Exhibit_A_CDRLs.xlsx

XLSX spreadsheet 427 KB Posted Jan 27, 2017

Attached to: 4. 11. 5 (ETMS) ENGINEERING, TECHNICAL, AND MANAGEMENT SERVICES
Solicitation number: N00421-16-R-0021
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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CDRLS

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File	Type	Posted
Question_&_Answers.docx	DOCX document	Jun 20, 2017
Question.docx	DOCX document	Jun 19, 2017
N00421-16-R-0021_Amendment_5.docx	DOCX document	Jun 16, 2017
N00421-16-R-0021_Amendment_5.docx	DOCX document	Jun 16, 2017
Attach_P2.xlsx	XLSX spreadsheet	Apr 6, 2017
N00421-16-R-0021_Amendment_4.docx	DOCX document	Apr 6, 2017
Questions_and_Answers.docx	DOCX document	Apr 6, 2017
Amendment_3_N00421-16-R-0021.docx	DOCX document	Mar 30, 2017
Questions_and_Answers-032817.docx	DOCX document	Mar 28, 2017
N00421-16-R-0021_Amendment2.docx	DOCX document	Mar 23, 2017
P5_Past_Performance_Information_Form_Mar_2017.pdf	PDF	Mar 23, 2017
Attach_5.xlsx	XLSX spreadsheet	Mar 23, 2017
Attach_P1.xlsx	XLSX spreadsheet	Mar 23, 2017
Attach_3.docx	DOCX document	Mar 23, 2017
Attach_P2.xlsx	XLSX spreadsheet	Mar 23, 2017
QuestionsAnswers__N00421-16-R-0021_031617_(2).docx	DOCX document	Mar 16, 2017
Attach_P3.pdf	PDF	Mar 7, 2017
Attach_P4.pdf.docx	DOCX document	Mar 7, 2017
Attach_3.docx	DOCX document	Mar 7, 2017
Attachment_2_DD254.pdf	PDF	Mar 7, 2017
Attach_1_QASP_022217.doc	DOC document	Mar 7, 2017
Attach_4.docx	DOCX document	Mar 7, 2017
Exhibit_A_DD1423_(CDRLS)_2-16-17.xlsx	XLSX spreadsheet	Mar 7, 2017
Attach_5.xlsx	XLSX spreadsheet	Mar 7, 2017
Attach_6.xlsx	XLSX spreadsheet	Mar 7, 2017
RFP_N00421-16-R-0021.docx	DOCX document	Mar 7, 2017
Attach_P1.xlsx	XLSX spreadsheet	Mar 7, 2017
Attach_P2.xlsx	XLSX spreadsheet	Mar 7, 2017
ETMS_Questions&Answers.docx	DOCX document	Feb 2, 2017
Past_Performance_Information_Form.pdf	PDF	Jan 27, 2017
Attachment_P3_Past_Performance_Questionnaire.docx	DOCX document	Jan 27, 2017
Attachment_5_SGFE_(Excel).xlsx	XLSX spreadsheet	Jan 27, 2017
Attachment_1_QASP.docx	DOCX document	Jan 27, 2017
ETMS_Solitication.docx	DOCX document	Jan 27, 2017
Instructions_for_CPAQ.docx	DOCX document	Jan 27, 2017
Attachment_2_DD_Form_254.pdf	PDF	Jan 27, 2017
Attachment_6_RGFE_(Excel).xlsx	XLSX spreadsheet	Jan 27, 2017
Attachment_4_Data_Item_Xmittal_Form.docx	DOCX document	Jan 27, 2017
Attachment_P2_Fully_Burdened_Labor_Rates.xlsx	XLSX spreadsheet	Jan 27, 2017
Contractor_Performance_Assessment_Questionnaire_(CPAQ).pdf	PDF	Jan 27, 2017
Attachment_P1_Cost_Summary_Spreadsheet.xlsx	XLSX spreadsheet	Jan 27, 2017
Attachment_3_OCI_List.docx	DOCX document	Jan 27, 2017
N00421-16-R-0021_ETMS_Questions.docx	DOCX document	Jul 7, 2016
LCATs_Min_Quals.docx	DOCX document	Apr 27, 2016
ETMS_IGE_DRAFT.xlsx	XLSX spreadsheet	Apr 27, 2016
DRAFT_ETMS_SOW.docx	DOCX document	Apr 27, 2016

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Input Sheet

ITEM	VALUE
A. Contract Line Item Number	1000, 1001, 1002, 1003
B. Exhibit	A
D. System/Item	Engineering Prototyping & Business Operations
E. Contract/PR No.	TBD
F. Contractor	TBD
G. Prepared By	Cynthia Guy
I. Approved By:
6. Requiring Office	NAWCAD 4.11.5
H. Date Prepared	5/10/16
J. Date Approved
Total Number of Pages
Notes:
Renumbering of CDRLs	Just rename the Tabs and the CDRL numbers will adjust.
	You may also have to change the number of pages above.

