Exhibit_A_Contract_Data_Requirements_List.xlsx

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AIR-4. 11, N00421-15-R-0002 Communications Systems Integration Support (CSIS) supporting AD-4. 11. 3
Solicitation number
N00421-15-R-0002
Issued by

About this file

This document is a draft solicitation for communications systems integration support services. The solicitation seeks proposals to provide engineering, integration, technical, and logistical support to the Naval Air Warfare Center Aircraft Division for programs supporting PEO Ships, NAVSEA, NAVAIR, PEO C4I, and other federal agencies. Services include local integration support, advanced research and development support, engineering and technical support, logistical and quality management support, and technical management support of final end items. The North American Industry Classification System code is 541330 with a small business size standard of $38,500,000. The Product Service Code is N059. Comments on the draft solicitation are requested by email to the specified addresses by [date], though no response will be provided. The final solicitation will be released on FEDBIZOPPS.

Exhibit A Contract Data Requirements List

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N00421-15-R-0002_Amendment_0004.pdf PDF
Attachment_P5_Labor_Hours.xlsx XLSX spreadsheet
N00421-15-R-0002_Amendment_0003.pdf PDF
N00421-15-R-0002_Amendment_0002.pdf PDF
Labor_Hours_Attachment_P5.xlsx XLSX spreadsheet
N00421-15-R-0002_RFP_Amendment_0001_Modification.pdf PDF
Cost_Summary_Spreadsheet_(Subcontractor)_Attachment_P7.xls XLS spreadsheet
Fully_Burdened_Labor_Rates_Attachment_P8.xlsx XLSX spreadsheet
Base_Access_Request_Form_Attachment_P3.doc DOC document
Cost_Summary_Spreadsheet_(Prime)_Attachment_P6.xlsx XLSX spreadsheet
Streamlined_Rating_For_Order_Pricing_Attachment_P4.xlsx XLSX spreadsheet
Attachment_04_Organizational_Conflict_of_Interest_List.pdf PDF
N00421-15-R-0002.pdf PDF
Attachment_P1_Past_Performance_Information_Form.pdf PDF
Attachment_P2_Contractor_Performance_Assessment_Questionnaire.pdf PDF
Attachment_P5_Labor_Hours.xlsx XLSX spreadsheet
Attachment_P4_Streamlined_Ratings_For_Ordering_Pricing.xlsx XLSX spreadsheet
Attachment_08_COR_Appointment_Letter.docx DOCX document
Attachment_07_Wage_Determination.docx DOCX document
Attachment_05_Authorized_Subcontractor_List.docx DOCX document
Attachment_P6_Cost_Summary_Spreadsheet_(Prime).xls XLS spreadsheet
Attachment_03_Data_Item_Transmittal-Acceptance-Rejection_Form.pdf PDF
Attachment_P7_Cost_Summary_Spreadsheet_(Subcontractor).xls XLS spreadsheet
Attachment_01_DD_254.pdf PDF
Attachment_06_Authorized_Key_Personnel_List.doc DOC document
Attachment_P3_Base_Access_Request_Form.doc DOC document
Attachment_02_Quality_Assurance_Surveillance_Plan_Contract_Surveillance.pdf PDF
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Input Sheet

ITEMVALUE
A. Contract Line Item Number0007, 0008, 0009, 0010, 0011, 0012, 0019
B. ExhibitA
D. System/ItemCommunication Systems Integration Support
E. Contract/PR No.N00421-##-#-####
F. ContractorTBD
G. Prepared ByD. Superior
I. Approved By:B. Channell
6. Requiring OfficeNAWCAD 4.11.3.1
H. Date Prepared2/16/17
J. Date Approved2/16/17
Total Number of Pages33
Notes:
Renumbering of CDRLsJust rename the Tabs and the CDRL numbers will adjust.
You may also have to change the number of pages above.

A001

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (MGMT)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A001Contractor's Progress, Status and Management Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-80227 and Blk 16SOW Paras 3.1.1.6.4, 3.1.1.6.5, 8.1, 8.2, 10.5NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDMONTHLYSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/AO

Courtright, Kev J CTR NAVAIR, 4.5.10.1: Courtright, Kev J CTR NAVAIR, 4.5.10.1:

This looks unusual, but is the correct method for denoting end-of-the-month. Ref DoD 5010.12-M page 29See Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.111
Blk 4: Contractor format is acceptable if the content/intent of DI-MGMT-80227 and NAVAIR Clause 5252.232-9529 are met. Report shall be at the overall contract level as well as for each Task Order awarded, and shall include proof of disposal for hard drives provided in the form of scanned or faxed copies of the itemized Classified Material Conversion (CMC) receipts that are returned from the National Security Agency (NSA) at time of destruction.

