Exhibit A.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for

Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork

Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0001 A TDP________ TM _______ OTHER QCIC

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

720A Kelvin-Varley Divider N64267-20-D-XXXX Fluke Electronics, Corp.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 CALIBRATION CERTIFICATE Calibration Report

II

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-80798B

(See Block 16)

SOW Paragraph:

5.1.2 (See Block 16)

NAVAIRLKE 41L400B

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASGEN

(See Block 16)

(See Block 16) (See Block 16)

A b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

A N/A N/A Draft Reg. Repro

Patrick Brannick 1 1 16. REMARKS

Block 4/5: DI-QCIC-80798B and SOW paragraph 5.1.2 shall be used as guidance and are provided for reference. This is a sample of format only, no actual data for workload calibrations. Information items in DI-QCIC-80798B that are not relevant to the procured unit do not need to be included in format.

Block 8: Calibration Report (CDRL A001 subtitle) requires government approval.

The contractor shall provide a preliminary draft of the Calibration Report of data to the Government for review, comment, and approval of the format no later than

(NLT) 60 calendar days prior to initial operating capability (IOC) for each system.

Government will provide the contractor with approval/disapproval of format including comments within 15 days of receipt of preliminary draft. Contractor shall provide a government approved final version with incorporated comments NLT 30 days prior to IOC for each system.

Block 10: Frequency of Calibration Report shall be generated for each system installed.

Block 12: Date of first submission shall be no later than (NLT) 60 calendar days prior to initial operating capability (IOC) of the first system procured.

Block 13: Date of subsequent submissions: N/A

Block 14: Submission in contractor format is acceptable. Electronic format is preferred if in a widely available commercial document format such as MS-Excel or

MS Word. Electronic submission of data is also accepted on CD-ROM. Quantity and copies shall be provided in accordance with (IAW) CDRL distribution (Block

14). Addressee's POC information provided on CDRL supplemental page 2.

Block 16: This CDRL refers only to the format of the Calibration Report printed by the calibration standards, it is not intended that the contractor run actual US Navy workload for calibration.

NAVAIRLKE BL31400

Corry Barnhouse 6.7.6.3S 1 1

NAWCAD 6.7.6.3S

Heather Loprano 1 1

NAVAIRLKE BL31400

With each unit 1

15. TOTAL 3 4 0

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

H. Loprano, NAVAIRLKE BL31400 06/10/2020 K. Bergland, NSWC Corona, MS35 CDM 02/16/2021

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 2 Pages

DD FORM 1423 (CDRL) Supplemental

BLOCK 14 ENTRY COMPLETE ADDRESS

Patrick Brannick, patrick.brannick@navy.mil

NAWCAD 4.1.12.4

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Heather M. Loprano, heather.loprano@navy.mil

NAVAIR Metrology and Calibration

NAWCAD 4.1.12.4

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil

NAVAIR METCAL 6.7.6.3S

Bldg 1403

22113 Fortin Circle, Unit 7

Patuxent River, MD 20670

Page 2 of 2 Pages mailto:patrick.brannick@navy.mil mailto:heather.loprano@navy.mil mailto:corry.barnhouse@navy.mil

DATA ITEM DESCRIPTION

Title: CALIBRATION CERTIFICATE

Number: DI-QCIC-80798B Approval Date: 20050328 AMSC Number: F7554 Limitation:

DTIC Applicable: GIDEP Applicable:

Preparing Activity: AFMETCAL DET 1/MLE Applicable Forms: None Use, Relationships:

This Data Item Description (DID) contains the format and content requirements for calibration reports or certificates accompanying calibrations performed on DoD test, measurement, and diagnostic equipment.

This DID is applicable to contracts requiring calibration of test equipment prior to delivery. This DID is consistent with ISO 17025 requirements for calibration reports or certificate.

This DID supersedes DI-QCIC-80798A.

Requirements:

1. Format. Contractor format is acceptable.

2. Content. The calibration certificate or report shall include:

a. title (e.g., calibration report or calibration certificate);

b. the name and address of the laboratory, and the location where the calibrations were carried out, if different from the address of the laboratory;

c. unique identification of the test report or calibration certificate (such as the serial number), and on each page an identification in order to ensure that the page is recognized as a part of the test report or calibration certificate, and a clear identification of the end of the test report or calibration certificate;

d. the name and address of the client or customer;

e. identification of the method used;

f. a description of, the condition of, and unambiguous identification of the item(s) tested or calibrated;

g. the date of receipt of the test or calibration item(s) where this is critical to the validity and application of the results, and the date(s) of performance of the test or calibration;

Downloaded from http://www.everyspec.com

DI-QCIC-80798B

h. reference to the sampling plan and procedures used by the laboratory or other bodies where these are relevant to the validity or application of the results;

i. the test or calibration results with, where appropriate, the units of measurement;

j. the name(s), function(s) and signature(s) or equivalent identification of person(s) authorizing the test report or calibration certificate;

k. where relevant, a statement to the effect that the results relate only to the items tested or calibrated;

l. the conditions (e.g. environmental) under which the calibrations were made that have an influence on the measurement results;

m. the uncertainty of measurement or a statement of compliance with an identified metrological specification or clauses thereof;

n. evidence that the measurements are traceable.

