Atch_4_CDRLS_A001-A015_21_April_2014.docx

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

1. ITEM NO.

A001

2. TITLE OF ITEM

Program Status Website

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW Section 12

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

XX

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

C

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

16. REMARKS

Block 8: The Government will require a secure website and will review program status and provide comment within 15 calendar days. Information will be posted as program actions occur.

Block 10: Program information will be shared with the Government using a secure web site. The contractor shall provide the Government with a program website to support program situational awareness.

Block 12 & 13: OEM Website shall be operational not later than contract start date. The Contractor shall provide access to a website with program status current to within one week. All others reports as required per the applicable SOW Section.

Block 14: The Contractor shall use electronic format via website per the Statement of Work, any documents posted via the website such as status reports, databases, warranty reports, etc may be in contractor’s format

PEO C4

KI

DCMA

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

Mr. Art Coon

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A002

2. TITLE OF ITEM

Engineering Change Proposal

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-CMAN-80639C

5. CONTRACT REFERENCE

SOW Section 4.0

6. REQUIRING OFFICE

SORDAC/PMC4

7. DD250 REQ.

LT

OTIME/R

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

A

C

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

16. REMARKS

Block 12 & 13: Initial delivery is required immediately after a required configuration change is determined. The Government shall have 30 calendar days to review the change and provide comments to the contractor. The contractor shall have 30 calendar days to incorporate the Government’s comments and return the final document to the Government for final approval.

Block 14: Reproducible copies shall be sumbitted via electronic media in Microsoft Office Applications format (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM DPM.

PMC4

NSA

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A003

2. TITLE OF ITEM

Request for Deviation/Waiver (RFD/RFW) Or Notice of Revision (NOR)

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-CMAN-80640C

5. CONTRACT REFERENCE

SOW Para 4.0

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

As Required

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

C

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 12: All requests for Deviations or NORs shall be submitted to the Governent in accordance with DI-CMAN-80640C and DI-CMAN80642C respectively, as a guide, as required. Contractor format is acceptable.

Block 14: Final copies shall be sumbitted via electronic media in Microsoft Office Applications format (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A004

2. TITLE OF ITEM

Functional Configuration Audit (FCA)

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-SESS-81646

5. CONTRACT REFERENCE

SOW Para 4.0.3

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

C

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 12 : A Functional Configuration Audit (FCA) shall be planned in accordance with DI-IPSC-81316 as a guide in conjunction with the Government per SOW paragraph 4.0.3.

Block 14: Final copies shall be sumbitted via electronic media in Microsoft Office Applications format (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A005

2. TITLE OF ITEM

Failure Reporting, Analysis and Corrective Action System (FRACAS) Report

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-SESS-81315A

5. CONTRACT REFERENCE

SOW Para 6.1.1

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

OTIME/R

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

C

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 12: As requested. If requested the Failure Reporting, Analysis and Corrective Action System (FRACAS) report shall be submitted in accordance with DI-SESS-81315 as a guide. Contractor format is acceptable. The initial FRACAS report shall be submitted no later than 10 working days after requested by the Government. The final report shall be submitted to the Government immediately upon completion of all analysis and a corrective action has been identified.

Block 14: Final copies shall be sumbitted via electronic media in Microsoft Office Applications format (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

LCSM

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

F. CONTRACTOR

TBD

1. ITEM NO.

A006

2. TITLE OF ITEM

Quarterly CDLS Status, Warranty Status, and Failure Summary Analysis Reports

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW Para 6.1.1,6.1.2, 6.1.3, , 12.0.2

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

C

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

16. REMARKS

Blocks 12 and 13: CDLS effort and Warranty Status should be posted to the program status website as soon after actions are completed as possible to keep the data as current as possible. Submission should be delayed no more than 15 days.

BER reporting as required.

Block 14. The information contained in the three reports will be posted to the program status website. Contractor format is acceptable. The information will be applicable only to USSOCOM assets.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A007

2. TITLE OF ITEM

Conference Agenda and Conference Minutes

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-TMSS-80527A

5. CONTRACT REFERENCE

SOW Para 3.0.1.1

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: Contractor format is acceptable.

Block 12: Conference agendas will be provided NLT 05 working days prior to conference or meeting. Minutes will be provided no later than 5 working days post conference or meeting.

Block 14: Submission of the documents will be in MS Word or PDF format.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A008

2. TITLE OF ITEM

System Test Plans

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-NDTI-80566A

5. CONTRACT REFERENCE

SOW Para 5.0.2

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

ONE/R

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: Contractor format is acceptable.

Block 12: This CDRL applies to Contractor Developmental Test (CDT), Production Qualification Test (PQT) and all System Tests. Test plans will be submitted 60 calendar days prior to commencement of either test. The Government will require 30 calendar days to review and comment on all test plans. The Governmemt will provide written comments and the contractor shall have 20 calendar days to incorporate the comments and resubmit to the Government.

