Exhibit A_CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data 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 this burden, to Department of Defense, Washington Headquarters Service, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER NDTI

D. SYSTEM/ITEM

Antenna Hard Case

E. CONTRACT / PR NO.

1300863016

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM:

Test/Inspection Report

3. SUBTITLE

First Article Test Report

4. AUTHORITY (Date Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW PARA. N/A

6. REQUIRING OFFICE

NUWCDIVNPT CODE 3423

7. DD 250 REQ

9. DIST STATEMNT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION *

See Block 16

LT D OTIME* ASREQ* b. COPIES

8. APP CODE See Block 16 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Contract Admin.

Office

0 1 0

Block 9: See BLOCK 16 ADDENDUM KO 0 1 0

PI 0 1 0

Block 10: One (1) submission is anticipated. 3432 DM 0 1 0

Block 12: In accordance with OE-538 MFM HCTC Requirements document, the contractor shall deliver a first article test report to accompany the first antenna hard case upon delivery of the unit. The cover sheet of each copy shall be marked with the contract number (Box E) and the item identification

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 compatible format with email notification to all addressees.

KO:

PI:

3432 DM:

15. TOTAL

______> 0 5 0

G. PREPARED BY:

H. DATE

28Dec2020

I. APPROVED BY

J. DATE

Approved for RFQ 29Dec2020

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 1 of 3 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data 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 this burden, to Department of Defense, Washington Headquarters Service, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER MISC

D. SYSTEM/ITEM

Antenna Hard Case

E. CONTRACT / PR NO.

1300863016

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM:

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

Certificate of Comformance

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW PARA. N/A

6. REQUIRING OFFICE

NUWCDIVNPT CODE 3423

7. DD 250 REQ

9. DIST STATEMNT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION *

See Block 16

LT D ASREQ* ASREQ* b. COPIES

8. APP CODE See Block 16 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS PI 0 1 0

Block 9: See BLOCK 16 ADDENDUM 3432 DM 0 1 0

Block 10: Twenty-six (26) submissions are anticipated.

Block 12: Certificate of Conformance shall be delivered with each of the antenna hard cases.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 compatible format with email notification to all addressees.

PI:

3432 DM:

15. TOTAL ______> 0 2 0

G. PREPARED BY:

H. DATE

28Dec2020

I. APPROVED BY

J. DATE

Approved for RFQ 29Dec2020

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 2 of 3 Pages

DD FORM 1423, CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

PR 1300354927

BLOCK 9: The following information is provided in amplification of the Block 9 Distribution Statement shown on each DD FORM 1423.

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

CDRL A001 and A002

Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (28 December 2020). Other requests shall be referred to NUWCDIVNPT Code 3411.

The following 'EXPORT CONTROL WARNING NOTICE' must be used in conjunction with DISTRIBUTION STATEMENTS identified in the CDRL:

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App.

2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 3 of 3 Pages