Exhibit A - CDRLs A001 - A016.pdf

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PREVIOUS EDITION MAY BE USED.

DD FORM 1423, FEB 2024 Page of

UNCLASSIFIED

Show Attachment Bar

CONTRACT DATA REQUIREMENTS LIST

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

IX527/IX528 Barge PIRM Support Services

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Vessel Docking and Undocking Plan

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-82094

5. CONTRACT REFERENCE

SOW, Section 0

6. REQUIRING OFFICE

NSWCCD, Code 70123

7. DD 250 REQ

LT

8. APP CODE

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

SEE BLK 16

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

16. REMARKS

BLOCK 8: First submission requires approval for content and format. Approval is contingent upon accurate incorporation of all Government comments.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and U.S.

DoD contractors only for administrative or operational use (March 2025). Other requests for this document shall be referred to Carderock Division, Naval Surface Warfare Center, West Bethesda, MD 20817-5700.

Block 10-13: Contractor shall provide a draft copy to the POCs listed in Block 14 no later than 5 working days prior to the pre-docking and undocking conference for approval. Government review cycle will be not later than 5 business days after receipt. Approval is contingent upon accurate incorporation of all Government comments.

Block 14: Copies of the plan shall be provided to the below POCs, as an electronic PDF via email:

Jennifer Kelso: jennifer.l.kelso3.civ@us.navy.mil Eric Simon: eric.f.simon.civ@us.navy.mil add continuation

SEE BLK 16 2 2 0

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY

Robert Alekos

H. SIGNATURE I. APPROVED BY

Basem Makar

J. SIGNATURE + -

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 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 (e.g., Mission Design Series (MDS) designator).

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

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

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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

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

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 rights to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423, FEB 2024

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

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

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

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785

DD Form 1423, "Contract Data Requirements List"

CurrentPage:

PageCount:

Select Classification from drop-down list.: 1

DI:

Click on this button to attach a file(s).:

A. CONTRACT LINE ITEM NUMBER: TBD

exhibit: A

C. CATEGORY: Select for "TDP.": 0

C. CATEGORY: Select for "TM.": 0

C. CATEGORY: Select for "OTHER.": 1

C. CATEGORY: Enter specification for "Other.": MGMT

System: IX527/IX528 Barge PIRM Support Services

ContractNum: TBD

Contractor: TBD

1. DATA ITEM NUMBER: A003

titleDataItem: Vessel Docking and Undocking Plan subtitle: N/A

4. AUTHORITY (Data Acquisition Document Number): DI-MGMT-82094 contractRef: SOW, Section 0 reqOffice: NSWCCD, Code 70123

7. DD 250 REQUIREMENT: LT

8. APPROVAL CODE : A

9. DISTRIBUTION STATEMENT REQUIRED: D

freq: ASREQ asOfDate: SEE BLK 16 dateFirstSub: ASREQ dateSubseqSub: N/A

16. REMARKS: BLOCK 8: First submission requires approval for content and format. Approval is contingent upon accurate incorporation of all Government comments.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and U.S. DoD contractors only for administrative or operational use (March 2025). Other requests for this document shall be referred to Carderock Division, Naval Surface Warfare Center, West Bethesda, MD 20817-5700.

Block 10-13: Contractor shall provide a draft copy to the POCs listed in Block 14 no later than 5 working days prior to the pre-docking and undocking conference for approval. Government review cycle will be not later than 5 business days after receipt. Approval is contingent upon accurate incorporation of all Government comments.

Block 14: Copies of the plan shall be provided to the below POCs, as an electronic PDF via email:

Jennifer Kelso: jennifer.l.kelso3.civ@us.navy.mil Eric Simon: eric.f.simon.civ@us.navy.mil

Click to add continuation field for Remarks:

14. DISTRIBUTION - a. ADDRESSEE, new line: SEE BLK 16

15.TOTAL - Total draft copies is automatically calculated.: 2

15.TOTAL - Total final regular copies is automatically calculated.: 2

15.TOTAL - Total final reproducible copies is automatically calculated.: 0 priceGrp:

estTotalPrice:

remarks:

preparedBy: Robert Alekos

J. SIGNATURE: H. SIGNATURE

J. SIGNATURE: J. SIGNATURE

J. SIGNATURE:

approvedBy: Basem Makar

Click to add additional data items.:

Click to delete additional data items.:

DATA ITEM DESCRIPTION I Form Approved OMB No.0704.0188

1.nTLE 2.IOENTIFICATIONNUMBER

TEST/ INSPECTION REPORT DI-NM’I-80809B

L OESCRIPTlOtVPURPOSE

3.1 The testl inspection report is used to document testl inspection results, findings, and analyses that will enable the government or contracting agency to evaluate compliance with system requirements, performance objectives, specifications, and test linspection plans.

