N00104-20-Q-FC37 Soliciation.pdf

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LHD LHA1 INTR SHAFT, IN REPAIR/MODIFICATION OF
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N0010420QFC37
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FOR EASE OF PROCESSING, PLEASE RETURN THIS

SHEET WHEN MAILING YOUR QUOTE.

Prescribed by GSA FAR (48 CFR) 53.215-1(a)

Additional provisions and representations are are not attached.

11. BUSINESS CLASSIFICATION

This RFQ is is not a small business-small purchase set aside [

18. TELEPHONE NO.(Type or Print)17. NAME AND TITLE OF SIGNER

16. DATE OF

QUOTATION

15. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

14. NAME AND ADDRESS OF QUOTERZIP Code) (Street, city, country, State and

(c) (d) (e) (f)

ITEM NO.

(a) andformthisonindicatesoquote,pleasetounableareyouIfoffers.notarefurnishedquotationsandinformation,forrequestaisThis contracttoorquotationthisofsubmissiontheofpreparationtheinincurredcostsanypaytogovernmentthecommitnotdoesrequestit.Thisreturn thistoattachedcertificationsand/orrepresenationsAnyquoter.byindicatedotherwiseunlessorigindomesticofareSuppliesservices.orsuppliesfor quoter.thebyconmpletedbemustQuotationsforRequest

SMALL OTHER THAN SMALL DISADVANTAGED WOMEN-OWNED

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE ON OR BE-

FORE CLOSE OF BUSINESS

5A. ISSUED BY (Date)6. DELIVERY BY

4. CERT.FOR NAT.DEF.

UNDER BDSA REG.2

AND/OR DMS REG.1

(See Schedule)OTHERFOB

DESTINATION

7. DELIVERY

(Name and telephone no.) (No collect calls)5B. FOR INFORMATION CALL:

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE 9. DESTINATION (Consignee and address, including ZIP Code)

RATING3. REQUISITION/PURCHASE REQUEST

NO.

2. DATE ISSUED1. REQUEST NO.

REQUEST FOR QUOTATIONS OF PAGESPAGE

(Date)

SCHEDULE12.

(THIS IS NOT AN ORDER)

(B)

SUPPLIES/SERVIES QUANTITY UNIT PRICEUNIT AMOUNT

PAYMENTPROMPTFORDISCOUNT13. % % % %

DAYSCALENDAR20DAYSCALENDAR10 DAYSCALENDAR30 DAYSCLAENDAR

IMPORTANT:

NOTE:

(Check appropriate boxes)

b. Small Business Size Standard ______

a. Standard Industrial Classification Code _______

PREVIOUS EDITION NOT USABLE

(Include area code)

(REV. 10-83) Approved by GSA/IRMS 9/92EXCEPTION TO STANDARD FORM 18 c.

M

M

X 1 13

N00104-20-Q-FC37 2020 JUN 05 20091-0003 (LHDINT3) DO-A3

NAVSUP WEAPON SYSTEMS SUPPORT MECH

5450 CARLISLE PIKE 827 DAYS

MECHANICSBURG PA 17050-2411

M. LINDGREN (717)605-1649 N743.41 X

SEE SCHEDULE

2020 JUL 06

X

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

N00104-20-Q-FC37 2 13

TEARDOWN, EVALUATE, REPAIR AND/OR MODIFY

0001 NSN 7HH 2010-00-412-5985 P2

LHD LHA1 INTR SHAFT SHELF LIFE 0-00

SEE TECHNICAL REQUIREMENTS IN SECTIONS C, D, E, AND ATTACHMENTS

HM QUP ICQ PMT CD PM WM CUD CT UC LP IC UCL SP MK PACK UNIT PKWT UNIT PKCU OPI

N 001 000 ZZ Z ZZ ZZ ZZ Z ZZ A 00 A ZZ FFF 34000.0 663.928 A

SUP PKG: ZZ = PACKAGE PER MIL-DTL-2845

PACKAGING IS IN ACCORDANCE WITH MIL-STD-2073

NAVSUP WSS End Item Manager shall assign a unique USN serial number to each shaft asset for traceability purposes.

