Amendment 0001 N0010423RNC13.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

TECHNICAL DATA PACKAGE

NIIN: 016414456 VERSION: 007 PAGE 1

ITEM NAME: CABLE ASSY OCTOBER 13, 2023

1. SCOPE

1.1 This contract/purchase order contains the requirements for manufacture and the contract quality requirements for the CABLE ASSY .

2. APPLICABLE DOCUMENTS

2.1 Applicable Documents - The document(s) listed below form a part of this contract/purchase order including modifications or exclusions.

2.1.1 "Document References" listed below must be obtained by the Contractor. Ordering information is included as an attachment to this contract/purchase order.

2.2 Order of Precedence - In the event of a conflict between the text of this contract/purchase order and the references and/or drawings cited herein, the text of this contract/purchase order shall take precedence. Nothing in this contract/purchase order, however, shall supersede applicable laws and regulations unless a specific exemption has been obtained.

2.3

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

CPG-1926 96169 B SP D3 0001 B 49998 0220681

EB-4749 96169 D D3 0001 D 49998 2872815

EB-4771 96169 B D3 0001 B 49998 0550630

EB-4784 96169 B D3 0001 B 49998 9999999

DOCUMENT REFERENCES

SPEC NO. SLASH NO. PART NO REV DATE DISTR CD AMEND CHG NTC SUPP

MIL-STD-129 P 29 OCT 04 A 03

ISO9001 17 APR 01 A

NAVSEA S9320-AM-PRO-020/MLDG 2 02 AUG 99 D

3. REQUIREMENTS

3.1 Cage Code/Reference Number Items - The CABLE ASSY furnished under this contract/purchase order shall be the design represented by Cage Code(s) reference number(s). Cage _______ ref. no.

<96169 EB4784-1A>

3.2 <Item is NAVY SMIC WN, defined as the following:

Submarine outboard cable assembly that must be in compliance with molding manual NAVSEA S9320-AM-PRO-020/MLDG.

Product must be manufactured by a PRO-020 certified vendor with a copy of a Test Inspection Report accompanying each cable assembly delivered. The manual provides minimum guidelines for cable assembly molding, inspection, and testing.

Vendors are audited for compliance with personnel training/certification requirements, safety and environmental controls, and equipment requirements.>

3.3 Marking - This item shall be physically identified in accordance with <MIL-STD-129> .

3.4 First Article Approval (Contractor Testing) - First Article Test (FAT) and approval is required.

3.5 Production Lot Approval (Contractor Testing) - Production Lot Test and approval is required.

3.6 Changes in Design, Material Servicing, or Part Number - Except for a Code 1 change, which shall be processed as provided in the code statement shown below, no substitution of items shall be made until the SPCC Contracting Officer has been notified and approval has been given by issuance of a written change order. When any change in design, material, servicing or part number is made to replace or substitute any item to be furnished on this contract/purchase order, the Contractor shall furnish, for the substituting/replacement item, a drawing and an explanation of the reason for the change, or a detailed description of the change, explaining the reason therefore.

If finished detail drawings are not available, shop drawings inthe form used by the manufacturer will be acceptable for Government evaluation. When notifying the Contracting Officer of the reasons for making substitutions, the type of change shall be indicated by code number in accordance with one of the following statements:

Code 1: PART NUMBER CHANGE/MINOR DESIGN CHANGE - If the Manufacturer's Part Number or item design indicated thereon has changed, but form, fit and function of the item is not affected thereby, and the design change meets the criteria for minor, by not effecting form, fit, function, reliability or safety , supply the item and advise SPCC immediately of the new part number, furnishing a detail drawing and/or a detailed description of the change, as applicable.

Code 2: Assembly (or set or kit) not furnished - Used following detail parts.

Code 3: Part not furnished separately - Use assembly.

