Exhibit_A__CDRLs_(TES).xlsx

XLSX spreadsheet 1 MB Posted

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AIR-4. 11, N00421-16-R-0059 Technical and Engineering Services (TES) supporting AD-4. 11. 3
Solicitation number
N00421-16-R-0059
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Exhibit A CDRLs

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N00421-16-R-0059_Amendment_0002_Modification.pdf PDF
N00421-16-R-0059_Amendment_0002_.pdf PDF
P7_Sub_Cost_Summary.xlsx XLSX spreadsheet
P6_Prime_Cost_Summary_Spreadsheet_(TES).xls XLS spreadsheet
P6_Prime_Cost_Summary_Spreadsheet_(TES).xls XLS spreadsheet
N00421-16-R-0059_RFP_Amendment_0001.pdf PDF
P7_Sub_Cost_Summary.xlsx XLSX spreadsheet
N00421-16-R-0059_Amendment_0001_-_Modification.pdf PDF
P4_Streamlined_Rates_for_Order_Pricing.xlsx XLSX spreadsheet
Attach_8_-QASP_CSP.pdf PDF
Attach_5_Authorized_Subcontractors.docx DOCX document
P7_Sub_Cost_Summary.xlsx XLSX spreadsheet
Attach_4__OCI_List.docx DOCX document
Attach_7_-_COR_TBD.docx DOCX document
P4_Streamlined_Rates_for_Order_Pricing.xlsx XLSX spreadsheet
P1_Past_Performance_Information_Form.pdf PDF
Attach_1_Wage_Determinations.docx DOCX document
P6_Prime_Cost_Summary_Spreadsheet_(TES).xls XLS spreadsheet
Attach_3_Data_Item_Transmittal_Form.docx DOCX document
N00421-16-R-0059_RFP.pdf PDF
P2_Contractor_Performance_Assessment_Questionnaire.pdf PDF
Attachment_2_N00421-16-R-0059_BID_DD254_signed.pdf PDF
TES_Draft_RFP_Industry_10Oct2017.pdf PDF
P1_Past_Performance_Information_Form.pdf PDF
Attach_3_Data_Item_Transmittal_Form.docx DOCX document
P3_Reserved.docx DOCX document
Attach_8_-QASP_CSP.docx DOCX document
P4_Streamlined_Rates_for_Order_Pricing.xlsx XLSX spreadsheet
P2_Contractor_Performance_Assessment_Questionnaire.pdf PDF
EXHIBIT_A_-CDRLs.xlsx XLSX spreadsheet
Attachment_10_Data_Item_Transmittal_Acceptance_Rejection_Form.doc DOC document
Attach_9_-_Consolidated_GFP.xlsx XLSX spreadsheet
P6_Prime_Cost_Summary_Spreadsheet_(TES)_10.2.17.xls XLS spreadsheet
Attach_7_-_COR_TBD.docx DOCX document
Attach_4__OCI_List.docx DOCX document
Attach_5_Authorized_Subcontractors.docx DOCX document
P5_Reserved.docx DOCX document
P7_Sub_Cost_Summary_24JUL2017.xlsx XLSX spreadsheet
Attach_6_Authorized_Key_Personnel.doc DOC document
Attach_1_Wage_Determinations.docx DOCX document
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A001

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (MISC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A001Scientific and Technical Reports Summary
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80048PWS 3.1.9.4, 3.3.1.2, 3.3.2.1, 3.3.2.7, 3.3.5.1, 3.3.5.3NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3 17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009 Mark for: COR (insert contract number)

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage1of49
1007/183

A001 - Back Page

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNELFOR CONTRACTOR PERSONNEL
Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as “Provisioning”, “Configuration Management”, etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Data CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed on the ASSIST website), or onetime DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Item 10. Specify number of time data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 12.

Examples are: Tailoring of documents cited in item 4; Clarification of submittal dates in items 12 and 13; Explanation of reproducible copies in item 14.; Desired medium for delivery of the data item. Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or the data item.

Estimated Price - Cost to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency or submittal, preparation, control, and quality of the data item.

Estimated Price - Cost to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV Item should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Governments’ right to use the data shall be governed by the pertinent provisions of the contract.

Previous editions are obsolete Page 2 of 49

A002

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (MISC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A002Scientific and Technical ReportsConfiguration Change Request Document
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80711APWS 3.3.1.1, 3.3.2.7, 3.3.4.2, 3.3.4.7NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage3of49
1007/183

A003

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (ADMIN)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A003Report, Record of Meeting/MinutesTrip/Meeting Report/Conference Minutes/Agenda
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-ADMN-81505PWS 3.1.3.6, 3.1.5.1, 3.3.2.9, 3.3.4.2, 3.3.4.4NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
LTASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16ASREQRegRepro
16. REMARKS4.11.3.311
Blk 11 and 12: Trip reports are due 5 days after return from travel. Meeting minutes are due 5 days after completion of meeting. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL011
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage4of49
1007/183

A004

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (ISPC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A004Software Development Plan (SDP)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-IPSC-81427APWS 3.3.2.5, 3.3.3.2, 3.3.5.1, 3.3.5.3NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage5of49
1007/183

A005

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A005Financial Progress Reports
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
See Blk 16PWS 3.1.3.1NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDMTHLYSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.311
Blk 4: Financial Progress Reports will be submitted both in electronic and hardcopy formats. Both the electronic and hardcopy formats will be contractor proposed and Government approved and shall include valid and current data through the most recent pay period closing date. The contractor and Government will agree on an electronic and hardcopy format that will be used on all task orders within 30 days after contract award.

