Exhibit A_MA PSM CDRLs_08.18.22.pdf

PDF 3 MB Posted Sep 30, 2022

Attached to: Mid-Atlantic Carriers CVN IDIQ Maintenance/Repair
Solicitation number: N0002422R4100
Issued by: Department of the Navy Naval Sea Systems Command

About this file

Written by GovTribe AI · Dec 31, 2023

This is a Contract Data Requirements List (CDRL) for a solicitation issued by the Naval Sea Systems Command to support maintenance, repair, and modernization efforts for CVN 68 and CVN 78 Class Aircraft Carriers homeported in the Hampton Roads, Virginia area. The effort includes emergent work, continuous maintenance availabilities, pre-refueling complex overhaul availabilities, Ships Terminal Offload Program availabilities, and Chief of Naval Operations scheduled availabilities. The CDRL outlines 33 data items the contractor must submit, including liaison action reports, weight and stability reports, program specification documents, drawings and models, project planning charts, material status reports, work specifications, qualification certifications, electronic discrepancy reports, contract funds status reports, progress reports, small business subcontracting reports, variance requests, equipment lists, cost reports, condition found reports, identification marking reports, key event schedules, transaction reports, manuals, configuration status reports, provisioning documentation, and engineering data for provisioning.

View the file

Other files

File	Type	Posted
J-2_DD254_N00024-22-R-4100_APPROVED.pdf	PDF	Sep 30, 2022
J-6_Determination of AF and SBSIF_08.22.22.pdf	PDF	Sep 30, 2022
L-3_Cost Proposal Format_MA PSM_07.22.22.xlsx	XLSX spreadsheet	Sep 30, 2022
J-7_Continuous Maintenance Planning 897-11-001-002 FY-22 06.16.21.pdf	PDF	Sep 30, 2022
L-1_Bidders Question Submittal Form_ MA PSM.xlsx	XLSX spreadsheet	Sep 30, 2022
N00024-22-R-4100_MA PSM RFP_FINAL_ 9.30.22.pdf	PDF	Sep 30, 2022
DD-2345_Template.pdf	PDF	Sep 30, 2022
L-2_RIS_Past Performance Questionnaire (PPQ) MA PSM.docx	DOCX document	Sep 30, 2022

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

CDRL SUMMARY

ITEM TITLE SUBTITLE

A001 LIAISON ACTION REPORT (LAR)

A002 WEIGHT AND STABILITY REPORTS FOR IN-SERVICE

SURFACE SHIPS

ACTUAL WEIGHT AND MOVEMENT REPORT

A003 PROGRAM UNIQUE SPECIFICATION DOCUMENTS COST ESTIMATING DATA SHEETS

A004 PRODUCTS DRAWING/MODELS AND ASSOCIATED LISTS ENGINEERING DRAWINGS

A005 PROJECT PLANNING CHART SCHEDULE OF SYSTEMS CERTIFICATION

A006 INTERNAL CONTRACTOR TECHNICAL DATA REPORT MATERIAL STATUS REPORT

A007 INTERNAL CONTRACTOR TECHNICAL DATA REPORT WORK SPECIFICATIONS

A008 INTERNAL CONTRACTOR TECHNICAL DATA REPORT QUALIFICATION AND CERTIFICATION OF NON-

NUCLEAR WORK ON NUCLEAR POWERED VESSELS

A009 INTERNAL CONTRACTOR TECHNICAL DATA REPORT ELECTRONIC FORMAT DISCREPANCY

ADJUDICATION RECORD

A010 CONTRACT FUNDS STATUS REPORT (CSFR)

A011 CONTRACTOR'S PROGRESS, STATUS AND

MANAGEMENT REPORT

CONTRACT PERFORMANCE REPORT(CPR)

