N0010419RF005_Exhibit_A_-_CDRLs.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT REPORT sub: N/A auth: DI-MGMT -80227 ref: SEE TDP req_ofc: NAVSUP WSS dd250: LT appcode: A dist: B freq: MTHLY asof: N/A firstsub: 30DAC subsub: N/A addressee1: ELECTRONIC COPY draft1:

reg1:

repro1:

addressee2: DCMA ACO draft2: 0 reg2: 1 repro2: 0 addressee3: DCMA CA draft3: 0 reg3: 1 repro3: 0 addressee4: DCMA QAR draft4: 0 reg4: 1 repro4: 0 addressee5: NAVSUP WSS draft5: 0 reg5: 1 repro5: 0 addressee6: NSWCPD 426 draft6: 0 reg6: 1 repro6: 0 addressee7: NSWCPD 427 draft7: 0 reg7: 1 repro7: 0 addressee8: NSWCPD 423 draft8: 0 reg8: 1 repro8: 0 addressee9:

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total_draft: 0 total_reg: 7 total_repro: 0 remarks: BLOCK 4: IN LIEU OF THE PREPARATION REQUIREMENTS SPECIFIED IN

DI-MGMT-80227, UTILIZE THE FOLLOWING FORMAT. THE REPORT SHALL BE

PROVIDED ELECTRONICALLY IN MICROSOFT EXCEL, 2003 VERSION OR NEWER. THE REPORT FORMAT AND INSTRUCTIONS ARE AVAILABLE ELECTRONICALLY FROM NAVSUP WSS OR AT http://www.dcma.mil/npp/. THE STATUS REPORT SHALL BE SUBMITTED ELECTRONICALLY VIA ELECTRONIC MAIL ON A MONTHLY BASIS. THE REPORT SHALL CONTAIN STATUS BASED ON THE FIRST WORKING DAY OF THE MONTH REPORTED. ITEMS SHIPPED SHALL REMAIN BOTTOM SECTION OF THE REPORT.

BLOCK 10: STATUS REPORT SHALL BE SUBMITTED MONTHLY BY THE FIFTH

WORKING DAY OF EACH MONTH BY ELECTRONIC MAIL.

BLOCK 12: THE FIRST SUBMISSION SHALL BE WITHIN 30 DAYS OF

CONTRACT AWARD.

BLOCK 13: SUBSEQUENT SUBMISSIONS SHALL BE SUBMITTED MONTHLY BY

THE FIFTH WORKING DAY OF EACH MONTH.

BLOCK 14: DISTRIBUTION SHALL BE MADE BY ELECTRONIC MAIL.

ADDRESSES FOR REPORT DISTRIBUTION SHALL BE OBTAINED FROM

NAVSUP WSS.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

remarksb:

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2018-04-11T09:58:09-0400

KOSTIC.JAMES.GREGORY.1384228700

prep_date: 11 April 18 app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: INSPECTION SYSTEM PROGRAM AND TEST PLAN sub: N/A auth: DI-QCIC-81110 ref: SEE TDP req_ofc: NSWCPD (N64498) dd250: SS appcode: A dist: B freq: ONE/R asof: N/A firstsub: 60 DAC subsub: N/A addressee1: DCMA QAR draft1: 1 reg1: 1 repro1: 0 addressee2: NSWCPD 426 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWCPD 427 draft3: 0 reg3: 1 repro3: 0 addressee4:

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total_draft: 1 total_reg: 3 total_repro: 0 remarks: BLOCK 4: PLAN SHALL INCLUDE THE CONTRACTORS QUALITY

SYSTEM PROCEDURES THAT MEET THE REQUIREMENTS OF ASQ/ISO-

9002.

ADDITIONALLY THE CONTRACTOR SHALL SUBMIT INSPECTION AND

TEST PROCEDURES FOR THE INSPECTION AND TESTING OF

PROPELLER GAGES, PATTERNS, BALANCING ARBORS, INSPECTION

HUBS, OTHER PROPELLER-RELATED ITEMS, PROPELLER, PROPELLER

BLADES, PROPELLER CAP, PROPELLER DEVICE, AND PROPELLER

ACCESSORIES IN ACCORDANCE WITH CONTRACT REQUIREMENTS.

BLOCK 8: APPROVAL WILL BE BASED ON COMPLIANCE WITH

CONTRACT SPECIFICATIONS. GOVERNMENT REQUIRES 45 DAYS

REVIEW TIME.

