0089_Attachment_4_NAWCTSD_4330-60.docx

Attachment 4

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM

Contract TBD

CLIN/ELIN: / TITLE:

Block 14 Distribution:

Other:

Doc. Ref. No.: Date:

From:

To: Naval Air Systems Command, AIR-4.1., 22347 Cedar Point Road, Bldg 2185, Ste 1200B Patuxent River, MD. 20670 ATTN: Elizabeth Hamill

The above detailed CDRL item is forwarded for review and acceptance/ rejection. This item is due . The Government review period is days.

Sincerely, Signature: _____________________________________ Typed Name/Title: ______________________________

FIRST ENDORSEMENT: Date Received:

( ) Accepted.

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

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

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

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

Signature:___________________________________________ Typed Name/Title:____________________________________ Code: Date:_______________

VIA: Date:

VIA: PD Date:

SECOND ENDORSEMENT:

( ) Accepted.

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

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

Signature:___________________________________________ Typed Name/Title:____________________________________ Code: Date:_______________

CC w/Encl.:

CC w/o Encl.:

NAWCTSD 4330-60

Solicitation N00421-16-R-0089