Att_J-1_-_SD_PSA_Execution_CDRLs_-_29-JUL-16.pdf

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

CONTRACTOR'S PROGRESS, STATUS AND

MANAGEMENT REPORT

METRIC REPORT

DI-MGMT-80227 (BLK 16) (BLK 16) PMS 400D

(BLK 16) (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A001

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

1 1

SUBSTITUTE PARA 10.2 WITH "THIS REPORT SHALL BE DEVELOPED IN

AN ELECTRONIC FORMAT." IN PARA 10.3, CONTENTS SHALL BE IN

ACCORDANCE WITH SOW. SUBMIT IN ACCORDANCE WITH ATTACHMENTS

001 THROUGH 012.

CLINS 0001, ITEMS 1, AND 10/CLINS 0005, ITEMS 1 AND 3.

(BLKS 10/12/13)

SUBMIT INITIAL REPORT 30 DAYS PRIOR TO START OF PSA AND WEEKLY

THEREAFTER.

(BLKS 14/15)

ELECTRONIC SUBMITTAL SHALL BE IN MICROSOFT EXCEL.

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL

(BLK 4)

(BLK 5)

0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

SUBMISSION

11-FEB-16 29-JUL-16

CDRL A001

USS ________ (DDG ___ PSA)

WEEKLY PSA

METRICS REPORT

Week XX

MILESTONE ORIG START REVISED START ORIGIN COMP REVISED COMP ACTUAL COMP

Ship Arrival Complete Defuel Ship Crew Move Ashore Start PSA Drydock Ship (IF APPLICABLE) Undock Ship (IF APPLICABLE)* Aviation Tech Assist Visit Combat Systems (PCD) / AEGIS Lightoff (ALO)* Production Completion Date (PCD)* Load Fuel Hab Spaces Available Crew Move Aboard Aviation Certification Light Off Assessment (LOA) GTG Light-off

MELO

Dock Trials* Fast Cruise* Sea Trial* Perform Inclining PSA Completion*

* INDICATES CERTIFICATION EVENT

CDRL A001 Attachment 001

USS ___________ (DDG ___ PSA ) PSA MILESTONES

BCWS = Budgeted Cost of Work Scheduled BAC = Budgeted at Completion BCWP = Budgeted Cost of Work Performed EAC = Estimate at Completion (ACWP + (BAC - BCWP)/CPI) ACWP = Actual Cost of Work Performed CPI = Cost Performance Index (BCWP/ACWP) SPI = Scheduled Performance Index (BCWP/BCWS)

Earned Value Data (Dollars)

CDRL A001 Attachment 002

USS ___________ (DDG ___ PSA)

BCWS and BCWP figures include growth and subcontractor costs

CUMULATIVE

EARNED VALUE

(BCWP)

CPI SPI BACWEEK

WEEK

ENDING

CUMULATIVE

PLANNED VALUE

(BCWS)

CUMULATIVE

ACTUAL COST

(ACWP)

EAC

BCWS = Budgeted Cost of Work Scheduled BAC = Budgeted at Completion BCWP = Budgeted Cost of Work Performed EAC = Estimate at Completion (ACWP + (BAC - BCWP)/CPI) ACWP = Actual Cost of Work Performed CPI = Cost Performance Index (BCWP/ACWP) SPI = Scheduled Performance Index (BCWP/BCWS)

BCWS and BCWP figures include growth and subcontractor manhours

CUMULATIVE

EARNED VALUE

(BCWP)

CPI SPI BACWEEK

WEEK

ENDING

CUMULATIVE

PLANNED VALUE

(BCWS)

CUMULATIVE

ACTUAL COST

(ACWP)

EAC

CDRL A001 Attachment 003

USS ___________ (DDG ___ PSA)

Earned Value Data (Man Hours)

CDRL A001 Attachment 004

CSCS CHART

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

M A

N H

O U

R S

(t h o u sa n d s)

WEEK

BCWS

BCWP

ACWP

EAC HOURS

BAC HOURS

CDRL A001 Attachment 005

CPI/SPI CHART

0.75

0.875

1.125

1.25

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

V A

L U

E

WEEK

CPI SPI

WEEK WEEK ENDING BAC $ EAC $ VARIANCE

CDRL A001 Attachment 006

EAC/BAC

CDRL A001 Attachment 007

EAC/BAC Totals

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

E A

C /B

A C

T h o u sa n d s)