BLOCK 12: DRAFT COPY SHALL BE SUBMITTED FOR GOVERNMENT

REVIEW NO LATER THAN 60 DAYS AFTER BOA AWARD. FINAL

APPROVAL COPY INCORPORATING ANY GOVERNMENT REVIEW

COMMENTS SHALL BE SUBMITTED 30 DAYS AFTER RECEIPT OF

GOVERNMENT REVIEW COMMENTS.

BLOCK 13: SUBSEQUENT SUBMISSION TO BE SUBMITTED WITHIN 30

DAYS UPON DEVELOPMENT OR REVISION OF THE QUALITY SYSTEM

MANUAL OR INSPECTION AND TEST PROCEDURES OR AFTER

NOTIFICATION BY THE GOVERNMENT THAT A NEED FOR A REVISION

IS REQUIRED.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING

DODAACS:

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: S4306A

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

remarksb:

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2018-04-11T10:10:47-0400

KOSTIC.JAMES.GREGORY.1384228700

prep_date: 11 April 18 app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: WELD PROCEDURES, QUALIFICATION TEST REPORT, AND WELDING PERFORMANCE QUALIFICATION sub: N/A auth: DI-MISC-80876 ref: SEE TDP req_ofc: NSWCPD (N64498) dd250: SD appcode: A dist: B freq: ONE/R asof: N/A firstsub: 60DAC subsub: ASREQ addressee1: DCMA QAR draft1: 1 reg1: 1 repro1: 0 addressee2: NSWCPD 426 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWCPD 427 draft3: 0 reg3: 1 repro3: 0 addressee4:

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total_draft: 1 total_reg: 3 total_repro: 0 remarks: PERFORMANCE QUALIFICATION DATA PRIOR TO PERFORMANCE OF

WELDING. THE CONTRACTOR SHALL SUBMIT WELDING PROCEDURES

THAT APPLY ONLY TO THE REPAIR OF PROPELLERS, PROPELLER

BLADES, GAGES, RELATED PROPELLER ACCESSORIES AND

ASSEMBLIES. IN ADDITION, PROVIDE A COPY OF ANY PREVIOUS NAVY

APPROVAL OF PROCEDURES RELATING TO WELDING. THE

APPROVAL LETTER MUST REFERENCE THE APPLICABLE WELDING

PROCEDURE AND/OR WELDING PROCEDURE QUALIFICATION DATA

NUMBER. SUBMISSION OF WELDING PROCEDURES AND

QUALIFICATION DATA IS NOT REQUIRED FOR TACK/SPOT WELDS.

BLOCK 8: APPROVAL WILL BE BASED ON COMPLIANCE WITH CONTRACT

SPECIFICATIONS. GOVERNMENT REQUIRES 45 DAYS REVIEW TIME.

BLOCK 12: DRAFT COPY SHALL BE SUBMITTED FOR GOVERNMENT

REVIEW NO LATER THAN 60 DAYS AFTER BOA AWARD. FINAL

APPROVAL COPY INCORPORATING ANY GOVERNMENT REVIEW

COMMENTS SHALL BE SUBMITTED 30 DAYS AFTER RECEIPT OF

GOVERNMENT REVIEW COMMENTS.

BLOCK 13: SUBSEQUENT SUBMISSION TO BE SUBMITTED WITHIN 30

DAYS UPON DEVELOPMENT OR REVISION OF THE WELDING

PROCEDURES OR AFTER NOTIFICATION BY THE GOVERNMENT THAT

A NEED FOR A REVISION IS REQUIRED.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING

DODAACS:

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: N64498

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

remarksb:

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Reset:

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prep_date: 11 April 18 app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: REQUEST FOR DEPARTURE FROM SPECIFICATIONS sub: N/A auth: DI-CMAN-80640C ref: SEE TDP req_ofc: NSWCPD (N64498) dd250: LT appcode: A dist: C freq: ASREQ asof: N/A firstsub: ASREQ subsub: N/A addressee1: DCMA QAR draft1: 1 reg1: 1 repro1: 0 addressee2: NAVSUP WSS N97 draft2: 0 reg2: 1 repro2: 0 addressee3: SEE BLOCK 16 draft3: 0 reg3: 2 repro3: 0 addressee4:

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total_draft: 1 total_reg: 4 total_repro: 0 remarks: BLOCK 4: THIS DATA ITEM SHALL BE SUBMITTED FOR ALL ANTICIPATED UNREPAIRABLE AND OR OUT OF TOLERANCE CONDITIONS. FORMAT AND CONTENT SHALL BE IN ACCORDANCE WITH ANSI EIA-649.

