Exhibit A DD1423 CDRLs.pdf
PDF 2 MB Posted
- Attached to
- Rapid Prototyping N0017822R4404 Amendment 0005 Federal contract opportunity
- Solicitation number
- N0017822R4404
About this file
This document contains a Contract Data Requirements List (CDRL) and outlines ten data items required to be delivered under a rapid prototyping contract. The Naval Surface Warfare Center Dahlgren Division requires the delivery of management reports, presentation materials, meeting minutes, engineering drawings, test plans and reports, status reports, and configuration management documents on a monthly, weekly, or one-time basis. Key details include data submission deadlines ranging from 5 to 30 days, distribution statements restricting dissemination to the Department of Defense and U.S. contractors, and electronic submission requirements in MS Office or PDF format via email to the Contracting Officer's Representative.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N0017822R4404 Question_Answer Document Rev6.pdf | ||
| N0017822R4404 Amendment 0005.pdf | ||
| N0017822R4404 Question_Answer Document Rev5.pdf | ||
| Amendment 0004 N0017822R4404.pdf | ||
| N0017822R4404 Question_Answer Document Rev4.pdf | ||
| N0017822R4404 Question_Answer Document Rev3.pdf | ||
| Amendment 0003 N0017822R440.pdf | ||
| N0017822R4404 Question_Answer Document Rev2.pdf | ||
| N0017822R4404 Question_Answer Document Rev1.pdf | ||
| Amendment 0002 N0017822R4404.pdf | ||
| N0017822R4404 Question_Answer Document.pdf | ||
| Amendment 0001 N0017822R4404.pdf | ||
| N0017822R4404 Rapid Prototyping RFP.pdf | ||
| Attachment J1 DD254.pdf | ||
| Attachment J3 Cost Summary Spreadsheet.xlsx | XLSX spreadsheet | |
| N0017822R4404 Rapid Prototyping RFP.pdf | ||
| Attachment J4 RFP 0002 DO Sheet.pdf |
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
*NOTE: 3Di viewable will be in ISO 32000 pdf format unless otherwise specified.
Yes No
*NOTE: USE OF SEPARATE PARTS OR WIRING LISTS ARE NOT RECOMMENDED ESPECIALLY WITH TYPE 3D TDPS.
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
| DRAFT1: 1 |
| ADDRESSEE3: CONTRACTING OFFICER |
| ADDRESSEE37: |
| ADDRESSEE38: |
| CLIN: 0003 |
| EXHIBIT: A |
| OTHER: MGMT |
| SYSTEM_ITEM: RAPID PROTOTYPING SUPPORT |
| CONTRACT_PR_NO: N0017822R4404 |
| CONTRACTOR: TBD |
| DATA_ITEM_NO: A001 |
| TITLE_OF_DATA_ITEM: CONTRACTING OFFICER'S MANAGEMENT REPORT |
| SUBTITLE: MONTHLY REPORT |
| AUTHORITY: DI-MGMT-81864A |
| CONTRACT_REFERENCE: C.4.1.9, C.8.1 |
| REQUIRING_OFFICE: H-DEPT-NSWCDD |
| DD250_REQ: LT |
| DIST_STATEMENT_REQUIRED: D (See Block 16) |
| FREQUENCY: MTHLY |
| DATE_OF_FIRST_SUBMISSION: SEE BLK 16 |
| APPCODE: A (See Block 16) |
| AS_OF_DATE: SEE BLK 16 |
| DATE_OF_SUBSEQUENT_SUBMISSION: SEE BLK 16 |
| ADDRESSEE2: CONTRACT SPECIALIST |
| ADDRESSEE1: COR |
| REPRO19: |
| REG19: |
| DRAFT19: |
| ADDRESSEE19: |
| REPRO18: |
| REG18: |
| DRAFT18: |
| ADDRESSEE18: |
| REPRO17: |
| REG17: |
| DRAFT17: |
| ADDRESSEE17: |
| REPRO16: |
| REG16: |
| DRAFT16: |
| ADDRESSEE16: |
| REPRO15: |
| REG15: |
| DRAFT15: |
| ADDRESSEE15: |
| REPRO14: |
| REG14: |
| DRAFT14: |
| ADDRESSEE14: |
| REPRO13: |
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| PREPARED_BY: URANN, KATHRINA L. |
| DATE_PREPARED: 09/29/2021 |
| DATE_APPROVED: 02/01/2022 |
| PRICE_GROUP: |
| ESTIMATED_TOTAL_PRICE: |
| Page: 1 |
| TOTAL_PAGES: 1 |
| TDP: Off |
| TM: Off |
| REMARKS1: Block 8: GOVERNMENT HAS 30 DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 10 DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 30 DAYS, SUBMITTAL IS APPROVED. |
Block 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY ADMINISTRATIVE OR OPERATIONAL USE OCTOBER 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMAND, NAVAL SURFACE WARFACE CENTER, DAHLGREN DIVISION, ATTENTION H40, 6096 TISDALE ROAD, DAHLGREN, VIRIGINIA 22448-5156.