Report shall include: Cover sheet, major milestone summary, new and overdue deliverables, identification of new problem areas, status of open problem areas, monthly and cumulative labor hours bid vs. expended per contract labor category (names of employees charged to each contract labor category, and total labor cost per CLIN) for level of effort type tasks. For fixed price and performance based tasks provide an analysis of cost to technical accomplishment. The contractor shall provide a cumulative self-evaluated depiction displaying how they are performing.

Reports will be submitted both in electronic and hardcopy formats. Both the electronic and hardcopy formats will be contractor proposed format. Contractor will provide a draft of format to the Government within 30 DAC award. Government has 30 days to review and approve. If the Government does not reply within 30 days, the CDRL is considered accepted.

To reduce the administrative burden presented by creating a unique reporting requirement and to allow these reports to piggyback on the contractor’s timesheet/payroll system, the actual periodicity of these reports will be determined by the contractor’s existing accounting system as detailed below.

In addition to the above requirements, the Contractor shall also provide verbal notification within 24 hours followed in writing within 7 business days to the PCO, COR and the Agency Inspector General of any breach or violation of FAR Clause 52.222-50 governing Human Trafficking. Incidents shall further be documented in this CDRL and tracked regarding updates, mitigation plans and future corrective actions to ensure compliance with Human Trafficking Federal Regulations.

Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 12 & 13: Reports are due 15 days after contractor's monthly accounting system closes. The first report is due NLT 60 DAC award.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL011
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage1of34
1007/183

A002

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP________TM ________Other X (MISC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A002Systems Engineering Management Plan (SEMP)Systems Engineering Management Plan (SEMP)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81785SOW Para 3.1.1.1.4NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDSee Blk 16See Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 4: Tailoring of the DI-SESS-81785: Section I: Reference Documents. Systems Engineering Plan Preparation Guide - Version 2.01 DoD Office of the Deputy Undersecretary of Defense for Acquisition and Technology.

The SEMP will encompass the project/program's technical approach including processes, resources, metrics, applicable performance incentives, and the timing, conduct, and success criteria of technical reviews for tasking that includes system design or delivery.

Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection form (see Contract Section J Attachments). If acceptance by the Government has not been transmitted within 30 days of submission, the CDRL is considered accepted. Contractor has 15 days to fix Government comments / mark-ups.

If this CDRL deliverable contains classified information, distribution and submittal shall be in accordance with the contract DD-254.

Blk 10, 11, 12, & 13: The SEMP shall be submitted as required per contract tasking. Milestone Review Information Packages defined in the SEMP shall be submitted 14 days prior to each review. Subsequent submittals and or re-submittals which have changes to the previously submitted document will include a change summary page. Supplied change summary may be provided in contractor format.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage2of34
1007/183

A003

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP XTM ________Other ________
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A003Installation Control Drawings
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-DRPR-81242SOW Paras 3.1.1.3.1, 3.1.1.3.4, 3.1.1.3.6NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAE, See Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 12: Days After Event (DAE). This abbreviation will be used throughout the rest of the CDRLs.

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage3of34
1007/183

A004

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP________TM ________Other X (MISC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A004Technical Report - Study/Services
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80508BSOW Paras 3.1.1.1.2, 3.1.1.1.3, 3.1.1.2.1, 3.1.1.2.2, 3.1.1.3.5, 3.1.1.3.7, 3.1.1.3.8, 3.1.1.4.2, 3.1.1.6.1, 3.1.1.6.2, 3.1.1.7.2, 3.1.1.7.3, 3.1.1.7.4, 3.1.2.4, 3.1.2.5, 3.1.2.6, 3.1.2.15, 3.2.1, 3.2.3, 4.2NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments ).

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment.

If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment.

If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage4of34
1007/183

A005

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (MGMT)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A005Technical and Management Work PlanProgram Plans for Implementation of SOW and Task Orders
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-81117SOW Paras 3.1.1.6.3, 3.2.1, 3.2.3, 4.4NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ30 DAC, See Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AN/ARegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 12: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage5of34
1007/183

A006

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP XTM ______Other ________
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A006Product Drawings/Models & Associated Lists
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81000ESOW Para 3.1.1.3.1, 3.1.1.3.2NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 12: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage6of34
1007/183

A007

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (MGMT)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A007Status ReportInformation Technology Personnel Security Report for NAVAIR Security and the Contracting Officer Representative (COR)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-80368A and See Blk 16SOW Paras 6.9.1, 6.9.2, 6.9.3NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDANNLY30 DAC, See Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 4: Contractor to submit IT Personnel Security Report for all employees requiring access to Government IT systems.

