Exhibit A.pdf

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

0002 A MGMT

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A001 SMALL BUSINESS SUBCONTRACT REPORT

DI-MGMT-81642 SOW, PARA 1.6 PMS 407

LT

N/A (BLK 16)

ONE/R

N/A

(BLK 16)

(BLK 16)

PMS 407 0 0 2

RMC C300 0 0 1

CNSP N43 0 0 1

PMR SAN DIEGO 0 0 1

(BLK 16)

0 0 5

(BLK9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY. DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUESTS SHALL BRE

REFERRED TO RMC C400.

(BLKS 10/12/13) - Submit NLT 30 after end of availability (EOA).

(BLK 14) - Submit via electronic mail via addressee list.

Adobe Professional 8.0

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (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

0002 A MGMT

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A002 CONDITION FOUND REPORT (CFR)

DI-MGMT-81648 (BLK 16) SOW, PARA 1.10, 1.11 PMS 407

LT

(BLK 16) (BLK 16)

ASGEN

N/A

(BLK 16)

(BLK 16)

PMS 407 0 0 1

RMC C300 0 0 1

CNSP N43 0 0 1

PMR SAN DIEGO 0 0 1

(BLK 16)

0 0 4

(BLK 4, PARA 3.2 BLKS 12/13/14) SUBMIT CHANGE ORDER PRICE ANALYSIS

(COPA) PROPOSALS IN RESPONSE TO REQUEST FOR CONTRACT CHANGES

(RCC) WITHIN THREE BUSINESS DAYS INCLUDING A COST BREAKDOWN BY

COST ELEMENT AND TRADE INDICATING HOW THE ESTIMATE WAS

DEVELOPED AND WHAT IT IS BASED ON, AND SUPPORTING

DOCUMENTATION TO ALLOW THE CONTRACTING OFFICER TO ASSESS

PROPOSED COST AND PRICE REASONABLENESS. IN ADDITION, IDENTIFY

AND SUBMIT AS PART OF THE COPA ANY POTENTIAL IMPACT, WHICH MAY

AFFECT THE CURRENT SCHEDULE; AND IDENTIFY RELATED CHANGES, IF

ANY, TO THE INTERNAL MILESTONES AND PRODUCTION AND CONTRACT

COMPLETION DATES. WHERE NO CHANGES ARE REQUIRED TO INTERNAL

MILESTONES AND PRODUCTION AND CONTRACT COMPLETION DATES, A

STATEMENT TO THAT FACT SHALL BE INCLUDED.

(BLK 8) - APPROVAL SHALL BE REQUIRED FOR A VALID REQUIREMENT NOT

ALREADY REQUIRED BY THE CONTRACT

(BLK 9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY. DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUESTS SHALL BE

REFERRED TO RMC CODE 300.

(BLK 12/13/14) SUBMIT CONDITION FOUND REPORTS VIA NAVY

MAINTENANCE DATABASE (NMD) WITHIN FIVE WORKING DAYS OF

IDENTIFICATION OF THE REQUIREMENT.

(BLK 14) SUBMIT COPAS IN HARD COPY OR APPROVED TRANSFERRABLE

MEDIA.

2 14

(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

0002 A MGMT

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A003 REQUEST FOR CONTRACT CHANGE (RCC) REPORT WORK ITEMS AND STANDARD ITEMS

REQUIRED REPORTS

DI-MGMT-81786 (BLK 16) SOW, PARA 1.1 PMS407

LT

(BLK 16) (BLK 16)

ASREQ

N/A

(BLK 16)

(BLK 16)

PMS 407 0 0 1

RMC C300 0 0 1

CNSP N43 0 0 1

PMR SAN DIEGO 0 0 1

(BLK 16)

0 0 4

(BLK 8) APPROVAL, AS APPLICABLE, IN ACCORDANCE WITH THE WORK

ITEMS, CATEGORY I AND II NAVSEA STANDARD ITEMS AND THE CONTRACT

REQUIREMENTS.

