LCS SEC EAST II Exhibits A-C.pdf

APPENDIX 1: TO EXHIBITS A THROUGH C

GENERAL DD FORM 1423 GLOSSARY

"BLOCK 1" - See DoD FAR Supplement Subpart 4.71 for proper numbering.

"BLOCK 2" - TITLE - As it appears on data acquisition document cited in Item 4.

"BLOCK 3" - SUBTITLE - Further definition of data item (optional entry).

"BLOCK 4" - 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.

"BLOCK 5" - CONTRACT REFERENCE - Reference to tasking in contract that generates requirement for the data item

(e.g.., Statement of Work paragraph number).

"BLOCK 6" - TECHNICAL OFFICE - Responsible for ensuring adequacy of the data item.

"BLOCK 7" - Specify requirement for inspection/acceptance of the data item by the Government.

“BLOCK 8" – APPROVAL CODE – An “A” indicates that advance written approval by a Government Representative is required prior to final acceptance by the Government, or prior to publication and distribution of the final version of the document to addresses listed in Block 14. Approval will be defined as to its content, format, and future actions. If a preliminary draft is required it will be indicated in Block 14.

CODE WHEN USED

A Approval

AR As Required

I Information

R Review

“BLOCK 10” – FREQUENCY – The data preparation and submission frequency may be indicated in this block using the codes in the table below. If data are of a recurring type, it is to be submitted at the end of the reporting period established in this block unless otherwise indicated in the data preparation instructions in Blocks 12, 13, 16.

CODE KEY

DAILY Daily

WEEKLY Weekly

BI-WE Each two weeks MTHLY Monthly

BI-MO Each two months

QRTLY Quarterly

ANNLY Annually

SEMIA Each 6 months

ONE/R One time with revisions

R/ASR Revisions as required

ASREQ As required

CP/RQ Change pages as required

DFDEL Deferred delivery

ONE/P One time delivery preliminary draft

ACA After contract award

OTIME One time

2TIME Two separate submittals

XTIME Submit X number of times where X takes on a value of three or more

“BLOCK 12” – DATE FOR FIRST SUBMISSION – Due date for initial data submission. This is normally the postage date. Actual dues dates by year/month/day or keyed to an event shown in the table below.

CODE DEFINITION

XDAC Days after contract award

DFDEL Deferred delivery

NLT Not later than

RPCD Reference Previous Contract Delivery

XDACM Days after contract modification

XDFDCT Days prior to design certification test

XDARP Days after reporting period

XDARC Days after receipt of comments

XDATC Days after test completion XDPTT Days prior test

CDR Critical Design Review

ICDR Initial Critical Design Review

FCDR Final Critical Design Review

PRR Production Readiness Reviews

R Review MS A Milestone A

SSSTRP Software System Safety Technical Review Panel

SSWG System Safety Working Group

WSESRB Weapons Systems Explosive Safety Review Board

(NOTE: “X” is assigned a value indicating the number of days. EXAMPLE 30 DAC).

“BLOCK 13” – DATE SUBSEQUENT SUBMISSION/EVENT IDENTIFICATION – Actual due dates by year/month/day or keyed to an event as shown above.

“BLOCK 14” – DISTRIBUTION AND ADDRESSES – Code of addresses and the number of copies (regular or reproducible) each addressee is to receive. The format of the reports are explained in Block 16. Codes and symbols of the addressees referenced in Block 14 of the DD Form 1423 are explained in Appendix 2. List of Addresses giving full mailing addresses. Email addresses that specific reports are distributed to within the listed organizations will be supplied at first distribution and are subject to change. Distribution of reports to more than one address within any specific organization may be required.

“BLOCK 15” – TOTAL – Summation of the requirements listed in Block 14. Number of regular copies required will be to the left of the slash mark and number of reproducibles to the right.

“BLOCK 16” – REMARKS – Contains all pertinent data information not specified elsewhere on this DD Form 1423 and any amplification of other blocks on this form.

NOTES:

(1) Approval items require disposition within 45 calendar days. Review and comment items require disposition within

60 calendar days.

(2) In order to reduce cumbersome reporting procedures, this data may be maintained and delivered in a common digital repository within the Contractor’s Integrated Data and Product Model Environment (IDPME). Email notification shall be made available when data is posted or modified within the IDE. Where indicated herein, paper copies shall be provided to

PMS 505 in addition to posting on the IPDME. Classified items shall not be posted in the IDPME, but should be handled in accordance with Contract requirements.

(3) All Management Plans identified on subsequent option years should be delivered only if they are different than previous submittals with the exception of the Strategic Business Plan and shall use CODE RPCD “Reference Previous

Contract Delivery” in Block 12.

(4) For items due at an event (e.g., ICDR, FCDR, etc.) data items should be posted in the IPMDE seven calendar days before the event.

(5) The Contractor is encouraged to provide streamline recommendations for cost efficiency. If the contractor believes that a more efficient report format or delivery method exists or could be developed (such as changing from MS Excel format to a standard data base program or posting reports on an IDE instead of emailing them to individuals) then the contractor shall make recommendations as appropriate. Recommendations will be vetted and approved by the Program Office (PMS

505).

(5) Copies of all reports shall be sent to the PMS 505 Data Manager in addition to the listed offices.

(6) Reporting Regional Maintenance Center (RMC) for this contract is South East Regional Maintenance Center

(SERMC). All references to RMC shall imply SERMC.

(7) Appendix 2 has the correct office code, organization, and address listed. The TPOCs referenced are subject to change without notice.

All questions should be directed to the PMS 505 Data Manager (Robert Warren).

APPENDIX 2: CODES FOR BLOCK 14

Contract CDRL Points of Contact and Address List

Office

Code

POC Organization Address Email/Phone

PMS 505A Mr. Robert

Warren

NAVSEA LCS Fleet

Introduction and

Sustainment, Acquisition and Finance

1333 Isaac Hull Ave

SE, Washington, DC

20376 robert.m.warren@navy.mil

/202-781-5380

PMS 505F Mr. Michael

Holmes

NAVSEA LCS Fleet

Introduction and

Sustainment, Fleet

Introduction

1333 Isaac Hull Ave

SE, Washington, DC

20376 michael.d.holmes1@navy.mil

/202-781-1307

PMS 505L Mr. Todd Loyd NAVSEA LCS Fleet

Introduction and

Sustainment, Logistics

1333 Isaac Hull Ave

SE, Washington, DC 20376 todd.loyd@navy.mil

/202-781-0553

PMS 505R Mr. Jerry Hamel PEO USC Naval Station

Mayport, Bldg. 2480, Mayport, FL 32228-jerome.hamel@navy.mil

/202- 591-9149

RMC

C300

Ms. Nadia

Tepper

South East

Regional

Maintenance

Center

Naval Station

Mayport, Bldg. 148, Mayport, FL 32228-nadia.tepper.@navy.mil

/904-270-5126 x 5736

RMC

C300

Mr. Michael

Taylor

South East

Regional

Maintenance

Center / CTL

Naval Station

Mayport, Bldg. 148, Mayport, FL 32228-michael.s.taylor6@navy.mil /904-270-5126 x 5005

RMC

C400

Mr. Scott

Burchard

South East

Regional

Maintenance

Center

Naval Station

Mayport, Bldg. 148, Mayport, FL 32228-scott.burchard@navy.mil

/904-270- 5125 x 3516 mailto:robert.m.warren@navy.mil mailto:james.f.buckley1@navy.mil mailto:todd.loyd@navy.mil mailto:jerome.hamel@navy.mil mailto:nadia.tepper.@navy.mil mailto:dawn.redman@navy.mil