WEEK

EAC $ BAC $

PERCENT COMPLETE = (BCWPCUM/BAC)

PERCENT SPENT = (ACWPCUM/BAC)

USS ___________ (DDG ___ PSA)

CDRL A001 Attachment 008

WEEK WEEK ENDING

PERCENT

COMPLETE

PERCENT SPENT

TIME ELAPSED

Overall Status

NOTE 1: MANNING INCLUDES PRIME CONTRACTORS AND SUBCONTRACTORS

USS ___________ (DDG ___ PSA)

CDRL A001 Attachment 009

WEEK WEEK ENDING

CUMULATIVE

PLANNED

MANNING

ACTUAL MANNING

(EQUIV MAN/DAY)

DELTA

(EQUIV MAN/DAY)

PLANNED

MANNING

(PROJECTED MAN/DAY)

CUMULATIVE

ACTUAL MANNING

MANNING PROFILE

CDRL A001 Attachment 010

WEEKLY MANNING

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

M A

N /D

A Y

WEEK

PLANNED MANNING

(PROJECTED MAN/DAY)

ACTUAL MANNING (EQUIV

MAN/DAY)

USS ___________ (DDG ___ PSA) Overall Status CDRL A001 Attachment 011

WEEK WEEK ENDING

ACTUAL

PROGRESS %

DELTA

(ACTUAL-PLANNED) %

PLANNED

PROGRESS %

TIME ELAPSED

PRODUCTION SCHEDULE

Work Items Mod Delivery Order#

Prime

DPL ST

Hours

Prime

DPL OT

Hours

Prime Labor OT Cost ($)

Sub DPL ST Hours

Sub DPL OT Hours

Prime

DPL ST

Hours

Prime

DPL OT

Hours

Prime Labor OT Cost ($)

Sub DPL ST Hours

Sub DPL OT Hours

123-11-001 123-11-001 001 123-11-002 123-11-001 123-11-003

Note 1: Re-work manhours are expended after accomplishment of the work item in order to correct a deficiency or quality problem identified during inspection or testing.

Manhours required to initially complete Work Items Re-work Manhours

CDRL A001 Attachment 012

USS _______________________(DDG ___ PSA)

Re-Work Manhours (by Work Item)

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

CONTRACTOR'S PROGRESS, STATUS AND

MANAGEMENT REPORT

EAC STATUS REPORT

DI-MGMT-80227 (BLK 16) CLIN 0001, ITEM 10 PMS 400D

(BLK 16) (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A002

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

1 1

SUBSTITUTE PARA 10.2 WITH "THIS REPORT SHALL BE DEVELOPED IN

AN ELECTRONIC FORMAT IAW ATTACHMENT 001." IN PARA 10.3,

CONTENTS SHALL BE IN ACCORDANCE WITH SOW.

(BLKS 10/12/13)

SUBMIT REPORT MONTHLY, BEGINNING 3 MONTHS PRIOR TO START OF PSA,

THEN WEEKLY DURING PSA UNTIL SCN OBLIGATION WORK LIMITING DATE.

(BLKS 14/15)

ELECTRONIC COPY SHALL BE IN MICROSOFT EXCEL AND ADOBE ACROBAT.

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL

(BLK 4)

0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

11-FEB-16 29-JUL-16 C. GRAHAM, PMS 400D76

NOTE 1: CONTRACTOR FIGURES IN THIS TABLE INCLUDE SUBCONTRACTOR FEES AND FOR CPAF

ORDERS, THE BASE FEE. THE GOVERNMENT OBLIGATED AMOUNT TOTALS DO NOT INCLUDE THE

AWARD FEE FOR CPAF ORDERS BUT DO INCLUDE ALL FIXED FEES IF CPFF OR FFP.

MANHOURS (PRIME &

SUBCONTRACTORS)

USS ___________ (DDG ___ PSA)

EAC

CDRL A002 Attachment 1

WEEK WEEK ENDING

CONTRACTOR

OBLIGATED

(NEGOTIATED)

EACGOVERNMENT

OBLIGATED

% SPENT OF GOV'T

OBLIGATED FUNDS

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

PROGRAM PROTECTION IMPLEMENTATION PLAN

(PPIP)

PLANT PROTECTION PLAN

DI-ADMN-81306 C-30 PMS 400D

ASREQ (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A003

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

1 1

THIS PLAN SHALL DEFINE THE ACTIONS AND PROCEDURES FOR

PROTECTION OF THE SHIP(S), MATERIAL AND EQUIPMENT.

