Exhibit A CDRLs .pdf
PDF 3 MB Posted
- Solicitation number
- N00421-20-R-0119
About this file
This document is a draft solicitation for engineering products and technical services to support air traffic control and landing systems. The Naval Air Warfare Center Aircraft Division intends to award an indefinite-delivery/indefinite-quantity contract to provide fleet support, supply support, technical support, pre-positioned technical support, systems improvement, systems development, systems test and evaluation, software development, test, and maintenance, field change program, production, special purpose test fixture development, test bed support, and overhaul and restoration program support. The North American Industry Classification System code is 541330 for engineering services, with a small business size standard of $41.5 million. The Product Service Code is J058 for maintenance, repair, and rebuild of communication, detection, and coherent radiation equipment. Interested vendors may submit questions by June 15th regarding this potential follow-on to contract N00421-16-D-0010. The solicitation is expected to be released on beta.sam.gov.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Q A Draft Solicitation N0042120R0119 Final.docx | DOCX document | |
| Attachment 6 List of WD.pdf | ||
| Attachment 4 Data Transmittal Form.pdf | ||
| EPTS FO Draft RFP N00421-20-R-0119 Final.pdf | ||
| Attachment 5 Locator Form.pdf | ||
| Attachment P4 PPIF.pdf | ||
| Attachment 2 CSP.pdf | ||
| Attachment P1 Cost Summary Spreadsheet.xlsx | XLSX spreadsheet | |
| Attachment P2 Annual Fully Burdened Rates.xlsx | XLSX spreadsheet | |
| Attachment 3 OCI List.pdf | ||
| Attachment P3 CPAQ.pdf | ||
| Attachment 1 DD254.pdf | ||
| Attachment P5 CPAQ Instructions.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER_________MGMT_____X________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Air Traffic Control and Landing Systems (ATC&LS) Engineering Products and Technical Services (EPTS) TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A001 Contracting Officer’s Management Report Progress and Financial Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81864A SOW Para. 3.1.3.1 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT MTHLY See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O 15DARP (See Block 16) Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11 & 12: First submission due NLT fifteen (15) business days after first full month of execution to include TO award through the end of the first full month of execution.
Block 13: Reporting period is defined as the end of each month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
48488 Gammill Road Patuxent River, MD 20670-1904
15.TOTAL▬▬▬▬► 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Ann Combs 11/2/19
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _50_Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
SUBMISSION
REQUIRED
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL FOR CONTRACTOR 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. Data 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 on the ASSIST website), or onetime 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. DoD 5230.24).
Item 10. Specify number of time 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 addresses 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 12. 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.
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item 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 the data item.
Estimated Price - Cost 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 or submittal, preparation, control, and quality of the data item.
Estimated Price - Cost 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 Item 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 Governments’ right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER____________ MISC ____X_____
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A002 Trip/Travel Report Trip Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-81943 SOW Para. 3.1.5.1 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 10, 11, 12, & 13: Due within ten (10) business days after completion of each trip.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
Ann Combs 11/2/19
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _2_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER____MGMT______X____________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A003 Phase-Out Transition Plan Transition-Out Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81945 NOT1 SOW Para 3.1.8. NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
XX 1TIME See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
A (See Block 16) N/A N/A Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Block 8: Acceptance will be by the COR. If acceptance has not been transmitted within thirty (30) business days of submission of the CDRL, the CDRL is considered accepted. The Contractor shall have five (5) business days to incorporate Government comments.
Block 12: Data to be delivered ninety (90) days prior to the end of contract.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _3_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER__________MGMT____X________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A004 Operations Security (OPSEC) Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80943C NOT 1 SOW Para 3.2.5 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
XX 1TIME 90 DAC
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
A (See Block 16) N/A See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 4: Use the National Security Decision Directive (NSDD) 298 for the concept of operations security.
Block 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Block 8: Acceptance will be by the COR. If acceptance has not been transmitted within ten (10) business days of submission of the CDRL, the CDRL is considered accepted. Final due forty-five (45) days after Government approval of the draft.
Block 13. Revisions as required after approval of final plan only to comply with Government data protection policy documents revision.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _4_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER______________MISC____X_____
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A005 Certification/Data Report Final Certification/Verification Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80678 SOW Para 3.3.1.1 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 10, 12, & 13: Due within ten (10) business days after completion of each certification/verification.
Block 11: The as of date shall be as of the completion of the certification event.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _5_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TMSS__X____ OTHER_______________MISC_______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A006 Technical Manual Validation Certificate Certification/Verification Manuals
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-TMSS-81819A SOW Para 3.3.1.2. NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 4: The Government will provide the Contractor with the Certification Manuals to complete.
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 10, 12, & 13: Due within ten (10) business days after completion of each certification/verification.