RMC

C500

Mr. Doug

Baker

South East

Regional

Maintenance

Center

Naval Station

Mayport, Bldg. 148, Mayport, FL 32228-douglas.e.baker@navy.mil

/904-270-5126 3471

LCSRON

TWO

Mr. Joseph Hall C ommander

LCS Squadron

Two

Naval Station

Mayport, Bldg. 2480

Bon Homme

Richard St, Mayport, FL 32228-0000 joseph.hall@navy.mil

/904-270-3951

PY Mr. Brock Ingram HII Planning

Yard Program

Office

1000 Access Rd, Pascagoula, MS

39567 brock.ingram@hii-ingalls.com

/228-935-3382

NAVSUP

WSS

Mr. Paul Brown Naval Supply

Systems

Command, Weapons

System

Support

5450 Carlise Pike, PO Box 2020, Bldg.

410, Mechanicsburg, PA 17055 paul.brown@navy.mil

/717-605-2042

NSLC Mr. Stephen

Andrews

Naval Sea

Logistic Center

5450 Carlise Pike, PO Box 2060, Bldg.

307, Mechanicsburg, PA 17055 stephen.g.andrews@navy.mil

/717-605-6264

DLA Mr. Dan Sommer Defense

Logistics

Agency Land and Maritime

DLA Land Maritime

Attn; QMR P.O. Box

3990 Columbus, oh

43218 daniel.sommer@dla.mil

/619-692-5124

ACO Mr. Jeremy

Thompson

South East

Regional

Maintenance

Center

Naval Station

Mayport, Bldg. 148, Mayport, FL 32228-jeremy.s.thompson@navy.mil

/717-605-6264 mailto:douglas.e.baker@navy.mil mailto:joseph.hall@navy.mil mailto:brock.ingram@hii-ingalls.com mailto:paul.brown@navy.mil mailto:rusti.mitten-rynard@navy.mil mailto:Daniel.Sommer@dla.mil mailto:Jeremy.s.thompson@navy.mil

APPENDIX 3: SEC EAST PART II ORDERING ACTIVITIES

Commander

Naval Sea Systems Command

1333 Isaac Hull Ave, SE

Washington Navy Yard, DC 20376‐4030

Southeast Regional Maintenance Center

P.O. Box 280057

Mayport, FL 32228‐0057

Naval Supply Systems Command, Fleet Logistics Center Sigonella Naples Office

Naval Regional Contracting Cen Det

PSC 810 Box 50

FPO AE 09618

Fleet Logistics Center Sigonella - Rota

PSC 819 Box 1

Rota, Spain 09645

Fleet Logistics Center Bahrain

PSC 451 Box 50

FPO AE 09834‐0050

Mid-Atlantic Regional Maintenance Center

9727 Avionics Loop

Norfolk, VA 23511-2124

CONTRACT DATA REQUIREMENT LIST (CDRL) INDEX

SEQ

NO DATA DESCRIPTION SUBTITLE REFERENCE DID NO

A001 SMALL BUSINESS

SUBCONTRACTORS REPORT

SECTION H/

SUBCONTRACTING RQMT.

DI-MGMT-81642

A002 CONDITION FOUND REPORT (CFR) SECTION C PARA 16.1 DI-MGMT-81648

A003 3M/OARS DATABASE

TRANSACTIONS REPORT

SECTION C PARA 14.2 DI-MGMT-82170

A004 DEMAND ONLY TRANSACTIONS

REPORT

SECTION C PARA 14.1 DI-MGMT-81806B

A005 PURCHASE ORDER (PO) SECTION C PARA 14.3 DI-MISC-81616A

A006 QUALITY ASSURANCE PROGRAM

PLAN QUALITY SYSTEM SECTION C PARA 2.0 DI-QCIC-81794A

A007 QUALITY ASSURANCE PROGRAM

PLAN

FIRE PREVENTION/

HOUSEKEEPING

SECTION C PARA 2.0 DI-QCIC-81794A

A008 QUALITY ASSURANCE PROGRAM

PLAN

PROCESS CONTROL

PROCEDURE

SECTION C PARA 2.0 DI-QCIC-81794A

A009 TECHNICAL REPORT–STUDY

SERVICES

WELDING, FABRICATION,

AND INSPECTION

REQUIREMENTS

SECTION C PARA 1.2.1.9 DI-MISC-80508B

A010 STATUS OF GOVERNMENT

FURNISHED EQUIPMENT REPORT

GOVERNMENT

PROPERTY

SECTION C PARA 8.0 DI-MGMT-80269

A011 KEY EVENTS SCHEDULE

SCHEDULE AND

ASSOCIATED REPORTS

PROVIDE AND MANAGE

SECTION C PARA 1.2/

SECTION G

OT-20-20035

A012 WEIGHT AND STABILITY REPORTS

FOR INSERVICE SURFACE SHIPS

WEIGHT AND MOMENT

CHANGE DATA; PROVIDE

SECTION C PARA 1.2.1.15 DI-SESS-81404A

A013 TECHNICAL REPORT – STUDY/

SERVICES

PMS WEEKLY FORECAST

& COMPLETION RPT

SECTION 3 PARA 1.3.1.16 DI-MISC-80508B

A014 FINANCIAL DATA REPORTS SECTION C PARA 2.0 OT-20-20036

A015 WORKLOAD FORECASTING

A016 PREVENTIVE MAINTENANCE

AVAILABILITIES CLOSE OUT (PMAV)

SECTION C 13.0 OT-20-20038

A017 LABOR DURATION FOR MATERIAL SECTION G OT-20-20037

A018 PERFORMANCE REPORT OT-20-20039

A019 PERFORMANCE REPORT OT-20-20040

A020 PERFORMANCE REPORT OT-20-20041

A021 PERFORMANCE REPORT OT-20-20042

B001

LOGISTICS MANAGEMENT

INFORMATION (LMI) DATA

PRODUCT/LMI SUMMARIES

LOGISTICS

MANAGEMENT

INFORMATION

SECTION C PARA 1.2.1.6 DI-SESS-81758A

SECTION G

SECTION G

SECTION G

SECTION G

SECTION H/ DO RQMTS DI-MGMT-82309

TRADE STAFFING

WORK ITEMS

SCHEDULE OF

RECORD(SOR)

WORK ITEM STAFFING

SEQ

NO DATA DESCRIPTION SUBTITLE REFERENCE DID NO

C001 COMMERCIAL OFF THE SHELF

EQUIPMENT MANUAL SUPPORT

SECTION C PARA 1.2.1.6 DI-TMSS-81815/81816

C002 TECH MANUAL CONTRACT

REQUIREMENTS

TMCR FOR A TOPICALLY

STRUCTURED TECH

MANUAL

SECTION C PARA 1.2.1.6 DI-TMSS-81815/81816

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

0MB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including th time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and conq:,leting 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 Department of Defense.

Executive Services Directorate (0704-0188), Respondants should be aware that not withstanding any other provision of 1.aw, no person shal.l. be subject to any any penal.ty for fail.ing to conq;,1y with a col.l.eation of information if it does no• display a valid 0MB Control number. Please do not return your form to the above organization. Send completed form to th

II

Government Issuing Contraction Officer for the Contract/PR No. listed in Block E, B. EXHIBIT

I

C. CATEGORY

I

A. CONTRACT LINE ITEM NO.

CUN 0020 A

TDP __ TM __ OTHER _MGMT_

i D. SYSTEM/ITEM F. CONTRACTOR

: MATERIAL I

SUPPORT & FACILITIES

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408 TBD

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

: AOOl SMALL BUSINESS SUBCONTRACTORS REPORT

I 4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

I DI-MGMT-81642

5, CONTRACT REFERENCE

SECTION H/SUBCONTRACTING RQMT. PMS 505

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED ONE/R (BLK 16) b. COPIES

(BLK 16) a. ADDRESSEE Final

11. AS OF DATE

Draft

8. APP CODE Reg Repro N/A

13. DATE OF SUBSEQUENT

SUBMISSION

(BLK 16) PMS SOSA 0 l 0

PMS 505F 0 l 0

PMS 505R 0 l 0

RMC C300 0 l 0

RMC C400 0 l 0

: 16. REMARKS

(BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

(ADMINISTRATIVE/OPERATIONAL USE). OTHER REQUESTS SHALL BE REFERRED TO RMC

C300.

