3.03_Amendment(1)_24017-0023.PDF

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE Prescribed by GSA

FAR (48 CFR) 53.243

STANDARD FORM 30 (REV. 10-83)

(a) By completing Items 8 and 15, and returning ____ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDG- MENT 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 telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

30-105

(If required)

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:

tended.

is not ex-is extended,

12. ACCOUNTING AND APPROPRIATION DATA

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

(Signature of Contracting Officer)

(Specify authority)

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

10A. MODIFICATION OF CONTRACT/ORDER NO.

(SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.(No., street, county, State and Zip Code)8. NAME AND ADDRESS OF CONTRACTOR

6. ISSUED BY

PAGE OF PAGES1. CONTRACT ID CODE

3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO.

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

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

IN ITEM 10A.

THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

(such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

(Specify type of modification and authority)D. OTHER

BY(Signature of person authorized to sign)

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.

CODE FACILITY CODE

CODECODE

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

16B. UNITED STATES OF AMERICA

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

15B. CONTRACTOR/OFFEROR

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

(SEE ITEM 13)

(If applicable)5. PROJECT NO.4. REQUISITION/PURCHASE REQ. NO.

7. ADMINISTERED BY (If other than Item 6)

16C. DATE SIGNED15C. DATE SIGNED

Contractor is not, is required to sign this document and return ____ copies to the issuing office.

10B. DATED

9B. DATED

E. IMPORTANT:

1 8

0001 2026 MAY 21 24017-0023 (VU 3A26)

N00104

NAVSUP WEAPON SYSTEMS SUPPORT MECH

5450 CARLISLE PIKE

MECHANICSBURG, PA 17050-2411

CREATOR OFC CD: N742.16

N00104-25-Q-ZA19

X

2024 OCT 31

X X

FBW SFCC

THE HOUR AND DATE SPECIFIED FOR RECEIPT OF OFFERS IS EXTENDED TO 4:30 PM LOCAL TIME ON 2026 MAY 28.

SEE NEXT PAGE

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

N00104-25-Q-ZA19 AMEND: 0001 2 8

0001 TDP VERSION NUMBER IS CHANGED FROM 003 TO 004

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

ALL REFERENCES TO WAIVERS ON PRIOR TDPS ARE NO LONGER APPLICABLE

PACKAGING IS CHANGED TO:

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 1 00 ZZ ZZ Z ED A 00 B 39 EFF 2.0 0.074 A

SUP PKG: ZZ = PACKAGE PER SPI 03950 10167

CAGE SPI NUMBER REV SPI DATE CONTAINER NSN

03950 0395010167 G 2026 APR 20

PACKAGING IS IN ACCORDANCE WITH MIL-STD-2073

N00104-25-Q-ZA19 AMEND: 0001 PAGE 3 OF 8

PART I - THE SCHEDULE

SECTION C

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

CLIN: 0001

NIIN: 016008410 ACTIVITY USE ONLY: TDP VERSION NO.: 004

ITEM NAME: CCA,RS-422/RS-232

1. SCOPE

1.1 The material identified in this contract/purchase order will be used in a crucial shipboard system; therefore, this material has been designated as a Fly-By-Wire(FBW) Submarine Flight Critical Component (SFCC) and identified with a Special Material Identification Code (SMIC) on the outer wrapping which identifies thisNIIN as a FBW SFCC.

SMIC identifiers are "VU" for Virginia Class "SW" for Seawolf Class, and "SC" for Columbia Class. As such, special control procedures are invoked to assure receipt of correct material.

2. APPLICABLE DOCUMENTS

2.1 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 must take precedence. Nothing in this contract/purchase order, however, must supersede applicable laws and regulations unless a specific exemption has been obtained.