THE CONTRACTOR SHALL UTILIZE DD FORM 1694 FOR SUBMISSION

OF ALL REQUESTS.

DEPARTURES (WAIVERS AND DEVIATIONS) SHALL BE SUBMITTED FOR PRE-EXISTING CONDITIONS AND DEPARTURES FROM SPECIFICATION GENERATED OR FOUND AFTER THE COMMENCEMENT OF WORK.

BLOCK 8: APPROVAL WILL BE BASED UPON IMPACT OF DEPARTURES ON ITEM FORM, FIT OR FUNCTION. GOVERNMENT (DESIGNATION) REQUIRES 45 DAYS (TOTAL) REVIEW TIME. ALL DEPARTURES SHALL BE FORWARDED TO DCMA QAR FOR REVIEW AND COMMENT. THE DCMA QAR WILL FORWARD DEPARTURES WITH COMMENTS ON DD FORM 1998 DIRECTLY TO NSWCPD 426 OR NSWCPD 427 WITH A COPY OF THE DEPARTURE TRANSMITTAL TO NAVSUP WSS FOR REVIEW AND DISPOSITION.

BLOCK 10: SUBMISSION REQUIRED WHENEVER A DEPARTURE FROM SPECIFICATION HAS OCCURRED OR IS ANTICIPATED. A COPY OF THE DISPOSITIONED DEPARTURE SHALL BE PROVIDED WITH POST REPAIR INSPECTION REPORT OF THE ITEM, EVEN IF APPROVAL WAS PREVIOUSLY GRANTED.

BLOCK 14: FOR SURFACE SHIP PROPELLERS, SUBMIT COPIES TO NSWCPD CODE 427 AND 423. FOR SUBMARINE PROPELLER, SUBMIT COPIES TO NSWCPD 426.

IN ADDITION TO HARD COPY FORMAT, THE CONTRACTOR SHALL PROVIDE A COPY OF THE DEPARTURE IN ADOBE ACROBAT, VERSION 9.0 OR LATER.

CONTRACTOR SHALL NOT ESTIMATE DEPARTURE PREPARATION

PRICE ON DD FORM 1423-1, BLOCKS 17 AND 18. SUPPORTING DATA,

SUCH AS DRAWINGS, SKETCHES, PHOTOGRAPHS, CALCULATION,

FINANCIAL ANALYSIS OR OTHER ATTACHMENTS THAT WILL CLARIFY

OR JUSTIFY THE REQUESTS FOR DEPARTURE SHALL BE INCLUDED.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

remarksb:

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2018-04-11T10:22:53-0400

KOSTIC.JAMES.GREGORY.1384228700

prep_date: 11 April 18 app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: EQUIPMENT DAMAGE AND REFURBISHMENT REPORT sub: VISUAL PRESERVATION INSPECTION auth: DI-NDTI-80809B ref: SEE TDP req_ofc: NSWCPD (N64498) dd250: SS appcode: A dist: C freq: ASREQ asof: N/A firstsub: ASREQ subsub: N/A addressee1: DCMA QAR draft1: 1 reg1: 1 repro1: 0 addressee2: SEE BLOCK 16 draft2: 0 reg2: 2 repro2: 0 addressee3: EQUIPMENT draft3: 0 reg3: 1 repro3: 0 addressee4:

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draft37:

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draft38:

reg38x:

repro38:

total_draft: 1 total_reg: 4 total_repro: 0 remarks: BLOCK 4. USE THE FOLLOWING REQUIREMENT IN LIEU OF THE SPECIFIED

DATA ITEM DESCRIPTION. PRESERVATION, PACKAGING, PACKING, MARKING

AND TRANSPORTATION DEFICIENCIES OF ALL GOVERNMENT FURNISHED

MATERIAL SHALL BE DOCUMENTED ON FOR SF 368 AND SUBMITTED AND IN

ACCORDANCE WITH SECNAVINST 4355.18A. THE COGNIZANT GOVERNMENT

REPRESENTATIVE SHALL VERIFY THE ADEQUACY AND ADEQUACY OF THE

REPORT. A COPY OF THE APPROPRIATE VISUAL PRESERVATION INSPECTION

REPORT AND PHOTOGRAPHS, WHERE APPROPRIATE, SHALL BE ATTACHED

TO THE SF 368.