(BLKS 10/12/13) - SUBMIT NLT 30 DAYS AFTER END OF AVAILABILITY (EOA)

(BLK 14) SUBMUT VIA ELECTRONIC MAIL VIA ADDRESSEE LIST.CONTRACTOR SHALL

SUBMIT CDRLS TO ORDERING ACTIVITIES AS APPLICABLE IN APPENDIX 3.

LCSRON 0 l 0

(BLK 16)

15. TOTAL ---> 0 6 0

_G,_P.REEARED_BV IJLD.(ffC I _I..AP.P.ROJLED_BY I J, DATE ROBERT WARREN 04 Jun' 20 I GREGORY BUDD 04 Jun

20 J

DD Form 1423�1,FEB 2001 PREVIOUS EDITIONS MAY BE USED Page of Pages

Total Exhibit "An Pages:

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

N/A i

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

0MB No. 0704-0188

Public reporting burden £or this collection of infox:mation is estimated to average 110 hours per response, including th, time £or 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 Department of Defense.

Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of law, no person shal.l. be subject to any any penal.ty for failing to compl.y with a col.l.ection of information if it does no display a valid 0MB Control number, Please do not return your form to the above organization, Send conq:>leted form to th Government Issuing Contraction Officer for the Contract/PR No, listed in Block E.

I A. CONTRACT LINE ITEM

NO. , CLIN 0020

8. EXHIBIT

A I

C. CATEGORY

TDP __ TM __ OTHER _MGMT_

D. SYSTEM/ITEM

, MATERIAL, SUPPORT & FACILITIES

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408

F. CONTRACTOR

TBD

cl --------�-------...L---------------1------------------------'117. PRICE GROUP

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

I

'A002 CONDITION FOUND REPORT (CFR)

' 4. AUTHORITY (Data Acquisition Document No.)

' DI-MGMT-81648

7. DD 250 REQ

LT

8.APPCODE

A i 16. REMARKS

9. DIST STATEMENT

REQUIRED

(BLK 16)

10. FREQUENCY

ASREQ (BLK 16)

11.AS OFDATE 13. DATE OF SUBSEQUENT

SUBMISSION

(BLK 16)

! (BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

I DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

i (ADMINISTRATIVE/OPERATIONAL USE) , OTHER REQUESTS SHALL :REFERRED TO

RMC C300.

BE

(BLK 10/12/13) SUBMIT NLT 2 DAYS AFTER CONDITION DISCOVERED. SUBMIT

FINAL REPORT NLT 60 DAYS AFTER END OF AVAILABILITY (EOA).

(BLK 14) SUBMIT VIA NAVY MAINTENANCE DATABASE (NMD).

CONTRACTOR SHALL SUBMIT CDRLS TO ORDERING ACTIVITIES AS APPLICABLE IN

APPENDIX 3.

'.-G.J"REl'J\RED_Bv�-----------1-H-DrLL"_;____-JI . ..LAeeROl/ED_B;'�---� 04 Jun 20 I GREGORY BUDD ROBERT WARREN

DD Form 1423·1,FEB 2001 PREVIOUS EDITIONS MAY BE USED

14.

6. REQUIRING OFFICE

PMS 505

DISTRIBUTION

b. COPIES

a. ADDRESSEE Final Draft Reg Repro I

PMS SOSA 0 1 0

RMC 300 0 1 0

PMS 505R 0 1 0

LCSRON 0 1

RMC C400 0 1 0

(BLK 16)

15. TOTAL ---> 0 5 0

IJ. DATE

04 Jun 20

Page of Pages rotal Exhibit "A" Pages:

18, ESTIMATED

TOTAL PRICE

5. CONTRACT REFERENCE

SECTION C PARA 16.1

12. DATE OF FIRST SUBMISSION

Form Approved

0MB No. 0704-0188

Public reporting burden £or this collection 0£ information is estimated to average 110 hours per response, including th time for reviewing instructions, searching existing data sources, gathering and :maintaining the data needed, and completing and reviewing the collection of in:for.mation: Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden to Deparbnent of Defense.

Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of

J.aw, no person sha.11 be subject to any any penalty £or failing to comp.ly with a col.l.ection of information if it; does no display a valid 0MB Control number. Please do not return your form to the above organization, Send coq:,leted form to th Government Issuing Contraction Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CUN 0020

D. SYSTEM/ITEM

B. EXHIBIT

A

MATERIAL, SUPPORT & FACILITIES

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408

TDP TM OTHER MGMT I

C. CATEGORY

F. CONTRACTOR

TBD

---------�--------'--------------+------------------------'117.PRICEGROUP

1.DATAITEM NO. 2. TITLE OF DATA ITEM

A003 3-M/OARS DATABASE TRANSACTIONS REPORT

(BLK 16)

' 4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-82170

5. CONTRACT REFERENCE

SECTION C PARA 14.2

3. SUBTITLE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

LT REQUIRED (BLK 16) (BLK 16)

(BLK 16)

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

SUBMISSION

' 16. REMARKS

! (BLK 2) 3-M/OARS: MAINTENANCE & MATERIAL MANAGEMENT/OPEN ARCHITECTURE

jRETRIEVAL SYSTEM.

1 (BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

1DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

I (ADMINISTRATIVE/OPERATIONAL USE). OTHER REQUESTS SHALL BE

!REFERRED TO PMS 505A.

: (BLK 12) NLT 15 DAYS AFTER COMPLETION OF FY QUARTER.

: (BLK 14) PER BLK 14 DISTRIBUTION - PROVIDE A QUARTERLY LETTER OF

TRANSMITTAL VIA EMAIL INDICATING THE NUMBER OF MAINTENANCE MATERIAL

!RECORDS SUBMITTED VIA OMMS-NG/MFOM AND/OR RADWEB FOR COLLECTION INTO THE

:3-M/OARS DATABASE AS PER THE CONTRACT REFERENCE. TRANSMITTAL LETTER

!SHALL BE IN MS WORD WITH EMBEDDED MS POWER POINT GRAPHS SHOWING THE

:MATERIAL TRANSACTIONS SUBMITTED BY OMMS-NG/MFOM AND/OR 3-M DESK

1 GUIDE/RADWEB INTO THE 3-M/OARS DATABASE BY MONTH IN THE QUARTER

jREPORTED. CONTRACTOR SHALL SUBMIT CDRLS TO ORDERING ACTIVITIES AS

'APPLICABLE IN APPENDIX 3.

!-G._eREeARED_BY---------a-lLDAT"�---<I .J • .AeERO.'iED_Bv�----< j ROBERT WARREN 04 Jun 20 I GREGORY BUDD

DD Form 1423�1,FEB 2001 PREVIOUS EDITIONS MAY BE USED

6. REQUIRING OFFICE

PMS 505L

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final Draft Reg Repro

PMS 505A 0 1 0

PMS 505R 0 1 0

PMS 505L 0 1 0

NSLC 0 1 0

NAVSUP-WSS 0 1 0

DLA 0 1 0

RMC C300 0 1 0

(BLK 16)

15. TOTAL ···> 0 8 0

J. DATE

04 Jun 20

Page of Pages fotal Exhibit "A" Pages:

18, ESTIMATED

RMC C500 0 1 0

Form Approved

0MB No. 0704-0188

Public reporting burden for this collection of in formation is estimated to average 110 hours per response, including th time £or 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 Department of Defense.