(BLK 9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY. DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUESTS SHALL BE

REFERRED TO RMC CODE 300.

(BLK 4/12/13) SUBMIT REPORTS AND OTHER DATA REQUIRED IN

ACCORDANCE WITH THE WORK ITEMS, CATEGORY I AND II NAVSEA

STANDARD ITEMS AND OTHER CONTRACT REQUIREMENTS. REPORTS AND

OTHER DATA REQUIRED BY ANY OTHER CDRL/DID SHALL NOT BE

DUPLICATED OR SUBMITTED UNDER THIS CDRL.

(BLK 14) SUBMIT REPORTS AND OTHER DATA IN HARD COPY OR APPROVED

TRANSFERRABLE MEDIA.

3 14

(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

0002 A MISC

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A005 PURCHASE ORDER (PO)

DI-MISC-81616 (BLK 16) SOW, PARA 1.5 PMS 407

LT

N/A (BLK 16)

ASREQ

N/A

(BLK 16)

(BLK 16)

PMS 407 0 0 1

RMC C300 0 1 0

CNSP N43 0 1 0

(BLK 16)

0 2 1

(BLK 9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUEST SHALL BE

REFERRED TO RMC C300.

(BLKS 4/12/13) IAW 009-01, PARA 3.4.4.2 SUBMIT ONE COPY OF SELECTED

PURCHASE ORDERS TO THE SUPERVISOR UPON REQUEST.

(BLKS 14) PURCHASE ORDERS SHALL BE IN HARDCOPY OR APPROVED

TRANSFERABLE MEDIA

4 14

(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

0002 A QCIC

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A006 QUALITY ASSURANCE PROGRAM PLAN QUALITY MANAGEMENT SYSTEM

DI-QCIC-81794 (BLK 16) SOW, PARA 1.9.1 PMS 407

LT

A (BLK 16)

(BLK 16)

N/A

(BLK 16)

(BLK 16)

RMC C300 1 1 1

(BLK 16)

1 1 1

(BLK 9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY. DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUESTS SHALL BE

REFERRED TO RMC CODE 300.

(BLKS 4/12) IAW SI 009-04, PARA. 3.1 THE CONTRACTOR SHALL HAVE AN

ACCEPTABLE DOCUMENTED QUALITY MANAGEMENT SYSTEM, IN

ACCORDANCE WITH THIS STANDARD ITEM, IN PLACE TO RECEIVE AN

AWARD OF A JOB ORDER.

(BLKS 4/13) IAW SI 009-04, PARA. 3.3 SUBMIT ANY REVISIONS TO THE

ACCEPTED QUALITY MANAGEMENT SYSTEM IDENTIFIED IN 3.1 TO THE

SUPERVISOR WITHIN 7 DAYS OF CONTRACTOR APPROVAL.

(BLKS 4/12) IAW SI 009-04, PARA. 3.7 SUBMIT AN INITIAL COPY OF THE TEST

AND INSPECTION PLAN (TIP) TO THE SUPERVISOR PRIOR TO PRODUCTIVE

WORK FOR NON-CNO AVAILABILITIES AND NO LATER THAN 5 WORKING

DAYS PRIOR TO THE AVAILABILITY START FOR CNO AVAILABILITIES.

(BLKS 4/13) IAW SI 009-04, PARA. 3.7.1 SUBMIT SORTABLE (e,g,, EXCEL

SPREADSHEET) UPDATED TIP WHEN REQUESTED BY THE SUPERVISOR.

(BLKS 4/12) IAW SI 009-04, PARA. 3.11.5.1 SUBMIT TECHNICAL SPECIFICATION

PORTION OF THESE PURCHASE ORDERS WHICH INVOLVE (G) NOTIFICATIONS

TO THE SUPERVISOR PRIOR TO THE START OF SUBCONTRACTOR WORK.