A012 INTERNAL CONTRACTOR TECHNICAL DATA REPORT COPIES OF PURCHASE ORDERS, VENDOR RECEIPTS

AND TECHNCIAL SPECIFICATIONS

A013 SHIP DEPARTURE REPORT

A014 SMALL BUSINESS SUBCONTRACTOR'S REPORT

A015 REQUEST FOR VARIANCE

A016 SPECIAL EQUIPMENT LONG LEAD TIME ITEM LIST

A017 CONTRACT COST REPORT FOR AVAILS 12 WEEKS OR

LESS

A018 CONTRACT COST REPORT FOR AVAILS GREATER THAN

12 WEEKS

A019 INTERNAL CONTRACTOR TECHNICAL DATA REPORT REQUIRED DOCUMENTATION FOR INSTALLATION

FOR GFM ITEMS

A020 CONDITION FOUND REPORT

A021 IDENTIFICATION MARKING OF U.S. MILITARY

PROPERTY

UID DATA FOR COMPONENTS

A022 KEY EVENT SCHEDULE TANK IMPACT SCHEDULE

A023 DEMAND ONLY TRANSACTION REPORT

A024 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS AND

ASSOCIATED SUPPLEMENTAL DATA

A025 STEAM PLANT MANUAL (SPM) MANUAL CHANGE REQUESTS (MCRs)

A026 CONTRACTOR FURNISHED AERONAUTICAL EQUIPMENT

OR CONTRACTOR FURNISHED REQUIPMENT (CFAE/CFE)

CONTRACTOR FURNISHED TECHNICAL MANUALS

A027 REVISIONS TO EXISTING GOVERNMENT DOCUMENTS DIGITAL TECHNICAL LIBRARY

A028 STATUS REPORT ILS STATUS REPORT

A029 INTERACTIVE COMPUTER AIDED PROVISIONING

SYSTEMS (ICAPS) DATA EXCHANGE

PROVISIONING TECHNICAL DOCUMENTS (PTDs)

A030 CONFIGURATION STATUS ACCOUNTING (CSA)

INFORMATION

SCLSIS/CDMD-OA REPORTING

A031 ENGINEERING DATA FOR PROVISIONING (EDFP)

A032 SUPPLEMENTARY PROVISIONING TECHNICAL

DOCUMENTATION

COMPONENT IDENTIFICATION DATA (CID) FOR

STATEMENT OF PRIOR SUBMISSION (SPS)

A033 REVISIONS TO EXISTING GOVERNMENT DOCUMENTS ILS CERTIFICATION FORM

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

CONTRACT DATA REQUIREMENTS LIST (CDRL)

N00024-22-R-4100

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM

A001

2. TITLE OF DATA ITEM

LIAISON ACTION REQUEST (LAR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81792

5. CONTRACT REFERENCE

SECTION C, SOW 1.1 SCOPE (g), (m), 7.1 SCOPE (e), (l), 8.1 SCOPE (i), (j), 10.1 SCOPE (j), 11.1 SCOPE (n), 12.1 SCOPE (i)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

(SEE BLK 16)

10. FREQUENCY

ASGEN

(SEE BLK 16)

12. DATE OF FIRST SUBMISSION

ASGEN

(SEE BLK 16)

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

(SEE BLK 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASGEN (SEE BLK16)

ADDRESSEES

Draft

Final

Reg Repro

16. REMARKS

BLK 8: UPON SUBMISSION OF MODIFICATION REQUEST, THE GOVERNMENT SHALL

REVIEW AND APPROVE/DISAPPROVE WITHIN TEN (10) WORKING DAYS.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKs 10, 12 AND 13: AS DEEMED NECESSARY BY THE CONTRACTOR.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING.

MARMC 1

AIRLANT 1

PMS 312 1

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE 15. TOTAL 3

G. PREPARED BY FULTON.LISA.M Digitally signed

Lisa Fulton FULTON.LISA.M

ARIE.1370252803 03

Date: 2022.06.

byH. DATE

ARIE.13702528

15:06:18 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally

Chris Buckley HRISTOPHER.1033 BUCKLE R.1033

262660 Date: 20 siJgn.eDd bAyTE

Y.JOHN.CHRISTOPHE

2.06.22 12:12:21 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

WEIGHT AND STABILITY REPORT FOR IN-SERVICE

SURFACE SHIPS

3. SUBTITLE

ACTUAL WEIGHT AND MOVEMENT REPORT

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

DI-SESS-81404A (SEE BLK 16) SECTION C, SOW 1.1. SCOPE (f), 7.1 SCOPE (e), 8.1 SCOPE (h), 10.1 SCOPE (h), 11.1 SCOPE (h)