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

2.2.1 Specification Revisions - The specification revisions listed under "Documents References" below are the preferred revision. Older and/or newer r evisions are acceptable when listed within Contract Support Library Reference Number CSD155 in ECDS (Electric Contractor Data Submission) at: ht tps://register.nslc.navy.mil/. This is to allow Contractors to use certain acceptable older specification revisions to purge their existing stock of material certified to those older revisions or to use newer specification revisions when material is certified to newly released revisions,without requiring the submittal of waiver/deviation requests for each specification revision on every contract. Revisions of specifications reflecting editorial and/or re-approval (e.g. E2009, R2014, etc.) are considered inconsequential, but are acceptable when their revisions are listedwithin CSD155 or elsewhere within this contract.

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

2.3

DOCUMENT REFERENCES

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

MIL-STD-1686 C 25 OCT 95 A

ISO_9001 15 NOV 08 A

ISO 9002 01 JUL 94 A

MIL-Q-9858 A 05 SEP 95 A 3

ISO10012 15 APR 03 A

MIL-I-45208 A 24 JUL 81 A 1

MIL-STD-45662 A 01 AUG 88 A

ANSI/NCSL Z540.3 26 MAR 13 A

3. REQUIREMENTS

3.1 Item Identification - The item furnished under this contract/purchase order must be in accordance with <96169 EB-4847> , except as amplified or modified herein.

3.2 Electrostatic Discharge Control - The Contractor must comply with the electrostatic discharge control requirements established in MIL-STD-1686.

3.3 NAVSEA T9044-AD-MAN-010 REQUIREMENTS MANUAL FOR SUBMARINE FLY-BY-WIRE SHIP CONTROL SYSTEMS - All applicable elements of NAVSEA T9044-AD-MAN-010 for which the contractor must comply, are included in this contract or purchase order. NAVSEA T9044-AD-MAN-010 is for official use only and distribution is to comply with Distribution Statement D.

3.4 Configuration Control - The Contractor must maintain the total equipmentbaseline configuration. For items of proprietary design, Contractor drawings showing the latest assembly configuration must be provided to the government in electronic (C4) format. Definitions are provided elsewhere in the Contract/Purchase Order.

N00104-25-Q-ZA19 AMEND: 0001 PAGE 4 OF 8

3.4.1 Waivers/Deviations - All waivers and deviations, regardless of significance or classification require review and approval by the Submarine Program manager (SPM) via the Procurement Contracting Officer (PCO). The Contractor must provide a copy of this request to the QAR. Requests for Waivers/Deviations must be prepared using form LI/DSS/SFCC WD-1 (Local) or in Contractor format, and must include the following information:

a. A complete description of the contract requirement affected and the nature of the waiver/deviation (non-conformance).

b. Number of units (and serial/lot numbers) to be delivered in this configuration.

c. Any impacts to logistics support elements (such as software, manuals, spares, tools, and similar) being utilized by Government personnel or impacts to the operational use of the product.

d. Information about remedial action being taken to prevent reoccurrence of thenon-conformance.

3.4.2 ECPs - The Government will maintain configuration control and change authority for all modifications or changes affecting form, fit, function, or interface parameters of the Equipment and its sub-assemblies. The Contractor must submit an Engineering Change Proposal (ECP) for any Class I or II changes that impact the Equipment covered by this contract. ECPs must be prepared in Contractor format, and must include the following information:

a. The change priority, change classification (Class I or Class II), and changejustification.

b. A complete description of the change to be made and the need for that change.

c. A complete listing of other Configuration Items impacted by the proposed change and a description of the impact on those CIs.

d. Proposed changes to documents controlled by the Government.

e. Proposed serial/lot number effectivities of units to be produced in, or retrofitted to, the proposed configuration.

f. Recommendations about the way a retrofit should be accomplished.

g. Impacts to any logistics support elements (such as software, manuals, spares, tools, and similar) being utilized by Government personnel in support of the product.

h. Impacts to the operational use of the product.

3.5 Mercury Free - Mercury and mercury containing compounds must not be intentionally added or come in direct contact with hardware or supplies furnished under this contract. Mercury contamination of the material will be cause for rejection.

* QUALITY ASSURANCE REQUIREMENTS *

3.6 Quality System Requirements - The Contractor furnishing items under this contract/purchase order must provide and maintain a quality system in accordance with MIL-I-45208, MIL-Q-9858, or ISO9001:2008 (except as amplified or modified herein) with the calibration system requirements of MIL-STD-45662, ISO10012, or ANSI-Z540.3. Quality systems in accordance with ISO9001:2000, ISO9001:1994, or ISO9002:1994 are acceptable alternates.

