Exhibit A - Contract Data Requirements List (CDRL) A001-A017.pdf

PDF 4 MB Posted Oct 1, 2024

Attached to: EX-ENTERPRISE CVN 65 Dismantlement and Disposal
Solicitation number: N00024-25-R-4135
Issued by: Department of the Navy Naval Sea Systems Command

About this file

Written by GovTribe AI · Oct 1, 2024

This document is a Contract Data Requirements List (CDRL) Exhibit A containing 17 data items for the "USS ENTERPRISE (CVN65) DISMANTLE-DISPOSAL" contract. The key details are:

The contract number is N00024-25-R-4135 for the dismantlement and disposal of the ex-USS ENTERPRISE (CVN 65) aircraft carrier. The CDRL items cover a range of reporting and certification requirements, including a project planning schedule, hazardous material disposal, accident/incident reports, progress/status reports, cost data, security plans, and a final project report. The data items have specific submission timelines and distribution requirements. Several CDRL items reference attachments such as the Decommissioning Work Plan, Fire Prevention Plan, and Interagency Agreement. This CDRL provides the detailed data deliverables for the overall federal contract opportunity to dismantle and dispose of the decommissioned aircraft carrier.

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USS ENTERPRISE (CVN65) DISMANTLE-DISPOSAL

CONTRACT DATA REQUIREMENTS LIST (CDRL) EXHIBIT A

CONTRACT/PR NO: N00024-25-R-4135 29 AUG 2024

G. PREPARED BY

RAY DUFF

H. DATE

I. APPROVED BY

CHRIS BUCKLEY

J. DATE

ITEM SUBTITLE

A001 PROJECT PLANNING CHART - SCHEDULE

A002 CERTIFICATION OF DEMILITARIZATION AND DISMANTLEMENT

A003 CERTIFICATION OF PROPER DISPOSAL OF HAZARDOUS MATERIAL AND WASTE

A004 CERTIFICATION/DATA REPORT - REGULATORY AGENCY CORRESPONDENCE

A005 ACCIDENT, INCIDENT, AND INJURY REPORT

A006 CONTRACTOR’S PROGRESS, STATUS AND MANAGEMENT REPORT - PROGRESS/STATUS REPORT

A007 PERFORMANCE AND COST REPORT, CONTRACT FUNDS STATUS REPORT (CFSR) - COST DATA REPORT

A008 PHYSICAL SECURITY PLAN

A009 PERSONNEL SECURITY CLEARANCE CERTIFICATIONS – SECURITY REQUIREMENTS LIST REPORT

A010 NOTIFICATION OF ITEMS FOUND ON BOARD – CONDITION FOUND REPORT

A011 ENVIRONMENTAL SAFETY AND HEALTH SELF-ASSESSMENT REPORT

A012 SOUVENIR PLATES REPORT

A013 FINAL PROJECT REPORT

A014 DECOMMISSIONING WORK PLAN (DWP) SUBMISSION AND REPORT

A015 FIRE PREVENTION AND EMERGENCY PLAN

A016 SUBCONTRACTING AND SMALL BUSINESS UTILIZATION/PARTICIPATION

A017 OPERATIONAL PLAN

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (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.

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A001 PROJECT PLANNING CHART SCHEDULE

DI-MGMT-80507C (SEE BLK 16) SECTION C PARA 2.7 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1

0 6 0

16. REMARKS

BLK4: DID SHALL BE TAILORED IAW CONTRACT REFERENCE

REQUIREMENTS TO INCLUDE MEASURABLE MILESTONES FOR SHIP

DISPOSAL. ALL CRITICAL PATH WORK, A PLANNED START AND

COMPLETION DATE WITH A TIMELINE FOR EACH PHASE WHICH IS

INCORPORATED INTO THE CONTRACT. THE SCHEDULE SHALL IDENTIFY KEY

EVENTS THAT IF NOT MET, COULD JEOPARDIZE DELIVERY, NEGOTIATED

MILESTONE CHANGES SHALL BE SUBMITTED IN WRITING UPON SCHEDULE

CHANGES.