Contracting officer should obtain serial numbers from Item Manager.

For Manufacture/Procurement:

This requirement has an External Technical Data Package PDF Document.

This document is required to perform the necessary manufacture.

This document should be attached to solicitations/awards. If this document does not attach to the solicitation/award, manufacture sources must contact NAVSUP WSS Contracting Officer to obtain a copy.

For repair requirement:

This repair requirement has an External Statement Of Work PDF document.

This document is required to perform the necessary repairs. This document should be attached to solicitations/awards. If this document does not attach to the solicitation/award, repair sources must contact NAVSUP WSS Contracting Officer.

SHIP TO

0001AA N00104-20-U-1963 SW3126 1 EA

M/F: "A" CONDITION STOCK

TP: 3

0001AB SEE DD FORM 1423 1 LO NSP

EXHIBIT "A"

SOLICITATION NOTES:

PROCUREMENT IS RESTRICTED TO THE FOLLOWING BASIC ORDERING AGREEMENTS (BOA):

6QGU7 - N00104-19-G-U001

1F460 - N00104-19-G-U101 3A6V1 - N00104-19-G-U201

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

N00104-20-Q-FC37 3 13

B A E SYSTEMS NORFOLK SHIP REPAIR

07243 - N00104-19-G-U301

6TQ25 - N00104-19-G-U401

ALL TERMS AND CONDITIONS OF THE BASIC ORDERING AGREEMENT (BOA) APPLY.

INSPECTION AT ORIGIN

ACCEPTANCE AT ORIGIN

POC FAX: (717) 605-2612

POC EMAIL: MICHAEL.LINDGREN1@NAVY.MIL

N00104-20-Q-FC37 PAGE 4 OF 13

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

WSSTERMBZ01

**IMPORTANT NOTICE REGARDING INVENTORY TRANSACTION REPORTING**

Inventory transaction reporting requirements have changed for NAVSUP Weapon System Support (NAVSUPWSS) contracts.

These requirements are detailed in Section F, and the contractor should read this section carefully to ensure compliance. Additional information regarding reporting via Commercial Asset Visibility (CAV) is available at https://www.navsup.navy.mil/public/navsup/wss/pi_cd/. Questions can be addressed to NAVSUPWSSCAVSOW@navy.mil for NAVSUP WSS Philadelphia solicitations and contracts (document numbers beginning with N00383) and to NAVSUPWSSM.CAVSOW@navy.mil for NAVSUP WSS Mechanicsburg solicitations and contracts (document numbers beginning with N00104). (06-16)

PART I - THE SCHEDULE

SECTION C

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

CLIN: 0001

NIIN: 004125985 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: LHD LHA1 INTR SHAFT

1. SCOPE

1.1 <Perform in accordance with document 004125985 Class 3 SOW (LHD 1 Class Intermediate Shaft Statement Of Work).>

2. APPLICABLE DOCUMENTS

2.1 <Perform in accordance with document 004125985 Class 3 SOW (LHD 1 Class Intermediate Shaft Statement Of Work). >

2.2

DRAWING NO. CAGE REV DOC TYPE DISTR CD SHEET NR REV TYPE SIZE

2145807 80064 C D3 0001 C 49998 0368192 2145807 80064 C D3 0002 C 49998 0443846 2145807 80064 C D3 0003 C 49998 0531555 2145807 80064 C D3 0004 C 49998 1031618 2145807 80064 C D3 0005 C 49998 0209668 2145807 80064 C D3 0006 C 49998 0272550 2145807 80064 C D3 0007 C 49998 0231349 2145807 80064 C D3 0008 C 49998 0226363 2145807 80064 C D3 0009 C 49998 0320464 5864870 53711 F D3 0001 B 49998 0607097 5864870 53711 F D3 0002 B 49998 0380471 5864870 53711 F D3 0003 B 49998 0303898 5864870 53711 F D3 0004 B 49998 0519436 5864870 53711 F D3 0005 C 49998 0168539 5864870 53711 F D3 0006 F 49998 0226678 5864870 53711 F D3 0007 E 49998 0345268