A001

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A001	Antenna Datasheets
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
See Block 16			PWS Paras 3.1.1				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	See Block 16		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Block 4 - Government Format - See Exhibit B							4.11.5.1 SL		1	0
Blocks 10, 11, 12, & 13 - Submit a report for each RF device tested in accordance with PWS paragraphs 3.1.1 & 3.1.2
within two working days after completion of the test. Electronic media and (1) hard copy.
Block 14 - Deliverables to be provided in electronic format Microsoft 2010.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	1	of	40
1007/183

A002

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A002	Pretest Form
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
See Block 16			PWS Para 3.1.1				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	See Block 16		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Block 4 - Government Format - See Exhibit B							4.11.5.1 SL		1	0
Blocks 10, 11, 12, & 13 - Submit a report within 1 day after setting up the antenna range for a new antenna test.
Submit an additional report 1 day after the new antenna test has been completed. Electronic media and (1) hard copy.
Block 14 - Deliverables to be provided in electronic format Microsoft 2010.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	2	of	40
1007/183

A003

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A003	Test Data
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
See Block 16			PWS Paras 3.1.1				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	See Block 16		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Block 4 - Government Format - See Exhibit B (Example of Data, Data matrix & Data List)							4.11.5.1 SL		1	0
Blocks 10, 11, 12, & 13 - Submit a report for each RF device tested in accordance with PWS paragraphs 3.1.1 & 3.1.2
within two working days following the completion of test. Electronic media and (1) hard copy in various customer defined formats.
Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	3	of	40
1007/183

A004

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A004	Equipment Calibration Log
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
See Block 16			PWS Paras 3.1.2				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	MONTHLY		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		MONTHLY					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Block 4 - Government Format - See Exhibit B							4.11.5.1 SL		1	0
Blocks 11, & 12 - Submit report NLT the 15th of each month, following the first full month of the Contract. Electronic media and (1) hard copy.
Block 14 - Deliverables to be provided in electronic format Microsoft 2010.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	4	of	40
1007/183

A005

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A005	Information Assurance Management (IAM) or Information Assurance Technology (IAT) Certifications
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
See Block 16			PWS Paras 3.4				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	MONTHLY		Prerequisite (Completed before new employees come on board)				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Blocks 10, 11, 12, & 13 - Submit IAM and IAT level certification in accordance with DOD 8570.01-M for all personnel performing System							4.11.5.1 SL		1	0
Administration and Information Assurance duties. Submit report once a month when new employees come on board.
Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	5	of	40
1007/183

A006

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A006	Product Drawings and Associated Lists					Drawings (Outside Plant, Inside Plant, & Inventory of Connectivity)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-SESS-81000D			PWS Paras 3.4.13				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
DD	REQUIRED	See Block 16		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Blocks 10, 11, 12, &13 - Provide updated inventory of Connectivity and drawings as updates occur within the Outside Plant and Inside Plant for the							4.11.5.1 SL		1	0
RDT&E Backbone and the NMCI/CoSC/NGEN Backbone - (Autocad Latest Version). All updates shall be submitted within 10 business days of occurance. Electronic Media and Hard copy (1).

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	6	of	40
1007/183

A007

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A007	Contractor's Progress, Status & Management Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-80227			40				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	MONTHLY		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		MONTHLY					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Blocks 11, & 12 - Submit report NLT than the 15th of each month, following the first full month of the Contract.							4.11.5.1 SL		1	0
Report content to include but not limited to, graphical and narrative depiction of tasks detailing; progress (including activity/task description, status, personnel/performed by, requesting competency, requestor and POC), significant changes, results to previously identified problems, trips, new issues/problems, plans for next reporting period, monthly and cummulative DLA black and white and color print usage as compared to threshold allowance, number of requests by compentency per Standard Work Package (SWP) (showing the number recieved, number completed and the number of hours of work performed), and cumulative tasks and hours received and completed by compentency and SWP.

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	7	of	40
1007/183

A008

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A008	Infrastructure Certifications					BROCADE or CCNA and BICSI and Confined Space
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
			PWS Paras 3.4.13				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED	See Block 16		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Infrastructure support personnel must be BROCADE Certified or CISCO Certified Network Associate (CCNA), Building Industry Consulting							4.11.5.1 SL		1	0
Service International (BICSI) and have or oibtain Confined Space Certification.
Blocks 10, 11, 12,& 13 - Submit report as specified in PWS para. 3.4.13 at contract award and NLT than 15 days from
the certification or the renewal date of certification.
Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	8	of	40
1007/183

A009

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A009	Status Report					Hardware Contract, BOA, and Delivery Order Summaries
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-30368A			PWS Paras 3.9				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	MONTHLY		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		MONTHLY					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Blocks 11, & 12 - Submit report NLT than the 15th of each month, following the first full month of the Contract.							4.11.5.1 SL		1	0
Report shall include, but is not limited to contract number, contractor, description, financial, procurement method and status.

