Exhibits A thru E_CDRLs.pdf

PDF 441 KB Posted May 14, 2021

Attached to: Research & Development (R&D) Support for Chemical/Materials and Sensors/Systems Development Federal contract opportunity
Solicitation number: N00173-21-R-ZL05
Issued by: Department of the Navy Secretary of the Navy Office of Naval Research

About this file

Written by GovTribe AI · Dec 28, 2023

This document package includes a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines five contract line items requiring the delivery of technical reports, briefings, inventory lists, and monthly progress updates. Deliverables include a monthly progress report, final study report, contract summary report at end of contract, oral briefings as required, and a GFP/CAP inventory list. The federal contract opportunity is a solicitation seeking research and development support for chemical and materials characterization, sensor and system design, fabrication, and testing. Solicitation N00173-21-R-ZL05 was issued by the Department of the Navy for a small business total set-aside. The anticipated single award contract is a cost-plus-fixed-fee term contract with a one year base period and four one-year options. The proposal response deadline and anticipated award date are not specified.

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Other files for this federal contract opportunity

Other files attached to Research & Development (R&D) Support for Chemical/Materials and Sensors/Systems Development, newest first.
File	Type	Posted
Amendment 0001 to N00173-21-R-ZL05.pdf	PDF	Jun 3, 2021
Attach03 On-Site Contractors Requirement.pdf	PDF	May 14, 2021
Attach05 Past Performance Questionnaire.pdf	PDF	May 14, 2021
Attach04 GFP List.pdf	PDF	May 14, 2021
RFP N00173-21-R-ZL05.pdf	PDF	May 14, 2021
Attach01 DD Form 254.pdf	PDF	May 14, 2021
Attach02 Personnel Qualifications.pdf	PDF	May 14, 2021

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DD FORM 1423, AUG 96 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

18. ESTIMATED

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 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 and Communications

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

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Monthly Progress and Status of Funds Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM

SIO

w N orkday

Draft

Final

Reg Repro

16. REMARKS

Indicates the progress of the contractor's work and the status of the program and the assigned tasks, reports costs and informs of existing or potential problem areas.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Studies Final Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

4 mos. ACA

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Reg Repro

16. REMARKS

Provides summary of significant technical findings, problems encountered, and a detailed list of publications, presentations, and patents (with Status).

A003

2. TITLE OF DATA ITEM

Contract Summary Technical Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80447A

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

EOC

12. DATE OF FIRST SUBMISSION

90 days

Reg Repro

16. REMARKS

Provides report of all technical work accomplished during the period of performance.

A004

2. TITLE OF DATA ITEM

Oral Briefings Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

Reg Repro

16. REMARKS

Oral Briefings and other interim progress report as required.

G. PREPARED BY

Shawn P. Mulvaney

H. DATE I. APPROVED BY J. DATE

TOTAL PRICE

17. PRICE GROUP

DD FORM 1423, AUG 96 PREVIOUS EDITION MAY BE USED. Page 2 of 2 Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

GFP/CAP Inventory List

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

180 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides a listing of all GFP provided and CAP acquired under this Contract. The

Contractor shall utilize the GFP Data input spreadsheet located at http://www.onr.navy.mil/Contracts-Grants/manage-contract/contract-forms-downlo

COR 6177 1

15. TOTAL 0 1 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

G. PREPARED BY

Shawn P. Mulvaney http://www.onr.navy.mil/Contracts-Grants/manage-contract/contract-forms-downlo

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Monthly Progress and Status of Funds Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM

SIO

w N orkday Draft

Final

Reg Repro

16. REMARKS

Indicates the progress of the contractor's work and the status of the program and the assigned tasks, reports costs and informs of existing or potential problem areas.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Studies Final Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

4 mos. ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

Provides summary of significant technical findings, problems encountered, and a detailed list of publications, presentations, and patents (with Status).

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Summary Technical Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80447A

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

EOC

12. DATE OF FIRST SUBMISSION

90 days

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides report of all technical work accomplished during the period of performance.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Oral Briefings Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Oral Briefings and other interim progress report as required.