3. REQUIREMENTS

3.1 <Perform in accordance with document 004125985 Class 3 SOW (LHD 1 Class IntermediateShaft Statement Of Work), associated drawings, technical publications, document references, and DD 1423 CDRL's.>

3.2 Cage Code/Reference Number Items - The LHD LHA1 INTR SHAFT repaired under this contract/purchase order shall meet the operational and functional requirements as represented by the Cage Code(s) and reference number(s) listed below. All repair work shall be performed in accordance with the contractors repair/overhaul standard practices, manuals and directives including but not limited to drawings, technical orders, manufacturing operations, tooling instructions, approved repair standards and any other contractor or government approved documents developed to provide technical repair procedures.

CAGE___Ref. No.

N00104-20-Q-FC37 PAGE 5 OF 13

<53711 LHD243003-03

53711 LHD243003-04>

3.3 Marking - This item shall be physically identified in accordance with <MIL-STD-130, REV N, 16 NOV 2012> .

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

CLIN: 0001

NIIN: 004125985 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: LHD LHA1 INTR SHAFT

5. PACKAGING

5.1 <Perform in accordance with document 004125985 Class 3 SOW (LHD 1 Class Intermediate Shaft Statement Of Work). >

MIL-STD 2073 PACKAGING APPLIES AS FOUND ELSEWHERE IN THE SCHEDULE

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

CLIN: 0001

NIIN: 004125985 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: LHD LHA1 INTR SHAFT

4. QUALITY ASSURANCE

4.1 <Perform in accordance with document 004125985 Class 3 SOW (LHD 1 Class Intermediate Shaft Statement Of Work). >

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

52.211-8

TIME OF DELIVERY (JUNE 1997)

(a) The Government requires delivery to be made according to the following schedule:

Required Delivery Schedule Within Days

Item No. Quantity After Date of Contract

<0001AA> <01> <883 Days>

The Government will evaluate equally, as regards time of delivery, offers that propose delivery of each quantity within the applicable delivery period specified above. Offers that propose delivery that will not clearly fall within the applicable required delivery period specified above, will be considered nonresponsive and rejected. The Government reserves the right to award under either the required delivery schedule or the proposed delivery schedule, when an offeror offers an earlier delivery schedule than required above. If the offeror proposes no other delivery schedule, the required delivery schedule above will apply.

OFFEROR'S PROPROSED DELIVERY SCHEDULE

Within Days

N00104-20-Q-FC37 PAGE 6 OF 13

52.211-8 (CONT)

TIME OF DELIVERY (JUNE 1997)

Item No. Quantity After Date of Contract

(b) Attention is directed to the Contract Award provision of the solicitation that provides that a written award or acceptance of offer mailed, or otherwise furnished to the successful offeror, results in a binding contract. The Government will mail or otherwise furnish to the offeror an award or notice of award not later than the day award is dated. Therefore, the offeror should compute the time available for performance beginning with the actual date of award, rather than the date the written notice of award is received from the Contracting Officer through the ordinary mails. However, the Government will evaluate an offer that proposes delivery based on the Contractor's date of receipt of the contract or notice of award by adding

(1) five calendar days for delivery of the award through the ordinary mails, or

(2) one working day if the solicitation states that the contract or notice of award will be transmitted electronically. (The term "working day" excludes weekends and U.S. Federal holidays.) If, as so computed, the offered delivery date is later than the required delivery date, the offer will be considered nonresponsive and rejected.

