Exhibit_A_USS_BOISE_CDRLS.ppt
PPT presentation 1 MB Posted
- Attached to
- USS Boise (SSN 764) Engineer Overhaul
- Solicitation number
- N00024-17-R-4314
About this file
USS Boise (SSN 764) EOH Exhibit A DD 1423 CDRLs
View the file
Other files
| File | Type | Posted |
|---|---|---|
| amendment_5.docx | DOCX document | |
| attachment_1_revised_solicitation.docx | DOCX document | |
| attachment_1_revised_solicitation.docx | DOCX document | |
| amendment_4.docx | DOCX document | |
| amendment_0003.docx | DOCX document | |
| QA_tracker_amend2rev1.pdf | ||
| Amendment_2.pdf | ||
| Final_QA_responses_Amend_2.pdf | ||
| Conformed_Solicitation.pdf | ||
| Enclosure_1_Revised_Solicitation.docx | DOCX document | |
| Released_Question_15_backup.pdf | ||
| Released_QA.pdf | ||
| Released_Question_49_backup.pdf | ||
| Amendment_01.pdf | ||
| USS_BOISE_SOLICITATION_N00024-17-R-4314.docx | DOCX document | |
| Enclosure_2_Cost_Evaluation_Template.xlsx | XLSX spreadsheet | |
| Question_and_Answer_Tracker.xlsx | XLSX spreadsheet | |
| Enclosure_1_DD_254_Security_classification.pdf | ||
| RedactedUSSBOISE.pdf |
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
TDP ________ TM ____________ OTHER _________________________________
1 0
USS BOISE (SSN 764)
N00024-17-R-4314
TBD
A001
DI-MGMT-81919
Section C – SOW
SUPSHIP
LT
OTIME
SEE BLK 16
N/A
A
CLIN 0002
SUPSHIP
1 0
Natalia Argote, PMS392H13 N/A Block 12: Provide 30 business days after the completion of the planning period.
N/A
MGMT
Technical Work Documents Task Group Instructions / Inspection Reports
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
DI-MGMT-80269*
LT
ONE/R *
60 DAC
SEE BLK 16
Block 4: GFM Schedule shall include description of item to include military designator, vendor drawing, and/or part number (if applicable), National Stock Number (NSN), quantity required, date required and source document.
All undocking and Level I SAED/SUBSAFE Items shall be so marked.
Block 5: CLIN 0001, CLIN 0004 and DDGOS 0902-018-2010, 5000-0.
Blocks 10/13: Revisions required for currency.
STATUS OF GOVERNMENT FURNISHED
EQUIPMENT (GFE) REPORT
Schedule of GFM (Exception Report) Material Ordering Schedule
0 1 0
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314
TBD
A002 A
CLIN 0002
PMS392H13
MGMT
Section C - SOW* N/A N/A N/A
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A003
PRODUCT DRAWINGS/ MODELS AND ASSOCIATED LISTS
DI-SESS-81000E
SUPSHIP
LT
(See Blk 16) (See Blk 16) (See Blk 16)
Block 5: Drawings/Tracings shall be provided in an electronic format suitable for reproduction DDGOS 0902-018-2010, 9020.1, NAVSEA SL720-AA-MAN-030 applies to SHIPALTs.
Block 8: Content and format. Allow 10 days for Navy review.
Blocks 10/12/13: In accordance with Block 5 reference requirements.
Block 14: Media requirement EXCEL and PDF with email notification
New And Revised Drawings, Final Tracings
A*
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
SESS
Section C – SOW* 0 1 0
N/A
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A004 Purchase Order (PO)
SUPSHIP
LT
ASREQ*
(See Blk 16) (See Blk 16)
Block 5: CLIN 0001 and DDGOS 0902-018-2010, 5000-0.
Blocks 10/12/13: NLT 10 days after initiation of purchase order.
Material Status Report
DI-MISC-81616
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
MISC
Section C – SOW*
N/A
N/A
N/A 0 1 0 0 1 0 4 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A005
LT
15 DARP
Block 4: Data may be a CD ROM, or as a hard copy. Contractor’s format acceptable. Data shall include both Shipbuilder’s and Vendor’s drawings.
