Exhibits_(A)-(C)_-_CLRF_IC_Production_CDRLs_1_Aug_2014.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 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 compleling 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 OMS control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContracUPR No. listed in Block E.

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

0002,1002,2002,3002,4002 TOP -- TM -- OTHER _x_

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

CLRF IC

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

A001 Contractor's Progress, Status and Management Report

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MGMT-80555A SOW para 3.1.1 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT Monthly SUBMISSION

b. COPIES See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION Draft Reg Repro

See Block 16

16. REMARKS MCSC PdM FSS

Block 12- Submit 1"1 report 45 calendar days after issuance of Delivery Order. COR 1 0 1

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final 14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

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G. PREPARED ~~A JlDATE r-APPROVEOB'l }~/[ 9 J. DATE Robert Gon/'lez 9 July 2014 Jeff Nebel ___ ./ 9 July 2014 r {A.

J- 1 v (](/ r·;

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED PaQe 1 of 31

I I

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

OMB No. 0704-0188

The public reporting burden for this collection of infonnalion 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 infonnation. 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 ContracUPR No. listed in Block E.

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

0002,1002,2002,3002,4002 TDP - TM - OTHER _x_

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

CLRFIC

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

A002 Integrated Program Management Report Program Management Report

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MGMT-81861 SOW para 3.1.1 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT Monthly SUBMISSION

b. COPIES See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION Draft Reg Repro

See Block 16

16. REMARKS MCSC PdM FSS

Block 4- Modify DID as follows: COR 1 0 1

The contractor shall submit data for Formats 5 and 6 only. Formats 1, 2, 3, 4, and 7 are omitted for this CDRL.

Format 5- Shall be limited to amplify and explain data elements contained in Formats 1 and 6.

Format 6- Shall include subcontractor's IMS and data.

Block 12- Submit 1st report 45 calendar days after issuance of Delivery Order.

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final 14 calendar days after receipt of Government comments.

MCSC CT (PCO)

Block 14- Delivery media shall be via email or AMRDEC SAFE site. The IMS shall be PCO Cover Letter delivered in the format specified in the SOW.

I

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G. PREPARED BY: I H. DATE I ~::~:~~r. I I ·livf I) J. DATE I

~zal/2 9 July 2014 9 July 2014 I _, ...... ,I

1/' vv y,.. I trl '--"I

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa~e 2 of 31

17. PRICE

GROUP

(1 Data Item) 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 retum your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContracVPR No. listed in Block E.

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

0001 TOP -- TM -- OTHER _x_

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

CLRF IC

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

A003 Conference Agenda

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-ADMN-81249A SOW para 3.2 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION

b. COPIES See Block 16

B.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION Draft Reg Repro

See Block 16

16. REMARKS MCSC PdM FSS

Block 4- Agendas shall not include general company profiles, advertisements, etc., not

COR 1 0 1

directly related to the CLRF IC program.

Block 10- Agenda items shall be added, changed, or revised, as required, to provide the Government with accurate and complete data.

Block 12- Submit 14 calendar days prior to each review/conference.

Block 13- The Government requires 7 calendar days to review. The contractor shall submit final 7 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT IPCO}

PCO Cover Letter w 15. TOTAL--/-p 1 0 1

G.P~~~ /l_...l'f.DATE

1. APPROVEv'l j !!~ J. DATE

R~· _,or alez 9 July 2014 Jeff Nebel 9 July 2014

I \I../ y I If I (

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED PaQe 3 of 31

I I I I

17. PRICE

GROUP

'jB._I=l>TIMATED

(1 Data Item) OMS 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 or this collection of information, including suggestions for reducing the burden, to the Depa~ment of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of taw, no person shall be subject to any penalty for failing to comply with a collection of information !fit does not display a currently valid OMB control number. Please do not retum 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 I c. CATEGORY:

0001 TOP - TM - OTHER..L._

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

CLRF IC

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

A004 Conference Minutes

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-ADMN-81250A SOW para 3.2 · MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16 B.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 4- Minutes shall not include general company profiles, advertisements, etc., not

COR 1 0 1

directly related to the CLRF IC program. Minutes shall be unclassified. Global Positioning System (GPS) information shall be marked in accordance with the GPS Security Classification Guide.

Block 10- Conference minutes shall be added, changed, or revised, as required, to provide the Government with accurate and complete data.

Block 12- Submit 7 calendar days after each review/conference.