3.6.1 The Contractor's quality system and products supplied under the system are subject to evaluation, verification inspection, and acceptance/non-acceptance by the Government representative to determine the system's effectiveness in meeting the quality requirements established in the Contract/Purchase Order.

3.6.2 The Contractor's quality system must be documented and must be available for review by the Contracting Officer or his representative prior to initiation of production and throughout the life of the contract. The Prime Contractor must, upon notification, make his facilities available for audit by the contracting Officer or his authorized representative.

3.6.3 See CDRL DI-QCIC-81110 (INSPECTION SYSTEM/QA PROCEDURE) - All suppliers of SFCC material are required to submit a copy of their current documented quality system procedures to the Procurement Contracting Officer (PCO) prior to award of any contract/purchase order. Suppliers that have a copy of their current quality system procedures on file at the Procuring Activity may request the PCO waive this requirement.

3.6.4 This contract provides for the performance of Government Quality Assurance at source. The place or places of performance may not be changed without the authorization of the Procurement Contracting Officer. Upon receipt of this order, promptly notify the Government representative who normally services your plant so that appropriate planning for Government inspection can be accomplished. If you do not have an assigned Government representative, notify the nearest Defense Contract Management Agency (DCMA) Office. In the event that a local Government representative or DCMA Office cannot be located, our purchasing agent should be notified immediately.

N00104-25-Q-ZA19 AMEND: 0001 PAGE 5 OF 8

3.6.5 Any changes made by the Contractor to a qualified quality system will require concurrence by the Government Quality Assurance Representative prior to adoption.

3.7 Contractor Inspection Requirements - The Contractor must maintain adequate records of all inspections and tests.

The records must indicate the nature and number of observations made, the number and type of deficiencies found, the quantities approved and rejected, and the nature of corrective action taken as appropriate.

3.7.1 The supplier's calibrated gages that measure and test equipment must be made available for use by the Government representative when required to determine conformance with Contract requirements. When conditions warrant, the supplier's personnel must be made available for operations of such devices and for verification of their accuracy and condition.

3.7.2 All documents and reference data applicable to this contract must be available for review by the Government representative. Copies of documents required for Government inspection purposes must be furnished in accordance with the instructions provided by the Government representative.

3.8 Subcontractor Inspection Requirements - The Government has the right to inspect at source, any supplies or services that were not manufactured or performed within the contractor's facility. Such inspection can only be requested by or under authorization of the Government representative. Any purchasing documents to a subcontractor must cite the applicable portions of the contractually invoked quality system (e.g. calibration requirements), plus any product requirements that apply to the supplies being purchased. When the Government elects to perform source inspection at the subcontractor's facility, applicable purchase documents must be annotated with the following statement: "A Government inspection is required prior to shipment from your plant. Upon receipt of this order, promptly notify the Government representative who normally services your plant so that appropriate planning for Government inspection can be accomplished. If you do not have an assigned Government representative, notify the nearest Defense Contract Management Agency (DCMA) Office. In the event that a local Government representative or DCMA Office cannot be located, our purchasing agent should be notified immediately."

3.9 Government Furnished Material and/or Equipment (GFM/GFE) - When material or equipment is furnished by the Government, the Contractor must develop documented control procedures that require at least the following:

3.9.1 Visual examination upon receipt to detect damage during transit.

3.9.2 Inspection for completeness and proper type.

3.9.3 Verification of material quality received.

3.9.4 Periodic inspection and precautions to assure adequate storage conditions and to guard against damage from handling and deterioration during storage.

3.9.5 Functional testing, for use during certification testing, as required by the Contract to determine satisfactory operation.

3.9.6 Identification and protection from improper use or disposition.

3.9.7 Reporting to the Government, any GFM or GFE property found damaged, malfunctioning, or otherwise unsuitable for use. In the event of damage or malfunction during or after installation, the supplier must determine and record probable cause and necessity for withholding the material from use.

