Exhibit A DD Form 1423 Contract Data Requirements List (CDRLs).pdf

PDF 2 MB Posted Jul 15, 2020

Attached to: Worldwide Undersea Search and Salvage Operations in support of the Director of Ocean Engineering, Supervisor of Salvage and Diving (SUPSALV)
Solicitation number: N00024-20-R-4301
Issued by: Department of the Navy Naval Sea Systems Command

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Written by GovTribe AI · Dec 30, 2023

This Contract Data Requirements List (CDRL) outlines ten required data items for a contract to provide worldwide rapid response undersea search and salvage operations in support of the Director of Ocean Engineering, Supervisor of Salvage and Diving (SUPSALV). Required data items include monthly and final contract summary reports, technical reports, a job completion letter, an operations report, cost estimates, a certified statement of costs, and an organizational chart. Delivery due dates, distribution restrictions, and submission formats are specified for each data item. The Naval Sea Systems Command solicits offers for worldwide undersea search and salvage operations including operation of SUPSALV assets like ROVs and side scan systems, as well as provision of commercial equipment and engineering services to supplement SUPSALV capabilities.

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File	Type	Posted
N00024-20-R-4301 A0003.pdf	PDF	Aug 25, 2020
N00024-20-R-4301 A0002.pdf	PDF	Aug 24, 2020
N00024-20-R-4301 A0001.pdf	PDF	Aug 4, 2020
J-4 Past Performance Questionnaire v2.doc	DOC document	Aug 4, 2020
J-5 Resume Format.doc	DOC document	Jul 15, 2020
J-7 Government Furnished Property.pdf	PDF	Jul 15, 2020
J-4 Past Performance Questionnaire.doc	DOC document	Jul 15, 2020
J-3 DD 254.pdf	PDF	Jul 15, 2020
J-6 Scheduled Personnel.docx	DOCX document	Jul 15, 2020
J-1 Cost Pricing Spreadsheet.xls	XLS spreadsheet	Jul 15, 2020
N00024-20-R-4301.pdf	PDF	Jul 15, 2020

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

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

TDP ________ TM _______ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

CLIN 0002 A MISC

UNDERSEA OPERATIONS 19NR00425 TBD

A001 CONTRACT SUMMARY REPORT MONTHLY REPORT

DI-ADMIN-80447A CLINS 0002 and Options NAVSEA

A C

ASREQ

N/A

SEE BLK 16

00C2 PM 1 1 0

00C2 0 1 0 00C12 0 1 0

1 3 0

BLK 4: Format of the Final Report shall be submitted in the Contractor's format.

BLK 8: Approval shall be for technical accuracy and content. The responsible NAVSEA Project Manager (PM) or 00C2 will approve/disapprove all comments received from the Contractor "electronically" within thirty (30) days after receipt of the report. The Contractor shall provide any changes within five (5) days.

BLK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (contract date). Other requests for this document shall be referred to Commanding Officer, Naval Sea Systems Command, Director of Ocean Engineering, Supervisor of Salvage and Diving, (SEA 00C22), 1333 Isaac Hull Avenue SE, STOP 1070, Washington Navy Yard, DC 20376-1070.

BLK 10, 11, 12, 13: Specific requirements relative to the preparation and delivery of the Monthly Report shall be specified in each Delivery Order issued under the contract.

BLK 14: Media Requirement: The Monthly Report shall be delivered electronically in 2010 Adobe Acrobat (PDF) via e-mail.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 09:50:32 -04'00'

6/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:31:05 -04'00'

1 15 Adobe Professional 8.0

(1 Data Item)

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A MISC

UNDERSEA OPERATIONS 19NR00425 TBD

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A MISC

UNDERSEA OPERATIONS 19NR00425 TBD

A002 CONTRACT SUMMARY REPORT FINAL REPORT

DI-ADMIN-80447A CLINS 0002 and Options NAVSEA

A C

ASREQ

N/A

SEE BLK 16

00C2 PM 1 1 0

00C2 0 1 0 00C12 0 1 0

1 3 0

BLK 4: Format of the Final Report shall be submitted in the Contractor's format.

BLK 8: Approval shall be for technical accuracy and content. The responsible NAVSEA Project Manager (PM) or 00C2 will approve/disapprove all comments received from the Contractor "electronically" within fifteen (15) days after receipt of the report. The Contractor shall provide any changes within five (5) days.

BLK 10, 11, 12, 13: Specific requirements relative to the preparation and delivery of the Final Report shall be specified in each Delivery Order issued under the contract.

BLK 14: Media Requirement: The Final Report shall be delivered electronically in 2010 Adobe Acrobat (PDF) via e-mail.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 10:10:52 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A MISC

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A MISC

UNDERSEA OPERATIONS 19NR00425 TBD

A003 TECHNICAL REPORT-STUDY/SERVICES TECHNICAL REPORT

DI-MISC-80508B/SEE BLK 16 CLINS 0002 and Options NAVSEA 00C2

A* B*

ASREQ

N/A

SEE BLK 16

0012A 0 1 1 00C2 0 1 0

00C2 PM 1 1 1

1 3 2

BLK 4: 2.a does not apply.

