Exhibit_A_N00178-16-R-0001_CDRLs_updated_11-17-2015.pdf

CONTRACT DATA REQUIREMENTS LIST (CORL) Form Approved ( 1 Data Item) 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 rega-ding this burden esUmate 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.~XHIBIT ! C. CATEGORY:

IDP _X_ TM -- OTHER ---

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

Z17 RF ANO CIRCUIT DESIGN SUPPORT N00178-16-R-0001 SELECTED PRIME CONTRACTOR

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

A001 TECHNICAL DATA PACKAGE

4. AUTHORITY (Data Acquisit!On Document No.) 6. CONTRACT REFERENCE 6. REQUIRING OFFICE

SEE BLK 16 SOW PARA. C.3.3.1 AND C.3.4.3 NSWC DAHLGREN, H12

7. DD 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 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. a. ADDRESSEE Final

A

D (SEE BLK 16)

NIA SEE BLK 16

DCafl

Rog Repro

16. REMARKS SME 1 1 0

BLK4: Dl-DPRP-81680, Dl-SESS-81000E, Dl-SESS-81001E, Dl-SESS81002F COR 1 1 0

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 20 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW, COMMENT. THE CONTRACTOR HAS 10 DAYS TO SUBMIT REVISIONS. IF

THE GOVERNMENT DOES NOT PROVIDE COMMENTS WITHIN 20 DAYS, THE DELIVERY !S

APPROVED.

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, JULY 2015. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER,

DAHLGREN DIVISION, CODE H10, 18372 FRONTAGE ROAD, SUITE 218, BUILDING 1460 DAHLGREN, VIRGINIA 22448-5162.

AS APPROPRIATE, EXPORT CONTROL WARNING: WARNING- THIS DOCUMENT CONTAINS

TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE

22, U.S.C., SEC. 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED, TITLE 50, U.S.C, APP. 2401 ET SEQ_ VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO

SEVERE CRIMINAL PENAL TIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD

DIRECTIVE 5230.25.

BLKS 12-13: FIRST AND SUBSEQUENT SUBMISSIONS DUE 30 DAYS AFTER COMPLETION OF

ANALYSIS, DESIGN, OR DEVELOPMENT, BUT NOT LATER THAN THE END OF THE PERIOD OF

PERFORMANCE

BLK 14: DRAWINGS SHALL BE SUBMITTED IN HARD AND SOFT COPY FORMATS. SOFT COPIES

SHALL BE SUBMITTED IN AUTOCAD OR ANOTHER FORMAT ACCEPTABLE TO THE GOVERNMENT.

SOFT COPIES SHALL BE ATTACHED TO ELECTRONIC MAIL (EMAIL) OR PROVIDED ON DVD WITH

AN EMAIL NOTIFICATiON TO THE CONTRACTING OFFICER REPRESENTATIVE (COR)AND

SUBJECT MATTER EXPERT (SME)AS LISTED IN SECTION G, GOVERNMENT CONTRACT

ADMINISTRATIVE POINTS-OF CONTACT AND RESPONSIBLITIES

I 15. TOTAL ---~ 2 2 0

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

"""""'''""'" b' OOW>NJJOSOFW<

HORN BAKER.WENDY.MARI E.1293808879 O•""-'~-"q'"'"'

BOWEN.DEBORAH.J.1229646121 ~~~~~~".;",=~;~

b.~.ou=USN

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Dat<c2<J1>110009~>1'-0S'OO'

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Pa ge_ 1of5Paes 9

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

TOP OPTION SELECTION WORKSHEET

PRODUCT DRAWINGS AND ASSOCIATED LISTS

A. CONTRACT NO. B. EXHIBIT/ATTACHMENT NO. C. CLIN. D. CORL DATA ITEM NO.

NOOl 78' 16-R-0001 A 0003 AOOl

1. DELIVERABLE PRODUCT (X and complete as applicable)

a. ORIGINALS (Drawing masters) {Identify specification, type, grade and class, etc.)

b. REPRODUCTIONS (Identify specification, type, grade and class, etc., and quantity of each} x c. DIGIT AL OAT A (Identify specification, exchange media, etc.)

Auto~Cad drawing (.dwg) files and/or .pdffiles for mechanical drawings and electrical schematics.

2. CAGE CODE AND DOCUMENT NUMBERS (X one) x a. CONTRACTOR

b. GOVERNMENT (Complete (1) and (2) or (3))

(1) Use CAGE Code I (2) Use Document Numbers (3) To Be Assigned By:

3. DRAWING FORMATS AND DRAWING FORMS (X one and complete as applicable)

a. CONTRACTOR FORMATS. Forms to ~e supplied by contractor.

x b. GOVERNMENT FORMATS. Forms to be supplied by contractor.

