Exhibit A.pdf

PDF 3 MB Posted Jul 16, 2021

Attached to: King Nutronics Model 3666-10k-3 Federal contract opportunity
Solicitation number: N6426721R6005
Issued by: Department of the Navy Naval Sea Systems Command

About this file

Written by GovTribe AI · Dec 27, 2023

This document package includes a federal contract opportunity solicitation and related contract data requirements lists.

The solicitation seeks sole source procurement of King Nutronics Automated Pressure Calibrators Model 3666-10K-3 from the manufacturer King Nutronics Corporation. The Naval Surface Warfare Center Corona Division requirements include delivery to their facility in Norco, California. Interested parties must submit proposals electronically by the closing date specified on the Federal Business Opportunities website.

The contract data requirements lists outline technical data to be delivered under the contract, including calibration certificates, inspection and test plans, software documentation, manuals, and spare parts lists. The formats, authorities, distribution statements, frequencies, and addressees are defined for each data item to be provided.

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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:

TBD A TDP________ TM _______ OTHER QCIC

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

Automated Pressure Calibrator (APC) N64267-21-R-XXXX King Nutronics

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: 5.2.1 (See Block 16)

NAWCAD BL31400 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 5.2.1 shall be used as guidance and are provided for reference. Information items in DI-QCIC-80798B that are not relevant to the procured unit do not need to be included in format. Actual calibration data should be contained in the calibration report related to the certificate.

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.

IOC shall be defined as the delivery date of the initial order of system(s).

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 first 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.

NAWCAD BL31400

Corry Barnhouse 1 1 0

NAWCAD AA14200

Heather M. Loprano

NAWCAD BL31400 1 1 0

Copies with each unit delivered

0 1 0

15. TOTAL 3 4 0

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

P. Brannick, NAWCAD BL31400 09 Dec 2020 K. Bergland NSWC, Corona Code MS35 03/04/2021 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 Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil Metrology Engineering Product Support Branch

NAWCAD METCAL AA14200

Bldg 1403 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670

Heather M. Loprano, heather.loprano@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Page 2 of 2 Pages

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

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

TBD E TDP________ TM __ ____ OTHER QCIC

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

Automated Pressure Calibrator (APC) N64267-21-R-XXXX King Nutronics

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 5.2.2 (See Block 16)

NAWCAD BL31400 TOTAL PRICE

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

SUBMISSION

14. DISTRIBUTION

XX C

(See Block 16)

(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 5.2.2 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) 90 calendar days prior to initial operating capability (IOC). IOC shall be defined as the delivery date of the initial order of system(s). 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 9: DISTRIBUTION STATEMENT C. DISTRIBUTION AUTHORIZED TO

U. S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS TO PROTECT

PUBLICATIONS REQUIRED FOR OFFICIAL USE OR FOR ADMINISTRATIVE

OR OPERATIONAL PURPOSES ONLY. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAWCAD METROLOGY AND

CALIBRATION OFFICE, ATTN: CALIBRATION STANDARDS MANAGER,

NAWCAD, NAS PATUXENT RIVER, BLDG1403, 22113 FORTIN CIRCLE,

UNIT 7, PATUXENT RIVER, MD 20670-1118

Block 10/11/12/13: Submissions shall be provided with each 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.

NAWCAD BL31400

Corry Barnhouse 1 1 0

NAWCAD AA14200

Heather M. Loprano

NAWCAD BL31400 1 1 0

Copies with each unit delivered

0 1 0

15. TOTAL 3 4 0

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

P. Brannick NAWCAD BL31400 O9 DEC 2020 K. Bergland NSWC, Corona Code MS35 03/05/2021

1077/183

Patrick Brannick, patrick.brannick@navy.mil Metrology and Calibration

NAWCAD BL31400JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil Metrology Engineering Product Support Branch

NAWCAD AA14200NAVAIR

Bldg 1403 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670

Heather M. Loprano, heather.loprano@navy.mil Metrology and Calibration

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

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

Form Approved OMB No. 0704-0188

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

TBD A TDP________ TM __ ____ OTHER IPSC

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

Automatic Pressure Calibrator (APC) N64267-21-R-XXXX King Nutronics

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

GROUP

A003 Software Version Description Software Version Description II

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

DI-IPSC-81442A

(See Block 16)

SOW Paragraph 5.2.3 (See Block 16)

NAWCAD BL31400 TOTAL PRICE

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

SUBMISSION

14. DISTRIBUTION

XX C

(See Block 16)

(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-IPSC-81442A shall be used as guidance and is provided for reference.

