Exhibit A _ Contract Data Requirements List _CDRL_ DD Form 1423 _A001 A018.pdf
PDF 3 MB Posted
- Attached to
- LITTLE BLUE III SOLICITATION Federal contract opportunity
- Solicitation number
- N64498-24-R-4007
About this file
This is a solicitation for engineering and technical services to support the modernization of shipboard HM&E systems. The solicitation was issued by the Naval Sea Systems Command and seeks proposals to provide production support, quality assurance, and engineering services during the installation and testing of shipboard alterations and repairs. Key details include a period of performance of five years, the inclusion of multiple contract line items and exhibits describing required data deliverables, and Distribution Statement B restricting distribution of delivered data to U.S. government agencies for evaluation purposes. Offerors should submit proposals by the specified due date to be considered for award.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N64498-24-R-4007 Questions_Answers 23-30.pdf | ||
| N64498-24-R-4007 Questions_Answers 1-22.pdf | ||
| RFP N64498-24-R-4007 -Amendment0002.pdf | ||
| RFP N64498-24-R-4007 Amendment 0001.pdf | ||
| Attachment 2 _ Government Furnished Property _GFP_ Module Template Version 2.1.xlsx | XLSX spreadsheet | |
| Exhibit B _ DD254 N64498-24-R-4007.pdf | ||
| RFP N64498-24-R-4007.pdf | ||
| Attachment 1_ List of Key Personnel.xlsx | XLSX spreadsheet | |
| Attachment 3 _ Government Furnished Information _GFI_ NAVSEA Form 4340.2.pdf |
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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
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001
data_item: A004 title: Alteration Installation Team Quality Assurance Workbook sub: Quality Assurance Workbook auth: DI-QCIC-81187 ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: DD appcode: A* dist: B freq: OTIME asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: ASREQ addressee1: COR (email) draft1: 1 reg1: 0 repro1: 0 addressee2: Tech POC (on TOs) draft2: 1 reg2: 1 repro2: 0 addressee3: OSIC draft3: 1 reg3: 0 repro3: 0 addressee4:
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total_draft: 3 total_reg: 1 total_repro: 0 remarks: Block 8: All QAWBs must be submitted to TPOC/SME at least 30 days prior to start of install for review. Submission shall be via electronic means. Government will review and provide comment within 10 business days. Contractor shall resubmit within to business days.
{For Reference} The QA workbook must follow the NSWCPD Section layout:
- Sect. 1 Alteration Description
- Sect. 2 Personnel Qualifications and Certifications
- Sect. 3 Procedures Objective Quality Evidence (OQE)
- Sect. 4 Installation POA&M (CDRL A007)
- Sect. 5 Ship Installation Drawing (SID) List
- Sect. 6 Test and Inspection (T &I) Plan - This plan should identify areas requiring in-process inspections by annotating steps as Inspection (I), Verification (V), or Government (G) Points. This plan shall also incorporate all testing requirements.
- Sect. 7 Test & Inspection Records
Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Block 11: First time accomplishment of alterations/SCDs, the QA workbook must be submitted to COR, TPOC/SME and OSIC no later than 30 days from contract award.
Block 12: First submission shall be 30 days in advance of each installation. Completed QAWB section 6 & 7 shall be provided to the TPOC/SME no later than 15 days after completion of the task.
Block 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications to the distribution addresses identified in Attachment 1 to Exhibit A. Submission must be either one (1) organized filed per QAWB section (seven files total), or one (1) organized file for the entire QAWB. Completed section 6 & 7 shall be only one or two files.
group:
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prep_name: B.P. Franks line_item: 0004 exhibit: A xtdp: Off xtm: Off othercat: QCIC system: HM&E Modernization ctr_no: TBD contr: TBD remarksb:
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Work Specification Report sub: Process Control Procedures auth: DI-MGMT-81786 ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: LT appcode: N/A dist: B freq: ASREQ asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: ASGEN addressee1: COR (email) draft1: 0 reg1: 1 repro1: 0 addressee2: SME draft2: 0 reg2: 1 repro2: 0 addressee3:
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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Blocks 11 & 12: Submissions shall be at a minimum 30 days prior to installation.
BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.
group:
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Engineering and Technical Services Accomplishment Reports sub: Production Status Reports auth: DI-SSES-80061A ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: DD appcode: A* dist: B* freq: Daily asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: Daily addressee1: COR (email) draft1: 0 reg1: 1 repro1: 0 addressee2: Tech POC (on TOs) draft2: 0 reg2: 1 repro2: 0 addressee3: OSIC draft3: 0 reg3: 1 repro3: 0 addressee4:
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total_draft: 0 total_reg: 3 total_repro: 0 remarks: Block 8: The Status Report will be sent via email and include work accomplished, delays or disruptions, design changes, work scheduled for the next day, and any other relevant information. Personnel shall be listed, including labor trade and hours worked each day. The government will review within 24 hours and address any issues with the report via return emails. Contractor shall resubmit within 2 business days.
Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Blocks 10-13: Reporting to begin with commencement of production. Daily submittal of individual status reports detailing the production work or testing that was accomplished to date for the current task on each specific hull until completion of the task. This report shall also provide documentation of all deckplate production and design issues. The TPOC and OSIC can suspend report while production is not occurring.
Block14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: Contract Status Report sub: Plan of Action and Milestones auth: DI-MGMT-81991 ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: DD appcode: A* dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: COR (email) draft1: 0 reg1: 1 repro1: 0 addressee2: Tech POC (on TOs) draft2: 0 reg2: 1 repro2: 0 addressee3: SME draft3: 0 reg3: 1 repro3: 0 addressee4:
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total_draft: 0 total_reg: 3 total_repro: 0 remarks: Block 8: Government will review and approve electronic submittal of status reports providing the accomplishment of industrial production work, pre-fabrication, etc. of the entire alteration within 5 days of submission. Contractor shall resubmit within 5 business days. Report should also provide planned upcoming work, Plan of Actions & Milestones (POAM), issues, incorporation of lessons learned, etc. and will be provided to applicable SME/TPOC and OSIC.
Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Block 10: Start and end status date same as start and end dates on i-RAPT invoice submission
Block 11: 14 days in advance of task commencement.
Block 12 and 13: Submit report updates the first working day of the specific task and updates to the POAM the same day of each subsequent week until task completion.
BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.
group:
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prep_name: B.P. Franks line_item: 0004 exhibit: A xtdp: Off xtm: Off othercat: MGMT system: HM&E Modernization ctr_no: TBD contr: TBD remarksb:
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2023-05-22T16:51:16-0400
CARTER.EDWARD.WILLIAM.1298149768
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A008 title: Engineering and Technical Services Accomplishment Report sub: Lessons Learned Reports auth: DI-MGMT-80061A ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: LT appcode: N/A dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: COR (email) draft1: 1 reg1: 1 repro1: 0 addressee2: Tech POC (on TOs) draft2: 1 reg2: 1 repro2: 0 addressee3:
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total_draft: 2 total_reg: 2 total_repro: 0 remarks: Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Blocks 11, 12, & 13: First submission due No Later Than (NLT) 5 days after installation.
Subsequent submissions due as any changes occur.
Blocks 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.
group:
total_price:
prep_name: B.P. Franks line_item: 0004 exhibit: A xtdp: Off xtm: Off othercat: MGMT system: HM&E Modernization ctr_no: TBD contr: TBD remarksb:
Page2:
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2023-05-22T16:51:48-0400
CARTER.EDWARD.WILLIAM.1298149768
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A009 title: Meeting Minutes sub: N/A auth: DI-ADMN-81505 ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: DD appcode: A* dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: COR (email) draft1: 1 reg1: 1 repro1: 0 addressee2: Tech POC (on TOs) draft2: 1 reg2: 1 repro2: 0 addressee3:
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total_draft: 2 total_reg: 2 total_repro: 0 remarks: Block 8: Government will review and approve within 5 working days of submission. Contractor shall resubmit within 5 working days.
Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Blocks 10-13: As tasked by the Tech POC, provide meeting minutes that capture the technical discussion, action items, and estimated action delivery dates.