Block 11: REPORTING PERIOD SHALL BE SYNCHRONIZED WITH THE CONTRACTOR'S MONTHLY INVOICING CYCLE.
Block 12: FIRST SUBMISSION IS DUE 10 WORKINGS DAYS AFTER THE END OF THE FIRST MONTH OF CONTRACT PERFORMANCE. IF CONTRACT PERFORMANCE IS LESS THAN 10 WORKING DAYS, FIRST SUBMISSION IS DUE AFTER FIRST FULL MONTH OF CONTRACT PERFORMANCE.
Block 13: SUBSEQUENT SUBMISSIONS ARE DUE 15 WORKING DAYS AFTER THE END OF THE MONTH THEREAFTER.
Block 14: ELECTRONIC MEDIA: MONTHLY REPORTS SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE CONTRACTING OFFICER'S REPRESENTATIVE (COR), CONTRACT SPECIALIST, AND CONTRACTING OFFICER AS LISTED IN SECTION G, GOVERNMENT CONTRACT ADMINISTRATION POINTS-OF-CONTACT AND RESPONSIBILITIES.
| TOTAL_DRAFT: 3 |
| TOTAL_FINAL_REQ: 3 |
| TOTAL_FINAL_REPRO: 0 |
| CAC_USERNAME: SPRUILL.MATTHEW.R.1057837086 |
| CAC_NPKE_SUBJECT: Electronically signed by the CDRL tool on behalf of: SPRUILL.MATTHEW.R.1057837086 |
Date: 2/1/2022 7:56:09 PM
| DRAFT110: 1 |
| ADDRESSEE39: |
| ADDRESSEE371: |
| ADDRESSEE381: |
| CLIN1: 0003 |
| EXHIBIT1: A |
| OTHER1: ADMN |
| SYSTEM_ITEM1: RAPID PROTOTYPING SUPPORT |
| CONTRACT_PR_NO1: N0017822R4404 |
| CONTRACTOR1: TBD |
| DATA_ITEM_NO1: A002 |
| TITLE_OF_DATA_ITEM1: PRESENTATION MATERIAL |
| SUBTITLE1: N/A |
| AUTHORITY1: DI-ADMN-81373 |
| CONTRACT_REFERENCE1: C.4.1.7, C.8.2, C.8.3 |
| REQUIRING_OFFICE1: H-DEPT-NSWCDD |
| DD250_REQ1: LT |
| DIST_STATEMENT_REQUIRED1: D (See Block 16) |
| FREQUENCY1: ASREQ (See Block 16) |
| DATE_OF_FIRST_SUBMISSION1: SEE BLK 16 |
| APPCODE1: A (See Block 16) |
| AS_OF_DATE1: N/A |
| DATE_OF_SUBSEQUENT_SUBMISSION1: SEE BLK 16 |
| ADDRESSEE210: SEE BLK 16 |
| ADDRESSEE110: COR |
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| PREPARED_BY1: URANN, KATHRINA L. |
| DATE_PREPARED1: 09/29/2021 |
| DATE_APPROVED1: 02/01/2022 |
| PRICE_GROUP1: |
| ESTIMATED_TOTAL_PRICE1: |
| Page1: 1 |
| TOTAL_PAGES1: 1 |
| TDP1: Off |
| TM1: Off |
| REMARKS11: Block 8: GOVERNMENT HAS 15 DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 15 DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 15 DAYS, SUBMITTAL IS APPROVED. |
Block 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY: ADMINISTRATIVE USE OCTOBER 2021. OTHER REQUESTS SHALL BE REFERRED TO COMMANDER, DAHLGREN DIVISION, NAVAL SURFACE WARFARE CENTER (H40), 6096 TISDALE ROAD, DAHLGREN, VA 22448-5156.
Block 10: PRESENTATION MATERIAL SHALL BE DELIVERED 10 DAYS PRIOR TO EVENT.
Block 12: PRESENTATION MATERIAL SHALL BE DELIVERED 10 DAYS PRIOR TO EVENT.