BLOCK 14: FOR SURFACE SHIP PROPELLERS, SUBMIT COPIES TO NSWCPD CODES 427 AND 423. FOR SUBMARINE PROPELLERS, SUBMIT COPIES TO NSWCPD CODE 426.

FOR PROPELLERS, PROPELLER BLADES, OR DUCTED PROPULSOR SUB ASSEMBLIES, A VISUAL PRESERVATION INSPECTION REPORT, FORM 9245/2 SHALL BE COMPLETED. THE CONTRACTOR SHALL SUBMIT A REPORT OF DISCREPANCY (ROD) WITHIN 30 DAYS OF RECEIPT FOR ANY PROPELLER, PROPELLER BLADE, BLADE GAGE, PROPELLER CAP, OR PROPELLER DEVICE NOT PACKAGED OR PRESERVED IN ACCORDANCE WITH MIL-DTL-2845 OR FOR ANY MISSING ACCESSORIES NOT RECEIVED WITH THE PROPELLER.

FOR PROPELLER PLUG AND SHAFT RING GAGES, A VISUAL INSPECTION

REPORT, FORM 9243/2 SHALL BE COMPLETED.

FOR PROPELLER BLADE GAGES, A VISUAL INSPECTION REPORT, FORM 9245/6

SHALL BE COMPLETED.

REPORT FORMAT SHALL BE AS PROVIDED FOR ON THE INSPECTION FORMS.

CHANGES SHALL NOT BE MADE TO THE INSPECTION FORM FORMAT WITHOUT PRIOR APPROVAL OF NSWCPD. ADDITIONAL INFORMATION AND PHOTOGRAPHS SHALL BE PROVIDED IF REQUIRED TO DOCUMENT

CONDITION.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

remarksb:

FOR OTHER GOVERNMENT FURNISHED MATERIAL, THE REPORT SHALL BE IN

THE CONTRACTOR’S FORMAT.

IN ADDITION TO HARD COPY FORMAT, THE CONTRACTOR SHALL PROVIDE A

COPY OF THE REPORT IN ADOBE ACROBAT, VERSION 9.0 OR LATER, AND

SUBMITTED ON A CD ROM.

BLOCK 8: APPROVAL WILL BE BASED UPON THE ACCURACY, ADEQUACY AND COMPLIANCE WITH TECHNICAL REQUIREMENTS. ALLOW 10 DAYS FOR GOVERNMENT REVIEW AND APPROVAL.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: S4306A

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2018-04-11T10:55:37-0400

KOSTIC.JAMES.GREGORY.1384228700

prep_date: 11 APRIL 18 app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: EQUIPMENT DAMAGE AND REFURBISHMENT REPORT sub: VISUAL TECHNICAL INSPECTION auth: DI-NDTI-80809B ref: SEE TDP req_ofc: NSWCPD (N64498) dd250: SD appcode: A dist: C freq: ASREQ asof: N/A firstsub: ASREQ subsub: N/A addressee1: DCMA QAR draft1: 1 reg1: 1 repro1: 0 addressee2: SEE BLOCK 16 draft2: 0 reg2: 2 repro2: 0 addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

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reg5:

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draft38:

reg38x:

repro38:

total_draft: 1 total_reg: 3 total_repro: 0 remarks: BLOCK 4: THE FOLLOWING REQUIREMENTS SHALL BE FOLLOWED IN LIEU OF

THE SPECIFIED DATA ITEM.

FOR PROPELLERS OR PROPELLER BLADES, A VISUAL TECHNICAL INSPECTION REPORT, FORM 9245/3 SHALL BE COMPLETED.

FOR DUCTED PROPULSOR SUBASSEMBLIES, A VISUAL TECHNICAL INSPECTION REPORT, FORM 9245/9 SHALL BE COMPLETED.

FOR PROPELLER AND SHAFT PLUG AND RING GAGES, A VISUAL INSPECTION REPORT, FORM 9243/2 SHALL BE COMPLETED.

FOR PROPELLER BLADE GAGES, A VISUAL INSPECTION REPORT, FORM 9245/6 SHALL BE COMPLETED.