Samples supplied by (Specify) Auto-Cad (.dwg) and/or Adobe (.pdf) file formats

c. GOVERNMENT FORMATS. Forms to be supplied as Government Furnished Material by (Specify)

4. TYPES AND QUANTITY OF DRAWINGS SELECTION (X one)

a. CONTRACTOR SELECTS x b. GOVERNMENT SELECTS (Specify in Item 9)

5. ASSOCIATED LISTS (X and complete as applicable} x a. PARTS LISTS (X one) x (1) Integral (2) Separate I (3) Contractor's Option

b. DAT A LISTS (X one) (1) Not Required

(2) Required (Specify levels of assembly)

c. INDEX LISTS (X one) (1) Not Required

(2) Required (Specify levels of assembly}

6. DETAILS (X one) x a. MUL TIDETAIL DRAWINGS PERMITTED b. MONODETAIL DRAWINGS MANDATORY

7. QUALITY ASSURANCE PROVISIONS (X one) x a. NOT REQUIRED. MIL-T-31000, para 3.8 does not apply.

b. REQUIRED. Mll-T-31000, para 3.8 applies. Quality assurance requirements shall be documented as QAPs in accordance with Mll-T-31000, Appendix B. (X one)

- I (1) DARCOM Form 2484-R Required (2) DARCOM Form 2484-R Not Required

8. VENDOR SUBSTANTIATION DATA (X one) x a. NOT REQUIRED b. REQUIRED

9. OTHER TAILORING (Attach additional sheets as necessary)

The drawing package provided by the contractor consists of one electronic copy of the mechanical design and electrical schematic for each system they manufacture.

DD Form 2554-1, DEC 89 Adobe Professional 8.0

( 1 Data Item) OMB No" 0704-0188

The public reporting burden for this collection of infonnation is estimated lo 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 ii 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. 18. ~XHIBIT IC. CATEG.ORY:

TOP __ TM -- OTHER X-MGMT

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

Z17 RF AND CIRCUIT DESIGN SUPPORT N00178-16-R-0001 SELECTED PR!ME CONTRACTOR

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

A002 CONTRACTING OFFICER'S MANAGEMENT REPORT CONTRACTING OFFICER'S MONTHLY REPORT

4. AUTHORITY (Data Acquisition Document No) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MGMT-81864 SOW PARA. C.3.7.2 NSWC DAHLGREN, H12

7. DD 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 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. a. ADDRESSEE Final

A

D (SEE BLK 16)

SEE BLK 16 SEE BLK 16

Dc"11

Rog Re pro

16. REMARKS COR 1 1 0

cs 1 1 0

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 30 DAYS FROM

RECEIPT TO REVIEW, COMMENT. THE CONTRACTOR HAS 10 DAYS TO SUBMIT REVISIONS. IF SEE BLK 16

THE GOVERNMENT DOES NOT PROVIDE COMMENTS WITHIN 30 DAYS, THE DELIVERY IS

APPROVED.

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

AND U.S. DOD CONTRACTORS ONLY ADMJNSTRATIVE OR OPERATIONAL USE, JULY 2015. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER,

DAHLGREN DIVISION, CODE H10, 18372 FRONTAGE ROAD, SUITE 218, BUILDING 1460 DAHLGREN, VIRGINIA 22448-5162

BLK 11: THE REPORTING PERIOD SHALL BE SYNCHRONIZED WITH THE CONTRACTOR'S

MONTHLY INVOICING PERIOD

BLKS 12-13: FIRST SUBMISSION IS DUE 15 WORKING DAYS AFTER THE END OF THE FIRST

MONTH OF CONTRACT PERFORMANCE. IF CONTRACT PERFORMANCE IS LESS THAN 10

WORKING DAYS, FIRST SUBMISSION IS DUE AFTER FIRST FULL MONTH OF CONTRACT

PERFORMANCE. SUBSEQUENT SUBMISSIONS ARE DUE 15 WORKING DAYS AFTER THE END OF

THE MONTH THEREAFTER.