(BLK 12)

NO LATER THAN 30 DAYS AFTER IDENTIFICATION OF CHANGE.

(BLK 13)

SUBSEQUENT SUBMITTALS TO BE 30 DAYS AFTER IDENTIFICATION OF

CHANGE.

(BLKS 14/15)

ELECTRONIC SUBMITTAL SHALL BE IN ADOBE ACROBAT ON CD-ROM.

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL 0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

FUNDS AND MAN-HOUR EXPENDITURE REPORT ACTUAL WORK ITEM MAN-HOUR/MATERIAL

EXPENDITURE REPORT

DI-FNCL-80331A (BLK 16) CLIN 0001, ITEM 10 PMS 400D

LT (BLK 16) (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A004

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

PARAS 3, 4.1 AND 4.14 APPLY. IN PARA 4.1, REPLACE "(SEE

FIGURE 1)" WITH "(SEE ATTACHMENTS 001 THROUGH 003)". IN PARA

4.14, REPLACE "FUNDS AND OUTSTANDING COMMITMENTS" WITH

"DOLLARS, OVERHEAD, AND FEE." AFTER "REPORTING PERIOD FOR",

DELETE THROUGH "COSTS" AND REPLACE WITH "ALL WORK ITEMS".

IN THE ACTUAL FUNDS AND MAN-HOUR EXPENDITURE REPORT,

CONTRACTOR IS REQUIRED TO PROVIDE LABOR, MAN-HOURS AND COSTS

FOR ALL SUBCONTRACTORS AND NOT TO INCORPORATE SUBCONTRACTOR

LABOR COSTS UNDER MATERIAL EXPENSES.

IF THE CONTRACTOR DESIRES TO USE A FORMAT FOR REPORTING OTHER

THAN THAT PROVIDED IN ATTACHEMENT 001, 002, AND 003 IT SHALL BE

SUBJECT TO APPROVAL BY THE ON-SITE COR AND CONTRACTING OFFICER,

AND SHALL BE SUBMITTED FOR APPROVAL NO LATER THAN 90 DAYS PRIOR

TO THE START OF THE PSA. A CHANGE IN REPORTING FORMAT DOES NOT

CORRELATE TO A CHANGE IN THE METRICS REQUIRED TO BE REPORTED.

COST ELEMENTS ARE TO BE ADDRESSED FOR EACH WORK ITEM TASKED BY

CLINS 0001, 0002, 0003, 0004, AND IF OPTIONS ARE EXERCISED 0005,

AND 0006

0 15. TOTAL

(BLK 4)

(BLK 5)

0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

SUBMISSION

(BLKS 10/12/13)

SUBMIT WEEKLY BEGINNING AT THE START OF PSA THROUGH THE END OF

PSA FOLLOWED BY A DELIVERABLE 30 DAYS AFTER PSA AND A FINAL

DELIVERABLE 90 DAYS AFTER PSA.

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

FUNDS AND MAN-HOUR EXPENDITURE REPORT ACTUAL WORK ITEM MAN-HOUR/MATERIAL

EXPENDITURE REPORT

DI-FNCL-80331A (BLK 16) CLIN 0001, ITEM 10 PMS 400D

LT (BLK 16) (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

J. DATE

A004

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY

X

2 2

(BLKS 14/15)

SUBMIT IN MICROSOFT EXCEL.

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL 0 3

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

CDRL A004 Attachment 001

USS ___________ (DDG ___ PSA)

Actual Work Item Man-Hour/material Expenditure Report For Each CLIN (by Work Item)

Labor Manhours

Labor Dollars (Fully Burdened)

EST MAT'L

at

Completion Variance

Uninvoiced Material

EAC Variance

Material Dollars (Fully Burdened)

EST MAT'L

to Complete

Sub Labor

ST

Sub Labor

OT

BAC ACWP

BAC ACWP EAC

CLIN 0001

Work Items

(WI)

Mod

Delivery Order #

Budgeted Material

Invoiced Material

Prime Labor

OT

BCWPBCWS

Sub Labor

ST

Sub Labor

OT

BCWS BCWP Variance

CLIN 0001

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Prime Labor

OT

CLIN 0001

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work Performed

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

Summary Dollars (Fully Burdened) Total At

Completion

(EAC)

Variance % Variance

CLIN 0001

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Total Budget Total

Actuals Uninvoiced

Total to Complete

(ETC)