REPORT FORMAT SHALL BE AS PROVIDED FOR ON THE INSPECTION FORMS.

CHANGES SHALL NOT BE MADE TO THE INSPECTION FORM FORMAT WITHOUT PRIOR APPROVAL OF NSWCPLD 9342 ADDITIONAL INFORMATION AND PHOTOGRAPHS SHALL BE PROVIDED IF REQUIRED.

FOR OTHER GOVERNMENT FURNISHED MATERIAL, THE REPORT SHALL BE IN

THE CONTRACTOR’S FORMAT. REPORT FORMAT SHALL BE AS PROVIDED

FOR ON THE INSPECTION FORMS. CHANGES TO INSPECTION FORMS MAY BE

MADE PROVIDED THE FORMAT IS SUBMITTED TO NSWCPD IN ADVANCE FOR APPROVAL.

IN ADDITION TO HARD COPY FORMAT, THE CONTRACTOR SHALL PROVIDE A

COPY OF THE REPORT IN ADOBE ACROBAT, VERSION 9.0 OR LATER, AND

SUBMITTED ON A CD ROM.

BLOCK 8: APPROVAL WILL BE BASED UPON THE ACCURACY, ADEQUACY AND COMPLIANCE WITH TECHNICAL REQUIREMENTS. ALLOW 45 DAYS FOR

GOVERNMENT (DESIGNATION) REVIEW AND APPROVAL.

BLOCK 14: FOR SURFACE SHIP PROPELLERS, SUBMIT COPIES TO NSWCPD CODES 427 AND 423. FOR SUBMARINE PROPELLERS, SUBMIT COPIES TO NSWCPD CODE 426.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

remarksb:

BLOCK 14: FOR HARD COPY DISTRIBUTION TO NAVSUP WSS N97121, THE

CONTRACTOR SHALL ONLY PROVIDE THE COVER SHEET OF THE VISUAL

TECHNICAL REPORT AND TRANSMITTAL LETTER.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: N64498

Page2:

Reset:

2018-04-11T13:27:59-0400

KOSTIC.JAMES.GREGORY.1384228700

prep_date: 11 APRIL 18 app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: EQUIPMENT DAMAGE AND REFURBISHMENT REPORT sub: DIMENSIONAL INSPECTION auth: DI-NDTI-808098 ref: SEE TDP req_ofc: NSWCPD (N64498) dd250: SD appcode: A dist: C freq: ASREQ asof: N/A firstsub: ASREQ subsub: N/A addressee1: DCMA QAR draft1: 1 reg1: 1 repro1: 0 addressee2: SEE BLOCK 16 draft2: 0 reg2: 2 repro2: 0 addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

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addressee38:

draft38:

reg38x:

repro38:

total_draft: 1 total_reg: 3 total_repro: 0 remarks: BLOCK 4: THE FOLLOWING REQUIREMENTS SHALL BE FOLLOWED IN LIEU OF THE SPECIFIED DATA ITEM.

FOR PROPELLERS OR PROPELLER BLADES, A DIMENSIONAL INSPECTION REPORT, FORM 9245/11 SHALL BE COMPLETED.

FOR PROPELLER PLUG AND SHAFT RING GAGES A DIMENSIONAL INSPECTION REPORT, FORMS 9243/3 AND 9243/4 SHALL BE COMPLETED.

FOR PROPELLER BLADE GAGES, A DIMENSIONAL INSPECTION REPORT, FORM 9245/13 SHALL BE COMPLETED.

REPORT FORMAT SHALL BE AS PROVIDED FOR ON THE INSPECTION FORMS.

CHANGES SHALL NOT BE MADE TO THE INSPECTION FORM FORMAT WITHOUT PRIOR APPROVAL OF NSWCPD. ADDITIONAL INFORMATION AND PHOTOGRAPHS SHALL BE PROVIDED IF REQUIRED.

FOR OTHER GOVERNMENT FURNISHED MATERIAL, THE REPORT SHALL BE IN

THE CONTRACTOR'S FORMAT.

FOR NEW OR REPLACEMENT PROPELLERS, PROPELLERS BLADES, GAGES,

PROPELLER ACCESSORIES OR PROPELLER RELATED ITEMS, THE

CONTRACTOR SHALL PROVIDE A COPY OF THE ACTUAL INSPECTION AND

TEST RESULTS AS REQUIRED BY THE MATERIAL OR EQUIPMENT

SPECIFICATION.