BLK 8: GOVERNMENT WILL REVIEW AND PROVIDE COMMENTS AS

APPLICABLE.

BLK9: OTHER REQUEST FOR THIS DOCUMENT SHALL BE REFERRED TO PEO

CARRIERS, PMS 368.

BLK 11, 12 AND 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT

AND THE CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN SCHEDULE IS

PROVIDED.

Adobe Professional 8.0

B.1 1

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A002

2. TITLE OF DATA ITEM

CERTIFICATION OF DEMILITARIZATION

AND DISMANTLEMENT

CERTIFICATION OF DEMILITARIZATION

AND DISMANTLEMENT

DI-SAFT - 81640 (SEE BLK 16) SECTION 4.3.13.4 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1

0 6 0

16. REMARKS

BLK4: PLAN SHALL BE FOR HULL AND WEAPONS SYSTEMS. ANY

TAILORING DOWN OF THE DID WILL BE MUTUALLY AGREED TO BY THE

GOVERNMENT AND CONTRACTOR. CONTRACTOR SHALL CERTIFY THAT

THE HULL AND ALL WEAPONS SYSTEMS ARE TOTALLY DESTROYED

BEYOND POSSIBLE RESTORATION. A CERTIFICATE SHALL BE PREPARED

AND SIGNED FOR THE SHIP.

BLK 8: APPROVAL FOR TECHNICAL CONTENT AND ADEQUACY.

BLK 11, 12 AND 13: AS MUTUALLY AGREED TO BETWEEN THE

GOVERNMENT AND THE CONTRACTOR. CERTIFICATION SHALL BE

INCORPORATED AS PART OF THE FINAL PROJECT REPORT (CDRL A013)

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

PROVIDED.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A003 CERTIFICATION OF PROPER DISPOSAL OF

HAZARDOUS MATERIAL AND WASTE

CERTIFICATION OF PROPER DISPOSAL OF

HAZARDOUS MATERIAL AND WASTE

DI-MGMT - 80368A (SEE BLK 16) SECTION 4.3.13.6 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1

0 6 0

16. REMARKS

BLK4: PARA 2 ONLY APPLIES. CONTRACTOR PROVIDES THE GOVERNMENT

WITH LEGIBLE COPIES OF ALL HAZARDOUS AND NON-HAZARDOUS

MATERIALS/WASTES MANIFESTS, BILLS OF LADING, AND ALL OTHER WASTE

SHIPPING DOCUMENT AND ANY ADDITIONAL DOCUMENTS SHALL BE

INCORPORATED AS PART OF THE FINAL PROJECT REPORT (CDRL A013).

BLK 12: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR. AS PART OF THE FINAL PROJECT REPORT, THE CONTRACTOR

SHALL CERTIFY, IN WRITING, THAT THE CONTRACTOR HAS ACCOMPLISHED

ALL HAZARDOUS MATERIAL REMOVAL AND REGULATED HAZARDOUS

WASTE REMOVAL AND DISPOSAL IN COMPLIANCE WITH ALL FEDERAL,

STATE AND LOCAL LAWS AND REGULATIONS.

BLK 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

PROVIDED.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A004 CERTIFICATION/DATA REPORT REGULATORY AGENCY CORRESPONDENCE

DI-MISC - 80678 (SEE BLK 16) SECTION 4..4.1.8 / 4.7.3.4 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1

0 6 0

16. REMARKS

BLK4: PARA 10.1 APPLIES AND SHALL BE LETTER FORMAT. CONTRACTOR

SHALL PROVIDE COPIES OF ALL CORRESPONDENCE WITH FEDERAL, STATE

OR LOCAL REGULATORY AGENCIES RELATING TO CONTRACT. THIS SHALL

INCLUDE BUT NOT BE LIMITED TO: LICENSE AND PERMITS, NOTIFICATION

OF ANY REGULATORY AGENCY INSPECTION CONDUCTED AND

SUMMARIZATION OF THE RESULTS, OR ANY NOTICE OF VIOLATIONS,

CITATIONS OR CAUTIONARY NOTICES RECEIVED FROM REGULATORS

DURING THE REPORTING PERIOD, RELATING TO THE PERFORMANCE OF THIS

CONTRACT. COPIES SHALL BE PROVIDED AS ENCLOSURES.

