Exhibit - AV MAC CDRL.pdf

Enclosure (5)

CONTRACTS DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

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

A TDP________ TM ________Other MGMT

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

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

A001

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

DI- MGMT-80227 IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0 Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5).

if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blks 12 & 13 - Submit NLT 10th of each month following the first full month of the contract.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 20 1007/183

Sarah Moritz

See 16N/A

MTHLY

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

Final

See 16

b. COPIES

The report shall include the following items and data:

a. Cover sheet.

b. Major milestones summary. The contractor shall provide a contract level summary of major accomplishments and associated benefit to the Government during the month.

c. Data Calendar. The contractor shall provide a data calendar showing all overdue data items required under the task order. Provide an explanation of why the deliverables are late and when they will be delivered. The calendar shall be updated monthly and provided with the progress report.

d. Identification of new problem areas.

e. Status of previously identified and open problem areas.

f. Justification for cost increases or schedule slippages, if any, which may differ from previous reports to the original estimate to complete specific efforts.

g. Monthly and cumulative labor hours bid and expended per contract labor category, names of employees charged to each contract labor category, and total labor cost per Contract Line Item Number (CLIN)

11. AS OF DATE

either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

TBD

Contractor's Progress, Status, and Management

AV Engineering and Integration

5. CONTRACT REFERENCE

PWS/SOW Para, 3.1.3.1

(1 Data Item) OMB No. 0704-0188

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

A TDP________ TM ________Other CTRF

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

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

A002

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0 Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5).

if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blks 10, 12 & 13 - Submit within 10 days after trip or meeting.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Report/Minutes, Record of Meeting

11. AS OF DATE Final

N/A See 16

Trip/Meeting Report

b. COPIES

See 16 See 16

Contractor Format either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

TBD

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

TBD at DO/TO Level

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

A TDP________ TM ________Other MISC

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

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

A003

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5).

if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blks 10, 12, & 13 - Report is due NLT 10 days after study/service is conducted.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Technical Report - Study/Services

11. AS OF DATE Final

N/A See 16

b. COPIES

See 16 See 16

DI-MISC-80508B

either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

TBD

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

PWS/SOW 3.3.1, 3.3.2, 3.3.3, 3.3.4, 3.3.5, 3.3.6, and 3.3.7

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

A TDP________ TM ________Other SESS

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

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

A004

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0 Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5).

if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 20 1007/183

11. AS OF DATE Final

N/A See 16

Sarah Moritz

DI-SESS-81000E

Blks 10, 12, & 13 - Submit NLT 10 days after project design receives Government approval and after project material requirements are determined/updated

AV Engineering and Integration

Product Drawings/Models and Associated Lists

b. COPIES

See 16 See 16

5. CONTRACT REFERENCE

PWS/SOW 3.3.1, 3.3.2, 3.3.3, and 3.3.5 either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

TBD

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

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

A TDP________ TM ________Other CTRF

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

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

A005

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0 Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5).

if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blks 10, 12, & 13 - Submit according to project schedule/milestones.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 20 1007/183

See 16 either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

5. CONTRACT REFERENCE

PWS/SOW 3.3.2, 3.3.3, 3.3.5, and 3.3.6

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

Contractor Format

TBD

Sarah Moritz

AV Engineering and Integration

Software and Hardware Documentation

11. AS OF DATE

N/A See 16

See 16

b. COPIES

Final

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

A TDP________ TM ________Other CTRF

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

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

A006

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0 Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5).

if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blks 10, 12, & 13 - submitt according to project schedule/milestones

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

System Specifications

11. AS OF DATE Final

N/A See 16

b. COPIES

See 16 See 16

Contractor Format either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

TBD

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

PWS/SOW 3.3.2, 3.3.3, and 3.3.4

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

A TDP________ TM ________Other NDTI

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

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

A007

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blks 10, 12, & 13 - Submit according to project schedule/milestones.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Test Plan

11. AS OF DATE

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

See 16 Final

N/A See 16

b. COPIES

DI-NDTI-80566A

5. CONTRACT REFERENCE

PWS/SOW 3.3.2, 3.3.3, 3.3.4, 3.3.5, 3.3.6, and 3.3.7

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

See 16

TBD

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:

A TDP________ TM ________Other NDTI

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

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

A008

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blks 10, 12, & 13 - Submit 15 days before testing event.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Test Procedures

11. AS OF DATE

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

See 16 Final

N/A See 16

b. COPIES

DI-NDTI-80603A

5. CONTRACT REFERENCE

PWS/SOW 3.3.2, 3.3.3, 3.3.4, 3.3.5, and 3.3.6

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

See 16 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:

A TDP________ TM ________Other MISC

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

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

A009

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blks 10, 12 & 13 - Submit NLT 10 days after testing is completed.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Technical Report - Study/Service

11. AS OF DATE

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

See 16 Final

N/A See 16

Test Report

b. COPIES

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS/SOW 3.3.2, 3.3.3, 3.3.4, 3.3.5, and 3.3.6

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

See 16 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:

A TDP________ TM ________Other MISC

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

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

A010

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Technical Report - Study/Service

11. AS OF DATE

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

See 16

Blks 10, 12, & 13 - Submit NLT 30 days after system build receives Government approval, and according to project training schedule.