(BLKS 4/12) IAW SI 009-04, PARA 3.12 FOR WORK BEING PERFORMED OUTSIDE

A 50-MILE RADIUS OF THE PLACE OF CONTRACT PERFORMANCE, SUBMIT

PURCHASE ORDERS TO THE SUPERVISOR WITHIN 2 DAYS OR OTHERWISE AS

DIRECTED BY THE SUPERVISOR, PRIOR TO ISSUE OF PURCHASE ORDER AND

SHIPMENT OF EQUIPMENT. SUBMIT A REPORT IDENTIFYING THE

DELINEATION OF SPECIFIC WORK ITEM REQUIREMENTS, IN LIEU OF

PURCHASE ORDER, FOR CONTRACTORS WHO DO NOT UTILIZE PURCHASE

ORDERS AS A VEHICLE FOR ACCOMPLISHINGWORK.

5 14

(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

0002 A QCIC

SUPPLIES/SERVICES N55236-21-R-0010 TBD

(BLKS 4/12) IAW SI 009-04, PARA. 3.14 SUBMIT THE MOST RECENT CONTRACTOR'S/SUBCONTRACTOR'S SSPC QP-1 AUDIT RESULTS TO THE SUPERVISOR NO LATER THAN 10 DAYS AFTER CONTRACTOR'S/SUBCONTRACTOR'S RECEIPT OF THE FINAL

AUDIT REPORT.

(BLKS 4/12) IAW 009-04, PARA. 3.15 SUBMIT NOTIFICATIONS OF ANY PRELIMINARY SSPC AUDIT FINDINGS FOR CRITICAL AUDIT ITEMS THAT RESULT IN A RATING OF ONE (1) (i.e., MAJOR CAR OR DEFICIENCY) AS REFERENCED IN 2.6.

(BLKS 4/12) IAW SI 009-04, PARA. 3.16 CERTIFY TO THE SUPERVISOR THAT WORK IS COMPLETE TECHNICALLY CORRECT WITH ALL REQUIRED OQE. SUBMIT ALL SUPPORTING DOCUMENTATION TO SUPPORT THE FOLLOWING KEY EVENTS: UNDOCKING (IF APPLICABLE), PROPULSION PLANT PRODUCTION COMPLETION DATE (PCD), COMBAT SYSTEMS PRODUCTION COMPLETION DATE (CSPCD) OR AEGIS LIGHT-OFF (ALO) FOR AEGIS SHIPS, DOCK TRIALS (DT), FAST CRUISE (FC), SEAT TRIALS (ST) AND

AVAILABILITY COMPLETION (AC).

(BLKS 4/12) IAW SI 009-04 PARA. 3.16.2 PROVIDE NOTIFICATION TO THE SUPERVISOR OF THE CONDITION AND STATUS OF EACH INDIVIDUAL WORK ITEM IN THE AVAILABILITY WITHIN 3 DAYS OF WORK ITEM COMPLETION OR A MINIMUM OF 5 DAYS PRIOR

TO THE SCHEDULED KEY EVENT TO WHICH THAT ITEM IS TIED, WHICHEVER OCCURS FIRST.

(BLK 14) - SUBMIT REPORTS, OTHER REQUIRED DELIVERABLES AND NOTIFICATIONS IN HARD COPY OR APPROVED

TRANSFERRABLE MEDIA.

6 14

(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

0002 A MISC

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A007 QUALITY ASSURANCE PROGRAM PLAN Confined Space Entry, Certification, Fire Prevention and Housekeeping; accomplish

DI-QCIC-81794 (BLK 16) SOW, PARA 1.9.2.1 PMS 407

NO

A (BLK 16)

ASREQ

N/A

(BLK 16)

(BLK 16)

RMC C300 1 1 1

RMC C130 1 1 1

SHIP'S FORCE 1 1 1

SHIP'S CO 1 1 1

(BLK 16)

4 4 4

(BLK 9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUEST SHALL BE

REFERRED TO RMC C300.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.1.1 SUBMIT A LIST OF TANKS OR SPACES

TO BE OPENED OR CERTIFIED TO THE SUPERVISOR AT LEAST ONE DAY

PRIOR TO OPENING THE TANK OR VOID.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.1.2.1 SUBMIT A CURRENT ROSTER OF

DESIGNATED COMPETENT PERSON(S) AND COPIES OF CERTIFICATES OF

COMPLETION FOR REQUIRED TRAINING.

