CDRLs_for_Dan_Belcher.pdf
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- AN/USQ-82(V) GIGABIT ETHERNET DATA MULTIPLEX SYSTEM (GEDMS) INTERNET PROTOCOL INTERFACE UNITS Federal contract opportunity
- Solicitation number
- N0017815R2001
About this file
CDRLs
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| NSWC_Dahlgren_JA_DL_13268_RedactedPosting.pdf | ||
| Attachment_J1_-_GFI_141120_rev1-.pdf | ||
| Attachmnet_J5_MIL-STD-882E.PDF | ||
| Attachment_J2_(Labeling-Packing-Shipping-Marking).pdf | ||
| BE_DAN_BELCHER.pdf | ||
| N00178-15-R-2001-Released_Solicitation.pdf |
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CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188
~~~a Ps~~~~::,po~~~gr,~ur~~~ ~~~~:ln1~11ef~~~a~~ ~~~~~~~~~~~Js c~~~::,ed to av;:~~~~1~0tn~~~uCer,:;~sgF?~fOr~~~~~~~9 s~~dt~~~g,~~~~~~~~.%~~s~~~t~g~~de~e:~'ir~.Ree~if~~~ other aspect o~ this c&nectlon of lnfor~atlon, lncludln-P2 suggestion~ for l:iurden. to 8f.artment of ~efens~ Washi~£" Headquar~ers Services. Directorate for lnformatton OperatiOns and ReP,orts 0701·0188). 15 Jefferson , Suite 120 , Arlinlton, VA 2202·4 . Respondents should be aware that notwithstandlnrt any other provision of Ia~ no lflerson s all be subject to any for failing to come' with a collection of information if it does not diSP:ia,t a curren~y valid OMB co ol number, Please DO OT ETURN your form to the atiove ad ress. Send comp e El:d form ,to the Government Issuing Contracting 0 1cer for t e Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-MGMT 0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) N00178-15-R-2001 THE BOEING COMPANY
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
AOOl GOVERNMENT FURNISHED INFORMATION N/A
DEFICIENCY REPORT
4. AUTHORITY (Data Acquisition Documont No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80596 . SEC. C, SOW PARA. 3. 2. II NSWCDDW64
7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED ASREQ* See Blk 16 b. COPIES
8. APP CODE
D (See Blk 16)
11. AS OF DATE 13. ~~~~~S~U~S~QUENT a. ADDRESSEE Final Draft N/A N/A See Blk16 Reg Repro
16. REMARKS DOL- 03 0 1 0
DDL- 01 0 I 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Note 9 DOL- 02 0 I 0 and lOb (Distribution Statement D). DOL- 13 0 1 0
DDL-12 0 I 0
BLK 10: Reports generated in response to GFI deficiencies as described iri SOW DDL-17 0 1 0 paragraph 3 .2.11. DDL-24 0 I 0
SEE BLK 16
BLK 12: First submission due NL T 5 working days after deficiency is identified.
BLK 13: Subsequent submissions due NL T 5 working days after any subsequent deficiencies are identified.
BLK 14: Submit via Electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) and Adobe portable document format (PDF) applications attached to an e-mail notification.
15. TOTAL 0 7 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
WJJj HUBBARO.H£NRY.8.122i653530 THURBER.JAMES.BU ·.&:::,.~~1:::::.':::~.~":~:!::" 2014.07.01t2:tit.21.0.'00" 7/8/2014 RNELL.1265721622 r;:~m;,-:::~~~·••'"'' 7111/2014
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _I_ of _lf_ Pages
I I I I I I I I I
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17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE.
Th• ,..,.,..., ···~ ~~·"·~ ,, '"'~'"'"" ~-.. ~. ~- '" ·~ •• ~~··· ·~- ... - •• ~i~!~' ~··':!·'"'"' data sources, ~ather m ing the deta n ing and rev1ewi the collection of information. Send comment r en estima e or apy
~~r~ri~i~~~~~ if" ~'(cl'til'r:o~ ~~:o0~~1s"cl\1gh ~2~".f."'l'i/;~~~oo,;, D~~"5'l12'fcl'~~j?il}~~ ondonts sh~3rcf• tf.ir~~~~~teth~ ny pro of law, no'~ri/Sori ~h~nJ~~.~~~~ject to any pe ~to comrcl~ with a collection of in format on If it docs not displaffl a currently I num or. DO NOT ETURN your form to tho a6ove a d comp e ed form to the Government Issuing Contracting 0 1cer for the sted in Block .
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-MGMT 0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(\1) N00178-15-R-2001 THE BOEING COMPANY
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A002 PRODUCTION REPORT NIA
4. AUTHORITY (Oata Acquisition Oocumant No.) ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81867 SEC. C, SOW PARA. 3.2.2 NSWCDDW64
7. DD 250 REQ 9. DIST STATEMENT 1 O. FREQUENCY 12, DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED MTHLY 40DAC b. COPIES
8. APP CODE
D (See B1k 16)
11. AS OF DATE 1 3. ~t~~?is~~BSEQUENT a. ADDRESSEE Final Draft
NIA See B1k 16 See Blk 16 Reg Repro
16. REMARKS DDL-03 0 1 0
IQDL-01 0 1 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Note 9 DDL-02 0 [ 0 and Note 1 Ob (Distribution Statement D). DDL-04 0 I 0
" DDL-05 0 1 0
BLK 11: Reporting period shall coincide with Contractor's accounting month. DDL-07 0 1 0
DDL-08 0 1 0
BLK 13: Subsequent submissions due monthly, NLT 14 days after close of DDL-10 0 1 0 Contractor's accounting month. DDL-11 0 1 0
DDL-12 0 I 0
BLK 14: Submit via Electronic mail in a digital format that can be read by DDL-13 0 I 0
Microsoft Office 2010 applications (or earlier) and Adobe portable document DDL-14 0 I 0 format (PDF) applications attached to an e-mail notification.
