0089_Exhibit_A_CDRL_A001-A008.pdf

Source Selection Sensitive - See FAR 2.101and3.104 i i

CONTRACT DATA REQUIREMENTS LIST I Form Approved :I (1 Data Item)

OMB No. 0704-0188 :1

Public reporting burden for this collection of information is estimated to average 11 O 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 I 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing 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 Cbntracting Officer for the ContracUPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. 18 EXHIBIT I C. CATEGORY

A TOP TM OTHER TECHNICAL

D. SYSTEM / ITEM E. CONTRACT I PR NO. F. CONTRACTOR 17. PRICE

I NAVAIR Systems Engineering GROUP

Department Suooort, AIR-4.1 N00421-16-R-0089 TBD I

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

i

A001 MANAGEMENT PLANS TBD

4. AUTHORITY (Data Item Description No.) I 5. CONTRACT REFERENCE I 6. REQUIRING OFFICE 18.

Dl-MGMT-80004A SOW Para 3.1 AIR-4.1 ESTIMATED

TOTAL PRICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED 14. DISTRIBUTION

LT ONE/R 30DAC b. COPIES

8. APP CODE NIA 11. ASOF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE FINAL

SUBMISSION

'.I DRAFT .. , .. ,,

N/A 10 DARC ' I'

16. REMARKS AIR-4.1 COR

1:

1 0 i

BLK 14:

AIR-4.1 COR: Beth Hamill: Elizabeth.Hamill@naw.mil or other COR as designated. i

Delive~ Instructions:

Hard copies and Electronic copies shall be delivered to the AIR-4.1 COR.

AIR-4.1 COR Hard copy deliverables shall be delivered to:

Naval Air Systems Command

:11 Naval Air Warfare Center Aircraft Division 11

ATTN: AIR-4.1 COR I!

i

22347 Cedar Point Road, Bldg 2185, Rm 1200B Patuxent River, MD 20670 ii I!

I!

I

15. TOTAL 1 0

G. PREPARED BY H. DATE I. APPR?VED BY ~ ... J. DATE i

Elizabeth Hamill 01/30/2017 <:::o . .. - o ..nn: · Ai ••.• t ~ ~::L/t=r 0 - l v -

DD Form 1423-1 Feb 2001 Previous editions may be used

CONTRACT DATA REQUIREMENTS LIST I Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing 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 ContracVPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. I B. EXHIBIT I c. CATEGORY

A TOP TM OTHER TECHNICAL

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

NAVAIR Systems Engineering Department Suooort, Al R-4.1 N00421-16-R-0089 TBD

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

A002

PLAN OF ACTION & MILESTONES

(POA&M) TBD

4. AUTHORITY (Data Item Description No.) I 5. CONTRACT REFERENCE I 6. REQUIRING OFFICE

SEE BLK 16 SOW Para 3.2.6 AIR-4.1

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED 14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE N/A 11. ASOF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE FINAL

SUBMISSION

SEE BLK 16 SEE BLK 16

DRAFT .. , Repr

16. REMARKS

AIR-4.1 COR LT 0

BLK 4: Contractor format is acceptable for Plan of Action & Milestones (POA&M) upon TPOC 1 0 government approval of formats and content. Documents and briefs shall be created using the Microsoft Office tools. Deliveries shall be made by both color hardcopy and electronic means.

BLKS 11, 12, AND 13: To be designated under each individual Task Order.

BLK 14:

AIR-4.1 COR: Beth Hamill: Elizabeth.Hamill@naw.mil or other COR as designated.

TPOC: To be designated under each individual Task Order.

Delivei:y Instructions:

Hard copies and Electronic copies of the Letter of Transmittal shall be delivered to the AIR-

4.1 COR.

Hard copies and Electronic copies shall be delivered to the TPOC as designated under each individual Task Order. ·

15. TOTAL 1 0

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

Elizabeth Hamill 01/30/2017 ~~ ...... ·.,o "Jr' " - ~ f :;L( l"::f

DD Form 1423-1 Feb 2001 Previous editions may be used v

17. PRICE

GROUP

18.