Ensure that only the following information is included:

User's last name; First name; MI; Suffix: exact Sigma User Name (if none-leave blank); Employee Type: Civ/Mil/CSS/FN; Contract No.; Customer AIR/PMA/PEO Code; Org: Hddqtrs/NAWC/NATEC, etc.; Duty Location; Work Email Address; IA Training Date (Verified by Transcript); Date of User Signature (SAAR-N Blk 13); Type of Investigation (SAAR-N Blk 33); Date Investigation Finalized (SAAR-N Blk 33a); Date Interim IT Level Designation (Stamp) Granted (SAAR-N Blk 33c) – do not put pending; Highest IT Level (SAAR-N Blk 33c); Date Security Verified Clearance/Investigation (SAAR-N Blk 37); Date COR Signature (SAAR Blk 18b); COR Name (SAAR-N Blk 18); COR Email; Date Rec'd Sigma Customer Support Ctr.; Date System Access Granted & COR Notified; Date System Access No Longer Required; N-ERP IT System (if applic., put N-ERP); Other IT System/s (separate by comma's); Company Name, SS# (last four only).

Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 11 and 12: First report is required (30) days after contract award. Government has 20 days to comment. Final version due 10 days after receiving Government comments.

Blk 13: Subsequent reports due 365 days after first report, and updated report required within (30) days of gain or loss of employee(s) that have or will access Government IT systems.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government. Electronic Encrypted Copy shall be provided.

AIR 7.4.1 1 1 1

Deliver to:
NAVAIR Security, ATTN: Madeline Gantt
47123 Buse Road, Bldg 2272, R074
Patuxent River, MD 20670
madeline.gantt@navy.mil, 301-757-2955
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL222
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage7of34
1007/183

A008

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (NDTI)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A008Test PlanValidation Test Plan
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-NDTI-80566ASOW Para 3.1.1.5.3NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage8of34
1007/183

A009

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (NDTI)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A009Test ProcedureValidation Test Procedure
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-NDTI-80603ASOW Para 3.1.1.5.3NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage9of34
1007/183

A010

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A010Scientific and Technical ReportsElements, Organization, and Design
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
ANSI Z39.18SOW Para 3.1.1.5.3NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage10of34
1007/183

A011

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (CMAN)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A011Validation ReportValidation of Technical Manual Changes-Via Demonstration
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-CMAN-80792ASOW Para 3.1.1.4.5NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage11of34
1007/183

A012

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (CMAN)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A012Contractors Configuration Management Plan
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-CMAN-80858BSOW Para 3.1.1.4.1NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDONE/R30 DAC, See Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AN/ARegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 12: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage12of34
1007/183

A013

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (CMAN)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A013Configuration Audit Summary Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-CMAN-81022CSOW Para 3.1.1.4.1NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/AASREQRegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage13of34
1007/183

A014

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP_________TM ________Other X (ADMN)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A014Report, Record, of Meeting/MinutesTrip Reports/Meeting Minutes
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-ADMN-81505SOW Paras 3.1.1.4.1, 3.1.1.4.4, 3.1.1.6.2, 3.1.1.6.6, 3.1.2.14, 10.5NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQ10 DAEb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/AN/AN/ARegRepro
16. REMARKSNAWCAD 4.11.3.111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL011
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage14of34
1007/183

A015

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP________TM ________Other X (SESS)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A015Training Conduct Support Document
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81523B NOT 2SOW Para 3.1.1.6.7NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
AN/ASee Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 12 and 13: Submit 90 working days prior to start of scheduled training. Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the Government.

Deliver to:
Naval Air Warfare Center Aircraft Division Patuxent River (Code 4.11.3)
17134 Webster Field Road, St. Inigoes, MD 20684-4009
Mark for: Contracts Deliverable Manager (inert contract number)15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
D. Superior2/16/17B. Channell2/16/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage15of34
1007/183

A016

CONTRACTS DATA REQUIREMENTS LISTForm Approved
OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.B. EXHIBITC. CATEGORY:
0007, 0008, 0009, 0010, 0011, 0012, 0019ATDP XTM ______Other ________
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Communication Systems Integration SupportN00421-##-#-####TBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A016Quality System PlanQuality Management/Assurance Plan
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-QCIC-81379SOW Paras 3.1.1.5.6, 4, 4.3NAWCAD 4.11.3.1
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDONE/R45 DACb. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16N/ARegRepro
16. REMARKSNAWCAD 4.11.3.1111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (see Contract Section J Attachments).

Blk 12: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted.

Blk 14: Distribution and electronic deliverables shall be compatible with MS Office 2010 unless otherwise approved by the…

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