Attachment 2 - CDRLs CEnIIC.pdf
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- N00039-16-R-0024
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP _ _ TM _ _ OTHER __X__
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Contractor’s Progress, Status, and Management Report
3. SUBTITLE
Monthly Status Report (MSR)
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80227
5. CONTRACT REFERENCE
PWS 4.1.4
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
MTHLY
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLOCK 4: The CPSMR shall be submitted electronically in Contractor format. The report shall address at a minimum:
a. Performance Status – Identify significant accomplishments and progress made during the affected reporting period by SOW/PWS paragraph. Also identify significant challenges or risks encountered that impact the successful delivery of required services. Identify any new or previous problem areas as well as their current status. Include any current action items and status.
b. Schedule Status – Identify schedule for and status of all deliverables. If the efforts are not on schedule, indicate the reason for the delay and provide a revised completion/delivery date.
c. Financial Summary –Identify at a summary level and by CLIN the total amount planned, total amount received to date, and Estimate At Completion (EAC).
Dollar amounts expended, including outstanding commitments for each CLIN, monthly and cumulative. Identify CLINs for which costs have exceeded 75% of the amount authorized by the contract. This description does not waive the requirement for formal Limitation of Funds/Cost notifications, when warranted.
Include Summary of travel by trip and cost (monthly and cumulative), summary of material purchased by vendor and cost (monthly and cumulative), and summary of current commitments outstanding by vendor and cost for the reporting period.
d. Personnel Status/Staffing Plan – Identify number of labor hours for each employee charging to the contract/task order by SOW/PWS paragraph, CLIN, labor categoies used, name of employees charged to each labor category, the number of hours and direct unburdened labor cost for each employee, and a listing of employee names with CLIN and number of hourse charged to each Task Order.
e. Environmental Health and Safety – Identify and report any accidents, injuries, incidents, and/or safety violations in the workplace involving personnel. This requirement applies to the Prime and any subcontractors supporting this effort.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
BLOCK 12 & 13: The Contractor shall deliver the initial monthly report no later than the 15 th of the month following the first full month after TO award. Subsequent submissions due no later than the 15 th of each month thereafter.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email.
COR: TBD; E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 27 Pages
18. ESTIMATED
TOTAL PRICE
17. PRICE
GROUP
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP _ _ TM _ _ OTHER __X__
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Funds and Man-Hours Expenditure Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-FNCL-80331A
5. CONTRACT REFERENCE
PWS 4.1, 4.1.4
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in native, editable MS Excel format, with formulas intact. See sample template provided (CDRL A002 Government Format).
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
BLOCK 12 & 13: The Contractor shall deliver the initial monthly report no later than the 15 th of the month following the first full month after TO award. Subsequent submissions due no later than the 15 th of each month thereafter.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 27 Pages
18. ESTIMATED
TOTAL PRICE
Reporting Period:
Contractor Name/Address:
Contract Number:N00039‐XX‐D‐00XX Task Order Number: XXXX Task Order Name:
System Name: (e.g., RCS/SSES/DS) mm/dd/yyy ‐ mm/dd/yyyy Contractor Name Contractor Address
A B C D E F G H I J K L M N O P Q R S Latest
CLIN TOTAL TOTAL Estimate Estimate At PERCENT Non‐Labor BASE Non‐Labor BASE to Completion SPENT
Labor Base $ DOLLARS Labor Base $ DOLLARS Complete Dollars 0.00% Number Title NUMBER Hours Base $ ODC $ Material $ Travel $ E+F+G D+H Hours Base $ ODC $ Material $ Travel $ L+M+N K+O Dollars P+Q P/R
$0.00 $0.00
6.A SYSTEMS ENGINEERING 0001 $0.00
6.A.1 SYSTEMS ENGINEERING MANAGEMENT PLAN (SEMP) $0.00 $0.00 $0.00 $0.00
Program Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Project Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Senior Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer III $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer II $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Junior Engineer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Systems Analyst $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Configuration Mgr $0.00 $0.00 $0.00 $0.00 #DIV/0!
Quality Assurance Specialist $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Analyst $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Senior Logistician $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Technician $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Management Analyst $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Quality Control Inspector $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician III $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician II $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician III $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician II $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Drafter/CAD Operator IV $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Drafter/CAD Operator III $0.00 Technical Writer II $0.00 $0.00 $0.00 $0.00 #DIV/0!