Executive Services Directorate (0704-0188), Respondants should be aware that not withstanding any other provision of law, no person shall be subject to any any penalty £or failing to comply with a collection of information if it does no disp2ay a va2id 0MB Control number. Please do not return your form to the above organization. Send completed form to th Government Issuing Contraction Officer for the Contract/PR No. listed in Block E, B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER MGMT

' A, CONTRACTLINE ITEM NO.

CUN 0020

: 0. SYSTEM/ITEM

: MATERIAL, SUPPORT & FACILITIES

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408

F, CONTRACTOR

TBD

---------�------....J'--------------+------------------------'1 17. PRICE GROUP

' 1, DATA ITEM NO,

, A004

2. TITLE OF DATA ITEM 3, SUBTITLE

DEMAND ONLY TRANSACTION REPORT

; 4. AUTHORITY (Data Acquisition Document No,) i DI-MGMT-818068

5. CONTRACT REFERENCE

SECTION C PARA 14.1

: 7, OD 250 REQ

: LT

9. DIST STATEMENT

REQUIRED

10, FREQUENCY 12, DATE OF FIRST SUBMISSION

(BLK 16) (BLK 16)

(BLK 16)

8,APPCOOE

N/A

11,AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

16, REMARKS

BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

'DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

(ADMINISTRATIVE/OPERATIONAL USE). OTHER REQUESTS REFERRED TO

PMS 505A.

·(BLK 10, 12) NLT 15 DAYS AFTER COMPLETION OF FY QUARTER.

SHALL BE

i (BLK 14) PER BLK 14 DISTRIBUTION - PROVIDE A QUARTERLY LETTER OF iTRANSMITTAL VIA EMAIL INDICATING THE NUMBER OF DHA AND BHJ MILSTRAP

:TRANSACTIONS SUBMITTED FOR MATERIAL PROCURED OUTSIDE THE DOD STOCK

SYSTEM AS PER THE CONTRACT REFERENCE. TRANSMITTAL LETTER SHALL BE IN MS

:woRD WITH EMBEDDED MS POWER POINT GRAPHS SHOWING THE MILSTRA.P DI DHA AND

!BHJ TRANSACTIONS BY MONTH IN THE QUARTER REPORTED. CONTRACTOR SHALL

SUBMIT CDRLS TO ORDERING ACTIVITIES AS APPLICABLE IN APPENDIX 3.

i.G..J>REl'AREIJ..BV�---------+1-H .. DA:uc..r

! ROBERT WARREN 04 Jun 20

DD Form 1423�1,FEB 2001 PREVIOUS EDITIONS MAY BE USED

14.

6, REQUIRING OFFICE

PMS 505L

DISTRIBUTION

b, COPIES a, ADDRESSEE Draft

Final Reg Repro

PMS 505A 0 1 0

PMS 505R 0 1 0

PMS 505L 0 1 0

NSLC 0 1 0

NAVSUP-WSS 0 1 0

DLA 0 1 0

RMC C300 0 1 0

(BLK 16)

15. TOTAL ---> 0 9 0

rJ. DATE 04 Jun 20

Page of Pages

Total Exhibit "A" Pages:

18, ESTIMATED

TOTAL PRICE

I.APPROVED BY

GREGORY BUDD

RMC C500

0 1 0RMC C400

0 1 0

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

Public reporting burden £or this collection of infonnation is estimated to average 110 hours per response, including ti.me for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and th cmupleting and reviewing the collection of info.rmation: Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions £or reducing the burden to Department of Defense.

Executive Services Directorate (0704-0188). Respondants should be aware t:hat not withstanding any other provision of law, no person shall be subject to any any penalty for failing to comply with a collection of information if it does no, display a valid 0MB Control number. P1ease do not return your form to the above organization. Send compieted form to th

Govel'.nlllent Issuing Contraction Officer for the Contract/PR No. iisted in Block E.

: A. CONTRACT LINE ITEM NO. B. EXHIBIT I C. CATEGORY

A• CLIN 0020

D. SYSTEM/ITE

MMATERIAL, SUPPORT & FACILITIES

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

A005 PURCHASE ORDER AND SUPPLIER

SURVEILLANCE DATA

i 4. AUTHORITY (Data Acquisition Document No.)

; DI-MISC-81616A

' 7. DD 250 REQ 9. DIST STATEMENT

LT REQUIRED

(BLK 16)

8.APPCODE

N/A

16. REMARKS

(BLK 9) DISTRIBUTION STATEMENT D:

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408

5. CONTRACT REFERENCE

SECTION C PARA 14.3

TDP TM

F. CONTRACTOR

TBD

3. SUBTITLE

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

ASREQ (BLK 16)

13. DATE OF SUBSEQUENT11. AS OF DATE

N/A

SUBMISSION

(BLK 16)

DISTRIBUTION AUTHORIZED TO THE

:DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

C300.

(ADMINISTRATIVE/OPERATIONAL USE). OTHER REQUESTS SHALL BE REFERRED TO RMC

(BLKS 10/12/13) SUBMIT NLT 15 DAYS AFTER COMPLETION OF FY QTR.

(BLK 14) SUBMIT VIA ELECTRONIC MAIL VIA ADDRESSEE LIST IN PDF

FORMAT. CONTRACTOR SHALL SUBMIT CDRLS TO ORDERING ACTIVITIES

AS APPLICABLE IN APPENDIX 3.

i..G.J>REl'ARED_BY I.H-DAT" I .LA.eERO\IED.llc' ROBERT WARREN 04 Jun 20 I GREGORY BUDD

DD Form 1423-1,FEB 2001 PREVIOUS EDITIONS MAY BE USED

OTHER MISC

6. REQUIRING OFFICE

PMS 505

14. DISTRIBUTION

b.COPIES

a. ADDRESSEE Final Draft Reg Repro

PMS 505A 0 1 0

505R 0 1 0

PMS 505L 0 1 0

NSLC 0 1 0

NAVSUP-WSS 0 1 0

DLA 0 1 0

RMC C300 0 1 0

(BLK 16)

15. TOTAL ---> 0 9 0

I J. DATE

04 Jun 20

Page of Pages rotal Exhibit "An Pages:

I

I

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

RMC C400

RMC C500

Public reporting burden for this collection of information is estimated to average 110 hours per response, including th ti.me 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 Department of Defense.

Executive Services Directorate (0704-0188). Re.spondants should be aware that not withstanding any other provision of law, no person shall be subject to any any penalty for £ailing to comply with a collection of information if it does no, display a valid 0MB Control number. Please do not return your form to the above organization. Send completed form to th Goven:unent Issuing Contraction Officer for the Contract/PR No. listed in Block E.

I B. EXHIBIT C. CATEGORY

I

A. CONTRACT LINE ITEM NO,

CUN 0020 A TDP TM OTHER _QCIC_

' D. SYSTEM/ITEM F. CONTRACTOR

MATERIAL, SUPPORT & FACILITIES

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408 TBD

17. PRICE GROUP

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

• ADO6 QUALITY ASSURANCE PROGRAM: PLAN QUALITY SYSTEM

6. REQUIRING OFFICE 18, ESTIMATED 5. CONTRACT REFERENCE

SECTION C PARA 2.0 PMS 505 TOTAL PRICE

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

ASREQ (BLK 16) b. COPIES

a. ADDRESSEE Final

13. DATE OF SUBSEQUENT Draft

· 4. AUTHORITY (Dala Acquisition Document No.)

