Exhibit_A_-_CDRLS_16-R-JH02.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved CMB No. 0704-0188

Public reporting burden for tltis collection of information is estimated to average 110 hours per response, including tlu time for nviewing inslnldions, searching exi!ting data sources, gathering and maintaining die dota nuded, and completing and Tt!lliewilfg the collectimt of ill/ormation. Sotd comments regarding litis burdm ndmate or any other aspect of this collection of information, including suggestions for reducing this burdur to DqJartment of Defense, Washington Hudq11arters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2102, and to the OffiCe of Management and Budget, Paperwork Reduction Project (0704-0188), Washingt011,/X' 20503. Please DO NOT RETURN your form to either of these addrenes. St!nd compl&dform to the Governm01 t Issuing Contracting Officer for t/11: Contract. PR No. listed in Block E.

A. Contract Line Item No. I B. Exhibit A I i· Category

D. System/Item. I E Contract/PR NO. F. Contractor

Scientific and Engineering Services for O~board Electronic Warfare

I. Data Item No. ,2. Title of Data Item: 3. Subtitle:

AOOl Contractor On-Site Labor Report

4. Authority (Daa Acquisition Document No.) I 5. Contract Reference I 6. Requiring Office

N/A NRL Code 5715

7. DD250Req 9. Dist Statement Required 10. Frequency 12. Date of First Submission 14. Distribution

LT Monthly 30DAC

8. APPCode

Dist Statement D II As of Date 13. Date of Subsequent Submission a. Addressee b. Copies

NIA Draft Final

Reg Repro

16. REMARKS

NRL Code 5715 0 I 0

The contractor shall deliver the on-site labor report no later than ten (10) government business AOCode 5702 0 I 0 days after the end of each reporting month. The report must include as a minimum the following Code 5710.BO 0 I 0 data:

Reporting period

Contract Number (and order number, if applicable)

Contract value

Current funding

Amount expended in current period

Total expended to date

Date submitted

Labor including subcontractors- show employee name, number of hours, total amount billed for employees working on site at NRL. If the contractor empl~ees worked on multiple tasks (as defined by the COR), the number of hours worked on each task must be shown separately.

15. TOTAL 0 3 0

G. PREPARED BY

1~~.S~t.l-IL- I H. DATE -I L A~?4b~ I J. DATE sOO'"'t UJt s-NRL Code 5715 :0 ~~ ':Ul> 'l7:

eo Jete / v Page I of 3 Pages

DDFonn 1423-I,JUN90 Prev1ous ed1t10ns ar bso

Exhibit A

N00173-16-R-JH02

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 complding and rniLwing the collection of information. Send comments regarding this burdor estimate Of' any other aspect of thU coHection of illformotion, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Senlices, Directorote for Information Operations and Reports, 1215 Jefferson Davis Highway, Suile 1204, Arlington, VA 221202·2302, and to the Office of Managot~ent and Budget, Paperworlc Reduction Project (0704-0/88), Washington, OC 20503. Please DO NOT RETURN_vo11r form to eithu of these addresses. Send comple1t!dform to the Govern~Mmluuing Contracting Officer for the Contract. PR No. lisle din Blod E.

A Contract Line Item No. I B. Exhibit A I C. Category

0001 TDP

D. System/Item I E Contract!PR NO. F. Contractor

Scientific and Engineering Services for OfT-board Electronic Warfare

I. Data Item No. 13. Title of Data Item: 3. Subtitle:

A002 Technical Status Report

4. Authority (Data Acquisition Document No.) I 5. Contract Reference I 6. Requiring Office

N/A SOW Para3.0 NRL Code 5715

7. DD250 Req 10. Dist Statement Required I 0. Frequency 12. Date of First Submission 14. Distribution

LT Monthly 30DAC

8. APPCode

Dist Statement D

11. As of Date 13. Date of Subsequent Submission a. Addressee b. Copies

N/A 45 DAC Draft Final

Reg Repro

16. REMARKS

NRL Code 5715 0 I 0

The contractor shall deliver the report no later than ten (I 0) government business days after the NRL Code 5714 0 I 0 end of each reporting month_ The report must include as a minimum a summary of the current

NRL Code 5712 0 I 0 technology, including pertinent observations, nature of technical problems, positive as well as negative results and design criteria established to this point. Wherever feasible, material should be prepared in such a manner as to permit ready incorporation without change into the final report.

15. TOTAL 0 I 0

G. PREPARED BY

~Cl~PtSh_~ I H. DATE ·~ L VJ&Db~ I J. DATE

NRL CODE 5715 '30 O<.:t )l)t :,..:, ..~ .L -- ;c Oc. t 26ts- DDFonn 1423-I,JUN90 Previous editions are obsolete / v Page _2_ of 3 Pages

Public reporting burden for /.his collection of information is estimated to average J/0 hours per response, including lhe time for nvint~ing Uutrudions, searching existing data sources, gathuing and maintaining the data nutkd, and cmnplding and nvift41ing tire collection of information. Send comments regarding this burden estimate or any othu aspect of this collection of informotion, including suggestions for reducing this burden to Department of Defense, Washingt011 Headquarters Services, Diredomtefor Information Opn-ations and Reports, 1215 Jefferson Davis Highway, Suite 1104, Arlington, VA 221201-2302, and to the Office of Management and Budgd, Papnwork Reduction Project (0704..(}188), Washington, DC 20503. Please[)() NOT RETURN your form to ftther of these addresses. Send compldedform to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.