ESTIMATED

TOTAL PRICE

Page 2of10

CONTRACT DATA REQUIREMENTS LIST I Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing 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. I B.

EXHIBIT I c. CATEGORY

A TOP TM OTHER TECHNIQAL

D. SYSTEM/ ITEM I E. CONTRACT I PR NO. F. CONTRACTOR 17. PRICE

11 NAVAIR Systems Engineering GROUP

Department Suooort, AIR-4.1 N00421-16-R-0089 TBD I

1. DATA ITEM NO. 12. TITLE OF DATA ITEM 3. SUBTITLE

A003 SCIENTIFIC AND TECHNICAL REPORTS TBD

4. AUTHORITY (Data Item Description No.) I 5. CONTRACT REFERENCE I 6. REQUIRING OFFICE 18.

Dl-MISC-80711 SEE BLK 16 AIR-4.1 ESTIMATED

TOTAL PRICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED 14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

.I 8. APP CODE N/A 11. ASOFDATE 13. DATE OF SUBSEQUENT a. ADDRESSEE FINAL ii SUBMISSION

SEE BLK 16

DRAFT ... Repr •I

SEE BLK 16 0 ii

16. REMARKS AIR-4.1 COR LT 0

BLK 5: SOW paragraph(s) as designated under each individual Task Order. TPOC 1 0 1

BLKS 11, 12, AND 13: To be designated under each individual Task Order.

BLK 14:

AIR-4.1 COR: Beth Hamill: Elizabeth.Hamill@naw.mil or other COR as designated.

TPOC: To be designated under each individual Task Order.

Delive!]: Instructions: :

Hard copies and Electronic copies of the Letter of Transmittal shall be delivered to the AIR-

4.1 COR.

Hard copies and Electronic copies shall be delivered to the TPOC as designated under each individual Task Order.

I

I

15. TOTAL 1 0

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

Elizabeth Hamill 01/30/2017 ~L-"~0~

0 II

bl-};if Ff DD Form 1423-1 Feb 2001 Previous editions may be used '

Page 3of10 i ~

CONTRACT DATA REQUIREMENTS LIST I Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 o hours per response, including the time for reviewing instructions, 'Ii 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: : I Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 'I 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing Project, (0704-0188), Washington, D.C., 20503. :ij 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. I B. EXHIBITA I c. CATEGORY

TOP TM OTHER TECHNICAL

D. SYSTEM / ITEM I E. CONTRACT I PR NO. F. CONTRACTOR 17. PRICE

NAVAIR Systems Engineering GROUP

Department Support, AIR-4.1 N00421-16-R-0089 TBD

1. DATA ITEM NO. 12. TITLE OF DATA ITEM · 3. SUBTITLE

A004

TECHNICAL REPORT - STUDY/

SERVICES TBD

4. AUTHORITY (Data Item Description No.) I 5. CONTRACT REFERENCE I 6. REQUIRING OFFICE 18.

Dl-MISC-805088 SEE BLK 16 AIR-4.1 ESTIMATED

TOTAL PRICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED 14. DISTRIBUTION

LT ASREQ SEE BLK 16 b. COPIES

8. APP CODE N/A 11. ASOF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE FINAL

SUBMISSION

SEE BLK 16 SEE BLK 16

DRAFT ... R~pr

16. REMARKS AIR-4.1 COR LT 0 :

BLK 5: SOW paragraphs 3.2.1; 3.2.2; 3.2.4 and 3.2.6. TPOC 1 0

BLKS 11, 12, AND 13: To be designated under each individual Task Order.

BLK 14:

AIR-4.1 COR: Beth Hamill: Elizabeth.Hamill@naw.mil or other COR as designated.

TPOC: To be designated under each individual Task Order.

DeliveD( Instructions:

Hard copies and Electronic copies of the Letter of Transmittal shall be delivered to the AIR-

111 4.1 COR. ! !