DDL-17 0 1 0
SEE BLK 16
' 15.TDTAL 0 13 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
1bWJ HUBBARD.HENRY.B. 122955 THURBER.JAMES.BU " 3530 7/8/2014 EIIU~N~~~ l2'6tnltl1
711112014 RNELL.1265721822
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17. PRICE GROUP
TOTAL PRICE
(7 Data Item) OMB No. 0704-0788
The public rel:lt~~~~~~J~for this llectlon of Information Is estimated to evera~o 110 ~ours per response, lnc~ding tho time for reviewing instructionsd seerchin~ existing dma sources, ~a e data nee leting and reVIf!:Wing t e collection of informa on. Send commen arOin~ this bur en es~ima e or any ~ro"!m~~Poenct J t~o :o\'Wh~~i oro~~1s"0i1J8h\!;: ~ ty 2~e ",[, 0~~nse22~~tJW~. qua di~i'. 5:h~~ra'· b~"~~~~~tet~~[ notwi~standln~ any other pr of law, no Jflerzyn shall e s t to an~ ponalt~ g to co h a colloction of information it does not disP:laffi a currently ~~~~rac~~R c~~. 1y~t~c\'\'rib~fockp~~asc DO NOT ET RN your form o the a ovo ad nd com form to the Government Issuing Contracting 0 ICC~ for the
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-CMAN 0068 A TOP TM OTHER
: D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) NOOI78-15-R-2001 THE BOEING COMPANY
1.0ATAITEMNO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A003 ENGINEERING CHANGE PROPOSAL (ECP) N/A
4. AUTHORITY (Data Acquisition Document No.) ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-CMAN-80639C (See Blk 16) SEC. C, SOW PARA. 3. 2. 4. 6 NSWCDDW64
7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED ASREQ* See Blk 16 b. COPIES
S. APP CODE
D (See Blk 16) 11. AS OF DATE 13. ~~~~~~~~BSlQUENT a. ADDRESSEE Final
Draft NIA NIA See Blk16 Reg Repro
16. REMARKS DDL-03 0 1 0
DDL-01 0 I 0
BLK 4: Tailoring: Notice of Revision (NOR) not required. DDL-02 0 I 0
DDL-04 0 I 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Note 9 DDL-05 0 1 0 and Note lOb (Distribution Statement D). DDL-06 0 1 0
DDL-07 0 1 0
BLK 10: ECPs generated whenever engineering changes to the hardware design DDL-08 0 1 0 are required. DDL-10 0 I 0
BLK 12: First submission due NL T 60 days after successful completion of
DDL-11 0 1 0
DDL-12 0 1 0
prototype testing.
DDL-13 0 1 0
BLK 13: Subsequent submissions due NLT 60 days after subsequent engineering DDL-14 0 I 0 changes and completion of prototype testing. DDL-15 0 1 0
DDL-16 0 1 0
BLK 14: Submit via Electronic mail in a digital format that can be read by DDL·l7 0 I 0 Microsoft Office 2010 applications (or earlier) and Adobe portable document DDL-18 0 1 0 format (PDF) applications attached to an e-mail notification. DDL-19 0 1 0
DDL-20 0 I 0
DDL-22 0 l 0 DDL-23 0 l 0 DD-24 0 l 0
SEE BLK 16
15.TOTAL 0 22 0
G. PREPARED BY H. DATE I. APPROVED BY J.DATE
~w HUBBARO.HENRY.B.1229553530 7/8/2014 THURBER.JAMES.B O.,O.ty ....... tylHUII.OIJAAII!.IUIINtl~l:lfl121Ut
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I 17. PRICE GROUP
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(1 Data Item) OMB No. 0704-0188 -~~1JI:~f-~-00
.... ~ ...... ~-... •• •• • .. ,.~ ... ·-:t,,; ~ ..... ·-·· ·-·· ·-·~ -·, data sources, · maintaining the data needed, and completing and r · the collection of Info . Send comments regartlln~ this burden estlma e or an other lis ect ion of Information, lncludln.fi.! suggestions for reducrnm the rden, to D?f.artment of o ns"i Washi~on Headqua ers Services, Directorate for lnforma Re orts (0 01-0188), 15 Jefferson Davis HI hwa Suite 120 , Arlin ton. V 2202-4 2. Respondents should be aware that notwlth any other provlfion o61aw. no Jf{rson shall be subject to an~ enalt for failin~ to comcrre with a collection of Information if It does not displaffi a currently valid 0 ol number. Please 0 NOT TURN your form to the a o e ad ress. Se d camp e ed form to the Government Issuing Contracting 0 1cer for the Contrac listed In Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-CMAN
0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) NOO I78-I5-R-200 l THE BOEING COMPANY
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A004 REQUEST FOR DEVIATION (RFD) N/A
4. AUTHORITY (Data Acquisition Document No.) ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-CMAN-80640C SEC. C, SOW PARA. 3.2.4.8.c NSWCDDW64
7. DO 250 REQ 9. DIST STATEMENT 1 O. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED ASREQ* See Blk 16 b. COPIES
8. APP CODE D (See Blk 16) 11. AS OF DATE 1J. ~~~~:;'S~~~EQUENT a. ADDRESSEE Final Draft
A* N/A See Blkl6 Reg Repro
16. REMARKS DDL-03 1 1 0
BLK 8: Approval shall be based upon the completeness of the request and its DDL-01 0 I 0 technical merit. The proposed priority assigned by the Contractor will stand unless DDL-02 0 I 0 the Government has a valid reason for changing the priority. The Government will DDL-04 0 I 0 inform the Contractor when the priority of a deviation has changed. DDL-05 0 l 0 Approval/Resolution/ Action required for the deviation shall be sent to the DDL-06 0 I 0 Contractor via separate letter. All deviations shall be forwarded to NSWCDD W64 DDL-07 0 1 0 for approval VIA the DCMA Quality Assurance Representative (QAR) for review DDL-08 0 1 0 of deviation classification. See CDRL Attachment 2, Note 5 for review periods. DDL-09 0 I 0
DDL-10 0 1 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Note 9 DDL-11 0 1 0 and Note lOb (Distribution Statement D).