BLK 12 AND 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT

AND THE CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

PROVIDED.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A005 ACCIDENT / INCIDENT REPORT ACCIDENT, INCIDENT AND INJURY REPORT

DI- SAFT - 81563 (SEE BLK 16) SECTION 4.3.11.1 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

16. REMARKS

BLK 10, 12 AND 13: REQUIRED WITHIN ONE (1) DAY OF A CONDITION

TRIGGERING THE REPORT. CONTRACTOR SHALL RECORD AND

IMMEDIATELY, WITHIN ONE (1) DAY, REPORT TO THE CONTRACTING

OFFICER ALL AVAILABLE FACTS RELATING TO INJURY TO EITHER

CONTRACTOR OR GOVERNMENT PERSONNEL OR EACH INSTANCE OF

DAMAGE TO GOVERNMENT PROPERTY. A SUMMATION OF ACCIDENT,

INCIDENT, AND INJURY REPORTS SHALL BE INCORPORATED WITH THE

FINAL PROJECT REPORT (CDRL A013) AS MUTUALLY AGREED TO

BETWEEN THE GOVERNMENT AND THE CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

PROVIDED.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A006 CONTRACTOR'S PROGRESS, STATUS AND

MANAGEMENT REPORT

PROGRESS / STATUS REPORT

DI- MGMT - 80227 (SEE BLK 16) SECTION 4.3.13.5/4.7.2 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 4: PARA 10.1 AND 10.2 ONLY APPLY. TAILORED FORMAT FOR REPORT

SHALL INCLUDE AND HIGHLIGHT PER THE FOLLOWING:

1. CONTRACTOR’S KEY WORK ACTIVITIES PERFORMED IN THE REPORTING

PERIOD.

2. WORK PLANNED IN THE NEXT REPORTING PERIOD.

3. HAZARDOUS MATERIALS REMOVED AND SHIPPED BY QUANTITY AND

TYPE.

4. QUANTITY OF SCRAP AND REUSABLE EQUIPMENT RECOVERED FOR

RESALE.

5. ANY SECURITY VIOLATIONS.

6. DEVIATIONS FROM PLANNED SCHEDULES AND BUDGETS, DIFFICULTIES

ENCOUNTERED AND CORRECTIVE ACTIONS TAKEN

7. RADIOLOGICAL AND QUALITY CONTROL STATUS

8. NRC COORDINATION

9. NOTIFICATION OF ANY REGULATORY AGENCY INSPECTIONS, FINDINGS,

NOTICE OF VIOLATIONS AND SUMMARY OF CORRECTIVE ACTIONS BEING

TAKEN

10. PUBLIC AFFAIRS INQUIRIES OR PUBLIC BRIEFINGS BY AND TO

EXTERNAL ENTITIES

11. STATUS OF ENVIRONMENTAL MONITORING AND RESULTS AND

RADIATION EXPOSURE TO DATE

BLK 12 AND 13: MONTHLY AND AS MUTUALLY AGREED TO BETWEEN THE

GOVERNMENT AND THE CONTRACTOR.

BLK 14: REPORT TO BE PROVIDED TO THE GOVERNMENT ONSITE

REPRESENTATIVE (OSR) AND CONTRACTING OFFICER. EMAIL NOTIFICATION

TO DISTRIBUTION CODES WHEN REPORT IS PROVIDED.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A007 PERFORMANCE AND COST REPORT, CONTRACT

FUNDS STATUS REPORT (CFSR)

COST DATA REPORT

DI-MGMT-81468/DI- FNCL-80912 SECTION 4.7.3.7 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 4: USING BOTH DIDS THE CONTRACTOR REPORT FORMAT IS TAILORED

PER CONTRACT REQUIREMENTS AND AS FOLLOWS:

1. REPORT TO SHOW TRACKING OF:

A. EXPENDITURES

B. MAN-HOURS

C. PROGRESS

D. MATERIAL TYPES AND QUANTITIES

E. PROCEEDS FROM SCRAP

F. REUSABLE MATERIAL/EQUIPMENT

G. VARIANCES

BLK 12: NLT FIFTEEN (15) DAYS AFTER THE CONTRACT HAS REACHED 25%

OR AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

BLK 13: NLT FIFTEEN (15) DAYS AFTER THE CONTRACT HAS REACHED 50%

AND 75% OF CONTRACT OR AS MUTUALLY AGREED TO BETWEEN THE

GOVERNMENT AND THE CONTRACTOR. A FINAL COST DATA REPORT SHALL

BE SUBMITTED NO LATER THAN 30 DAYS AFTER FINAL COMPLETION OF ALL

WORK, INCLUDING SALE OR DISPOSAL OF ALL SCRAP AND REUSABLE

MATERIAL/EQUIPMENT.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A008 PHYSICAL SECURITY PLAN OPERATIONS SECURITY (OPSEC) PLAN

DI- MGMT - 80934C (SEE BLK 16) SECTION 4.3.8.1 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 4: USE OF MIL-HDBK-1013/1A OF 15 DEC 1993 FOR GUIDANCE ONLY.

REPORT SHALL BE TAILORED AS DIRECTED IN THE CONTRACT TO INCLUDE.

1. RECORD AND REPORT CHANGES TO CONTRACTOR’S FACILITY THAT

EFFECT THE PHYSICAL SECURITY PROGRAMS.

2. RECORD AND REPORT VIOLATIONS OF SECURITY PROCEDURES

PERTAINING TO FACILITY AND/OR PERSONNEL.

BLK 10: AVAILABLE FACTS REQUIRED WITHIN ONE (1) DAY OF ANY

CHANGES

BLK 12: REPORT ALL AVAILABLE FACTS WITHIN ONE (1) DAY OR AS

MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

BLK 13: SUBMISSION SHALL CONTINUE AS EACH CHANGE OR VIOLATION IS

NOTED OR AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND

THE CONTRACTOR. A SUMMATION OF VIOLATIONS SHALL BE

INCORPORATED AS PART OF THE FINAL PROJECT REPORT (CDRL A013).

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 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

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A009

2. TITLE OF DATA ITEM

PERSONNEL SECURITY CLEARANCE

CERTIFICATIONS

SECURITY REQUIREMENTS LIST REPORT

DI - MISC - 81364 (SEE BLK 16) SECTION 4.3.6.5 / 4.3.6.7 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 4: PARA 10.1 ONLY APPLIES WITH THE FOLLOWING TAILORING:

PROVIDE 100% LISTING OF ALL PERSONS HAVING AUTHORIZED ACCESS TO

CONTRACTOR’S FACILITY AND THE VESSEL, ALONG WITH VALIDATION OF

ACTIVE STATUS AS U. S. CITIZENS FOR INDIVIDUALS

BLK 12: UPON AWARD OF CONTRACT.

BLK 13: ANY CHANGES TO THE LISTING PROVIDED WITHIN 24 HOURS.

BLK 14: PROVIDE LIST TO GOVERNMENT ONSITE REPRESENTATIVE (OSR) ON

SITE AND CONTRACTIING OFFICER. EMAIL NOTIFICATION TO DISTRIBUTION

CODES WHEN REPORT IS PROVIDED.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A010 NOTIFICATION OF ITEMS FOUND ON BOARD CONDITION FOUND REPORT

DI - MISC - 81648A (SEE BLK 16) SECTION 4.7.3.5 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 4: PARAS 2 AND 3 ONLY APPLY WITH TAILORING FOR PARA 3 SHOWN

BELOW:

A. CONTRACT NUMBER WITH SHIP AND HULL NUMBER.

B. ITEMS FOUND (E.G. CLASSIFIED MATERIAL, PHOTOGRAPHS, DRAWINGS,

OR OTHER INFORMATION OF A HISTORICAL NATURE) ONBOARD THE SHIP.