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

EST MAT'L

at

Completion Variance

EAC Variance

Material Dollars (Fully Burdened)

CLIN 0002

Work Items

(WI)

Mod Delivery Order #

Budgeted Material

Invoiced Material

Uninvoiced Material

EST MAT'L

to Complete

Sub Labor

ST

Sub Labor

OT

BCWS BCWP BAC ACWP

BAC ACWP EAC Variance

Labor Dollars (Fully Burdened)

CLIN 0002

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Labor Manhours

CLIN 0002

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Sub Labor

ST

Sub Labor

OT

BCWS BCWP

Summary Dollars (Fully Burdened)

123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

Total At Completion

(EAC)

Variance % Variance

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

CLIN 0002

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Total Budget Total

Actuals Uninvoiced

Total to

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

EST MAT'L

at

Completion Variance

EAC Variance

Material Dollars (Fully Burdened)

CLIN 0003

Work Items

(WI)

Mod Delivery Order #

Budgeted Material

Invoiced Material

Uninvoiced Material

EST MAT'L

to Complete

Sub Labor

ST

Sub Labor

OT

BCWS BCWP BAC ACWP

BAC ACWP EAC Variance

Labor Dollars (Fully Burdened)

CLIN 0003

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Labor Manhours

CLIN 0003

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Sub Labor

ST

Sub Labor

123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

Total At Completion

(EAC)

Variance % Variance

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

CLIN 0003

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Total Budget Total

Actuals Uninvoiced

Total to

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

EST MAT'L

at

Completion Variance

EAC Variance

Material Dollars (Fully Burdened)

CLIN 0004

Work Items

(WI)

Mod Delivery Order #

Budgeted Material

Invoiced Material

Uninvoiced Material

EST MAT'L

to Complete

Sub Labor

ST

Sub Labor

OT

BCWS BCWP BAC ACWP

BAC ACWP EAC Variance

Labor Dollars (Fully Burdened)

CLIN 0004

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Labor Manhours

CLIN 0004

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Sub Labor

ST

Sub Labor

123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

Total At Completion

(EAC)

Variance % Variance

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

CLIN 0004

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Total Budget Total

Actuals Uninvoiced

Total to

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

EST MAT'L

at

Completion Variance

EAC Variance

Material Dollars (Fully Burdened)

CLIN 0005

Work Items

(WI)

Mod Delivery Order #

Budgeted Material

Invoiced Material

Uninvoiced Material

EST MAT'L

to Complete

Sub Labor

ST

Sub Labor

OT

BCWS BCWP BAC ACWP

BAC ACWP EAC Variance

Labor Dollars (Fully Burdened)

CLIN 0005

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Labor Manhours

CLIN 0005

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Sub Labor

ST

Sub Labor

123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

Total At Completion

(EAC)

Variance % Variance

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

CLIN 0005

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Total Budget Total

Actuals Uninvoiced

Total to

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

EST MAT'L

at

Completion Variance

EAC Variance

Material Dollars (Fully Burdened)

CLIN 0006

Work Items

(WI)

Mod Delivery Order #

Budgeted Material

Invoiced Material

Uninvoiced Material

EST MAT'L

to Complete

Sub Labor

ST

Sub Labor

OT

BCWS BCWP BAC ACWP

BAC ACWP EAC Variance

Labor Dollars (Fully Burdened)

CLIN 0006

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Labor Manhours

CLIN 0006

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

Prime Labor

OT

Sub Labor

ST

Sub Labor

123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

Total At Completion

(EAC)

Variance % Variance

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

CLIN 0006

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Total Budget Total

Actuals Uninvoiced

Total to

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

Mod Delivery Order #

Budgeted Material

Invoiced Material

Uninvoiced Material

EST MAT'L

to Complete

CLIN 0010

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Prime Labor

OT

EST MAT'L

at

Completion

Sub Labor

OT

BCWS

Material Dollars (Fully Burdened)

CLIN 0010

Work Items

(WI)

BAC

EAC

EAC Variance

Labor Manhours

Labor Dollars (Fully Burdened)

BCWP BAC ACWP Variance Sub Labor

ST

Sub Labor

ST

Sub Labor

OT

BCWS BCWP

Variance

ACWP

CLIN 0010

Work Items

(WI)

Mod Delivery Order #

Prime Labor

ST

123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Total At Completion

(EAC)