Block 5: CLIN 0001 and DDGOS 0902-018-2010, 5000-0
Ship Construction Report – Drawing/Schedule Status
MTHLY
90 DAC
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW* 0 1 0
DI-MGMT-80368A*
MGMT
N/A N/A
5 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A006
MASS PROPERTIES DATA REPORT
(SUBMARINES)
DI-MISC-81507
LT
See Blk 16
Block 5: DDGOS 0902-018-2010, 9290-1.
Blocks 10/12/13: In accordance with SWLIN 903I01 0SN.0140.0000.
ASREQ
See Blk 16
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
MISC
Section C – SOW* See Blk 16 0 1 0 N/A
6 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A007
LT
Block 5: CLIN 0001 and DDGOS 0902-018-2010, 5000-0.
Block 8: Content and format. Allow 15 days for Navy review.
Block 10: Revisions required to satisfy Navy Comments.
Blocks 10/12: As determined by contractor or directed by Navy.
SUPSHIP 0 1 0
0 2 0
ASREQ*
PMS 392CA3 0 1 0
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
DI-MISC-80750
MISC
TECHNICAL DATA PACKAGE REVIEW REPORT
Deficiency Forms/Reports & ELAR Deliverables A* N/A N/A
20 DARC
7 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A008
DI-SESS-81732
SUPSHIP
LT
Block 5: CLIN 0001 and DDGOS 0902-018-2010, 9020-1.
Block 8: Content and format. Allow 15 days for Navy review.
Block 10: Revisions required to satisfy Navy Comments.
Blocks 10/12: As determined by contractor or directed by Navy.
20 DARC
PMS392CA3
PMS392CB
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW* E-Forms/ EDFS Deliverables
SESS
0 1 0 0 1 0 0 1 0 N/A N/A 0 3 0 8 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A009
SHIP TRIAL AGENDA
DI-MGMT-81643*
Block 4: Data shall satisfy Block 5 reference requirements. OPNAVINST 4700.8K and CINCLANTFLT/CINCPACFLTINST 4790.3 Joint Fleet Maintenance Manual
| Block 5: | CLIN 0004, DDGOS 0902-018-2010, 9080-1, and | |
| SWLIN 083A01. |
Block 8: Submit for government review 60 days prior to Fast Cruise. Content and format. Allow 30 days for Navy review.
Block 10: Revisions required to satisfy Navy review, comments and as directed by Navy.
Block 12: Final approved NLT 30 days prior to Fast Cruise.
ONE/R*
PMS 392CA3
SHIP
TYCOM
A*
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
MGMT
N/A N/A N/A 0 1 0 0 1 0 0 1 0 0 1 0 0 4 0 9 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A010
Blocks 10/12/13: As required by DDGOS DDGOS 0902-018-2010, 9020-1 and SWLIN 013K03.
Block 14: SUPSHIP will provide distribution.
This item includes changes and updates to all publications affected by availability validated by shipcheck. As a minimum, “Printer Proof” copies of SRD shall be onboard prior to Fast Cruise.
PMS392CA3
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW
QCIC
SUBMARINE SAFETY/ MATERIAL
CERTIFICATION BOUNDARY BOOK
Selected Record Drawings and Data
DI-QCIC-80814
N/A N/A N/A 0 1 0 0 1 0 0 2 0 10 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A011
SUBMARINE SAFETY/ MATERIAL
CERTIFICATION COMPOSITE LISTS
PMS 392
Block 5: DDGOS 0902-018-2010, 9020-0, 5000-0 and NAVSEA 0924-062-0010.
Blocks 10/12: Deferred delivery, retain on file.
Blocks 14/15: Quantity and distribution will be provided by SUPSHIP.
DFDEL*
PMS392CA3
DI-QCIC-80815
DFDEL*
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
QCIC
0 1 0 0 2 0 N/A N/A N/A N/A
SUPSHIP
0 1 0 11 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A012 Test/Inspection Report
Block:4: Applicable URO MRC(s) specified in the Availability Work Package. Submarine Maintenance standard 7650-081-091 for those items not specifically inspected under a URO MRC, (e.g., tanks opened for preservation only vice URO MRC inspection(s).)
| Block 5: | DDGOS 0902-018-2010, 9110-0 and NAVSEA |
| 0924-062-0010 |
Blocks 10/12/13/14: In accordance with the applicable inspection document, i.e., URO MRC and/or Submarine Maintenance standard 7650-081-091
DI-NDTI-80809B*
Report, Hull Surveys and Surveillance Inspection See Blk 16
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
NDTI
N/A N/A
12 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A013
INTEGRATED PRODUCTION SCHEDULE (IPS) REPORT
Block 5: CLIN 0001 and DDGOS 0902-018-2010, 9190-1.