Block 13: PRESENTATION MATERIAL SHALL BE DELIVERED 10 DAYS PRIOR TO EVENT.
Block 14: LECTRONIC MEDIA: PRESENTATION MATERIAL SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE COR, AS LISTED IN SECTION G, GOVERNMENT CONTRACT ADMINISTRATION POINTS-OF-CONTACT AND RESPONSIBILITIES.
| TOTAL_DRAFT1: 1 |
| TOTAL_FINAL_REQ1: 1 |
| TOTAL_FINAL_REPRO1: 0 |
| CAC_USERNAME1: SPRUILL.MATTHEW.R.1057837086 |
| CAC_NPKE_SUBJECT1: Electronically signed by the CDRL tool on behalf of: SPRUILL.MATTHEW.R.1057837086 |
Date: 2/1/2022 7:56:11 PM
| DRAFT112: 0 |
| ADDRESSEE310: |
| ADDRESSEE372: |
| ADDRESSEE382: |
| CLIN2: 0003 |
| EXHIBIT2: A |
| OTHER2: ADMN |
| SYSTEM_ITEM2: RAPID PROTOTYPING SUPPORT |
| CONTRACT_PR_NO2: N0017822R4404 |
| CONTRACTOR2: TBD |
| DATA_ITEM_NO2: A003 |
| TITLE_OF_DATA_ITEM2: REPORT, RECORD OF MEETING/MINUTES |
| SUBTITLE2: MEETING MINUTES |
| AUTHORITY2: DI-ADMN-81505 |
| CONTRACT_REFERENCE2: C.4.1.7, C.8.3 |
| REQUIRING_OFFICE2: H-DEPT-NSWCDD |
| DD250_REQ2: LT |
| DIST_STATEMENT_REQUIRED2: D (See Block 16) |
| FREQUENCY2: ASREQ (See Block 16) |
| DATE_OF_FIRST_SUBMISSION2: SEE BLK 16 |
| APPCODE2: N/A |
| AS_OF_DATE2: N/A |
| DATE_OF_SUBSEQUENT_SUBMISSION2: SEE BLK 16 |
| ADDRESSEE212: SEE BLK 16 |
| ADDRESSEE112: COR |
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| PREPARED_BY2: URANN, KATHRINA L. |
| DATE_PREPARED2: 09/29/2021 |
| DATE_APPROVED2: 02/01/2022 |
| PRICE_GROUP2: |
| ESTIMATED_TOTAL_PRICE2: |
| Page2: 1 |
| TOTAL_PAGES2: 1 |
| TDP2: Off |
| TM2: Off |
| REMARKS12: Block 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY: ADMINISTRATIVE USE OCTOBER 2021. OTHER REQUESTS SHALL BE REFERRED TO COMMANDER, DAHLGREN DIVISION, NAVAL SURFACE WARFARE CENTER (H40), 6096 TISDALE ROAD, DAHLGREN, VA 22448-5156. |
Block 10: MEETING MINUTES SHALL BE DELIVERED WITHIN 5 DAYS UPON COMPLETION OF THE RESPECTIVE MEETINGS.
Block 12: MEETING MINUTES SHALL BE DELIVERED WITHIN 5 DAYS UPON COMPLETION OF THE RESPECTIVE MEETINGS.
Block 13: MEETING MINUTES SHALL BE DELIVERED WITHIN 5 DAYS UPON COMPLETION OF THE RESPECTIVE MEETINGS.
Block 14: ELECTRONIC MEDIA: MINUTES SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE COR AS LISTED IN SECTION G, GOVERNMENT CONTRACT ADMINISTRATION POINTS-OF-CONTACT AND RESPONSIBILITIES.