11.AS OFDATE Reg Repro

SUBMISSION

DI-QCIC-81794A

: 7. DD 250 REQ 9. DIST

REQUIRED

STATEMENT

'LT (BLK 16)

8.APPCODE

A N/A RMC C300 0 1 0

(BLK 16)

PMS 505R 0 1 0

· 16. REMARKS

(BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE 1 0

(BLK 16) DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

' (ADMINISTRATIVE/OPERATIONAL USE) . OTHER REQUESTS SHALL BE

!REFERRED TO RMC C300.

; (BLKS 4/12) IAW SI 009-04, PARA. 3.1 THE CONTRACTOR SHALL HAVE AN ACCEPTABLE

DOCUMENTED QUALITY MANAGEMENT SYSTEM, IN ACCORDANCE WITH THIS STANDARD ITEM,

IN PLACE TO RECEIVE AN AWARD OF A JOB ORDER.

(BLKS 4/13) IAW SI 009-04, PARA. 3.3 SUBMIT ANY REVISIONS TO THE ACCEPTED QUALITY

MANAGEMENT SYSTEM IDENTIFIED IN 3.1 TO THE SUPERVISOR WITHIN 7 DAYS OF

CONTRACTOR APPROVAL.

(BLKS 4/12) IAW SI 009-04, PARA. 3.7 SUBMIT AN INITIAL COPY OF THE TEST AND

INSPECTION PLAN (TIP) TO THE SUPERVISOR PRIOR TO PRODUCTIVE WORK FOR NON-CNO

AVAILABILITIES AND NO LATER THAN 5 WORKING DAYS PRIOR TO THE AVAILABILITY START

FOR CNO AVAILABILITIES.

(BLKS 4/13) IAW SI 009-04, PARA. 3.7.1 SUBMIT SORTABLE (e,g,, EXCEL SPREADSHEET)

UPDATED TIP WHEN REQUESTED BY THE SUPERVISOR.

(BLKS 4/12) IAW SI 009-04, PARA. 3.11.5.1 SUBMIT TECHNICAL SPECIFICATION PORTION

OF THESE PURCHASE ORDERS WHICH INVOLVE (G) NOTIFICATIONS TO THE SUPERVISOR

PRIOR TO THE START OF SUBCONTRACTOR WORK.

(BLKS 4/12) IAW SI 009-04, PARA 3.12 FOR WORK BEING PERFORMED OUTSIDE A 50-MILE

RADIUS OF THE PLACE OF CONTRACT PERFORMANCE, SUBMIT PURCHASE ORDERS TO THE

SUPERVISOR WITHIN 2 DAYS OR OTHERWISE AS DIRECTED BY THE SUPERVISOR, PRIOR TO

ISSUE OF PURCHASE ORDER AND SHIPMENT OF EQUIPMENT. SUBMIT A REPORT IDENTIFYING

THE DELINEATION OF SPECIFIC WORK ITEM REQUIREMENTS, IN LIEU OF PURCHASE ORDER,

FOR CONTRACTORS WHO DO NOT UTILIZE PURCHASE ORDERS AS A VEHICLE FOR

ACCOMPLISHING WORK.

15. TOTAL ---> 0 3 0

• ..G.J'..REel\RED.BV IJLDAir 1.LAJ:>eRO>'ED.B'.' I J. DATE I· ROBERT WARREN 04 Jun 20 I GREGORY BUDD 04 Jun 20

DD Form 1423�1,FEB 2001 PREVIOUS EDITIONS MAY BE USED Page of Pages

Total Exhibit "A" Pages:

ACO 0

Public reporting burden for this collection of information is estimated to average 110 hours per response, including th 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 Department of Defense, Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of l.aw, no person sha11. be subject to any any pena.Ity £or fail.ing t:o Cml!P.lY with a collection of information if it does no display a valid 0MB Control number. Please do not return your form to the above organization. Send aompleted form to th Government Issuing Contraation Officer for the Contract/PR No. listed in Block E.

' A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

ICUN 0020 A TDP

OTHER MGMT

D. SYSTEM/ITEM E.CONTRACTOR/PR NUMBER F. CONTRACTOR

: MATERIAL, SUPPORT & FACILITIES N00024-20-R-4408

17. PRICE GROUP

; 1. DATA ITEM NO.

AO06 (CONTD)

3. SUBTITLE2. TITLE OF DATA ITEM

QUALITY ASSURANCE PROGRAM PLAN

18, ESTIMATED 4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81794A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

TOTAL PRICE

i 7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. D ISTRIBUTION REQUIRED b.COPIES

a. ADDRESSEE Final

11. AS OF DATE Draft 8.APPCODE Reg Repro

13. DATE OF SUBSEQUENT

SUBMISSION

. 16. REMARKS

(BLKS 4/12) IAW SI 009-04, PARA. 3.14 SUBMIT THE MOST RECENT CONTRACTOR'S/

SUBCONTRACTOR'S SSPC QP-1 AUDIT RESULTS TO THE SUPERVISOR NO LATER THAN 10

DAYS AFTER CONTRACTOR'S/SUBCONTRACTOR'S RECEIPT OF THE FINAL AUDIT REPORT.

(BLKS 4/12) IAW 009-04, PARA. 3.15 SUBMIT NOTIFICATIONS OF ANY PRELIMINARY

SSPC AUDIT FINDINGS FOR CRITICAL AUDIT ITEMS THAT RESULT IN A RATING OF ONE

(1) (i.e., MAJOR CAR OR DEFICIENCY) AS REFERENCED IN 2.6.

(BLKS 4/12) IAW SI 009-04, PARA. 3.16 CERTIFY TO THE SUPERVISOR THAT WORK IS

COMPLETE TECHNICALLY CORRECT WITH ALL REQUIRED OQE. SUBMIT ALL SUPPORTING

DOCUMENTATION TO SUPPORT THE FOLLOWING KEY EVENTS: UNDOCKING (IF

APPLICABLE), PROPULSION PLANT PRODUCTION COMPLETION DATE (PCD), COMBAT

SYSTEMS PRODUCTION COMPLETION DATE (CSPCD) OR AEGIS LIGHT-OFF (ALO) FOR

AEGIS SHIPS, DOCK TRIALS (DT), FAST CRUISE (FC), SEAT TRIALS (ST) AND

AVAILABILITY COMPLETION (AC).

(BLKS 4/12) IAW SI 009-04 PARA. 3.16.2 PROVIDE NOTIFICATION TO THE

SUPERVISOR OF THE CONDITION AND STATUS OF EACH INDIVIDUAL WORK ITEM IN THE

AVAILABILITY WITHIN 3 DAYS OF WORK ITEM COMPLETION OR A MINIMUM OF 5 DAYS

PRIOR TO THE SCHEDULED KEY EVENT TO WHICH THAT ITEM IS TIED, WHICHEVER

OCCURS FIRST.

(BLK 14) - SUBMIT REPORTS, OTHER REQUIRED DELIVERABLES AND NOTIFICATIONS IN

HARD COPY OR APPROVED TRANSFERRABLE MEDIA.

15. TOTAL --->

'.£.J,REeARED_Bv 1JLDATC 1.1..11eeROl/ED_Bv I J. DATE

I ROBERT WARREN I GREGORY BUDD

DD Form 1423·1,FEB 2001 PREVIOUS EDITIONS MAY BE USED Page of Pages

Total Exhibit "A" Pages:

QUALITY SYSTEM

04 Jun 20 04 Jun 20

Public reporting burden £or this collection of information is estimated to average 110 hours per response, including th time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infonna.tion: Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden to Department of Defense.

Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of law, no person shall be subject to any any penalty for failing to comply with a collection of information if it does no display a valid 0MB Control number. Please do not return your form to the above organization, Send completed form to th

Govei:nment Issuing Contraction Officer for the Contract/PR No. listed in Block E, 8, EXHIBIT C, CATEGORY

I ' A, CONTRACT LINE ITEM NO, i

CUN 0020 A TDP

TM OTHER _QCIC_

F, CONTRACTOR 0.

MATERIAL,

SYSTEM/ITEM

SUPPORT & FACILITIES

CONTRACTOR/PR

N00024-20-R-4408

NUMBER

TBD

17, PRICE GROUP

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

A007 QUALITY ASSURANCE PROGRAM PLAN FIRE PREVENTION/HOUSEKEEPING

i

6. REQUIRING OFFICE 18, ESTIMATED 4. AUTHORITY

DI-QCIC-81794

(Data Acquisition Document No,) 5. CONTRACT REFRENCE

PMS 505 TOTAL PRICE

7, OD 250 REQ 9, DIST STATEMENT 10, FREQUENCY 12. DATE OF FIRST SUBMISSION 14, DISTRIBUTION LT REQUIRED ASREQ (BLK 16) I b. COPIES

(BLK 16) a, ADDRESSEE Final ! 8.APPCODE 11.AS OF DATE 13. DATE OF SUBSEQUENT Draft

Reg Repro N/A

SUBMISSION

,A RMC C300 0 1 0 '

(BLK 16)

PMS 505R 0 1 0

' 16. REMARKS

(BLK 16)

: {BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

:DEPARTMENT OF DEFENSE AND U. S . DOD CONTRACTORS ONLY

i {ADMINISTRATIVE/OPERATIONAL USE) . ;REFERRED TO

RMC C300.

OTHER REQUESTS SHALL BE

(BLKS 4/12/13) IAW SI 009-07, PARA 3.1.1 SUBMIT A LIST OF TANKS OR SPACES TO BE

OPENED OR CERTIFIED TO THE SUPERVISOR AT LEAST ONE DAY PRIOR TO OPENING THE

TANK OR VOID.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.1.2.1 SUBMIT A CURRENT ROSTER OF DESIGNATED

COMPETENT PERSON(S) AND COPIES OF CERTIFICATES OF COMPLETION FOR REQUIRED

TRAINING.

(BLK 4/12/13) IAW SI 009-07, PARA 3.1.5 SUBMIT A CURRENT ROSTER OF THE NAMES OF

THE SHIPYARD/PLANT RESCUE TEAM MEMBERS, ALONG WITH CONTRACTOR CERTIFICATION

THAT TRAINING REQUIREMENTS HAVE BEEN ACCOMPLISHED AND ARE CURRENT FOR EACH

RESCUE TEAM MEMBER, OR DOCUMENTATION OF ARRANGEMENTS MADE FOR AN OUTSIDE

RESCUE TEAM TO RESPOND PROMPTLY TO A REQUEST FOR RESCUE SERVICE IN A

CONTRACTOR FACILITY.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.2.4 SUBMIT ONE COPY OF EACH NOTICE TO THE

SUPERVISOR AND ONE COPY TO THE COMMANDING OFFICER’S DESIGNATED

REPRESENTATIVE.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.3.1.1 SUBMIT ONE COPY OF THE TRAINING

PROGRAM.

(BLKS 4/12/13) IAW SI 009-07, PARA 3.7.10 SUBMIT WRITTEN OPERATING PROCEDURES/

INSTRUCTION TO SHIP’S FORCE ON EACH TYPE OF FIREFIGHTING SYSTEM.

15. TOTAL ---> 0 3 0

, __ G_eREeARED.BV .H •• DAT" I .L.AeeROl/ED.BV I J. DATE

II ROBERT WARREN

04 Jun 20

I GREGORY BUDD ,04 Jun

DD Form 1423�1,FEB 2001 PREVIOUS EDITIONS MAY BE USED Page of Pages

Total Exhibit "A" Pages:

A

ACO 0 1 0

S E C T I O N C P A R A 2.0

DD Form 1423-1,FEB 2001 PREVIOUS EDITIONS MAY BE USED Page

A. CONTRACT LINE ITEM NO.

CLIN 0020 A

B. EXHIBIT

TDP ___ TM ___ OTHER _QCIC_

C. CATEGORY

MATERIAL, SUPPORT & FACILITIES

D. SYSTEM/ITEM F. CONTRACTOR

(1 Data Item)

A008

1. DATA ITEM NO.

QUALITY ASSURANCE PROGRAM PLAN

2. TITLE OF DATA ITEM

PROCESS CONTROL PROCEDURE

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81794A

5. CONTRACT REFERENCE

SECTION C PARA 2.0 PMS 505

6. REQUIRING OFFICE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

LT

7. DD 250 REQ

A

8. APP CODE

(BLK 16)

9. DIST STATEMENT

REQUIRED ASREQ

10. FREQUENCY

N/A

11. AS OF DATE

(BLK 16)

12. DATE OF FIRST SUBMISSION

(BLK 16)

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL --->

ROBERT WARREN

G. PREPARED BY

04 Jun 20

H. DATE

GREGORY BUDD

I. APPROVED BY

04 Jun 20

J. DATE

Total Exhibit "A" Pages:

OMB No. 0704-0188

RMC C300 0 1 0

PMS 505R 0 1 0

ACO

0 4 0

16. REMARKS

(BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY , (ADMINISTRATIVE/

OPERATIONAL USE). OTHER REQUESTS SHALL BE REFERRED TO RMC C300 .

(BLKS 4/12) IAW SI 009-09, PARA 3.1 FOR PLANNED AVAILABILITIES,

SUBMISSION SHALL BE NO LATER THAN 14 DAYS PRIOR TO START OF THE

REQUIRED PROCESS, OR AS OTHERWISE APPROVED BY THE SUPERVISOR.

(BLKS 4/13) IAW SI 009-09, PARA 3.2 SUBMIT UPDATED OR CHANGED

PROCEDURES TO THE SUPERVISOR AT LEAST 3 DAYS PRIOR TO IMPLEMENTATION.

(BLKS 4/13) IAW SI 009-09, PARA 3.6.1 SUBMIT ANY EDITORIAL CHANGE MADE

TO THE PCP TO THE SUPERVISOR WITHIN ONE DAY OF MAKING THE CHANGE.

(BLKS 4/13) IAW SI 009-09, PARA 3.7 SUBMIT A REPORT TO THE SUPERVISOR

IDENTIFYING ANY TECHNICAL CHANGES REQUIRED AFTER WORK HAS COMMENCED AND

PRIOR TO PROCEEDING WITH THE AFFECTED PROCEDURAL STEPS.

(BLKS 4/12) IAW SI 009-09, PARA 3.8.1 SUBMIT COPY OF THE COMPLETED

DOCUMENTATION TO THE SUPERVISOR NO LATER THAN ONE DAY AFTER COMPLETION

OF THE PCP.

(BLK 14) REPORTS AND OTHER REQUIRED DELIVERABLES SHALL BE IN HARD COPY

OR APPROVED TRANSFERABLE MEDIA.

0 1 0

RMC C400 0 1 0

of Pages

(BLK 16)

N00024-20-R-4408 TBD

E.CONTRACTOR/PR NUMBER

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 Department of Defense.

Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of law, no person shall be subject to any any penalty for failing to comply with a collection of information if it does not display a valid OMB Control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contraction Officer for the Contract/PR No. listed in Block E.

Public reporting burden for this collection of information is estimated to average 110 hours per response, including th ti.me £or 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 Department of Defense.

Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of

1.aw, no person shal.1 be subject to any any pena.lt:y for failing to aompl.y with a aol.l.ection of information if it does no, display a valid 0MB Control number. Please do not return your form to the above organization. Send aompleted form to th, Gove.rnment Issuing Contraction Officer £or the Contract/PR No. listed in Block E.