NIIN: 016414456 VERSION: 007 PAGE 2

ITEM NAME: CABLE ASSY OCTOBER 13, 2023

Code 4: Part redesigned - Old and new parts are completely interchangeable.

Code 5: Part redesigned - New part replaces old. Old part cannot replace new.

Code 6: Part redesigned - Parts not interchangeable.

3.7 Mercury Free - The material supplied under this contract/purchase order is intended for use on submarines/surface ships and therefore shall contain no metallic mercury and shall be free from mercury contamination. Mercury contamination of the material will be cause for rejection.

If the inclusion of metallic mercury is required as a functional part of the material furnished under this contract, the Contractor shall obtain written approval from the Procurement Contracting Officer before proceeding with manufacture. The contractor's request shall explain in detail the requirements for mercury, identify specifically the parts to contain mercury, and explain the method of protection against mercury escape. Such a request will be forwarded directly to the Procurement Contracting Officer with a copy to the applicable Government Inspector. Upon approval by the Contracting Officer, the vendor will provide a "Warning Plate" stating that metallic mercury is a functional part of the item and will include name and location of that part.

The use of mercury, mercury compounds, or mercury-bearing instruments and/or equipment in a manner which might cause contamination in the manufacture, assembly, or test of material on this contract is prohibited. The most probable causes of contamination are direct-connected manometers, mercury vacuum pumps, mercury seals, or the handling of mercury in the immediate vicinity. Mercury switches, mercury in glass thermometers, standard cells and other items containing mercury may be used if they are located so as not to constitute a contamination hazard.

If external contamination by metallic mercury occurs or is suspected, the following test may be used to determine whether contamination by metallic mercury exists or whether corrective cleaning measures have been effective. Enclose the equipment in a polyethylene bag or close-fitting airtight container for eight hours at room temperature (70 degrees F minimum).Sample the trapped air and if mercury vapor concentration is 0.01 mg/cu meter or more, the material is mercury contaminated insofar as the requirements of this contract are concerned.

These requirements shall be included in any subcontract or purchase order hereunder and the Contractor shall insure SubContractor compliance with these requirements.

Technical questions pertaining to these requirements shall be referred to the Procurement Contracting Officer via the cognizant Administrative Contracting Officer. For background, the following information is provided:

Mercury is corrosive to gold, silver, nickel, stainless steels, aluminum and copper alloys. Stainless steels, nickel, and copper alloys are widely used in reactor plants and other submarine/surface ship systems. Accidental trapping of mercury in a component could cause serious damage to vital parts. Mercury is also toxic if inhaled, ingested, or absorbed through the skin. It is evident that grave consequences could result from small amounts of mercury vapor present in an unreplenished submarine/surface ship atmosphere.

3.7.1 NAVSEA S9320-AM-PRO-020/MLDG - Manufacture of this item requires vendor certification in accordance with

NAVSEA S9320-AM-PRO-020/MLDG.

4. QUALITY ASSURANCE

4.1 Responsibility for Inspection - Unless otherwise specified in the contract/purchase order, the Contractor is responsible for the performance of all inspection requirements as specified herein. Except as otherwise specified in the contract/purchase order, the Contractor may use his own or any other facilities suitable for the performance of the inspection requirements specified herein, unless disapproved by the Government. The Government reserves the right to perform any of the inspections set forth in the specification where such inspections are deemed necessary to assure supplies and services conform to prescribed requirements.

4.2 Quality System Requirements - The supplier shall provide and maintain a quality system acceptable to the Government. The quality system requirements shall be in accordance with ISO 9001.

4.2.1 <Suppliers currently using and maintaining Inspection System Requirements to MIL-I-45208 are granted permission to utilize MIL-I-45208 if desired.>

4.3 First Article Test/Inspection Report - The Contractor shall prepare and submit a report in accordance with the Contract Data Requirements List (DD Form 1423). The report shall be approved prior to production.