Block 13- The Government requires 7 calendar days to review. The contractor shall submit final 7 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC MCSC CT (PCO)

SAFE site. PCO Cover Letter

A

11 A

15. TOTAL_#----7 1 0 1

G. PREPARED~~ ;1 I_H. DATE I ).APPROVE~~~~ J. DATE

Robert G~~pf ez /!, 9 July 2014 Jeff Nebel 9 July 2014

/v v y I l d

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED PaQe 4 of 31

17. PRICE

GROUP

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 infonnation, 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 I c. CATEGORY:

0001 TDP -- TM - OTHER..lL

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

CLRFIC

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

ADOS Presentation Material

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-ADMN-81373 SOW para 3.2 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DJST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16 B.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 4 - Presentation materials shall not include general company profiles, advertisements, COR 1 0 1 etc., not directly related to the CLRF IC program. Presentation materials shall be unclassified. Global Positioning System (GPS) information shall be marked in accordance with the GPS Security Classification Guide.

Block 10- Presentation materials shall be added, changed, c:r revised, as required, to provide the Government with accurate and complete data.

Block 12- Submit 14 calendar days prior to each review/conference.

Block 13- The Government requires 7 calendar days to review. The contractor shall submit final 7 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft PowerPoint (for Windows) via email or MCSC CT (PCOl

AMRDEC SAFE site. PCO Cover Letter

/7 / 15. T~TAL---f/~ 1 0 1 /' I

G. PREPARED~ /JH.DATE I I.APPROVE .. 7j_J[Ld J. DATE Robert Gonzale 9 July 2014 Jeff Nebel 9 July 2014

I' v / r; (

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa!=!e 5 of 31

17. PRICE

GROUP

118. E:>TIMATED

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 OMS control number. Please do not return yourfonn to the above organization. Send completed fonn to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0001 TOP -- TM -- OTHER _x_

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

CLRF IC

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

B001 Configuration Management Plan

4. AUTHORITY (Data Acquisition Document No.) ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-CMAN-80858B SOW para 3.3.1 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10 .. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16 8.APP CODE 11. AS OF DATE 13. DATE·OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

~6. REMARKS MCSC PdM FSS

Block 10- The CM Plan shall be changed or revised, as required, to provide the COR 1 0 1 Government with complete and accurate data.

Block 12- Submit 75 calendar days after issuance of Delivery Order.

Block 13- The Government requires 14 calendar days to review. The co·ntractor shall ,.

submit final 7 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

/J 15. TOT}L A------7 1 0 1

G. PREPARED~ /I_...H:DATE II. APPROVElt}/ Jle)Lf J. DATE Robert Gonzal~ ~ 9 July 2014 Jeff Nebei!J 9 July 2014

'11.

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DO Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa!:le 6 of 31

I

17. PRICE

GROUP

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 (0704-01 88). 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 ContracUPR No. listed in Block E.

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

0002,1002,2002,3002,4002 TOP - TM - OTHER _x_

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

CLRF IC

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

BOOA Engineering Change Proposal

4. AUTHORITY (Data Acquisition Document No.) J 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-CMAN-80639.C SOW para 3.3.2.2 · MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT As Req SUBMISSION b. COPIES

As Req B.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro As Req

16. REMARKS ; MCSC PdM FSS

Block 12 - The contractor shall submit Class I ECPs upon identification of need. The COR 1 0 1 contractor shall submit Class II ECPs to the Government 30 calendar days before implementing any Class II ECP. Notifications shall be submitted for all changes which affect Government established baselines. The opportunity to submit notifications shall extend through contract finalization. In addition, notifications shall be submitted at the request of the Government.

Block 13 -The Government requires 30 calendar days to review Class I ECPs. The Government requires 14 calendar days to review and approve/disapprove the class designation of ECPs submitted as Class II. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

- j ll 15. TOT A)j_----------')> 1 0 1

G. PREPARED B~~ A~ ATE J I. APPR~:{/ jj 1t )f J. DATE Robert Gonzalez 9 July 2014 Jeff Neb "L{_, 9 July 2014

/ v I I I l DD Form 1423-1 F 2001 PREVIOUS EDITION MAY BE USED 3" Pa1=1e 7 of 1

17. PRICE

GROUP

CONTRACT OAT A REQUIREMENTS LIST Form Approved

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 Setvices 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 retum your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContracUPR No. listed in Block E.