Hard copies and Electronic copies shall be delivered to the TPOC as designated

Ii under each individual Task Order. Ii

:11

:fl , I ,, 'I'

1l

15. TOTAL 1 0

G. PREPARED BY H. DATE I. APPROVED BY

:;{~(t~ Elizabeth Hamill 01/30/2017 ~Ln\l~ ~ Q - 7'./

DD Form 1423-1 Feb 2001 Previous editions may be used

Page 4of10

I

CONTRACT DATA REQUIREMENTS LIST I Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing 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 l

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. I B.

EXHIBIT I c. CATEGORY

A TOP TM OTHER TECHNICAL I

l

D. SYSTEM / ITEM E. CONTRACT I PR NO. F. CONTRACTOR 17. PRICE

NAVAIR Systems Engineering GROUP

Department Suooort, AIR-4.1 N00421-16-R-0089 TBD

1. DATA ITEM NO. 12. TITLE OF DATA ITEM 3: SUBTITLE

A005

CONTRACTOR'S PROGRESS, STATUS

TBD AND MANAGEMENT REPORT

4. AUTHORITY (Data Item Description No.) I 5. CONTRACT REFERENCE I 6. REQUIRING OFFICE 18.

Dl-MGMT-80227 (and SEE BLK 16) SOW Para 3.1; 3.2.9 and 3.2.10 AIR-4.1 ESTIMATED

TOTAL PRICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

1!

REQUIRED 14. DISTRIBUTION

LT MTHLY 15 DARP b. COPIES

II 8. APP CODE N/A 11. ASOF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE FINAL Ii SUBMISSION 'ii

N/A 15 DARP

DRAFT Rog Repr

16. REMARKS AIR-4.1 COR 1 0

BLK 4: Contractor format is acceptable for status reports upon government approval of TPOC 1 0 formats and content. Documents and briefs shall be created using the Microsoft Office tools.

Deliveries shall be made by both color hardcopy and electronic means.

The report shall include, but is not limited to: itemized total man-hours expended for the reporting period by labor category cumulative total man-hours expended to date by labor I category, and percentage of total man-hours expended to date. State whether or not the

I' if remaining hours are sufficient to complete the task; and itemized total cost expenditure :JI incurred for the reporting period by labor category and for all ODCs, cumulative total task I expenditures to date by labor category and for ODCs, funds remaining as of the reporting date for Labor and ODCs, and percentage of total contract funds expended to date for labor and ODCs.

BLK 14:

AIR-4: 1 COR: Beth Hamill: Elizabeth.Hamill@navv.mil or other COR as designated.

TPOC: To be designated under each individual Task Order.

Delive~ Instructions:

Hard copies and Electronic copies of Reports and Letters of Transmittal shall be delivered to the AIR-4.1 COR I

Electronic copies of Reports shall be delivered to the TPOC as designated under each individual Task Order.

AIR-4.1 COR Hard copy deliverables shall be delivered to:

Naval Air Systems Command Naval Air Warfare Center Aircraft Division

ATIN: AIR-4.1 COR

22347 Cedar Point Road, Bldg 2185, Rm 1200B Patuxent River, MD 20670

15. TOTAL 2 0

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

Elizabeth Hamill 01/30/2017 ·~ o • .:_n.~.bA~ ,.~ ot

- c:s rJ•r -- *'Ft DD Form 1423-1 Feb 2001 Previous editions may be used ~

I Page 5of10

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) I

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing 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.

D. SYSTEM/ ITEM

NAVAIR Systems Engineering

I B. EXHIBITA I C. CATEGORY

TDP

E. CONTRACT I PR NO.

Department Suooort, AIR-4.1 N00421-16-R-0089

NON-DISCLOSURE AGREEMENT

TM OTHER TECHNICAL

F. CONTRACTOR

TBD

3. SUBTITLE 1. DATAITEMNO. , 2. TITLEOFDATAITEM

A006 (COMPANY> AS DESIGNATED

4. AUTHORITY (Data Item Description No.)

SEE BLK 16

5. CONTRACT REFERENCE

SOW Para8.0

7. DD250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

LT

8. APPCODE NIA

16. REMARKS

OTIME

11. AS OF DATE

N/A

15DAC

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

BLK 4: The format required for Company level Non-Disclosure Agreements is provided as an attachment to this CORL. The areas highlighted in yellow are to be filled in by the Company.