4.4 <Quality Assurance per EB-4784, the seller shall be responsible for the performance of all Quality Conformance tests. The seller may use their own or any other inspection facilities acceptable to the buyer. Inspection records of the examinations and tests shall be kept complete and provided to the buyer. All quality assurance operations by the supplier will be subject to procuring activity verification at any time.

Per 4.1.5.1, A test procedure shall be prepared by the supplier and forwarded to the procuring activity for review and approval prior to performance of such tests.

per 4.1.5.4, All test results shall be approved by the procuring activity prior to final issuance.>

4.5 Responsibility for Compliance - All items must meet all requirements of this contract/purchase order. The

NIIN: 016414456 VERSION: 007 PAGE 3

ITEM NAME: CABLE ASSY OCTOBER 13, 2023

inspection set forth in this specification shall become a part of the Contractor's overall inspection system or quality program. The absence of any inspection requirements shall not relieve the Contractor of the responsibility of assuring that all products or supplies submitted to the Government for acceptance comply with all requirements of the contract/purchase order. Sampling in quality conformance does not authorize submission of known defective material, either indicated or actual, not does it commit the Government to acceptance of defective material.

4.6 Records of Inspection - (This requirement is not applicable to Government Purchase Orders) Records of all inspection work performed by the Contractor, as referenced elsewhere in this contract, shall be kept complete and available to the Government during the performance of the contract and for a period of four years after final delivery of supplies.

5. PACKAGING

5.1 Preservation, Packaging, Packing and Marking - Preservation, Packaging, Packing and Marking shall be in accordance with the Contract/Purchase Order Schedule and as specified below.

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

6. NOTES

6.1 Notice To Distributors/Offerors - Consideration for award of contract shall be given only to authorized distributors of the original manufacturer's item represented in this solicitation. If you desire to be considered as a potential source for award of this contract, proof of being an authorized distributor shall be provided on company letterhead signed by a responsible company official and sent with your offer to the Procurement Contracting Officer.

6.2 Ordering Information for Document References - The Department of Defense Single Stock Point (DODSSP), Website http://www.dsp.dla.mil/, provides product information for the Department Of Defense Index Of Specifications and Standards (DODISS) (i.e.Military/Federal Specifications and Standards), Data Item Descriptions (DIDs), and other DODSSP Products. Most Specifications can obtained directly from http://quicksearch.dla.mil/

A. Availability of Cancelled Documents - The DODSSP offers cancelled documentsthat are required by private industry in fulfillment of contractual obligationsin paper format. Documents can be requested by phoning the Subscription Services Desk.

B. Commercial Specifications, Standards, and Descriptions - These specifications, standards and descriptions are not available from Government sources. Theymay be obtained from the publishers of the applicable societies.

C. Ordnance Standards (OS), Weapons Specifications (WS), and NAVORD OSTD 600 Pages - These type publications may be obtained by submitting a request to:

Commander, Indian Head Division, Naval Surface Warfare Center Code 8410P, 101 Strauss Avenue Indian Head, MD 20640-5035

D. On post-award actions, requests for "Official Use Only" and "NOFORN" (Not Releasable To Foreign Nationals) documents must identify the Government ContractNumber, and must be submitted via the cognizant Defense Contract Management Command (DCMC) for certification of need for the document. On pre-award actions such requests must be submitted to the PCO for certification of need for the document.

E. NOFORN Military Specifications and Standards (including Amendments, Change Notices and Supplements, but NOT interim Changes) to be ordered from:

Contracting Officer

NAVSUP-WSS

Code 87321 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

F. Nuclear Reactor Publications Assigned NAVSEA Documents and Identification Numbers (i.e. NAVSEA Welding Standard, NAVSEA 250-1500-1) are to be ordered enue:

Commanding Officer

NAVSUP-WSS

Code 009 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

G. Technical Manuals Assigned NAVSEA Identification Numbers (i.e. NAVSEA Welding And Brazing Procedure, NAVSEA S9074-AQ-GIB-010/248) are to be ordered from:

Commanding Officer

NAVSUP-WSS

NIIN: 016414456 VERSION: 007 PAGE 4

ITEM NAME: CABLE ASSY OCTOBER 13, 2023

Code 1 Support Branch 700 Robbins Avenue Philadelphia, Pa. 19111-5094

H. Interim Changes and Classified Specifications must be obtained by submitting a request on DD Form 1425 to

NAVSUP-WSS.

