ExhibitA_IDIQ_CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST (CORL) Form Approved ( 1 Data Item) OMB No. 0704-0188

The public reporting burden for this collection of infonnation is estimated to average 110 hours per response, Including the time f0< reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inf0<mation. Send comments regarding this burden estimate or any other aspect of this collection of lnfonmation, including suggestions f0< reducing the burden, to the Department of Defense, Executive Services Otrect0<ate (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 infonmalion if It does not display a currently valid OMB control number. Please do not return your fonm to the above organization. Send completed fonm to the Government Issuing ContracUng Officer for the Contract/PR No. listed In Block E.

A . CONTRACT LINE ITEM NO. I B. ~HIBIT I C. CATEGORY:

TDP __ TM -- OTHER X-MGMT

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTIT1.E

A001 CONTRACT WORK BREAKDOWN STRUCTURE

4. A UTHORITY (Dais Acqu1Silion Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MGMT-813340 SOW PARAGRAPH C.4.1, C 4.7 NSWC DAHLGREN, H10

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

Draft

Reg Repro

16 REMARKS COR 0 1

BLK 4: TAILORED TO REMOVE SUBMITTAL THROUGH THE CSDR SUBMIT-REVIEW SYSTEM. THE TECHNICAL POC 1 1

CONTRACTOR SHALL SUBMIT TO THE REQUIRING OFFICE DIRECTLY AND NOT THROUGH THE

DCARC WEBSITE. FORMAT SHALL BE IN ACCORDANCE WITH THE IDS PROGRAM WBS PROVIDED SEE BLK 16

ASGFI

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

RECEIPT TO REVIEW, COMMENT AND APPROVE OR DISAPPROVE. THE CONTRACTOR HAS 5

DAYS TO SUBMIT REVISIONS IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 5 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, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 12, 13· All DRAFT AND FINAL SUBMISSIONS ARE DUE PER DELIVERY ORDER SOW.

BLK 14 ELECTRONIC MEDIA. THE ewes SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN

SECTION G, GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND

RESPONSIBLITIES.

15. TOTAL ---"" 1 2 0 . - J . DATE

G.~ rRED:Y fflWJr

H. DATE

l.A?Y;;:~~ I/ 50/7.1'11 A I} 60/ ~ 0JA1 DDl=ORM 1423-1 , FEB 2001 I P~EVIOUS EDITlo.(; MAY BE USECY' Page 1 of ll Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CORL)

I 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 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 fonn to the above organization. Send completed fonn to the Government Issuing Contractlng Officer for the Contract/PR No. listed In Block E.

A. CONTRACT LINE ITEM NO. I B.~XHIBIT IC. CATEGORY:

TOP __ TM -- OTHER X-MGMT

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A002 INTEGRATED PROGRAM MANAGEMENT REPORT (IPMR) INTEGRATED MASTER SCHEDULE

4. AUTHORITY (Data Acquis~ion Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MGMT-81861A SOW PARAGRAPHS C.4.1, C.4.7 NSWC DAHLGREN, H10

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

LT REQUIRED MNTHLY SEE BLK 16 b COPIES

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

N/A

D (SEE BLK 16)

SEE BLK 16 SEE BLK 16

Draft Reg Repro

16. REMARKS COR 0 1

BLK 4: TAILORED TO ONLY INCLUDE FORMAT 6 AS RELATED TO INTEGRATED MASTER TPOC 0 1

SCHEDULE (IMS). EXCLUDE ALL REQUIRMENTS NOT REALTED TO THE IMS AND ALL

INFORMATION SPECIFICALLY RELATED TO EARNED VALUE MANAGEMENT (EVM) REPORTING. SEE BLK 16

CRITICAL MILESTONES SHALL BE HIGHLIGHTED FOR THE GOVERNMENT.

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

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER. DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

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

MONTHLY INVOICING PERIOD.

BLKS 12, 13: FIRST SUBMISSION IS DUE 10 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 10 WORKING DAYS AFTER THE END OF

THE MONTH THEREAFTER.

BLK 14: ELECTRONIC MEDIA: THE IMS SHALL BE SUBMITIED IN MS PROJECT 2010 ATIACHED TO

EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN SECTION G, GOVERNMENT CONTRACT

ADMINISTRATIVE POINTS OF CONTACT AND RESPONSIBLITIES

15 TOTAL

0 2 0 /1

Gn.

