Exhibit A Contract Data Requirements List (CDRL) DD Form 1423 A001 - A008.pdf

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SERMC NECC SMALL BOAT REGULAR OVERHAUL (ROH) IDIQ
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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 Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

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 MGMT

SERMC NECC PATROL BOAT IDIQ

A001 CONDITION FOUND REPORTS SI-009-125 GENERAL CRITERIA REPORTS

DI-MGMT-81648 SEE BLK 16 SERMC CODE 324

LT

N/A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SERMC CODE 324 1

0 1 0

BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN SI 009-125

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF WORK,

NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN THE

CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: ONE (1) ELECTRONIC COPY OF EACH CONDITION

FOUND REPORT (CFR) SHALL BE DELIVERED TO THE SERMC SBS AND PM

WITHIN 24 HOURS OF START OF PERFORMANCE PERIOD, WITHIN 4 HOURS

AFTER IDENTIFYING DISCREPANCIES, AND AFTER THE RESULTS OF EACH

INSPECTION. TWO (2) HARD COPIES THE CONDITION FOUND REPORT SHALL

BE SUBMITTED TO THE PM AT THE TIME OF BILLING/INVOICING AS

SPECIFIED.

BLOCK 14: MEDIA REQUIREMENT: THE CONDITION FOUND REPORT SHALL BE

PRESENTED IN A MICROSOFT OFFICE SUITE. VERSION 2007 OR NEWER OR

ADOBE ACROBAT (PDF) ENTERNED INTO THE NAVY MAINTENANCE

DATABASE (NMD) AND DELIVERED AS AN E-MAIL ATTACHMENT TO ALL

ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:09:14 -04'00'

10-25-2021

1 1 Adobe Professional 8.0

(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 Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

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 MGMT

SERMC NECC PATROL BOAT IDIQ

A002 HAZARDOUS WASTE (HW) REPORT WI 982-41-001

DI-MGMT-80899 SEE BLK 16 SERMC CODE 324

LT

N/A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SERMC CODE 324 1

0 1 0

BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN WORK ITEM 982-41-001

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF WORK,

NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN THE

CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: ONE (1) ELECTRONIC COPY OF THE HAZARDOUS

WASTE (HW) REPORT SHALL BE DELIVERED TO THE SERMC SBS AND PM PER

PARA 3.7 OF WI 982-41-001. TWO (2) HARD COPIES THE HAZARDOUS WASTE

(HW) REPORT SHALL BE SUBMITTED TO THE PM AT THE TIME OF

BILLING/INVOICING AS SPECIFIED.

BLOCK 14: MEDIA REQUIREMENT: THE HAZARDOUS WASTE (HW) REPORT

SHALL BE PRESENTED IN A MICROSOFT OFFICE SUITE. VERSION 2007 OR

NEWER OR ADOBE ACROBAT (PDF) ENTERNED INTO THE NAVY

MAINTENANCE DATABASE AND DELIVERED AS AN E-MAIL ATTACHMENT TO

ALL ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:10:35 -04'00'

10-25-2021

(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 Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

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 MGMT

SERMC NECC PATROL BOAT IDIQ

A003 TEST AND INSPECTION PLAN (TIP) QUALITY MANAGEMENT SYSTEM

DI-MGMT-82062 SEE BLK 16 SERMC CODE 324

LT

N/A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SERMC CODE 324 1

SERMC CODE 130 1

0 2 0

BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN SI 009-125

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF WORK,

NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN THE

CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: ONE (1) ELECTRONIC COPY OF THE TEST AND

INSPECTION PLAN (TIP) SHALL BE DELIVERED TO THE SERMC SBS AND PM

WITHIN 24 HOURS OF START OF PERFORMANCE PERIOD 4 HOURS PRIOR TO

EACH WEEKLY PROGRESS MEETING. TWO (2) HARD COPIES THE TEST AND

INSPECTION PLAN (TIP) SHALL BE SUBMITTED TO THE PM AT THE TIME OF

BILLING/INVOICING AS SPECIFIED.

