Exhibit_A B C_-_CDRLs.pdf

PDF 61 KB Posted Jul 10, 2015

Attached to: C-26 CLS Draft RFP (N00019-15-R-0089)
Solicitation number: N00019-15-R-0089
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Exhibits A B C CDRLs

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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Material Utilization and Forecasting Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81947 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 4.1.2 & 5.7.4

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

(See Block 16)

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

31 December 2016

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative and Operational Use determined on XX May 2015. Other requests for this document shall be referred to PMA-207.

Blocks 10 & 12: Semi-annual event. When CLIN 0001 is exercised, the Contractor shall submit the deliverable within 30 days after the materials inventory audit.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

Utility Lift IPTL

AIR 4.1.1.3

AIR 6.6.1.1

(See Block 16)

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

David A. Adams

J. DATE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Ordnance Certification Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.1.6

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

40 DACS

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 13: Subsequent deliverables shall be submitted on the 10th of every month.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPT. The Government considers the data delivered herein as necessary for operation, maintenance, installation, or training (OMIT) of the C-26.

AIR 6.6.1.1

AIR 4.1.1.3

COR / TPOC

Utility Lift IPTL

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

David Adams

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MISC

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Technical Report - Study/Services

3. SUBTITLE

Monthly Aircraft Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B(T) See Block 16

5. CONTRACT REFERENCE

PWS PARA 5.1.14

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

See Block16

8. APP CODE

A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable. Analytic effort is computation of monthly Mission Capability (MC) rate for each aircraft with substantiation.

Blocks 12 & 13: The Contractor shall submit the first deliverable on the 15th of the following month after the first full month of execution.

Subsequent deliverables shall be submit on the 15th of each month.

The USG has 10 days to review and to send any comments back to the Contractor. The Contractor has 5 days to submit the revised deliverable.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

Utility Lift IPTL

AIR 6.6.1.1

(See Block 16)

AIR 4.1.1.3

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Five Year Overhaul and Rework Projections Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.3

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ANNLY

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable. Shall be in MS Excel.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative and Operational Use determined on 18 May 2015. Other requests for this document shall be referred to PMA-207.

Block 12: Submit the first deliverable January 15th of the PoP.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPT. The Government considers the data delivered herein as necessary for Operation, Maintenance, Installation, or Training (OMIT) of the C-26.

AIR 6.6.1.1

AIR 4.1.1.3

(See Block 16) Utility Lift IPTL

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

David Adams

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

SESS

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Configuration Status Accounting Information

3. SUBTITLE

Configuration Status Accounting Report

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81253A(T) (See Block 16)

5. CONTRACT REFERENCE

PWS para 5.5.1

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable. Tailor DID as follows.

Delete 2a, 2b, 2j, and 2i. Use and deliver in MS Excel.

Blocks 12 & 13: The Contractor shall submit the first deliverable on the 15th of the following month after the first full month of execution.

Subsequent deliverables shall be submitted on the 15th of each month.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 4.1.1.3

PMA207CM

AIR 6.6.1.1- DAPML

(See Block 16)

COR / TPOC

Utility Lift IPTL

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Technical Directive Compliance Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80224B (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.5.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: The Contractor shall submit the first and subsequent deliverables within 15 days of incorporation or depot event completion.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 4.1.1.3

PMA207CM

(See Block 16)

AIR 6.6.1.1

COR / TPOC

Utility Lift IPTL

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

SAFT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Accident / Incident Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.6

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted within 24 hours after each accident and incident event.

Utility Lift IPTL

AIR 4.1.1.3

AIR-6.6.2.9

COR / TPOC

(See Block 16)

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

SESS

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Source Data for Forecasting Diminishing Manufacturing Sources and Material Shortages

(DMSMS)

3. SUBTITLE

Obsolescence and DMSMS Summary

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81656 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.7.6

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

QTRLY

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Submit the first deliverable within 15 calendar days after the first completed Government fiscal quarter of the contract.

Subsequent deliverables shall be submitted within 15 days of the completion of each Government fiscal quarter.

AIR 4.1.1.3

AIR 6.6.1.1- DAPML

Utility Lift IPTL

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

David A.Adams

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Briefing Material

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81605 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 5.11.1.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted 10 days prior to every Program Management Review.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

(See Block 16)

AIR 6.6.1.1

AIR 4.1.1.3

Utility Lift IPTL

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Contract Funds Status Report (CFSR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81468 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 6.3

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

QTRLY

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: The Contractor shall format in accordance with attached supplement.

Blocks 12 & 13: Submit the first deliverable within 15 calendar days after the first completed Government fiscal quarter of the contract.

Subsequent deliverables shall be submitted within 15 calendar days of the completion of each Government Fiscal Quarter.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPT.

AIR-4.1.1

AIR 6.6.1.1

Utility Lift IPTL

DCMA

(See Block 16)

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

5/5/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MISC

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

Trip/Travel Report

3. SUBTITLE

Travel Summary Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81943 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 6.4

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

AS PER OCCUR

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted within 30 calendar days after each travel event.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPT.

Utility Lift IPTL

COR / TPOC

AIR 6.6.1.1

AIR 4.1.1.3

(See Block 16)

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MISC

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

Technical Report - Study/Services

3. SUBTITLE

Teardown Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B (See Block 16)

5. CONTRACT REFERENCE

PWS Para 7.4, 8.4, 9.4, 14.1 & 15.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Reports are due 10 days after each teardown event.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPTL.

AIR 4.1.1.3

AIR 6.6.1.1

(See Block 16) Utility Lift IPTL

COR / TPOC

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Final Depot Summary Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 7.5, 8.5, 9.5 14.2

& 15.2

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

See Block 16

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: The Contractor shall indicate compliance with Service Actions and Service Bulletins; indicate the overall condition and cycle (reset) information; and address applicable FAA documentation for both Functional Check Flight(s) and weight-and-balance.

Block 7: The Contractor shall include signed DD-250 and all documentation associated with completion of the inspection, overhaul, rework or repair action.

Blocks 12 & 13: Submit the final report no later than 60 calendar days after each maintenance action is completed.

AIR 6.6.1.1

Utility Lift IPTL (See Block 16)

AIR 4.1.1.3

COR / TPOC

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

MISC

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

B005

2. TITLE OF DATA ITEM

Technical Report - Study/Services

3. SUBTITLE

Engineering Investigation Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 18.0

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Blocks 12 & 13: Deliverables shall be submitted within 15 calendar days after the completion of each Engineering Investigation.

AIR 4.1.1.3

Utility Lift IPTL

AIR 6.6.1.1- DAPML

(See Block 16)

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

0219, 0220

B. EXHIBIT

C. CATEGORY

MGMT

D. SYSTEM/ITEM

C-26D

E. CONTRACT/PR NO.

N00019-15-R-0089

F. CONTRACTOR

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

Phase-Out Transition Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81945 (See Block 16)

5. CONTRACT REFERENCE

PWS PARA 23

6. REQUIRING OFFICE

PMA-207

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

1TIME/R

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A C (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 12: Submit draft deliverable no later than 30 calendar days after receiving direction from the PCO. The Government will have 15 calendar days to review and provide any comments. If required, the Contractor shall submit the final deliverable within 30 calendar days after receipt of Government comments.

Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the UL IPT.

Utility Lift IPTL

AIR 6.6.1.1

(See Block 16)

AIR 4.1.1.3

15. TOTAL

G. PREPARED BY

Michelle Pedersen

H. DATE

4/30/2015

I. APPROVED BY

File details come from the government source that posted it. Updated Nov 14, 2017.