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

Variance % Variance

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

Total Budget Total

Actuals Uninvoiced

Total to Complete

(ETC)

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work

CLIN 0010

Work Items

(WI)

Mod

Delivery Order #

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

EAC Variance

Material Dollars (Fully Burdened)

CLIN 0011

Work Items

(WI)

Mod Delivery Order #

Budgeted Material

Invoiced Material

Uninvoiced Material

EST MAT'L

to Complete

Sub Labor

ST

Sub Labor

OT

BCWS BCWP

EST MAT'L

at

Completion Variance

BAC ACWP

BAC ACWP EAC Variance

Labor Dollars (Fully Burdened)

Prime Labor

OT

Sub Labor

ST

Sub Labor

OT

CLIN 0011

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Prime Labor

OT

Labor Manhours

CLIN 0011

Work Items

(WI)

Mod Delivery Order #

Prime Labor

123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

CLIN 0011

Work Items

(WI)

Mod

Delivery Order #

Prime Labor

ST

Total Budget Total

Actuals Uninvoiced

Total to Complete

(ETC)

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

Total At Completion

(EAC)

Variance % Variance

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work Performed

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

Prime Mat'l

Cost ($)

Sub Mat'l

Cost ($)

Fixed Fee ($)

Base Fee

Award Fee ($)

Total Cost ($)

Prime

DPL OT

Hours

Prime Labor OT Cost ($)

Sub DPL ST Hours

Sub Labor ST Cost ($) (fully burdened)

Sub DPL

OT

Hours

Sub Labor OT Cost ($)

Sub Mat'l

Cost ($)

Fixed Fee ($)

Base Fee

Award Fee ($)

Total Cost ($)

CLIN 0003

Work Items

Mod Delivery Order #

Prime

DPL ST

Hours

Prime Labor ST Cost ($) (fully burdened)

Prime Labor OT Cost ($)

Sub DPL ST Hours

Sub Labor ST Cost ($) (fully burdened)

Sub DPL

OT

Hours

Sub Labor OT Cost ($)

Prime Mat'l

Cost ($)

CLIN 0002

Work Items

Mod Delivery Order #

Prime

DPL ST

Hours

Prime Labor ST Cost ($) (fully burdened)

Prime

DPL OT

Hours

Prime Mat'l

Cost ($)

Sub Mat'l

Cost ($)

Fixed Fee ($)

CLIN 0001

Work Items

Prime

DPL ST

Hours

Prime Labor ST Cost ($) (fully burdened)

Prime

DPL OT

Hours

Prime Labor OT Cost ($)

Sub DPL ST Hours

Sub Labor ST Cost ($) (fully burdened)

Actual Work Item Man Hour/Material Expenditure Report For Each CLIN (by Work Item)

USS ___________ (DDG ___ PSA)

CDRL A004 Attachment 1

Mod Base Fee

Award Fee ($)

Total Cost ($)

Delivery Order #

Sub DPL

OT

Hours

Sub Labor OT Cost ($)

234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

123-11-001 123-11-001 001 234-11-002 345-11-001 222-12-003

TOTALS *

* Transfer totals to SUMMARY SHEET

Sub Labor OT Cost ($)

Prime Mat'l

Cost ($)

Prime Labor OT Cost ($)

Sub DPL ST Hours

Total Cost ($)

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

Sub Mat'l

Cost ($)

Fixed Fee ($)

Base Fee

Award Fee ($)

Sub Labor ST Cost ($) (fully burdened)

Sub DPL

OT

Hours

CLIN 0006

Work Items

Mod Delivery Order #

Prime

DPL ST

Hours

Prime Labor ST Cost ($) (fully burdened)

Prime

DPL OT

Hours

Prime Mat'l

Cost ($)

Sub Mat'l

Cost ($)

Fixed Fee ($)

Base Fee

Award Fee ($)

Total Cost ($)

Prime

DPL OT

Hours

Prime Labor OT Cost ($)

Sub DPL ST Hours

Sub Labor ST Cost ($) (fully burdened)

Sub DPL

OT

Hours

Sub Labor OT Cost ($)

Sub Mat'l

Cost ($)

Fixed Fee ($)

Base Fee

Award Fee ($)

Total Cost ($)

CLIN 0005

Work Items

Mod Delivery Order #

Prime

DPL ST

Hours

Prime Labor ST Cost ($) (fully burdened)

Prime Labor OT Cost ($)

