 13: Submission shall be made within thirty (30) days of completion of each Delivery Order issued under the contract requiring a technical report.

BLK 14: Media Requirement: Submission shall be delivered in Adobe Acrobat (pdf) via email.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

TBD A MISC

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and…

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