End of DI-QCIC-80798B

Downloaded from http://www.everyspec.com

Form Approved

OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for

Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork

Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0001 E TDP________ TM __ ____ OTHER QCIC

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

720A Kelvin-Varley Divider N64267-20-D-XXXX Fluke Electronics, Corp.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 Inspection and Test Plan Instrument Calibration Procedure II

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-81110

(See Block 16)

SOW Paragraph

5.1.3 (See Block 16)

NAVAIRLKE 41L4

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

XX A (See Block 16) (See Block 16) (See Block 16)

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Final

A

(See Block 16)

(See Block 16) (See Block 16) Draft Reg. Rep ro

Patrick Brannick 1 1 0 16. REMARKS

Block 4/5: DI-QCIC-81110 and SOW Paragraph 5.1.3 shall be used as guidance and are provided for reference.

Block 8: Instrument Calibration Procedure (CDRL A002 subtitle) for each system requires government approval. Contractor shall provide a preliminary draft to the government for review, comment, and approval no later than (NLT) 60 calendar days prior to initial operating capability (IOC) of first system delivery. Government will provide the contractor with approval/disapproval of content and/or format including comments within 15 days of receipt of preliminary draft. Contractor shall provide a government approved final version with incorporated comments NLT 30 days prior to

IOC of each system.

Block 10/11/12/13: Submissions shall be provided with each new or upgraded system delivered as specified in the delivery schedule of the contract.

Block 14: Submission in contractor format is acceptable. Electronic format is desired and acceptable if in MS-Excel or MS Word. Electronic submission of data shall also be on CD-ROM. Quantity and copies shall be provided IAW CDRL distribution

(Block 14). Addressee's POC information provided on CDRL supplemental page 2.

NAVAIRLKE 41L4

Heather M. Loprano 1 1 0

NAVAIRLKE 41L4

Corry Barnhouse 6.7.6.3S 1 1 0

NAWCAD 6.7.6.3S

With each new/upgraded system delivered.

0 1 0

15. TOTAL 3 4 0

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

H. Loprano, NAVAIRLKE

BL31400

06/10/2020 K. Bergland, NSWC Corona, MS35 CDM 02/16/2021

1077/183

Patrick Brannick, patrick.brannick@navy.mil

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Heather M. Loprano, heather.loprano@navy.mil

NAVAIR Metrology and Calibration

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil

NAVAIR METCAL 6.7.6.3S

Bldg 1403

22113 Fortin Circle, Unit 7

Patuxent River, MD 20670 mailto:patrick.brannick@navy.mil

Source: http://assist.dla.mil -- Downloaded: 2019-06-10T17:16Z Check the source to verify that this is the current version before use.

Source: http://assist.dla.mil -- Downloaded: 2019-06-10T17:16Z Check the source to verify that this is the current version before use.

Form Approved

OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for

Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork

Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0001 A TDP________ TM __ ____ OTHER ILSS

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

720A Kelvin-Varley Divider N64267-20-D-XXXX Fluke Electronics, Corp.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 Proposed Spare Parts List Repairable Parts List II

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-ILSS-80134A

(See Block 16)

SOW Paragraph

5.1.4 (See Block 16)

NAVAIRLKE 41L4

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

XX

A

ASGEN

(See Block 16) (See Block 16)

(See Block 16)

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Final

A (See Block 16) (See Block 16) (See Block 16)

Draft Reg. Rep ro

Patrick Brannick 1 1 0 16. REMARKS

Block 4/5: DI-ILSS-80134A and SOW Paragraph 5.1.4 shall be used as guidance and are provided for reference. Information items in DI-ILSS-80134A that are not relevant to the procured unit do not need to be included in format.

Block 8: Repairable Parts List (CDRL A003 subtitle) requires government approval for each system required by the government. Contractor shall provide a preliminary draft to the Government for review, comment, and approval no later than (NLT) 60 calendar days prior to initial operating capability (IOC) for each system. Government will provide the contractor with approval/disapproval of content and/or format including comments within 15 days of receipt of preliminary draft. Contractor shall provide a government approved final version with incorporated comments NLT 30 days prior to IOC for each system.

Block 10/11/12/13: Final Repairable Parts List(s) submissions shall be provided with each new system delivered.

Block 14: Submission in contractor format is acceptable. Electronic format is preferred if in a widely available commercial document format such as MS-Excel or

MS Word. Electronic submission of data is also accepted on CD-ROM. Quantity and copies shall be provided IAW CDRL distribution (Block 14). Addressee's POC information provided on CDRL supplemental page 2.