SOW Paragraph 5.2.3 is mandatory to this requirement.

Block 8: Prior notification and government approval of all Software Version Description(s) (CDRL A003 subtitle) for each system is required by the government.

Contractor shall provide a Software Version Description to the government for review, comment, and approval no later than (NLT) 15 calendar days prior to installation of software and/or firmware revisions to any system. Government comments with or without approval will be provided to the contractor within 15 days of receipt of Software Version Description providing information explained in DI-

IPSC-81442A.

Block 9: DISTRIBUTION STATEMENT C. DISTRIBUTION AUTHORIZED TO

U. S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS TO PROTECT

PUBLICATIONS REQUIRED FOR OFFICIAL USE OR FO

R ADMINISTRATIVE OR OPERATIONAL PURPOSES ONLY. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAWCAD

METROLOGY AND CALIBRATION OFFICE, ATTN: CALIBRATION

STANDARDS MANAGER, NAWCAD, NAS PATUXENT RIVER, BLDG1403,

22113 FORTIN CIRCLE, UNIT 7, PATUXENT RIVER, MD 20670-1118

Block 10/11/12/13: Submission(s) of Software Version Description (s) apply to new systems and shall be provided to the government prior to each software/firmware change to the initial operating capability (IOC) of each system. IOC of a system is defined as its delivery date.

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.

NAWCAD BL31400

Corry Barnhouse 1 1 0

NAWCAD AA14200

Heather M. Loprano

NAWCAD BL31400 1 1 0

Copies with each unit delivered

0 1 0

15. TOTAL 3 4 0

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

P. Brannick NAWCAD BL13400 09 DEC 2020 K. Bergland NSWC, Corona Code MS35 03/06/2021

Patrick Brannick, patrick.brannick@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil Metrology Engineering Product Support Branch

NAWCAD METCAL AA14200

Bldg 1403 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670

Heather M. Loprano, heather.loprano@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Source: https://assist.dla.mil -- Downloaded: 2018-10-04T13:04Z

Form Approved OMB No. 0704-0188

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

TBD A TDP________ TM __ ____ OTHER MISC

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

Automatic Pressure Calibrator (APC) N64267-21-R-XXXX King Nutronics

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

GROUP

A004 Software/Firmware Change Request Software/Firmware Change Request II

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

DI-MISC-81807

(See Block 16)

SOW Paragraph 5.2.4 (See Block 16)

NAWCAD BL31400 TOTAL PRICE

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

SUBMISSION

14. DISTRIBUTION

XX C

(See Block 16)

(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-MISC-81807 shall be used as guidance and is provided for reference.

SOW Paragraph 5.2.4 is mandatory to this requirement.

Block 8: Prior notification and government approval of all Software/Firmware Change Request(s) (CDRL A004 subtitle) for each system is required by the government. Contractor shall provide a Software/Firmware Change Request to the government for review, comment, and approval no later than (NLT) 15 calendar days prior to installation of software and/or firmware revisions to any system. Government comments with or without approval will be provided to the contractor within 15 days of receipt of Software/Firmware Change Request providing information explained in

DI-MISC-81807.

Block 9: DISTRIBUTION STATEMENT C. DISTRIBUTION AUTHORIZED TO

U. S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS TO PROTECT

PUBLICATIONS REQUIRED FOR OFFICIAL USE OR FOR ADMINISTRATIVE

OR OPERATIONAL PURPOSES ONLY. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAWCAD METROLOGY AND

CALIBRATION OFFICE, ATTN: CALIBRATION STANDARDS MANAGER,

NAWCAD, NAS PATUXENT RIVER, BLDG1403, 22113 FORTIN CIRCLE,

UNIT 7, PATUXENT RIVER, MD 20670-1118

Block 10/11/12/13: Submission(s) of Software/Firmware Change Request(s) apply to both new and upgraded systems and shall be provided to the government prior to each software/firmware change to the initial operating capability (IOC) of each system. Upgraded systems are defined as systems bought under the contract that this CDRL is attached to at an earlier date whether still under warranty or not.

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.

