Exhibit A - CDRLs.pdf

PDF 4 MB Posted

Attached to
USNS APACHE (T-ATF 172) Regular Overhaul/Dry-Docking Federal contract opportunity
Solicitation number
N3220521R6500
Issued by
Department of the Navy Military Sealift Command

About this file

Written by GovTribe AI ·

This is a Contract Data Requirements List (CDRL) for a regular overhaul and dry-docking of the USNS APACHE (T-ATF 172).

The CDRL identifies over 50 data items required from the contractor, including project planning documentation, quality assurance reports, hazardous waste disposal plans, dock and sea trial agendas/results, and weight and moment reports. Key deliverables include a production schedule, progress reports, deficiency responses, inspection records, and temperature/meter readings. Most items are due weekly or as required, with some one-time submissions required before or after periods of performance. The Navy will review submissions within 2-3 days and identify any necessary responses. The contract is awarded through the Military Sealift Command and covers work onboard the USNS APACHE from May 2021 through completion.

View the file

Other files for this federal contract opportunity

Other files attached to USNS APACHE (T-ATF 172) Regular Overhaul/Dry-Docking, newest first.
File Type Posted
N3220521R6500-0004.docx DOCX document
J-10 Rev3 - Interport Differential.docx DOCX document
N3220521R6500-0003.docx DOCX document
J-10 Rev2 - Interport Differential.docx DOCX document
N3220521R6500-0002.docx DOCX document
RFC 2.docx DOCX document
N3220521R6500-0001.docx DOCX document
J-10 Rev1 - Interport Differential.docx DOCX document
RFC 1.docx DOCX document
J_A APACHE ROH FY21_Redacted.pdf PDF
J-10 Interport Differential.docx DOCX document
J-2 Category A Items.xlsx XLSX spreadsheet
RFP N3220521R6500.docx DOCX document
J-9 Disclosure of Lobbying Activities SF-LLL.docx DOCX document
J-11 Dry Dock Eval Form.docx DOCX document
J-3 Category B Item.xlsx XLSX spreadsheet
J-8 Request for Spec Clarification.docx DOCX document
J-7 MSC Ship Repair Facility Survey.docx DOCX document
J-14 Technical Data Non-Disclosure.docx DOCX document
J-12 Past Performance Data.docx DOCX document
J-13 Past Performance Questionnaire.docx DOCX document
J-4 GFM List.pdf PDF
Show all 22

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DD FORM 1423, AUG 96

CONTRACT DATA REQUIREMENTS LIST

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A001 Scope, General Requirements, and Definitions Regulatory agency contacts

N/A WI 0001 para 7.2.3 N75_

NO

N/A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

A002 Scope, General Requirements, and Definitions Compliance and Approval Certificates

N/A WI 0001 para 7.2.5 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

<THIS SECTION INTENTIONALLY LEFT BLANK>

0 0 0

<THIS SECTION INTENTIONALLY LEFT BLANK>

0 0 0

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:28:27 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:55:29 -08'00'

1 20 Adobe Professional 8.0

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

<THIS SECTION INTENTIONALLY LEFT BLANK>

0 0 0

A003 Scope, General Requirements, and Definitions As-found report

N/A WI 0001 para 7.3.4 & WI 0013 para 7.6 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A004 Scope, General Requirements, and Definitions As-released report

N/A WI 0001 para 7.3.5 & WI 0013 para 7.6 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A005 Scope, General Requirements, and Definitions Request substitution

N/A WI 0001 para 7.3.30 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:39:23 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:51:59 -08'00'

2 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A006 Scope, General Requirements, and Definitions Work Item reports, drawings, and other docum

N/A WI 0001 para 8.1.4 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

The Government has 3 days to respond

A007 Technical and Manufacturers Representatives OEM authorized technical representative

N/A WI 0002 para 7.2.2 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A008 Approach, Berth, and Mooring Requirements Resubmission of berthing facilities informatio

N/A WI 0003 para 7.3.2 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 11: One-day before POP starts.

A009 Approach, Berth, and Mooring Requirements Resubmission of tidal ranges

N/A WI 0003 para 7.3.3.1 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond Blk 11: One-day before POP starts

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:40:30 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:51:32 -08'00'

3 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A00A Testing and Quality Assurance Contractor inspection personnel

N/A WI 0004 para 7.1.2.1.1 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond Blk 11: First day of POP

A00B Testing and Quality Assurance Subcontractor inspection personnel

N/A WI 0004 para 7.1.2.1.2 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 16: First day of POP

A00C Testing and Quality Assurance Regulatory agency contacts

N/A WI 0004 para 7.5.1.3 N75_

NO

A C

ASGEN

N/A

ASGEN

ASGEN

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A00D Testing and Quality Assurance Copy of all inspection records

N/A WI 0004 para 7.7.1 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 11: 10 days after POP ends.