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

N/A

(SEE BLK 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS MARMC 1

BLK 4: THE CONTRACTOR SHALL COMPILE AN ACTUAL WEIGHT AND MOMENT REPORT

AIRLANT 1 AND/OR STABILITY STUDY, THROUGH LIAISON WITH THE GOVERNMENT DESIGNATED

PLANNING ACTIVITY (GDPA) IN ACCORDANCE WITH GENERAL SPECIFICATION FOR

PMS 312 1 OVERHUAL OF SURFACE SHIPS (S9AA0-AB-GOS-010) AND THE NAVY MODERNIZATION

PROCESS MANAGEMENT OPERATIONAL MANUAL (NMP-MOM) (SL720-AA-MAN-030)

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10, 11, 12, 13: SUBMISSION REQUIRED AT THE END OF EACH CNO AVAILABILITY.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING.

17. PRICE 18. ESTIMATED

GROUP TOTAL PRICE

15. TOTAL 3

G. PREPARED BY FULTON.LISA.M Digitally sign

Lisa Fulton FULTON.LIS

Date: 2022 dHb.y DATE

A.MARIE.13702528

6.17 15:06:39 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally

Chris Buckley HRISTOPHER.1033 BUCKLE R.10332

262660 Date: 202 sigJn.edDbAy TE

.JOHN.CHRISTOPHE

2.06.22 12:19:07 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

7D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A003

2. TITLE OF DATA ITEM

PROGRAM UNIQUE SPECIFICATION DOCUMENTS

3. SUBTITLE

COST DATA ESTIMATE SHEETS

4. AUTHORITY (Data Acquisition Doc. No)

DI-SDMP-81493A

5. CONTRACT REFERENCE

SECTION C, SOW PARA 13

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

(SEE BLK 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

ADDRESSEES

Draft

Final

Reg Repro

16. REMARKS MARMC 1

BLK 4: CONTENT AND FORMAT AS AGREED UPON BY GOVERNMENT AND

AIRLANT 1 CONTRACTOR.

BLK 8: GOVERNMENT WILL REVIEW AND PROVIDE COMMENTS AS APPLICABLE. PMS 312 1

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 12: INCREMENTALLY AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT

AND THE CONTRACTOR.

BLK 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING.

17. PRICE 18. ESTIMATED

GROUP TOTAL PRICE

15. TOTAL 3

G. PREPARED BY FULTON.LISA.M Digitally s FULTON.Lisa Fulton ARIE.1370252803 03

Date: 202 nHed. bDyATE

ISA.MARIE.13702528

.06.17 15:06:53 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally sign

Chris Buckley HRISTOPHER.1033 BUCKLEY.J R.10332626

262660 Date: 2022.0 dJb.yDATE

HN.CHRISTOPHE

.22 12:23:20 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A004

2. TITLE OF DATA ITEM

PRODUCTS DRAWINGS/MODELS AND ASSOCIATED

LISTS

3. SUBTITLE

ENGINEERING DRAWINGS

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A

5. CONTRACT REFERENCE

SECTION C, SOW 1.1 SCOPE (g), (h), 7.1 SCOPE (e) (g), 8.1 SCOPE (i), 10.1 SCOPE (i)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

(SEE BLK 16)

10. FREQUENCY

2TIME (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK4: CONTRACT PROVIDES ADDITIONAL GUIDANCE

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 10: GOVERNMENT WILL REVIEW AND PROVIDE COMMENTS AS APPLICABLE.

BLK 11: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

BLK 12: REDLINE DRAWINGS TO BE PROVIDED AS MUTUALLY AGREED TO BETWEEN

THE GOVERNMENT AND THE CONTRACTOR.