Ff/REDBY ~ H. DATE '·ti ii:°DBY

J . DATE

lf?0/2N!f LA A I )b) f ii ~ 'o r,fbU_J/ tz- I (U_ J l I

DlYFC RM 1423-1, FEB 2001 - f P~EVIOUS EDITfbN MAY BE USEiY' Page ~ of ;rr Pages

17. PRICE GROUP

CONTRACT DAT A REQUIREMENTS LIST (CORL) Form Approved

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, induding 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 IC. CATEGORY:

TOP _X_ TM -- OTHER

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A003 COMMERICAL DRAWINGS/MODELS AND ASSOCIATED HANDHELD DEVICE AND KIT DESIGN DRAWINGS

LISTS

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

Dl-SESS-81003E SOW PARAGRAPH C.4.2 NSWC DAHLGREN, H10

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

0 {SEE BLK 16)

NIA SEE BLK 16

Draft

Reg Repro

16. REMARKS COR 0 1

TPOC 1 1

BLK4: TAILOR PER DELIVERY ORDER SOW

SEE BLK 16

BLK 8: APPROVAL OF TECHNICAL CONTENT. GOVERNMENT HAS 10 DAYS FROM RECEIPT TO

REVIEW, COMMENT ANO APPROVE OR DISAPPROVE THE CONTRACTOR HAS 5 DAYS TO

SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 10

DAYS, THE DELIVERY IS APPROVED.

9. DISTRIBUTION STATEMENT 0 : DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

ANO U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RO, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 10,12,13: DRAFT SUBMISSIONS, FIRST FINAL SUBMISSION AND ANY SUBSEQUENT

SUBMISSIONS DUE PER DELIVERY ORDER SOW

BLK 14: ELECTRONIC MEDIA: DRAWINGS SHALL BE SUBMITTED IN ABODE ACROBAT 30 PDF OR

ADOBE PDF ANO ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN SECTION

G, GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND RESPONSIBLITIES.

15. TOTAL

1 2 0

G~E;;xy Ii l!Mdi~

H. DATE I. APPROVED BY J . DATE

,1J'JD/ZO/ ~ 11~ 11.?L I i~ f rza:_J._/ O~CO"!~-~ 1423-1, FE~ 2001 ( lfREVIOUS EDIT/ON MAY BE USE6 Page ~ of ll Pages

17. PRICE GROUP

CONTRACT DAT A 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, induding 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, induding 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 retum your fonn to the above organization. Send completed fonn to the Government Issuing Contracting Officer for the Contract/PR No. listed In Block E.

A. CONTRACT LINE ITEM NO. I B. ~XHIBIT I C. CATEGORY:

TOP_ TM -- OTHER X-MISC

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A004 TECHNICAL REPORT - STUDY/SERVICES HANDHELD HARDWARE DEVICE DESIGN

4. AUTHORITY (Data Acqu1S1t10n Document No) 16. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MISC-80508B SOW PARAGRAPH C.4.2 NSWC DAHLGREN, H10

7. DD 260 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

N/A

D (SEE BLK 16)

NIA SEE BLK 16

Draft

Reg Repro

16. REMARKS COR 0 1

BLK 4· TAILOR PER DELIVERY ORDER SOW TPOC 1 1

BLK 8 APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 5 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW, COMMENT AND APPROVE OR DISAPPROVE. THE CONTRACTOR HAS 5

DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 5 DAYS, THE DELIVERY IS APPROVED.

9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 10,12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY

ORDER SOW.

BLK 14. ELECTRONIC MEDIA. THE TECHNICAL REPORT SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS AND ADODE PDF AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES

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

RESPONSIBLITIES.