| TOTAL_DRAFT2: 0 |
| TOTAL_FINAL_REQ2: 1 |
| TOTAL_FINAL_REPRO2: 0 |
| CAC_USERNAME2: SPRUILL.MATTHEW.R.1057837086 |
| CAC_NPKE_SUBJECT2: Electronically signed by the CDRL tool on behalf of: SPRUILL.MATTHEW.R.1057837086 |
Date: 2/1/2022 7:56:13 PM
| DRAFT114: 1 |
| ADDRESSEE313: |
| ADDRESSEE373: |
| ADDRESSEE383: |
| CLIN3: 0003 |
| EXHIBIT3: A |
| OTHER3: MGMT |
| SYSTEM_ITEM3: RAPID PROTOTYPING SUPPORT |
| CONTRACT_PR_NO3: N0017822R4404 |
| CONTRACTOR3: TBD |
| DATA_ITEM_NO3: A004 |
| TITLE_OF_DATA_ITEM3: STATUS REPORT |
| SUBTITLE3: WEEKLY STATUS REPORT |
| AUTHORITY3: DI-MGMT-80368A |
| CONTRACT_REFERENCE3: C.4.2.3, C.8.2 |
| REQUIRING_OFFICE3: H-DEPT-NSWCDD |
| DD250_REQ3: LT |
| DIST_STATEMENT_REQUIRED3: D (See Block 16) |
| FREQUENCY3: WEKLY (See Block 16) |
| DATE_OF_FIRST_SUBMISSION3: SEE BLK 16 |
| APPCODE3: A (See Block 16) |
| AS_OF_DATE3: SEE BLK 16 |
| DATE_OF_SUBSEQUENT_SUBMISSION3: SEE BLK 16 |
| ADDRESSEE214: SEE BLK 16 |
| ADDRESSEE114: COR |
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| PREPARED_BY3: URANN, KATHRINA L. |
| DATE_PREPARED3: 09/29/2021 |
| DATE_APPROVED3: 02/01/2022 |
| PRICE_GROUP3: |
| ESTIMATED_TOTAL_PRICE3: |
| Page3: 1 |
| TOTAL_PAGES3: 1 |
| TDP3: Off |
| TM3: Off |
| REMARKS13: Block 8: GOVERNMENT HAS 5 DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 3 DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQESTS WITHIN 5 DAYS, SUBMITTAL IS APPROVED. |
Block 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; ADMINISTRATIVE OCTOBER 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, NAVAL SURFACE WARFARE CENTER DAHLGREN DIVISION, ATTENTION H40, 6096 TISDALE ROAD, DAHLGREN VA, 22448-5156.
Block 10: FOR ACTIVE DELIVERY ORDERS; WEEKLY STATUS UPDATES ARE REQUIRED. REPORT FORMAT REQUIRES PRIOR GOVERNMENT APPROVAL.
Block 11: SUBMISSION SHOULD COVER ALL ACTIVITIES FROM THE PRIOR WEEK COVERED BY THE SUBMISSION.
Block 12: FIRST SUBMISSION IS DUE 3 DAYS AFTER THE FIRST FULL WEEK OF CONTRACT PERFORMANCE UNDER THE DELIVERY ORDER AND IS TO COVER ALL ACTIVITIES FROM INITIATION OF THE DELIVERY ORDER THROUGH THE END OF THAT WEEK.
Block 13: SUBSEQUENT SUBMISSIONS ARE DUE 3 DAYS AFTER THE END OF EACH WEEK THEREAFTER.
Block 14: ELECTRONIC MEDIA: WEEKLY REPORTS SHALL BE SUBMITED IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE COR AS LISTED IN SECTION G, GOVERNMENT ADMINISTRATION POINTS OF CONTACT AND RESPONSIBILITIES.
| TOTAL_DRAFT3: 1 |
| TOTAL_FINAL_REQ3: 1 |
| TOTAL_FINAL_REPRO3: 0 |
| CAC_USERNAME3: SPRUILL.MATTHEW.R.1057837086 |
| CAC_NPKE_SUBJECT3: Electronically signed by the CDRL tool on behalf of: SPRUILL.MATTHEW.R.1057837086 |
Date: 2/1/2022 7:56:15 PM
| DRAFT116: 1 |
| ADDRESSEE315: |
| ADDRESSEE374: |
| ADDRESSEE384: |
| CLIN4: 0003 |
| EXHIBIT4: A |
| OTHER4: NDTI |
| SYSTEM_ITEM4: RAPID PROTOTYPING SUPPORT |
| CONTRACT_PR_NO4: N0017822R4404 |
| CONTRACTOR4: TBD |
| DATA_ITEM_NO4: A005 |
| TITLE_OF_DATA_ITEM4: FIRST ARTICLE QUALIFICATION TEST PLAN AND PROCEDURES |
| SUBTITLE4: FACTORY ACCEPTANCE TEST (FAT) PROCEDURE |
| AUTHORITY4: DI-NDTI-81307A |
| CONTRACT_REFERENCE4: C.5.1 |
| REQUIRING_OFFICE4: H-DEPT-NSWCDD |
| DD250_REQ4: LT |
| DIST_STATEMENT_REQUIRED4: D (See Block 16) |
| FREQUENCY4: ONE/R (See Block 16) |
| DATE_OF_FIRST_SUBMISSION4: SEE BLK 16 |
| APPCODE4: A (See Block 16) |