BLK 14: ELECTRONIC MEDIA: THE CONTRACTING OFFICER'S MANAGEMENT REPORT SHALL BE

SUBMITTED IN MICROSOFT {MS) OFFICE 2010 APPLICATIONS {OR EARLIER) OR ADOBE

PORTABLE DOCUMENT FORMAT (PDF) ATTACHED TO ELECTRONIC MAIL {EMAIL) NOTIFICATlON

TO THE CONTRACTING OFFICER REPRESENTATIVE {COR) AND CONTRACT SPECIALIST (CS) AS

LISTED IN SECTION G, GOVERNMENT CONTRACT ADMINISTRATIVE POINTS-OF CONTACT AND

RESPONSIBLITIES

15 TOTAL ---~ 2 2 0

G. PREPARED BY ~i~· DATE

1. APPROVED BY J. DATE

Digo<•l~ ... """byl>OWE~DEBOR ,,_.,,, HORNBAKER.WENOY.MARIE.1293808879 ""'""-~·~·M~-~.~~-~ ....... --,~·-" ONo<=U~O=U~G-•-coo OO•P<l,oo.U"' ""'""'~"'----~--BOWEN.DEBORAHJ" 1229646121

';,;:':':~'!o=:;,'::"' \

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

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST (CORL)

( 1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information 1s estimated to average 110 hours per response, including the lime fOf 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 QMB 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 IC. CATEGORY:

A TOP__ TM__ OTHER X-ADMN

D. SYSTEMnTEM ,E. CONTRACT/PR NO. F. CONTRACTOR

Z17 RF AND CIRCUIT DESIGN SUPPORT N00024-15-R-2027 SELECTED PRIME CONTRACTOR

1-DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 PRESENTATION MATERIAL POWERPOINT SLIDES, PRESENTATIONS, AND

4. AUTHORITY (Data Acquisition Document No.)

Dl-ADMN-81373

7. OD 250 REQ

LT

8.APPCODE

A

16 REMARKS

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

5. CONTRACT REFERENCE

PWS PARA. C.3.7.3

BRIEFINGS

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

ASREQ SEE BLK 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

NIA SEE BLK 16

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 5 DAYS FROM

RECEIPT TO REVIEW, COMMENT. THE CONTRACTOR HAS 5 DAYS TO SUBMIT REVISIONS. IF

THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 5 DAYS, THE DELIVERY IS

APPROVED.

6. REQUIRING OFFICE

NSWC DAHLGREN, H17

14. DISTRIBUTION

b. COPIES a_ ADDRESSEE Oc'1t 1-~F~i~na<'l--j Reg Repro

COR 0

cs 0

SEE BLK 16

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUT!ON AUTHORIZED TO DEPARTMENT OF DEFENSE 1--------_,I--+---+----<

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE JULY 2015. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER, f---------11--t---+---< DAHLGREN DIVISION, CODE H10, 18372 FRONTAGE ROAD, SUITE 318, BUILDING 1460 DAHLGREN, VIRGINIA 22448-5162.

AS APPROPRIATE, EXPORT CONTROL WARNING: WARNING~ THIS DOCUMENT CONTAINS

TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE

22, U.S.C., SEC. 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED, TITLE 50, U.S.C, APP. 2401 ET SEQ. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO

SEVERE CRIMINAL PENAL TIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD

DIRECTIVE 5230.25.

BLKS 12,13: FIRST AND SUBSEQUENT SUBMISSIONS DUE 10 DAYS PRIOR TO THE EVENT

IDENTIFIED BY THE GOVERNMENT

BLK 14: ELECTRONIC MEDIA: SUBMIT IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR

ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE CONTRACTING OFFICER'S

REPRESENTATIVE (COR)AND CONTRACT SPECIALIST (CS) AS LISTED IN SECTION G,

GOVERNMENT CONTRACT ADMINISTRATIVE POINTS-OF CONTACT AND RESPONSIBLITIES.

DISTRIBUTION SHALL INCLUDE REPRODUCTIONS FOR ALL ATTENDEES WITH THE NUMBER

REQUIRED TO BE IDENTIFIED BY THE GOVERNMENT PRIOR TO FINAL SUBMISSION.

G. PREPARED BY H. DAlE I. APPROVED BY

15. TOTAL ---~

HORNBAKER.WENDY.MARIE.1293BOBB79 ~:~2~~;:;~~::..: OllJ''"'Y "9""" by BOWE~.DEBOAA J 11296%1>1

BOWEN.DEBORAHJ.12296461 21 ~~,;,';:",~;;:;:.:~;, "'·""-""'·"""u'"· Dai.·101'.11°'"",..~·-05-00

DD FORM 1423-1, FEB 2001 PREVIOUS EDIT!ON MAY BE USED

2 2 0

J. DATE

Page~ of 2 Pages

( 1 Data Item) OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the lime 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 pr<>vision 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 vand 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. IB. ~XHIBIT I c. CATEGORY:

TOP __ ™ -- OTHER X- NDTI

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

Z17 RF AND CIRCUIT DESIGN SUPPORT N00178-16-R-0001 SELECTED PRIME CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3.SUBTITI.E

A004 TEST PLAN

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

D!-NDTl-80566 SOW PARA. C.3.3.3 AND C.3.5.1 NSWC DAHLGREN, H12

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8.APPCODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. a. ADDRESSEE Final

A

D (SEE BLK 16)

N/A SEE BLK 16

Draft

Rog Repro

16. REMARKS COR 1 1 0

SME 1 1 0

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 10 DAYS FROM

RECEIPT TO REVIEW, COMMENT. THE CONTRACTOR HAS 5 DAYS TO SUBMIT REVISIONS. IF SEE BLK 16

THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 10 DAYS, THE DELIVERY IS

APPROVED.