BLK 8: Approval shall be for technical accuracy and content. The Government shall have ten (10) calendar days to review. The Contractor shall have ten (10) days to incorporate any changes and return to the Government. .

BLK 9: DISTRIBUTION STATEMENT B: Distribution authorized to U.S. Government Agencies only for Administrative or Operational use as of 02-01-2013. Other requests for this document shall be referred to Commanding Officer, Naval Sea Systems Command, Director of Ocean Engineering, Supervisor of Salvage and Diving, (SEA 00C22), 1333 Isaac Hull Avenue SE, STOP 1070, Washington Navy Yard, DC 20376-1070.

BLK 10, 12, 13: Each Delivery Order issued under the contract shall specify the frequency, date of first submission, and (if required) the date of the subsequent submission.

BLK 14: Media Requirement: The Technical Report shall be delivered electronically in 2010 Adobe Acrobat Portable Document File (PFD) format.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 10:19:49 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:33:10 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A MISC

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A MISC

UNDERSEA OPERATIONS 19NR00425 TBD

A004 CERTIFICATE OF COMPLIANCE JOB COMPLETION LETTER

DI-MISC-81356A/SEE BLK 16 CLINS 0002 and Options NAVSEA 00C2

A* B*

ASREQ

N/A

SEE BLK 16

0012A 0 1 1 00C2 0 1 0

00C2 PM 1 1 1

1 3 2

BLK 4: 2.a does not apply.

BLK 10, 12, 13: Each Delivery Order issued under the contract shall specify the date of job completion.

BLK 14: Media Requirement: The Job Completion Letter shall be delivered electronically in 2010 Adobe Acrobat Portable Document File (PFD) format.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 10:23:06 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:36:19 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A MISC

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A FNCL

UNDERSEA OPERATIONS 19NR00425 TBD

A005 SHIP COST SUMMARY REPORT (CSR) COST ESTIMATE

DI-FNCL-81913/SEE BLK 16 CLINS 0002 and options NAVSEA 00C2

A* C*

SEE BLK16

N/A

SEE BLK 16

002 0 1 0

00C2 PM 1 1 0

1 2 0

BLIK 4: The top level summary Cost Estimates shall be submitted in accordance with the attached example. The supporting detailed costs can be in the Contractor's format.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to U. S. Government Agencies and their Contractors for Critical Technology as of 02-01-2013. Other requests for this document shall be referred to Commanding Officer, Naval Sea Systems Command, Director of Ocean Engineering, Supervisor of Salvage and Diving, (SEA 00C22), 1333 Isaac Hull Avenue SE, STOP 1070, Washington Navy Yard, DC 20376-1070.

BLK 10, 12, 13: Specific requirements relative to the preparation and delivery of the Delivery Order Cost Estimates shall be specified in each Delivery Order issued under the contract.

BLK 14: Media Requirement: The Cost Estimate shall be delivered electronically in 2010 Adobe Acrobat Portable Document File (PFD) format.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 10:27:32 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:39:55 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A FNCL

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A MGMT

UNDERSEA OPERATIONS 19NR00425 TBD

A006 POST TRAINING AND OPERATIONS REPORT OPERATIONS REPORT

DI-MGMT-81862 CLINS 0002 and Options NAVSEA 00C2

A* B*

SEE BLK 16

N/A

SEE BLK 16

0012A 0 1 1 00C2 0 1 0

00C2 PM 1 1 1

1 3 2

BLK 8: Approval shall be for technical accuracy and content. The Government shall have thirty (30) calendar days from submission to review. The Contractor shall have fifteen (15) days to incorporate any changes and return to the Government. .

BLK 10, 12, 13: Submission of the Operations Report shall be no later than thirty (30) days after the conclusion of the operation.

BLK 14: Media Requirement: The Operations Report shall be delivered electronically in 2010 Adobe Acrobat Portable Document File (PFD) format.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 10:46:47 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:43:26 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A MGMT

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A FAR

UNDERSEA OPERATIONS 19NR00425 TBD

A007 CLOSEOUT OF CONTRACT FILES PHYSICAL COMPLETION LETTER

FAR 4.804/SEE BLK 16 CLINS 0002 and Options NAVSEA 00C2

A* C*

SEE BLK 16

N/A

SEE BLK 16

N/A

00C2 PM 1 1 0

00C2 0 1 0 00C12 0 1 0

1 3 0

BLK 4: Format of Physical Completion Letter shall be submitted in the Contractor's format.

BLK 8: Approval shall be for administrative accuracy and content. The Physical Completion Letter shall be submitted fifteen (15) days after job completion.

BLK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use) (contract date). Other requests for this document shall be referred to Commanding Officer, Naval Sea Systems Command, Director of Ocean Engineering, Supervisor of Salvage and Diving, (SEA 00C2), 1333 Isaac Hull Avenue SE, STOP 1070, Washington Navy Yard, DC 20376-1070.