< > Alternate I (Apr 1984). If the delivery schedule is expressed in terms of specific calendar dates or specific periods and is based on an assumed date of award, the contracting officer may substitute the following paragraph (b) for paragraph (b) of the basic clause. The time may be expressed by substituting "on or before"; "during the months";

or "not sooner than or later than" as headings for the third column of paragraph (a) of the basic clause.

(b) The delivery dates or specific periods above are based on the assumption that the Government will make award by < > (Contracting Officer insert date). Each delivery date in the delivery schedule above will be extended by the number of calendar days after the above date that the contract is in fact awarded. Attention is directed to the Contract Award provision of the solicitation that provides that a written award or acceptance of offer mailed or otherwise furnished to the successful offeror results in a binding contract. Therefore, the offeror should compute the time available for performance beginning with the actual date of award, rather than the date the written notice of award is received from the Contracting Officer through the ordinary mails.

< > Alternate II (Apr 1984). If the delivery schedule is expressed in terms of specific calendar dates or specific periods and is based on an assumed date the contractor will receive notice of award, the contracting officer may substitute the following paragraph (b) for paragraph (b) of the basic clause. The time may be expressed by substituting "within days after the date of receipt of a written notice of award" as the heading for the third column of paragraph (a) of the basic clause.

(b) The delivery dates or specific periods above are based on the assumption that the successful offeror will receive notice of award by < > (Contracting Officer insert date). Each delivery date in the delivery schedule above will be extended by the number of calendar days after the above date that the Contractor receives notice of award;

provided, that the Contractor promptly acknowledges receipt of notice of award.

< > Alternate III (Apr 1984). If the delivery schedule is to be based on the actual date the contractor receives a written notice of award, the contracting officer may delete paragraph (b) of the basic clause. The time may be expressed by substituting "within days after the date of receipt of a written notice of award" as the heading for the third column of paragraph (a) of the basic clause.

52.247-29

F.O.B. ORIGIN (FEB 2006)

52.247-30

F.O.B. ORIGIN, CONTRACTOR'S FACILITY (FEB 2006)

N00104-20-Q-FC37 PAGE 7 OF 13

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

252.232-7006

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(a) Definitions. As used in this clause--

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document Type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow

(WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the Webb Based Training link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items--

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

( <TBD> )(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

( < > )(Contracting Officer: Insert either Invoice 2in1 or the applicable invoicece and receiving report document type(s) for fixed price line items for services.)

N00104-20-Q-FC37 PAGE 8 OF 13

252.232-7006 (CONT)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

(f) (Note: The Contractor may use a WAWF combo document type to create some combinations of invoice and receiving report in one step.)

(3)Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC ( <TBD> ) Issue By DoDAAC ( <N00104> ) Admin DoDAAC ( <TBD> ) Inspect By DoDAAC ( <TBD> ) Ship To Code ( <See Schedule> ) Ship From Code ( <TBD> ) Mark For Code ( < > ) Service Approver (DoDAAC) ( < > ) Service Acceptor (DoDAAC) ( <TBD> ) Accept at Other DoDAAC ( < > ) LPO DoDAAC ( < > ) DCAA Auditor DoDAAC ( < > ) Other DoDAAC(s) ( < > )

(Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert See Schedule or Not applicable.)

(Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activitys WAWF point of contact.

( <MICHAEL.LINDGREN1@NAVY.MIL> )(Contracting Officer: Insert applicable information or "Not applicable.")

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

PART I - THE SCHEDULE

SECTION H

SPECIAL CONTRACT REQUIREMENTS

SUPTXT243-9400(1-92)

AUTHORIZED CHANGES ONLY BY THE CONTRACTING OFFICER

N00104-20-Q-FC37 PAGE 9 OF 13

SUPTXT243-9400(1-92) (CONT)

AUTHORIZED CHANGES ONLY BY THE CONTRACTING OFFICER

(a) Except as specified in paragraph (b) below, no order, statement, or conduct of Government personnel who visit the Contractor's facilities or in any other manner communicates with Contractor personnel during the performance of this contract shall constitute a change under the "Changes" clause of this contract.