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	9	of	40
1007/183

A010

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A010	Status Report					Services Contract, BOA, and Delivery Order Summaries
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-30368A			PWS Paras 3.9				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	MONTHLY		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		MONTHLY					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Blocks 11, & 12 - Submit report NLT than the 15th of each month, following the first full month of the Contract.							4.11.5.1 SL		1	0
Report shall include, but is not limited to contract number, contractor, description, financial, procurement method and status.

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	10	of	40
1007/183

A011

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A011	Funds and Time Expenditure Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-FNCL-80331A			PWS Paras, 4.6.1				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	MONTHLY		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		MONTHLY					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Blocks 11, & 12 - Submit report NLT than the 15th of each month following the first full month of the Contract.							4.11.5.1 SL		1	0
Report to include but not limited to, monthly and cumulative expenditures and hours by CLIN, PBSOW Sections detailing funded amount, expended current period, cumulative expended and funding and hours remaining. Report expenditures and hours by personnel and labor categories to include name, company, fully burdened rate, labor category, current period hours, current period expenditures, cumaltive hours and cumulative expenditures. Provide graphical display of information to detail projected and expended hours and funding.

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	11	of	40
1007/183

A012

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM	Other ______X_________
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A012	Status Report					Non-Disclosure Agreement (NDA) List
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
Contractor Format			SOW Para: 4.6.5 & 4.9				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
XX	REQUIRED	As Required		Within 30 days after Contract Award				b. COPIES
	C
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Deliverable shall include a list of all active, pending and inactive, applicable company-to-company non-disclosure agreements							4.11.5.1 SL		1	0
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 2010. Hard copy due only upon request.

					15. TOTAL		1	1
G. PREPARED BY	A. Brown	H. DATE	I. APPROVED BY	F. Bouhussein		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	12	of	40
1007/183

A013

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A013	Operations Security (OPSEC) Plan
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
See Block 16			PWS Paras, 4.1.3				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	See Block 16		90 Days Post ContractAward				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Block 4 - Contractor Format - Use the definition of sensitive information given in Public Law 100-235. Use National Secuirty Decision Directive (NSDD) 298 for the concept of Operation Security. Block 9 - Apply and use distribution statements in accordance with the distribution statement shown in BLK 13 of DD Form 254 and the guidance of SECNAVINST 5510.36 Blocks 10, 11, 12, & 13 - Draft OPSEC Plan due 90 days after contract award. Revisions are required after approval of final plan to comply with the Governmenet Data Protection Policy Documents. Block 14 - Provide reproducible copy in electronic media format (See PWS Paragraph 7.3)							4.11.5.1 SL		1	0
Block 9 - Apply and use distribution statements in accordance with the distribution statement shown in BLK 13 of DD Form 254							AIR 7.4.4		1	0
and the guidance of SECNAVINST 5510.36
Blocks 10, 11, 12, & 13 - Draft OPSEC Plan due 90 days after contract award. Revisions are required after approval of final plan
to comply with the Governmenet Data Protection Policy Documents.
Block 14 - Provide reproducible copy in electronic media format (See PWS Paragraph 7.3)

			15. TOTAL	0	3	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	13	of	40
1007/183

A014

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A014	Segregation of Costs and Invoice Requirements
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
See Block 16			NAVAIR Clause 5252.232-9525. PBSOW Paras 4.6.5, ALL				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
LT	REQUIRED	See Block 16		See Block 16				b. COPIES
	B
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Block 4 - Contractor Format is acceptable.							4.11.5.1 SL		1	0
Blocks 10, 11, 12, & 13 - Report shall be submitted in accordance with NAVAIR clause 5252.232-9525 concurrently with each invoice to the COR and shall be for the exact dollar amount and performance as the invoice.

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	14	of	40
1007/183

A015

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations						TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A015	Status Report					Information Technonolgy Personnel Security Report for Contracting Officer Representatives (COR)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-80368A-See Block 16			NAVAIR Clause 5252.204-9505. PBSOW Paras 3.4				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
DD	REQUIRED	See Block 16		See Block 16				b. COPIES
	D
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		O		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
Block 4 - Digital Media to be in microsoft excel 2010 or later format. 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 Navy ERP user name (if none - leave blank) Employee type: Civ/Mil/CSS/FN; Contract No; Customer AIR/PMA/PEO Code; Org: Hdqrtrs/NAWC/NATEC, etc.; Duty Location; Work Email Address; IA training Date (verified by transcript); Date of User's signature (SAAR Blk12); Type of investigation (SAAR Blk 28); Date Investigation Finalized (SAAR Blk 28a); Date interim IT level designation (Stamp) granted (SAAR Blk 28c) - DO NOT PUT PENDING; Highest IT Level (SAAR Blk 28c); Date security verified clearance/investigation (SAAR Blk 32); Date COR signature (SAAR BLk 19); COR Name (SAAR Blk 20); COR Email; Date Rec;d Navy ERP customer supportctr; Date system access granted & COR Notified; Date system access no longer required; N-ERP IT system (if applic. put N-ERP), other IT systems's (sepereate by comma's); Company Name. Block 4 - Digital Media to be in microsoft excel 2010 or later format. Contractor to submit IT personnel Security							4.11.5.1 SL		1	0