DDL-12 0 1 0
BLK 10: Requests for Deviations generated when a temporary departure from DDL-13 0 1 0 contractually specified requirements are required, as described in SOW paragraph DDL-14 0 1 0
3.2.4.8.c. DDL-I5 0 I 0
DDL-16 0 I 0
BLK 12: First submission due NL T 30 days after identification of requirement for DDL-17 0 I 0 deviation and successful completion of prototype testing. DDL-18 0 I 0
DDL-19 0 I 0
BLK 13: Subsequent submissions due NL T 30 days after subsequent identification DDL-20 0 1 0 of requirement for deviation and successful completion of prototype testing. DDL-2I 0 l 0
DDL-22 0 1 0
BLK 14: Submit via Electronic mail in a digital format that can be read by DDL-23 0 l 0 Microsoft Office 2010 applications (or earlier) and Adobe portable document DDL-24 0 1 0 format (PDF) applications attached to an e-mail notification.
SEE BLK I6
15.TOTAL I 24 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
~MJ
HUBBARD.HENRY.B.12295535 THURBER.JAMES.B :.·;r:::ll •• III'M\I..QCtl21&n 30 7/8/20I4 URNELL.1265721822:'i~:t:u~$;::t'n~~KI.-vttl 7/11/2014
2014.07.06 13:02:20 -04'00'
DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _4_ of ..11_ Pages
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A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY: I
0068 A TOP TM OTHER X-SSES
~D~.~S~Y~S~T~EM~IIT~E~M~~------_j----~~~E~.C~O~N~T=R~A~C~T~/P~R~N~O~.=:~~~F=.C;O;N~T:R~A~C;T;O;R==================~~
AN/USQ-82(V) N00178-15-R·2001 ·THE BOEING COMPANY
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A005 REQUEST FOR WAIVER (RFW) N/A
I 1--4.-A-U-TH_O_R-IT-Y-~-~-w~A-c-~-~-ft-wn-Doc-um-e-nt_N_o-.)---~,rS-.-CO_N_T_RA_C_T_R_E-FE-R-EN_C_E ______ ~---~rGr.~RE~QrU-IRriNrGrOrFF~IC~E~------------1~~1~8.~E~S~TI~M~AT~E~O~
DI-SSES-8I732 SEC. c, sow PARA. 3. 2. 4.8.d NSWCDD W64 TOTAL PRICE
7. DO 250 REO
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9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE oF FIRST SUBMISSION 1-1_4_. ______ ol_sT_R_Ia,u_n_oN _____ -t I
b. COPIES t----A_S_R_E....:Q:...*--+-,-....,.,....,.,...;;;,Se,_,e.,.,.B,.,lk..,.mi6rn,..--t
8. APP CODE
A* D (See 8Jk 16) 11. AS OF DATE 13. ~~~~~~~BSEQUENT a. ADDRESSEE
N/A See Blki6 Draft
Final
Reg Repro
16. REMARKS
BLK 9: For statement wording and placement, see CDRL Attachment 2, Note 9 and Note lOb (Distribution Statement D).
BLK 10: Requests for waivers generated when a permanent departure from specified contract requirements are required, as specified in SOW paragraph 3.2.4.8.d.
LK 12: First submission due NL T 30 days after identification of requirement for waiver and successful completion of prototype testing.
BLK 14: Submit via Electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) and Adobe portable document format (PDF) applications attached to an e-mail notification.