BLK 13: FINAL DRAWINGS TO BE PROVIDED AS MUTUALLY AGREED TO BETWEEN THE

GOVERNMENT AND THE CONTRACTOR.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING.

17. PRICE 18. ESTIMATED

GROUP TOTAL PRICE

MARMC 1

AIRLANT 1

PMS 312 1

15. TOTAL 3

G. PREPARED BY FULTON.LISA.M Digitally sig FULTON.LILisa Fulton ARIE.1370252803 03

Date: 2022.

eHd b. yDATE

A.MARIE.13702528

6.17 15:07:06 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digit

Chris Buckley HRISTOPHER.1033 BUC R.10

262660 Date:

llJy .sigDneAdTbyE

LEY.JOHN.CHRISTOPHE

3262660

2022.06.22 12:49:42 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A005

2. TITLE OF DATA ITEM

PROJECT PLANNING CHART

3. SUBTITLE

SCHEDULE OF SYSTEMS CERTIFICATION

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-80507C (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Para 16

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

(SEE BLK 16)

10. FREQUENCY

2TIME

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARA 2 ONLY APPLIES.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING.

17. PRICE 18. ESTIMATED

GROUP TOTAL PRICE

MARMC 1

AIRLANT 1

PMS 312 1

15. TOTAL 3

G. PREPARED BY FULTON.LISA.M Digitally FULTON Lisa Fulton ARIE.1370252803 03

Date: 20 sigHne. dDbAy TE

.LISA.MARIE.13702528

2.06.17 15:07:22 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally

Chris Buckley HRISTOPHER.1033 BUCKLE R.1033

262660 Date: 20 siJgn.eDd bAyTE

Y.JOHN.CHRISTOPHE

2.06.22 12:53:48 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A006

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

MATERIAL STATUS REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, SOW Para 17

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

(SEE BLK 16)

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARAS 1 AND 2 ONLY APPLY

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME OF

TASKING.

17. PRICE 18. ESTIMATED

GROUP TOTAL PRICE

MARMC 1

AIRLANT 1

PMS 312 1

15. TOTAL 3

G. PREPARED BY FULTON.LISA.M Digitally signed FULTON.LISA Lisa Fulton ARIE.1370252803 03

Date: 2022.06 bHy. DATE

.MARIE.13702528

17 15:07:41 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally

Chris Buckley HRISTOPHER.1033 BUCKLE R.10332

262660 Date: 20 sigJn.eDd bAy TE

Y.JOHN.CHRISTOPHE

2.06.22 12:59:49 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A007

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

WORK SPECIFICATIONS

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, applicable to IAPA CLINs 0001, 0014, 0007, 0019 (applicable to 17 items)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

(SEE BLK 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

ADDRESSEES

Draft

Final

Reg

Repro

16. REMARKS MARMC 1

BLK 4: SPECIFICATION SHALL BE WRITTEN IN SIMILAR FORMAT TO BASIC

AIRLANT 1

SPECIFICATIONS DESCRIBING THE ADDITIONAL WORK TO BE ACCOMPLISHED AS

DEFINED BY THE GOVERNMENT SUPPORTED BY OPNAV FOR 4790/2KS. 2L DRAWINGS,

PMS 312 1

SARP LINE ITEM SPECIFICATION AND OTHER COMMONLY USED DOCUMENTATION.

EMERGENT WORK SPECIFICATIONS SHALL BE IAW CURRENT APPENDIX IN THE

REFERENCED AUTHORITY AND SHALL USE THE STANDARD ITEMS (SI) WHICH ARE IN

EFFECTIVE ON THE DATE OF SPECIFICATION SUBMISSION TO THE SUPERVISOR FOR

ACCEPTANCE

BLK 8: APPROVAL FOR TECHNICAL CONTENT AND ADEQUACY.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING.

