CDRL_5_7_15_ATC_TEMS_N00421-15-R-0030.pdf

PDF 1 MB Posted Jun 5, 2015

Attached to: Advance Planning Notice for Technical, Engineering, and Management Support Services
Solicitation number: N00421-15-R-0030
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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File	Type	Posted
Amendment_3.docx	DOCX document	Jul 30, 2015
N00421-15-R-0030-0002_7-22-2015.docx	DOCX document	Jul 22, 2015
N00421-15-R-0030_9Jul15.doc	DOC document	Jul 9, 2015
Attachment_7-List_of_Authorized_Subcontractors.doc	DOC document	Jun 30, 2015
Attachment_4-_DataTransmittal_Form.doc	DOC document	Jun 30, 2015
Attachment_-P5-Past_Performance_Questionnaire_Package.doc	DOC document	Jun 30, 2015
Attachment_P6-CLIN_Breakout_Spreadsheet.xls	XLS spreadsheet	Jun 30, 2015
Attachment_6-_List_of_Key_Personnel.doc	DOC document	Jun 30, 2015
Attachment_P7-Fully_Burdened_Labor_Rates.xlsx	XLSX spreadsheet	Jun 30, 2015
Attachment_8-_ScheduledGovernmentFurnishedPropertryFORM.pdf	PDF	Jun 30, 2015
Attachment_1-Quality_Assurance_Surveillance_Plan_(QASP).docx	DOCX document	Jun 30, 2015
Exhibit_A__Contract_Data_Requirements_List_(CDRLs).xls	XLS spreadsheet	Jun 30, 2015
Attachment_2-_DoD_Contract_Security_Classification_Specification_DD_Form_254.pdf	PDF	Jun 30, 2015
Attachment_9-_RequisitionedGovernmentFurnishedPropertyFORM.pdf	PDF	Jun 30, 2015
Attachment_3-_OCI_List.doc	DOC document	Jun 30, 2015
N00421-15-R-0030_06-30-2015.doc	DOC document	Jun 30, 2015
Attachment_5-_NAVAIR_Established_Tripwires.docx	DOCX document	Jun 30, 2015
Advance_Planning_Notice.doc	DOC document	Jun 5, 2015
N00421-15-R-0030_06-05-2015.doc	DOC document	Jun 5, 2015

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CONTRACTS DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

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

A TDP_________ TM Other ________X_______

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

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

A001

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

DI-MISC-80711A

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

16. REMARKS AIR-4.11.7 1 0

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

Block 10, 11, 12, & 13: Submit by the 20th working day after completion of new technology analysis.

Deliverable Manager

AIR-4.11.7

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 23

See Block 16 See Block 16

11. AS OF DATE Final

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.

Air Traffic Control Systems

Scientific and Technical Report Technology Assessment Report

PBWS PARA. 3.2. AIR-4.11.7

b. COPIES been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

See Block 16 See Block 16

Hard copy due only upon request.

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

A TDP_________ TM Other ________X_______

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

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

A002

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

Contractor Format

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS AIR- 4.11.7 1 0

Block 10: Submit as necessary to meet technical program objectives and milestones.

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 23

See Block 16 See Block 16

11. AS OF DATE Final

Air Traffic Control Systems

Basic Facilities Requirements (BFR) Documentation DD FORM 1391

PBWS PAR: 3.3.3.1.1 AIR-4.11.7

b. COPIES

Block 11, 12, & 13: Submit by the 10th working day after requirement requested.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

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

A TDP_________ TM Other ________X_______

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

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

A003

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

DI-ADMN-81505

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro weekly and monthly meetings.

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 23

See Block 16 See Block 16

11. AS OF DATE Final

Air Traffic Control Systems

Report, Record of Meeting/Minutes Meeting/Conference Minutes

PBWS PARA. 3.3.3.1.3 & 3.3.21 AIR-4.11.7

b. COPIES

Block 10: Submit for major milestone meetings such as Program Reviews, PDRs and CDRs; not required for normal

Block 11, 12, & 13: Submit by the 5th working day after meeting/conference is held.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

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

A TDP_________ TM Other ________X_______

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

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

A004

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

Contractor Format

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 23

See Block 16 See Block 16

11. AS OF DATE Final

Air Traffic Control Systems

Training Documentation

PBWS PARA. 3.3.4 AIR-4.11.7

b. COPIES

Block 11, 12, & 13: Submit by the 5th working day after requirement requested.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

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

A TDP_________ TM Other ________X_______

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

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

A005

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

DI-CMAN-80858B

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

16. REMARKS AIR- 4.11.7 1 0

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 23

1007/183

Final

See Block 16 See Block 16

Air Traffic Control Systems

Contractor's Configuration Management Plan Engineering Report (Configuration Management Documentation)

PBWS PARA. 3.3.18 AIR-4.11.7

b. COPIES been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 11, 12, & 13: Submit by the 10th working day after requirement requested.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

Hard copy due only upon request.