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:51:28 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:52:44 -08'00'

4 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A00E Testing and Quality Assurance Quality deficiency report response

N/A WI 0004 para 7.8 N75_

NO

A C

ASREQ

See Blk 16

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 2 days to review Contractor's response.

Blk 11: Refer to quality deficiency report for response date.

A00F Testing and Quality Assurance Schedule for key inspection events

N/A WI 0004 para 7.9 N75_

NO

A C

WEKLY

0DARP

0DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A00G Electrical Safety Procedure Requirements Electrical safety lock-out/tag-out program

N/A WI 0005 para 7.1.1 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 3 0

Master 0 1 0 Chief Engineer 0 1 0

0 5 0

Blk 8: The Government has 3 days to respond.

Blk 11: First day of POP

A00H Heavy Weather Plan Extraordinary measures

N/A WI 0006 para 7.1.2.1 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 1 day to concur or deny request for CCO.

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:19:02 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:53:14 -08'00'

5 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A00J Cold Weather plan Extraordinary measures

N/A WI 0007 para 7.1.5 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 1 day to concur or deny request for CCO.

A00K Furnish Office for Overhaul Management Team Admin Assistant resumes

N/A WI 0010 para 7.4.2 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 16: Seven days before POP starts

A00L Furnish General Services Electrical Power Meter Reading

N/A WI 0011 para 7.1.1.4 N75_

NO

A C

WEKLY

0DARP

0DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A00M Furnish General Services Potable Water Meter Reading

N/A See Blk 16 N75_

NO

A C

WEKLY

0DARP

0DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 5: WI 0011 para 7.1.3.2 (T-AO, T-ESB, LCC, T-AKE, T-ARC, T-AH, T-AE, T-AOE).

WI 0011 para 7.1.2.2 (T-ARS, T-ATF)

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:20:55 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:45:34 -08'00'

6 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A00N Furnish General Services Distilled Water Meter Reading

N/A See Blk 16 N75_

NO

A C

WEKLY

0DARP

0DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 5: WI 0011 para 7.1.4.2 (T-AO, T-ESB, LCC, T-AKE, T-ARC, T-AH, T-AE, T-AOE).

WI 0011 para 7.1.3.2 (T-ARS, T-ATF)

A00P Furnish General Services Bilge Water Meter Reading

N/A See Blk 16 N75_

NO

A C

WEKLY

0DARP

0DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 5: WI 0011 para 7.1.20.2 (T-AO, T-ARS, T-AH, T-AE), WI 0011 para 7.1.19.2 (LCC, T-ARC, T-AOE), WI 0011 para 7.1.18.6 (T-AKE, T-ATF), WI 0011 para 7.1.10.2 (T-ESB)

A00Q Furnish General Services Operational Status joint survey report

N/A WI 0011 para 7.4.2.1 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 11: Five days after POP starts

A00R Furnish General Services Crane Life Usage Summary

N/A See Blk 16 N75_

NO

A C

WEKLY

0DARP

0DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 5: WI 0011 para 7.7.2 (T-ESB), WI 0011 para 7.9.2 (all other classes)

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:23:13 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:51:03 -08'00'

7 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A00S Project Planning and Production Status Monitoring Repor Production Chart

N/A WI 0013 para 7.2.2 N75_

NO

N/A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 11: Due 10 days after contract award.

A00T Project Planning and Production Status Monitoring Repo Production Chart

N/A WI 0013 para 7.2.4 N75_

NO

A C

WEKLY

3DARP

3DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 12/13: Due 24 hours prior to progress meeting.

A00U Project Planning and Production Status Monitoring Repor PSDPN Response

N/A WI 0013 para 7.2.7 N75_

NO

A C

ASREQ

See Blk 16

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 2 days to review Contractor's response.

Blk 11: Refer to PSDPN for response date.

A00V Project Planning and Production Status Monitoring Repo Progress Report

N/A WI 0013 para 7.4.2 N75_

NO

A C

WEKLY

3DARP

3DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 12/13: Due 24 hours prior to progress meeting.

