CDRLA001_Cuttingtable_170601.pdf

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER

Form Approved OMB No. 0704-0188

15. TOTAL

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

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

7. DD 250 REQ

8. APP CODE

9. STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

DIST

22202-4302.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

X

Composite Cutting Table N0016417Q0034

A001 Installation, Operation, Maintenance

DI-TMSS-81675 SOW 4.0 NSWC CRANE DIVISION

LT

N/A D

ASREQ

SEE BLK 16

0DADO

N/A

AL-01 0 2 0

AL-02 0 1 0

AL-03 0 1 0

(SEE BLK 16)

0 0

Block 10:

Submission should be provided with delivery of equipment. No subsequent submissions required.

Block 11:

1. 30 Days after contract award

Block 12/13: Submission shall be provided with delivery of equipment. No subsequent submissions required

Block 14: Data Deliverable shall be submitted in hard copy to the following:

AL-01 Michael Goodwin (WXSVN) AL-02 Scott Blanton (WXSVN) AL-03 Brent Iberg (WXSVN)

6/1/17 6/1/17

1 1

GOODWIN.MICHAEL.S.1367827064

2017.06.01 13:26:00 -04'00'

MILLER.GERALD.FR

ANCIS.1085008745

Digitally signed by

MILLER.GERALD.FRANCIS.1085008745

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=MILLER.GERALD.FRANCIS.1085008745 Date: 2017.06.01 14:37:57 -04'00'