17. PRICE 18. ESTIMATED

GROUP TOTAL PRICE

15. TOTAL 3

Lisa Fulton FULTO ARIE.1370252803 03

Date:

sHig.neDd AbyTE

.LISA.MARIE.13702528

22.06.17 15:08:00 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally

Chris Buckley HRISTOPHER.1033 BUCKL R.1033

262660 Date: 20 siJgn.eDd bAyTE

Y.JOHN.CHRISTOPHE

2.06.22 13:12:57 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A008

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA

QUALIFICATION AND CERTIFICATION OF NON-

NUCLEAR WORK ON NUCLEAR POWERED VESSELS

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, SOW Para 15.3.1

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

Reg Repro

16. REMARKS

BLK 4: PARAGRAPH 2 ONLY APPLIES.

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME OF

TASKING.

MARMC 1

AIRLANT 1

PMS 312 1

G. PREPARED BY FULTON.LISA.M Digitally sig FULTON.L Lisa Fulton ARIE.1370252803 03 nHed.bDy ATE

SA.MARIE.13702528

.06.17 15:08:23 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally sig

Chris Buckley HRISTOPHER.1033 BUCKLEY.

R.1033262

262660 Date: 2022 eJd. bDy ATE

OHN.CHRISTOPHE

06.22 13:32:25 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A009

2. TITLE OF DATA ITEM

INTERNAL CONTRACTORS TECHNICAL DATA REPORT

3. SUBTITLE

ELECTRONIC FORMAT DATA REPORT

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

DI-SESS-81309A SECTION C, applicable to IAPA CLINs 0001, 0014, DPIA CLINs 0008, 0020, CIA CLINs 0010, 0022, STOP CLINs 0011, 0023 (applicable to 12 items)

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

WEKLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SEE BLK 16

Reg Repro

16. REMARKS MARMC 1

BLK 4: PARAS 1 AND 2 ONLY APPLY.

AIRLANT 1

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

PMS 312 1

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

BLKs 10, 12 AND 13: FROM DISCOVERY OF THE FIRST DISCREPANCY AND UNTIL

SUBMISSION AND COMPLETION OF THE LAST RCC. RECORDS SHALL BE

MAINTAINED AND PROVIDED TO THE SUPERVISOR NLT 10 DAYS AFTER REQUEST.

THE REPORT SHALL BE SUBMITTED WEEKLY DURING THE AVAILABILITY, AT A+5

(DAYS), AND A FINAL REPORT WITHIN C+60 (DAYS)

Lisa Fulton FULTON.

nHed.bDy ATE

SA.MARIE.13702528

06.17 15:08:48 -04'00'

Chris Buckley HRISTOPHER.1033 BUCKLE R.1033

262660 Date: 20 siJgn.eDd bAyTE

Y.JOHN.CHRISTOPHE

2.06.22 13:37:04 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A010

2. TITLE OF DATA ITEM

CONTRACT FUNDS STATUS REPORT (CFSR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81468A

5. CONTRACT REFERENCE

SECTION C, SOW Para 3

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

15 DARP

Reg Repro

16. REMARKS MARMC 1

BLK 4: FORMAT AS MUTUALLY AGREED UPON BY THE GOVERNMENT AND THE

AIRLANT 1

CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE PMS 312 1

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 12: 33 WORKING DAYS AFTER THE END OF THE FIRST COMPLETE

ACCOUNTING MONTH FOLLOWING CONTRACT AWARD OR MOD. SUBMIT

SEPARATE CFSR FOR EACH CLIN.

G. PREPARED BY FULTON.LISA.M Digitally sign FULTON.LIS Lisa Fulton ARIE.1370252803 03

Date: 2022.

eHd b.yDATE

A.MARIE.13702528

6.17 15:09:13 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally s

Chris Buckley HRISTOPHER.1033 BUCKLEY R.103326

262660 Date: 2022 nJe.dDbyATE

.JOHN.CHRISTOPHE

.06.22 13:42:25 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A011

2. TITLE OF DATA ITEM

CONTRACTOR’S PROGRESS, STATUS AND

MANAGEMENT REPORT

3. SUBTITLE

CONTRACT PERFORMANCE REPORT (CPR)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81928

5. CONTRACT REFERENCE

SECTION C, SOW Para 3

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

BLK 11: SHALL COINCIDE WITH THE BEGINNING AND END OF THE ACCOUNTING

PERIOD.