Final

N/A See 16

Technical Operations/Maintenance/Training Manuals and Materials

b. COPIES

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS/SOW 3.3.2, 3.3.3, 3.3.4, 3.3.5, and 3.3.6

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

See 16 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:

A TDP________ TM ________Other MISC

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

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

A011

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blks 10, 12 & 13 - Submit according to project schedule/milestones.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Technical Report - Study/Services

11. AS OF DATE

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

See 16 Final

N/A See 16

Installation/Integration/Implementation Plans

b. COPIES

DI-MISC-80508B

5. CONTRACT REFERENCE

PWS/SOW 3.3.1, 3.3.2, and 3.3.5

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

See 16 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:

A TDP________ TM ________Other

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

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

A012

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

8. APP CODE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 20 1007/183

Sarah Moritz

AV Engineering and Integration

Reserved

11. AS OF DATE Final either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

TBD

5. CONTRACT REFERENCE

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

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

A TDP________TM ________Other IC2&I

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

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

A013

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blk 12 – Submit 30 days after contract award.

If required submittal date is a holiday, the copy shall be submitted by 1600 the next working day.

Submission of first report is required within 30 calendar days after task order is awarded.

c. A list of travel and per diem charges per trip, for each CLIN including total current and cumulative expenses.

d. Total costs under each CLIN, current and cumulative.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 0 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of ### 1007/183

Sarah Moritz

Blk 16

11. AS OF DATE

See 16

a. Current and cumulative labor hours bid and expended per contract labor category, names of employees charged to each contract labor category, and total labor cost per CLIN.

See 16

The financial progress report shall include costs broken out to the contractor’s lowest WBSN. All costs shall role up to a cumulative amount per CLIN, task order level. The contractor shall include the following items and data.

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Final

5. CONTRACT REFERENCE

PWS/SOW 3.1.3.1

either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

Blks 4, 10, & 13 – Submit per required format (See Attachments 2 and 3). Reports shall be submitted at a minimum of twice a month, within five (5) days after the end of every reporting period in conjunction with the contractor’s time/fiscal accounting system. If the required submittal date is a holiday, the reports shall be submitted by 1200, e.s.t. of the next working day. These financial status reports will be transmitted electronically to the COR, at an NMCI email account, via a contractor-furnished work station. Instructions and format for electronic submission are given in Attachments 2 and 3. Before implementing a system or schedule for submission, the contractor shall check with the COR to ensure all Code 4.11.4 requirements are met.

See 16

N/A

AV Engineering and Integration

Financial Progress Reports

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to

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

A TDP________ TM ________Other CTRF

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

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

A014

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

AIR-7.4.4

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 1 0

AIR-7.4.4 1 1 0

Blk 14 – Provide reproducible copy in electronic media format.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

NAVAIR Security ATTN Madeline Gantt 47123 Buse Rd Bldg 2272, R074 Patuxent, MD 20670 301-757-2955

Madeline.gantt@navy.

mil

15. TOTAL 2 2 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 14 of 20 1007/183

Sarah Moritz

Blk 4 – Contractor Format. Use the definition of sensitive information given in Public Law100-235. Use National Security Decision Directive (NSDD) 298 for the concept of AIR 7.4.4 Operations Security.

Blk 9 – Apply and use distribution statements in accordance with the Distribution Statement Shown in BLK 13 of DD Form 254 and the guidance of

SECNAVINST 5510.36

Blks 10, 12 & 13 – Draft OPSEC Plan due 90 calendar days after Contract award. Revisions as required after approval of final plan to comply with Government Data Protection Policy Documents.

11. AS OF DATE Final

N/A See16

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

b. COPIES

See16 See 16

Blk 16

AV Engineering and Integration

Operation Security (OPSEC) Plan

5. CONTRACT REFERENCE

PWS/SOW 3.2.5

either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.

TBD

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to mailto:Madeline.gantt@navy.mil mailto:Madeline.gantt@navy.mil

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

A TDP________ TM Other __IC2&I_____________

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

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

A015

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14 DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 1 Block 4: Submit per required format (See Attachment 6).

Block 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). If this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blocks 10, 12 and 13: Report shall be submitted concurrently with each invoice to the COR and shall be for the exact dollar amount and period of performance as the invoice.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 1 1

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 15 of 20 1007/183

Sarah Moritz

b. COPIES

See 16 See 16

11. AS OF DATE Final

N/A See 16

AV Engineering and Integration

Segregation of Costs and Invoice Requirements Reporting

5. CONTRACT REFERENCE

PWS/SOW 3.1.3.2

Blk 16 IC2&I Division

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

A TDP________ TM ________Other

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

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

A016

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

8. APP CODE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 16 of 20

Sarah Moritz

b. COPIES

11. AS OF DATE Final

Reserved

5. CONTRACT REFERENCE

PWS/SOW 3.3.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

A TDP________ TM ________Other IC2&I

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

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

A017

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION Blk 16

REQUIRED

LT See Blk16

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0 Block 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5). If this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blk 4: Digital media to be in IBM compatible Microsoft Excel 2010 or later format.