15 TOTAL ___ .,. 1 2 0

-G.1r::y H. DATE

1.17~~

J. DATE

Nlvrdlr- 'l/,;o/z,o18 1)3o /ig DD'"'FORM 1423-1 , FEB 2001 F1REVIOUS EDlr'l'ON MAY BE usW Page i of ll Pages

17. PRICE GROUP

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 informatioo. Send comments regarding this burden estimate or any other aspect of this c0Uect1on of information. induding 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 currenUy 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. I B. ~XHIBIT r· CATEGORY:

TOP __ TM -- OTHER X-MISC

D. SYSTEM/lTEM IE. CONTRACT/PR NO. F. CONTRACTOR

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A005 TECHNICAL REPORT - STUDY/SERVICES

4. AUTHORITY (Data AcqU1Sff10n Document No) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MISC-80508B SOW PARAGRAPH C.4.2 NSWC DAHLGREN, H10

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

PER DO SOW REQUIRED ASREQ SEE BLK 16 b. COPIES

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

PER DO SOW

D (SEE BLK 16)

NIA SEE BLK 16

Draft Reg Repro

16. REMARKS COR 0 1

BLK4 TAILORED PER DELIVERY ORDER SOW TPOC 0 1

BLK 9 DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE SEE BLK 16

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 10,12,13: FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY

ORDER SOW.

BLK 14: ELECTRONIC MEDIA: TECHNICAL REPORTS SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS OR ADOOE PDF AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES

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

RESPONSIBLITIES

15 TOTAL

0 2 0

Gl'f~y f!eWJL-

H. DATE I. APPROVED BY J. DATE

lf ~O/Uifi ),(~_J dl·· '}30/ l'O DMORM 1423-1, FEB 2001 I PRltVIOUS EDITION MAY BE USED \.../ Page ~ of 1Z Pages

17. PRICE GROUP

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, induding the time for reviewing instructions, searching eX1st1ng data sources. gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden esbmate or any other aspect of this collection of infOfTTlation, lnduding 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 COiiection of lnfOfTTlation 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. I B. ~XHIBIT IC. CATEGORY:

TOP _ TM -- OTHER X-MISC

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A006 TECHNICAL REPORT - STUDY/SERVICES TEST REPORT

4. AUTHORITY (Data Acqu1Sflion Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MISC-80508B SOW PARAGRAPH C.4.2 NSWC DAHLGREN, H10

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

NIA D (SEE BLK 16)

N/A SEE BLK 16

0ran Reg Repro

16 REMARKS COR 0 1

BLK 4: TAILOR PER DELIVERY ORDER SOW TPOC 1 1

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE SEE BLK 16

AND U.S DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157

BLKS 12, 13· FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow.

BLK 14: ELECTRONIC MEDIA: THE TECHNICAL REPORT SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS AND ADOBE PDF AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES

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

RESPONSIBLITIES

15 TOTAL ___ ,.. 1 2 0

/'lAREDBY ~

H. DATE

l . A?f~)r-/~

J . DATE

AM1 'JPU_J:~ - 1/~/w1e I /30 I 18 DD~RM 1423-1, FEB 2001 I PREVIOUS EDITloN MAY BE USED Page § of ;rr Pages

17. PRICE GROUP

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 esbmate or any other aspect of this collecbon of information, including suggestions for reducing the burden. to the Department of Defense, Executive Serv1ces 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 woth a collection of information of it does not display a currently valid OMB control number. Please do not retum your form to the above organization. Send completed form to the Government Issuing Contracllna Officer for the Contract/PR No. listed In Block E.

A. CONTRACT LINE ITEM NO. 18. ~XHIBIT IC. CATEGORY:

TOP _ TM -- OTHER X-SESS

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A007 PRODUCT BASELINE INDEX (PBLI)

4. AUTHORITY (0818 Acqu1s~10n Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Ol-SESS-82019 SOW PARAGRAPH C.4 2 NSWC DAHLGREN. H10

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

0 (SEE BLK 16) N/A SEE BLK 16

Draft Reg Repro

16. REMARKS COR 0 1

TPOC 1 1

BLK a· APPROVAL OF TECHNICAL CONTENT ANO FORMAT GOVERNMENT HAS 5 DAYS FROM RECEIPT TO REVIEW, COMMENT ANO APPROVE OR DISAPPROVE. THE CONTRACTOR HAS 5 SEE BLK 16

DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 5 DAYS, THE DELIVERY IS APPROVED

9 DISTRIBUTION STATEMENT 0: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

ANO U.S. 000 CONTRACTORS ONLY AOMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER. DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RO, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157