8. EXHIBIT

I

C. CATEGORYA. CONTRACT LINE ITEM NO.

CUN 0020 A

TDP __ TM __ OTHER _MISC_

i D. SYSTEM/ITEM F. CONTRACTOR

MATERIAL, SUPPORT & FACILITIES

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408 TBD

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

A009 TECHNICAL REPORT- STUDY SERVICES WELDING, FABRICATION, AND INSPECTION

REQUIREMENTS

, 4. AUTHORITY (Data Acquisition Document No.) 6, REQUIRING OFFICE

: DI-MISC-80508B

5, CONTRACT REFERENCE

SECTION C PARA 1.2.1.9 PMS 505

; 7. DD 250 REQ 9, DIST STATEMENT 10. FREQUENCY 12, DATE OF FIRST SUBMISSION 14. DISTRIBUTION , LT REQUIRED ASREQ (BLK 16) b. COPIES

(BLK 16) a. ADDRESSEE Final

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

N/A

SUBMISSION

(BLK 16)

I

I 16, REMARKS

(BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

(ADMINISTRATIVE/OPERATIONAL USE). OTHER REQUESTS SHALL BE :REFERRED TO

RMC C300.

(BLKS 4/12/13) SUBMIT A LISTING OF WELDERS, BRAZERS AND NON-

DESTRUCTIVE TEST PERSONNEL QUALIFIED IAW SI 009-12, PARA 3.1. NO LATER

THAN 30 DAYS AFTER AWARD AND AS REQUESTED BY THE SUPERVISOR. FOR

PLANNED AVAILABILITIES SUBMISSION SHALL BE NLT 14 DAYS PRIOR TO THE

START OF THE REQUIRED PROCESS.

(BLKS 4/12/13) IAW SI 009-12, PARA 3.6.1 PROVIDE THE COGNIZANT GOVERNMENT

REPRESENTATIVE DESIGNATED BY THE SUPERVISOR THE EVALUATED RADIOGRAPHS AND

RECORDS WITHIN 2 DAYS OF THE (G) POINT.

(BLK 14) REPORTS AND OTHER REQUIRED DELIVERABLES SHALL BE IN HARD COPY OR

APPROVED TRANSFERABLE MEDIA.

,vI_G _ _pJ1EeARED_B

! ROBERT WARREN

DD Form 1423�1,FEB 2001

IJLDAT• I LAEeROl/ED_BV 04 Jun 20 I GREGORY BUDD

PREVIOUS EDITIONS MAY BE USED

Draft Reg Repro

RMC C300 0

PMS 505R 0

l 0 l 0

(BLK 16)

15. TOTAL ---> 0 3 0

I

]. DATE

04 Jun 20

Page of Pages

Total Exhibit "A" Pages:

I

I

17. PRICE GROUP

18. ESTIMATED

Public reporting burden for this collection of information is estimated to average 110 hours per response, including th 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 Department of Defense, Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of l.aw, no person sha11. be subject to any any pena.Ity £or fail.ing t:o Cml!P.lY with a collection of information if it does no display a valid 0MB Control number. Please do not return your form to the above organization. Send aompleted form to th Government Issuing Contraation Officer for the Contract/PR No. listed in Block E.

' A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

ICUN 0020 A TDP

OTHER MGMT

D. SYSTEM/ITEM E.CONTRACTOR/PR NUMBER F. CONTRACTOR

: MATERIAL, SUPPORT & FACILITIES N00024-20-R-4408 TBD

17. PRICE GROUP

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

AOlO STATUS OE' GOVERNMENT FURNISHED EQUIPMENT GOVERNMENT PROPERTY

REPORT

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE 18, ESTIMATED

DI-MGMT-80269

5. CONTRACT REFERENCE

SECTION C PARA 8.0 PMS 505 TOTAL PRICE

i 7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. D ISTRIBUTION LT REQUIRED MTHLY (BLK 16) b.COPIES

(BLK 16) a. ADDRESSEE Final

11. AS OF DATE 13. DATE OF SUBSEQUENT Draft 8.APPCODE Reg Repro

SUBMISSION

,A

RMC C300 0 1 0

(BLK 16)

PMS 505R 0 1 0

RMC C400 0 1 0

(BLK 16)

. 16. REMARKS

i (BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

, (ADMINISTRATIVE/OPERATIONAL USE) . OTHER REQUESTS SHALL BE 'REFERRED TO

RMC C300.

(BLK 10/12/13) IAW SI 009-20, SUBMIT THE NAMES AND SIGNATURES OE' PERSONS

AUTHORIZED TO RECEIVE AND ACCOUNT FOR GOVERNMENT FURNISHED PROPERTY

(GE'P) TO THE SUPERVISOR.

:IAW SI 009-20, SUBMIT A REPORT TO THE SUPERVISOR LISTING PRODUCT QUALITY

!DEFICIENCIES OF GFP.

IIAW SI 009-20, SUBMIT A REPORT OF LOSS, DAMAGE, DESTRUCTION, OR THEFT OF

�GOVERNMENT PROPERTY IN ACCORDANCE WITH 2. 3 TO THE SUPERVISOR AFTER OF

:THE DISCOVERY,

:IAW SI 009-20

SUBMIT INVENTORY REPORT OF GFP REMOVED TO THE SUPERVISOR

IMMEDIATELY FOLLOWING THE COMPLETION OF EACH JOB ORDER.

IAW SI 009-20, SUBMIT FINAL TERMINATION OF INVENTORY REPORT AFTER THE

COMPLETION OF AVAIL.

(BLK 14) SUBMIT VIA EMAIL VIA ADDRESSES LIST. THIS CDRL WILL BE

SPECIFIED IN THE DIFFERENT DELIVERY ORDERS. CONTRACTOR SHALL SUBMIT

CDRLS TO ORDERING ACTIVITIES AS APPLICABLE IN APPENDIX 3.

15. TOTAL ---> 0 4 0

'.£.J,REeARED_Bv 1JLDATC 1.1..11eeROl/ED_Bv I J. DATE I ROBERT WARREN 04 Jun 20 I GREGORY BUDD 04 Jun 20

DD Form 1423·1,FEB 2001 PREVIOUS EDITIONS MAY BE USED Page of Pages

RMC C500 0 1 0

Public reporting burden £or this collection 0£ information is estimated to average 110 hours per response, including th, time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and aoll!pleting and reviewing the collection of infonnation: Send comments regarding this burden estimate or any other aspect 0£ this collection of information, including suggestions £or reducing the burden to Department a£ Defense, Executive Services Directorate (0704-0188). Respondants should be aware -that not withstanding any other provision of law, no person shall be subject to any any penalty £or £ailing to conq::,ly with a collection of information if it does no, display a valid 0MB Control number. Please do not return your form to the above organization, Send completed form to th i GovenmJent Issuing Contraction Officer for the Contract/PR No, listed in Block E.

! A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

ICUN 0020 A TOP

OTHER MGMT

D. SYSTEM/ITEM E.CONTRACTOR/PR NUMBER F. CONTRACTOR

MATERIAL, SUPPORT & FACILITIES N00024-20-R-4408 TBD

• 17, PRICE GROUP

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

AOll KEY EVENTS SCHEDULE SCHEDULE AND ASSOCIATED REPORTS PROVIDE AND

. MANAGE

: 4. AUTHORITY (Data Acquisition Document No,) 6. REQUIRING OFFICE 18, ESTIMATED

OT-20-20035

5. CONTRACT REFERENCE

SECTION C PARA 1.2/ SECTION G PMS 505 TOTAL PRICE

17. 00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED ASREQ (BLK 16) b. COPIES

(BLK 16) a. ADDRESSEE Final 11.AS OFDATE 13. DATE OF SUBSEQUENT Draft 8.APP CODE Reg Repro

N/A N/A

SUBMISSION

RMC C300 0 1 0

. (BLK 16)

' 16. REMARKS

PY 0 1 0

! ( (BLK 9) DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE PMS 505R 0 1 0

LCSRON 0 1 0

RMC 400 0 1 0

(BLK 16)

iDEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY i (ADMINISTRATIVE/OPERATIONAL USE). OTHER REQUESTS SHALL BE ;REFERRED TO RMC

CODE 300.

