CDRLs_A001-A006.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

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 the Department of Defense, Executive Services Directorate (0704-0188) . 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0001 A TDP TM OTHER X

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRA CTOR

Tensile Test Tower

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

A001 Design Data and Calculations Data Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERE NC E 6. REQUIRING OFFICE

DI-GDRQ-80650 SOW Para. 3.1.1 (See Block 16) NSWC IHEODTD G12RN

7. DD 250 REQ

LT

8. APP CODE

9. DIST STATEMENT

REQUIRED

A (See BLK 16)

10. FREQUENCY

OTime

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

EOC

13. DATE OF SUBSEQU E NT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

Draft

b. COPIES

Final

Reg Repro

16. REMARKS

Block 4: Contractor Format Acceptable

Block 5: Complete engineering calculations created and approved by the contractor detailing the overall construction of the Tensile Test Tower and Concrete Anchor Pad.

Block 9: Distribution Statement A. Approved for Public Release; Distribution is Unlimited.

Block 14:

NSWC Indian Head Explosive Ordnance Disposal Technology Division Det. Picatinny

458 Whittemore Ave

Attn: Richard Nicholl

Code; G12RN

Picatinny Arsenal, NJ 07806

Phone: (973) 724-8929

Fax: (973) 744-3627

Email: richard.nicholl@navy.mil

Data shall be delivered in electronic format (Microsoft Office Word or Adobe PDF) to the recipient in Block 14. CD is acceptable.

NSWC IHEODTD 0 2 0

(See Block 16)

15. TOTAL

0 2 0

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

mailto:richard.nicholl@navy.mil

Reset

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

Tensile Test Tower

E. CONTRACT/PR NO. F. CONTRA CTOR

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVER NMEN T PERSON NEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

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

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. 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.

FOR THE CONTRA CTOR

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.

a. 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 the performance 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.

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

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

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 requirement 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.

DD FORM 1423-1 (BACK), FEB 2001

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0001 A TDP TM OTHER X

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

Tensile Test Tower

A002 Product Drawings/Models and Associated Lists Data Report

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

DI-SESS-81000D SOW Para. 3.1.1 (See Block 16) NSWC IHEODTD G12RN

8. APP CODE

A

13. DATE OF SUBSEQUENT

Reg Repro

Block 5: Complete engineering drawings created and approved by the contractor detailing the overall construction of the Tensile Test Tower and Concrete Anchor Pad.

Block 9: Distribution Statement A. Approved for Public Release; Distribution is Unlimited.

Block 14:

NSWC Indian Head Explosive Ordnance Disposal Technology Division Det. Picatinny

458 Whittemore Ave

Attn: Richard Nicholl

Code; G12RN

Picatinny Arsenal, NJ 07806

Phone: (973) 724-8929

Data shall be delivered in electronic format (Adobe PDF) to the recipient in Block 14. CD is acceptable.

0 2 0

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

Tensile Test Tower

E. CONTRACT/PR NO. F. CONTRACTOR

FOR GOVERNMENT PERSONNEL

submittal dates in Items 12 and 13; Explanation of reproducible copies in

FOR THE CONTRACTOR

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 requirement 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

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0001 A TDP TM OTHER X

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

Tensile Test Tower

A003 Certifications of Compliance Certification

DI-MISC-81356A SOW Para. 3.1.5 NSWC IHEODTD G12RN

8. APP CODE

13. DATE OF SUBSEQUENT

Reg Repro

Block 9: Distribution Statement A. Approved for Public Release; Distribution is Unlimited.

Block 14:

NSWC Indian Head Explosive Ordnance Disposal Technology Division Det. Picatinny

458 Whittemore Ave

Attn: Richard Nicholl

Code; G12RN

Picatinny Arsenal, NJ 07806

Phone: (973) 724-8929

Data shall be delivered in electronic format (Adobe PDF) to the recipient in Block 14. CD is acceptable.

15. TOTAL 0 2 0

17. PRICE GROUP

18. ESTIMATED

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

Tensile Test Tower

E. CONTRACT/PR NO. F. CONTRACTOR

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 requirement 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

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0001 A TDP TM OTHER X

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

Tensile Test Tower

A004 Engineering Manual Technical Manual

DI-TMSS-81723 SOW Para. 3.1.6 NSWC IHEODTD G12RN

8. APP CODE

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor Format Acceptable

Block 9: Distribution Statement A. Approved for Public Release; Distribution is Unlimited.

Block 14:

NSWC Indian Head Explosive Ordnance Disposal Technology Division Det. Picatinny

458 Whittemore Ave

Attn: Richard Nicholl

Code; G12RN

Picatinny Arsenal, NJ 07806

Phone: (973) 724-8929

15. TOTAL 0 2 0

17. PRICE GROUP

18. ESTIMATED

mailto:ryan.m.broderick1@navy.mil

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

Tensile Test Tower

E. CONTRACT/PR NO. F. CONTRACTOR

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 requirement 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

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0005 A TDP TM OTHER X

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

Tensile Test Tower

A005 Integrated Master Schedule Report

DI-MGMT-81650 SOW Para. 4 (See Block 16) NSWC IHEODTD G12RN

8. APP CODE

BI-WE

See BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

Block 5: Complete schedule of work to be performed by contractor.

Block 12: First submission shall be upon award of contract.

Block 13: Subsequent submissions shall be submitted on the Friday of every other week

(bi-weekly) until contract completion.

Block 14:

NSWC Indian Head Explosive Ordnance Disposal Technology Division Det. Picatinny

458 Whitmore Ave

Attn: Richard Nicholl

Code; G12RN

Picatinny Arsenal, NJ 07806

Phone: (973) 724-8929

NSWC IHEODTD 0 1 0

0 1 0

Digitally signed by BRODERICK.RYAN.M.1394919159

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, 6/1/16 PIEGOLS.BRUCE.W.122942 Digitally signed by 6/2/16 cn=BRODERICK.RYAN.M.1394919159

Date: 2016.06.01 14:57:59 -04'00' 1553

PIEGOLS.BRUCE.W.1229421553

Date: 2016.06.02 07:46:30 -04'00'

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

BRODERICK.RYAN.M.13949191

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

Tensile Test Tower

E. CONTRACT/PR NO. F. CONTRACTOR

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 requirement 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

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0006 A TDP TM OTHER X

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

Tensile Test Tower

A006 Environmental Health and Safety Plan (HSP) Report

DI-ENVR-81375 SOW Para. 5 (See Block 16) Picatinny Garrison Safety Office

8. APP CODE

N/A

OTIME

13. DATE OF SUBSEQUENT

Reg Repro

Block 5: The contractor will be required to complete the following documents and submit them to the Picatinny Garrison Safety Office (PGSO). The contractor will be supplied with blank templates of the HASP and AHA to complete. Contractor format for the SOW and

Training Certificates is acceptable. All documents must be submitted to the PGSO a minimum of two weeks prior to starting on-site work. Required documents:

1. Site Specific Health and Safety Plan (HASP)

2. Activity Hazard Analysis (AHA)

3. Scope of Work to be performed (SOW)

4. Proof of Training Certificates.

Block 12: Submission shall be a minimum two weeks before beginning on-site work.

Block 14:

Picatinny Garrison Safety Office

Building 351 South, Room 2

Attn: Director

Picatinny Arsenal, NJ 07806

Phone: (973) 724-5212

Picatinny GSO 0 1 0

0 1 0

17. PRICE GROUP

18. ESTIMATED

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

Tensile Test Tower

E. CONTRACT/PR NO. F. CONTRACTOR

submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 requirement 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