Block 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.
group:
total_price:
prep_name: B.P. Franks line_item: 0004 exhibit: A xtdp: Off xtm: Off othercat: ADMN system: HM&E Modernization ctr_no: TBD contr: TBD remarksb:
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2023-05-22T16:53:02-0400
CARTER.EDWARD.WILLIAM.1298149768
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A010 title: Government Property Inventory Report sub: Government Furnished Property Inventory Baseline Report auth: DI-MGMT-80441D ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: LT appcode: N/A dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: COR (email) draft1: 0 reg1: 1 repro1: 0 addressee2: SME draft2: 0 reg2: 1 repro2: 0 addressee3: PCO draft3: 0 reg3: 1 repro3: 0 addressee4: FPOC draft4: 0 reg4: 1 repro4: 0 addressee5: APO draft5: 0 reg5: 1 repro5: 0 addressee6:
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addressee38:
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reg38x:
repro38:
total_draft: 0 total_reg: 5 total_repro: 0 remarks: Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Block 10: Submit information as (Government Furnished Material) GFM is received by the contractor, which could be a one-time receipt, monthly quarterly, or by specific dates.
Block 11: Date shall be as the date of inspection of GFM; Contractor shall submit reports within 15 days of inspection; all GFP shall be inspected within 30 days of receipt.
Block 12: Within fifteen (15) days after inspection of GFP.
Block 13: Date of subsequent submission includes [monthly; quarterly; semi-annual; annual] reporting of inventory in the contractor's possession. When no GFP has been received by the contractor, the contractor shall provide an annual statement, on Contractor Letter Head, that no GFP is in the contractor's possession.
Block 14: Submit via electronic mail, in digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications. Submission shall be placed on Contractor Letter Head.
group:
total_price:
prep_name: B.P. Franks line_item: 0004 exhibit: A xtdp: Off xtm: Off othercat: MGMT system: HM&E Modernization ctr_no: TBD contr: TBD remarksb:
Page2:
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prep_date:
app_by:
2023-05-22T16:54:08-0400
CARTER.EDWARD.WILLIAM.1298149768
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app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A011 title: Material Safety Data, Transportation Data, and Disposal Data for Hazardous Materials Furnished to Government Activities sub: N/A auth: FED-STD-313 ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: LT appcode: N/A dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: COR (email) draft1: 0 reg1: 1 repro1: 0 addressee2: SME draft2: 0 reg2: 1 repro2: 0 addressee3:
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reg38x:
repro38:
total_draft: 0 total_reg: 2 total_repro: 0 remarks: Block 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.
Block 10: Submit information as HAZMAT is received by the contractor, which could be a one-time receipt, monthly, quarterly, or by specific dates. Reporting shall be by specific line item with quantity defined and the records will be maintained until complete usage or disposal of said HAZMAT item.
Block 11: Reports shall be provided monthly after initial purchase or receipt of materials defined as HAZMAT.
Block 12: Within fifteen (15) days after receipt or purchase of HAZMAT.
Block 13: Date of subsequent submission includes [monthly; quarterly; semi-annual; annual] reporting of inventory in the contractor's possession. When no HAZMAT has been received or processed for disposal by the contractor, the contractor shall provide an annual statement, on Contractor Letter Head, that no HAZMAT is in the contractor's possession.
Block 14: Submit via electronic mail, in digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications. Submission shall be placed on Contractor Letter Head.
group:
total_price:
prep_name: B.P. Franks line_item: 0004 exhibit: A xtdp: Off xtm: Off othercat: MGMT system: HM&E Modernization ctr_no: TBD contr: TBD remarksb:
Page2:
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prep_date:
app_by:
2023-05-22T16:55:14-0400
CARTER.EDWARD.WILLIAM.1298149768
app_date:
Page:
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app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A009 title: Pre-Installation Site Survey sub: N/A auth: DI-MISC-82104 ref: SOW Paragraph x.x req_ofc: NSWCPD, C/252 dd250: DD appcode: A* dist: B freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: COR (email) draft1: 1 reg1: 1 repro1: 0 addressee2: Tech POC (on TOs) draft2: 1 reg2: 1 repro2: 0 addressee3:
draft3:
reg3:
repro3:
addressee4:
draft4:
reg4:
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draft5:
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reg24:
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