BLK 10, 12, 13: Specific requirements relative to the preparation and delivery of the Physical Completion Letter shall be specified in each Delivery Order issued under the contract.

BLK 14: Media Requirement: The Physical Completion Letter shall be delivered electronically in 2010 Adobe Acrobat (PDF) via e-mail.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 14:37:46 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:45:45 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A FAR

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A MGMT

UNDERSEA OPERATIONS 19NR00425 TBD

A008 CONTRACTOR ROSTER ORGANIZATIONAL CHART

DI-MGMT-81596/SEE BLK 16 CLINS 0002 and Options NAVSEA 00C2

A C*

SEE BLK16

N/A

SEE BLK 16

00C2 0 1 0

00C2 PM 1 1 0

00C12A 0 1 0

1 3 0

BLK 4: In the REQUIREMENTS section delete Social Security Number, Date, Place of Birth, and Clearance Status.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government Agencies and their Contractors for Critical Technology as of 02-01-2013. Other requests for this document shall be referred to Commanding Officer, Naval Sea Systems Command, Director of Ocean Engineering, Supervisor of Salvage and Diving, (SEA 00C22), 1333 Isaac Hull Avenue SE, STOP 1070, Washington Navy Yard, DC 20376-1070.

BLK 10, 13: The organizational chart shall be updated every six (6) months or upon corporate reorganization and/or reassignment of personnel assigned to the contract whichever occurs first.

BLK 12: First submission of the organizational chart shall be delivered within thirty (30) days of contract award.

BLK 14: Media Requirement: The Organizational Chart shall be delivered electronically in 2010 Adobe Acrobat Portable Document File (PFD) format via e-mail.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 11:24:25 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:47:38 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A MGMT

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A FAR

UNDERSEA OPERATIONS 19NR00425 TBD

A009 NOTICE OF 75% INCURRED COST 75% LETTER

FAR 52.232-7 CLINS 0002 and options NAVSEA 00C2

A* C*

ASREQ

N/A

SEE BLK 16

00C2 0 1 0

00C2 PM 1 1 1

1 2 1

BLK 3: Title of report shall be specified on each Delivery Order issued under the contract.

BLK 8: The report will be reviewed for technical accuracy and content.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government Agencies and their Contractors for Critical Technology as of 02-01-2013. Other requests for this document shall be referred to Commanding Officer, Naval Sea Systems Command, Director of Ocean Engineering, Supervisor of Salvage and Diving, (SEA 00C22), 1333 Isaac Hull Avenue SE, STOP 1070, Washington Navy Yard, DC 20376-1070.

BLK 10, 12, and, 13: Specific requirements relative to the preparation and delivery of the report shall be specified in each Delivery Order issued under the contract.

BLK 14: Media Requirement: The 75% Letter shall be delivered electronically in 2010 Adobe Acrobat Portable Document File (PFD) format via e-mail.

Tina Bender BENDER.TINA.K.1229385719 Digitally signed by BENDER.TINA.K.1229385719

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=BENDER.TINA.K.1229385719 Date: 2019.06.11 14:41:41 -04'00'

06/11/2019 Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:51:42 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A FAR

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

CLIN 0002 A OT

UNDERSEA OPERATIONS 19NR00425 TBD

A010 CERTIFIED STATEMENT OF COST N/A

OT-12-20106 CLINS 0002 and Options NAVSEA 00C2

A* B*

SEE BLK 16

N/A

SEE BLK 16

00C2 PM 1 1 0

00C2 0 1 0 00C12 0 1 0

1 3 0

BLK 4: A Certified Statement of Cost (CSC) shall be included with each Delivery Order issued under the Contract. An example of the format and type of information to be included in the report are provided as attachments to this CDRL. There is an example/attachment for Operational and Nonoperational Delivery Order CSCs.

BLK 8: Approval shall be for administrative accuracy and content. The Certified Statement of Cost shall be submitted thirty (30) days after job completion.

BLK 9: IAW DOD 5230 security manual:\DISTRIBUTION STATEMENT B:

Distribution authorized to U. S. Government agencies only for (Administrative or Operational use)(as of 08-03-2012). Other requests for this document shall be referred to (COMNAVSEA 00C22, 1333 Isaac Hull Avenue SE, STOP 1070, Washington Navy Yard, DC 20376-1070).

BLK 10, 12, 13: Submission shall be made within 30 days of completion of each Delivery Order issued under the contract.

BLK 14: Media Requirement: The Certified Statement of Cost shall be delivered as an Adobe Acrobat Portable Document File (PDF) format. The Contractor shall confirm with NAVSEA 00C22 after contract award to validate what version of Adobe shall be submitted.

Tina Bender

ROBINSONGORE.THOMASINA.

C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:56:21 -04'00'

Thomasina C. Robinson-Gore

ROBINSONGORE.THOMAS

INA.C.1229943088

Digitally signed by

ROBINSONGORE.THOMASINA.C.1229943088

Date: 2020.06.17 12:55:19 -04'00'

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

CLIN 0002 A OT

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 delivering such data item to the Government.

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

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File details come from the government source that posted it. Updated Jul 15, 2020.