Exhibits A and B CDRL Package.pdf

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Attached to
Voice Module Production Federal contract opportunity
Solicitation number
N00024-22-R-5104
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This Request for Proposal (RFP) solicits the production, implementation of Engineering Change Proposals, hardware obsolescence upgrades and sustainment of modules/components of Virtual Tactical Bridge embarked Shipboard Radio systems. The Naval Sea Systems Command intends to award this small business set-aside procurement. Interested parties should direct inquiries to the identified Navy contacts. Responses to the RFP are due based on the terms specified therein. The procurement aims to fulfill requirements related to modules/components that support Navy radio systems through production, upgrades and sustainment services.

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Amendment 0012.zip ZIP file
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Amendment 0009.zip ZIP file
Amendment 0008.ZIP ZIP file
Amendment 0007.zip ZIP file
Amendment 0006.zip ZIP file
Amendment 0005.zip ZIP file
Amendment 0004.zip ZIP file
Amendment 0003.ZIP ZIP file
Amendment 0002.ZIP ZIP file
N00024-22-R-5104 Base RFP.ZIP ZIP file
Amendment 0001.ZIP ZIP file
VM Production Attachment L-03 Responses as of 23DEC2021 r2.xlsx XLSX spreadsheet
Attachment L-06 - Past Performance Reference List Form N00024-22-R-5104 06NOV020.docx DOCX document
Attachment L-04 - Compliance Checklist N00024-22-R-5104 06NOV2020.doc DOC document
Attachment L-02 - Past Performance Questionnaire N00024-22-R-5104 06NOV2020.xlsx XLSX spreadsheet
Attachment L-03 - Questions Comments and Data Request Form N00024-22-R-5104 06NOV2020.xlsx XLSX spreadsheet
Attachment L-09 - Vendor List.xlsx XLSX spreadsheet
Attachment J-01 - VTB TDP - WITH TEST INSTRUCTIONS.docx DOCX document
Attachment J-02 -Voice Matrix TDP - WITH TEST INSTRUCTIONS.docx DOCX document
Attachment L-05 - Facility Checklist N00024-22-R-5104 11NOV2020.xlsx XLSX spreadsheet
Attachment J-03 - T-Junction TDP - WITH TEST INSTRUCTIONS.docx DOCX document
Attachment L-07 - Press Release VM Production 27APR2021.docx DOCX document
Attachment L-08 - Supplier List.xlsx XLSX spreadsheet
Attachment L-01 - VMP Component CostPrice Sheet N00024-22-R-5104 17MAY2021.xlsx XLSX spreadsheet
N00024-22-R-5104.docx DOCX document
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CDRL DATA PACKAGE

FOR

VOICE MATRIX AND T-JUNCTION MODULES

PRODUCTION (VTBe)

N00024-22-R-5104

TABLE OF CONTENTS MATRIX

01-MAR-2021

TABLE OF CONTENTS MATRIX

CDRL DID NUMBER TITLE OF DID (SUBTITLE) CONTRACT REFERENCE

EXHIBIT A

A001 DI-FNCL-80166C PROGRAM COST AND TECHNICAL DATA

REPORTS (FINANCIAL & TECHNICAL

STATUS REPORT)

SOW PARAs C.3.1, C.3.6 & C.3.7

A002 DI-ADMN-81505 REPORT, RECORD OF MEETING/MINUTES SOW PARA C.3.1

A003 DI-MGMT-81928 CONTRACTOR’S PROGRESS AND STATUS

REPORT

SOW PARA C.3.1

A004 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES

(ANALYSIS REPORTS)

SOW PARAs C.3.1, C.3.4.1 & C.3.5

A005 DI-MGMT-80596 GOVERNMENT FURNISHED INFORMATION

DEFICIENCY REPORT (DEFICIENCY/

DISCREPANCY REPORTS)

SOW PARAs C.3.3.4 & C.3.5

A006 DI-NDTI-80809B TEST/INSPECTION REPORT SOW PARAs C.3.2.1, C.3.3.4, C.3.4 & C.3.4.1

A007 DI-ADMN-81373 PRESENTATION MATERIAL (PRESENTATION

AND BRIEFING MATERIAL)

SOW PARA C.3.1

A008 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES

(HARDWARE TROUBLE REPORTS (HTR))