Block 8: Content. Allow 7 days for Navy review.
Block 10/12: NLT 60 days before availability commences.
Paint Schedule
10 DARC
SHIP
NAVSEA 05UT
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
DI-MGMT-82075*
MGMT
N/A N/A 0 1 0 0 1 0 0 1 0 0 3 0 13 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A014
TEST/INSPECTION REPORT
Block 5: DDGOS 0902-018-2010, 9020-3 and SWLIN 073A01.
Blocks 10/12/13: Data to be delivered in accordance with Block 5.
DI-NDTI-80809B
See Blk 16
PMS 392CA3
SHIP
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
NDTI
Noise Measurement (Submarines) N/A N/A N/A
SUPSHIP
0 1 0 0 1 0 0 1 0 0 3 0 14 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A015
INSPECTION AND TEST PLAN
Block 4: Data shall satisfy Block 5 reference requirements and Availability Work Package requirements.
Block 5: CLIN 0001, DDGOS 0902-018-0210, 9020-0 and SWLINs 022A01, 025A01 and 028B01.
| Block 12: | Development and submission of test plan schedule (i.e. |
| POTS/PATS) A – 12 Months | |
| Development and submission of the test plan schedule (i.e. Open and Inspect Plan) A-30 Days |
Block 14: SEA05U7T will provide additional distribution as needed.
OTIME
DI-QCIC-81110*
PMS 392CA3
NAVSEA 05UT
Pre-overhaul Material Condition Report
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
QCIC
0 1 0 0 1 0 0 2 0 N/A N/A N/A
15 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A016
INSPECTION AND TEST PLAN
Block 4: To be submitted in digital microsoft project (mpp). Prior approval required to ensure proper sequencing with other scheduled availability events.
Block 5: Including DDGOS 0902-018-2010, 9290-8.
Block 8: Content. Allow 14 days for Navy review.
Block 12: 30 days prior to start of availability.
Block 13: Revise as required to suit availability events scheduled.
ONE/R
DI-QCIC-81110*
SHIP
Compartment Test
A* See Blk 16
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
QCIC
N/A N/A 0 1 0 0 1 0 0 2 0 16 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A017
TEST/ INSPECTION REPORT
Block 4: Completion of all open, inspect, and reporting requirements to identify to fully encompass all open and inspect activities reflected in the AWP and scheduled completion date, will be submitted to the Supervisor for approval and establishment of incentive baseline at least 30 Days prior to the start of the availability. Reports generated during the availability as a result of inspections, test, work requirements, etc., should clearly define the purpose of the inspection or test and include a clear description of condition, comparison of acceptable data vs. actual data, and recommend corrective action required/taken. Data shall be the result of inspections directed on equipment prior to repair, test alteration, etc.
Block 5: CLIN 0004, 0005, & 0006
Blocks 10/12/13: Report required no later than five days after completion of each inspection directed. The contractor shall provide weekly status reports of progress completing Open and Inspect actions to the Open and Inspect Plan.
(See Blk 16)
DI-NDTI-80809B*
SUPSHIP
SHIP
Equipment Inspection Report Prior to Repair/Alteration (See Blk 16)
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
NDTI
0 1 0 0 1 0 N/A N/A N/A 0 2 0 17 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A018
| Block 5: | Including DDGOS 0902-018-2010, 9110-0, 9020-9 |
| and SWLINS 071A01, 076A01, 073A01, and | |
| 087L01. |
Blocks 10/12/13: Reports shall be submitted at the time specified in SWLIN and DDGOS sections listed for Block 5 above.
TYCOM
Reports, Hull Structure Tests See Blk 16
SHIP
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
NDTI
TEST/ INSPECTION REPORT
DI-NDTI-80809B
N/A N/A N/A 0 1 0 0 1 0 0 1 0 0 4 0 0 1 0
SEA 08
18 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A019
LT
See Blk 16
Block 5: Including DDGOS 0902-018-2010, 9020-9.