(BLK 4/12/13) IAW SI 009-07, PARA 3.1.5 SUBMIT A CURRENT ROSTER OF THE

NAMES OF THE SHIPYARD/PLANT RESCUE TEAMMEMBERS, ALONG WITH

CONTRACTOR CERTIFICATION THAT TRAINING REQUIREMENTS HAVE BEEN

ACCOMPLISHED AND ARE CURRENT FOR EACH RESCUE TEAMMEMBER, OR

DOCUMENTATION OF ARRANGEMENTS MADE FOR AN OUTSIDE RESCUE

TEAM TO RESPOND PROMPTLY TO A REQUEST FOR RESCUE SERVICE IN A

CONTRACTOR FACILITY.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.2.4 SUBMIT ONE COPY OF EACH NOTICE

TO THE SUPERVISOR AND ONE COPY TO THE COMMANDING OFFICER’S

DESIGNATED REPRESENTATIVE.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.3.1.1 SUBMIT ONE COPY OF THE

TRAINING PROGRAM.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.7.10 SUBMIT WRITTEN OPERATING

PROCEDURES/INSTRUCTION TO SHIP’S FORCE ON EACH TYPE OF

FIREFIGHTING SYSTEM.

7 14

(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

0002 A MISC

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A008 QUALITY ASSURANCE PROGRAM PLAN PROCESS CONTROL PROCEDURE (PCP)

DI-QCIC-81794 (BLK 16) SOW, PARA 1.9.2.2 PMS 407

LT

N/A (BLK 16)

ASREQ

N/A

(BLK 16)

(BLK 16)

RMC C300 1 4 1

RMC C130 1 1 1

(BLK 16)

2 5 2

(BLK 9) DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY. DUE TO

BUSINESS SENSITIVE NATURE OF DATA, OTHER REQUESTS SHALL BE

REFERRED TO RMC C300.

(BLKS 4/12) IAW SI 009-09, PARA 3.1 FOR PLANNED AVAILABILITIES,

SUBMISSION SHALL BE NO LATER THAN 14 DAYS PRIOR TO START OF THE

REQUIRED PROCESS, OR AS OTHERWISE APPROVED BY THE SUPERVISOR.

(BLKS 4/13) IAW SI 009-09, PARA 3.2 SUBMIT UPDATED OR CHANGED

PROCEDURES TO THE SUPERVISOR AT LEAST 3 DAYS PRIOR TO

IMPLEMENTATION.

(BLKS 4/13) IAW SI 009-09, PARA 3.6.1 SUBMIT ANY EDITORIAL CHANGE MADE

TO THE PCP TO THE SUPERVISORWITHIN ONE DAY OF MAKING THE

CHANGE.

(BLKS 4/13) IAW SI 009-09, PARA 3.7 SUBMIT A REPORT TO THE SUPERVISOR

IDENTIFYING ANY TECHNICAL CHANGES REQUIRED AFTER WORK HAS

COMMENCED AND PRIOR TO PROCEEDINGWITH THE AFFECTED

PROCEDURAL STEPS.

(BLKS 4/12) IAW SI 009-09, PARA 3.8.1 SUBMIT COPY OF THE COMPLETED

DOCUMENTATION TO THE SUPERVISOR NO LATER THAN ONE DAY AFTER

COMPLETION OF THE PCP.

(BLK 14) REPORTS AND OTHER REQUIRED DELIVERABLES SHALL BE IN HARD

COPY OR APPROVED TRANSFERABLE MEDIA.