6.A.2 VERIFICATION METHODS FOR REQUIREMENTS $0.00 $0.00 $0.00 $0.00
Program Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Project Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Senior Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer III $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer II $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Junior Engineer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Systems Analyst $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Configuration Mgr $0.00 $0.00 $0.00 $0.00 #DIV/0!
Quality Assurance Specialist $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
WBS Labor Non‐Labor
CUMULATIVE
Labor Non‐Labor
CURRENT PERIOD
HOURS AND DOLLARS EXPENDITURE
SUMMARY
Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer III $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer II $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer I $0.00 $0.00 $0.00 $0.00 #DIV/0!
Junior Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Systems Analyst $0.00 $0.00 $0.00 $0.00 #DIV/0!
Configuration Mgr $0.00 $0.00 $0.00 $0.00 #DIV/0!
Quality Assurance Specialist $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Analyst $0.00 $0.00 $0.00 $0.00 #DIV/0!
Senior Logistician $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Technician $0.00 $0.00 $0.00 $0.00 #DIV/0!
Management Analyst $0.00 $0.00 $0.00 $0.00 #DIV/0!
Quality Control Inspector $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician III $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician II $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician I $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician III $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician II $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician I $0.00 $0.00 $0.00 $0.00 #DIV/0!
Drafter/CAD Operator IV $0.00 $0.00 $0.00 $0.00 #DIV/0!
Drafter/CAD Operator III Technical Writer II $0.00 $0.00 $0.00 $0.00 #DIV/0!
6.I.4 MATERIALS STATUS ACCOUNTING SUPPORT $0.00 $0.00 $0.00 $0.00
Program Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Project Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Senior Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer III $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer II $0.00 $0.00 $0.00 $0.00 #DIV/0!
Field Engineer I $0.00 $0.00 $0.00 $0.00 #DIV/0!
Junior Engineer $0.00 $0.00 $0.00 $0.00 #DIV/0!
Systems Analyst $0.00 $0.00 $0.00 $0.00 #DIV/0!
Configuration Mgr $0.00 $0.00 $0.00 $0.00 #DIV/0!
Quality Assurance Specialist $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Manager $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Analyst $0.00 $0.00 $0.00 $0.00 #DIV/0!
Senior Logistician $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Logistics Technician $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Management Analyst $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Quality Control Inspector $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician III $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician II $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Electronics Technician I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician III $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician II $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Engineering Technician I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Drafter/CAD Operator IV $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Drafter/CAD Operator III $0.00 Technical Writer II $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 #DIV/0!
Sub‐total for MATERIAL MANAGEMENT $0.00 $0.00 $0.00 $0.00 10 Other Cost $0.00 $0.00
$0.00 $0.00Totals
Overhead2
G&A2
COM2
TOTAL COST $0.00 $0.00
Fee $0.00 $0.00
TOTAL EXPENDITURES $0.00 $0.00
Open Commitments
TOTAL EXPENDITURES & COMMITMENTS
Notes:
1 ‐ Labor Categories and Resource Classes provided for several WBS elements as an example of what may be filled in, these are not all inclusive nor prescriptive.
2 ‐ Non‐additive entries if at the WBS level; Additive entries if applied at the contract level. Methodology based on contractor financial system. Contractor to note "add" or "non‐add" in column for each rate type.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP _ _ TM _ _ OTHER __X__
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Contract Funds Status Report (CFSR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81468
5. CONTRACT REFERENCE
PWS 4.1.4
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted in the format provided in the DID.
BLOCK 4 - Time-phased reporting in the Form shall be included at price vs. at cost, and shall reference the Government Fiscal Year.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP X TM _ _ OTHER ____
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Platform Configuration Baseline
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
BEST PRACTICES
5. CONTRACT REFERENCE
PWS 3.1.3, 3.1.4, 3.2, 3.3.1
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP X TM _ _ OTHER ____
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
TIF and Shipboard Drawings
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
BEST PRACTICES
5. CONTRACT REFERENCE
PWS 3.1.5, 3.2.6, 3.2.6.1, 3.2.6.2, 3.2.6.3
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Submit electronically in native format as specified in each task order. Deliverables shall be submitted electronically in native, editable formats, to include source data comprising (but not limited to) embedded, reference, and hierarchical files, with file pathways linked.