(BLKS 4/12/13) THE CONTRACTOR SHALL PROVIDE REQUIRED REPORTS, FILES, AND

:nATA IAW NSI 009- 60 AS CLARIFIED AND MODIFIED HEREIN, WHERE 009-60 IS

!INVOKED WITHIN THIS CONTRACT, CORL A011 CLARIFICATIONS AND MODIFICATIONS

BELOW SHALL APPLY. NSI 009-60 REQUIREMENTS NOT ADDRESSED OR MODIFIED 1BELOW

REMAIN IN FULL EFFECT,

FOR CNO (SRA/DSRA) AVAILABILITIES: SUBMIT 30 DAYS AFTER CONTRACT

AWARD. FOR CMAV/PMAV DELIVERY ORDERS (DO'S): SUBMIT 14 DAYS AFTER

CONTRACT AWARD. THIS SUBMISSION SHALL SERVE AS THE PRELDIINARY

BASELINE, ALIGNED TO THE BID HOURS OF THE CONTRACT. SUBMIT

!THE SCHEDULE OF RECORD (SOR) AT A-0. THE SCHEDULE OF RECORD SHALL

!REFLECT THE OFFICIAL AVAILABILITY BASELINE TO WHICH THE AVAILABILITY

SCHEDULE (BCWS hours) AND PERFORMANCE (BCWP hours) SHALL BE

PROGRESSED, 'AT THE WORK ACTIVITY LEVEL, SUBMIT TO THE SUPERVISOR NO

LATER THAN 30 DAYS AFTER CONTRACT AWARD THE DEVELOPED EXPORT OF THE

INITIAL IFS DATA ELEMENTS IN A SORTABLE/FILTERABLE SPREADSHEET FORMAT

COMPATIBLE WITH MICROSOFT EXCEL AND IN THE IFS NATIVE SOFTWARE FORMAT

(E.G. MICROSOFT PROJECT, ORACLE PRIMAVERA, ETC), INITIAL SUBMISSIONS

SHALL SPECIFY THE HOLIDAY CALENDAR UTILIZED.

15. TOTAL ---> 0 5 0

_G._EREeARED_Bv 1.H,_DAl:F- I LAEEROllElLBv I ].DATE ROBERT WARREN 04 Jun 20 I GREGORY BUDD 04 Jun 20

DD Form 1423-1,FEB 2001 PREVIOUS EDITIONS MAY BE USED Page of Pages

Total Exhibit "A" Pages:

DEFINITIONS FOR REQUIREMENTS OF CDRL A011 ARE PROVIDED IN CDRL A015 ENCLOSURE

1.

NOTE-THIS CDRL DOES NOT INVOKE EARNED VALUE MANAGEMENT SYSTEM (ANSI/EIA-748)

COMPLIANCE AND CERTIFICATION REQUIREMENTS.

Form Approved

0MB No. 0704-0188 i Public reporting burden for this ao.1.lection of information is estimated to average 110 hours per response, inc.luding th time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information: Send coll!IIlents regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden to Department of Defense.

Executive Services Directorate (0704-0188). Respondants should be aware that not withstanding any other provision of law, no person shall be subject to any any penalty for £ailing to conq:,ly with a collection of information if it does no• disp1ay a valid 0MB Control number, Please do not return your form to the above organization. Send car.rpleted form to th Govenunent Issuing Contraction Officer £or the Contract/PR No. listed in Block E.

, A. CONTRACT LINE ITEM NO.

CLIN 0020

B. EXHIBIT

A I

C. CATEGORY

TDP __ TM __ OTHER _MGMT_

I i D. SYSTEM/ITEM

MATERIAL, SUPPORT & FACILITIES

E.CONTRACTOR/PR NUMBER

N00024-20-R-4408

F. CONTRACTOR

---------�------�'--------------+-----------------------� 17, PRICE GROUP

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

I I AOll (CONTD)

KEY EVENTS SCHEDULE SCHEDULE AND ASSOCIATED REPORTS; PRROVIDE

AND MANAGE

' 4. AUTHORITY (Data Acquisition Document No.)

OT-20-20035

5. CONTRACT REFERENCE

: 7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED

8.APPCODE 11.AS OFDATE 13. DATE OF SUBSEQUENT

SUBMISSION

16. REMARKS

'SUBMIT TO THE SUPERVISOR AT A-0 THE DEVELOPED EXPORT OF THE SCHEDULE OF

RECORD (REVISED IFS) DATA ELEMENTS IN A SORTABLE/FILTERABLE SPREADSHEET

FORMAT COMPATIBLE WITH MICROSOFT EXCEL AND IN THE IPS NATIVE SOFTWARE

FORMAT. SUBMIT TO THE SUPERVISOR WEEKLY AFTER A-0 AND ONE DAY PRIOR TO

1 EACH WEEKLY PROGRESS MEETING EACH REVISED IFS AND DEVELOPED EXPORT AT

l

!THE WORK ACTIVITY LEVEL TO INCLUDE ADDITIONS, DELETIONS, MODIFICATIONS,

ACTUAL START AND FINISH DATES, PROGRESS, AND COMPLETIONS. IN ADDITION TO

iTHE EXCEL EXPORT I PROVIDE THE IPS NATIVE SOFTWARE FORMAT.

!MODIFICATIONS TO TABLE 1 OF NSI 009-60 ARE AS FOLLOWS: ADD:

! •BUDGETED COST OF WORK SCHEDULED (BCWS hours) :

I •BUDGETED COST OF WORK PERFORMED (BCWP hours) :

1 •ACTUAL COST OF WORK PERFORMED (ACWP hours) :

1 • BUDGET AT COMPLETION (BAC hours) :

i •ESTIMATE TO COMPLETION (ETC hours) :

! • PRODUCTION TRADE :

1 •SUBCONTRACT COMPANY:

DD Form 1423�1,FEB 2001 PREVIOUS EDITIONS MAY BE USED

6. REQUIRING OFFICE

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

15. TOTAL --->

I J. DATE

Page of Pages rot.al Exhibit �A" Pages:

18, ESTIMATED

DATA ITEM DESCRIPTION

Title: KEY EVENTS SCHEDULE

Number: OT-20-20035

AMSC Number: No

DTIC Applicable: No

Preparing Activity: SH

Approval Date: 20200324

Limitation: N00024-20-R-4408 GIDEP Applicable: No

Project Number: N/A

Applicable Forms: N/A

Use/relationship: This report will be used by the Government to verify that key events/ milestones are documented and that the program is on schedule relating to the task milestones and completion dates.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements as delineated in the contract.

This is for One-Time use on N00024-20-R-4408

Requirements:

1. Reference Documents. N/A

2. Format. The report shall be presented in a format similar to that of Enclosure 1.

3. Content. The report shall contain all information specified in Enclosure 1.

End of OT-20-20035.

Public reporting burden for this collection of information is estimated to average 110 hours per response, including th time for reviewing instructions, searching existing data sources, gathering and maintaining t:he data needed, and completing and reviewing the collection of information: Send comments regarding this burden estimate or any…