BLOCK 14: MEDIA REQUIREMENT: THE CONDITION FOUND REPORT SHALL BE

PRESENTED IN A MICROSOFT OFFICE SUITE. VERSION 2007 OR NEWER OR

ADOBE ACROBAT (PDF) ENTERNED INTO THE NAVY MAINTENANCE

DATABASE (NMD) AND DELIVERED AS AN E-MAIL ATTACHMENT TO ALL

ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

CURRENT SERMC CODE 130 QUALITY ASSURANCE SPECIALIST

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:17:23 -04'00'

10-25-2021

(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 Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

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 MGMT

SERMC NECC PATROL BOAT IDIQ

A004 SCIENTIFIC AND TECHNICAL REPORTS SI 009-125 ALTERATIONS, LOGISTICS AND

TECHNICAL DATA

DI-MGMT-80711A SEE BLK 16 SERMC CODE 324

LT

N/A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SERMC CODE 324 1

0 1 0

BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN SI 009-125

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF WORK,

NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN THE

CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: ONE (1) ELECTRONIC COPY OF EACH BOAT

ALTERATION (BOATALT) AND LIASON ACTION REPORT (LAR)

INSTALLATION REPORT (ATTACHMENT A) SHALL BE DELIVERED TO THE

SERMC SBS AND PM WITHIN FIVE DAYS OF SCHEDULED FINAL ACCEPTANCE

OF THE BOAT PER PARA 3.4 OF SI 009-125. TWO (2) HARD COPIES THE

CONDITION FOUND REPORT SHALL BE SUBMITTED TO THE PM AT THE TIME

OF BILLING/INVOICING AS SPECIFIED.

BLOCK 14: MEDIA REQUIREMENT: EACH BOATALT AND LAR INSTALLATION

REPORT (ATTACHMENT A) SHALL BE PRESENTED IN A MICROSOFT OFFICE

SUITE. VERSION 2007 OR NEWER OR ADOBE ACROBAT (PDF) ENTERNED INTO

THE NAVY MAINTENANCE DATABASE (NMD) AND DELIVERED AS AN E-MAIL

ATTACHMENT TO ALL ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:18:24 -04'00'

10-25-2021

(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 Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

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 MGMT

SERMC NECC PATROL BOAT IDIQ

A005 INTEGRATED PRODUCTION SCHEDULE (IPS) SI 009-125 SCHEDULE AND REPORT KE & MS

DI-MGMT-80711A SEE BLK 16 SERMC CODE 324

LT

N/A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SERMC CODE 324 1

0 1 0

BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN SI 009-125 PARA 3.7.

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF WORK,

NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN THE

CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: ONE (1) ELECTRONIC COPY OF THE IPS SHALL BE

DELIVERED TO THE SERMC SBS AND PM WITHIN 24 HOURS OF START OF

PERFORMANCE PERIOD AND AT LEAST 4 HOURS PRIOR TO EACH WEEKLY

PROGRESS MEETING. TWO (2) HARD COPIES THE CONDITION FOUND REPORT

SHALL BE SUBMITTED TO THE PM AT THE TIME OF BILLING/INVOICING AS

SPECIFIED.

BLOCK 14: MEDIA REQUIREMENT: THE IPS SHALL BE SUBMITTED IN A

MICROSOFT PROJECT VERSION 2007 OR NEWER COMPATIBLE ELECTRONIC

FILE (.MPP) UPLOADED TO THE NAVY MAINTENANCE DATABASE (NMD) AND

DELIVERED AS AN E-MAIL ATTACHMENT TO ALL ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:20:59 -04'00'

10-25-2021

(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 Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

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 MGMT

SERMC NECC PATROL BOAT IDIQ

A006 WELDING AND NDT REPORTS SI 009-12 WELD, FABRICATE & INSPECT

DI-MGMT-81979 SEE BLK 16 SERMC CODE 324

LT

N/A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SERMC CODE 324 1

0 1 0

BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN SI 009-12

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF WORK,

NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN THE

CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: QUALIFY AND SUBMIT WELDING/BRAZING/NDT

PROCEDURES WHICH HAVE NOT BEEN PREVIOUSLY APPROVED; MAINTAIN

AND SUBMIT LIST OF QUALIFIED WELDERS, BRAZERS AND NDT TEST

PERSONNEL; PROVIDE AND MAINTAIN A WELDING CONSUBALBE CONTROL

SYSTEM; SUBMIT COMPLETED NDT VT AND PT REPORTS. ONE (1)

ELECTRONIC COPY OF EACH REPORT WILL BE DELIVERED TO THE SERMC

SBS AND PM. TWO (2) HARD COPIES OF EACH REPORT SHALL BE SUBMITTED

TO THE PM AT THE TIME OF BILLING/INVOICING AS SPECIFIED.

