Attachment_5_NAWCTSK_4330-60_N00421-15-R-0042.doc

PRIVATE

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORMPRIVATE

Contract TBD

PRIVATE

CLIN/ELIN: / TITLE:

Block 14 Distribution:

Other:

Doc. Ref. No.: Date:

From:

To: Naval Air Systems Command, AIR 4.3, 48183 Switzer Rd, Bldg 2035, Patuxent River, MD, 20670 ATTN: Alexander Kokolios The above detailed CDRL item is forwarded for review and acceptance/ rejection. This item is due . The Government review period is days.

Sincerely, Signature: _____________________________________ Typed Name/Title: ______________________________

FIRST ENDORSEMENT: Date Received:

( ) Accepted.

( ) Accepted. Attached comments must be incorporated into the next scheduled submission.

(This block is for use with periodically submitted items only.)

( ) Rejected, comments attached. Change pages ( ) are ( ) not sufficient for correction.

Contractor is allowed ( ) 30 days or ( ) days to resubmit.

Signature:___________________________________________ Typed Name/Title:____________________________________

Code: Date:_______________

VIA: Date:

VIA: PD Date:

SECOND ENDORSEMENT:

( ) Accepted.

( ) Accepted conditionally. Attached comments must be incorporated in the next scheduled submission.

( ) Rejected, comments attached. Resubmit no later than .

Signature:___________________________________________ Typed Name/Title:____________________________________

Code: Date:_______________

CC w/Encl.:

CC w/o Encl.:

NAWCTSD 4330/60 (3/94)

Attachment (5): NAWCTSD 4330-60 Solicitation N00421-15-R-0042