8 14

(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

0002 A MISC

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A009 TECHNICAL REPORT-STUDY/SERVICES WELDING, FABRICATION AND INSPECTION

REQUIREMENTS; ACCOMPLISH

DI-MISC-80508B (BLK 16) SOW, PARA 1.9.2.3 PMS 407

LT

N/A (BLK 16)

ASREQ

N/A

(BLK 16)

(BLK 16)

RMC C300 1 2 1

RMC C130 0 1 1

(BLK 16)

1 3 2

(BLK 9) DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUEST SHALL BE

REFERRED TO RMC C300

(BLKS 4/12/13) SUBMIT A LISTING OF WELDERS, BRAZERS AND

NON-DESTURCTIVE TEST PERSONNEL QUALIFIED IAW SI 009-12, PARA 3.1. NO

LATER THAN 30 DAYS AFTER AWARD AND AS REQUESTED BY THE

SUPERVISOR.

(BLKS 4/12/13) IAW SI 009-12, PARA 3.6.1 PROVIDE THE COGNIZANT

GOVERNMENT REPRESENTATIVE DESIGNATED BY THE SUPERVISOR THE

EVALUATED RADIOGRAPHS AND RECORDS WITHIN 2 DAYS OF THE (G)

POINT.

(BLK 14) REPORTS AND OTHER REQUIRED DELIVERABLES SHALL BE IN HARD

COPY OR APPROVED TRANSFERABLE MEDIA.

9 14

(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

0002 A MGMT

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A011 STATUS OF GONVERNMENT FURNISHED EQUIPMENT

(GFE) REPORT

GOVERNMENT PROPERTY; CONTROL

DI-MGMT-80269 (BLK 16) SOW, PARA 1.8 PMS 407

LT

A (BLK 16)

ASREQ

N/A

(BLK 16)

(BLK 16)

RMC C330 1 2 1

RCM C472 1 1 1

(BLK 16)

2 3 2

(BLK 9) DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUEST SHALL BE

REFERRED TO RMC C300

(BLKS 4/12/13) IAW SI 009-20, PARA 3.2.1 SUBMIT THE NAMES AND

SIGNATURES OF PERSONS AUTHORIZED TO RECEIVE AND ACCOUNT FOR

GOVERNMENT FURNISHED PROPERTY (GFP) TO THE SUPERVISOR NO LATER

THAN 15 DAYS AFTER CONTRACT AWARD.

(BLK 4) IAW SI 009-20, PARA 3.2.2.2 FORWARD ONE SIGNED COPY OF THE

SHIPPING DOCUMENT (DD FORM 1348-1) AND ONE COPY OF THE BILL OF

LADING TO THE SUPERVISOR.

(BLKS 4/12/13) IAW SI 009-20, PARA 3.2.4 SUBMIT A REPORT WITHIN 2 DAYS

AFTER INSPECTION TO THE SUPERVISOR LISTING GFP PRODUCT QUALITY

DEFICIENCIES.

(BLKS 4/12/13) IAW SI 009-20, PARA 3.2.5.1 SUBMIT A REPORT OF LOSS,

DAMAGE, DESTRUCTION OR THEFT OF GFP IAW SI 009-20 REFERENCE 2.3 TO

THE SUPERVISOR WITHIN 5 DAYS OF THE DISCOVERY.

(BLKS 4/12/13) IAW SI 009-20, PARA 3.4.2.6 SUBMIT INVENTORY REPORT OF

THE GFP REMOVED TO THE SUPERVISOR WHEN DIRECTED BY THE

SUPERVISOR, OR IN ANY CASE, IMMEDIATELY FOLLOWING THE

COMPLETION OF EACH JOB ORDER. THE INVENTORY REPORT SHALL BE

SIGNED BY THE CONTRACTOR'S REPRESENTATIVE.

(BLKS 4/12/13) IAW SI 009-20 PARA 3.5 SUBMIT FINAL TERMINATION OF

INVENTORY REPORT WITHIN 14 DAYS AFTER COMPLETION OF THE

AVAILABILITY.