BLKS 10,12,13: DRAFT SUBMISSIONS DUE 5 DAYS FOLLOWING SUBMISSION OF A CHANGE TO

ANY ITEM LISTED IN THE PBLI FINAL SUBMISSION DUE 5 DAYS FOLLOWING RECIEPT OF

GOVERNMENT COMMENTS

BLK 14· ELECTRONIC MEDIA: THE PBLI SHALL BE SUBMITIEO IN MS EXCEL 2010 ANO ATTACHED

TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN SECTION G, GOVERNMENT CONTRACT

ADMINISTRATIVE POINTS OF CONTACT ANO RESPONSIBLITIES

15. TOTAL ___ .,. 1 2 0

Gli;:y i;f;/~ H. DATE I. " 'fl.OVED BY J. DATE

1/~c/2ti~ ·;~A~ 1)30/18 OG-FeRM 1423-1, FEB 2001 ( PRi:VIOUS- EDliflON MAY BE USEIY' Page Z of ll. Pages

17. PRICE GROUP

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 1t 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 tssulna Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. I B. ~XHIBIT I c. CATEGORY:

TOP __ TM -- OTHER X-IPSC

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

AOOB INTERFACE REQUIREMENTS SPECIFICATION (IRS) HARDWARE IRS

4. AUTHORITY (Data Acqu1s1t10n Document No) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-IPSC-81434A SOW PARAGRAPH C 4 2 NSWC DAHLGREN, H10

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

Draft

Reg Repro

16. REMARKS COR 0 1

BLK 4 TAILORING PER DELIVERY ORDER SOW TPOC 1 1

BLK 8. APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 30 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW, COMMENT AND APPROVE OR DISAPPROVE. THE CONTRACTOR HAS 15

DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 30 DAYS, THE DELIVERY IS APPROVED

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

AND US. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14. 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 12.13" FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow

BLK 14· ELECTRONIC MEDIA THE IRS SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS

AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN SECTION G,

GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND RESPONSIBLITIES.

15. TOTAL

1 2 0

J. DATE

l'J~~y

H. DATE

r/?VEDBY ·1t, (j/!J ·- - /L f/10/7J>/Jl, 1)30/1B ~ '[;._ 96' FORM 1423-1 , FEB "2001 I PREVIOUS EDITION MAY BE USEO-- Page .!! of ll Pages

17. PRICE GROUP

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searciling eXJsting data sources, gathering and maintaining the data needed, and cornplebng and reviewing the collection of information. Send comments regarding this burden esbmate or any other aspect of this collection of information. including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0168). 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 1f 1t does not display a currently valid OMB control number Please do not return your form to the above 01'9anizatlon. 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. ~XHIBIT I C. CATEGORY:

TOP _ TM -- OTHER X-IPSC

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

IDENTITY DOMINANCE SYSTEM {IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A009 SYSTEM/SUBSYSTEM SPECIFICATION (SSS) HARDWARE REQUIREMENTS SPECIFICATION (HRS)

4. AUTHORITY (Oala Acqu1s1t10n Document No) 16. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dt-IPSC-81431A SOW PARAGRAPH C.4.2 NSWC DAHLGREN, H10

7. DD 260 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)

NIA SEE BLK 16

Draft

Reg Repro

16 REMARKS COR 0 1

BLK 4: TAILORING PER DELIVERY ORDER SOW TPOC 1 1

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT GOVERNMENT HAS 30 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW, COMMENT AND APPROVE OR DISAPPROVE THE CONTRACTOR HAS 15

DAYS TO SUBMIT REVISIONS IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 30 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, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157

BLKS 12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow.

BLK 14: ELECTRONIC MEDIA THE HRS SHALL BE SUBMITIED IN MS OFFICE 2010 APPLICATIONS

AND ATIACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN SECTION G,

GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND RESPONSIBLITIES.

15 TOTAL ---... 1 2 0

G11;;~y

H. DATE

I~

PROVED BY J . DATE

~vY//-- I I .f,IJ/? fl/~ ~~ . ~~ If 30 I1t, DD'"PeRM 1423-1, FEB'2001 - - ....... I P~EVIOUSEDIT/ON MAY BE USED~./ Page ~ of ;rr Pages

17. PRICE GROUP

Form Approved

( 1 Data Item) OMB No. 0704-0188

The public reporting burden for this collection of infonnation 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 infonnation, 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 collectJon of infonnation if 1t does not display a currently valid OMB control number. Please do not return your fonn to the above organization. Send completed fonn to the Government Issuing Contracting Officer tor the Contract/PR No. listed In Block E.