3.9.8 For GFE material, and as required by the terms of the bailment agreement the supplier must establish procedures for adequate storage, maintenance, and inspection of bailed Government material. Records of all inspection and maintenance performed on bailed property must be maintained.

3.9.9 Material returned to the contractor must be handled as GFM.

3.10 Traceability and Certification Requirements - To assure that correct materials are installed in FBW SCS SFCC systems, it is imperative that traceability be maintained from the material to the material certification test report and other required Objective Quality Evidence (OQE). The material certification report must completely and accurately reflect that the material supplied meets the specified requirements. Materials requiring Traceability and Certification Data are identified within Paragraph 3 of Section C of this contract/purchase order.

3.10.1 The following provides the minimum requirements for maintaining material traceability and supplements the requirements specified in DI-MISC-80678 and elsewhere in the contract/purchase order.

3.11 Material Traceability - Material traceability codes must be permanently applied to the material and annotated on test reports for each individual SFCC. An adhesive mounted durable tag may be used for electrical/electronic components. Traceability marking must be a unique vendor traceability number/code, or a combination thereof to maintain complete traceability to certification OQE. Traceability must be maintained through all process operations including any subcontracted operations, to the finished component.

3.12 Receiving Inspection:

N00104-25-Q-ZA19 AMEND: 0001 PAGE 6 OF 8

3.12.1 SFCC certifying activities must conduct material receipt inspections of all components just prior to SFCC certification to ensure that they meet the form and fit requirements of the invoked ship and system specifications.

FBW SCS SFCCs must be receipt inspected in accordance with the material specification requirements of the applicable procurement contract and all contractually invoked Waivers, Deviations, and engineering changes thereto.

3.12.2 Receipt inspection processes must be performed using approved formal inspection procedures that specify the SFCC attributes and the required inspections and test that are required to verify the SFCCs conform to the applicable specification, drawing, and purchase order requirements.

3.12.3 SFCC certifying activities must conduct functional performance testing on all SFCCs to verify the individual SFCCs meet the invoked system and component performance specification. This testing can be performed as a part of the SFCC certification process.

3.13 Material Handling:

3.13.1 Material handling and control procedures must provide methods for FBW SCS SFCCs from fabrication and certification through issue, receipt, and inspection. FBW SCS components may be considered SFCCs beginning with the start of certification process (material receipt inspection) through installation.

3.13.2 FBW SCS SFCCs that are awaiting or undergoing receipt inspection, retained in the Navy supply system storage, or awaiting or undergoing certification, must be physically segregated from accepted, rejected or non-SFCCs to prevent commingling and unauthorized use. Segregation may be accomplished by use of separate cages, racks, bins, shelves, boxes, or roped-off areas that are distinctly marked for FBW SCS SFCCs. Segregation of SFCC OBRPs must be maintained until the SFCC is drawn from the ship's material storage and installed in the FBW SCS.

3.13.3 Material control tags, must be used to positively identify FBW SCS SFCC in transit to avoid unauthorized movement, commingling, and improper use.For SFCCs in their original packaging, labeling may be used instead of material tags.

3.13.4 Staging of FBW SCS SFCCs with other electronic components is acceptable for a specific job or fabrication process involving more than one component, provided the component is clearly marked as required and the component for the specific job or fabrication process is grouped together, identified by the job or process number, and segregated from components grouped for other processes or jobs.

3.14 Inspection:

3.14.1 Material Sampling - SFCC material must be inspected for form, fit, and function based on a sample size of 100 percent of the lot.

3.14.2 All material must be 100% inspected for traceability marking and that marking is legible.

3.14.3 Material certification data forwarded by the manufacturer must contain a signed certification that the report results represent the actual attributes of the material furnished and indicate full compliance with all applicable specification and contract requirements. Transcription of certification data is prohibited.

3.14.4 Statements on material certification documents must be positive and unqualified. Disclaimers such as "to the best of our knowledge" or "we believe the information contained herein is true" are not acceptable.

