II. 10 DRAFT CDRL DD1423-1_Redacted.pdf

DoD Form PDF 357 KB Posted

Attached to
Antenna, Imaging, and Electronic Warfare Spares Replacement Parts
Solicitation number
N66604-22-R-0415
Issued by

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DD Form 1423-1 CDRL_A012_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A001_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A006_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A005_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A014_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A008_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A009_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A007_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A013_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A016_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A010_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A003_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A002_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A011_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A004_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
DD Form 1423-1 CDRL_A015_15MAY2026.pdf May 15, 2026 SUPPLY CHAIN OPTIMIZATION SUPPORT (SCOS) Solicitation
Exhibit A CDRL DD Form 1423-1 A001 Shock Test Report_Redacted.pdf Revision not stated Paddle Wheel Shock Testing
Exhibit A - DD 1423-1 CDRL-4.pdf Revision not stated Communication Managerial Security Support Services - Colombia (CO-D-GAK)
Exhibit A - DD 1423-1 CDRL-3.pdf Revision not stated Communication Managerial Security Support Services - Colombia (CO-D-GAK)
Exhibit A - DD 1423-1 CDRL-5.pdf Revision not stated Communication Managerial Security Support Services - Colombia (CO-D-GAK)
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Text version

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: MISC

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM:

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

Obsolescence Report

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Para# 4.1.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION *

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 0 1 0

Block 9: See attached Block 16 addendum. COR 0 1 0

DM 0 1 0

Block 10: To be determined at time of delivery order.

Block 12 & 13: Obsolescence report shall be delivered within five (5) business days of the date of notification from a parts supplier that a part(s) is, or will become obsolete.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

Principal Investigator (PI) identified on Delivery Order COR: TBD@navy.mil

15. TOTAL > 0 3 0

G. PREPARED BY

H. DATE

04 Jan 2022

I. APPROVED BY

J. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 1 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: MGMT

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM:

DIMINISHING MANUFACTURING SOURCES

AND MATERIAL SHORTAGES (DMSMS)

METRICS DATA

3. SUBTITLE

DMSMS Report

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MGMT-82275

5. CONTRACT REFERENCE

SOW Para# 4.1.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 1 1 0

Block 9: See attached Block 16 addendum. COR 1 1 0 0 1 0 Block 10: To be determined at time of delivery order.

Block 12 & 13: DMSMS shall be delivered within ten (10) business days after the contractor has provided an Obsolescence Report (A001). The Government will provide notification to the contractor within ten (10) business days to proceed with alternate part(s) or if the delivery order will be modified to remove the part(s).

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

Principal Investigator (PI) identified on Delivery Order (DO)

15. TOTAL > 2 3 0

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 2 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: NDTI

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM:

TEST/INSPECTION REPORT

3. SUBTITLE

Quality Control Inspection/Test Report

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW Para# 4.1.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 0 1 0

Block 9: See attached Block 16 addendum. COR 0 1 0

DM 0 1 0

Block 10: To be determined at time of delivery order.

Block 12 & 13: Quality Control Inspection/Test report shall be delivered in accordance with individual delivery orders.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 3 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: SESS

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM:

FAILURE ANALYSIS AND CORRECTIVE

ACTION REPORT (FACAR)

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-SESS-81927

5. CONTRACT REFERENCE

SOW Para# 4.1.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 0 1 0

Block 9: See attached Block 16 addendum. COR 0 1 0

DM 0 1 0

Block 10: To be determined at time of delivery order.