A . CONTRACT LINE ITEM NO. I B. ~XHIBIT IC. CATEGORY:

TOP_ TM -- OTHER X-SESS

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A010 SUPPLIER'S CONFIGURATION MANAGEMENT PLAN

4. AUTHORITY (Data Acqws1tion Document No ) ,6. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-SESS-80858C SOW PARAGRAPH C 4.2 NSWC DAHLGREN, H10

7. DD 260 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

D (SEE BLK 16)

N/A SEE BLK 16

Draft

Reg Repro A

16. REMARKS COR 0 1

BLK 4· TAILORING PER DELIVERY ORDER SOW AND TO ALIGN WITH THE SECTIONS OF THE IDS TPOC 1 1

CONFIGURATION MANAGEMENT PLAN (CMP) PROVIDED AS GFI

SEE BLK 16

BLK 8 APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 15 DAYS FROM

RECEIPT TO REVIEW, COMMENT AND APPROVE OR DISAPPROVE. THE CONTRACTOR HAS 10

DAYS TO SUBMIT REVISIONS IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 15 DAYS, THE DELIVERY IS APPROVED.

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

AND US. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow.

BLK 14: ELECTRONIC MEDIA: THE CMP SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS

AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN SECTION G,

GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND RESPONSIBLITIES.

15 TOTAL

1 2 0

G~REDBY H. DATE 1.T ROVEDBY

~//A

J. DATE

~ -ftf11n:J J .V-- f /.,ri?/JIR IVAA- J lj 30/1rt;

DO FORM 1423-1, FEB 2001 t fiREVIOUS EDll'fON MAY BE USED L/ Page 1Q of ll Pages

17. PRICE GROUP

Fonn 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. induding the lime for reviewing instructions. searching eX1sbng data sources. gathering and maintaining the data needed, and completing and reviewing the collection or information. Send comments regarding this burden estimate or any other aspect of this collection of infonmation, including suggestions ror 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 collecllon of infonmation 1f it does not display a currently valid OMB control number. Please do not return your fonm to the above organization. Send completed fonm to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A . CONTRACT LINE ITEM NO. I B. ~XHIBIT , C. CATEGORY:

TOP _ TM -- OTHER X-SESS

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A011 NOTICE OF REVISION (NOR)

4. AUTHORITY (Data Acqu1s~ion Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-SESS-80642D SOW PARAGRAPH C.4.2 NSWC DAHLGREN. H10

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

NIA

D (SEE BLK 16)

NIA SEE BLK 16

Oran Reg Repro

16 REMARKS COR 0 1

BLK 4: TAILORING TO BE USED TO SUPPORT GOVERNMENT SYSTEM LEVEL ENGINEERING TPOC 0 1

CHANGE PROPOSALS (ECP) AND TO ALLOW DUAL USE TO RECOMMEND/DOCUMENT CHANGES

TO SPECIFICATION DOCUMENTS RELATED TO HARDWARE FOR GOVERNMENT-DIRECTED OR SEE BLK 16

CONTRACTOR RECOMMENDED CHANGES. ALL CONTRACTOR RECOMMENDED CHANGES

REQUIRE GOVERNMENT CONCURRENCE.

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

AND US DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER. DAHLGREN DIVISION. CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN.

VIRGINIA 22448-5157

BLKS 12,13· FIRST SUBMISSION DUE 5 DAYS AFTER COMPLETION OF ANALYSIS AND AT LEAST 5

DAYS PRIOR TO THE START OF DOCUMENT REVISIONS FOR GOVERNMENT APPROVAL OF

PROPOSED CHANGES SUBSEQUENT SUBMISSIONS DUE 3 DAYS AFTER RECEIPT OF

COMMENTS

BLK 14 ELECTRONIC MEDIA THE NOR SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS

OR ADOBE PDF AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN

SECTION G. GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND

RESPONSIBLITIES

15. TOTAL

0 2 0

G11;;; H. DATE 1.JJJ;.EDBY Jc A

J . DATE

'fti!wMir 1/10/w!A ~ . l ~\1g DD FORM 1423-1, FEB 2001 I PREVIOU°S EDlflON MAY BE USED '-._..,./ Page 11 of E. Pages

17. PRICE GROUP

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 collecbon of information, including suggestions for reducing the burden. to the Department of Defense, Executive SeJV1ces 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 COiiection of information 1f 1t 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 ContractlPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. I B. ~XHIBIT I C. CATEGORY:

TOP _ TM -- OTHER X-QCIC

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A012 QUALITY ASSURANCE PROGRAM PLAN QUALITY ASSURANCE PLAN (QAP) FOR HARDWARE

4. AUTHORITY (0818 Acqu1s1t10n Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-QCIC-81794 SOW PARAGRAPH C 4 2. C.4.3 NSWC DAHLGREN, H10

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) N/A SEE BLK 16

Draft

Reg Repro

16. REMARKS COR 0 1

BLK 4· TAILORING PER DELIVERY ORDER SOW TPOC 1 1

BLK 8. APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 30 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW, COMMENT AND APPROVE OR DISAPPROVE. THE CONTRACTOR HAS 15

DAYS TO SUBMIT REVISIONS IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 30 DAYS. THE DELIVERY IS APPROVED

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

AND US DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14. 18372 FRONTAGE RD. SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow

BLK 14· ELECTRONIC MEDIA THE OAP SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS

AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN SECTION G,

GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND RESPONSIBLITIES.

15. TOTAL ___ .,.. 1 2 0

7'7Zy H. DATE I. APPROVED BY

)/lu--

J . DATE

//}//µ)" j J -- t I 7XJl7fJIJ? $ >. I } 3D)1~ DD itc>RM 1423-1, FEB 2001 - { Pf1EVIOUS EOITl6 N MAY BE USED

- Page ll of ;rr Pages

17. PRICE GROUP

The public reporting burden for lhis col/eelion of information is estimated lo average 110 hours per response, including lhe time for reviewing instructions, searching exisling data sources. gathering and maintaining the data needed. and completing and reviewing the collection or informabon. Send comments regarding this burden estimate or any olher aspect of this collecbon of informabon, including suggestions for reducing the burden, to the Department of Defense. Execubve 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. I B. ~XHIBIT I c. CATEGORY:

TOP _ TM _x_ OTHER X-TMSS

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

1. DATA ITEM NO. 2. TIT1.E OF DATA ITEM 3. SUBTIT1.E

A013

COMMERCIAL OFF-THE-SHELF (COTS) MANUALS AND

SUPPLEMENTAL DATA

4. AUTHORITY (Oala AcqU1s~10n Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-TMSS-80527C SOW PARAGRAPH C.4 2, C.4.4 NSWC DAHLGREN. H10

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

D (SEE BLK 16)

N/A SEE BLK 16

Dratt

Reg Repro A

16 REMARKS COR 0 1

BLK 4 TAILORING PER DELIVERY ORDER SOW TPOC 1 1

BLK 8· APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 30 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW. COMMENT AND APPROVE OR DISAPPROVE. THE CONTRACTOR HAS 15

DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 30 DAYS, THE DELIVERY IS APPROVED

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

ANO U.S DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017.

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157

BLKS 12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow.

BLK 14: ELECTRONIC MEDIA: THE MANUAL SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN

SECTION G, GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND

RESPONSIBLITIES

15 TOTAL ___ .,. 1 2 0

~ G.lli:v H. DATE I.AP~ Jlf;,, <a ~;l'lllk- ftJ~/mB 2 ~ r ,, DD FORM 1423-1 , FEB 2001 I PREVIOUS EDITION"'MAY BE USED Page ll of 1Z Pages

17. PRICE GROUP

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, gathenng and maintaining the data needed, and completing and reviewtng 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. ~XHIBIT , C. CATEGORY:

TOP _ _ TM -- OTHER X-IPSC

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A014 SYSTEM/SUBSYSTEM DESIGN DESCRIPTION (SSDO) HARDWARE DESIGN DESCRIPTION (HOD)

4. AUTHORITY (Data AcqU1s1tion Document No ) Is. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-IPSC-81432A SOW PARAGRAPH C 4 2 NSWC DAHLGREN, H10

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)

NIA SEE BLK 16

Draft

Reg Repro

16 REMARKS COR 0 1

BLK 4 TAILORING PER DELIVERY ORDER SOW TPOC 1 1

BLK 8 APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 30 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW, COMMENT ANO APPROVE OR DISAPPROVE THE CONTRACTOR HAS 15

DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 30 DAYS, THE DELIVERY IS APPROVED.