Sub DPL ST Hours

Sub Labor ST Cost ($) (fully burdened)

Sub DPL

OT

Hours

Sub Labor OT Cost ($)

Prime Mat'l

Cost ($)

CLIN 0004

Work Items

Mod Delivery Order #

Prime

DPL ST

Hours

Prime Labor ST Cost ($) (fully burdened)

Prime

DPL OT

Hours

Prime Labor ST Prime Labor OT Sub Labor ST Sub Labor OT

TOTAL MANHOURS

BCWS

BCWP

BAC

ACWP

EAC

VARIANCE

Prime Labor ST Prime Labor OT Sub Labor ST Sub Labor OT TOTAL Labor Dollars

BCWS

BCWP

BAC

ACWP

EAC

VARIANCE

Budgeted Material Invoiced Material Uninvoiced Material Estimated Material to Complete Estimated Material at Completion

VARIANCE

Total Budget Total Actuals Uninvoiced Total to Complete (ETC) Total at Completion (EAC)

VARIANCE

% VARIANCE

Note: All Labor and material costs are fully burdened

Note: All Labor costs are fully burdened

CLIN 0010 CLIN 0011

CDRL A004 Attachment 002

Actual Work Item Man Hour/Material Expenditure Report (Summary)

CATEGORY CLIN 0003 CLIN 0004 CLIN 0005 CLIN 0006CLIN 0001

USS ___________ (DDG ___ PSA)

CLIN 0002

BCWS = Budgeted Cost of Work Scheduled BCWP = Budgeted Cost of Work Performed ACWP = Actual Cost of Work Performed

Variance (MAT'L) = Budgeted - EST at Completion % Variance = Variance/Total Budget

L A

B O

R M

A N

H O

U R

S L

A B

O R

D O

L L

A R

S

M A

T E

R

IA

L

D O

L L

A R

S S

U M

M A

R Y

D

O L

L A

R S

Prime = Prime Contractor Sub = Subcontractor ST = Straight Time OT = Overtime Mat'l = Material

BAC = Budgeted at Completion EAC = Estimate at Completion Variance (Labor) = BAC - EAC

BASIC

BASIC Deletes New Work Total Distributed Budget

Prime Labor (ST) Prime Labor (OT) Sub Labor (ST) Sub Labor (OT) Materials Total Actual Cost ETC for Budgeted Work EAC for Budgeted Work

Cost Funding (on Contract for Estimated Cost -no Fee) De-obligation Base Fee Award Fee Pool Total Funding

TOTAL

Authorized Work

Summary Cost Status

Funding

CDRL A004 Attachment 003

USS ___________ (DDG ___ PSA)

Financial Summary Report

CLIN 0010 CLIN 0011CATEGORY CLIN 0001 CLIN 0002 CLIN 0003 CLIN 0004 CLIN 0005 CLIN 0006

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

TECHNICAL REPORT STUDY/SERVICES TEST PLAN

DI-MISC-80508B (BLK 16) CLIN 0002, ITEM 3 PMS 400D

A

ASREQ (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A005

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

1 1

AS WORK SPECIFICATIONS ARE REVIEWED, INCORPORATE TESTS INTO

TEST PLAN AND ALSO INCLUDE THE FOLLOWING IN THE PLAN:

- TEST INDEX, TEST PROCEDURES AND TEST SCHEDULE THAT ADDRESS

ALL EQUIPMENT AND SYSTEMS IMPACTED BY WORK PERFORMED DURING

THE PSA. TEST DOCUMENTATION NOT FURNISHED BY THE GOVERNMENT

SHALL BE DEVELOPED BY THE CONTRACTOR.

(BLKS 12/13)

SUBMIT TEST PLAN AT START OF AVAILABILITY. SUBMIT REVISIONS

AS REQUIRED UNTIL COMPLETION OF TRIALS.

(BLKS 14/15)

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL

(BLK 4)

0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

CRAFT TRIAL REPORT POST REPAIR SEA TRIAL(S) REPORT

DI-MISC-81615 (BLK 16) CLIN 0002, ITEM 4 PMS 400D

ASREQ (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A006

A

Page _____ of _____ Pages

30 DARC

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

1 1

IN PARAS 1 AND 2, CHANGE "CRAFT TRIAL REPORT" TO "SHIP TRIAL

REPORT".

(BLK 12)

NLT 21 DAYS AFTER POST REPAIR SEA TRIAL(S).