C. LOCATION FOUND ON THE SHIP.

D. DATE TURNED OVER OR TO BE TURNED OVER TO GOVERNMENT ONSITE

REPRESENTATIVE (OSR) OR CONTRACTING OFFICER.

NOTE: ITEMS FOUND SHALL BE SAFE GUARDED UNTIL TURNED OVER TO

OSR OR CONTRACTING OFFICER.

BLK 12: AND 13: NOTIFY THE OSR AND CONTRACTING OFFICER

IMMEDIATELY UPON IDENTIFICATION OF ITEMS OR AS MUTUALLY AGREED

TO BETWEEN THE GOVERNMENT AND THE CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A011 ENVIRONMENTAL SAFETY AND HEALTH

SELF-ASSESSMENT REPORT

PROGRAMMATIC ENVIRONMENTAL

SAFETY & HEALTH EVALUATION PLAN

DI - ENVR - 81840 (SEE BLK 16) SECTION 4.3.9.1 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

16. REMARKS

BLK 4: CONTRACTOR SELF-ASSESSMENT OF ITS OWN ES&H PROGRAMS

SHALL PROVIDE IN A WRITTEN REPORT TO THE GOVERNMENT.

GOVERNMENT AND CONTRACTOR TO EVALUATE DATA REQUIRED IN DID

BLK 10: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

BLK 12: SUBMIT FIRST REPORT 15 DAYS PRIOR TO COMMENCEMENT OF THE

GOVERNMENTS ES&H EVALUATION. GENERALLY, THE GOVERNMENT WILL

NOTIFY THE CONTRACTOR IN WRITING AT LEAST THIRTY (30) CALENDAR

DAYS PRIOR TO THE GOVERNMENT’S COMMENCEMENT OF ITS ES&H

ASSESSMENT AT THE CONTRACTOR’S WORKSPACE. HOWEVER, THE

GOVERNMENT RESERVES THE RIGHT TO CONDUCT AN UNANNOUNCED

ASSESSMENT.

BLK 13: ADDITIONAL SUBMISSIONS AS MUTUALLY AGREED TO BETWEEN

THE GOVERNMENT AND THE CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A012 SOUVENIR PLATES REPORT SOUVENIR PLATES STATUS REPORT

DI - MGMT - 80368A (SEE BLK 16) SECTION 4.4.1.7 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 4: PARA 2 ONLY APPLIES AND THE REPORT SHALL BE TAILORED DOWN

IAW CONTRACT REQUIREMENTS AND TO INCLUDE THE FOLLOWING:

1. SIXTY-FIVE (65) SOUVENIR PLATES THAT HAVE DIMENSIONS OF THREE

INCHES BY FIVE INCHES AND ARE FREE OF SHARP EDGES AND APPLIED

PAINT WITH THE NAME AND HULL NUMBER OF THE SHIP ENGRAVED IN

QUARTER INCH LETTERS.

2. LOCATION WHERE PLATES WERE OBTAINED.

3. DELIVERED TO PMS 368 WASHINGTON NAVY YARD, WASHINGTON D.C.

4. PREPARE AND DELIVERY KEEL FRAMES - #6 (FRAMES 5-7), #65 (FRAMES

64-66) AND #80 (FRAMES 79-81) AND DELIVER TO PMS 368 AT SUPERVISOR OF

SHIPBUILDING CONVERSION AND REPAIR NEWPORT NEWS, VA. SIZE IS 30

INCHES BY 12 INCHES BY 12 INCHES.

BLK 12: SUBMITTED NLT 30 DAYS AFTER FINAL COMPLETION OF ALL WORK,

INCLUDING SALE OR DISPOSAL OF ALL SCRAP AND REUSABLE

MATERIAL/EQUIPMENT.