BLKs 12 and 13: 30 DAYS AFTER CONTRACTORS ACCOUNTING MONTH END

PERFORMANCE.

MARMC 1

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

siHgn.edDbAy TE

2.06.17 15:09:47 -04'00'

Chris Buckley HRISTOPHER.1033 BUCKLE R.10332

262660 Date: 202 gJne. dDbAy TE

.JOHN.CHRISTOPHE

2.06.22 13:47:21 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A012

2. TITLE OF DATA ITEM

INTERNAL CONTRACTORS TECHINCAL DATA REPORT

3. SUBTITLE

COPIES OF PURCHASE ORDERS, VENDOR RECEIPTS

AND TECHNICAL SPECIFICATIONS

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, SOW Para 18

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

(SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

BLKS 12 AND 13: PROVIDE NLT 15 DAYS AFTER RELEASE OF PURCHASE ORDER TO

VENDOR. SUBMIT WITH CDRL A020 (CFR)

MARMC 1

Date: 2022.0

6.17 15:10:23 -04'00'

Chris Buckley HRISTOPHER.1033 BUCKLE R.10332

262660 Date: 20 siJgn.eDd bAy TE

Y.JOHN.CHRISTOPHE

2.06.22 13:51:30 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A013

2. TITLE OF DATA ITEM

SHIP DEPARTURE REPORT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, SOW Para 12, 2.1 SCOPE (h),

8.1 SCOPE (u), 10.1 SCOPE (u)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

BLK 12: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND

CONTRACTOR.

MARMC 1

edHb.yDATE

6.17 15:10:53 -04'00'

Chris Buckley HRISTOPHER.1033 BUCKL R.10332

262660 Date: 20 siJgn.eDd bAy TE

Y.JOHN.CHRISTOPHE

2.06.22 13:56:25 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A014

2. TITLE OF DATA ITEM

SMALL BUSINESS SUBCONTRACTORS REPORT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81642

5. CONTRACT REFERENCE

J-6

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

10. FREQUENCY

AS/ REQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

BLKs 12 AND 13: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND

MARMC 1

Lisa Fulton FULTON.LIS edHb.yDATE

6.17 15:11:27 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally sign

Chris Buckley HRISTOPHER.1033 BUCKLEY.J R.1033262

262660 Date: 2022.

eJd.bDy ATE

OHN.CHRISTOPHE

6.22 14:04:07 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A015

2. TITLE OF DATA ITEM

REQUEST FOR VARIANCE

3. SUBTITLE

REQUEST FOR WAIVERS/DEVIATIONS

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-80640E

5. CONTRACT REFERENCE

SECTION C, SOW Para 1.1(g), 7.1(e), 8.1(i), (m), 10.1 (i), (m), 12.1 (l)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

(SEE BLK 16) (SEE BLK 16)

SUBMISSION

BLK 8: GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 15 WORKING DAYS OF

AIRLANT 1

DRAFT SUBMITTAL. APPROVAL IS FOR TECHNICAL CONTENT, LOGISTICS IMPACTS AND

ACCURACY. PMS 312 1

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

BLKs 10, 12 AND 13: NLT 3 WORKING DAYS AFTER ISSUED IDENTIFICATION.

6.17 15:12:04 -04'00'

Chris Buckley HRISTOPHER.1033 BUCKLE R.10332

262660 Date: 202 sigJn.edDbAy TE

.JOHN.CHRISTOPHE

2.06.22 14:09:20 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A016

2. TITLE OF DATA ITEM

SPECIAL EQUIPMENT LONG LEAD TIME ITEM LIST

3. SUBTITLE

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-80797A

5. CONTRACT REFERENCE

SECTION C, SOW Section 1.1, Table C2

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

Reg Repro

16. REMARKS MARMC 1

BLK 4: LONG LEAD TIME MATERIAL LIST, CONTINGENCY REPAIR MATERIAL LIST, AIRLANT 1

INSTALLATION AND CHECKOUT SPARES (INCO) LIST AND MAINTENANCE ASSIST

PMS 312 1

MODULES (MAMS) LIST.