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE JULY 2015. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER,

DAHLGREN DIVISION, CODE H10, 18372 FRONTAGE ROAD, SUITE 318, BUILDING 1460 DAHLGREN, VIRGINIA 22448-5162

BLKS 12,13: FIRST AND SUBSEQUENT SUBMISSIONS DUE 15 DAYS PRIOR TO THE TEST EVENT

IDENTIFIED BY THE GOVERNMENT

BLK 14: ELECTRONIC MEDIA: SUBMIT IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR

ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE CONTRACTING OFFICER'S

REPRESENTATIVE (COR) AND SUBJECT MATTER EXPERT (SME) AS LISTED !N SECTION G,

GOVERNMENT CONTRACT ADMINISTRATIVE POINTS-OF CONTACT AND RESPONSIBLITIES.

15. TOTAL ___ .. 2 2 0

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

o;g;t>10,-,,.n,d 0, OOM~ DEBORA ,,,. ... ,,. HORN8AKER.WENDY.MARIE.1293808 ~~~;~~,"'o:!'.::~:: ;o-.:;::',,1 :!.~:·

BOWEN.DEBORAHJ.1229646121 ~~:;;:o~;~:;;;",~;;_:;~; ;.ll,o"=P<too=U>N 879 '~"""'"''""'"D'-""'ru'''i' .... " D_,.>o,,nao1000 .. -0H..,-

Oa,..2015110000-M.5'-0>00

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

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST (CORL)

{ 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 ii does not display a currently valid OMS 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. IB. EXHIBIT IC. CATEGORY:

A TOP __ TM __ OTHER X - MISC

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

N00178-16-R-0001 SELECTED PRIME CONTRACTOR Z17 RF AND CIRCUIT DESJGN SUPPORT

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

A005 TECHNICAL REPORT - STUDY/SERVICES TEST RESULTS REPORT

4. AUTHORITY (Data Acquisrt1on Document No )

Dl-MISC-805088 1

5. CONTRACT REFERENCE

SOW PARA. C.3.3.3 AND C.3.5.1

6. REQUIRING OFFICE

NSWC DAHLGREN, H12

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

8. APP CODE

A

16. REMARKS

D (SEE BLK 16)

ASREQ SEE BLK 16

11. AS OF DATE 13. DATE IF SUBSEQUENTSUBM.

NIA SEE BLK 16

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 10 DAYS FROM

a_ ADDRESSEE

COR

SME

RECEIPT TO REVIEW, COMMENT. THE CONTRACTOR HAS 5 DAYS TO SUBMIT REVISIONS. IF SEE BLK 16

b. COPIES

Final Draft e-~°'r--i

Reg Repro

THE GOVERNMl;NT DOES NOT SUBMIT REVISION REQUESTS WITHIN 10 DAYS, THE DELIVERY IS f---------f--+--+----4

APPROVED.

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE f---------f--+----+----4

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE JULY 2015. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER, 1---------f--t--+----1 DAHLGREN DIVISION, CODE H10, 18372 FRONTAGE ROAD, SUITE 318, BUILDING 1460 DAHLGREN, VIRGINIA 22448-5162.

BLKS 12,13: FIRST AND SUBSEQUENT SUBMISSIONS DUE 20 DAYS AFTER TO THE TEST EVENT

IDENTIFIED BY THE GOVERNMENT.

BLK 14: ELECTRONIC MEDIA: SUBMIT IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR

ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE CONTRACTING OFFICER'S

REPRESENTATIVE (COR)AND SUBJECT MATTER EXPERT (SME) AS LISTED IN SECTION G,

GOVERNMENT CONTRACT ADMINISTRATIVE POINTS-OF CONTACT AND RESPONSJBLITIES.

G. PREPARED BY H. DATE I. APPROVED BY

0~'""' .. .-..do, EOWENDEBO!lolM , ,_,,, BOWEN.DEBORAH.J.1229646121 ~.::;;:o~;c!:,;::";;;;;_.:~;;'°" "'"'"'-""-u" (),""'""106C~"'° 0500

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED

15. TOTAL ---~ 2 2 0

J. DATE

Page .§.of.§. Pages

17. PRICE GROUP