1.APPROVALDATE 5.OFFICEOFPRIMARYRESPONSIBILITY(OPB) Ea.DTICAPPLICABLE 6b.CWIEP AppliCable

(YVMMOD)

F/AFMC-DCJP

970124

,.APPLlCAT\0NflNTER7iElAT10NSH1P

7.1 This data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement

I as delineated in the contract.

I

7.2 This DID is applicable to engineering (developmental ), preliminary qualification, qualification, and acceptance testing.

7.3 This DID supersedes DI-NDTI-80809A and DI-MISC-80653

1.APPROVALLIMITATION 9a.APPLICABLEFORMS 9b.AMSCNUMBER

F7231

10,PREPARATIONlNSTRUCnONS

10.1 Format. Contractor format is acceptable.

paragraph 10.2 and its subparagraphs in a manner understanding

10.2 CQnL!aL. The test/inspection report shall

applicable.

Organize the information required by that facilitates presentation and contain the following information, as

10. 2.1 Cove. and tile uaae. The following information shall appear on the outside front :over and title page:

a. Report date.

b. Report number (contractor or government)

Contractor’ s name, address, and commercia 1 and government entity code.

Contract number and contract line item number or sequence number (if applicable)

e. ‘fvpe of test/inspection (for example. first article acceptance test, aualitv con formanc-e-inspection, d-evelopmental test-, qualification test, f Identification of item tested/inspected.

9. Date or period of test/inspection.

h. Name and address of requiring government activity.

i. Security classification, downgrading and declassifying environmental Lest) .“ information, if applicable.

(Continued on page 2 )

1.DIS77UBUTIONSTATEMEW

DISTRIBUTION STATEMRNT A : APPROVED FOR PUBLIC RELBASE; DISTRIBUTION IS UNLIMITED.

ID Form 1664,APR 89 PreviOLIsedtliomwe obsdem. Page 1 of & Pages 39123

Source: http://assist.dla.mil -- Downloaded: 2022-11-02T18:45Z Check the source to verify that this is the current version before use.

DI-NDTI-80809B

Block 10, Preparation Instructions (continued)

10.2.2 ~. The table of contents shall identify the following:

a. The title and starting page of each major section, paragraph, and apPendix of the report.

b. The page, identifying number, and title of each illustration (for example; figure, table, photograph, chart, and drawing)

10 .2.3 -ductim. The introduction shall include the following information:

10.2 .3.1 obyectlve W. The specific test/ inspection objective (s) as specified in the contract tasking document.

10. 2.3.2 L.temls) tes~. Complete identification of the item(s) testedl inspected including the following:

a. Nomenclature.

b. National stock number.

Model number, part number t and serial number :: Type of item (for example, prototype, production item, laboratory model )

e. Serial or lot number.

f. Applicable engineering changes

9. Production item specification, if applicable.

h. Date of manufacture.

10.2 .3.3 Complete inspection requirements correlated to contractual

Required testl inspection parameters :: Performance requirements, acceptance or environmental criteria.

10.2.4 ~. Complete test/inspection report identification of the testl requirements including the compliance limits, and summary including the

a. A brief discussion of the significant test/inspection results, ObSerVati Qns, conclusions, and recommendations covered in greater detail elsewhere in the report.

b. Proposed corrective actions and schedules for failures or problems encountered.

c. Identification of deviations, departures, or limitations encountered, referenced to the contract requirements.

d. Tables, graphs, illustrations, or charts as appropriate to simplify the summary data.

10.2.5 ~. Complete identification of all documents referenced in the test finspection report including the following, as applicable:

a. Prior testf inspection reports on the same item.

b. Test /inspection plans and procedure documents

c. Prior certifications of compliance.

d. Contractor’ s file designation where test/ inspection records are maintained.

e. Input parameters used.

The applicable issue of the documents cited therein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

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10.2.6 ~. The body of the testlinspection report shall be as follows :

10 .2.6.1 KzZL_ + de.tlflca~.

Complete identification of each item of test equipment used in the testlinspection including the following:

a.

b.

c.

d.

e.

f.

9.

10. 2.6.2

Nomenclature.

Model number.

Serial number.

Manufacturer.

Calibration status.

Accuracy data.