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

0002,1002,2002,3002,4002 TOP - TM - OTHER _x_

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

CLRF IC

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

BOOB Notice of Revision

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-CMAN-80642C SOW para 3.3.2.2 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT As Req SUBMISSION b. COPIES

See Block 16 B.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 12- The contractor shall submit a NOR to the Government with each ECP. COR 1 0 1

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

/l // 15. TOTAL ---------71 1 I 0 1

G. PREPARED BY!/ . /1/1{ DATE

,I.APPROVE'lL/ 11fd/f J. DATE

Robert Gonzalef(_ 9 July 2014 Jeff Nebel . ~ 9 July 2014 ! /\ A. 7 /

I I I I I

DD Form 1423-1 82001 PREVIOUS EDITION MAY BE USED PaQe 8 of 31

17. PRICE

GROUP

OMS 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 OMS control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContractJPR No. listed in Block E.

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

0002,1002,2002,3002,4002 TOP -- TM -- OTHER_L

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

CLRF IC

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

8002 Configuration Status Accounting Information

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE Dl-CMAN-81253A SOW para 3.3.3 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Blocks 10/13- CSA database shall be revised and submitted as requested by the

COR 1 0 1

Government to provide complete and accurate data.

Block 12- Submit 30 Calendar Days after issuance of Delivery Order.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter j5. TOTAL ---;----tJ 1 0 I 1

G. PREPARED BY:? J H.DATE ,I.APPROVEtYL ~~ J. DATE Robert Gonzal't1 9 July 2014 Jeff Nebel 9 July 2014

/~ L

/ v # I

DO Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa[:le 9 of 31

17. PRICE

GROUP

OMS No. 0704-0188

The public reporting burden for this collection of infonnation is estimated to average 110 hours per response, including the time for reviewing lnstruclions, 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 or Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person sha\1 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 fonn to the above organization. Send completed fonn to the Govemmentlssuing Contracting Officer for the ContracUPR No. listed in Block E.

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

0001 TDP -- TM - OTHER ...X..

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

CLRFIC

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

8003 Spectrum Certification Spectral Characteristics Data

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-EMCS-81827 SOW para 3.3.4 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. ·DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 4- Complete DD Form 1494 for the Global Positioning System (GPS) Selective COR 1 0 1

Availability Anti-Spoofing Module (SAASM) receiver and antenna information only.

Block 10- This deliverable shall be changed or revised, as required, to provide the Government with complete and accurate data.

Block 12- Submit 30 Calendar Days after issuance of Delivery Order.

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) or Portable Document Format (PDF) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

1---

1~ TOTAL ------;?Y! 1 0 1

G. PREPARED BY# ·Y-(. DATE ,I.APPROVEDfJJ-~~7/ J. DATE Robert Gonzale~~~ /. 9 July 2014 Jeff Nebel . fA PI 9 July 2014

/ I f!/ -~

17 .. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

j

I I PREVIOUS EDITION MAY BE USED Paoe 10 of 31 I

DD Form 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of infonnation 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 or 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 (0704~0186). 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 OMS control number. Please do not return your fonn to the above organization. Send completed form to the Government Issuing Contracting Officer for the contracUPR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT I c. CATEGORY:

TOP_ ™- OTHER ...X...

D. SYSTEM/ITEM

CLRFIC

I E. CONTRACT/PR NO. F. CONTRACTOR

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

B004 Interface Control Document

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81248A

5. CONTRACT REFERENCE

SOW para 3.3.5 ·

7. DD 250 REQ

LT

8. APP CODE

16. REMARKS

9. DIST

STATEMENT

10. FREQUENCY 12. DATE OF FIRST

See Block 16 SUBMISSION

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Block 4 - Modify DID as follows:

Replace 2.d. and 2.e. with:

d. a description of the mechanical/physical interface relationships with a defined set of external devices:

1. Provisions required for performing maintenance and repair

2. Size, shape, mass, mass distribution, and center of gravity

3. Sealing, pressurization, attachment, and locking provisions

4. Location and alignment requirements with respect to other equipment

5. Load-carrying capability

6. Dimensional relationships between mating equipment

e. a description of the electrical/functional interface capabilities of the device:

1. Function name and symbol

2. Cable characteristics

3. Connector characteristics

4. Power source

5. Power input/output

Add 2.f. and 2.g. with:

f. a description of the communications interface capabilities of the device:

1. Interface communication protocol

2. Signal characteristics

3. Data definition

4. Data transmission, format, coding, timing, and updating

5. Message structure and flow

6. Interface configuration settings

g. any mechanical and electrical interface drawings, diagrams, models, and/or pictures for the device

Block 10- The Mechanical Interface Control Drawing and Electrical Interface Control Document shall be changed or revised, as required, to provide the Government with complete and accurate data.