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

ANO US DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER. DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318. DAHLGREN,

VIRGINIA 22448-5157.

BLKS 12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow

BLK 14. ELECTRONIC MEDIA: THE SSDD SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN

SECTION G, GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND

RESPONSIBLITIES

15. TOTAL ___ .,. 1 2 0

- J . DATE G.r;r: H. DATE

)t{~ BY ~rlfGv---ff!wuJJ~ I I ~o/ JJ!)111 !1 3u)1q

DD-FORM 1423-1 , FEB 2001

- I P~EVIOUS EDI/ ION MAY BE USED V Page li of .ll Pages

17. PRICE GROUP

TOTAL P RICE

The public reporting burden for this collecl1on of information is estimated to average 110 hours per response, including the time for relliewing 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 Serllices Directorate (0704-0188) Respondents should be aware that notwithstanding any other pro111sion of law, no person shall be subject to any penalty for falling to comply with a collection of information if 1t 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. I B. ~XHIBIT I C. CATEGORY:

TOP _ TM -- OTHER X-MISC

0 , SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A015 TECHNICAL REPORT - STUDY/SERVICES ISSUE/TROUBLESHOOTING REPORT

4. AUTHORITY (Data Acqu1slf10n Document No ) 16 . CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MISC-80508B SOW PARAGRAPH C 4.2 NSWC DAHLGREN, H10

7. DD 260 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

N/A

D (SEE BLK 16)

NIA SEE BLK 16

Draft

Reg Repro

16. REMARKS COR 0 1

BLK 4: TAILOR PER DELIVERY ORDER SOW TPOC 0 1

BBLK 9. DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DEPARTMENT OF !SEA 0 1

DEFENSE AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE,

SEE BLK 16 OCTOBER 2017 OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL

SURFACE WARFARE CENTER, DAHLGREN DIVISION, CODE H1 4, 18372 FRONTAGE RD, SUITE 318, DAHLGREN, VIRGINIA 22448-5157 .

BLKS 12,13: FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow

BLK 14: ELECTRONIC MEDIA THE TECHNICAL REPORT SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS OR ADOBE PDF AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES

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

RESPONSIBLITIES.

15 TOTAL ---~ 0 3 0

G;rc H. DATE I. APPRO~D BY di 1-r;T; )1C3 -lf!uruJJ (// l/ 20 /2()//'; /){MA,~ ~

,,,- - l/

DIJFORM 1423-1 , FEB 2001 I P~EVIOUS EDITION MAY BE USED Page~ of ll Pages

17. PRICE GROUP

{ 1 Data Item) OMB No. 0704-0188

The public reporting burden for this collection of informabon is estimated to average 11 O hours per response, 1nduding the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of informabon. Send comments regarding this burden esbmate or any other aspect of this collection of information, inciuding 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 collecbon of information 1f 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 l ssuina Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. I B. ~XHIBIT I C. CATEGORY:

TOP _ TM -- OTHER X-SAFT

0. SYSTEM/lTEM I E. CONTRACT/PR NO. F. CONTRACTOR

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A016 OPERATING, SUPPORT, HEAL TH, AND SAFETY (OSH&S)

HAZARD ANALYSIS REPORT

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

Dl-SAFT-81841 SOW PARAGRAPH C 4.2 NSWC DAHLGREN, H10

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

Draft

Reg Repro

16 REMARKS COR 0 1

BLK 4: TAILORING PER DELIVERY ORDER SOW TPOC 1 1

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT GOVERNMENT HAS 30 DAYS FROM SEE BLK 16

RECEIPT TO REVIEW, COMMENT AND APPROVE OR DISAPPROVE THE CONTRACTOR HAS 30

DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS

WITHIN 30 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, OCTOBER 2017

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER. DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157