Block 14: Final copies shall be sumbitted via electronic media in Microsoft Office Applications format (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A009

2. TITLE OF ITEM

Test Procedures

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-NDTI-80566

5. CONTRACT REFERENCE

SOW Para 5.0.3

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: Contractor format is acceptable

Block 12: This CDRL applies to Contractor Developmental Test (CDT) and Production Qualification Test (PQT). Test procedures will be submitted 60 calendar days prior to commencement of either test. The Government will require 30 calendar days to review and comment on all test plans. The Government will provide written comments and the contractor shall have 10 calendar days to incorporate the comments and resubmit to the Government.

Block 14: Final copies shall be sumbitted via electronic media in Microsoft Office Applications format (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A010

2. TITLE OF ITEM

System Test Reports

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-NDTI-80492

5. CONTRACT REFERENCE

SOW Para 5.0.4, 5.1

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: Use DID-NDTI-80492 a guide. Contractor format is acceptable.

Blocks 12: This CDRL applies to both Contractor Developmental Test (CDT), Production Qualification Test (PQT) and system tests. Test reports will be submitted 30 calendar days after completion of either test. The Government will require 15 calendar days to review and comment on all test plans. The Government will provide written comments and the contractor shall have 20 calendar days to incorporate the comments and resubmit to the Government.

Block 14: Final copies shall be sumbitted via electronic media in Microsoft Office Applications format (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

H92222-15-X-XXXX

F. CONTRACTOR

TBD

1. ITEM NO.

A011

2. TITLE OF ITEM

Commercial Off-the-Shelf (COTS) Manuals

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

5. CONTRACT REFERENCE

SOW Para 8.0.1

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: Contractor format is acceptable.

Block 12: Manuals will be submitted as a part of the system with each system delivered. The contractor shall provide the operator’s and maintenance manuals for each piece of equipment under this contract. The Contractor shall provide one complete Operator’s Manual and Quick Reference Guide over packed with each system in CD format.

Block 14: Submission of the manuals will be in CD-ROM format.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO

F. CONTRACTOR

1. ITEM NO.

A012

2. TITLE OF ITEM

Quick Reference Guide

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-MISC-81418

5. CONTRACT REFERENCE

SOW Para 8.0.2

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: Contractor format is acceptable. The Contractor shall provide a detachable, laminated Quick Reference Guide that fits inside the JEM radio holster.

Block 12: The Contractor shall provide one complete Operator’s Manual and Quick Reference Guide over packed with each system in CD format.

Block 14: Distribution will be included with each fielded system. An electronic version may be submitted to PEO C4 and KI.

PEO C4

Fielded Sys

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

F. CONTRACTOR

1. ITEM NO.

A013

2. TITLE OF ITEM

Training Material

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-ILSS-80872

5. CONTRACT REFERENCE

SOW Para 9.0.1, 9.0.3

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

ASREQA

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

AD

C

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

ASREQ

16. REMARKS

Block 4: The contractor shall provide updated sets of IKPT and Refresher Course materials in contractor format. A set of training material includes: Operational Level Maintenace Manuals, Quick Reference Guide, Program Of Instruction, Instructor Guide, Student Workbook, and copies of audio/visual materials. The student wookbook will include Lesson Outlines (with references), practical and written examination sheets, slides/tranparencies, and a class schedule.

Block 12: Required only if requested.

Block 13: As required.

Block 14: Final copies of the training materials shall be on CD in Microsoft Office Applications (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

F. CONTRACTOR

1. ITEM NO.

A014

2. TITLE OF ITEM

Computer Based Training

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

DI-ILSS-81070

5. CONTRACT REFERENCE

SOW Para 9.0.1

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

C

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

16. REMARKS

Block 4: The contractor shall provide a Computer Based Training program. Format, content and intended use of the CBT to be used for follow on training shall be included. The CBT will be in flat file format.

Block 12 and 13: Initial delivery 90 calendar days after award of contract. The Government shall have 30 calendar days to review the CBT and provide comments. The contractor shall have 30 calendar days to incorporate the Government comments and deliver an updated version of the CBT.

Block 14: Final copies shall be on CD in Microsoft Office Applications (i.e., Word, Excel, PowerPoint, Access). Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP

TM

D. SYSTEM/ITEM

AN/PRCXXX

E. CONTRACT/PR NO.

F. CONTRACTOR

1. ITEM NO.

A015

2. TITLE OF ITEM

Spares and Repair Parts Report/List

3. SUBTITLE

4. AUTHORITY (Acquisition Document No.)

5. CONTRACT REFERENCE

SOW Para 7.0.1

6. REQUIRING OFFICE

SORDAC/PEO C4

7. DD250 REQ.

LT

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP. CODE

C

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

ASREQ

16. REMARKS

Block 4: Contractor format is acceptable.

Block 12 and 13: Initial delivery 90 calendar days after production of an acceptable production variant. The contractor shall have 30 calendar days to incorporate the Government comments and deliver an updated version of the spares and repair parts listing.

As a living document subsequent submissions will be within 30 days of new item additions.

Block 14: Final copies shall be posted on the program status websits and published in Microsoft Office Excel format. Deviations must be approved in writing by USSOCOM.

PEO C4

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, FEB 2001 (Previous editions may be used) Page of Pages