I I 0 0 1 0 0 I 0 0 l 0 0 I 0 0 1 0 0 I 0 0 I 0 0 l 0 0 I 0 0 I 0 0 I 0 0 I 0 0 I 0 0 I 0 0 I 0 0 1 0 0 1 0 0 1 0 0 1 0 0 I 0 0 1 0 0 1 0 0 1 0 FD~D~L....:-2:...4 ______ -r~+-~r--;1
SEE BLK 16
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~~~~~~--~-=~~--~--~----~--~ DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED, Page __ 5_ of__l_f_ Pages
(1 Data Item) OMB No. 0704·0188 ,. .... r~r~ .. ~i: .. '"-··~,. ~-00 ........ , ..... ~ ··-·· -·~ .. ~. ~ ...... ~ ·-~· ... -~ ·""· data sources, ing and mai data ieeded, and completing and rev1ewi e collection of Information. Send comments regarCJin¥ this bur en e5tima e or any r~~{m~1~e;t ;~lleacJ~"R~ arts 1:o1f~ u)~i"flzf~9 ~':t5rV~~~~0b~~~~c· ~ee'Ar:Ji~~\gJ, O~~nsCz2~8i~!'Nlf~~ H~=~~~~~:~fs s:h~~~'beir~~~~~tetJg[ notwithstan any other provifion of law, no JfJerson shall be subject to an~ to comfc't with a collection of information if it does not displaifl a currently ~~~~r~~~R W~tcr~~b~fOck P~~ase DO NOT ETURN your form to the a ave a . d comp o od form to tho Government Issuing Contracting 0 1ccr for the
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-CMAN 0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) NOO 178-15-R-200 I THE BOEING COMPANY
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3, SUBTITLE
A006 SPECIFICATION CHANGE NOTICE (SCN) N/A
4. AUTHORITY (Data A_cquisitlon Document No.) ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-CMAN-80643C SEC. C, SOW PARA. 3. 2. 4.7 NSWCDDW64
7. DO 250 REQ 9. DIST STATEMENT 10. FR.EQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED ASREQ* See Blk 16 b. COPIES
8. APP CODE
D (See Blk 16)
11. AS OF DATE 13. ~~~~~;S~~SEQUEN a. ADDRESSEE Final Dr art N/A NIA See Blkl6 Reg Ropro
16. REMARKS DDL-03 0 1 0
DDL-01 0 1 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Note 9 DDL-02 0 I 0 and Note lOb (Distribution Statement D). DDL-04 0 I 0
DDL-05 0 1 0
BLK 10: SCNs generated when engineering changes will require a change to the DDL-07 0 1 0 hardware configuration. DDL-08 0 1 0
DDL-10 0 1 0
BLK 12: First submission due NLT 60 days after successful completion of DDL-11 0 I 0 prototype testing. of government approved ECP. DDL-12 0 I 0
BLK 13: Subsequent submissions due NL T 60 days after subsequent engineering
DDL-13 0 I 0
DDL-14 0 1 0 change and completion of prototype testing.
DDL-15 0 1 0
BLK 14: Submit via Electronic mail in a digital format that can be read by DDL-16 0 1 0
Microsoft Office 2010 applications (or earlier) and Adobe portable document DDL-17 0 1 0 format (PDF) applications attached to an e-mail notification. DDL-18 0 I 0
DDL-19 0 1 0
- DDL-20 0 1 0
SEE BLK 16
15. TOTAL 0 18 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
d1 HUBBAR0.HENRY.8.12295~
~~~E.~is~~:~~~.BUR f~J:\lJ:f:'f~:·:~" 2014.07.08 13.03:23 ~4'00' 7/8/2014 7/11/2014
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _6_ of __11_ Pages
jn. PRICE GROUP
(1 Data Item) OMB No. 0704-0188 ,., ..... r~~~ ... , .. ...., .. ·-. -·~. 110 hours per response, Including the time fo~~:~~~l~~tructionsd searchinR existing data source ing and maintaining tne data needed, and c9mpleting a · tbe colle tlon of information. Send comma ~ this bur en estima e or any
~tp 0 nct ratio~~118ac~~00R~~J~[~r(baj8f:oif8b)~1"fllf~9~~1}~~~:0b~ ~~ .8~W~~"\gt, 0~~"5~2~8~~!~~. ond:~~ s:h~~fJ· tPeir~0~~~tet~~i not an any othqr provision of law, no ,flerson shall be subject to or ( COrnell with 8 collection of InfOrmation if it does not displa,t, a curren~y ~~~tracV~R lf~t.:\l'~b~fockp~~aso DO NOT ETURN your form to the ad ress. \ comp c ed form to the Government Issuing Contracting 0 1cer\ for t e
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-MISC
0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) NOO 178-15-R-200 1 THE BOEING COMPANY
1. DATA ITEM ND. 2. TITLE OF DATA ITEM 3. SUBTITLE
A007 CONTRACTUAL SHIPPING DOCUMENTATION N/A
4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-81863 (See Blk 16) SEC. C, SOW PARA. 3. 2. 11 NSWCDDW64
7. OD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED ASREQ* See Blk 16 b. CO~IES
8. APP CODE
D (See Blk 16)
11. AS OF DATE 13.~~~~~S~~SEQUENT a. ADDRESSEE Final
N/A Orart
NIA See Blk16 Reg Repro
16. REMARKS DDL-03 0 I 0
BLK 4: Tailoring: The following DID paragraphs do not apply: DDL-01 0 1 0 3.a Government Bill of Lading (GBL) Number. DDL-02 0 1 0 3 .b Carrier Name and assigned Tracking Number (Pro-number) and phone DDL-10 0 1 0 number. DDL-12 0 1 0 3.c Date the hardware was shipped and estimated arrival date to the shipyard for DDL-13 0 1 0 each shipment. DDL-17 0 l 0
DDL-04 0 1 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Notes 9 DDL-05 0 1 0 and 1 Ob (Distribution Statement D). DDL-21 0 I 0
BLK 10: Contractual Shipping Documentation generated when hardware is ready
SEEBLK 16
for delivety.