BLK 13: REVISIONS AS MUTUALLY AGREED TO BY THE GOVERNMENT AND THE

G. PREPARED BY FULTON.LISA.M Digitall FULTO Lisa Fulton ARIE.1370252803 03

Hsig.nDedAbyTE

N.LISA.MARIE.13702528

2022.06.17 15:12:42 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digita

Chris Buckley HRISTOPHER.1033 BUCK R.103

262660 Date:

Jsi.gnDedAbTy E

EY.JOHN.CHRISTOPHE

262660

2022.06.22 14:13:35 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A017

2. TITLE OF DATA ITEM

CONTRACT COST REPORT FOR AVAILS 12 WEEKS OR

LESS

3. SUBTITLE

4. AUTHORITY (Data Acquisition Doc. No)

DI-FNCL-81787

5. CONTRACT REFERENCE

SECTION C, SOW Section 2.1 (f)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

WEKLY

12. DATE OF FIRST SUBMISSION

30 DAC (SEE BLK 16)

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

N/A

(SEE BLK 16)

11. AS OF DATE

ASGEN

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS MARMC 1

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

AIRLANT 1 DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

PMS 312 1 CARRIERS, PMS 312.

BLK12:SUBMIT FIRST REPORT 30 DAYS AFTER AWARD OF RESPECTIVE CLIN

BLK 13: SUBMISSIONS SHALL CONTINUE ON A WEEKLY BASIS UNTIL DATA IS

REFLECTED FOR 30 DAYS AFTER THE PERIOD OF PERFORMANCE OF CLIN

COMPLETION.

BLK 14: DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME OF

TASKING.

17. PRICE 18. ESTIMATED

GROUP TOTAL PRICE

15. TOTAL 3

FULTONLisa Fulton ARIE.1370252803 03 siHgn.eDd bAy TE

.LISA.MARIE.13702528

22.06.17 15:13:21 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digitally

Chris Buckley HRISTOPHER.1033 BUCKL R.103

262660 Date: 2

Jsig. nDedAbTy E

EY.JOHN.CHRISTOPHE

262660

22.06.22 14:19:40 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A018

2. TITLE OF DATA ITEM

COST STATUS REPORT FOR AVAILS GREATER THAN 12

WEEKS

3. SUBTITLE

4. AUTHORITY (Data Acquisition Doc. No)

DI-FNCL-81787

5. CONTRACT REFERENCE

SECTION C, SOW Section 2.1 (f)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

10. FREQUENCY

WEKLY

12. DATE OF FIRST SUBMISSION

30 DAC (SEE BLK 16)

14. DISTRIBUTION

ASGEN

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

BLK 12: SUBMIT FIRST REPORT 30 DAYS AFTER AWARD OF RESPECTIVE CLIN

BLK13: SUBMISSIONS SHALL CONTINUE ON A WEEKLY BASIS UNTIL DATA IS

REFLECTED FOR 30 DAYS AFTER THE PERIOD OF PERFORMANCE OF CLIN COMPLETION.

MARMC 1

2.06.17 15:14:11 -04'00'

I. APPROVED BY BUCKLEY.JOHN.C Digi

Chris Buckley HRISTOPHER.1033 BUC R.10

262660 Date llJy .siDgnAedTbEy

LEY.JOHN.CHRISTOPHE

3262660

2022.06.22 14:24:21 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A019

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

REQUIRED DOCUMENTATION FOR INSTALLATION

OF GFM ITEMS

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, SOW 8.1 (b), 10.1 (b), 12.1 (b)

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASGEN

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

BLK 4: THE CONTRACTOR SHALL PROVIDE NAVSEA STANDARD ITEM 009-21

AIRLANT 1

ATTACHMENT A FORMS ALONG WITH SHIPPING DOCUMENTS (DD-1348), OR

EQUIVALENT, FOR ALL GFM CONFIGURATION -/APL-WORTHY ITEMS INSTALLED BY

PMS 312 1

MODERNIZATION AND MAINTENANCE.