BLKS 12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow

BLK 14 ELECTRONIC MEDIA THE REPORT SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN

SECTION G, GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND

RESPONSIBLITIES PICTURES SHALL BE IN ADOBE ACROBAT .PDF IF INCLUDED

15. TOTAL ---"" 1 2 0

7r;;;;y H. DATE 1.i];)DBY~

J. DATE

-f/J,VM-11-- t/?xJhnlf1 1i~ lv--- I JJ:il1'3 DD FORM 1423-1 FE'S 2001 I PREVIOUS EDITj{JN ~AY BE USED Page 1§. of .E Pages

17. PRICE GROUP

The public reporting burden for this collection of information is estimated lo average 110 hours per response. 1nciuding the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed. and completing and reviewing the collectJon of information Send comments regarding this burden estimate or any other aspect of this collection of information. induding suggestions for reducing the burden, lo lhe Department of Defense, Executive Services Directorate (0704-0188) Respondents should be aware Iha! notwithstanding any other provision of law. no person shall be subject lo any penalty for failing lo 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. I B. ~XHIBIT I C. CATEGORY:

TOP __ TM -- OTHER X-QCIC

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

IDENTITY DOMINANCE SYSTEM (IDS) N00176-16-R-4017 SELECTED PRIME CONTRACTOR

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

A017 ACCEPTANCE TEST REPORT

4. AUTHORITY (Data Acquis~ion Document No ) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-QCIC-61691 SOW PARAGRAPH C 4 3 NSWC DAHLGREN, H10

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

LT REQUIRED ASGEN SEE BLK 16 b. COPIES

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

N/A D (SEE BLK 16) N/A SEE BLK 16

Draft

Reg Repro

16 REMARKS COR 0 1

BLK 4: TAILORING PER DELIVERY ORDER SOW TPOC 0 1

BLK 9 DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE ISEA 0 1

AND US DOD CONTRACTORS ONLY ADMINSTRATNE OR OPERATIONAL USE, OCTOBER 2017.

SEE BLK 16 OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER. DAHLGREN DIVISION, CODE H14, 16372 FRONTAGE RD, SUITE 316, DAHLGREN,

VIRGINIA 22446-5157 .

BLKS 12,13 FIRST SUBMISSION AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDER

sow

BLK 14 ELECTRONIC MEDIA: THE REPORT SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATIONS AND ATTACHED TO EMAIL NOTIFICATION TO THE ADDRESSEES LISTED IN

SECTION G, GOVERNMENT CONTRACT ADMINISTRATIVE POINTS OF CONTACT AND

RESPONSIBLITIES

15. TOTAL ___ .,.. 0 3 0

Gl'J;;; H. DATE l.nlhBYJ

J . DATE

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17. PRICE GROUP

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 esbmate or any other aspect of this collecbon of information, 1nclud1ng suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0168). 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 collectJon of information 1f 1t 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. l isted In Block E.

A . CONTRACT LINE ITEM NO. , B. ~XHIBIT I C. CATEGORY:

TOP _ TM -- OTHER X-SESS

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

IDENTITY DOMINANCE SYSTEM (IDS) N00178-18-R-4017 SELECTED PRIME CONTRACTOR

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

A018 FAILURE SUMMARY ANALYSIS REPORT

4. AUTHORITY (Data Acqu1s~1on Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-SESS-80255 SOW PARA C 4 3, C 4 4, C 4 5 NSWC DAHLGREN, H10

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

N/A D (SEE BLK 16) N/A SEE BLK 16

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BLK 4 TAILORING PER DELIVERY ORDER TPOC 0 1

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE ISEA 0 1

AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE OR OPERATIONAL USE, OCTOBER 2017

SEE BLK 16 OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION, CODE H14, 18372 FRONTAGE RD, SUITE 318, DAHLGREN,

VIRGINIA 22448-5157.

BLKS 12, 13 FIRST AND SUBSEQUENT SUBMISSIONS DUE PER DELIVERY ORDERS

BLK 14. ELECTRONIC MEDIA: THE REPORT SHALL BE SUBMITTED IN MS OFFICE 2010

APPLICATION(S) AND ATTACHED TO EMAIL NOTIFICATION TO THE…