Comments, if applicable.

Testlinmection kuhtv mstd.b&mn and set–w. Complete description of the physical set-up used in conducting the test/inspection to include the following:

a. Location or orientation of the item.

b. Location. orientation, or settinm of test equipment and instrumentation.

c. Location, orientation, or settings of sensors and probes

d. Location or orientation of interconnections, cables, and hoop-ups.

e. Electrical power, pneumatic, fluidic, and hydraulic requirements.

Drawings, illustrations, and photographs maY be used for clarification.

10 .2.6.3 wrocedur~. Complete description of the procedures used in conducting the test/inspection to include the following:

a. Item selection and inspection that verified suitability for test/ inspection.

b. Summarized sequence of testing/inspection steps, including a description of how the item was operated during the test/inspection, and any control conditions imposed.

10 .2.6.4 A copy of all testlinspection results and analysis to include the following:

10.2.6 .4.1 ~. The actual recorded data (for example, log book entries, oscillographs, instrument readings, plotter graphs) If the recorded data is extensive, provide it in an appendix.

10. 2.6.4.2 Test/ insQec!iion resu. Identification of all testlinspection results to include the following:

a. Matrices comparing results achieved against test/inspection objectives or requirements

b. A discussion of these matrices as to their significance, and how they compare to any prior testlinspections.

Calculation examples.

;; Discussion of anomalies, deviations, discrepancies, or failures, including their impact, causes, and proposed corrective actions The discussion shall address discrepancies between design requirements and the tested/inspected Configuration.

10. 2.6.5 Conclusicxls Test/ inspection conclusions distinguished between objective and subjective to include the following:

a. The effectiveness of the testlinspection procedures in measuring item performance.

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b. The success or failure of the item to meet required test/inspection objectives.

c. The need for repeat, additional, or alternative tests linspections.

d. The need for item redesign or further development.

e. The need for improved test/inspection procedures, techniques, or facilities.

f. The adequacy and completeness of the test/inspection requirements.

10.2 .6.6 Recommendations appropriate to the test/inspection results and conclusions including the following:

a b.

c.

d.

e.

f.

9.

h.

Acceptability of the item tested/inspected (pass or fail) Additional testing/inspection required. ,.

Redesign required.

Problem resolution.

Test/inspection procedure or facility improvements Disposition of items tested/inspected.

Documentation changes required.

Testing/ inspection improvements

10.2.7 The following certifications shall be included, .as

applicable:

10.2 .7.1 A statement that the testlinspection was performed in accordance with applicable testlinspection plans and procedures, and that the results are true and accurate. The authentication shall include the signature of the contractor personnel that performed the test(s) /inspection(s) , a contractor representative authorized to make such certification, and any government witnesses

10.2 .7.2 A statement identifying those requirements not tested/inspected or measured that were previously validated.

Include identification of the data and method employed for such validation (for example, prior test/inspection, analytical verification, equivalent item, and so on) The authentication shall include the signature of a contractor representative authorized to make such authentication and any government witness.

10.2 .7.3 A statement that the item tested/ inspected either passed or failed item acceptability requirements This authentication shall include the signature of a contractor representative authorized to make such authentication and any government witness

10.2.8 Appendices shall be used to append detailed

test/inspection daia, drawings, photographs , or other documentation too voluminous to include in the main body of the report This includes referenced documentation not previously provided by the government, and test/ inspection reports from any associated test/inspection activity that may have performed some of the testing/inspecting requirements.

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TDP TM OTHER NDTI

A004

Test/Inspection Report

ASGEN

Block 4: Contractor format acceptable.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and U.S.

DoD contractors only for administrative or operational use (March 2025). Other requests for this document shall be referred to Carderock Division, Naval Surface Warfare Center, West Bethesda, MD 20817-5700.

Block 11-12: All test-inspection reports shall be provided at the conclusion of each test. All required tests and submittal requirements/timelines are indicated in the SOW.

Block 13: All tests shall be completed on a pass/fail basis. If the test fails, a report will need to be provided, subsequent reports will need to be generated until the test passes.