(b) The Contractor shall not comply with any order, direction or request of Government personnel unless it is issued in writing and signed by the Contracting Officer, or is pursuant to specific authority otherwise included as a part of this contract.

(c) The Contracting Officer is the only person authorized to approve changes in any of the requirements of this contract and notwithstanding provisions contained elsewhere in this contract, the said authority remains solely with the Contracting Officer. In the event the Contractor effects any change at the direction of any person other than the Contracting Officer, the change will be considered to have been made without authority and no adjustments will be made in contract price to cover any increase in charges incurred as a result thereof. The address and telephone number of the Contracting Officer is:

NAME <MICHAEL SLADE LINDGREN>

ADDRESS <MICHAEL.LINDGREN1@NAVY.MIL>

TELEPHONE 717- <605-1649>

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

CLIN: 0001

NIIN: 004125985 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: LHD LHA1 INTR SHAFT

DOCUMENT NAME EXHBT/ATTCHMNT

NOTES ATTACHMENT 1

004125985 CLASS 3 ATTACHMENT

DD1423 EXHIBIT A

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS OR QUOTERS

252.204-7007

ALTERNATE A, ANNUAL REPRESENTATIONS AND CERTIFICATIONS (APR 2020)

Substitute the following paragraphs (b), (d) and (e) for paragraphs (b) and (d) of the provision at FAR 52.204-8:

(b)(1) If the provision at FAR 52.204-7, System for Award Management, is included in this solicitation, paragraph

(e) of this provision applies.

(2) If the provision at FAR 52.204-7, System for Award Management is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), the Offeror may choose to use paragraph (e) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The Offeror shall indicate which option applies by checking one of the following boxes:

_____(i) Paragraph (e) applies.

_____(ii) Paragraph (e) does not apply and the Offeror has completed the individual representations and certifications in the solicitation.

(d)(1) The following representations or certifications in the SAM database, are applicable to this solicitation as indicated:

(i) 252.204-7016, Covered Defense Telecommunications Equipment or Services - Representation. Applies to all solicitations.

(ii) 252.209-7003, Reserve Officer Training Corps and Military Recruiting on Campus - Representation.

Applies to all solicitations with institutions of higher education.

(iii) 252.216-7008, Economic Price Adjustment - Wage Rates or Material Prices Controlled by a Foreign

Government. Applies to solicitations for fixed-price supply and service contracts when the contract is to be performed wholly or in part in a foreign country, and a foreign government controls wage rates or material prices and may during contract performance impose a mandatory change in wages or prices of materials.

(iv) 252.225-7042, Authorization to Perform. Applies to all solicitations when performance will be wholly or in part in a foreign country. (v) 252.225-7049, Prohibition on Acquisition of Foreign Commercial Satellite Services - Representations. Applies to solicitations for the acquisition of commercial satellite services.

(vi) 252.225-7050, Disclosure of Onwership or Control by the Government of a Country that is a State Sponsor of Terrorism. Applies to all solicitations expected to result in contracts of $150,000 or more.

(vii) 252.229-7012, Tax Exemptions (Italy)- Represention. Applies to solicitations when contract performance will be in Italy.

N00104-20-Q-FC37 PAGE 10 OF 13

252.204-7007 (CONT)

ALTERNATE A, ANNUAL REPRESENTATIONS AND CERTIFICATIONS (APR 2020)

(viii) 252.229-7013, Tax Exemptions (Spain)-Representation. Applies to solicitations when contract performance will be in Spain.

(ix) 252.247-7022, Representation of Extent of Transportation by Sea. Applies to all solicitations except those for direct purchase of ocean transportation services or those with anticipated value at or below the simplified acquisition threshold.