3.15 Material Marking for Traceability and Identification - The following are minimum marking requirements.

Additional/alternate marking requirements, if applicable, will be specified elsewhere in the contract/purchase order.

In addition to the marking requirements on applicable drawings and/or specifications, marking with a traceability code is required. All traceability marking must be permanently applied except as specified below. An alternate marking method is permissible provided it is an available option in the contractually invoked specification or drawing, except in instances where the material has been modified by this contract/purchase order and differs from that specified in the specification or drawing.

3.15.1 SFCC MATERIAL MARKING - SFCCs must be marked with the Special Material Identification Codes (SMIC) appended to their NSN, Part Number and a unique Material Identification and Control (MIC) Number IAW paragraph E.4.2.1 OF NAVSEA T9044-AD-MAN-010. MIC marks must be applied by the certifying activity using MIL-STD-792 as a guide. NSN including SMIC, Part Number and MIC numbers must be marked on each component, as well as the outside of the ESD bag when used, and unit package. The MIC number, when applied, designates acceptance of the material for use. The Certifying Activity Designator (CAD) portion of the MIC must not be marked on the material until the material has been completely verified and accepted. The MIC mark must be applied only by those activities approved by NAVSEA.

Unique MIC numbers for each SFCC must be used for status accounting, configuration control, and certification traceability. Altering of a MIC marking is prohibited except to make documented corrections.

3.15.2 Traceability markings for items or material with suitable marking surface areas less than 3/8 inches square (either 3/8" x 3/8" or an area equal to 0.1406 inches square) must be applied to a durable tag and the tag securely affixed to the material.

3.15.3 Marking must be legible and must be located so as to not affect the form, fit, and function of the material.

N00104-25-Q-ZA19 AMEND: 0001 PAGE 7 OF 8

3.16 Retention of records: Disposal of SFCC records must only be accomplished with the approval of the NAVSEA Submarine Program Manager.

3.17 See CDRL DI-MISC-80678 (FBW CERTIFICATION PACKAGE OQE) - Certificationtest report OQE to be kept on file by the certifying activity must include the following:

1. A statement equivalent to the following: All SFCC certification attributes, inspections and performance verification testing associated with this SFCC has been accomplished and meet the Requirements Manual for Submarine Fly-By-Wire Ship Control Systems and invoked standards and specifications. This SFCC materialis considered acceptable for use in submarine FBW SCS Flight Critical Applications.

2. Contractors name, address, phone number and date.

3. Contract number and delivery order number if applicable.

4. The SFCC NSN and the SMIC.

5. The government noun nomenclature.

6. Contractors part number.

7. The assigned MIC number.

8. All performance test results.

9. The programming history of this item.

10. The repair history of this item.

11. Any non-conformances for this item.

PART I - THE SCHEDULE

SECTION D

PACKAGING AND MARKING

CLIN: 0001

NIIN: 016008410 ACTIVITY USE ONLY: TDP VERSION NO.: 004

ITEM NAME: CCA,RS-422/RS-232

5. PACKAGING

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

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

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

CLIN: 0001

NIIN: 016008410 ACTIVITY USE ONLY: TDP VERSION NO.: 004

ITEM NAME: CCA,RS-422/RS-232

4. QUALITY ASSURANCE

4.1 Notes to the local Government Representative (DCMA QAR or SUPSHIP) and the Contractor

4.1.1 DCMA QAR/SUPSHIP - All nonconformances to contractual requirements must be submitted to the Procurement Contracting Officer (PCO) in accordance with the configuration control requirements of this contract/purchase order.

A nonconformance is defined as affecting or violating the following:

A) The requirements of this contract/purchase order.

B) Contractually invoked drawings (i.e. envelope dimensions, interface dimensions with mating parts/equipment, center of gravity, weights, piece part identification, material, etc.).

N00104-25-Q-ZA19 AMEND: 0001 PAGE 8 OF 8

C) Contractually invoked federal, military, or commercial specifications and/orstandards.

D) Form, fit, function, performance to contract requirements, reliability, maintainability, interchangeability, safety of personnel or equipment, or additional cost to the Government.