Block 12- Submit 75 calendar days after issuance of Delivery Order.

Block 13 -The Government requires 30 calendar days to review. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

G. PREPARED ~~~j/ I - J-KDATE Robert Gonzalj'' ~LI

DD Form 1423-1, FEB 2001

9 July 2014 fl ~'!

PREVIOUS EDITION MAY BE USED

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final Draft 1--R-e-g---,--R-e-p-ro-1

MCSC PdM FSS

COR 1 0 1

MCSC CT (PCO)

PCO Cover Letter

J. DATE

9 July 2014

PaQe 11 of 31

17. PRICE

GROUP

18, ESTIMATED

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 fonn to the above organization. Send completed ronn to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0001 TOP -- TM - OTHER _lL

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

CLRFIC

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

8005 Commercial Drawings and Associated Lists

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-SESS-81 003E SOW para 3.3.6.1 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block16 SUBMISSION

b. COPIES See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION Draft Reg Repro

See Block 16

16. REMARKS MCSC PdM FSS

Block 10 - The Commercial Drawings and Associated Lists shall be revised 20 calendar COR 1 0 1 days after the Provisioning Conference.

Block 12- Submit 30 calendar days after Provisioning Guidance Conference (PGC).

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) or Portable Document Format (PDF) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Gover Letter

A 15. TOTAL -j{--·-·-1/ 1 I 0 1

G. PREPARE~~~ //-1-,..H."DATE ,I.APPROf!:J!/1!~ J.DATE Robert Gonzale 9 July 2014 Jeff Nebel/, , 9 July 2014

/ r (/ I \

DO Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa!=le 12 of 31

17. PRICE

GROUP

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 (0704-0186). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penally for failing to comply with a collection of informalion if it does not display a currently valid OMS control number. Please do not return yourfonn to the above organization. Send completed fonn to the Government Issuing Contracling Officer for the ContracUPR No. listed in Block E.

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

0001 TOP -- TM -- OTHER .lL

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

CLRF IC

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

8006 Cable Drawings

4. AUTHORITY (Data Acquisition Document No.) l 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-SESS-81 OOOE SOW para 3.3.6.2 MARCORSYSCOM (PdM FSS)

7. DO 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

. LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 4- Modify DID as follows: COR 1 0 1

Change Requirement 3 to: "Format. Product Drawings/Models and Associated Lists shall be in contractor's format for 3-Dimensional Solid Models and shall include 2-D drawings based on the 3-D solid models in PDF format".

Delete Requirement 4.p.

Change Requirement 6 to: "CAGE code and document numbers. Product Drawings/Models and Associated Lists shall be identified with the contractor's CAGE code and contractor document numbers".

Change Requirement 7 to: "Selection of drawings. The types of drawings required will vary according to the complexity of the contract end item. The contractor is responsible for selecting the typ·es of drawings/models and Associated Lists".

Block 10- The Cable Drawings shall be changed or revised, as required, to provide the Government with complete and accurate data.

MCSC CT (PCO)

Block 12- Submit 90 calendar days after issuance of Delivery Order. PCO Cover Letter

Block 13 -The Government requires 30 calendar days to review. The contractor shall submit final 14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be Portable Document Format (PDF) and Contractor's 3- Dimensional Solid Model Format(s) via email or AMRDEC SAFE site.

/1

/J 1/ n /l 15. T~TAL -----1--f/ 1 0 1

G. PREPARED BY: 1 /1 fi.'DATE II. APPROVED rJ<I/Ifvl1 J. DATE Robert Gonzalez j' L) / 9 July 2014 Jeff 1'-lebel 9 July 2014

/ / 'II (

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa;:Je 13 of 31

17. PRICE

GROUP

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 (0704-0186). Respondents should be aware that notwithstanding any other provision of Jaw, no person shall be subject to any penally 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 I c. CATEGORY:

0001 TOP - TM - OTHER ...x_

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

CLRFIC

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

B007 LSRB Data Package

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE See Block 16 SOW para 3.3.8.2 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16 8.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 4 - The LSRB Data Package shall include all data elements of a Laser Data Package COR 1 0 1 in accordance with Marine Corps Order (MCO) 5104.1 C, Enclosure (4), Paragraph 2.a.