Contractor is required to electronically submit SCMS Workforce Report utilizing the embedded Workforce Reporting template - Attachment 4 Blk 12: First report is required forty (40) days after award of the contract.

Blk 13: Workforce reporting is required 10 calendar days after the close of each monthly reporting period.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 17 of 20 1007/183

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

AV Engineering and Integration

Contractor's Personnel Roster Workforce Reporting

5. CONTRACT REFERENCE

PWS/SOW 3.1.3.3 and 3.3.7

See Block 16

b. COPIES

Sarah Moritz

MTHLY 40 DAC

11. AS OF DATE Final

N/A See 16

Workforce Reporting Template

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

A TDP________ TM Other __IC2&I_____________

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

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

A018

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14 DISTRIBUTION Blk 16

REQUIRED

LT See Blk 16

8. APP CODE D 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS IC2&I Division 1 0

Blk 4: Digital media to be in IBM compatible Microsoft Excel 2010 or later format.

Blks 7- Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (attachment 5).

if this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blks 11 and 12: First report is required (5) days after system design has been approved.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 18 of 20 1007/183

AV Engineering and Integration

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

TBD

Sarah Moritz

b. COPIES

See 16 See 16

11. AS OF DATE

Blk 10: All material purchases completed under this contract shall be initiated using the Standarized MEL and completing all fields required for purchase. Frequency of updates dependent upon program requirements and project milestones.

Blk 13: Maintain and update records as necessary to ensure real-time/accurate status of all system procurements. Updates to the first CDRL submission will not require formal submittal to the deliverables manager. Subsequent submission dates dependent upon program requirements and project milestones.

Final

See 16 See 16

Contractor is required to download the latest template from the government's automated system and electronically upload the updated Standardized MEL.

Access to the government's automated system, and location of the Standardized MEL template and instructions will be provided after contract award. A sample Standardized MEL has been embedded in this CDRL for reference only. The template must be downloaded from the government' s automated system.

Populate the MEL Template worksheet with all major equipment, components, and material requirements. Use the Directions and Sample worksheets as a reference. Complete all known information on the template prior to upload. All yellow fields (columns) are mandatory and must be populated (note that assembly headers (record indicator type 1) are an exception and only require “Item No.” and “P/N Desc” fields to be populated). The maximum number of characters allowed in a field is indicated in parenthesis in the column header. Select data using drop-down menus where available. NO COMMAS, DOLLAR SIGNS, OR HARD RETURNS ARE ALLOWED IN ANY CELL (use “Find and Replace” feature to replace any commas or dollar signs with a blank space or semicolon)

Standardized Material Equipment List (MEL)

5. CONTRACT REFERENCE

TBD at DO/TO Level

BLK 16 IC2&I Division

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

A TDP________ TM ________Other MGMT

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

TBD

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

A019

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT See Blk 16

8. APP CODE D 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A, See Blk 16 Reg Repro

16. REMARKS IC2&I Division 1 1 0

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

15. TOTAL 1 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 19 of 20

Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Reection Form (Attachment 5). If this form as not been transmitted within 30 days of submission, the CDRL is considered accepted.

Blk 8: The Government will have five (5) business days to review and provide any comments. If required, the Contractor shall submit the final deliverables within gfive (5) business days of receipt of Government comments.

Sarah Moritz

b. COPIES

One/R 90 DPT EOC

11. AS OF DATE Final

N/A N/A

AV Engineering and Integration TBD

Transition Out Strategy

5. CONTRACT REFERENCE

PWS/SOW 3.1.7

DI-MGMT-81945

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

A TDP________ TM ________Other MGMT

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

TBD

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

A020

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

IC2&I Division

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

XX, See Blk 16

8. APP CODE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A, Blk 16 Reg Repro

16. REMARKS IC2&I Division 1 1 0

15. TOTAL 1 1 0

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

7/15/2020

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 20 of 20

Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Reection Form (Attachment 5). If this form as not been transmitted within 30 days of submission, the CDRL is considered accepted.

Blk 8: The Government will have five (5) business days to review and provide any comments. If required, the Contractor shall submit the final deliverables within five (5) business days of receipt of Government comments.

Blk 14: Electronic submission is required. Specific processes will be provided after award by the COR.

Sarah Moritz

b. COPIES

One/R 5 DPT EOC

11. AS OF DATE Final

NA NA

AV Engineering and Integration TBD

Contractor Aquired Property (CAP)

5. CONTRACT REFERENCE

PWS/SOW 3.1.4.2

DID-MGMT-80441C

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.