BLK 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND

CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A013 FINAL PROJECT REPORT CONTRACT SUMMARY REPORT

DI - ADMIN - 80447A (SEE BLK 16) SECTION 4.6.3.3 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 4: : PARA 2, AND SUB PARAS (EXCLUDING 2.2.2) AND PARA 3, SUB PARAS

3.1 AND 3.2 ONLY APPLY. THE DID IS TAILORED AND SHALL INCLUDE ONLY

THE FOLLOWING (THESE CAN BE ENCLOSURES):

A. INCLUDE FINAL CERTIFICATIONS FROM CDRL A002 AND A003.

B. INCLUDE ALL SUMMATIONS FROM CDRL A005 AND A008

C. INCLUDE ALL COMPLETION CERTIFICATIONS FROM NRC/NAVSEA (TO

BE DONE SEPARATELY)

BLK 12: SUBMITTED NLT THIRTY (30) DAYS AFTER FINAL COMPLETION OF

ALL WORK, RECEIPT OF AN APPROVED SITE RELEASE CERTIFICATE AND

COMPLETION OF ALL SALE AND/OR DISPOSAL OF ALL SCRAP AND

REUSABLE MATERIAL/EQUIPMENT OR AS MUTUALLY AGREED TO BETWEEN

THE GOVERNMENT AND CONTRACTOR.

BLK 14: EMAIL NOTIFICATION TO DISTRIBUTION CODES WHEN REPORT IS

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO.

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A014

2. TITLE OF DATA ITEM

DECOMMISSIONING WORK PLAN (DWP)

SUBMISSION AND REPORT

3. SUBTITLE

DECOMMISSIONING WORK PLAN (DWP)

SUBMISSION AND REPORT

DI - ADMIN - 80447A (SEE BLK 16) SECTION 4.3.1.1 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

16. REMARKS

The Contractor shall prepare a Decommissioning Work Plan (DWP) in accordance with NUREG-1757 (Attachment J-8) and the clarifications in the Interagency Agreement and regulatory framework (Attachment J-7). The DWP shall be include at a minimum the following sections: A. Description of dismantlement and disposal site conditions; B.

Description of planned decommissioning activities; C. Planned preparatory work;

D. Worker health and safety plans (the Accident Prevention Plan may be incorporated by reference, as applicable); E. Radiation protection program plans, including As Low As Reasonably Achievable (ALARA); F. Radioactive waste management plans.

G. Environmental monitoring and protection programs; H. Quality assurance programs;

I. Survey procedures; J. Final site status survey and release plan; K. Demobilization activities. L. Identification of key personnel and description of experience in completing projects of similar scope/magnitude; M. Fire Prevention Plan – in accordance with 10 CFR Section 50.48, Part 50 Appendix A & R, NRC Information notice 23-04 and Ref guide

1.191 rev 1; N. Heavy Weather Plan to support the protection of radiological materials IAW IAA; O. Emergency Response Plan consistent with NUREG 3.67 and Attachment J-7

BLK 9: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES

(CRITICAL TECHNOLOGY). OTHER REQUEST FOR THIS DOCUMENT SHALL BE

REFERRED TO PEO CARRIERS, PMS 368

BLK 12: SUBMITTED NLT 5 CALENDAR DAYS AFTER DECOMMISSIONING

WORK PLAN (DWP) SUBMITTAL TO NUCLEAR REGULATORY COMMISSION

(NRC).

BLK 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

BLK 14: EMAIL ELECTRONIC REPORT TO DISTRIBUTION CODES.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A015 FIRE PREVENTION AND EMERGENCY PLAN FIRE PREVENTION AND EMERGENCY PLAN

10 CFR 50.48 PART 50 (SEE BLK 16) SECTION 4.3.1.1 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

16. REMARKS

BLK 12: SUBMITTED NLT 45 CALENDAR DAYS BEFORE THE VESSEL DEPARTS

ITS CURRENT LOCATION

BLK 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

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

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

A016 SUBCONTRACTING AND SMALL BUSINESS

UTILIZATION/PARTICIPATION

3. SUBTITLE

SUBCONTRACTING AND SMALL BUSINESS

UTILIZATION/PARTICIPATION

DI - MGMT-80004A (SEE BLK 16) SECTION 3.3.1 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

BLK 12: SUBMITTED NLT 60 DAYS AFTER CONTRACT AWARD

BLK 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A. CONTRACT LINE ITEM NO.