Block 10- The LSRB Data Package shall be changed or revised, as required, to provide the Government with complete and accurate data.

Block 12- Submit 20 calendar days after issuance of Delivery Order.

Block 13- The Government requires 45 calendar days to review. The contractor shall submit final 14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter r---·

/ J?· 2:.0lAL ---·-1-1' I 1 0 i 1 G. PREPARED BY!/' /r H. DATE ,I. APPROVE(//Jjl 1/J AJ/ J. DATE Robert Gonzal~ //1J 9 July 2014 Jeff Nebel ~ 9 July 2014

/<..../ t f v f I I

DO Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa~e 14 of 31

I I I I I I I I I I

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

I _I

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 SeJVices 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 OMS control number. Please do not retum your form to the above organization. Send completed forrn to the Government Issuing Contracting Officer for the ContracUPR No. listed in Block E.

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

0001 TOP -- TM - OTHER _L

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

CLRFIC

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

BOOB Lithium Battery Data Package

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE See Block 16 SOW para 3.3.8.2 MARCORSYSCOM (PdM FSS)

7. DO 250 REQ 9. DIST 10, FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16 B.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 4- The Lithium Battery Data Package shall include all data elements of a Safety Data COR 1 0 1 Package in accordance with Section 2-3 of NAVSEA S931 0-AQ-SAF-01 0 (2"d Revision),

· Technical Manual for Navy Lithium Battery Safety Program Responsibilities and Procedures.

Block 10- The Lithium Battery Data Package shall be changed or revised, as required, to provide the Government with complete and accurate data.

Block 12 - Submit 30 calendar days after issuance of Delivery Order.

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

I ....., /' 15. TOTAL --;.1--f" I 1 0 1

G. PREPARED BY:~~' J7DATE I'· APPROVED(jj/ ?tt!i I / J. DATE Robert Gonzal:fY , / / 9 July 2014 Jeff Nebel / 't.j/ 9 July 2014

I

/fVr)/ II r I I•

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa5:1e 15 of 31

I I I I I I I I I

17. PRICE

GROUP

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 (0704-0186). 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 OMS control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContractJPR No. listed in Block E.

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

0001 TOP -- TM -- OTHER_lL

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

CLRFIC

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

B009 Hazardous Materials Management Plan

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE See Block 16 SOW para 3.3.8.5 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION

b. COPIES See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION Draft Reg Repro

See Block 16

16. REMARKS MCSC PdM FSS

Block 4- The HMMP shall be written in accordance with Task 108 of MIL-STD-882E and COR 1 0 1 shall address data elements of the Task Description as outlined in Section 1 08.2. The contractor may exclude item (d) of Section 108.2.2. The NAVSEA Prohibited and Controlled Chemicals List (PCCL) and DoD Materials of Evolving Interest List (MERIT) Action and Watch Lists shall be used for HAZMAT Categorization per Section 1 08.2.2.

Block 10- The HMMP shall be changed or revised, as required, to provide the Government with complete and accurate data.

Block 12- Submit 20 calendar days after issuance of Delivery Order.

Block 13 - The Government requires 30 calendar days to review. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC MCSC CT (PCO) SAFE site. PCO Cover Letter

I ") -- --- /) /' W· ]JJf (tL ------/") I /1 0 1

G. PREPARED

f/ i rTE ,I. APPROVED r!U !fA)/ J. DATE

Robert Gonzale 9 July 2014 Jeff Nebel 9 July 2014

I v I / I ( DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Paqe 16 of 31

17. PRICE

GROUP

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 OMS control number. Please do not return your fonn to the above organization. Send completed fonn to the Government Issuing Contracting Officer for the ContracUPR No. listed in Block E.

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

0001 TOP -- TM - OTHER _x_

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

CLRF IC

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

8010 Safety Assessment Report Update

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACJ' REFERENCE 6. REQUIRING OFFICE See Block 16 SOW para 3.3.8.7 . . MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 4- The SAR supporting a Field User Evaluation shall be written in accordance with COR 1 0 1

Task 301 of MIL-STD-882E and shall address all data elements of the Task Description as outlined in Section 301.2.

Block 10- The SAR shall be changed or revised yearly to provide the Government with complete and accurate data.