SOW PARAs C.3.3.4, C.3.4.1 & C.3.5

A009 DI-QCIC-80553A ACCEPTANCE TEST PLAN (PRODUCTION

ACCEPTANCE TEST PLAN)

SOW PARA C.3.4.1

A010 DI-SESS-80639E ENGINEERING CHANGE PROPOSAL (ECP) SOW PARAs C.3.3.4, C.3.4.1 & C.3.5

A011 DI-SESS-81830 AS BUILT CONFIGURATION LIST - COMMON

(ABCL-C)

SOW PARA C.3.5

A012 DI-MGMT-82273 DIMINISHING MANUFACTURING SOURCES

AND MATERIAL SHORTAGES (DMSMS)

HEALTH ASSESSMENT REPORT (DMS

ENGINEERING, MODELING AND HEALTH

ASSESMENT)

SOW PARAs C.3.1 & C.3.3.4

A013 DI-MGMT-81804A ITEM UNIQUE IDENTIFICATION (IUID)

MARKING ACTIVITY, VALIDATION AND

VERIFICATION REPORT

SOW PARA C.3.3

A014 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES SOW PARAs C.3.1, C.3.2, C.3.3.4, C.3.4.1 & C.3.5

TABLE OF CONTENTS MATRIX

CDRL DID NUMBER TITLE OF DID (SUBTITLE) CONTRACT REFERENCE

A015 DI-SESS-80255B FAILURE SUMMARY AND ANALYSIS

REPORT (CORRECTIVE ACTION SUMMARY

REPORT)

SOW PARAs C.3.1, C.3.2, C.3.3.4 & C.3.4.1

A016 DI-MGMT-80269 STATUS OF GOVERNMENT FURNISHED

EQUIPMENT (GFE) REPORT (GOVERNMENT

FURNISHED EQUIPMENT (GFE) REPORT)

SOW PARA C.3.5

A017 DI-NDTI-80603A TEST PROCEDURE SOW PARAs C.3.1, C.3.2, C.3.3.4 & C.3.4.1

A018 DI-SESS-81875 CONFIGURATION MANAGEMENT PLAN SOW PARA C.3.1

EXHIBIT B

B001 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (TECHNICAL DATA PACKAGE

(TDP)

SOW PARAs C.3.3.4 & C.3.5

B002 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (PRODUCTION DRAWINGS)

SOW PARAs C.3.3.4 & C.3.5

B003 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (PRODUCT DRAWINGS/

MODELS AND ASSOCIATED LISTS)

SOW PARAs C.3.3.4 & C.3.5

B004 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (CONCEPTUAL DESIGN

DRAWINGS/MODELS)

SOW PARAs C.3.3.4 & C.3.5

B005 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (DEVELOPMENTAL DESIGN

DRAWINGS/MODELS AND ASSOCIATED

LISTS)

SOW PARAs C.3.3.4 & C.3.5

B006 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (ENGINEERING

DOCUMENTATION PRODUCT DRAWINGS)

SOW PARAs C.3.3.4 & C.3.5

TABLE OF CONTENTS MATRIX

ATTACHMENT TO THE CDRL ATTACHMENT TITLE NUMBER OF PAGES

1 GENERAL DD FORM 1423 GLOSSARY WITH

ADDRESSEE LIST

2 TECHNICAL DATA PACKAGE (TDP) OPTION

SELECTION WORKSHEETS

CDRL DD FORM 1423

EXHIBIT A

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER FNCL

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

PROGRAM COST AND TECHNICAL DATA REPORTS

3. SUBTITLE

FINANCIAL & TECHNICAL STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80166C(SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.1, C.3.6 & C.3.7

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

60DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

15DARP

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 8: Approval will be for contractual compliance and technical content. The Government will provide comments or approval within 30 calendar days after receipt of submission. Final submission is due 30 calendar days after Final System testing is complete.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 1 1

PEO IWS COR 1 1

NAVSEA 02513 0 0

15. TOTAL 2 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

J. DATE

2021/03/02

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 24 Pages

17. PRICE GROUP

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER ADMN

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

REPORT, RECORD OF MEETING/MINUTES

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81505 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARA C.3.1

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 8: Approval will be for contractual compliance and technical content.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.

BLKs 10/12/13: Submit draft conference minutes to COR for review and approval 7 (seven) working days after each conference/meeting/review.