' BLK 12: First submission due 5 days before shipment of hardware.
BLK 13: Subsequent submissions due 5 days before shipments.
BLK 14: Submit via Electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) and Adobe portable document format (PDF) applications attached to an e-mail notification.
15.TOTAL 0 10 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
wVJJ HUIJBARDHENRVB12~ THURBER.JAMES.BU l:::u-.:;7:-:::!.-::.•':':'~.':;~~, 20H.07.0f 1~:1)4:07 44'00'
7/8/2014 RNELL.1265721822 :~:~~~;~;'::"~~··· .... , 711112014
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY 13E USED. Page _7_ of _ll_ Pages
I I I I I I I I I I I I I I I I I
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17. PRICE GROUP
18. ESTIMA TEO
CONTRACT DATA REQUIREMENTS LIST FormApproved I (1 Data Item) OMB No. 0704-0788
The public reporting burden for this collection of information Is estimated to avera_ge 110 hours per response, including the time for reviewing instructions~, searching existing I daitat s~o~urlce~s
.~ qa therin!:1 and maintaining the data needed, and completing and reviewing the collection of information. Send comments regartllng this buraen estima"le or any other ol' this cOllection of information, includin!}_ suggestions for reducln~ the tjurden, to Qepartment of Defense.-~ Washlr:tqton Headquarters Services, Directorate for I lnro orations and R'/,!lorts (0701·0188). T215 Jefferson Davis Hi hwai'.• Suit• 1204, Arli'!~ton. VA <2202·4302. Respondents should be aware that ~~fld ~?Yn~mC~l'0~re1~s"e 0668~b~0 ~~ft0AN5~~~rb'o~~J~gt th~ ~0tfo !":~ar!~. fal~~~dto c~~7~{e~1 }~,::, crJ19t~t~o~g~~~J~~~tl~~Jfn~ 'b":~tr~~~i~~P~,trc~~~~~~~ Contrac . listed In Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY: I
0068 .. A TOP ™ OTHER X-MISC I
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) ~ N00178-15-R-2001 THE BOEING COMPANY jr:o=-===-.
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE· GROUP
A008 CONTRACTUAL SHIPPING DOCUMENTATION N/A I
~4-.-A-U-TH_O_R-IT-Y-~-O-at-a~A-cq-u-~-W-on_D_oc--um_e_n-tN_o_J------~~5-.C-O_N_T_RA_C_T_R_E-FE-R-EN_C_E--------~~.------r6-.-R-EQ-U-IR-IN_G __ O-FF-IC-E------------------i ~~1~S~.E~S~T~IM~A~T~ED~i
DI-MISC-81863 SEC. c, sow PARA. 3.2.1! NSWCDD W64 TOTAL PRICE
7. DO 250 REO
LT
9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION l-1.:..4:..· ________ ...:o:..IS:..T...:R_IB.;.uT_I_oN __________ --i I
ASREQ* See Blk 16 ~---~---n~~==~~ ~~--~
b. COPIES
B. APP CODE
N/A D (See Blk 16) 11. AS OF DATE 13, ~~~~~~~ll5tQUtNI a. ADDRESSEE
N/A See Blk 16
16. REMARKS
BLK 9: For statement wording and placement, see CDRL Attachment 2, Notes 9 and I Ob (Distribution Statement D).
BLK I 0: Contractual Shipping Documentation generated upon shipment of hardware.
BLK 12: First submission due NL T 1 day after shipment of hardware.
BLK 13: Subsequent submissions due NLT 1 day after subsequent shipments.
DD Form 1149 will be utilized. See CDRL Attachment 2, Notes 11 and 12.
BLK 14: Submit via Electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) and Adobe portable document format (PDF) applications attached to an e-mail notification.
G. PREPARED BY I. APPROVED BY
DDL-12
SEE BLK 16
15. TOTAL
~ HUtiBAFtD.HENFtV .8.t2l$$53530 201o4.07.051J.O.t:3t.Q.4W
H. DATE
7/8/20I4 THURBER.JAMES.BU :;,~;o;::~:-:::<::~J;~~~;~:c1"
RNELL.1255721822 ;;:~~·.;:.":~~-;:~·~"""
Final Draft
Reg Repro
I I I I I I
J.DATE
7/11/2014
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _8_ of _11_ Pages
Th~~:~r- .. "· ., .............. 00 .... ~ ..... ·""j· • , ~· .. ·-·· ~~·~ ......... ·~~~ ·-·=· .... ""'& ~ • ., data sources, ing and maintaining the data needed, and completing and rova win o collorflon of information. Send comments..~;ogarHin¥ this bur en ostlma e or an f~Po'i! as oct .;,~u·~~~"R~~~~'7d'iW~:oi~~~~~"M'g95'::r~g,~~:orD~~~ci\'ISh~~y. ' to 2o"I."'A'ni~~\ri'~. D~~ns"i2~8~~?11§~~ ~=~~~~~;~~ s:r,~~l:f· tP.i'':,"~~~~tet~~[ not 1ng any other provision of law, no fflerson shall be SUbject ho a~ penalt~ to camel~ with a collection of information if it does not diSP.Iam a c~rrently C~~d ~~~~Y~t~Jl~b~fOckp~~ase DO NOT ETURN your form to t e a ave ad ross. e d camp e ed form to the Government Issuing Contracting 0 cer or the
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-MGMT 0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) NOOI78-15-R·2001 THE BOEING COMPANY
t. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A009 REPAIR PARTS REPORT N/A
4. AUTHORITY (Data Acquisition Document No.) ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81868 (See Blk 16) SEC. C, SOW PARA. 3.2.13 NSWCDDW64
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 1 2. OATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED MTHLY See Blk 16 b. COPIES
B. APP CODE
D (See Blk I 6) 11. AS OF DATE 13. ~~~~~SI~NtiSE<.!UENI a. ADDRESSEE Final
Draft NIA 0 (See Blk 16) See Blk 16 Reg Repro
16. REMARKS DDL-03 0 1 0
BLK 4: Paragraph 2.1, Description ofEvaluations, shall be interpreted as for each DDL-01 0 1 0 part. Paragraph 2.2, Cost of Evaluation and Repair, shall be interpreted as for each DDL-02 0 I 0 part. DDL-04 0 1 0
DDL-10 0 I 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Notes 9 DDL-12 0 I 0 and lOb (Distribution Statement D). SEEBLK 16
BLK 11: Data collection period shall coincide with Contractor's accounting month.