COR 6177 1

15. TOTAL 0 1 0

G. PREPARED BY

Shawn P. Mulvaney

H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

DD FORM 1423, AUG 96 PREVIOUS EDITION MAY BE USED. Page 2 of 2 Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

GFP/CAP Inventory List

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

180 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides a listing of all GFP provided and CAP acquired under this Contract. The

Contractor shall utilize the GFP Data input spreadsheet located at http://www.onr.navy.mil/Contracts-Grants/manage-contract/contract-forms-downlo

COR 6177 1

15. TOTAL 0 1 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

G. PREPARED BY

Shawn P. Mulvaney

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Monthly Progress and Status of Funds Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM

SIO

w N orkday Draft

Final

Reg Repro

16. REMARKS

Indicates the progress of the contractor's work and the status of the program and the assigned tasks, reports costs and informs of existing or potential problem areas.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Studies Final Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

4 mos. ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

Provides summary of significant technical findings, problems encountered, and a detailed list of publications, presentations, and patents (with Status).

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Summary Technical Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80447A

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

EOC

12. DATE OF FIRST SUBMISSION

90 days

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides report of all technical work accomplished during the period of performance.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Oral Briefings Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Oral Briefings and other interim progress report as required.

COR 6177 1

15. TOTAL 0 1 0

G. PREPARED BY

Shawn P. Mulvaney

H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

DD FORM 1423, AUG 96 PREVIOUS EDITION MAY BE USED. Page 2 of 2 Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

GFP/CAP Inventory List

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

180 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides a listing of all GFP provided and CAP acquired under this Contract. The

Contractor shall utilize the GFP Data input spreadsheet located at http://www.onr.navy.mil/Contracts-Grants/manage-contract/contract-forms-downlo

COR 6177 1

15. TOTAL 0 1 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

G. PREPARED BY

Shawn P. Mulvaney

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Monthly Progress and Status of Funds Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM

SIO

w N orkday Draft

Final

Reg Repro

16. REMARKS

Indicates the progress of the contractor's work and the status of the program and the assigned tasks, reports costs and informs of existing or potential problem areas.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Studies Final Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

4 mos. ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

Provides summary of significant technical findings, problems encountered, and a detailed list of publications, presentations, and patents (with Status).

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Summary Technical Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80447A

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

EOC

12. DATE OF FIRST SUBMISSION

90 days

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides report of all technical work accomplished during the period of performance.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Oral Briefings Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Oral Briefings and other interim progress report as required.

COR 6177 1

15. TOTAL 0 1 0

G. PREPARED BY

Shawn P. Mulvaney

H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

DD FORM 1423, AUG 96 PREVIOUS EDITION MAY BE USED. Page 2 of 2 Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

GFP/CAP Inventory List

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

180 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides a listing of all GFP provided and CAP acquired under this Contract. The

Contractor shall utilize the GFP Data input spreadsheet located at http://www.onr.navy.mil/Contracts-Grants/manage-contract/contract-forms-downlo

COR 6177 1

15. TOTAL 0 1 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

G. PREPARED BY

Shawn P. Mulvaney

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

18. ESTIMATED

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Monthly Progress and Status of Funds Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM

SIO

w N orkday Draft

Final

Reg Repro

16. REMARKS

Indicates the progress of the contractor's work and the status of the program and the assigned tasks, reports costs and informs of existing or potential problem areas.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Studies Final Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

4 mos. ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

Provides summary of significant technical findings, problems encountered, and a detailed list of publications, presentations, and patents (with Status).

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Summary Technical Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80447A

5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

EOC

12. DATE OF FIRST SUBMISSION

90 days

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides report of all technical work accomplished during the period of performance.

COR 6177 1

15. TOTAL 0 1 0

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Oral Briefings Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Oral Briefings and other interim progress report as required.

COR 6177 1

15. TOTAL 0 1 0

G. PREPARED BY

Shawn P. Mulvaney

H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

DD FORM 1423, AUG 96 PREVIOUS EDITION MAY BE USED. Page 2 of 2 Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

Reset

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

R&D Support for Chemical/Materials

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

GFP/CAP Inventory List

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph C 5

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

180 day ACA

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Provides a listing of all GFP provided and CAP acquired under this Contract. The

Contractor shall utilize the GFP Data input spreadsheet located at http://www.onr.navy.mil/Contracts-Grants/manage-contract/contract-forms-downlo

COR 6177 1

15. TOTAL 0 1 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

G. PREPARED BY

Shawn P. Mulvaney

File details come from the government source that posted it. Updated May 14, 2021.