Block 10 - Updated report required within (30) days of gain or loss of employee(s) that have or will access Government IT Systems.

Block 12 - First report is required (30) days after contract award.

Block 13 - Subsequent reports due (365) days after the first report.

Block 14 - Electronic encrypted Copy shall be provided.

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

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	15	of	40
1007/183

A016

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP_________	TM ________	Other X (MISC)
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A016	Status Report					Information Technonolgy Personnel Security Report for NAVAIR Security
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-80368A-See Block 16			NAVAIR Clause 5252.204-9505. PBSOW 3.4				NAWCAD 4.11.5
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
DD	REQUIRED	See Block 16		See Block 16				b. COPIES
	D
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		O		See Block 16					Reg	Repro
16. REMARKS							AIR/AD 7.4.1 or Field Site Security Name		1	0
Block 4 - Digital Media to be in Microsoft Excel 2010. Contractor to submit IT personnel Security Report for
all employees requiring access toGovernment IT systems. Ensure that only the following information is included. User's last name: first name; MI; suffix;
exact Navy ERP user name (if none - leave blank) Employee type: Civ/Mil/CSS/FN; Contract No; Customer AIR/PMA/PEO Code; Org:
Hdqrtrs/NAWC/NATEC, etc.; Duty Location; Work Email Address; IA training Date (verified by transcript); Date of User's signature
(SAAR Blk12); Type of investigation (SAAR Blk 28); Date Investigation Finalized (SAAR Blk 28a); Date interim IT level designation (Stamp)
granted (SAAR Blk 28c) - DO NOT PUT PENDING; Highest IT Level (SAAR Blk 28c); Date security verified clearance/investigation
(SAAR Blk 32); Date COR signature (SAAR BLk 19); COR Name (SAAR Blk 20); COR Email; Date Rec;d Navy ERP customer supportctr;
Date system access granted & COR Notified; Date system access no longer required; N-ERP IT system (if applic. put N-ERP), other IT systems's
(sepereate by comma's); Company Name. SS#, (Only for NAVAIR Security)

Block 10 - Updated report required within (30) days of gain or loss of employee(s) that have or will access Government IT Systems.

Block 12 - First report is required (30) days after contract award.

Block 13 - Subsequent reports due (365) days after the first report.

Block 14 - Electronic encrypted Copy shall be provided. Note: Send Spreadsheet report only to NAVAIR Security

			15. TOTAL	0	1	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	16	of	40
1007/183

A017

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP______	TM ______	Other _X _
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A017	Baseline Description Document					Capability Description Document (CDD)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-SESS-81121A			SOW Para: 3.7.1				NAWCAD 4.11.5
7. DD 250 REQ	9. DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
XX	REQUIRED	See Block 16		See Block 16				b. COPIES
	C
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
							4.11.5.1 SL		1	0
Block 7 - Acceptance will be by COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment 4).
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 - Submit report draft within 10 working days after initial request. Submit final report 5 working days after government comments are received.

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Contractor document format acceptable. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	17	of	40
1007/183

A018

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP______	TM ______	Other _X _
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A018	System Requirement Review (SRR)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-SESS-81785A			SOW Para: 3.7				NAWCAD 4.11.5
7. DD 250 REQ	9. DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
XX	REQUIRED	0VERTIME		See Block 16				b. COPIES
	C
8. APP CODE		11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							4.11.5.2 CG		1	0
							4.11.5.1 SL		1	0
Block 7 - Acceptance will be by COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment 4).
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 - Submit report draft 10 working days after initial request. Submit final report 5 working days after.government comments are received.

Block 14 - Deliverables to be provided in electronic format Microsoft 2010. Contractor document format acceptable. Hard copy due only upon request.

			15. TOTAL	0	2	0
G. PREPARED BY	H. DATE	I. APPROVED BY		J. DATE

DD Form 1423-1, JUN 90	Previous editions are obsolete	Page	18	of	40
1007/183

A019

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						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. EXHIBIT		C. CATEGORY:
		A		TDP______	TM ______	Other _X _
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Engineering Prototyping & Business Operations
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE

This is the start of the file's text. The full file is on GovTribe.

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