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

Blks 11, 12, and 13: Submit IAW PWS para.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

In order to reduce administrative burden presented by creating a unique requirement and to allow 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.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL011
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage6of49
1007/183

A006

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP XTM ________Other
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A006Interface Design Description (IDD)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-IPSC-81436APWS 3.3.2.5, 3.3.2.8NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage7of49
1007/183

A007

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (IPSC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A007Software Test Report (STR)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-IPSC-81440APWS 3.3.2.5NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS para.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage8of49
1007/183

A008

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM XOther
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A008Software User Manuals (SUM)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-IPSC-81443APWS 3.3.2.5, 3.3.3.2NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage9of49
1007/183

A009

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (MCCR)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A009Computer Software Product End ItemsEnd Item Deliverable
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MCCR-80700PWS 3.3.2.5NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS para.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage10of49
1007/183

A010

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (NDTI)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A010Test PlanValidation Test Plan
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE PWS 3.3.2.3, 3.3.2.6, 3.3.2.8, 3.3.2.9,6. REQUIRING OFFICE
DI-NDTI-80566A3.3.3.2, 3.3.3.3, 3.3.3.4, 3.3.4.5, 3.3.5.2NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage11of49
1007/183

A011

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (NDTI)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A011Test ProcedureValidation Test Procedure
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE PWS 3.3.2.3, 3.3.2.6, 3.3.2.8,6. REQUIRING OFFICE
DI-NDTI-80603A3.3.2.9, 3.3.3.2, 3.3.3.3, 3.3.3.4, 3.3.5.2NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage12of49
1007/183

A012

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (NDTI)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A012Test/Inspection ReportValidation Test Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE PWS 3.3.2.3, 3.3.2.6, 3.3.2.7, 3.3.2.8,6. REQUIRING OFFICE
DI-NDTI-80809B3.3.2.9, 3.3.3.2, 3.3.3.3, 3.3.3.4, 3.3.5.2NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage13of49
1007/183

A013

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP XTM ________Other
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A013Installation Control Drawings
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-DRPR-81242PWS 3.3.2.4, 3.3.2.6, 3.3.3.1, 3.3.3.4, 3.3.3.9NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage14of49
1007/183

A014

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (MISC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A014Technical Report - Study/Services
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE PWS 3.3.1.3, 3.3.1.6, 3.3.2.4, 3.3.2.7,6. REQUIRING OFFICE
DI-MISC-80508B3.3.2.9, 3.3.3.1, 3.3.3.3, 3.3.3.8NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage15of49
1007/183

A015

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (MISC)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A015Technical Information ReportMaintenance and Repair Documentation
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCEPWS 3.3.2.4, 3.3.2.8,6. REQUIRING OFFICE
DI-MISC-806523.3.2.9, 3.3.2.10, 3.3.3.5, 3.3.3.6, 3.3.3.10, 3.3.3.12, 3.3.3.13, 3.3.4.5NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage16of49
1007/183

A016

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP XTM ________Other ________
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A016Product Drawings/Models & Associated ListsTechnical Documentation for Repair & Maintenance–Electronic Format
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81000EPWS 3.3.2.3, 3.3.2.4, 3.3.2.8, 3.3.3.1, 3.3.3.5, 3.3.3.7, 3.3.3.9NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKS4.11.3.3111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

Blks 8, 11, 12 and 13: Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. Submit IAW PWS paras.

Blk 14: Distribution and submittal by electronic media wherever possible. Electronic deliverables shall be compatible with Office 2010 unless otherwise approved by the Government.

Deliver to: NAWCAD UxS Systems Engineering Branch, Code 4.11.3.3

15. TOTAL111
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
W. Burch4/12/17D. Mason4/12/17
DD Form 1423-1, JUN 90Previous editions are obsoletePage17of49
1007/183

A017

CONTRACTS DATA REQUIREMENTS LISTForm 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. EXHIBITC. CATEGORY:
0001, 0008ATDP_________TM ________Other X (MGMT)
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Technical and Engineering Services (TES)TBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A017Contract Performance Report (CPR)
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MGMT-81466A, and Blk 16PWS 3.1.3.3NAWCAD 4.11.3.3
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXMTHLYSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/A15th day of the MonthSee Blk 16RegRepro
16. REMARKS4.11.3.311
Blk 4: Contractor format is acceptable if the content/intent of DI-MGMT-81466A are met.

Blks 12 and 13: NLT 15th of each month following the first full month of performance. Report shall include: Cover Sheet, Major milestone summary, Over-due deliverables, Identification of new problem areas, status of previously identified and open problem areas, Justification for cost increases/schedule slippages, Monthly and cumulative labor hours bid and expended per contract labor category (names of employees…

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