Block 14: Copies of the Test/Inspection Report shall be provided to the below POCs, as an electronic PDF via email:

SEE BLK 16 0 2 0

submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

with Government requirements, and the administration and other additional work to conform to Government requirements with regard to conforming to Government requirements, and the administrative and require any substantial change to conform to Government requirements 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

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

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

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

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785

DD Form 1423, "Contract Data Requirements List"

CurrentPage:

PageCount:

Select Classification from drop-down list.: 1

DI:

Click on this button to attach a file(s).:

A. CONTRACT LINE ITEM NUMBER: TBD

exhibit: A

C. CATEGORY: Select for "TDP.": 0

C. CATEGORY: Select for "TM.": 0

C. CATEGORY: Select for "OTHER.": 1

C. CATEGORY: Enter specification for "Other.": NDTI

System: IX527/IX528 Barge PIRM Support Services

ContractNum: TBD

Contractor: TBD

1. DATA ITEM NUMBER: A004

titleDataItem: Test/Inspection Report subtitle: N/A

4. AUTHORITY (Data Acquisition Document Number): DI-NDTI-80809B contractRef: SOW, Section 0 reqOffice: NSWCCD, Code 70123

7. DD 250 REQUIREMENT: LT

8. APPROVAL CODE : N/A

9. DISTRIBUTION STATEMENT REQUIRED: D

freq: ASGEN asOfDate: SEE BLK 16 dateFirstSub: ASGEN dateSubseqSub: SEE BLK 16

16. REMARKS: Block 4: Contractor format acceptable.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and U.S. DoD contractors only for administrative or operational use (March 2025). Other requests for this document shall be referred to Carderock Division, Naval Surface Warfare Center, West Bethesda, MD 20817-5700.

Block 11-12: All test-inspection reports shall be provided at the conclusion of each test. All required tests and submittal requirements/timelines are indicated in the SOW.

Block 13: All tests shall be completed on a pass/fail basis. If the test fails, a report will need to be provided, subsequent reports will need to be generated until the test passes.

Block 14: Copies of the Test/Inspection Report shall be provided to the below POCs, as an electronic PDF via email:

Jennifer Kelso: jennifer.l.kelso3.civ@us.navy.mil Eric Simon: eric.f.simon.civ@us.navy.mil

Click to add continuation field for Remarks:

14. DISTRIBUTION - a. ADDRESSEE, new line: SEE BLK 16

15.TOTAL - Total draft copies is automatically calculated.: 0

15.TOTAL - Total final regular copies is automatically calculated.: 2

15.TOTAL - Total final reproducible copies is automatically calculated.: 0 priceGrp:

estTotalPrice:

remarks:

preparedBy: Robert Alekos

J. SIGNATURE: H. SIGNATURE

J. SIGNATURE: J. SIGNATURE

J. SIGNATURE:

approvedBy: Basem Makar

Click to add additional data items.:

Click to delete additional data items.:

TDP TM OTHER MISC

A005

Certification Data Report

DI-MISC-82386

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and U.S.

DoD contractors only for administrative or operational use (March 2025). Other requests for this document shall be referred to Carderock Division, Naval Surface Warfare Center, West Bethesda, MD 20817-5700.

Blocks 10-13: Contractor shall provide certifications as indicated in the Statement of Work. Government review cycle will be no later than 5 business days after receipt.

Block 14: Copies of the certifications shall be provided to the below POCs, as an electronic PDF via email:

submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

with Government requirements, and the administration and other additional work to conform to Government requirements with regard to conforming to Government requirements, and the administrative and require any substantial change to conform to Government requirements 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

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

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

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

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785

DD Form 1423, "Contract Data Requirements List"

CurrentPage:

PageCount:

Select Classification from drop-down list.: 1

DI:

Click on this button to attach a file(s).:

A. CONTRACT LINE ITEM NUMBER: TBD

exhibit: A

C. CATEGORY: Select for "TDP.": 0

C. CATEGORY: Select for "TM.": 0

C. CATEGORY: Select for "OTHER.": 1

C. CATEGORY: Enter specification for "Other.": MISC

System: IX527/IX528 Barge PIRM Support Services

ContractNum: TBD

Contractor: TBD

1. DATA ITEM NUMBER: A005

titleDataItem: Certification Data Report subtitle: N/A

4. AUTHORITY (Data Acquisition Document Number): DI-MISC-82386 contractRef: SOW, Section 0 reqOffice: NSWCCD, Code 70123

7. DD 250 REQUIREMENT: LT

8. APPROVAL CODE : A

9. DISTRIBUTION STATEMENT REQUIRED: D

freq: ASREQ asOfDate: SEE BLK 16 dateFirstSub: ASREQ dateSubseqSub: SEE BLK 16

16. REMARKS: Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and U.S. DoD contractors only for administrative or operational use (March 2025). Other requests for this document shall be referred to Carderock Division, Naval Surface Warfare Center, West Bethesda, MD 20817-5700.