Drawings may include but are not limited to:
A) TIF Arrangement Drawings B) Installation Control Drawings C) 3-D Drawings
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP X TM _ _ OTHER ____
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Engineering Change Proposals
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SSES-80639D
5. CONTRACT REFERENCE
PWS 3.2.8
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP X TM _ _ OTHER ____
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Notice of Revision
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SSES-80642D
5. CONTRACT REFERENCE
PWS 3.2.8
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP X TM _ _ OTHER ____
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Specification Change Notice
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SSES-80643D
5. CONTRACT REFERENCE
PWS 3.2.8
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
A
C. CATEGORY:
TDP _ _ TM _ _ OTHER __X__
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Bill of Materials
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
BEST PRACTICES
5. CONTRACT REFERENCE
PWS 3.2.7
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in native, editable MS Excel format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP _ _ TM _ _ OTHER __X__
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Human Engineering System Analysis Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-HFAC-80745C
5. CONTRACT REFERENCE
PWS 3.2.12.2, 3.2.12.3, 3.4.7
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP X TM _ _ OTHER ____
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A011
2. TITLE OF DATA ITEM
Test Plans / Procedures
3. SUBTITLE
Platform Test Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81704
5. CONTRACT REFERENCE
PWS 3.4.1, 3.4.2, 3.4.3, 3.4.7
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP _ _ TM _ _ OTHER __X__
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A012
2. TITLE OF DATA ITEM
Execution Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
BEST PRACTICES
5. CONTRACT REFERENCE
PWS 3.5.1.e, 4.1.1
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP _ _ TM _ _ OTHER __X__
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A013
2. TITLE OF DATA ITEM
Integrated Logistics Documentation
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
BEST PRACTICES
5. CONTRACT REFERENCE
PWS 3.2.5.10, 4.3, 4.3.2, 4.5.1
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in contractor format unless specified in the Task Order.
The contractor shall submit one or both of the following:
A) Integrated Logistics Documentation B) Platform system/equipment baseline checklists
C) TDBD
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0001, 0002
B. EXHIBIT
A
C. CATEGORY:
TDP X TM _ _ OTHER ____
D. SYSTEM/ITEM
CEnIIC
E. CONTRACT/PR NO.
N00039-16-R-0024
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A014
2. TITLE OF DATA ITEM
Product Drawings/Models and Associated Lists
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81000E
5. CONTRACT REFERENCE
PWS 3.2.5.3, 3.2.5.4, 3.2.5.5, 3.2.5.6,
3.2.5.7, 3.2.5.8, 3.2.5.9, 3.2.5.11, 3.2.6.4, 3.2.6.5, 3.2.6.6, 3.3.7
6. REQUIRING OFFICE
PEO C4I, PMW 760
7. DD 250 REQ
LT
9. DIST
STATEMENT
D
10. FREQUENCY
ASREQ
12. DATE OF 1ST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION SEE BLK 16 Draft
Final
Reg Repro
16. REMARKS
Deliverables shall be submitted electronically in native, editable formats, to include source data comprising (but not limited to) embedded, reference, and hierarchical files, with file pathways linked.
The contractor shall submit one or more of the following:
A) Installation Control/Installation Requirements Drawings B) 3-D Drawings C) Outline and Installation Drawings D) Cable Run Sheets E) Cable Block Diagrams F) Fabrication Drawings G) Drawing Comment Sheets H) Technical Data Package
BLOCK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;
Administrative or Operational Use; 15 September 2016. Other requests shall be referred to
PEO C4I, PMW 760.
BLOCK 12 & 13: The Contractor shall deliver the initial report and any subsequent submissions as specified in each task order.
Delivery shall be via the Intelink tool unless the system has failed, in which case the contractor shall submit CDRLs to the COR via email. Submit hard copies upon request only.
WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
COR: TBD
E-mail: TBD
COR 1
15. TOTAL --------- 0 1 0
G. PREPARED BY
Tony Lieras, PMW 760 Director of Operations
H. DATE
15 September 2016
I. APPROVED BY
Tony Lieras, PMW 760 Director of Operations
J. DATE
5 October 2016
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 27 Pages
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including…
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