(BLKS 14/15)

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL

(BLK 4)

0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

TE

18. ESTIMATED

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

CONTRACTOR'S PROGRESS, STATUS AND

MANAGEMENT REPORT

COMPARTMENT CLOSE-OUT SCHEDULE

DI-MGMT-80227 (BLK 16) CLIN 0001, ITEM 11 PMS 400D

A (BLK 16)

WKLY (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76 C. GRAHAM, PMS 400D76

J. DATE

A007

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY

X

IN DI-MGMT-80227, REPLACE 10.3.a - 10.3.p WITH: "BEFORE THE

START OR COMPLETION OF SEVERAL CRITICAL MILESTONE EVENTS,

PRODUCTION WORK IN COMPARTMENTS THAT IMPACT THOSE MILESTONES

MUST BE COMPLETED AND THE COMPARTMENTS FORMALLY CLOSED OUT AND

TURNED OVER TO THE GOVERNMENT. ALL COMPARTMENTS ASSOCIATED

WITH THE FOLLOWING MILESTONES ARE TO BE IDENTIFIED AND

COMPARTMENT CLOSE-OUT SCHEDULES ARE TO BE DEVELOPED AT THE

START OF THE PSA AND UPDATED THEREAFTER USING ATTACHMENT 001.

UNDOCKING

COMBAT SYSTEMS PRODUCTION COMPLETION DATE (PCD) / AEGIS LIGHT

OFF (ALO)

COMPLETE HABITABILITY SPACE TURNOVER

PRODUCTION COMPLETION DATE (PCD)

COMPLETE EXTERIOR NON-SKID (BY ZONE)"

APPROVE THE INITIAL SCHEDULE AND REVIEW UPDATES THEREAFTER.

BEGINNING OF WEEK 3 OF PSA.

LAST SUBMISSION TO OCCUR WHEN ALL COMPARTMENTS ARE TURNED

OVER.

(BLKS 14/15)

ELECTRONIC SUBMITTAL IN MICROSOFT EXCEL AND ADOBE ACROBAT.

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

0 15. TOTAL

(BLK 4)

(BLK 8)

(BLK 12)

(BLK 13)

0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

SUBMISSION

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

CONTRACTOR'S PROGRESS, STATUS AND

MANAGEMENT REPORT

COMPARTMENT CLOSE-OUT SCHEDULE

DI-MGMT-80227 (BLK 16) CLIN 0001, ITEM 11 PMS 400D

A (BLK 16)

WKLY (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A007

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

2 2

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL 0 3

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

COMPARTMENT PLANNED COMPARTMENT CLOSE-OUT DATE ACTUAL COMPARTMENT CLOSE-OUT DATE

Note 1: A compartment close-out schedule is to be provided for each Milestone as required in the CDRL

ACTUAL MILESTONE START/COMP DATE:

CDRL A007 Attachment A001 Compartment Close-out Schedule by Milestone Event

USS______________(DDG ___ PSA)

MILESTONE EVENT:

ORIGINAL MILESONE START/COMP DATE:

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 112 PSA

INTEGRATED MASTER SCHEDULE (IMS) INTEGRATED MASTER SCHEDULE (IMS)

REPORT

DI-MGMT-81650 (BLK 16) CLIN 0001, ITEM 12 PMS 400D

A (BLK 16)

(BLK 16) (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A008

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

IN DI-MGMT-81650, REPLACE PARAGRAPH (d) UNDER “USE/RELATIONSHIP” WITH "(d) THE IMS SHALL BE STATUSED

ACCORDING TO THE CONTRACTOR'S MANAGEMENT CONTROL SYSTEM AND

SHALL BE SUBMITTED NO LESS FREQUENTLY THAN WEEKLY DURING THE

PSA. THE IMS SHALL REFLECT EVM DATA CONSISTENT AND TRACEABLE

TO THE OTHER WEEKLY COST AND SCHDULE REPORTS SUBMITTED BY THE

CONTRACTOR."

IN PARAGRAPH "2. CONTENT" UNDER “REQUIREMENTS” REPLACE:

"THE SCHEDULE SHALL HAVE A NUMBERING SYSTEM THAT PROVIDES

TRACEABILIITY TO THE IMS (IF APPLICABLE) AND SOW"

WITH "THE SCHEDULE SHALL HAVE A NUMBERING SYSTEM THAT PROVIDES

TRACEABILITY TO THE SOW".

