Exhibit A - CDRLS.pdf
PDF 4 MB Posted
- Attached to
- USNS APACHE (T-ATF 172) Deactivation Federal contract opportunity
- Solicitation number
- N3220522R0003
About this file
This document is a Contract Data Requirements List (CDRL) specifying data items that the contractor must provide to the government during the deactivation of the USNS Apache (T-ATF 172). Key requirements include:
-
Production of plans, reports, and other documentation related to scope, quality assurance, safety, hazardous waste handling, and project planning/status monitoring on a weekly, monthly, or one-time basis as specified in the individual CDRL line items. Specific items include production charts, deficiency reports, inspection records, and progress reports.
-
Notices and logs for activities like hot work, security access, and tank/space cleaning must be submitted daily or as occurrences happen. Items pertaining to incidents like fires or waste discoveries require draft reports within 24 hours and final reports within 5 days.
-
Surveys, soundings, and operational status reports are due before start of period of performance. Dock trials agenda is due at 50% completion with results before sea trials. Hazardous waste and gas free certifications are ongoing or as needed.
-
Distribution of data items varies by item but primarily goes to Military Sealift Command and Overhaul Management Team members. The government has between 1 to 3 days to review and respond to submissions as outlined in the CDRL.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N3220522R0003-0006.pdf | ||
| N3220522R0003-0005.docx | DOCX document | |
| N3220522R0003-0004.docx | DOCX document | |
| N3220522R0003-0003.docx | DOCX document | |
| RFC 3.docx | DOCX document | |
| N3220522R0003-0002.docx | DOCX document | |
| RFC 2.docx | DOCX document | |
| N3220522R0003-0001.docx | DOCX document | |
| RFC 1.docx | DOCX document | |
| J-7 MSC Ship Repair Facility Survey.docx | DOCX document | |
| J-8 Request for Spec Clarification.docx | DOCX document | |
| J-12 Past Performance Data.docx | DOCX document | |
| J-9 Disclosure of Lobbying Activities SF-LLL.docx | DOCX document | |
| J-2 Category A Items.xlsx | XLSX spreadsheet | |
| J-10 Interport Differential.docx | DOCX document | |
| J-13 Past Performance Questionnaire.docx | DOCX document | |
| N3220522R0003 Solicitation.pdf | ||
| J-14 Technical Data Non-Disclosure.docx | DOCX document | |
| J-3 Category B Item.xlsx | XLSX spreadsheet |
Show all 19
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Text version
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 DEACTIVATION N3220521R0003 TBD
A001 Scope, General Requirements, and Definitions Regulatory agency contacts
N/A WI 0001 para 7.2.3 N754
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 N754
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:06:52 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:42:39 -04'00'
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 DEACTIVATION N3220522R0003 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 N754
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 N754
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 N754
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:23:33 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:49:57 -04'00'
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 DEACTIVATION N3220522R0003 TBD
A006 Scope, General Requirements, and Definitions Work Item reports, drawings, and other docum
N/A WI 0001 para 8.1.4 N754
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 N754
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 N754
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 N754
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:25:10 -04'00'
09/20/21 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:50:38 -04'00'
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 DEACTIVATION 3220522R0003 TBD
A00A Testing and Quality Assurance Contractor inspection personnel
N/A WI 0004 para 7.1.2.1.1 N754
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 N754
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 N754
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 N754
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 03:55:40 -04'00'
09/18/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:35:51 -04'00'
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 DEACTIVATION 3220522R0003 TBD
A00E Testing and Quality Assurance Quality deficiency report response
N/A WI 0004 para 7.8 N754
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 N754
NO
A C
WEEKLY
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 N754
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 N754
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 03:57:33 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:37:43 -04'00'
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 DEACTIVATION 3220522R0003 TBD
<THIS SECTION INTENTIONALLY LEFT BLANK>
N/A
MSC OMT 0 0 0
0 0 0
A00K Furnish Office for Overhaul Management Team Admin Assistant resumes
N/A WI 0010 para 7.4.2 N754
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 N754
NO
A C
WEEKLY
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 N754
NO
A C
WEEKLY
0DARP
0DARP
MSC OMT 0 1 0
0 1 0
Blk 8: The Government has 3 days to respond.