Signed original copies shall be provided to the COR.

BLK 13: As additional subcontractors and consultants are added to the Contract they shall provide Company Non-Disclosure agreements within fifteen (15) days after the effective date of their subcontract/consultant agreement with the Prime Contractor.

BLK 14:

AIR-4.1 COR: Beth Hamill: Elizabeth.Hamill@navv.mil or other COR as designated.

Delivery Instructions:

Hard copies and Electronic copies shall be delivered to the AIR-4.1 COR.

AIR-4.1 COR Hard copy deliverables shall be delivered to:

Naval Air Systems Command Naval Air Warfare Center Aircraft Division

ATTN: AIR-4.1 COR

22347 Cedar Point Road, Bldg 2185, Rm 1200B Patuxent River, MD 20670

G. PREPARED BY H. DATE

Elizabeth Hamill 01/30/2017

I. APPROVED BY

DD Form 1423-1 Feb 2001 Previous editions may be used

6. REQUIRING OFFICE

AIR-4.1

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE FINAL

DRAFT Reg Repr

AIR-4.1 COR 0

15. TOTAL 0

J. DATE

17. PRICE

GROUP

18.

ESTIMATED

TOTAL PRICE

:1!

Page 6of10 II

Ii ~ I

Source Selection Sensitive - See FAR 2.101 and 3.104

USE and NON-DISCLOSURE AGREEMENT (NDA) Company Name

Contract Number N00421-16-R-0089

In the course of performing under Contract Number N00421-16-R-0089, Company Name, herein referred to as ''the Contractor", will have access to system performance, Naval force structure, program/business sensitive, pre-decisional material, and/or data marked or considered "proprietary" (e.g., restrictive legend per FAR 52.215-1 ), which shall not be disclosed to any entity, government or otherwise, outside of AIR-4.1 and program offices unless specifically authorized in the language contained in the task order or authorized in writing by the Contracting Officer. The Contractor shall not use for purposes other than performance under this task order; nor shall the Contractor release, reproduce, distribute, or publish any data or analysis that is provided as Government Furnished Information (GFI) or data or analysis that is produced as a result of performing under this task order; nor shall the Contractor authorize others to do so, without written permission of the Contracting Officer. Data includes all data, information and software, regardless of the medium (e.g., electronic or paper) and/or format in which the data exists, and includes data that is derived from, based on, incorporates, includes or refers to such program/business sensitive, pre-decisional material, and/or proprietary data (collectively referred to herein as "the data"). Any data that is derived from, based on, incorporates, includes or refers to data shall be treated as program/business sensitive, or proprietary data and shall be subject to the terms of this special task order requirement. This special task order requirement implements Defense FAR Supplement (DF ARS) 252.204-7000, "DISCLOSURE OF

INFORMATION."

As a condition to receiving access to data as defined above, the Contractor shall: (1) use the data solely for the purpose of performing the requirements set forth under Contract Number N00421-16-R-0089; (2) not discuss with, disclose, release, reproduce or otherwise provide or make available the data, or any portion thereof, to any non-Government person or entity (including, but not limited to any subcontractor, joint venture, affiliate, successor or assignee of the Contractor), unless the Contracting Officer provides prior written approval; (3) ensure appropriate restrictive legends are included on any documents created, copied, and/or reproduced that uses all or any part of the data; ( 4) establish safeguards to protect such data or software from unauthorized use or disclosure; and (5) provide to the Contracting Officer's Representative original, signed individual NDAs with all contractor, subcontractor, and consulting personnel that perform work under this task order. Any other use, disclosure, release or reproduction is unauthorized and may result in substantial criminal, civil and/or administrative penalties to both the Contractor and to the individual who violates this special task order requirement or non-disclosure agreement. The obligation not to discuss, disclose, release, reproduce, or otherwise provide or make available such data, or any portion thereof, shall continue, even after completion of the task order. Any actual or suspected unauthorized use, disclosure, release, or reproduction of such data or violation of this agreement, of which the Contractor or any employee is or may become aware, will be reported promptly (within one (1) business day) to the Contractor's Program Manager, who will inform the Contracting Officer within five (5) business days of receiving the report.