(2) The following representations or certifications in SAM are applicable to this solicitation as indicated by the Contracting Officer: (Contracting Officer check as appropriate.)

( < > )(i) 252.209-7002, Disclosure of Ownership or Control by a Foreign Government.

( < > )(ii) 252.225-7000, Buy American - Balance of Payments Program Certificate.

( < > )(iii) 252.225-7020, Trade Agreement Certificate.

( < > ) Use with Alternate I.

( < > )(iv) 252.225-7031, Secondary Arab Boycott of Israel.

( < > )(v) 252.225-7035, Buy American-Free Trade Agreements-Balance of Payments Program Certificate.

( < > ) Use with Alternate I ( < > ) Use with Alternate II.

( < > ) Use with Alternate III.

( < > ) Use with Alternate IV.

( < > )Use with Alternate V.

( < > )(vi) 252.226-7002, Representation for Demonstration Project for Contractors Employing Persons with Disabilities.

( < > )(vii) Performance-Based Payments - Representation.

(e) The offeror has completed the annual representations and certifications electronically via the SAM website at https://www.acquisition.gov/. After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in FAR 52.204-8(c) and paragraph (d) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer, and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below ¨offeror to insert changes, identifying change by provision number, title, date). Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications located in the SAM database.

FAR/DFARS Provision # Title Date Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on ORCA.

WSSTERMKZ01

PRICING INFORMATION

(a) Under the requirements of the Federal Acquisition Regulation (FAR), the Contracting Officer is responsible for determining reasonableness of pricing. To assist in determining whether the prices quoted in your offer under subject solicitation are "fair and reasonable," the following information is requested:

1. A copy of the current catalog or established price list for the articles covered by the offer, or information where the established price may be found.

2. A statement that such catalog or established price list: (a) Is regularly maintained

(b) Is published or otherwise available for inspection by customers.

(c) States the prices at which sales are currently made to a number of buyers.

3. A statement that such articles are commercial items sold in substantial quantities to the general public, at the prices listed in the above-mentioned catalog or established price list.

4. A statement that the price quoted herein including consideration of any discount or rebate arrangement, does not exceed prices charged the offeror's most favored customer for like items in similar quantities under comparable conditions.

N00104-20-Q-FC37 PAGE 11 OF 13

WSSTERMKZ01 (CONT)

PRICING INFORMATION

(b) The offeror is requested to submit the following pricing information on not less than the three most recent sales of, or pricing quotations for, any of the articles being procured hereunder or articles similar hereto. Where the pricing information furnished is on similar articles, the offeror shall advise that the articles are not identical to the articles required hereunder and shall briefly indicate the differences in such articles. Pricing information furnished should be as current as possible and, to the extent possible, should be on quantities required hereunder.

DATE QUANTITY UNIT CUSTOMER CUSTOMER

OF SALE OF QUOTE PRICE CONTRACT NO.

(c) In addition, the offeror is requested to advise whether the proposed prices are, or can be, tied-in with production prices under prime contracts or subcontracts by furnishing the dates for previous and anticipated production lot releases and numbers in the spaces provided below:

CONTRACT NO. PRODUCTION LOT NO. DATE RELEASED DATE OF ANTICIPATED RELEASE

(d) Offerors are further requested to advise the Government buyer if they are in possession of any other Government or commercial solicitation or recent contract, not already set forth above, for any of the articles being procured hereunder.

(e) If cost or pricing data are required under this contract, the submission of the pricing information sought under this clause in no way affects or diminishes the offeror's independent duty to submit accurate, complete, and current cost or pricing data. (06-05)

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR QUOTERS

WSSTERMLZ10

SUBMISSION OF OFFERS FOR LOWEST PRICED, TECHNICALLY ACCEPTABLE OFFERS

Offers, submitted by the time and date set for receipt of initial proposals, consist of, and must include the following:

Standard Form 33 "Solicitation, Offer, and Award" with Block 14 through 18 completed by the offeror, and

RFP Section B "Schedule of Supplies" completed by the offeror, and

RFP Section K "Representations, Certifications and Other Statements of Offerors" completed by the offeror.