Block 12- Submit 45 calendar days after issuance of Delivery Order.

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

/ /1 // Jl 15. TOT~---1-·-p T1 0 I 1

G. PREPARED BY:~- ~ H. DATE

1 ~. APPROVEFJY ~ ~ r J. DATE Robert Gonzalez 9 July 2014 Jeff Nebel 'fd /1 9 July 2014

I j/ I Jll ( DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa!=!e17of31

17. PRICE

GROUP

118. ESTIMATED

The public reporting burden for this collection of infonnation 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 infonnation. Send comments regarding this burden estimate or any other aspect of this collection of infonnation, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0168). 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 infonnalion if it does not display a currently valid OMS control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContracUPR No. listed in Block E.

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

0001 TOP - TM - OTHER ..X..

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

CLRFIC

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

B011 FAT Procedure

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-NDTI-80603A SOW para 3.3.9.1 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16 8.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro

· See Block 16

16. REMARKS MCSC PdM FSS

Block 10- Test Procedure shall be changed or revised, as required, to provide the COR 1 0 1

Government with complete and accurate data.

Block 12- Submit 120 Calendar Days after issuance of Delivery Order.

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final 14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter r---------

/1 v 15. -pTAL -;/-~/f' 1 0 1

G. PREPARED B~ DATE ,I.APPRo~tr.y J/U / J. DATE Robert Gonzalez 9 July 2014 Jeff Nebel 9 July 2014

!(_ :~ 0

PREVIOUS EDITION MA: Blu'o I

DD Form 1423-1, FE 2001 Pa e18of31

17. PRICE

GROUP

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 (0704~01 88). 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 fonn to the above organization. Send completed fonn to the Government Issuing Contracting Officer for the ContraCUPR No. listed in Block E.

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

0001 TDP -- TM - OTHER ..X..

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

CLRFIC

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

B012 FAT Report

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-NDTI-80809B SOW para 3.3.9.1 MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 10- Test Report shall be changed or revised, as required, to provide the Government COR 1 0 1 with complete and accurate data.

Block 12- The draft copy shall be provided immediately following completion of FAT as a quick look for the Program Office. The official data deliverable shall follow 20 calendar days after completion of FAT.

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final 14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

_A

·// /15. TOTAL -7 -----7/) 1 I o 1

G. PREPARED B~l ~ATE II.APPROVEq:J/j lJ;AU J. DATE Robert Gonzalez ~ 9 July 2014 Jeff Nebel ' / (J 9 July 2014

DD Form 142~-1, FEB t.(o., r t~ I

PREVIOUS EDITION MAY BE SED L

Pape 19 of 31

17. PRICE

GROUP

( 1 Data Item) OMS 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 informalion. 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 penally for failing to comply with a collection of information if it does not display a currently valid OMS control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContracUPR No. listed In Block E.

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

0001 TOP -- TM -- OTHER ...L

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

CLRFIC

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

B013 Acceptance Test Procedure

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE . 6. REQUIRING OFFICE DI-NDTI-80603A SOW para 3.3.9.3 · MARCORSYSCOM (PdM FSS)

7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT STATEMENT See Block 16 SUBMISSION b. COPIES

See Block 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

SUBMISSION Draft Reg Repro See Block 16

16. REMARKS MCSC PdM FSS

Block 10- Test Procedure shall be changed or revised, as required, to provide the COR 1 0 1 Government with complete and accurate data.

Block 12- Submit 120 Calendar Days after issuance of Delivery Order.

Block 13- The Government requires 30 calendar days to review. The contractor shall submit final 14 calendar days after receipt of Government comments.

Block 14- Delivery media shall be in Microsoft Word (for Windows) via email or AMRDEC SAFE site.

MCSC CT (PCO)

PCO Cover Letter

// !I 15. TO}?"L --7 q+ 1 0 1

G.PREPARED1~~ /rH.DATE II.APPR~ffi(JAj/ J. DATE Robert Gonzal 9 July 2014 Jeff Neb . £ 9 July 2014

17. PRICE

GROUP

1H. ESTIMAT~D

TOTAL PRICE

I

I

I i I

I DD Form ~23-1, F~001 ';[Is f \

PREVIOUS EDITION MAY , SED Pa e 20 of 31 ~~-~---------~__:__-~ __ Q ____________ I.

The public reporting burden for this collection of information is estimated to average 110 hours per response, Including the…