BLK 12: First report due NLT 40 days after the first Installation and Checkout (INCO) Repair CLIN Option is exercised.
BLK 13: Subsequent reports due NL T 14 days after close of Contractor's accounting month.
BLK 14: Submit via Electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) and Adobe portable document fonnat (PDF) applications attached to an e-mail notification.
15.TOTAL 0 6 0
G. PREPARED BY H. DATE I. APPROVED BY J.DATE
WWJ HUBGARD.HENR¥.8.122~ THURBER.JAMES.BU .::r:::.--:::::".!!:.";.':1.:'!::~'=.:;::>• 20U.07.0SI3'05:15.o4W 7/8/2014 RNElL.1265721622 ;;:~:·.~~-::•;-;:~ "'''"" 7/11/2014
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _9_ of __11_ Pages
I I I I I I I I I I I I I
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17. PRICE GROUP
The public reporting burden for this collection or information is estimated to avera.9e 110 hours per response, including the time· for reviewing instructionsd seorchinR existing data sources, ~atho · maintaining the data needed, ol'ld completing and rev1ewl he collection of lnform~on. Send comments regorCfin~ this bur en estima o or any fJV:m~~pQ~ct &pe~~\~ an~00R~~~'rt'~'(cfi~f:o~"~b)~inflzf~9~~~}~,~~:oo~~fsu . t~ 2l6~8~'lli~~\oc:J, ~~ns~2'r8~~J~~~ H~g~~g~d:~~ s:r,~~~s, b~ir~~~~~tet~~ ~~~~~~~~~ng~Jicr~rynum~~lro~\~1~~ 0668 '1Jblf0 ff~ft<'GN5~~trb~o~~j:gt t~C:, 8~5ove ad ress. Jocg~rpr~led'i}~r~ c~lett~o~g!~~~:~~ti~~Jfn~ ~~;tr~~~~~~spl:ffic8ef~{~-~~~~ Contract/PR No. listed In Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X·SSES
0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ·82(V) (See Blk 16) NOOI78-15-R·2001 THE BOEING COMPANY
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
AOIO PRODUCT ORA WINGS/MODELS AND NIA
AS SOCIA TED LISTS
4. AUTHORITY (Data Acquisition Document No.) 15, CONTRACT REFERENCE 6. REQUIRING OFFICE
DI·SESS-8IOOOE (See Blk I6) SEC. C, SOW PARA. I.k NSWCDD W64
7. DO 250 REO 9. DIST STATEMENT 1 0. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED ASREQ* See Blk 16 b. COPIES
8. APP CODE D (See Blk 16) 11. AS OF DATE 13 ' ~~~~?;SION IT a. ADDRESSEE Final
Draft N/A NIA See Blk I6 Reg Repro
16. REMARKS DDL-03 0 0 1
DDL-01 0 0 I
BLK 4: This data item description shall apply to revisions/updates of the DDL-02 0 0 I AN/USQ-82(V)data package. See Attached TOP Option Selection Worksheet. DDL-06 0 0 1
DDL-09 0 0 1
BLK 9: For statement wording and placement, see CDRL Attachment 2, Notes 9 DDL-11 0 0 I and lOb (Distribution Statement D). DDL-12 0 0 1
DDL-I7 0 0 1
BLK 10: Elements generated when design changes affecting this data item are DDL-18 0 0 1 made. DDL-19 0 0 .I
BLK 12: First submission due NL T 45 days after design change release whose
DDL-20 0 0 1
SEE BLK 16 content effects changes to the TOP revision/update.
BLK 13: Subsequent submissions due NL T 45 days after design change release whose content effects changes to the TOP revision/update.
BLK 14: Electronic Media: Submit drawing repros in Microsoft Office Applications (Version 10 or e~rlier) and Adobe portable document format (PDF) where format is not mandated by DID or TOP Option Selection Worksheet. See CDRL Attachment 2, Note 6.