Block 12 & 13: FACAR shall be delivered within ten (10) business days after any non-conforming material has been rejected by the Government and received by the contractor.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 4 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: SESS

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM:

NOTICE OF REVISION (NOR)

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-SESS-80642E

5. CONTRACT REFERENCE

SOW Para# 4.1.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 1 1 0

Block 9: See attached Block 16 addendum. COR 1 1 0

Block 12 & 13: Notice of Revision (NOR) shall be delivered within ten (10) business days for any recommended change(s) to drawings(s) and/or technical documentation. The Government will review and approve within ten (10) business days before being used for preparing deliverable.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 5 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: QCIC

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM:

ACCEPTANCE TEST REPORT (ATR)

3. SUBTITLE

First Article Acceptance Test (FAAT) Report

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-QCIC-81891

5. CONTRACT REFERENCE

SOW Para# 4.1.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

REQUIRED 10. FREQUENCY

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION a. ADDRESSEE

Draft Final

A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 1 1 0

Block 9: See attached Block 16 addendum. COR 1 1 0 0 1 0 Block 10: To be determined at time of delivery order.

Block 12 & 13: First Article Acceptance Test (FAAT) report shall be delivered in accordance with individual delivery orders. The Government will review and approve within ten (10) business days before production of delivery order can continue.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 6 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: NDTI

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM:

TEST/INSPECTION REPORT

3. SUBTITLE

Factory Acceptance Test (FAT) Report

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW Para# 4.1.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 0 1 0

Block 9: See attached Block 16 addendum. COR 0 1 0

Block 12 & 13: Factory Acceptance Test (FAT) report shall be delivered in accordance with individual delivery orders.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 7 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: MISC

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM:

CERTIFICATE OF COMPLIANCE (COC)

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW Para# 4.1.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 34

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

LT ASREQ See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 N/A See Block 16* Reg Repro

16. REMARKS PI 0 1 0

Block 9: See attached Block 16 addendum. COR 0 1 0

Block 12 & 13: Certificate of Compliance (CoC) shall be delivered with each material unit that is delivered.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 8 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER MGMT

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM:

PRODUCTION REPORT

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MGMT-81867

5. CONTRACT REFERENCE

SOW Para# 4.1.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 3413

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

REQUIRED 10. FREQUENCY

LT MTHLY See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION a. ADDRESSEE

Draft Final

N/A See Block 16 See Block 16* See Block 16* Reg Repro

16. REMARKS PI 0 1 0

Block 9: See attached Block 16 addendum. COR 0 1 0

DM 0 1 0

Block 10: Estimated twelve (12) submittals per year over five (5) year period.

Block 12 & 13: Production Report shall be delivered for all material items delivered within the reporting period. The contractor shall upload the report into the Acquisition Management System (AMS) CDRL module.

In addition, the contractor shall upload the DD Form 1149 Requisition Invoice/Shipping Document in the Procurement Integrated Enterprise Environment (PIEE) module of Wide Area Work Flow (WAWF).

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 9 of 11 Pages

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 Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER MGMT

D. SYSTEM/ITEM

Antenna/Imaging/EW Spares

E. CONTRACT / PR NO.

1300697564

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A00A

2. TITLE OF DATA ITEM:

CONTRACT STATUS REPORT

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MGMT-81991

5. CONTRACT REFERENCE

SOW Para# 5.0

6. REQUIRING OFFICE

NUWCDIVNPT, Code 3413

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

LT MTHLY See Block 16* b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 See Block 16* See Block 16* Reg Repro

16. REMARKS PI 0 1 0

Block 9: See attached Block 16 addendum. COR 0 1 0 0 1 0 Block 10: Estimate twelve (12) submittals per year for a five (5) year period.

Block 11, 12, 13: The contractor shall submit the report for the same timeframe as each invoice submitted in the Procurement Integrated Enterprise Environment (PIEE) module of Wide Area Work Flow (WAWF).

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 editable format with email notification to all addressees.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 10 of 11 Pages

DD FORM 1423

BLOCK 16 ADDENDUM

PR 1300697564

BLOCK 9: The following information is provided in amplification of the Block 9 Distribution Statement shown on each DD FORM 1423.

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

CDRLs A001-A00A

Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only Critical Technology (04 January 2022). Other requests shall be referred to NUWCDIVNPT, Code 349.

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in the CDRL.

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 DoD Directive 5230.25.

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 11 of 11 Pages

File details come from the government source that posted it. Updated .