By:~~~~~~~~~~~- Authorized Representative's Signature

Representative's Typed Name Representative's Title Company Name

Date

Page 7of10

Source Selection Sensitive - See FAR 2.101 and 3.104

(1 Data Item) I

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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, Washil)gton Headquarters. Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing 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.

D. SYSTEM/ ITEM

NAVAIR Systems Engineering Department Suooort, AIR-4.1

I B. EXHIBITA I ~D~TEGORY

I

E. CONTRACT I PR NO.

N00421-16-R-0089

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

TM OTHER TECHNICAL

F. CONTRACTOR

TBD

3. SUBTITLE

A007

NON-DISCLOSURE AGREEMENT

(INDIVIDUAL) AS DESIGNATED

4. AUTHORITY (Data Item Description No.)

SEE BLK 16 1

5. CONTRACT REFERENCE

SOW Para 8.0

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

LT

8. APP CODE N/A

16. REMARKS

OTIME

11. AS OF DATE

N/A

15 DAC

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

BLK 4: The format required for Individual level Non-Disclosure Agreements is provided as an attachment to this CORL. The areas highlighted in yellow are to be filled in by the Company or Individual. Signed original copies shall be provided to the COR.

BLK 13: As additional Individuals are added to the Contract they shall provide an Individual Non-Disclosure agreement within fifteen (15) days after their effective employment date with either the Prime Contractor or one of the Prime Contractor's subcontractors or consultants.

BLK 14:

AIR-4.1 COR: Beth Hamill: Elizabeth.Hamill@navv.mil or other COR as designated.

Delivery Instructions:

Hard copies and Electronic copies shall be delivered to the AIR-4.1 COR.

AIR-4.1 COR Hard copy deliverables shall be delivered to:

Naval Air Systems Command Naval Air Warfare Center Aircraft Division

ATTN: AIR-4.1 COR

22347 Cedar Point Road, Bldg 2185, Rm 1200B Patuxent River, MD 20670

G. PREPARED BY H. DATE

Elizabeth Hamill 01/30/2017

DD Form 1423-1 Feb 2001 Previous editions may be used

16. REQUIRING OFFICE

AIR-4.1

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE FINAL

DRAFT Rog ~pr

AIR-4.1 COR 0

15. TOTAL 1· 0

17. PRICE

GROUP

18.

ESTIMATED

TOTAL PRICE

Page 8of10

I ! I

I

.11 ii ' !I , '1\

Ii

1fl

' i

USE and NON-DISCLOSURE AGREEMENT Contract Number N00421-16-R-0089

In the course of performing under Contract Number N00421-16-R-0089, Company Name, herein referred to as "the Contractor", personnel will have access to system performance, Naval force structure, program I business sensitive, pre-decisional material, and/or data marked or considered "proprietary" (e.g., restrictive legend per FAR 52.215-1 ), which the Contractor shall not use for purposes other than performance under this task order; nor shall the Contractor release, reproduce, distribute, or publish any data or analysis that is provided as Government Furnished Information (GFI) or data or analysis that is produced as a result of performing under this task order; nor shall the Contractor authorize others to do so, without written permission of the Contracting Officer. Data includes all data, information and software, regardless of the medium (e.g., electronic or paper) and/or format in which the data exists, and includes data that is derived from, based on, incorporates, includes or refers to such program/business sensitive, pre-decisional material, and/or proprietary data (collectively referred to herein as "the data").