NAVAIRLKE BL31400 0 0 0

Heather Loprano 1 1 0

NAVAIRLKE BL31400

Corry Barnhouse 6.7.6.3S 1 1 0

NAWCAD 6.7.6.3S

15. TOTAL 3 3 0

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

H. Loprano, NAVAIRLKE

BL31400

06/10/2020 K. Bergland, NSWC Corona, MS35 CDM 02/16/2021

Patrick Brannick, patrick.brannick@navy.mil

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Heather M. Loprano, heather.loprano@navy.mil

NAVAIR Metrology and Calibration

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil

NAVAIR METCAL 6.7.6.3S

Bldg 1403

22113 Fortin Circle, Unit 7

Patuxent River, MD 20670

Page 2 of 2 Pages mailto:patrick.brannick@navy.mil

Form Approved

OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for

Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork

Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0001 T TDP________ TM TMSS OTHER _________

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

720A Kelvin-Varley Divider N64267-20-D-XXXX Fluke Electronics, Corp.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

T001 Commercial Off-The-Shelf (COTS) Manuals and

Associated Supplemental Data

Operator/Service Manual II

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-TMSS-80527C

(See Block 16)

SOW Paragraph

5.1.5 (See Block 16)

NAVAIRLKE 41L4

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

XX A (See Block 16) (See Block 16) (See Block 16)

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Final

A

(See Block 16)

N/A (See Block 16) Draft Reg. Rep ro

Patrick Brannick 1 1 0 16. REMARKS

Block 4/5: DI-TMSS-80527C shall be used as guidance and is provided for reference.

SOW paragraph 5.1.5 is mandatory to this requirement.

Block 8: Operator/Service Manual(s) (CDRL T001 subtitle) requires government approval. Contractor shall provide a preliminary draft to the government for review, comment, and approval no later than (NLT) 30 calendar days prior to acceptance testing. Government will provide the contractor with comments NLT 15 calendar days of receipt of preliminary draft. Contractor shall provide a government approved final version with incorporated comments NLT 30 days prior to initial operating capability

(IOC) of each system to addressees in accordance with (IAW) CDRL T001 distribution (Block 14a).

Block 10/12/13: Submissions of Operator/Service Manual(s) shall be provided with each new system.

Block 14: Submission in contractor format is acceptable. Electronic format is desired and acceptable if in MS-Excel or MS Word. Electronic submission of data shall also be on CD-ROM and/or DvD media. Qty. (1) Operator/Service Manual shall be shipped with each system installed. Quantity and copies shall be provided IAW

CDRL T001 distribution (Block 14a). Addressee's POC information provided on

CDRL supplemental page 2.

NAVAIRLKE BL31400

Heather Loprano 1 1 0

NAVAIRLKE BL31400

Corry Barnhouse 6.7.6.3S 1 1 0

NAWCAD 6.7.6.3S

Copies with each unit

Installed

0 1 0

15. TOTAL 3 4 0

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

H. Loprano, NAVAIRLKE BL31400 06/10/2020 K. Bergland, NSWC Corona, MS35 CDM 02/16/2021

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 2 Pages

Patrick Brannick, patrick.brannick@navy.mil

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Heather M. Loprano, heather.loprano@navy.mil

NAVAIR Metrology and Calibration

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil

NAVAIR METCAL 6.7.6.3S

Bldg 1403

22113 Fortin Circle, Unit 7

Patuxent River, MD 20670 mailto:patrick.brannick@navy.mil

DATA ITEM DESCRIPTION

Title: COMMERCIAL OFF-THE-SHELF (COTS) MANUALS AND ASSOCIATED

SUPPLEMENTAL DATA

Number: DI-TMSS-80527C Approval Date: 20110812 AMSC Number: 9207 Limitation: No DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: TM

Applicable Forms: None

Use/relationship: Commercial Off-the-Shelf Manuals may be used as is or with supplementation to support COTS equipment used by DOD. This DID is used to:

a. Acquire sample COTS manuals for evaluation.

b. Acquire COTS manuals which have been evaluated and found to be acceptable.

c. Acquire associated supplemental data, if required.

This DID contains format, content, and intended use information for the data deliverable(s) resulting from the work described in MIL-PRF-32216.

This DID supersedes DI-TMSS-80527B, dated 17 Oct 2006.

Requirements:

1. Content. The manual shall contain all technical information on the assembly, installation, operation, parts, and maintenance of commercial equipment.

2. Evaluation. The manual shall be evaluated using the criteria found in MIL-PRF-32216.

3. Supplementation. The manual may be supplemented with additional data to comply with contract. Supplemental data shall be prepared in accordance with MIL-PRF-32216.

4. Format. The basic manual shall be in the contractor's format. Supplemental data shall be in the format specified by the contracting activity.

5. Digital files. Interactive Electronic Technical Manuals (IETMs) or PDFs are preferred for electronic COTS manuals.

6. PDF Files. PDF files shall be searchable, capable of having links added, and have fonts embedded.

7. IETMs. IETMs shall meet the general style and format and user interface requirements in MIL-PRF-87268 or MIL-STD-40051-1 (Army only) or MIL-STD-3031 (Army only).

8. Paper manuals. If paper manuals are acquired, the data shall be clearly legible and on paper of sufficient quality for long term use.