15, TOTAL 0 0 11
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
~MJ
HUBBARD.HENRY.B.122955 THURBER.JAMES. BU ~~~:=~.au/It«~~ IU$121tn
3530 7/8/2014 RNELL.1265721822
·Oitt•ut ... U,O..t!MOo~t.I•DoO ..... PKI,..,.UaN,. 7111/2014
2014.07.08 13:05:55 ·04'00'
-nwtlitlt li.IIIUIVAtlEU. nK1211U 0o'-);lt•t~1JI!Q720<0$1d'
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page .:J.Q_ of _!1_ Pages
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17. PRICE GROUP
TDP OPTION SELECTION WORKSHEET
SYSTEM: AN/USQ-82(V) GEDMS ORA WINGS DATE PREPARED: 6/30/2014
A. CONTRACT NO. I B. EXHIBIT/ATTACHMENT I c. CLIN I D. CDRL DATA ITEM NO.
N00178-15-R-2001 NO. A 0068 AOIO
1. TDP Level (X and complete as applicable.)
A. Q CONCEPTUAL LEVEL B. REMARKS:
0 DEVELOPMENTAL LEVEL
[8J PRODUCTION LEVEL
2. TYPE AND FORMAT (X all that apply and complete as applicable)
A. B.
l8l NATIVE CAD (SPECIFY TYPE) _Contractor Type
0 TYPE 20: 20 ORA WINGS l8l ISO 10303 STEP FORMAT (Specify STEP PROTOCOL AP203, AP 214 etc.)
0 TYPE3D:3DMODELONLY
[8J TYPE 30: 30 MODELS WITH l8l IS032000 PORTABLE DOCUMENT FORMAT:
ASSOCIATED 20 ORA WINGS 0 OTHER ELECTRONIC FORMAT (SPECIFY TYPE)
Gerber Database
0 HARDCOPY:
REMARKS: Undimensioned drawings, printed wiring masters and printed wiring production master shall include an electronic Gerber database under the guidance of Type II requirement of MIL-D- 8519B
3. CAGE Code AND DOCUMENT A. [8J CONTRACTOR CAGE AND DOCUMENT NUMBERS D. To Be Assigned By:
NUMBERS 0 GOVERNMENT CAGE (COMPLETE 3B & 3C OR 30)
B. USE CAGE CODE: C. USE DOCUMENT NUMBERS:
4. DRAWING FORMATS (X one and complete as applicable)
~ CONTRACTOR FORMAT.
0 GOVERNMENT FORMAT.
REMARKS:
5. TDP ELEMENTS REQUIRED (X all that apply) 0 ELEMENTS REQUIRED TO BE DETERMINED BY CONTRACTOR-OR THE FOLLOWING ARE REQUIRED:
0 CONCEPTUAL ORA WINGS/MODELS AND ASSOCIATED LISTS
0 DEVELOPMENTAL DESIGN DRAWINGS/MODELS AND ASSOCIATED LISTS
[8J PRODUCT ORA WINGS/MODELS AND ASSOCIATED LIST
[8J COMMERCIAL ORA WINGS/MODELS AND ASSOCIATED LIST
[8J QUALITY ASSURANCE PROVISIONS . \
[8J SPECIAL INSPECTION EQUIPMENT- (SIE) DRAWINGS/MODELS AND ASSOCIATED LISTS
[8J SPECIFICATIONS
[8J SOFTWARE DOCUMENTATION
[8J SPECIAL PACKAGING INSTRUCTIONS (SPI) DRAWINGS/MODELS AND ASSOCIATED LIST
6. ASSOCIATED LISTS (X and complete as applicable)
~ A. PARTS LIST (X ONE) I8J (I) INTEGRAL I8J (2) SEPARATE
~ B. DATA LIST (X ONE) 0 (1) NOT REQUIRED 18J (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) I8J C. INDEX LIST (X ONE) 0 (1) NOT REQUIRED 0 (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) I8J D. WIRINGLIST (X ONE) 0 (l)NOTREQUIRED 0 (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) I8J E. INDENTURE DATA LIST (X ONE) 0 (1) NOT REQUIRED 0 (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY)
[8J F. APPLICATION LISTS ~X ONE) 0 (l)NOTREQUIRED 0 (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY)
7. APPLICABILITY OF STANDARDS. The following Standards apply: (X as applicable) [8JASME ¥14.100 0 ASME Y14.24 TYPES AND APPLICATIONS OF 0 OTHER STANDARDS APPLY AS
ENGINEERING ORA WING ENGINEERING ORA WINGS DESCRIBED:
PRACTICES WITH 0 ASME Y14.34 ASSOCIATED LIST
APPENDICES 0 ASME Yl4.35 REVISION OF ENGINEERING ORA WINGS COMPANY STANDARDS
AND ASSOCIATED LIST PERMITTED: [81 YES 0 NO
[8J B [8J C [8J D [8J E 0 ASME YJ4.41 DIGITAL PRODUCT DATA PRACTICES
0 ASME Yl4.5 DIMENSIONING AND TOLERANCES
8. OTHER TAILORING
Tho public reporting burden for this collection of ~~~'{d'::~~ion is estimate~;;lt~~~~.~~r:~~~sponse, including the time for re~i~~i~llu~~~rctionsc! searchinR existing gf~:r sg~~;~~· ova:~~~rig§u:g~o':;~?t~~~~~~~n~afa n and com letin~ and revtewi O~rf~~"Jr~edig~ n~s ~i~~~Jic:~. eB\~~c~~rt?ie apJ.