NAWCAD BL31400

Corry Barnhouse 1 1 0

NAWCAD AA14200

Heather M. Loprano

NAWCAD BL31400 1 1 0

15. TOTAL 3 3 0

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

P. Brannick NAWCAD BL31400 09 DEC 2020 K. Bergland NSWC, Corona Code MS35 03/06/2021

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 2 Pages1077/183

Patrick Brannick, patrick.brannick@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil Metrology Engineering Product Support Branch

NAWCAD METCAL AA14200

Bldg 1403 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670

Heather M. Loprano, heather.loprano@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Data Item Description

Title: Software/Firmware Change Request Approval Date: 20100420 Number: DI-MISC-81807 Limitation: N/A AMSC Number: N9130 GIDEP Applicable: N/A DTIC Applicable: N/A Office of Primary Responsibility: SH/PMS-408 Applicable Forms: N/A

Use/relationship: The Software/ Firmware Change Request will be used to alert or inform the government about changes to software and firmware and also to provide detailed information to the government about the changes and the estimated cost of the software/firmware changes.

This DID contains the format, content and preparation instructions for the data product generated by the specific and discrete work task requirement as delineated in the contract.

Requirements:

1. Reference Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions shall be as specified in the contract.

2. Format. The Software/Firmware Change Request shall be presented in the Contractor’s format.

3. Content. The Software/Firmware Change Request shall contain all the information identified in Figures 1-7.

4. End of DI-MISC-81807.

Page 1 of 8 Pages

DI-MISC-81807

SOFTWARE CHANGE REQUEST (SCR), PAGE 1

2. DATE 3. JUSTIFICATION CODE 1. ORIGINATOR NAME AND ADDRESS (include e-mail address and telephone number)

Name:

Organization:

Street 1:

Street 2:

City, State, Zip Code:

Telephone Number: ( ) ext:: E-mail address:

4. TYPE OF SCR

Class I Class II

5. PRIORITY

Emergency Urgent Routine

6. SCR DESIGNATION 7. BASELINE AFFECTED

a. CI/CSCI AFFECTED b. CAGE CODE c. SYSTEM DESIGNATION

FUNCTIONAL ALLOCATED PRODUCT

d. SCR No. e. REVISION f. TYPE Preliminary Final

8. OTHER SYS/CONFIG ITEMS AFFECTED

YES NO

9. IN PRODUCTIO N

YES NO

10. DOCUMENTS AFFECTED

CAGE CODE SPEC/DOC NO. REVISION SCN/NOR/ECN/ECO NO.

11. TITLE OF CHANGE 12. CONTRACT NO. & LINE ITEM

13. CONFIGURATION ITEM NOMENCLATURE 14. PROCURING CONTRACTING OFFICER

15. LOWEST ASSEMBLY AFFECTED

a. NOMENCLATURE b. PART NO.

16. DESCRIPTION OF CHANGE

17. NEED FOR CHANGE

18. PRODUCTION EFFECTIVITY BY SERIAL NUMBER 19. EFFECT ON PRODUCTION DELIVERY

SCHEDULE

20. RETROFIT

a. RECOMMENDED ITEM EFFECTIVITY

b. ESTIMATED KIT DELIVERY SCHEDULE

c. PLATFORMS AFFECTED

21. ESTIMATED COST or (SAVINGS) UNDER CONTRACT

No Additional Cost/Savings – In Scope of the Contract

22. SUBMITTING ACTIVITY AUTHORIZING SIGNATURE 22a. TITLE

23. APPROVAL/DISAPPROVAL

a. LCCB CHAIRMAN DATE : RECOMMEND APPROVAL

RECOMMNED DISAPPROVAL

b. CCB CHAIRMAN DATE :

APPROVED

DISAPPROVED

Figure 1 Page 2 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 2

SCR NUMBER & REV:

EFFECT ON FUNCTIONAL/ALLOCATED CONFIGURATION IDENTIFICATION

24. OTHER SYSTEMS AFFECTED 25. OTHER CONTRACTORS/ACTIVITIES AFFECTED

26. CONFIGURATION ITEMS AFFECTED

27. EFFECTS ON PERFORMANCE ALLOCATIONS AND INTERFACES IN SYSTEM SPECIFICATION

28. EFFECTS ON EMPLOYMENT, INTEGRATED LOGISTICS SUPPORT, TRAINING, OPERATIONAL, EFFECTIVENESS, OR SOFTWARE

29. EFFECTS ON CONFIGURATION ITEM SPECIFICATIONS

30. DEVELOPMENTAL REQUIREMENTS AND STATUS

31. TRADE-OFFS AND ALTERNATIVE SOLUTIONS

32. DATE BY WHICH CONTRACTUAL AUTHORITY IS NEEDED

Figure 2 Page 3 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 3

SCR NUMBER & REV:

EFFECTS ON PRODUCT CONFIGURATION IDENTIFICATION, LOGISTICS, AND OPERATIONS

(X) FACTOR ENCL. PAR. (X) FACTOR ENCL. PAR.

33. EFFECT ON PRODUCT CONFIGURATION

IDENTIFICATION OR CONTRACT

35. EFFECT ON OPERATIONAL

EMPLOYMENT

a. PERFORMANCE a. SAFETY

b. WEIGHT-BALANCE STABILITY (Aircraft) N/A N/A b. SURVIVABILITY

c. WEIGHT-MOMENT (Other equipment) N/A N/A c. RELIABILITY

d. CDRL, TECHNICAL DATA d. MAINTAINABILITY

e. NOMENCLATURE e. SERVICE LIFE

f. OPERATING PROCEDURES

g. ELECTROMAGNETIC INTERFERENCE 34. EFFECT ON INTEGRATED LOGISTICS SUPPORT (ILS) ELEMENTS h. ACTIVATION SCHEDULE

a. ILS PLANS i. CRITICAL SINGLE POINT FAILURE ITEMS

b. MAINTENANCE CONCEPT, PLANS, PROCEDURES j. INTEROPERABILITY c LOGISTICS SUPPORT ANALYSIS

d. INTERIM SUPPORT PROGRAMS 36. OTHER CONSIDERATIONS

e. SPARES AND REPAIR PARTS N/A N/A a. INTERFACE

f. TECH MANUALS/PROGRAMMING TAPES b. OTHER AFFECTED EQUIPMENT/GFE/GFP N/A N/A

g. FACILITIES N/A N/A c. PHYSICAL CONSTRAINTS N/A N/A

P h. SUPPORT EQUIPMENT N/A N/A d. COMPUTER PROGRAMS AND RESOURCES

i. OPERATOR TRAINING e. REWORK OF OTHER EQUIPMENT N/A N/A

j. OPERATING TRAINING EQUIPMENT f. SYSTEM TEST PROCEDURES

k. MAINTENANCE TRAINING g. WARRANTY/GUARANTEE

l. MAINTENANCE TRAINING EQUIPMENT h. PARTS CONTROL N/A N/A

m. CONTRACT MAINTENANCE i. ENVIRONMENTAL

n. PACKAGING , HANDLING, STORAGE, AND

TRANSPORTABILITY

N/A N/A j. FMS RELEASE

37. ALTERNATE SOLUTIONS

38. DEVELOPMENTAL STATUS

39. RECOMMENDATIONS FOR RETROFIT

40. WORK-HOURS PER UNIT TO INSTALL RETROFIT KITS

a. ORGANIZATION b. INTERMEDIATE c. DEPOT d. OTHER

41. WORK-HOURS TO CONDUCT SYSTEM TESTS AFTER RETROFIT

42. THIS CHANGE MUST BE ACCOMPLISHED

BEFORE WITH AFTER THE FOLLOWING CHANGES:

43. IS CONTRACTOR FIELD

SERVICE ENGINEERING

REQUIRED?

YES NO

44. OUT-OF-SERVICE TIME

45. EFFECT OF THIS SCR AND PREVIOUSLY APPROVED SCRs 46. DATE CONTRACTUAL AUTHORITY NEEDED

FOR PRODUCTION:

FOR RETROFIT:

Figure 3 Page 4 of 8 Pages

Figure 4 Page 5 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 5 SCR NUMBER and REV:

48. ESTIMATED COSTS SAVINGS/SUMMARY, RELATED SCRs (Use parentheses for savings)

FACTOR

CAGE CODE

(a)

SCR NUMBER

(b)

COSTS/SAVINGS

UNDER CONTRACT

(c)