Blocks 10-13: Contractor shall provide certifications as indicated in the Statement of Work. Government review cycle will be no later than 5 business days after receipt.

Block 14: Copies of the certifications shall be provided to the below POCs, as an electronic PDF via email:

Jennifer Kelso: jennifer.l.kelso3.civ@us.navy.mil Eric Simon: eric.f.simon.civ@us.navy.mil

Click to add continuation field for Remarks:

14. DISTRIBUTION - a. ADDRESSEE, new line: SEE BLK 16

15.TOTAL - Total draft copies is automatically calculated.: 2

15.TOTAL - Total final regular copies is automatically calculated.: 2

15.TOTAL - Total final reproducible copies is automatically calculated.: 0 priceGrp:

estTotalPrice:

remarks:

preparedBy: Robert Alekos

J. SIGNATURE: H. SIGNATURE

J. SIGNATURE: J. SIGNATURE

J. SIGNATURE:

approvedBy: Basem Makar

Click to add additional data items.:

Click to delete additional data items.:

DATA ITEM DESCRIPTION

Title: Government Property (GP) Inventory Report Number: DI-MGMT-80441D Approval Date: 20200609 AMSC Number: 10184 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: MDA Project Number: MGMT-2020-012 Applicable Forms: None

Use/Relationship: The Government Property (GP) Inventory Report enables the contractor to periodically provide to the Department of Defense (DoD) Service or Agency an inventory listing of GP (i.e., both Government Furnished Property (GFP) and Contractor Acquired Property (CAP)) in the contractor’s possession (to include subcontractors) by contract.

This Data Item Description (DID) is applicable to all contracts where GP will be furnished by the Government (i.e., GFP) or acquired, fabricated, or otherwise provided by a contractor (i.e., CAP) in performance of a contract.

This DID contains the format, content, and intended use information for the data deliverable resulting from the work task described in the solicitation.

This DID supersedes DI-MGMT-80441C.

Requirements:

1. Reference documents. None.

2. Format. The report shall be in an electronic .xls or .xlsx compatible format.

3. Content. The report shall contain the following column headers (i.e., data fields):

A. Contract Number B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number D. Item Description E. Manufacturer Part Number F. Manufacturer Model Number G. Manufacturer Serial Number H. National Stock Number (NSN) (if applicable) I. Quantity J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry;

GFP only) M. Asset Location N. Asset Sub-Location (if applicable) O. Type of Government Property (i.e., Government Furnished Property (GFP) or

Contractor Acquired Property (CAP) P. Classification of Government Property (i.e., Communication Security (COMSEC), Equipment (EQP), Material (MAT), Special Test Equipment (STE), or Special Tooling

Source: http://assist.dla.mil -- Downloaded: 2023-01-30T20:15Z

DI-MGMT-80441D

(ST))

Q. Date of Last Physical Inventory R. Federal Condition Code

END OF DI-MGMT-80441D

Source: http://assist.dla.mil -- Downloaded: 2023-01-30T20:15Z

TDP TM OTHER MGMT

A006

Government Property (GP) Inventory Report

Government Furnished Property Baseline Report

DI-MGMT-80441D

BLOCK 4: The Contractor shall utilize the MS Excel Tracking Template provided by the Contracting Officer. DI-MGMT-80441D shall be tailored in accordance with the following instructions: The Contractor shall only report on Government Furnished Property and should not capture Contractor Acquired Property in this report.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense (DoD) and U.S.

DoD contractors only for administrative or operational use (March 2025). Other requests for this document shall be referred to Carderock Division, Naval Surface Warfare Center, West Bethesda, MD 20817-5700.

BLOCKS 10-13: The Government Furnished Property Baseline Report shall be provided by the contractor within 10 days of the start of the shipyard period.

BLOCK 14: The Contractor shall deliver the Report via encrypted email when file size permits. Otherwise, the Contractor shall deliver the file(s) via DoD Safe (Secure Access File Exchange). The Report shall be delivered in Microsoft Excel format to the below POCs:

JENNIFER KELSO: jennifer.l.kelso3.civ@us.navy.mil ERIC SIMON: eric.f.simon.civ@us.navy.mil

CDRL shall be provided to Code 107 Accountable Property Officer (APO) at the following email address: card_gfpaccountability_mailbox@us.navy.mil

SEE BLK 16 0 3 0

submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

with Government requirements, and the administration and other additional work to conform to Government requirements with regard to conforming to Government requirements, and the administrative and require any substantial change to conform to Government requirements 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

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

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

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