Blk 5: WI 0011 para 7.1.2.2 T-ATF
Port Engineer
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 03:58:56 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:38:29 -04'00'
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 DEACTIVATION N3220522R0003 TBD
<THIS SECTION INTENTIONALLY LEFT BLANK>
0 1 0
0 1 0
A00P Furnish General Services Bilge Water Meter Reading
N/A See Blk 16 N754
NO
A C
WEEKLY
0DARP
0DARP
MSC OMT 0 1 0
0 1 0
Blk 8: The Government has 3 days to respond.
Blk 5: WI 0011 7.1.18.6 T-ATF
A00Q Furnish General Services Operational Status joint survey report
N/A WI 0011 para 7.4.2.1 N754
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 N754
NO
A C
WEEKLY
0DARP
0DARP
MSC OMT 0 1 0
0 1 0
Blk 8: The Government has 3 days to respond.
Blk 5: WI 0011 para 7.9.2
Port Engineer
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:00:21 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:39:18 -04'00'
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 DEACTIVATION N3220522R0003 TBD
A00S Project Planning and Production Status Monitoring Repor Production Chart
N/A WI 0013 para 7.2.2 N754
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 N754
NO
A C
WEEKLY
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 N754
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 N754
NO
A C
WEEKLY
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:03:26 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:40:08 -04'00'
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 DEACTIVATION N3220522R0003 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 N754
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 N754
NO
A C
WEEKLY
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:04:40 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:41:41 -04'00'
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 PR#/ CONTRACT# 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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2020.03.25 14:32:29 -04'00'
03/25/2020 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:51:23 -04'00'
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 PR#/ CONTRACT# 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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2020.03.25 14:33:22 -04'00'
03/25/2020 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:52:07 -04'00'
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 DEACTIVATION N3220522R0003 TBD
<THIS SECTION INTENTIONALLY LEFT BLANK>
MSC OMT 0 0 0
0 0 0
<THIS SECTION INTENTIONALLY LEFT BLANK>
MSC OMT 0 0 0
0 0 0
<THIS SECTION INTENTIONALLY LEFT BLANK>
MSC OMT 0 0 0
0 0 0
A01C Fire Protection and Ships Safety Program Fire and Flooding Protection Plan
N/A WI 0016 para 7.1 N754
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
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:29:07 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:52:49 -04'00'
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. 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 DEACTIVATION N3220521R0003 TBD
A01D Fire Protection and Ships Safety Program Hot work notice
N/A WI 0016 para 7.9 N754
NO
N/A C
DAILY
DAILY
DAILY
MSC OMT 0 1 0
Chief Engineer 0 1 0
0 2 0
A01E Fire Protection and Ships Safety Program Fire report
N/A WI 0016 para 7.10 N754
NO
A C
ASREQ
N/A
ASREQ
ASREQ
MSC OMT 1 1 0
1 1 0
Blk 8: Submit draft report within 24 hours of occurrence and final report within five business days of occurrence.
A01F Fire Protection and Ships Safety Program Safety Inspection
N/A WI 0016 para 7.17.1 N754
NO
N/A C
DAILY
DAILY
DAILY
MSC OMT 0 1 0
0 1 0
<THIS SECTION INTENTIONALLY LEFT BLANK>
0 2 0
0 2 0
Port Engineer
JOHNSON.TERRY.LAWRENCE.122389808
Digitally signed by JOHNSON.TERRY.LAWRENCE.1223898080 Date: 2021.09.20 04:10:12 -04'00'
09/20/2021 Contract Specialist
BRACKETT.BENJAMIN.B.100602
Digitally signed by
BRACKETT.BENJAMIN.B.1006028558
Date: 2021.10.15 11:44:03 -04'00'
14 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…
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