6.3 In accordance with OPNAVINST 5510.1 all documents and drawings provided by the U.S. Navy to perspective Contractors must include a "Distribution Statement" to inform the contractor of the limits of distribution, and the safeguarding of the information contained on those documents and drawings.

There are 7 (seven) seperate distribution statement codes used for non-classified documents and drawings. The definition for each is as follows:

A... approved for public release; distribution is unlimited.

B... distribution authorized to US Governments agencies only.

C... distribution authorized to US Government agencies and their contractors.

D... distribution authorized to DoD and DoD contractors only.

E... distribution authorized to DoD Components only.

F... further distribution only as directed by Commander, Naval Sea

Systems Command, code 09T.

X... distribution is authorized to US Government agencies and private individuals or enterprises eligible to obtain export controlled technical data in accordance with OPNAVINST 5510.161.

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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

X

CABLE ASSY N0010423X2217

FIRST ARTICLE TEST

TEST REPORT

DI-NDTI-80809B SEE SEC E PARA 4. NAVSUP WSS

SS ASREQ ASREQ

NA A NA NA

DCMA QAR 00 01 00

A report certifying First Article Test results shall be forward to the Contracting Officer and In Service NAVSUP N7 00 01 00 Engineering Agent (ISEA) NUWCDIVNPT, Code 4521 for review and approval.

ISEA POC David A. Giroux.

An approved copy of the first article qualification test plan and procedure will be provided to the DCMA quality assurance representative. The DCMA QAR will utilize the report to validate and sign the DD250 in the wide area work flow(WAWF).

00 02 00

S9320-AM-PRO-020MLDG

TEST REPORT

DI-NDTI-80809B SEE SEC E PARA 4. NAVSUP WSS

SS ASREQ ASREQ

NA A NA NA

DCMA QAR 00 01 00

With each cable, the manufacturer shall pack a copy of the Objective Quality Evidence Report of Reference 1 (NAVSEA NAVSUP N7 00 01 00 S9320-AM-PRO-020/MLDG Vol II Rev2) Test Inspection Report.

Failure to provide evidence shall be cause for rejection.

00 02 00

KLMNOPQRST

NAVSUP WSS N97131.TL 2023 JAN 10 ANDREW J DAMAN 2023 JAN 10

1 2

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.

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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

X

CABLE ASSY N0010423X2217

QUALITY CONFORMANCE

TEST REPORT

DI-NDTI-80809B SEE SEC E PARA 4. NAVSUP WSS

SS ASREQ ASREQ

NA A NA NA

DCMA QAR 00 01 00

Test Reports, per EB-4784 4.1.5.4 shall be generated for each test conducted IAW the requirements of the NAVSUP N7 00 01 00 specification. All test results shll be approved by the procuring activity prior to final issuance.

Quality Conformance test results shall be forwarded to the Contracting Officer and In Service Engineering Agent (ISEA) NUWCDIVNPT, Code4521 for review and approval.

ISEA POC David A. Giroux.

00 02 00

KLMNOPQRST

NAVSUP WSS N97131.TL 2023 JAN 10 ANDREW J DAMAN 2023 JAN 10

2 2

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.

1) Update the Technical Data Package.

2) Extend the solicitation closing date to 17 Novemeber 2023.

All other terms and conditions remain unchanged.

5450 Carlisle Pike, Mechanicsburg, PA 17050-2411 N744.25, holly.tibbens@navy.mil