OTHER COSTS/

SAVINGS

(d)

a. PRODUCTION COST/SAVING (Subtotal of Costs/Savings Elements from block 51a applicable to aircraft, ship, tank, vehicle, missile, or its subsystem)

SUBTOTAL PRODUCTION COSTS/SAVINGS

b. RETROFIT COSTS (Applicable to aircraft, ship, tank, vehicle, missile, or its subsystem)

SUBTOTAL RETROFIT COSTS

c. INTEGRATED LOGISTICS SUPPORT COSTS/SAVING REVISED

REQUIREMENTS

(1) ITEM RETROFIT (If not covered under “b”) (Applicable to aircraft, ship tank, vehicle, missile, or its subsystem)

(2) ILS SUBTOTAL (Applicable to aircraft, ship, tank, vehicle, missile or its subsystem)

(3) OPERATOR TRAINER (Net total cost/saving from each SCR covering operator trainer)

(4) MAINTENANCE TRAINER (Net total cost/saving from each SCR covering maintenance trainer)

(5) OTHER TRAINING EQUIPMENT

(6) SUPPORT EQUIPMENT (Net total cost/saving from each SCR on support equipment)

(7) ILS PLANS

(8) MAINTENANCE CONCEPT, PLANS, SYSTEM DOCUMENTS

(9) INTERIM SUPPORT PLAN

RECURRING COSTS

NEW REQUIREMENTS

PROCURIN

ACTIVITY

CODE

NON-

RECURRING

COSTS UNIT QTY TOTAL

(10) PROVISIONING DOCUMENTATION

(11) OPER TRNR/TRNG DEVICES/EQUIP

(12) MANUALS/PROGRAMMING TAPES, SPARES,

REPAIR PARTS (For 11)

(13) MAINTENANCE TRNR/TRNG DEVICES/

EQUIPMENT

(14) MANUALS/PROGRAMMING TAPES, SPARES,

REPAIR PARTS (For 13)

(15) SUPPORT EQUIPMENT

(16) MANUALS/PROGRAMMING TAPES (For 15)

(17) PROVISIONING DOCUMENTATION (For 15)

(18) REPAIR PARTS (For 15) N/A N/A N/A N/A N/A N/A N/A

(19) SUBTOTAL ILS COSTS/SAVINGS (Sum of c. 1 through c. 18)

CAGE CODE SCR NUMBER

d. OTHER COSTS/SAVINGS (Total from block 48d of related SCRs)

TOTAL OTHER COSTS/SAVINGS

SUBTOTALS OF COLUMNS

SUBTOTAL UNDER CONTRACT

Figure 5 Pages 6 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 6 SCR NUMBER and REV:

49. TITLE OF CHANGE

50. DATE AUTHORIZATION TO PROCEED

RECEIVED BY CONTRACTOR (YYMMDD) S START DELIVERY C COMPLETED DELIVERY PROGRESS POINT

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

Figure 6 Page 7 of 8 Pages a.

C O

(1) Software Engineering

N F I

(2) Software Documentation

G U R

(3) Software Engineering Test

A T I

(4) Update TDP

O N b.

S U

(1) Software Engineering Environment Upgrade

P P O

(2) Software Test Environment Upgrade

R T

E Q U I P M E N T

c. (1) Operator

T R A

(2) Maintenance

I N E R

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2

26 27 28 29 30 31 32 33 34 35 36

SOFTWARE CHANGE REQUEST (SCR), Continuation Sheet, Figure 7 TITLE OF CHANGE SCR NUMBER and REV:

PARAGRAPH# BLOCK/LINE NO. BLOCK TITLE AND SUPPLEMENTARY INFORMATION

Figure 7 Page 8 of 8 Pages

Form Approved OMB No. 0704-0188

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

TBD A TDP________ TM __ ____ OTHER ILSS

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

Automatic Pressure Calibrator (APC) N64267-21-R-XXXX King Nutronics

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

A005 Proposed Spare Parts List Repairable Parts List

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

DI-ILSS-80134A

(See Block 16)

SOW Paragraph 5.2.5 (See Block 16)

NAWCAD BL31400

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

SUBMISSION

14. DISTRIBUTION

XX C

(See Block 16)

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) N/A (See Block 16)

Draft Reg. Rep ro

Patrick Brannick 1 1 0 16. REMARKS

Block 4/5: DI-ILSS-80134A and SOW Paragraph 5.2.5 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 A005 subtitle) 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) 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. IOC shall be considered the delivery date for the first system(s) ordered by the government.