BLOCK 14: MEDIA REQUIREMENT: THE CONDITION FOUND REPORT SHALL BE

PRESENTED IN A MICROSOFT OFFICE SUITE. VERSION 2007 OR NEWER OR

ADOBE ACROBAT (PDF) ENTERNED INTO THE NAVY MAINTENANCE

DATABASE (NMD) AND DELIVERED AS AN E-MAIL ATTACHMENT TO ALL

ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:22:16 -04'00'

10-25-2021

(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 Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

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 MGMT

SERMC NECC PATROL BOAT IDIQ

A007 MISCELLANEOUS REPORTING SI 009-125 MISC REPORTS

DI-MGMT-80224 SEE BLK 16 SERMC CODE 324

LT

N/A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SERMC CODE 324 1

0 1 0

BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN SI 009-125

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF

WORK, NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN

THE CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: TEST AND INSPECTION RESULTS; CHANGE IN

WORK TO BE ACCOMPLISHED OR ADDITIONAL MATERIAL TO BE PROCURED;

WEEKLY REPORTS; REQUESTS FOR DEVIATION; INSTALLATION OF EACH

BOATALT AND LAR INSTALLED; INTERFERENCE REMOVALS;

LOCKOUT/TAGS-PLUS PROGRAM; VERIFICATION THAT CLEANLINESS WAS

MAINTAINED; INTEGRATED PRODUCTION SCHEDULE (IPS) REPORTS;

INSTALLATION OF EQUAL COMPONENTS; OBJECTIVE QUALITY EVIDENCE

(OQE) CHECKPOINT SHEETS; REQUIRED REPORTS. ONE (1) ELECTRONIC COPY

OF EACH REPORT WILL BE DELIVERED TO THE SERMC SBS AND PM. TWO (2)

HARD COPIES OF EACH REPORT SHALL BE SUBMITTED TO THE PM AT THE

TIME OF BILLING/INVOICING.

BLOCK 14: MEDIA REQUIREMENT: EACH REPORT SHALL BE PRESENTED IN A

MICROSOFT OFFICE SUITE. VERSION 2007 OR NEWER OR ADOBE ACROBAT

(PDF) ENTERNED INTO THE NAVY MAINTENANCE DATABASE (NMD) AND

DELIVERED AS AN E-MAIL ATTACHMENT TO ALL ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:23:17 -04'00'

10-25-2021

(1 Data Item)

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

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A008 BLAST MEDIA CERTIFICATION SI 009-32 CLEANING AND PAINTING

DI-MGMT-80224 SEE BLK 16 SERMC CODE 324

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N/A D

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BLOCK 3: DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH

AVAILABILITY AS SPECIFIED IN SI 009-32

BLOCK 5: REPORTING GUIDELINES AND DETAILED INFORMATION SHALL BE

IN ACCORDANCE WITH THE CONTRACT REFERENCES, STATEMENT OF WORK,

NAVSEA STANDARD ITEMS, AND OTHER DOCUMENTS SET FORTH IN THE

CONTRACT.

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL. HARD

COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U S. DOD CONTRACTORS ONLY

(OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDER, SOUTHEAST REGIONAL

MAINTENANCE CENTER CODE 400, 1488 MASSEY AVE, MAYPORT NAVAL

STATION, FL 32228

BLOCKS 10, 11, 12 AND 13: BLAST MEDIA CERTIFICATION. ONE (1)

ELECTRONIC COPY OF THE BLAST MEDIA CERTIFICATION WILL BE

DELIVERED TO THE SERMC SBS AND PM. TWO (2) HARD COPIES OF EACH

REPORT SHALL BE SUBMITTED TO THE PM AT THE TIME OF

BILLING/INVOICING.

BLOCK 14: MEDIA REQUIREMENT: EACH REPORT SHALL BE PRESENTED IN A

MICROSOFT OFFICE SUITE. VERSION 2007 OR NEWER OR ADOBE ACROBAT

(PDF) ENTERNED INTO THE NAVY MAINTENANCE DATABASE (NMD) AND

DELIVERED AS AN E-MAIL ATTACHMENT TO ALL ADDRESSEES.

CURRENT SERMC CODE 324 SHIP BUILDING SPECIALIST/PROJECT MANAGER

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

Gregg Wells 09-02-2021

Gregg Wells

WELLS.GREGG.THOMAS.1

166408764

Digitally signed by

WELLS.GREGG.THOMAS.1166408764

Date: 2021.10.25 10:24:11 -04'00'

10-25-2021

CDRL A001 (SERM-SBL-22-001)
CDRL A002 (SERM-SBL-22-001)
CDRL A003 (SERM-SBL-22-001)
CDRL A004 (SERM-SBL-22-001)
CDRL A005 (SERM-SBL-22-001)
CDRL A006 (SERM-SBL-22-001)
CDRL A007 (SERM-SBL-22-001)
CDRL A008 (SERM-SBL-22-001)

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