FOR PRE-REPAIR REPORTS, THE CONTRACTOR SHALL INCLUDE A WRITTEN DESCRIPTION OF RECOMMENDED REPAIRS AND OR ITEMS NOT ANTICIPATED

IN ADDITION TO HARD COPY FORMAT, THE CONTRACTOR SHALL PROVIDE A

COPY OF THE REPORT IN ADOBE ACROBAT, VERSION 9.0 OR LATER, AND

SUBMITTED ON A CD ROM.

BLOCK 8: APPROVAL WILL BE BASED UPON THE ACCURACY, ADEQUACY AND COMPLIANCE WITH TECHNICAL REQUIREMENTS. ALLOW 45 DAYS FOR

GOVERNMENT (DESIGNATION) REVIEW AND APPROVAL.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

remarksb:

BLOCK 14: FOR SURFACE SHIP PROPELLERS, SUBMIT COPIES TO NSWCPD CODES 427 AND 423. FOR SUBMARINE PROPELLERS, SUBMIT COPIES TO NSWCPD CODE 426.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: N64498

Page2: 10

Reset:

2018-04-11T13:30:48-0400

KOSTIC.JAMES.GREGORY.1384228700

prep_date: 11 April 18 app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A008 title: CERTIFICATION DATA REPORT sub: N/A auth: DI-MISC-80678 ref: SEE TDP req_ofc: NSWCPD (N64498) dd250: SS appcode: A dist: C freq: ASREQ asof: N/A firstsub: ASREQ subsub: N/A addressee1: DCMA QAR draft1: 1 reg1: 1 repro1:

addressee2: SEE BLOCK 16 draft2: 0 reg2: 2 repro2: 0 addressee3: EQUIPMENT draft3: 0 reg3: 1 repro3: 0 addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

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reg30:

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addressee31:

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addressee32:

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addressee38:

draft38:

reg38x:

repro38:

total_draft: 1 total_reg: 4 total_repro: 0 remarks: BLOCK 4: DI-MISC-80678 IS TAILORED AS FOLLOWS:

FOR PROPELLERS, PROPELLER BLADES, OR DUCTED PROPULSOR SUBASSEMBLIES, A CERTIFICATION REPORT, FORM 9245/1 SHALL BE COMPLETED. AS AN ATTACHMENT, INCLUDE IN CONTRACTOR’S FORMAT, ALL DOCUMENTATION REQUIRED FOR EYEBOLT CERTIFICATION. FOR PROPELLER AND SHAFT PLUG AND RING GAGES A DIMENSIONAL INSPECTION REPORT, FORMS 9243/3 AND 9243/4 SHALL BE COMPLETED.

FOR PROPELLER BLADE GAGES, A DIMENSIONAL INSPECTION REPORT, FORM 9245/13 SHALL BE COMPLETED.

REPORT FORMAT SHALL BE AS PROVIDED FOR ON THE INSPECTION FORMS. CHANGES SHALL NOT BE MADE TO THE INSPECTION FORM FORMAT WITHOUT PRIOR APPROVAL OF NSWCPD.

FOR OTHER GOVERNMENT FURNISHED MATERIAL, THE REPORT SHALL BE IN THE CONTRACTORS FORMAT.

IN ADDITION TO HARD COPY FORMAT, THE CONTRACTOR SHALL PROVIDE A COPY OF THE REPORT IN ADOBE ACROBAT, MINIMUM VERSION 9.0, AND SAVED ON A CD ROM.

CERTIFICATION DOCUMENTS SHALL BE SIGNED BY THE COGNIZANT GOVERNMENT REPRESENTATIVE.

BLOCK 12: SUBMISSION SHALL BE MADE NOT LATER THAN 5 DAYS AFTER SIGNATURE OF THE QUALIFIED GOVERNMENT REPRESENTATIVE.

BLOCK 14: FOR SURFACE SHIP PROPELLERS, SUBMIT COPIES TO NSWCPD CODES 427 AND 423. FOR SUBMARINE PROPELLERS, SUBMIT COPIES TO NSWCPD CODE 426.

DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING DODAACS:

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: S4306A

group:

total_price:

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system: ITEM INSPECTION AND REPAIR ctr_no: N00104-contr:

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2018-04-11T13:33:46-0400

KOSTIC.JAMES.GREGORY.1384228700

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of supply the data, over a