| AS_OF_DATE4: N/A |
| DATE_OF_SUBSEQUENT_SUBMISSION4: SEE BLK 16 |
| ADDRESSEE216: SEE BLK 16 |
| ADDRESSEE116: COR |
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| PREPARED_BY4: URANN, KATHRINA L. |
| DATE_PREPARED4: 09/29/2021 |
| DATE_APPROVED4: 02/01/2022 |
| PRICE_GROUP4: |
| ESTIMATED_TOTAL_PRICE4: |
| Page4: 1 |
| TOTAL_PAGES4: 1 |
| TDP4: Off |
| TM4: Off |
| REMARKS14: Block 8: GOVERNMENT HAS 10 DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 10 DAYS TO SUBMIT REVISIONS. GOVERNMENT THEN HAS 10 DAYS FROM RECEIPT OF FINAL PROCEDURE TO APPROVE OR DISAPPROVE. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 10 DAYS UPON RECEIPT OF THE DRAFT OR REVISED PROCEDURE, SUBMITTAL IS APPROVED. |
Block 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; OPERATIONAL USE OCTOBER 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, NAVAL SURFACE WARFARE CENTER DAHLGREN DIVISION, ATTENTION H40, 6096 TISDALE ROAD, DAHLGREN, VA 22448-5156.
Block 10: FACTORY ACCEPTANCE TEST (FAT) PROCEDURE DRAFT IS DUE 10 DAYS PRIOR TO THE TEST. FINAL COPY IS DUE 10 DAYS AFTER DRAFT OR 10 DAYS UPON RECEIPT OF GOVERNMENT COMMENTS.
Block 12: FACTORY ACCEPTANCE TEST (FAT) PROCEDURE DRAFT IS DUE 10 DAYS PRIOR TO THE TEST. FINAL COPY IS DUE 10 DAYS AFTER DRAFT OR 10 DAYS UPON RECEIPT OF GOVERNMENT COMMENTS.
Block 13: FACTORY ACCEPTANCE TEST (FAT) PROCEDURE DRAFT IS DUE 10 DAYS PRIOR TO THE TEST. FINAL COPY IS DUE 10 DAYS AFTER DRAFT OR 10 DAYS UPON RECEIPT OF GOVERNMENT COMMENTS.
Block 14: ELECTRONIC MEDIA: PROCEDURES SHALL BE SUBMITED IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE COR AS LISTED IN SECTION G, GOVERNMENT CONTRACT ADMINISTRATION POINTS-OF-CONTACT AND RESPONSIBILITIES.
| TOTAL_DRAFT4: 1 |
| TOTAL_FINAL_REQ4: 1 |
| TOTAL_FINAL_REPRO4: 0 |
| CAC_USERNAME4: SPRUILL.MATTHEW.R.1057837086 |
| CAC_NPKE_SUBJECT4: Electronically signed by the CDRL tool on behalf of: SPRUILL.MATTHEW.R.1057837086 |
Date: 2/1/2022 7:56:16 PM
| DRAFT118: 0 |
| ADDRESSEE317: |
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| ADDRESSEE385: |
| CLIN5: 0003 |
| EXHIBIT5: A |
| OTHER5: NDTI |
| SYSTEM_ITEM5: RAPID PROTOTYPING SUPPORT |
| CONTRACT_PR_NO5: N0017822R4404 |
| CONTRACTOR5: TBD |
| DATA_ITEM_NO5: A006 |
| TITLE_OF_DATA_ITEM5: TEST/INSPECTION REPORT |
| SUBTITLE5: FACTORY ACCEPTANCE TEST (FAT) REPORT |
| AUTHORITY5: DI-NDTI-80809B |
| CONTRACT_REFERENCE5: C.5.2 |
| REQUIRING_OFFICE5: H-DEPT-NSWCDD |
| DD250_REQ5: LT |
| DIST_STATEMENT_REQUIRED5: D (See Block 16) |
| FREQUENCY5: ONE/P |
| DATE_OF_FIRST_SUBMISSION5: SEE BLK 16 |
| APPCODE5: N/A |
| AS_OF_DATE5: N/A |
| DATE_OF_SUBSEQUENT_SUBMISSION5: N/A |
| ADDRESSEE218: SEE BLK 16 |
| ADDRESSEE118: COR |
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| PREPARED_BY5: URANN, KATHRINA L. |
| DATE_PREPARED5: 09/29/2021 |
| DATE_APPROVED5: 02/01/2022 |
| PRICE_GROUP5: |
| ESTIMATED_TOTAL_PRICE5: |
| Page5: 1 |
| TOTAL_PAGES5: 1 |
| TDP5: Off |
| TM5: Off |
| REMARKS15: Block 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; TEST AND EVALUATION OCTOBER 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, NAVAL SURFACE WARFARE CENTER DAHLGREN DIVISION, ATTENTION H40, 6096 TISDALE ROAD, DAHLGREN VA, 22448-5156. |
Block 10: FINAL FACTORY ACCEPTANCE TEST (FAT) REPORT SHALL BE SUBMITTED 15 DAYS AFTER TEST EVENT.