11. AS OF DATE

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

A TDP_________ TM Other ________X_______

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

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

A006

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

DI-MISC-80508B

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

REQUI RED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 23

1007/183

Final

SEE BLOCK 16 SEE BLOCK 16

Air Traffic Control Systems

Technical Report-Study/Services Systems Engineering Analysis Report

PBWS PAR: 3.3.19 AIR-4.11.7

b. COPIES

Block 11, 12, & 13: Submit by the 10th working day after requirement requested.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

Hard copy due only upon request.

SEE BLOCK 16 SEE BLOCK 16

11. AS OF DATE

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

A TDP_________ TM Other ________X_______

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

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

A007

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

DI-MGMT-81238

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

REQUI RED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

16. REMARKS AIR- 4.11.7 1 0

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 23

1007/183

Contract Field Service Report New Construction Documentation/Recommendations Report

PBWS PARA. 3.3.20 AIR-4.11.7

b. COPIES

See Block 16 See Block 16

11. AS OF DATE Final

See Block 16 See Block 16 been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 11, 12, & 13: Submit by the 10th working day after requirement requested.

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

A TDP_________ TM Other ________X_______

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

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

A008

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

DI-ILSS-80095

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

16. REMARKS AIR- 4.11.7 1 0

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 23

See Block 16 See Block 16

11. AS OF DATE Final

Air Traffic Control Systems

Integrated Logistic Support Plan ILS Documentation

PBWS PARA. 3.3.22 AIR-4.11.7

b. COPIES been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 11, 12, & 13: Submit by the 10th working day after requirement requested.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

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

A TDP_________ TM Other ________X_______

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

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

A009

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

DI-MISC-80711A

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Scientific and Technical Reports System Performance Analysis

PBWS PARA.3.4.1 AIR-4.11.7

b. COPIES

See Block 16 See Block 16

Block 10: Submit as necessary to meet technical program objectives and milestones.

been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 11, 12, & 13: Submit the 10th working day after requirement requested.

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

A TDP_________ TM Other ________X_______

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

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

A010

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

DI-MGMT-81737

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Implementation Plan Systems Integration Plan

PBWS PARA 3.4.3 AIR-4.11.7

b. COPIES

See Block 16 See Block 16 been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 10: Submit as necessary to meet technical program objectives and milestones.

Block 11, 12, & 13: Submit the 10th working day after requirement requested.

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

A TDP_________ TM Other ________X_______

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

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

A011

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

DI-SESS-81704

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Test Plans/Test Procedures System Test Plans

PBWS Para. 3.5.1 AIR-4.11.7

b. COPIES

See Block 16 See Block 16 been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 10: Submit as necessary to meet technical program objectives and milestones.

Block 11, 12, & 13: Submit the 10th working day after requirement requested.

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

A TDP_________ TM Other ________X_______

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

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

A012

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

DI-QCIC-81187

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Quality Assessment Report Evaluation Reports

PBWS PARA. 3.5.4 AIR-4.11.7

b. COPIES

See Block 16 See Block 16 been transmitted within 30 days of transmittal, the CDRL is considered accepted.

Block 10: Submit as necessary to meet technical program objectives and milestones.

Block 11, 12, & 13: Submit the 20th working day after completion of testing.

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

A TDP_________ TM Other ________X_______

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

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

A013

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

Contractor Format

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Acquisition Tracking Report

PWBS PARA. 3.6.5 AIR-4.11.7

Monthly See Block 16

Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.

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

A TDP_________ TM Other ________X_______

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

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

A014

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

DI-MGMT-81238 NOT 1

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 14 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Contract Field Service Report LAN Technical Report

PBWS PARA. 3.8 AIR-4.11.7

b. COPIES

Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.

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

A TDP_________ TM Other ________X_______

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

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

A015

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

DI-MGMT-80911

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 15 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Technical Assistance Activity Accomplishment Report FASFAC JAX Operational Site Maintenance Status Report

PBWS PARA. 3.9 AIR-4.11.7

b. COPIES

Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.

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

A TDP_________ TM Other ________X_______

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

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

A016

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

DI-MGMT-80227

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 16 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Contractor Progress Status and Management Report

PBWS PARA. 4.1 AIR-4.11.7

Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.

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

A TDP_________ TM Other ________X_______

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

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

A017

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

Contractor Format

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 17 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Funds & Time Expenditure Report

PBWS PARA. 4.2 AIR-4.11.7

Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.

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

A TDP_________ TM Other ________X_______

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

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

A018

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

DI-FNCL-80331A

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 18 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Funds and Man Hour Expenditure Report Voucher Reconciliation Report

PBWS PARA. 4.3 AIR-4.11.7

b. COPIES

Block 10, 11, 12, & 13: Report is due 10 working days after receipt of Funds & Time Expenditure Report CDRL A019.