Block 11: The as of date shall be as of the completion of the certification event.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _6_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER__________MISC____X_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A007 Scientific and Technical Reports Recommendations Technical Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80711A
SOW Para 3.3.1.2, 3.3.2.3, 3.3.2.9, 3.3.5.1, 3.3.5.2, 3.3.5.3, 3.3.5.4, 3.3.5.6, 3.3.5.8, 3.3.5.9, 3.3.5.10, 3.3.6.1, 3.3.6.2, 3.3.6.8, 3.3.6.9, 3.3.8.1, 3.3.9.2, 3.3.10.5, 3.3.11.1, 3.3.12.1,
3.3.13.1 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 10, 11, 12, & 13: Due within ten (10) business days after identifying a recommendation.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
Ann Combs 11/2/19
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _7_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER____________ MISC ___X_____
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A008 Maintenance Data Collection Record (MDCR) Maintenance Action Form (MAF) Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-82003 SOW Para 3.3.1.4, 3.3.3.1, 3.3.4.2 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT MTHLY See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O (See Block 16) 10DARP Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11 & 12: First submission due NLT fifteen (15) business days after first full month of execution to include TO award through the end of the first full month of execution.
Block 13; Reporting period is defined as the end of the month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _8_ of _51_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER_________MISC_______X_______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A009 Technical Report – Study/Services Fleet Metrics Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW Para. 3.3.1.6, 3.3.3.5, 3.3.10.14 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT MTHLY See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O (See Block 16) 10DARP Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11 & 12: First submission due NLT fifteen (15) business days after first full month of execution to include TO award through the end of the first full month of execution.
Block 13; Reporting period is defined as the end of the month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _9_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER_________MISC_____X_______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A010 Inventory/Utilization Data Report Parts Inventory List
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-81107A SOW Para. 3.3.2.2. NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT QRTLY See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O (See Block 16) QRTLY Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11 & 12: First submission due NLT fifteen (15) business days after first full month of execution to include TO award through the end of the first full month of execution.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _10_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER__________MGMT_____X_______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A011 Report of Receipts, Inventory, Adjustments and Shipments of Government Property Accounting Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80442 SOW Para. 3.3.2.4 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT QRTLY 10DARP (See Block 16)
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O (See Block 16) 10DARP (See Block 16) Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11, 12 & 13: Reporting period is defined as the end of the quarter.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _11_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER____________MGMT____X______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A012 Report of Receipts, Inventory, Adjustments and Shipments of Government Property Payback Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80442 SOW Para. 3.3.2.6 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT QRTLY 10DARP (See Block 16)
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O (See Block 16) 10DARP (See Block 16) Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11, 12 & 13: Reporting period is defined as the end of the quarter.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _12_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER____MISC_____X______________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A013 Scientific and Technical Reports Data Information Form
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80711A SOW Para 3.3.3.3, 3.3.4.1, 3.3.10.4 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 10, 11, 12, & 13: Due within ten (10) business days after completion of each fleet, pre-deployment, mid-deployment, pre-positioned, and groom trip.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _13_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER__________MGMT____X________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A014 Status Report Telephone and Email Technical Assistance Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80368A SOW Para. 3.3.3.4. NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT WKLY 2DARP (See Block 16)
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O (See Block 16) 2DARP (See Block 16) Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11, 12, & 13: Due on the second working day after the end of each week. Reporting period is defined as the end of each week.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _14_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER______________MGMT__X______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A015 Status Report System Grooms and Configuration Assessments Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80368A SOW Para 3.3.4.3 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT WKLY 2DARP (See Block 16)
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A O (See Block 16) 2DARP (See Block 16) Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 11, 12, & 13: Due on the second working day after the end of each week. Reporting period is defined as the end of each week.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _15_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER________________MISC__X_____
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A016 Technical Report – Study/Service Field Change Installation Program (FCIP) Form
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW Para 3.3.4.5, 3.3.10.15 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Block 10, 11, 12, & 13: Due within ten (10) business days after completion of each field change installation.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _16_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER__________DRPR_____X_______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A017 Installation Control Drawings
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-DRPR-81242 SOW Para 3.3.5.5, 3.3.6.4 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
N/A See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Submission will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Blocks 10, 11, 12, & 13: Due within thirty (30) business days after approved system changes/upgrades.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
Patuxent River, MD 20670-19044
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _17_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER____________SESS___X______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A018 Provisioning Parts List (PPLs)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-81715 SOW Para 3.3.5.11, 3.3.6.10, 3.3.10.13 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
XX See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
A (See Block 16) See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Block 8: The Government will have twenty (20) business days for review and comment. The Contractor shall have ten (10) business days to incorporate Government comments. Subsequent Government approval is required ten (10) business days after incorporation of comments by the Contractor.
Blocks 10, 11, 12, & 13: Due within ten (10) business days after implementation of an upgrade or ECP.
Block 14: Deliverables to be provided in electronic format (Microsoft 2010 or greater). Hard copy due only upon request.
Block 14 Address:
Department of the Navy Commander, NAVAIRWARCENACDIV ATTN: Adam Andersen, NAWCAD WOLF ATC&LS Division
BLDG 2110
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _18_ of _50_Pages.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
1001, 1002, 1003, 1004, 1005, 3000 A TDP_______ TM_______ OTHER_________SESS____X_______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
ATC&LS EPTS TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A019 Engineering Data for Provisioning Provisioning Technical Documentation
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-81874 SOW Para. 3.3.5.11, 3.3.6.10, 3.3.10.13 NAWCAD WOLF ATC&LS Division
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
XX See Block 16 See Block 16
a. ADDRESSEE
b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
Draft Final
A (See Block 16) See Block 16 See Block 16 Reg Repro
16. REMARKS
NAWCAD WOLF
ATC&LS Division
0 1 0
Block 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).
Block 8: The Government will have twenty (20) business days for review and comment.
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