The completion and submission of the above items will constitute the offeror's initial proposal and will indicate the offeror's unconditional assent to the terms and conditions of the RFP and any attachments hereto.

Alternate proposals are not authorized.

The Goverment intends to award a contract without discussions, but reserves the right to conduct discussions if the contracting officer later determines them to be necessary. Since offers that take exception or object to terms of this solicitation may be rendered technically unacceptable, offerors are cautioned to address solicitation exceptions, objections, or questions to the contracting officer prior to the time set for receipt of initial proposals. (10-01)

N00104-20-Q-FC37 PAGE 12 OF 13

PART IV - REPRESENTATIONS AND INSTRUCTIONS

SECTION M

EVALUATION FACTORS FOR AWARD

52.247-47

EVALUATION--F.O.B. ORIGIN (JUNE 2003)

WSSTERMMZ04

EVALUATION FOR AWARD (LOWEST PRICED TECHNICALLY ACCEPTABLE)

Award will be made to the responsible offeror submitting the lowest priced, technically acceptable offer. A technically acceptable offer is one in which the offeror complies with the instructions contained in Section L of the solicitation and does not take exception, nor object, to any of the terms of this solicitation. Offers that are not technically acceptable will not be considered for award. (10-01)

N00104-20-Q-FC37 PAGE 13 OF 13

CONSIGNMENT INSTRUCTIONS

NOTE: The activity codes listed below are used to identify the Activities which are to receive material. The activity code and the quantities to be shipped to each activity under this contract appear in the Schedule. DO NOT SHIP TO A WATER PORT OR AIR TERMINAL WITHOUT COMPLYING WITH THE

CLEARANCE/MILSTAMP REQUIREMENTS OF CLAUSE FAR 52.247-52.

SW3126 Receiving Officer, DLA DISTRIBUTION CHEATHAM, CHEATHAM ANNEX, 1 C STREET

WILLIAMSBURG, VA 23185-0000

N00104-20-Q-FC37

ATTACHMENT 1 PAGE: 1

CLIN: 0001

NIIN: 004125985 ACTIVITY USE ONLY: TDP VERSION NO.: 006

ITEM NAME: LHD LHA1 INTR SHAFT

6. NOTES

6.1 <Perform in accordance with document 004125985 Class 3 SOW (LHD 1 Class Intermediate Shaft Statement Of Work). >

6.2 <This repair requirement has an External Statement Of Work PDF document (004125985 Class 3 SOW). This document is required to perform the necessary requirements. This document should be attached to solicitations/ awards. If this document does not attach to the solicitation/award, sources must contact NAVSUP WSS Contracting Officer to obtain a copy.>

B

B

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B

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B

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B

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B 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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

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

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

15. TOTAL

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

0001AB A X

LHD LHA1 INTR SHAFT N0010420U1963

STATUS REPORT

A001 CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT REPORT

DI-MGMT-80227 SEE SECTION C NSWCPD 423

LT MTHLY 30 DAC

A B NA NA

DCMA ACO 00 01 00

BLOCK 4: IN LIEU OF THE PREPARATION REQUIREMENTS SPECIFIED

IN DI-MGMT-80227, DCMA CA 00 01 00

UTILIZE THE FOLLOWING FORMAT. THE REPORT SHALL BE PROVIDED

ELECTRONICALLY DCMA QAR 00 01 00

IN MICROSOFT EXCEL, 2003 VERSION. THE REPORT FORMAT AND

INSTRUCTIONS ARE NAVSUPWSS N743 00 01 00

AVAILABLE ELECTRONICALLY FROM NAVSUP OR AT

http://www.dcma.mil/npp/. THE NSWCPD 423 00 01 00

STATUS REPORT SHALL BE SUBMITTED ELECTRONICALLY VIA

ELECTRONIC MAIL ON A NSWCPD 427 00 01 00

MONTHLY BASIS. THE REPORT SHALL CONTAIN STATUS BASED ON

THE FIRST WORKING

DAY OF THE MONTH REPORTED. ITEMS SHIPPED SHALL REMAIN ON

THE REPORT FOR

ONE ADDITIONAL MONTH AND THEN DELETED.