BLK 8: APPROVAL WILL BE FOR ADEQUACY AND ACCURACY.

BLKs 12 AND 13: WITHIN 5 WORKING DAYS AFTER INSTALLATIONS OR REMOVAL OF

ITEM FROM SYSTEM OR EQUIPMENT. REPORT ONE CONFIGURATION ITEM PER NAVESA

STANDARD ITEM 009-21 ATTACHMENT A FORM.

G. PREPARED BY

FULTON.LISA.M Digitally

Lisa Fulton FULTON ARIE.1370252803 03 sigHne.dDbyATE

LISA.MARIE.13702528

2.06.17 15:15:12 -04'00'

Chris Buckley HRISTOPHER.1033 BUCK R.103

262660 Date:

Jsi.gnDedAbTy E

EY.JOHN.CHRISTOPHE

262660

2022.06.22 14:30:52 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

CLIN 0004

B. EXHIBIT

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

MID ATLANTIC PRIVATE SECTOR

MAINTENANCE (MA PSM)

E. CONTRACT/PR NO.

N00024-22-R-4100

F. CONTRACTOR

TBD

1. DATA ITEM NO

A020

2. TITLE OF DATA ITEM

CONDITION FOUND REPORT

3. SUBTITLE

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

DI-MGMT-81648 SECTION C, SOW PARA 14 (a), 1.1 Para 3,

7.1 Para 3, 8.1 Para 3, 10.1 Para 3, 11.1 Para 3,

12.1 Para 3

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

Reg Repro

16. REMARKS MARMC 1

BLK4: PARA 3. DOES NOT APPLY. AT A MINIMUM, THE CFR SHALL INCLUDE THE

AIRLANT 1

FOLLOWING:

- IDENTIFY THE CONTRACT NUMBER, SHIP AND HULL NUMBER

PMS 312 1

- SERIALIZED BY CFR NUMBER

- IDENTIFICATION OF APPLICABLE WORK SPECIFICATION NUMBER

- DATE REQUIREMENT WAS DISCOVERED

- DESCRIPTION OF THE WORK REQUIREMENT

- SPECIFIC LOCATION OF THE WORK

- RECOMMENDATION FOR CORRECTIVE ACTION

- RECOMMENDATION FOR THE APPROPRIATE/BEST TIME TO ACCOMPLISH THE

WORK (I.E. DURING CURRENT AVAILABILITY WITH OR WITHOUT SCHEDULE

CHANGES, FUTURE CNO OR CONTINUOUS MAINTENANCE AVAILABILITY).

PROVIDE SUPPORTING RATIONAL FOR THE RECOMMDNATION, SUCH AS COST

EFFICIENCIES, AVAILABILITY OF WORK FORCE, AVAILABILTY OF MATERIAL,

PREMIUM EXPENDITURES, ETC.

- IDENTIFICATION OF KNOWN INTERFACE WITH OTHER WORK ALREADY ON

CONTRACT OR BEING PERFORMED BY A DIFFERENT MAINTENANCE

ACTIVITY

- IDENTIFICATION OF REALTED CHANGES, IF ANY, TO PRODUCTION

MILESTONES/KEY EVENTS AND CONTRACT COMPLETION DATE. IF NO

CHANGES ARE MADE, STATE SO.

BLKs 10, 12 AND 13: SUBMIT WITHIN 3 WORKING DAYS OF IDENTIFICATION OF

THE REQUIREMENT.

Lisa Fulton FULTON. ARIE.1370252803 03 nHed. bDy ATE

ISA.MARIE.13702528

.06.17 15:15:57 -04'00'

Chris Buckley HRISTOPHER.1033 BUCKL R.103

262660 Date: 2 sJig.nDedAbTy E

Y.JOHN.CHRISTOPHE

62660

22.06.22 14:36:46 -04'00'

MID ATLANTIC PRIVATE SECTOR MAINTENANCE (MA PSM)

Form Approved OMB No. 0704-0188

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Sep 30, 2022.