Specifically, employee name is a task order labor category with Company Name and assigned to support the NAV AIR Systems Engineering Department (AIR-4.1) in the performance of Sustainment Engineering, Training and Tools Services. As a condition to receiving access to data as defined above, employee name hereby agrees to: (1) not disclose either the data or resulting analytic product(s) to any entity, government or otherwise, outside of AIR-4.1 and program offices unless specifically authorized to do so in the language contained in the task order or authorized in writing by the Contracting Officer; (2) use the data solely for the purpose of performing the requirements as set forth in relative tasks under this task order; (3) not discuss with, disclose, release, reproduce or otherwise provide or make available the data, or any portion thereof, or the analytic product resulting from use of the data to any other Company Name customers or personnel unless specifically authorized to do so in the language contained in the task order or authorized in writing by the Contracting Officer; (4) ensure appropriate restrictive legends are included on any documents created, copied, and reproduced that uses all or any part of the data; and ( 5) establish safeguards to protect data from unauthorized use or disclosure. Further, employee name acknowledges by signing this non-disclosure agreement that any other use, disclosure, release or reproduction is unauthorized and may result in substantial criminal, civil and/or administrative penalties to both the Contractor and to the individual who violates this special task order requirement. The obligation not to discuss, disclose, release, reproduce, or otherwise provide or make available such data, or any portion thereof, shall continue, even after completion of the task order. Any actual or suspected unauthorized use, disclosure, release, or reproduction of such data or violation of this agreement, of which the Contractor or any employee is or may become aware, will be reported promptly (within one (1) business day) to the Contractor's Program Manager, who will inform the Contracting Officer within five (5) business days of receiving the report.

By:~~~~~~~~~~~~~~ Authorized Representative's Signature

Representative's Typed Name Representative's Title Company Name

By:~~~~~~~~~~~~ Employee's Signature

Employee's Typed Name Employee's Title Company Name

Date

Date

Page 9of10 ii

(1 Data Item) I

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reducing 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. I B. EXHIBITA I C. CATEGORY

TDP TM

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

NAVAIR Systems Engineering Department Support, AIR-4.1 N00421-16-R-0089 TBD

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

A008

PROGRAM PROTECTION

IMPLEMENTATION PLAN (PPIP)

3. SUBTITLE

TBD

4. AUTHORITY (Data Item Description No.) , 5. CONTRACT REFERENCE

Dl-MGMT-81826C (and SEE BLK 16) SOW Para 5.2.2

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

REQUIRED

LT

8. APP CODE N/A

16. REMARKS

ASREQ

11. ASOFDATE

SEE BLK 16

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

BLK 4: See DD Form 254 for further information; Contractor recommended formats are acceptable upon approval by the government.

BLK 9: Apply and use distribution statements in accordance with the Distribution Statement Attachment to the DD Form 254. See DoD 5230.24 & Chap 4 of DoD 5010.12M).

BLKS 11, 12, AND 13: To be designated under each individual Task Order.

BLK 14:

AIR-4.1 COR: BethHamill:Elizabeth.Hamill@navy.mil or other COR as designated.

TPOC: To be designated under each individual Task Order.

Delivery Instructions:

Hard copies and Electronic copies of the Letter of Transmittal shall be delivered to the AIR-

4.1 COR.

Hard copies and Electronic copies shall be delivered to the TPOC as designated under each individual Task Order.

G. PREPARED BY

OTHER TECHNICAL

6. REQUIRING OFFICE

AIR-4.1

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE FINAL

DRAFT Reg Repr

AIR-4.1 COR LT 0

TPOC 0

15. TOTAL 1 0

H. DATE I. APPROVED BY 1

-65 o. __ ().. I\ W)-::i)J ...... : p ~ 01/30/2017 a- - - - " ri- - -Elizabeth Hamill

DD Form 1423-1 Feb 2001 Previous editions may be used •

17. PRICE

GROUP

18.

ESTIMATED

TOTAL PRICE

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