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.

- CONTINUED - 00 06 00

A001 CONTINUED

BLOCK 14: DISTRIBUTION SHALL BE MADE BY ELECTRONIC MAIL.

ADDRESSES FOR REPORT

DISTRIBUTION SHALL BE OBTAINED FROM THE CONTRACTING

OFFICER.

KLMNOPQRST

NAVSUP WSS N9652.1S 2019 MAR 21 DAVID A SCHWARTZ 2019 MAR 23

1 11

DD FORMo1423-2 REVERSE, JUN 90

5010.12-L (AMSDL), or one-time DID number, that defines data

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

(See DoD 5010. 12-M for detailed instructions.)

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.

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

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

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

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

Specify number of times data items are to be delivered.

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

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

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

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

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

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

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

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

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

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

Self-explanatory

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

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

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

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 delivering such data item to the Government.

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 requirements 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.

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

B

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B

B

B

B

B

B

B

B

B

B

B

B

B

B

B 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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

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

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

NA

A002 INSPECTION AND TEST PLAN

DI-QCIC-81110 SEE SECTION C NSWCPD 427

SS ONE/R 60 DAC

A B NA NA

DCMA QAR 01 00 00

BLOCK 4: PLAN SHALL INCLUDE THE CONTRACTOR'S QUALITY

SYSTEM PROCEDURES THAT NSWCPD 427 00 01 00

THE REQUIREMENTS OF ASQ-9002.

ADDITIONALLY THE CONTRACTOR SHALL SUBMIT INSPECTION AND

TEST PROCEDURES FOR

THE INSPECTION AND TESTING OF PROPULSION SHAFT PLUG OR

RING GAGES, OTHER

INSPECTION FIXTURES OR TOOLS, JIGS AND OTHER SHAFT RELATED

ITEMS 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 CONTRACT 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

- CONTINUED - 01 01 00

A002 CONTINUED

OR REVISION OF THE QUALITY SYSTEM MANUAL OR INSPECTION AND

TEST PROCEDURES OR

AFTER NOTIFICATION BY THE OVERNMENT THAT A NEED FOR A

REVISION IS REQUIRED.

THE CONTRACTOR SHALL PROVIDE DOCUMENTATION IN ADOBE

ACROBAT, VERSION 7.0 OR

LATER.

INSPECT BY : S4306A

SHIP TO: N64498

ACCEPT BY: S4306A

KLMNOPQRST

NAVSUP WSS N9652.1S 2019 MAR 21 DAVID A SCHWARTZ 2019 MAR 23

2 11

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

(See DoD 5010. 12-M for detailed instructions.)

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.

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

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

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

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

Specify number of times data items are to be delivered.

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

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

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

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

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

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

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

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

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

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

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

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 delivering such data item to the Government.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B 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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

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

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

NA

A003 WLD PDE QUALIFICATION TEST REPORT

DI-MISC-80876 SEE SECTION C NSWCPD 427

SS ONE/R 60 DAC

A B NA NA

DCMA QAR 01 01 00

BLOCK 4: SUBMIT COPIES OF ALL APPROVED WELDING PROCEDURE

QUALIFICIATION TEST

REPORTS OR ASSOCIATED APPROVAL LETTERS, AND APPLICABLE

QUALIFIED WELDING

PROCEDURES NECESSARY TO PERFORM PRODUCTION WELDING.

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

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…

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