ITEMS 0001 thru 0003 A X

EX-CVN 65 DISMANTLE/DISPOSAL N00024-25-R-4135 TBD

1. DATA ITEM NO

A017

2. TITLE OF DATA ITEM

OPERATIONAL PLAN

3. SUBTITLE

OPERATIONAL PLAN

DI - MGMT-80004A (SEE BLK 16) SECTION 4.4.1 PMS 368

A(BLK 16) B

ASREQ

SEE BLK 16

A.1 1 A.2 1 A.3 1 A.4 1 A.5 1 A.6 1 B.1 1

0 7 0

16. REMARKS

a.Desired configuration of the vessel and towing equipment upon transfer of possession, if different from the CVN Tow Specification;

b. Plans and procedures for taking over operational control of the vessel from the Navy, including measures in place for safety of personnel and the vessel;

c. Navigation plans for transiting from the vessel transfer point to the Contractor’s facility;

d. Accepting the vessel at the Contractor's facility;

e. Movement of the vessel within the Contractor’s facility or sub-contractor’s facilities to include plans and procedures for placing EX-ENTERPRISE in a dry-dock, slip, or other berth within the Contractor’s facility;

f. Mooring configuration, including safeguarding the vessel during severe weather (Heavy Weather plan may be incorporated by reference, as applicable);

g. Security and access control measures in place at the Contractor’s facility prior to delivery of the vessel to prevent unauthorized access (may be incorporated by reference, as applicable);

h. Fire Protection Plan (may be incorporated by reference, as applicable);

i. Partially dismantling the vessel;

j. Removing and disposing of hazardous materials/wastes;

k. Sale of scrap and reusable items.

BLK 12: SUBMITTED NLT 45 PRIOR TO SHIP MOVEMENT FROM CURRENT

LOCATION

BLK 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

CVN65 D&D CDRLS-091224 - cover letter

DD Form 1423 - CDRLs A001 - A017-091224 - NOT SIGNED

DD Form 1423 - CDRL A001 - SCHEDULE (1)

DD Form 1423 - CDRL A002 - CERT FOR DEMIL & DISMANTLEMENT (1)

DD Form 1423 - CDRL A003 - CERT FOR PROPER DISPOSAL OF HAZMAT & WASTE (1)

DD Form 1423 - CDRL A004 - CERTIFICATION OF REGULATORY AGENCY CORRESPONDENCE (1)

DD Form 1423 - CDRL A005 - ACCIDENT, INCIDENT AND INJURY REPORT (1)

DD Form 1423 - CDRL A006 - CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT REPORT (1)

DD Form 1423 - CDRL A007 - CONTRACTOR'S PERFORMANCE AND COST REPORT (1)

DD Form 1423 - CDRL A008 - PHYSICAL SECURITY PLAN (1)

DD Form 1423 - CDRL A009 - PERSONNEL SECURITY CLEARANCE CERTIFICATIONS (1)

DD Form 1423 - CDRL A010 - NOTIFICATION OF ITEMS FOUND ON BOARD (1)

DD Form 1423 - CDRL A011 - PROGRAMMATIC ENVIRONMENTAL SAFETY AND HEALTH EVALUATOIN (PESHE) PLAN (1)

DD Form 1423 - CDRL A012 - SOUVENIR PLATES REPORT (1)

DD Form 1423 - CDRL A013 - FINAL PROJECT REPORT (1)

DD Form 1423 - CDRL A014 - DECOMMISSIONING WORK PLAN (DWP) (1)

DD Form 1423 - CDRL A015 - FIRE PREVENTION AND EMERGENCY PLAN (1)

DD Form 1423 - CDRL A016 - SUBCONTRACTING AND SMALL BUSINESS UTILIZATION-PARTICIPATION (1)

File details come from the government source that posted it. Updated Oct 1, 2024.