Submit final version 7 days after receipt of approval or comments.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction (TI) number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 1 1

PEO IWS COR 0 1

15. TOTAL 1 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

CONTRACTOR’S PROGRESS AND STATUS REPORT

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81928 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARA C.3.1

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

20DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

15DARP

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable. Report shall be a compilation of all previous interim progress reports.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

NAVSEA 02513 0 1

15. TOTAL 0 3 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

ANALYSIS REPORTS

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.1, C.3.4.1 & C.3.5

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 10 working days at the end of event being studied and/or analyzed. The Government will provide a response within 15 working days. Subsequent delivery will be 10 working days after receipt of Government comments.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

GOVERNMENT FURNISHED INFORMATION DEFICIENCY REPORT

3. SUBTITLE

DEFICIENCY/DISCREPANCY REPORTS

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80596 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.3.4 & C.3.5

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 5 working days after occurrence of deficiency being reported. Subsequent delivery shall be as required by the Technical Instruction (TI) as required.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER NDTI

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.2.1, C.3.3.4, C.3.4 & C.3.4.1

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 5 working days after test and/or inspection.

The Government will provide response within 15 working days.

Subsequent delivery shall be 10 working days after receipt of Government comments.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER ADMN

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

PRESENTATION MATERIAL

3. SUBTITLE

PRESENTATION AND BRIEFING MATERIAL

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81373 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARA C.3.1

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Submit presentation material 10 calendar days prior to each meeting/conference/review.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

TECHNICAL REPORT - STUDY/SERVICES

3. SUBTITLE

HARDWARE TROUBLE REPORTS (HTR)

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.3.4, C.3.4.1 & C.3.5

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 5 working days after discovery. Subsequent deliveries shall be as required by the TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER QCIC

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

ACCEPTANCE TEST PLAN

3. SUBTITLE

PRODUCTION ACCEPTENCE TEST PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80553A (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARA C.3.4.1

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

90DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval. Revised plan shall be subject to DD 250.

BLK 8: Approval will be for contractual compliance and technical content. The Government will provide comments or approval within 20 business days after receipt of each submission.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: The Contractor shall provide the revised PATP with incorporated Government comments and revisions within 10 business days after receipt.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 1 1

PEO IWS COR 1 1

15. TOTAL 2 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 24 Pages

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

ENGINEERING CHANGE PROPOSAL (ECP)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80639E (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.3.4, C.3.4.1 & C.3.5

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI). Subsequent deliveries shall be as required by the

TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 24 P

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

AS BUILT CONFIGURATION LIST - COMMON (ABCL-C)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81830 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARA C.3.5

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI). Subsequent deliveries shall be as required by the

TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 24

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

DIMINISHING MANUFACTURING SOURCES AND MATERIAL

SHORTAGES (DMSMS) HEALTH ASSESSMENT REPORT

3. SUBTITLE

DMS ENGINEERING, MODELING AND HEALTH

ASSESMENT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-82273 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.1 & C.3.3.4

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI). Subsequent deliveries shall be as required by the

TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 24

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY,

VALIDATION AND VERIFICATION REPORT

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81804A (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARA C.3.3

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI). Subsequent deliveries shall be as required by the

TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 24

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A014

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.1, C.3.2, C.3.3.4, C.3.4.1 & C.3.5

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 8: Approval will be for contractual compliance and technical content. The Government will provide comments or approval within 45 calendar days after receipt.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI). Subsequent deliveries shall be as required by the

TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 1 1

PEO IWS COR 1 1

15. TOTAL 2 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 24

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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

VTBe PRODUCTION

E. CONTRACT/PR NO.

N00024-22-R-5104

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A015

2. TITLE OF DATA ITEM

FAILURE SUMMARY AND ANALYSIS REPORT

3. SUBTITLE

CORRECTIVE ACTION SUMMARY REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255B (SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.1, C.3.2, C.3.3.4 & C.3.4.1

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 01-MAR-2021. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLK 11: "As of Date" is the last day of each six month period.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI). Subsequent deliveries shall be as required by the

TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 0 1

PEO IWS COR 0 1

15. TOTAL 0 2 0

G. PREPARED BY

IMA RIVERA, PEO IWS 1AQ

DATA MANAGER

H. DATE

2021/03/01

I. APPROVED BY

TANYA D. CROWDER, PEO IWS 1AP

DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 15 of 24

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).

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