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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A005 title: Government Property Physical Inventory Count and Custodial Balance Report sub: Physical Inventory Plan/Schedule and Reports for GFP auth: DI-MGMT-80441 ref: SOW Paragraph(s) 8.4 req_ofc: MDA/DP dd250: LT appcode: A dist: B freq: See Blk 16 asof: See Blk16 firstsub: See Blk 16 subsub: See Blk16 addressee1: MDA/DPLP (APO) draft1: 0 reg1: 1 repro1: 0 addressee2: MDA/DOBA draft2: 0 reg2: 1 repro2: 0 addressee3: MDA/CS draft3: 0 reg3: 1 repro3: 0 addressee4: MDA/DAC draft4: 0 reg4: 1 repro4: 0 addressee5: DCMA (PA) draft5: 0 reg5: 1 repro5: 0 addressee6: MDA/COR draft6: 0 reg6: 1 repro6: 0 addressee7:

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total_draft: 0 total_reg: 6 total_repro: 0 remarks: Block 4: Format will be in electronic .xls or .xlsx compatible format with columns A through U labeled: MDA Contract Number, CAGE Code, Item Name/Description, Manufacturer Name, Manufacturer Part Number (if applicable), Model Number (if applicable), National Stock Number (NSN) (if applicable), Material Control Number (MCN) (if applicable), Serial Number (if applicable), Quantity, Unit of Measure, Unit Acquisition Cost, Location, Sub Location, Unique Item Identifier, Type of Government Property (Government Furnished Property (GFP) or Contractor Acquired Property (CAP)), Classification of Government Property (Equipment (EQP), Material (MAT), Special Test Equipment (STE), or Special Tooling (ST)), Posting Reference and Date of Transaction, Date Placed in Service, and Condition Code.

The Physical Inventory Plan/Schedule and Reports for Government Property (both GFP and CAP) shall be submitted in accordance with the remarks below:

(a) Within 30 days of the contract award and by 31 October of each fiscal year, the contractor will electronically provide the physical inventory plan/schedule to the MDA Contract Property Administration Office at MDADAPCPAO@mda.mil, MDA Accountable Property Officer at MDA-DPLP-CDRL@mda.mil, and respective MDA Program Office. During the fiscal year, any updates to the physical inventory/plan will be forwarded to same email addresses within 10 days.

(b) Within 30 days of completion of the contractor's periodic physical inventory of Government Property (both GFP and CAP) in accordance with the contractor's approved Property Management System procedures, the physical inventory report will be delivered in electronic format as stated above to the MDA Contract Property Administration Office at MDADAPCPAO@mda.mil, MDA Accountable Property Officer at MDA-DPLP-CDRL@mda.mil, and respective MDA Program Office.

(c) Within 30 days of completion of the final physical inventory of all Government Property (both GFP and CAP), unless waived by the Government Property Administrator, the Final Government Property Physical Inventory Report will be delivered in the electronic format as stated above to the MDA Contract Property Administration Office at MDADAPCPAO@mda.mil, MDA Accountable Property Officer at MDA-DPLP-CDRL@mda.mil, and respective MDA Program Office.

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line_item: 003,1003,2003,3003 exhibit: A xtdp: Off xtm: Off othercat: X system: See CDRL Cover Page ctr_no: See CDRL Cover Page contr: TBD remarksb: Block 9: Distribution authorized to U.S. Government agencies only for administrative use effective 2015xxxx. Other requests for this document shall be referred to MDA/CS, Bldg 5222, Martin Rd, Redstone Arsenal, AL 35898..

Blocks 10, 11 and 12: (a) Initial submission of the contractor's inventory plan/schedule due within 30 days after contract award. (b) Initial submission of the contractor's physical inventory report due within 30 days after completion of the contractor's physical inventory in accordance with the contractor's inventory plan/schedule.

Block 13: (a) Subsequent submissions of the contractor's physical inventory plan/schedule due by 31 October each fiscal year with subsequent updates to the contractor's inventory plan/schedule to be submitted within 10 days. (b) Subsequent submissions of the contractor's physical inventory report due within 30 days after completion in accordance with the contractor's physical inventory plan/schedule. (c) Final submission of the contractor's physical inventory report due within 30 days after completion in accordance with the contractor's physical inventory plan/schedule.

Limited Rights technical data and/or Restricted Rights computer software shall not be incorporated into the design of any systems, diagrams, design documentation packages, prototypes, and/or models simulation thereof under this contract without the prior written authorization of the Contracting Officer.

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered wi

Distribution Statement F is required to control the release of data in this CDRL due to the fact that it contains contractor performance evaluations, critical technology, proprietary information, or test and evaluation information. While efforts may be partially funded with BA3 appropriations, the data within this product delivery does not meet the definition of "Scientific and Technical Information" as detailed in DoDI 3200.12.

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Technical Report - Study/Services sub: Monthly Manpower Report auth: DI-MISC-80508B ref: SOW Paragraph(s) X.X req_ofc: MDA/CS dd250: NO appcode: N/A dist: F freq: MTHLY asof: 0 firstsub: 30DAC subsub: See Blk 16 addressee1: MDA/PCO draft1: 0 reg1: 1 repro1: 0 addressee2: MDA/COR draft2: 0 reg2: 1 repro2: 0 addressee3:

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Block 4: Format will be in electronic .xls or .xlsx compatible format according to the attachment to the contract.

Block 9: Further dissemination only as directed by MDA/CS, Bldg 5222, Martin Rd, Redstone Arsenal, AL 35898 (November 2, 2016) or higher DoD authority.

Distribution Statement F is required to control the release of data in this CDRL due to the fact that it contains contractor performance evaluations, critical technology, proprietary information, or test and evaluation information. While efforts may be partially funded with BA3 appropriations, the data within this product delivery does not meet the definition of "Scientific and Technical Information" as detailed in DoDI 3200.12.