(BLK 14) REPORTS AND OTHER REQUIRED DELIVERABLES SHALL BE IN HARD

COPY OR APPROVED TRANSFERABLE MEDIA.

10 14

(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

0002 A SESS

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A014 WEIGHT AND STABILITY REPORTS FOR IN-SERVICE

SURFACE SHIPS

WEIGHT AND MOMENT CHANGE DATA;

PROVIDE

DI-SESS-81404A (BLK 16) SOW, PARA 1.9.2.4 PMS 407

LT

N/A (BLK 16)

ASREQ

N/A

(BLK 16)

(BLK 16)

RMC C330 0 0 1

NSWCPD C94 0 0 1

NSWCPD C96 0 0 1

(BLK 16)

0 0 3

(BLK 9) DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUEST SHALL BE

REFERRED TO RMC C300

(BLKS 4/12/13) IAW SI 009-103, SUBMIT FINAL WEIGHT AND MOMENT DATA IN

THE FORMAT IDENTIFIED IN ATTACHMENT A OF SI 009-103 FOR EACH

APPLICABLE WORK ITEM NUMBER. SUBMISSIONS SHALL BE PROGRESSIVE

AS WORK ITEMS ARE COMPLETED.

(BLK 14) REPORTS AND OTHER REQUIRED DELIVERABLES SHALL BE IN

APPROVED TRANSFERABLE MEDIA.

11 14

(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

0002 A MGMT

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A016 END OF AVAIL REPORT

(BLK 16) SOW PARA 3.6 SEA 21C

DD

N/A (BLK 16)

ONE/R

N/A

(BLK 16)

(BLK 16)

SEA 21A 0 0 1

0 0 1

(BLK 4) - ENCLOSURE (1) END OF AVAIL REPORT TEMPLATE PROVIDED FOR

SUBMITTAL OF FINAL ACTUAL PRIME AND SUBCONTRACTOR LABOR

HOURS, MATERIAL DOLLARS, OTHER DIRECT COSTS (I.E. RENTAL

EQUIPMENT) AND DURATION (CALENDAR DAYS) FROM PERFORMANCE

START TO PERFORMANCE COMPLETION FOR EACH WORK ITEM. ACTUAL

SUBCONTRACTOR HOURS MAY BE ESTIMATED BASED ON PRIME

CONTRACTOR OUTLAYS. FINAL ACTUAL LABOR HOURS SHALL INCLUDE

ALL DEFINITIZED REQUEST FOR CONTRACT CHANGE (RCC) INCORPORATED

IN THE WORK PACKAGE.

DEPENDING ON INTERNAL BUSINESS SYSTEMS, COMPANIES SHALL REPORT

NON-WORK ITEM COSTS IN HOURS BY CATEGORY (I.E. MANAGEMENT, QA,

SUPERVISION). THESE COSTS SHALL BE ADDED AS ROWS TO ENCLOSURE (1).

THE CONTRACTOR IS NOT REQUIRED TO PROVIDE FINAL ACTUAL PRIME OR

SUBCONTRACTOR LABOR DOLLARS OR FINAL TOTAL PRIME OR

SUBCONTRACTOR WORK ITEM COSTS (DOLLARS).

(BLK 9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY. DUE TO

BUSINESS SENSITIVE NATURE OF DATA OTHER REQUESTS SHALL BE

REFERRED TO SEA 21.

(BLKS 10/12/13) - SUBMIT NLT 60 AFTER END OF AVAILABILITY (EOA).

(BLK 14) - SUBMIT VIA ELECTRONIC MAIL TO ADDRESSEE LIST.