REPLACE PARAGRAPH "2.5 MONTHLY ANALYSIS" UNDER “REQUIREMENTS”

WITH “2.5 ANALYSIS. DURING THE PSA THE CONTRACTOR WILL

PROVIDE AN ANALYSIS IN CONJUNCTION WITH HIS WEEKLY IMS

SUBMITTAL THAT INCLUDES: CHANGES TO SCHEDULE ASSUMPTIONS,

VARIANCES TO THE BASELINE SCHEDULE, CAUSES FOR THE VARIANCES'

POTENTIAL IMPACTS' AND RECOMMENDED CORRECTIVE ACTIONS TO

RECOVER AND MINIMIZE SCHEDULE DELAYS. THE ANALYSIS SHALL ALSO

IDENTIFY POTENTIAL PROBLEMS AND AN ASSESSMENT OF THE CRITICAL

PATH AND NEAR-CRITICAL PATHS."

IN ADDITION TO DI-MGMT-81650, THE FOLLOWING APPLY:

1) ALL WORK ITEMS SHALL BE INCORPORATED IN THE IMS.

2) ALL ACTIVITIES IN THE IMS SHALL BE APPROPRIATELY LINKED TO

PROVIDE VISIBILITY TO THE KEY MILESTONES, CRITICAL PATHS AND

0 15. TOTAL

(BLK 4)

0 3

PMS 400D

NSA

(BLK 16)

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT

SUBMISSION

TOTAL PRICE

DD Form 1423-1, JUN 90 Previous editions are obsolete.

DDG 113 PSA

INTEGRATED MASTER SCHEDULE (IMS) INTEGRATED MASTER SCHEDULE (IMS)

REPORT

DI-MGMT-81650 (BLK 16) CLIN 0001, ITEM 11 PMS 400D

A (BLK 16)

(BLK 16) (BLK 16)

G. PREPARED BY

C. GRAHAM, PMS 400D76

A008

A

Page _____ of _____ Pages

(BLK 16)

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, D.C. 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.

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP _____ TM _____ OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION 14.

16. REMARKS

a. ADDRESSEE b.

Draft Final

Reg Repro

H. DATE I. APPROVED BY J. DATE

X

2 2

NEAR-CRITICAL PATHS.

3) ALL LABOR HOUR ESTIMATES TO COMPLETE AND PROJECTED SCHEDULE

DATES (BOTH CALCULATED AND ESTIMATED) SHALL BE INCLUDED.

4) STATUS SHALL BE UP TO DATE AND ACCURATE.

5) IMS DATA SHALL BE TRACEABLE TO THE EVMS SYSTEM AND LOWER

LEVEL SCHEDULES AND WORK AUTHORIZATIONS.

APPROVAL FOR FIRST SUBMISSION ONLY. ALL SUBSEQUENT SUBMITTALS

TO BE REVIEW AND COMMENT.

(BLKS 10/12/13)

FIRST SUBMISSION IS REQUIRED 30 DAYS PRIOR TO PSA. SUBSEQUENT

SUBMISSIONS ARE REQUIRED WEEKLY.

(BLKS 14/15)

DOWNLOAD AND PROVIDE THE IMS IN MICROSOFT PROJECT FORMAT.

PROVIDE ONE ELECTRONIC COPY TO THE DESIGNATED PMS 400D6 ON

SITE REPRESENTATIVE.

THE NAVAL SUPERVISING AUTHORITY (NSA) IS DETERMINED BY THE

SUPERVISOR OF SHIPBUILDING (SUPSHIP) THAT HAD OVERSIGHT OF

CONSTRUCTION OF THE SHIP. FOR SHIPS BUILT BY HUNTINGTON

INGALLS INDUSTRIES, SUPSHIP GULF COAST WILL BE THE NSA. FOR

SHIPS BUILT BY BATH IRON WORKS, SUPSHIP BATH WILL BE THE

NSA. THE ADMINSTRATING CONTRACTING OFFICER (ACO) WILL BE

DETERMINED AT CONTRACT AWARD, AND CAN BE EITHER SUPSHIP OR A

REGIONAL MAINTENANCE CENTER.

IN THE EVENT THAT THE OPTION IS EXCERCISED, ITEMS 0101-0106,

0201-0206, AND 0301-0306 APPLY.

0 15. TOTAL

(BLK 8)

0 3

Total Exhibit "A"Pages: 011

13. DATE OF SUBSEQUENT