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:24:49 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:49:10 -08'00'

8 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A00W Project Planning and Production Status Monitoring Repo Plan of the Day

N/A WI 0013 para 7.3.2 & 7.5.1.1 N75_

NO

N/A C

DAILY

DAILY

DAILY

MSC OMT 0 6 0

0 6 0

A00X Project Planning and Production Status Monitoring Repo Manning Chart

N/A WI 0013 para 7.5.2 N75_

NO

A C

WEKLY

See Blk 16

See Blk 16

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 12/13: Due 24 hours prior to progress meeting.

<THIS SECTION INTENTIONALLY LEFT BLANK>

0 0 0

<THIS SECTION INTENTIONALLY LEFT BLANK>

0 0 0

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:25:56 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:53:48 -08'00'

9 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

<THIS SECTION INTENTIONALLY LEFT BLANK>

0 0 0

A00Y Preparation of Weight and Moment Report Preliminary Weight Report

N/A WI 0014 para 7.6.4 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 2 0

0 2 0

Blk 8: The Government has 3 days to respond.

Blk 11: Seven days before end of POP.

A00Z Preparation of Weight and Moment Report Final Weight Report

N/A WI 0014 para 7.6.5 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 3 0

Tech Library 0 1 0

0 4 0

Blk 8: The Government has 3 days to respond.

Blk 11: Fourteen days after end of POP.

A010 ILS GFM Technical Manual

N/A WI 0015 para 7.1.1 N75_

NO

A C

ASREQ

ASREQ

ASREQ

MSC OMT 0 4 0

0 4 0

Blk C: TM Blk 8: The Government has 3 days to respond.

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:27:08 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:54:53 -08'00'

10 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A011 ILS GFM Technical Support Data

N/A WI 0015 para 7.1.2 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A012 ILS GFM Alternate Submission of TSD

N/A WI 0015 para 7.1.3 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A013 ILS GFM Purchase Orders for CFM

N/A WI 0015 para 7.1.4 N75_

NO

N/A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

A014 ILS GFM Provisioning Guidance Conference Minutes

N/A WI 0015 para 7.1.5.3 N75_

NO

N/A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 16: Following Provisioning Guidance Conference.

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:41:42 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:49:30 -08'00'

11 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A015 ILS GFM Drawings

N/A WI 0015 para 7.2 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

Tech Library 0 1 0

0 2 0

Blk 8: The Government has 3 days to respond.

A016 ILS GFM Receipt of GFM

N/A WI 0015 para 7.1.3 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A017 ILS GFM Material and equipment designated for turnove

N/A WI 0015 para 7.3.4.5 & 7.3.4.8 N75_

NO

N/A C

ASREQ

N/A

ASREQ

ASREQ

ILS REP 0 2 0

0 2 0

A018 ILS GFM GFM/GFE/CFM Summary list

N/A WI 0015 para 7.3.5.1 N75_

NO

A C

WEKLY

0DARP

0DARP

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:43:01 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:50:07 -08'00'

12 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER _________________________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page ____ of ____ Pages

0001 A MGMT

USNS APACHE MTA MAY 2021 N2109103144001 TBD

A019 ILS GFM GFM Damage Report

N/A WI 0015 para 7.3.5.2 N75_

NO

A C

ASREQ

N/A

ASREQ

ASREQ

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

A01A ILS GFM Scrap Report

N/A WI 0015 para 7.3.5.3 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 2 0

0 2 0

Blk 8: The Government has 3 days to respond.

Blk 11: Last day of POP

A01B ILS GFM Residual asset report

N/A WI 0015 para 7.3.5.4 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 11: Last day of POP

A01C Fire Protection and Ships Safety Program Fire and Flooding Protection Plan

N/A WI 0016 para 7.1 N75_

NO

A C

1TIME

See Blk 16

N/A

N/A

MSC OMT 0 1 0

0 1 0

Blk 8: The Government has 3 days to respond.

Blk 16: Seven days after issuance of award.

Port Engineer LAWSON.DARLA.J.1144885933 Digitally signed by LAWSON.DARLA.J.1144885933

Date: 2020.11.11 03:44:31 -05'00'

11/11/2020 Contract Specialist

FINKE.DAMIAN.WILLIAM.10862

09655

Digitally signed by

FINKE.DAMIAN.WILLIAM.1086209655

Date: 2020.11.11 15:49:46 -08'00'

13 20

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization.

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