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

A TDP_________ TM Other ________X_______

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

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

A019

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

Contractor Format

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

16. REMARKS AIR- 4.11.7 1 1

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 1

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 19 of 23

Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.

Material Tracking Report

PBWS PARA. 6.0 AIR-4.11.7

11. AS OF DATE Final

b. COPIES

Monthly See Block 16

Air Traffic Control Systems

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

A TDP_________ TM Other ________X_______

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

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

A020

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

DI-MISC-80508B

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 20 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Technical Report - Study/Services Trip Report

PBWS Para. 8.0 AIR-4.11.7

b. COPIES

See Block 16 See Block 16

Block 10: Submit as necessary to meet technical program objectives and milestones.

Block 11, 12, & 13: Submit no later than 10 working days after completion of trip.

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

A TDP_________ TM Other ________X_______

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

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

A021

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

DI-MGMT-80934C

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

A Reg Repro

16. REMARKS AIR- 4.11.7 1 0

Block 4: Delete References in DI-MGMT-80934. Instead use the definition of sensitive information given in Public Law 100-235., NAWCAD 7.4.3 1 use National Security Directive (NSDD) 298 for concept of OPSEC.

Block 9: Apply and use distribution statements in accordance with the Distribution Statement Attachment to this contract.

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 2 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 21 of 23

11. AS OF DATE Final

See Block 16 See Block 16

Air Traffic Control Systems

Operations Security (OPSEC) Plan

PBWS Para. 11.0 NAWCAD 7.4.3

b. COPIES

1TIME See Block 16

See SECNAVINST 5510.36, Chapter 8 for guidance.

Block 11, 12, & 13: Preliminary draft plan due 90 days DAC. Final due 45 days after government approval of draft. Revisions are required after approval of final plan only to comply with Government Data Protection Policy Documents revision.

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

A TDP_________ TM Other ________X_______

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

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

A022

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

DI-MGMT-81864

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

REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X). Air 2.5.1

Block 14 Address:

15. TOTAL 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 22 of 24

1007/183

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.1 Bldg 8111

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Incurred Cost and Progress Reporting for Services Invoice Support Report

Air Traffic Control Systems

Monthly NLT 60 DAC

11. AS OF DATE Final

5252.232-9529 and PBWS Para. 4.4 AIR-4.11.7

b. COPIES

N/A MTHLY

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

Hard copy due only upon request.

If this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Block 10, 11, 12 & 13: To be submitted under individual task orders. Submit by the 10th working day of the month, for the preceeding month.

Department of the Navy

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

A TDP______ TM ______ Other _X _

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

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

A023

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

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

LT REQUIRED

8. APP CODE D 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

Block 7: Acceptance will be by COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater). Hard copy due only upon request.

NAVAIRWARCENACDIV

17454 Webster Field Rd.

St. Inigoes, MD 20684-4012

15. TOTAL 0 1 0

G. PREPARED BY M. Passfeld H. DATE I. APPROVED BY L. Whites J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 23 of 24

1007/183

Blocks 10, 11, 12 & 13: To be submitted under individual task orders. Submit by the 10th working day of the month for the preceding month.

See Block 16 See Block 16

Report shall be submitted concurrently with each invoice to the COR and shall be for the exact dollar amount and period of performance as the invoice.

If this form has not been transmitted within 30 days of submission of the CDRL, the CDRL is considered accepted.

b. COPIES

MTHLY See Block 16

11. AS OF DATE Final

Air Traffic Control Systems

Segregation of Costs & Invoice Requirements

Contractor Format SOW Para: 12.0 AIR-4.11.7

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

A TDP_________ TM Other ______X_________

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

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

A024

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

Contractor Format

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

XX REQUIRED

8. APP CODE C 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

16. REMARKS AIR- 4.11.7 1 1

Deliverable shall include a list of all active, pending and inactive, applicable company-to-company non-disclosure agreements

Block 14 Address:

15. TOTAL 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 24 of 24

1007/183

Air Traffic Control Systems

Status Report Non-Disclosure Agreement (NDA) List

SOW Para: 5 AIR-4.11.7

b. COPIES

As Req See Block 16

11. AS OF DATE Final

See Block 16 See Block 16 in place with other organizations in support of the efforts being performed in achieving the objectives of the contract SOW.

In addition to an updated listing, submission should include copies of all referenced non-disclosure agreements to be retained on file with the COR.

Block 7: Acceptance will be by COR via the Data Item Transmittal/Acceptance Rejection Form.

If this form has not been transmitted within 30 days of submission of the CDRL, the CDRL is considered accepted.

Blocks 10, 11, 12 & 13: Updates should be submitted to the COR with approval of any new non-disclosure agreements, as well as with expiration of any previously approved non-disclosure agreements.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater). Hard copy due only upon request.

Department of the Navy

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.1 Bldg 8111

17454 Webster Field Road

St. Inigoes, MD 20684-4012

File details come from the government source that posted it. Updated Nov 14, 2017.