ln~~:.~~~~rerations ond ReP.orts (0701·01~!:'!; !~l~, Da • Arlington, VA ,f.,f,~'!,Z~U;;r~; .• '!.~•P?."fi"!l!:' should be aware that not in~ any other provision of Ia~ no lfierson shall t to antrc cornell with t1 collection of 1 rmation if it does not diSP;Iaif. a currently valid con ol number. Please DO OT ETURN your arm to tho a ovo a comp c ed form to tho Governmant Issuing Contracting 0 tcer for the Cont No. listed In Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-QCIC
0068 A TOP ™ OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) NOO 178-IS-R-200 1 THE BOEING COMPANY
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
AOII ACCEPTANCE TEST REPORT N/A
4. AUTHORITY (Data Acquisition Document No.) ' ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-QCIC-8I89I SEC. C, SOW PARA. l.g NSWCDDW64
7. DD 260 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED See Blk I6 See Blk 16 b. COPIES
8. APP CODE
D (See Bik I6)
11. AS OF DATE 13. ~t~~?:s~~SEQUENT a. ADDRESSEE Final Draft
N/A NIA See Blk I6 Reg Repro
16. REMARKS DDL-03 0 I 0
DDL-OI 0 I 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Notes 9 DDL-II 0 I 0 and I Ob (Distribution Statement D). DDL-I2 0 I 0
DDL·I7 0 I 0
BLK 10: Reports generated upon delivery of hardware to the Government. DDL-02 0 I 0
I SEE BLK I6
BLK 12: First delivery due NL T 30 days after delivery of hardware to the
Government.
BLK I3: Subsequent deliveries due NL T 30 days after subsequent delivery of hardware to the Government.
BLK 14: Submit via Electronic mail in a digital format that can be read by Microsoft Office 20IO applications (or earlier) and Adobe portable document format (PDF) applications attached to an e-mail notification.
16. TOTAL 0 6 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
1bW HUBBARD.HENRY.8.122955 THURBER.JAMES.BU \':1.~7m::.:-. .. .,, .. .,,.,mm 3530 7/8/2014 RNELL.1265721822 ~~;u~fl~a~z'!:~irnfllq ..... u•H, 7/1112011 2014.07.0813:06:35 ·04'00'
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _II_ of __ll_ Pages
I
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I I I I I I
17. PRICE GROUP
J~~ ~~~~~::.P~~gHr1~gr~~~ ~~~~~~in~~llef~~~a~~ i~~~~~~~~~~js c~~i;Jl:f,~~ ~'h~v,e::a:.,~~~ 0t~~'g~uC~[;~~5Cf?~Po,.~;if~~~9 ~~~dti~O,:~e~~~~~~~r%iW5~~~ug~~de~0:rs1nwd'ta0~~s~~9 other aspect o~ this collection of infor~ation, includi"f2 suggestions for reducing the Durden, to or,rtment of Dofens~ Washi~on Headquar~ers Services, Directorate for Information Operations and ReP.orts (0701-0188), 15 Jefferson Davis HI hwa~, Suite 120 , Arlln{.ton, VA 2202-4 2. Respondents should be aware that notwithstanding any other provision of law, no Eflerson shall be subject to an~ eenalt for fai~ng to camPti with a collection of information if it does not disP.fa,n a c~rrently valid OMB control number. Please DO NOT ETURN your form to the a o e ad ress. end camp e ed form to the Government Issuing Contracting 0 cer or the Contract/PR No. listed in BlocK E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
X-MGMT
0068 A TOP TM OTHER
D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR
AN/USQ-82(V) N00178-15-R-2001 THE BOEING COMPANY
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE·
A012 STATUS OF GOVERNMENT FURNISHED N/A
EQUIPMENT (GFE) REPORT
4, AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT -80269 SEC. C, SOW PARA. 3.2.1 I NSWCDDW64
7. DO 250 REQ 9, DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED MTHLY See Blk 16 b. COPIES
8. APP CODE
D (See Blk 16)
11, AS OF DATE 13. ~~~~~S~~SEQUENT a, ADDRESSEE Final Draft N/A See B1k 16 See Blk 16 Reg Repro
16. REMARKS DDL-03 0 1 0
DDL-01 0 1 0
BLK 9: For statement wording and placement, see CDRL Attachment 2, Notes 9 DDL-17 0 1 0 and lOb (Distribution Statement D). . DDL-25 0 I 0
DDL-02 0 I 0
BLK 11: Reporting period shall coincide with Contractor's accounting month. SEE BLK 16
BLK 12: First report due NLT the 20th day of the month following the reporting period of the first month in which there is GFE being managed under the contract.
If no GFE is being managed, no report is required.
BLK 13: Subsequent submissions due NL T the 20th day of the month following the reporting period. If no GFE is being managed, no report is required.
BLK 14: Submit via Electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) and Adobe portable document format (PDF) applications attached to an e-mail notification., 15.TOTAL 0 5 0
G. PREPARED BY H. DATE I. APPROVED BY J.DATE
~WJJ
HUBBARD.HENRY.B. 122955 THURBER.JAMES.BU ~.::,'1:~::1.?.,,.-,,..,,n 3530 7/8/2014 I)HCOU$.o>Uia.rt!llft'lt~tv•OoO ..... PlQ,..,.UII1, 7/1l/2014
2014.07.08 13:07:19 -04'00' RNELL.1265721822. r:"~~:~:r.~n-;:~~uu~·m
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _jl__ of _jl__ Pages
I I I
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17, PRICE GROUP
File details come from the government source that posted it. Updated .