12 14

(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

0002 A MGMT

SUPPLIES/SERVICES N55236-21-R-0010 TBD

A017 MONTHLY MANNING REPORT

(BLK 16) SOW PARA 3.7 SEA 21

DD

N/A (BLK 16)

MTHLY

N/A

45 DAC

MTHLY

SEA 21A 0 0 1

(BLK 16)

0 0 1

THE COMPANY SHALL PROVIDE SUMMARY MANPOWER REPORTING FOR

ALL WORK ON-GOING AND AWARDEDWITHIN THE FLEET CONCENTRATION

AREA BY COMPLETING ENCLOSURE (1), THE MONTHLY MANNING REPORT

TEMPLATE. INSTRUCTIONS FOR COMPLETION OF EACH TAB OF ENCLOSURE

(1) ARE PROVIDED BELOW.

PRIME KTR CNO AVAIL TOTALS: FOR CNO AVAILABILITIES IN WHICH THE

CONTRACTOR IS THE PRIME, MANPOWER REPORTING SHALL BE ALIGNED TO

THE CONTRACTOR’S 009-60 SCHEDULE. THE SUM OF THE MONTHLY

BUDGETED COST OF WORK SCHEDULED (BCWS) SHALL EQUAL THE

CONTRACTOR’S BUDGET AT COMPLETION (BAC) IN ACCORDANCE WITH THE

SCHEDULE OF RECORD (SOR). THE SUM OF THE MONTHLY ACTUAL COST OF

WORK PERFORMED (ACWP) AND ESTIMATE TO COMPLETION (ETC) SHALL

EQUAL THE CONTRACTOR’S ESTIMATE AT COMPLETION (EAC).

SUBKTR CNO AVAIL TOTALS: FOR CNO AVAILABILITIES IN WHICH THE

COMPANY IS A SUBCONTRACTOR, THE COMPANY SHALL ONLY REPORT THE

TOTAL ACWP AND ETC BY CATEGORY SPECIFIED WITHIN ENCLOSURE (1).

NON-CNOWORKLOAD: THE COMPANY SHALL PROVIDE ROLLUP REPORTING

OF ACWP AND ETC FOR EACH OF THE THREE (3) NON-CNO WORKLOAD

CATEGORIES SPECIFIED. INDIVIDUAL PROJECT REPORTING IS

NOT REQUIRED.

TRADE TOTALS: THE CONTRACTOR SHALL PROVIDE ACWP AND ETC

REPORTING FOR THE CONTRACTOR’S ORGANIC WORKFORCE SUPPORTING

CNO AVAILABILITIES. THIS SHALL INCLUDE CNO AVAILABILITIES FOR

WHICH THE COMPANY IS THE PRIME AND SUBCONTRACTOR. TRADE

MANNING IS NOT REQUIRED FOR SUBCONTRACTORS (TO THE COMPANY) OR

NON-CNO AVAILABILITY WORK.

MONTHLY MANNING SUMMARY: THE MONTHLY MANNING SUMMARY TAB

SHALL BE COMPLETED TO PROVIDE THE REQUESTED EMPLOYEE AND

HOURLY DATA FOR DIRECT CHARGES OVER THE CURRENT REPORTING

MONTH.

INSTRUCTIONS CONTINUE TO PAGE 2.

13 14

(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

0002 A MGMT

SUPPLIES/SERVICES N55236-21-R-0010 TBD

EACH PROJECT AND CATEGORY FOR REPORTING SHALL SPAN BOTH THE BASELINE AND ACTIVE PLAN PERIODS OF PERFORMANCE (SEE NOTE 1, ON PAGE 2). THIS IS TO ENSURE THE BAC AND EAC VALUES REPORTED EQUAL THE SOR AND CURRENT PROJECTIONS FOR EACH AVAILABILITY. ADDITIONAL MONTHLY AND YEARLY COLUMNS SHALL BE ADDED TO

EACH APPLICABLE TAB WITHIN ENCLOSURE (1) TO MEET THIS REQUIREMENT.