Blocks 10-13: The Monthly Manpower Report shall be submitted monthly. The first submission shall be submitted 30 days after contract award. The Monthly Manpower Report is due at the end of each month.

Limited Rights technical data and/or Restricted Rights computer software shall not be incorporated into the design of any systems, diagrams, design documentation packages, prototypes, and/or models simulation thereof under this contract without the prior written authorization of the Contracting Officer.

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered with any restrictive markings."

Under no circumstances shall technical data or computer software to be delivered under or in conjunction with this CDRL, be marked "Proprietary" (or similar Nonconforming marking(s)).

“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 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”

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line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: X - MISC system: See CDRL Cover Page ctr_no: TBD contr: TBD remarksb:

“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 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A001 title: Technical Report - Study/Services sub: Monthly Status Report auth: DI-MISC-80508B ref: SOW Paragraph(s) 4.2 req_ofc: MDA/CS dd250: NO appcode: N/A dist: F freq: MTHLY asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: MDA/DAC draft1: 0 reg1: 1 repro1: 0 addressee2: MDA/COR draft2: 0 reg2: 1 repro2: 0 addressee3: MDA/ACOR draft3: 0 reg3: 1 repro3: 0 addressee4: MDA/SB draft4: 0 reg4: 1 repro4: 0 addressee5:

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The report shall include the following details:

a. Status of required products and services for performance objectives identified in the contract. The contractor shall identify the product by title and the office that received those products during the reporting period. Delineate those that have been delivered by location, those that are planned to be delivered, and the estimated date of delivery.

b. Status of Other Direct Costs (ODC). List all ODCs that have been approved by the Contracting Officer. Include by item(s) the approved amount and the actual cost incurred if the purchase has already been made. Also show when the item was received or planned to be received. Segregate the current information and the cumulative information for the applicable CLIN.

c. Submit on-site/off-site data in the format provided in the attachment to the contract identifying support for each location identified in the PWS.

d. In order to gather data to access the contractor’s small business participation in accordance with FAR 52.219-8 (Utilization of Small Business Concerns) and 52.219-14 (Limitation on Subcontracting), the contractor shall submit a report in accordance with the Table in the contract, 6 months after contract award and semi-annually thereafter, which provides the actual achievements of small business participation. The contractor shall submit the report segregated by base period and each option period.

e. Submit a Quarterly Self-Assessment on the 15th of the month following the end of each quarter from the beginning of the period of performance in the format provided in the attachment to the contract.

Block 9: Further dissemination only as directed by MDA/CS, Bldg 5222, Martin Rd, Redstone Arsenal, AL 35898 or higher DoD authority.

Distribution Statement F is required to control the release of data in this CDRL due to the fact that it contains contractor performance evaluations, critical technology, proprietary information, or test and evaluation information. While efforts may be partially funded with BA3 appropriations, the data within this product delivery does not meet the definition of "Scientific and Technical Information" as detailed in DoDI 3200.12.

Blocks 11-13: The Cost Report shall be delivered to the PCO with a copy to the Contracting Officer's Representative (COR), Alternate Contracting Officer's Representative (ACOR), and Small Business Office (MDA/SB) via electronic means.

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line_item: 0003,1003,2003,3003 exhibit: A xtdp: Off xtm: Off othercat: X system: See CDRL Cover Page ctr_no: See CDRL Cover Page contr: TBD remarksb: Note: Limited Rights technical data and/or Restricted Rights computer software shall not be incorporated into the design of any systems, diagrams, design documentation packages, prototypes, and/or models simulation thereof under this contract without the prior written authorization of the Contracting Officer.

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered with any restrictive markings."

Under no circumstances shall technical data or computer software to be delivered under or in conjunction with this CDRL, be marked "Proprietary" (or similar Nonconforming marking(s)).

“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 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Technical Report - Study/Services sub: Monthly Cost Report auth: DI-MGMT-80508B ref: SOW Paragraph(s) 4.3 req_ofc: MDA/CS dd250: NO appcode: N/A dist: F freq: MTHLY asof: see blk 16 firstsub: 30 DAC subsub: see blk 16 addressee1: MDA/PCO draft1: 0 reg1: 1 repro1: 0 addressee2: MDA/COR draft2: 0 reg2: 1 repro2: 0 addressee3: MDA/ACOR draft3: 0 reg3: 1 repro3: 0 addressee4:

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Block 4: Cost Report (by CLIN) and Travel Status Reports shall be submitted using the formats provided as attachments to the Contract.

Block 9: Further dissemination only as directed by MDA/CS, Bldg 5222, Martin Rd, Redstone Arsenal, AL 35898 or higher DoD authority.

Distribution Statement F is required to control the release of data in this CDRL due to the fact that it contains contractor performance evaluations, critical technology, proprietary information, or test and evaluation information. While efforts may be partially funded with BA3 appropriations, the data within this product delivery does not meet the definition of "Scientific and Technical Information" as detailed in DoDI 3200.12.

Blocks 11-13: The Cost Report shall be delivered to the PCO with a copy to the Contracting Officer's Representative (COR) and Alternate Contracting Officer's Representative (ACOR) via electronic means.

Note: Limited Rights technical data and/or Restricted Rights computer software shall not be incorporated into the design of any systems, diagrams, design documentation packages, prototypes, and/or models simulation thereof under this contract without the prior written authorization of the Contracting Officer.

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered with any restrictive markings."

Under no circumstances shall technical data or computer software to be delivered under or in conjunction with this CDRL, be marked "Proprietary" (or similar Nonconforming marking(s)).

“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 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”

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