Block 9: DISTRIBUTION STATEMENT C. DISTRIBUTION AUTHORIZED TO

U. S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS TO PROTECT

PUBLICATIONS REQUIRED FOR OFFICIAL USE OR FOR ADMINISTRATIVE

OR OPERATIONAL PURPOSES ONLY. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAWCAD METROLOGY AND

CALIBRATION OFFICE, ATTN: CALIBRATION STANDARDS MANAGER,

NAWCAD, NAS PATUXENT RIVER, BLDG1403, 22113 FORTIN CIRCLE,

UNIT 7, PATUXENT RIVER, MD 20670-1118.

Block 10/12/13: Repairable Parts List(s) shall be provided with each 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.

NAWCAD BL31400

Corry Barnhouse 1 1 0

NAWCAD AA14200

Heather M. Loprano

NAWCAD BL31400 1 1 0

With each unit delivered 0 1 0

15. TOTAL 3 4 0

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

P. Brannick NAVAIRLKE 41L4 09 DEC 2020 K. Bergland NSWC, Corona Code MS35 03/08/2021

Patrick Brannick, patrick.brannick@navy.mil Metrology and Calibration

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil Metrology Engineering Product Support Branch

NAWCAD METCAL AA14200

Bldg 1403 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670

Heather M. Loprano, heather.loprano@navy.mil Metrology and Calibration

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269

Page 2 of 2 Pages

Form Approved OMB No. 0704-0188

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

TBD T TDP________ TM TMSS OTHER _________

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

Automated Pressure Calibrator (APC) N64267-21-R-XXXX King Nutronics

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 5.2.6 (See Block 16)

NAWCAD BL31400 TOTAL PRICE

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

SUBMISSION

14. DISTRIBUTION

XX C

(See Block 16)

(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 5.2.6 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 9: DISTRIBUTION STATEMENT C. DISTRIBUTION AUTHORIZED TO

U. S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS TO PROTECT

PUBLICATIONS REQUIRED FOR OFFICIAL USE OR FOR ADMINISTRATIVE

OR OPERATIONAL PURPOSES ONLY. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NAWCAD METROLOGY AND

CALIBRATION OFFICE, ATTN: CALIBRATION STANDARDS MANAGER,

NAWCAD, NAS PATUXENT RIVER, BLDG1403, 22113 FORTIN CIRCLE,

UNIT 7, PATUXENT RIVER, MD 20670-1118

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

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 Calibration Standard installed. Quantity and copies shall be provided IAW CDRL T001 distribution (Block 14a). Addressee's POC information provided on CDRL supplemental page 2.

Block 16: The US government shall have limited technical data rights for all technical manuals and documents furnished with the procured commercial items, for the purpose of Government use only in duplicating or posting technical documentation to limited access web sites for use by US Government Personnel and Contractors engaged in maintenance, calibration or related logistics activities associated with the procured commercial items in accordance with DFARS 252.227-7015 Technical Data--Commercial Items.

NAWCAD BL31400

Corry Barnhouse 1 1 0

NAWCAD AA14200

Heather M. Loprano

NAWCAD BL31400 1 1 0

Copies with each unit delivered

0 1 0

15. TOTAL 3 4 0

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

P. Brannick NAWCAD BL31400 09 Dec 2020

K. Bergland NSWC, Corona Code MS35 03/08/2021

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 2 Pages 1077/183

DD FORM 1423 (CDRL) Supplemental

BLOCK 14 ENTRY COMPLETE ADDRESS

Patrick Brannick, patrick.brannick@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil Metrology Engineering Product Support Branch

NAWCAD METCAL AA14200

Bldg 1403 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670

Heather M. Loprano, heather.loprano@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

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.

DI-MISC-81807_SWfirmwarechange.pdf

23. APPROVAL/DISAPPROVAL

Figure 1 Page 2 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 2

SCR NUMBER & REV:

SOFTWARE CHANGE REQUEST (SCR), Figure 3

SCR NUMBER & REV:

SCR NUMBER and REV:

SOFTWARE CHANGE REQUEST (SCR), Figure 6

SCR NUMBER and REV:

File details come from the government source that posted it. Updated Jul 16, 2021.