ALL DATA, ACWP, ETC, BCWP, AND BCWS SHALL BE REPORTED IN “CURRENT PERIOD” (MONTHLY) HOURS. “CURRENT PERIOD” IN THIS CONTEXT DESCRIBES THE REQUIREMENTS TO BE EXECUTEDWITHIN ANY GIVEN MONTH, VICE A CUMULATIVE RUNNING TOTAL. THIS IS DISTINGUISHED FROM “CURRENT REPORTING PERIOD” WHICH DESCRIBES THE MONTH FOR WHICH ACWP AND BCWP HAVE BEEN PROGRESSED. ETC REPORTING IS ONLY REQUIRED FOR FUTURE REQUIREMENTS, FOLLOWING

THE CURRENT REPORTING PERIOD.

THE CONTRACTOR SHALL ONLY REPORT AWARDED WORK ITEMS. UNAWARDED GROWTH OPTIONS SHALL NOT BE REPORTED.

THE MONTHLY REPORTING PERIOD SHALL COINCIDE WITH THE CALENDARMONTH.

MONTHLY SUBMISSIONS ARE DUE NO LATER THAN (NLT) COB OF THE THIRD FULL WEEK FOLLOWING THE CURRENT

REPORTING PERIOD.

NOTE 1: FOR HISTORICAL MANPOWER DATA PRIOR TO OCTOBER 2020, THE CONTRACTOR MAY ONLY REPORT ACWP VALUES.

DEFINITIONS:

I. CONTRACT START DATE – THE CONTRACTUALLY AGREED START OF CONTRACTOR PROJECT EXECUTION.

II. CONTRACT COMPLETION DATE – THE CONTRACTUALLY AGREED CONTRACTOR COMPLETION DATE.

III. ACTUAL / FORECAST START DATE – THE DATE THE PROJECT STARTED (IF THE PROJECT STARTED PRIOR TO THE SUBMISSION DATE) OR THE CONTRACTOR’S ESTIMATED START DATE (IF EXPECTED TO OCCUR AFTER THE SUBMISSION DATE) IV. ACTUAL / FORECAST COMPLETION DATE - THE DATE THE PROJECT COMPLETED (IF PROJECT COMPLETED PRIOR TO THE

SUBMISSION DATE) OR THE CONTRACTOR’S CURRENTLY ESTIMATED COMPLETION DATE.

V. BUDGETED COST OF WORK SCHEDULED (BCWS) HOURS - THE SUM OF THE BUDGETS FOR ALL WORK (PRIME AND

SUBCONTRACTOR), SCHEDULED TO BE ACCOMPLISHED WITHIN EACH MONTHLY TIME PERIOD.

VI. BUDGETED COST OF WORK PERFORMED (BCWP) HOURS - A MEASUREMENT OF THE WORK COMPLETED, BCWP IS THE VALUE OF WORK PERFORMED, OR “EARNED,” BY BOTH PRIME AND SUBCONTRACTORWITHIN A GIVEN TIME PERIOD.

VII. ACTUAL COST OF WORK PERFORMED (ACWP) HOURS - THE ACTUALLY INCURRED AND RECORDED, PRIME AND SUBCONTRACTOR COSTS (IN HOURS) FOR WORK COMPLETEDWITHIN A GIVEN TIME PERIOD. ACTUAL SUBCONTRACTING

HOURS MAY BE ESTIMATED BASED ON PRIME CONTRACTOR OUTLAYS.

VIII. ESTIMATE TO COMPLETE (ETC) HOURS– THE ESTIMATE OF TIME-PHASED RESOURCES REQUIRED TO COMPLETE THE

REMAINING AUTHORIZED WORK.

IX. ESTIMATE AT COMPLETE (EAC) HOURS – THE SUM OF THE CONTRACT’S CUMULATIVE TO-DATE ACWP PLUS THE ETC.

(BLK 9) - DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY. DUE TO BUSINESS SENSITIVE NATURE OF DATA OTHER REQUESTS SHALL BE REFERRED TO SEA21.

(BLK 14) - SUBMIT VIA ELECTRONIC MAIL TO ADDRESSEE LIST.

14 14