A. Contract Line Item No. I B. Exhibit A I C Category

0001 TDP

D. System/Item. I E Contract/PR NO. F. Contractor

Scientific and Engineering Services for Off.board Electronic Warfare

I. Data Item No. ,4. Title of Data Item: 3. Subtitle:

A003 Ad Hoc Reports

4. Authority (Data Acquisition Dowment No.) I 5. Contract Reference I 6. Requiring Office n/a SOW Para J_O NRL Code 5715

7. DD250Req 11. Dist Statement Required 10. Frequency 12. Date of First Submission 14. Distribution n/a Ad Hoc *see block

8. APPCode

Dist Statement D II. As of Date 13. Date of Subsequent Submission a. Addressee b. Copies n/a Draft Final

Reg Repro

16. REMARKS

NRL Code 5715 0 I 0

The contractor shall provide the temporary, provisional reports on a one time basis as required by the COR- The COR will identity the basic contents of the Report and delivery time.

/}_ 15. TOTAL 0 1 0

G. PREPARED BY l~~:;ft>i~l LAr;;;;~~ I

J.DATE

NRL CODE 5715 ~f:>.<;k 3oO<-i fl,tS DDFonn 1423-1,JUN90 Previous editions are obsolete //'// Page 3 of 3 Pages

Public reporting burden for this colleaion of information is ntimated to average 110 hours per response, including dre time for reviewing instrudions, searching existing data sourcn, gathering and maintaining the data nudU, and completing and reviewing the collection of information. Send comments regarding tlri1 burden ntimau or any other aspect of Ill is collection of information, including suggestions for reducing this burden to Department of Defense, Washington Hudq•arters Services, Directorate for Information Operations and Reports, 11 I 5 Jefferson Davis Highway, Suite 1104, Arlington, VA 121101-2302, and to the Office of Management and Budget, Paperwork Reduction Proj«t (0704-0188), Washington, DC 10503. Pleau DO NOT RETURN your form to eitlreroftheuaddrnsn. Send completed form totlu (/ovunment Issuing Contracting Officer for the Contract PR No. listed in Block E.

A. Contract Line Item No.

D. System/Item.

I B. Exhibit A

Scientific and Engineering Services for Off.board Electronic Warfare

I. Data Item No.

A004

5. Title of Data Item:

Annual Technical Report

4. Authority (Data Acquisition Document No.)

nla

7. DD 250 Req

LT

8. APPCode n/a

16. REMARKS

12. Dist Statement Required

Dist Statement D

I 0. Frequency

Annually II. As of Date

I C. Category

TOP

Contract!PR NO.

5. Contract Reference

SOW Para3.0

12. Date of First Submission

365 DAC

13. Date of Subsequent Submission

*see blk 16

*The contractor shall deliver the report no later than 20 government business days after the end of each reporting year.

The report will incorporate all monthly reports and any other pertinent observations not previously identified. The report will include all tasks performed in the previous 365 days and the current status of those tasks.

G. PREPARED BY ['(\

NRL CODE 5715 ~~ ~-~k"-L DDFonn 1423-l,JUN90 Prefious editions are obsolete

F. Contractor

3. Subtitle:

6. Requiring Office

NRL Code 5715

14. Distribution

a. Addressee b. Copies ~D~r-a7ft~--~F~i~na~~------

Reg Repro

NRL Code 5715 0 0

15. TOTAL 0 I 0

I

J.DATE ~

?iJ ll:c f -y,::, Page 3 of 3 Pages

Public reporting burden for this collection of information is estimated to average I 10 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and complding and rnri~ing tlle collection of information. Send comments regarding thU burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Deportment of /kfense, Washington Headquarters Suvicn, Dinctoratefor Information Operations and Reports, /215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222101-1302, and to the OffiCe of Management and Budget, Paperwork Redudion Project (0704-0188), Washington, DC 20503. Pleau DO NOT RETURN.vour form to eitho oftheseaddrnsn. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.

A. Contract Line Item No. I B. Exhibit A I C. Category

0001 TOP

D. System/Item. I E Contract!PR NO. F. Contractor

Scientific and Engineering Services for Ofl.board Electronic Warfare

I. Data Item No. ,6. Title of Data Item: 3. Subtitle:

A005 Final Technical Report

4. Authority (Data Acquisition Document No.) I 5. Contract Reference I 6. Requiring Office n/a SOWPARA3.0 NRL Code 5715

7. DO 250Req 13. Dis! Statement Requi"ed I 0. Frequency 12. Date of First Submission 14. Distribution

LT I Time *see blk 16

8. APPCode

Dist Statement D II. As of Date 13. Date of Subsequent Submission a. Addressee b. Copies nla *see blk 16 Draft Final

Reg Repro

16. REMARKS

NRL Code 5715 I I 0

*The contractor shall deliver the draft report no later than thirty (30) calendar days after the NRL Code 5710 I I 0 completion of SOW tasks_ The contractor shall submit the final technical report NL T 30 calendar days after approval of draft by COR

The report will identify technical work accomplished and information gained in performance of the contract, pertinent observations, nature of problems, positive as well as negative results, procedures and processes developed_ The details of all technical work included shall be sufficient to permit full understand of the techniques and procedures used in evolving the technology or processes developed.

15. TOTAL 0 I 0

G. PREPARED BY ,.11 PI' .. I· H. DATE I L AP([llt1b-~ A

I J. DATE

NRLCODE57l5 1 r~y ~-~ ·~D<:t l£.($ -- ~0 Oc:. t ').()I~ DDFonn 1423-I,JUN90 / 'revioos editions are obsolete /'II Page 3 of 3 Pages