Block 12: FINAL FACTORY ACCEPTANCE TEST (FAT) REPORT SHALL BE SUBMITTED 15 DAYS AFTER TEST EVENT.
Block 14: ELECTRONIC MEDIA: FAT REPORTS SHALL BE SUBMITED IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE COR AS LISTED IN SECTION G, GOVERNMENT ADMINISTRATION POINTS OF CONTACT AND RESPONSIBILITIES.
| TOTAL_DRAFT5: 0 |
| TOTAL_FINAL_REQ5: 1 |
| TOTAL_FINAL_REPRO5: 0 |
| CAC_USERNAME5: SPRUILL.MATTHEW.R.1057837086 |
| CAC_NPKE_SUBJECT5: Electronically signed by the CDRL tool on behalf of: SPRUILL.MATTHEW.R.1057837086 |
Date: 2/1/2022 7:56:17 PM
| DRAFT120: 1 |
| ADDRESSEE319: |
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| CLIN6: 0003 |
| EXHIBIT6: A |
| OTHER6: |
| SYSTEM_ITEM6: RAPID PROTOTYPING SUPPORT |
| CONTRACT_PR_NO6: N0017822R4404 |
| CONTRACTOR6: TBD |
| DATA_ITEM_NO6: A007 |
| TITLE_OF_DATA_ITEM6: ENGINEERING DRAWINGS |
| SUBTITLE6: PROTOTYPE PRODUCTION MODELS |
| AUTHORITY6: DI-DRPR-80651 (See Block 16) |
| CONTRACT_REFERENCE6: C.4.1.2, C.4.1.10, C.4.1.11, C.4.2.3 |
| REQUIRING_OFFICE6: H-DEPT-NSWCDD |
| DD250_REQ6: DD |
| DIST_STATEMENT_REQUIRED6: D (See Block 16) |
| FREQUENCY6: ONE/R |
| DATE_OF_FIRST_SUBMISSION6: SEE BLK 16 |
| APPCODE6: A (See Block 16) |
| AS_OF_DATE6: N/A |
| DATE_OF_SUBSEQUENT_SUBMISSION6: SEE BLK 16 |
| ADDRESSEE220: SEE BLK 16 |
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| PREPARED_BY6: URANN, KATHRINA L. |
| DATE_PREPARED6: 09/29/2021 |
| DATE_APPROVED6: 02/02/2022 |
| PRICE_GROUP6: |
| ESTIMATED_TOTAL_PRICE6: |
| Page6: 1 |
| TOTAL_PAGES6: 1 |
| TDP6: Yes |
| TM6: Off |
| REMARKS16: Block 4: THE DEVELOPMENT DESIGN AND DRAWINGS SHALL BE PREPARED IN ACCORDANCE WITH THE SOW, DID AND TDP SELECTION WORKSHEET ATTACHED. |
Block 8: GOVERNMENT HAS 30 DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 15 DAYS TO SUBMIT REVISIONS. GOVERNMENT THEN HAS 15 DAYS FROM RECEIPT OF FINAL PROCEDURE TO APPROVE OR DISAPPROVE. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 30 DAYS UPON RECEIPT OF THE DRAFT OR REVISED PROCEDURE, SUBMITTAL IS APPROVED.
Block 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY USE OCTOBER 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, NAVAL SURFACE WARFARE CENTER DAHLGREN DIVISION, ATTENTION H40, 6096 TISDALE ROAD, DAHLGREN, VA 22448-5156.
Block 10: INITIAL DELIVERABLE IS DUE UPON COMPLETION OF THE PROTOTYPE. SUBSEQUENT REVISIONS ARE REQUIRED FOR EACH CHANGE NOTICE.
Block 12: INITIAL DELIVERABLE IS DUE UPON COMPLETION OF THE PROTOTYPE.
Block 13:…
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