4.1.2 DCMA QAR/SUPSHIP and the Proprietary Contractor - Departures from Contractor imposed requirements, not specifically covered by the contract, must be judged individually on the basis of the effect, if any, on contractual requirements. When there is a disagreement between the Contractor and the Government representative as to the effect on contractual requirements, the departure must be considered a nonconformance and be submitted to the PCO for disposition.

4.1.3 DCMA QAR/SUPSHIP and the Proprietary Contractor - All records of departures from Contractor imposed requirements must be maintained and available for review at the Contractor's facility. A copy must be given to the local Government representative. A record of these departures, traceable to the applicable part number and contract number must be submitted to the PCO.

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

SECTION J

LIST OF ATTACHMENTS

CLIN: 0001

NIIN: 016008410 ACTIVITY USE ONLY: TDP VERSION NO.: 004

ITEM NAME: CCA,RS-422/RS-232

DOCUMENT NAME EXHBT/ATTCHMNT

NOTES ATTACHMENT 1

DD1423 EXHIBIT A

N00104-25-Q-ZA19 AMEND: 0001

ATTACHMENT 1 PAGE: 1

CLIN: 0001

NIIN: 016008410 ACTIVITY USE ONLY: TDP VERSION NO.: 004

ITEM NAME: CCA,RS-422/RS-232

6. NOTES

6.1 In accordance with DoDI 5230.24 all documents and drawings provided by the U.S. Navy to prospective 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 6 (six) separate 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.

6.2 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.

6.2.1 There are 7 (seven) separate 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.

6.3 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

N00104-25-Q-ZA19 AMEND: 0001

ATTACHMENT 1 - CONTINUED PAGE: 2

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

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.

6.4 Recent Updates - A short description of recent updates to the technical requirements of this item are listed below, along with an implementation date for each issue. The notes below are only a generic quick reference and are provided for convenience only, detailed requirements will be defined elsewhere in the technical sections of this Contract/Purchase Order.

<- 10/20/2016 - Updated ECDS URL

- Dec 17 2011 - Moved Quality Assurance Text location for Readability>

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1. DATA ITEM NO.

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

TDP ________ TM ________ OTHER ______________________________

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DD Form 1423-2, JUN 90

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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

CCA,RS-422/RS-232 N0010424X2164

INSPECTION SYSTEM/QA PROCEDURE

A001 INSPECTION AND TEST PLAN

DI-QCIC-81110 (FBW) TDP: PARA 3 PURCHASE ACTY

LT ONE/R ASREQ

NA B NA NA

NAVSUPWSS-PCO 00 01 00

Paragraph 10.4 of DI-QCIC-81110 does not apply.

00 01 00

RECEIPT INSPECTION

A002 INSPECTION AND TEST PLAN

DI-QCIC-81110 (FBW RI) TDP: PARA 3 PURCHASE ACTY

SD ONE/R ASREQ

NA B NA NA

NAVSEA 05Z14 00 01 00

Paragraph 10.4 of DI-QCIC-81110 does not apply.

NAVSEA 07Q1 00 01 00

NAVSUPWSS-PCO 00 01 00

00 03 00

KLMNOPQRST

NAVSUP WSS N97122V 2025 JUL 15 RYAN M ORZELL 2025 JUL 15

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.

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

15. TOTAL

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

0001AB A X

CCA,RS-422/RS-232 N0010424X2164

FBW CERT PACKAGE OQE

A003 CERTIFICATION/DATA REPORT

DI-MISC-80678 (FBW OQE) TDP: PARA 3 PURCHASE ACTY

SS ONE/R ASREQ

NA D NA NA

N62789 00 01 00

Block 4 - Paragraphs 10.2.2, 10.2.3, 10.2.4, and 10.3 of DI-MISC-80678 do not apply.

OQE must be submitted via WAWF (Wide Area Work Flow) for review and acceptance.

00 01 00

KLMNOPQRST

NAVSUP WSS N97122V 2025 JUL 15 RYAN M ORZELL 2025 JUL 15

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.