Blocks 12, 13: 30 days after completion of all tests.
Block 14: Data shall consist of one (1) CD per addressee and at the end of the availability provide a complete set of test memorandum.
OTIME
Engineering Documents / Final Set of Test Reports 0 0 4
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
NDTI
DI-NDTI-80809B
N/A N/A N/A
SHIP FORCE
ISIC
SUBMEPP
19 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A020
VESSEL DOCKING AND UNDOCKING PLAN
PMS 392
LT
(See Blk 16)
Block 4: NSTM Chapter 997 and NAVSEA Forms 9997-1, 9997-2, 9997-3, and/or 9997-4 as applicable
Block 5: CLIN 0004 and DDGOS 0902-018-2010, 5000-0
Blocks 10/12/13: As directed by work package.
Docking Reports
5 0
SUPSHIP
SHIP
TYCOM
Planning Yard
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
MGMT
DI-MGMT-82094*
N/A N/A N/A
20 45
NAVSEA 05U7T
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A021
TEST/ INSPECTION REPORT
DI-NDTI-80809B
SUPSHIP
LT
See Blk 16
Block 5: Including DDGOS 0902-018-2010, 9670-1.
Blocks 10/12/13: Submit in accordance with the applicable test schedules.
Reports, Test, Pre-Installation of Coaxial Cables
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
NDTI
N/A N/A N/A 0 1 0 0 1 0 21 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A022
CERTIFICATE OF COMPLIANCE
SUPSHIP
LT
See Blk 16
Block 5: DDGOS 0902-018-2010, 9210-1, NAVSEA S9086-S4-STM-010, Chapter 556, Section 8 and SWLINs 534A01, 518A01, 552A01, 553A01.
Blocks 10/12/13: Reporting shall be in accordance with DDGOS Section 9210-1.
Report Of Cleanliness of Hydraulic Fluid;
Poser and Control Systems
2 0
ASREQ*
DI-MISC-81356A
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
MISC
N/A N/A N/A
22 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A023
TEST PROCEDURE
DI-NDTI-80603A*
SUPSHIP
LT
| Block 4: | Data shall consist of procedures required for all |
| shipboard tests. These procedures shall specify, as | |
| appropriate, prerequisites, ship conditions, system | |
| status, precautions, and steps to be followed during | |
| conduct of the test & technically will provide evidence, | |
| including appropriations data, of the acceptability of | |
| the system and components with specification | |
| requirements. System status is defined as the specific | |
| lineup of system valves, circuit breakers, fuses, freeze | |
| seals, blank flanges, etc., in sufficient detail to assure | |
| that scheduled testing can be safely accomplished. | |
| Also, preliminary memoranda, if required. |
| Block 5: | Including DDGOS 0902-018-2010, 9020-9, and |
| SWLINs 071A01, 076A01, 073A01, 087L01 |
| Block 8: | Adequacy of test procedures to demonstrate compliance |
| with all requirements and for protection of the ship. | |
| Allow 30 days for Navy review. |
Blocks 12/13: Initial submit request. Final no later than 30 days prior to availability.
See Blk16
2 0
Integrated Test Package
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
NDTI
N/A N/A
SEA 08
23 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
14. DISTRIBUTION
b. COPIES Draft Final Reg Report
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
16. REMARKS
G. PREPARED BY
I. APPROVED BY
H. DATE
J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183
15. TOTAL
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.
A024
CERTIFICATE OF COMPLIANCE
SUPSHIP
LT
Block 5: Including DDGOS 0902-018-2010, 9020-0.
Blocks 10/12/13: Provide information required by DDGOS as
| required on a case by case basis, prior to use |
| of products. Submit Inspection and Material |
| Identification as requirements become known. |
Commercial Brand Name Product Equivalency Certificate
DI-MISC-81356A
PMS392H
USS BOISE (SSN 764)
N00024-17-R-4314 Competitive A
CLIN 0002
PMS392H13
Section C – SOW*
MISC
N/A N/A N/A 24 45
Form Approved OMB No. 0704-0188
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY
F. CONTRACTOR
E. CONTRACT/PR NO.
D. SYSTEM/ITEM
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 260 REQ
8. APP CODE
10. FREQUENCY
9. DIST STATEMENT
REQUIRED
12. DATE OF FIRST SUBMISSION
11. AS…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .