0075_Exhibit_A_CDRL_(07-30-18).pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188 (1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A001 Briefings / Presentation Material

N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Block 4: Contractor Format is acceptable for briefings/presentation material upon

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.

Block 8: Criteria for approval shall be the correct content. The information provided in briefings/presentation material shall be fully consistent with the SOW and applicable and appropriate Government Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide briefings/presentation material as required by COR /

TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

N00421-17-R-0075

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A002 Monthly Technical and Financial Report

N00421-17-R-0075 N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Block 4: Contractor Format is acceptable for Monthly Technical and Financial Status Report upon Government approval of formats and content. The report shall contain the following information:

The dates shall be specified. The contract number and delivery order shall be specified.

The report shall include at least the following enclosures: 1) Monthly Technical Activity

Report and 2) Funds Status Report. The report shall include all prime and subcontractor information.

1) Technical Activity Report

The technical activity report shall be by tasking. The report shall contain the following information for each person: Meetings Attended; Tasks Supported; Tasks Ongoing;

Accomplishments / Completed Tasks; Look Ahead.

Microsoft Office Tools shall be used that are compatible with NMCI whenever possible.

Block 8. Criteria for approval shall be accurate and correct content.

Block 12 & 13 Five days after month end.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

SOW, Para 3.0, 6.0

Monthly SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A003 Plan of Action & Milestones (POA&M)

N00421-17-R-0075 N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Contractor Format is acceptable for Plan of Action & Milestones (POA&Ms) upon

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.

Block 8: Criteria for approval shall be the correct content. The information provided in Plan of Action & Milestones (POA&Ms) shall be fully consistent with the SOW and appropriate Government Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide Plan of Action & Milestones (POA&Ms) as required by

COR / TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A004 Tools, Databases & Websites

N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Contractor Format is acceptable for tools, databases and websites upon

Government approval of formats and content. Documents and briefs shall be created using the Microsoft Office tools whenever possible.

Block 8: Criteria for approval shall be the correct content. Tools, databases, and website shall be delivered in accordance with the specifications set forth in the

SOW and applicable appropriate Government Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide tools, databases, and websites as required by COR /

TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

N00421-17-R-0075

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A005 Meeting Minutes

N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Contractor Format is acceptable for meeting minutes upon Government approval of formats and content. Documents and briefs shall be created using the Microsoft

Office tools whenever possible.

Block 8: Criteria for approval shall be the correct content. The information provided in meeting minutes shall be fully consistent with the SOW and applicable appropriate Government Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide meeting minutes as required by COR / TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

N00421-17-R-0075

SOW, Para 3.0, 5.2, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A006 Trip Reports

N00421-17-R-0075 N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Contractor Format is acceptable for trip reports upon Government approval of formats and content. Documents and briefs shall be created using the Microsoft

Office tools whenever possible.

Block 8: Criteria for approval shall be the correct content. The information provided in trip reports shall be fully consistent with the SOW and applicable appropriate

Government Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide trip reports as required by COR / TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

SOW, Para 3.0, 5.2, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A007 Non-Disclosure Agreement (Company)

N00421-17-R-0075 N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

The format required for Company level Non-Disclosure Agreements is provided as an attachment to this CDRL. The areas highlighted in yellow are to be filled in by the Company. Signed original copies shall be provided to the COR / TPOC.

Block 8: Criteria for approval shall be the correct content. The information provided shall be fully consistent with the SOW and applicable appropriate Government

Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide Company non-disclosure agreements within fifteen days after the effective date of the contract / subcontract and as required by COR /

TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A008 Non-Disclosure Agreement (Individual)

N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

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

TPOC.

Block 8: Criteria for approval shall be the correct content. The information provided shall be fully consistent with the SOW and applicable appropriate Government

Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide individual non-disclosure agreements within fifteen days after the individual begins work under the contract and as required by COR /

TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

N00421-17-R-0075

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A009 Software, Macros, Models, and Source Code

N/A

N/A

FOUO

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Contractor Format is acceptable for software, macros, models, and source code upon Government approval of formats and content. Documents and briefs shall be created using the Microsoft Office tools whenever possible.

Block 8: Criteria for approval shall be the correct content. The information provided in software, macros, models, and source code shall be delivered in accordance with the specifications set forth in the SOW and applicable appropriate Government

Directives, Policies and Instructions.

Blocks 10,12 & 13: Provide software, macros, models, and source code as required by COR / TPOC.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

N00421-17-R-0075

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A010 Incurred Cost and Progress Reporting for Services

N00421-17-R-0075 N/A

Invoice Support

E (See Block

16)

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

(SEE BLOCK16) AIR-4.2

LT

AIR-4.2 1

Block 4 – Contractor Format is acceptable for Incurred Cost and Progress

Reporting upon Government approval of formats and content. Reports shall be created using Microsoft Excel.

The report content shall be in accordance with the references included in Block 5.

Block 9 – Distribution authorized to DoD components only; contractor proprietary information included.

Blocks 10, 12 and 13 – at a minimum, submit Jointly with the invoice..

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

(1 Data Item)

Public reporting burden for the 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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.

B. EXHIBITA. CONTRACT LINE ITEM NO. C. CATEGORY

TDP TM OTHER

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT Final8. APP CODE SUBMISSION a. ADDRESSEE

Draft Reg Report

16. REMARKS

15. TOTAL

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

DD Form 1423-1, JUN. 90 Page of Pages

17. PRICE GROUP 18. ESTIMATED

TOTAL PRICE

4.2 Cost Estimating/Analysis Support

A

A011 Operations Security (OPSEC) Plan

N00421-17-R-0075 N/A

As designated

N/A

SEE BLOCK 16

Joseph A. Bulvin

X

N/A

DI-MGMT-80934 AIR-4.2

LT

AIR-4.2 1

Block 8: Criteria for approval shall be the correct content as indicated in advance by the Government. The information provided shall be fully consistent with the

SOW and applicable and appropriate Government Directives, Policies and

Instructions.

Blocks 10, 12 and 13: Provide data as required by task orders.

Electronic copies preferred.

Copies are to be sent to the associated task order sponsor.

Deliverables shall be provided to:

4.2 Cost Department

47254 Davis Spur Road

Building 2855

Patuxent River, MD 20670

1 10

SOW, Para 3.0, 6.0

SEE BLOCK 16 SEE BLOCK 16

SEE BLOCK 16

Joseph A. Bulvin

NON-DISCLOSURE AGREEMENT

Contract # - (Company)

In the course of performing under Contract xxxxxx-xxxx-xxxx-xxxx, Company Name (hereinafter

“Contractor”) and its employees 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 the Contractor shall not use for purposes other than performance under this contract; 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 contract; 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, paper, etc.) 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”).

The undersigned employee of said Contractor is a duly appointed representative with authority to bind the

Contractor. (Employee Name) is a (contract labor category) with (Company Name) and is assigned to support the NAVAIR 4.1.10 Division for Reliability and Maintainability Engineering & Technical Support.

As a condition to receiving access to data as defined above, the Contactor, through its duly appointed representative below, hereby agrees to: (1) Not disclose either the data or resulting analytic product(s) to any entity, government or otherwise, outside of the Vehicle Department 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 COR under this contract; (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 of the Contractor’s 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, the Contractor, through its duly appointed representative below, hereby 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 the individual employee of the Contractor who violates this agreement, contract and applicable laws and regulations. Also, the undersigned fully recognizes that 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 contract. Any actual or suspected unauthorized use, disclosure, release, or reproduction of such data or violation of this agreement will be reported to the Contracting

Officer within one business day by (Corporate Employee Name, Operations Manager).

Authorized Representative of Company Name Date

Title/Position and Full Name.

NON-DISCLOSURE AGREEMENT

Contract # - (Individual)

In the course of performing under Contract xxxxxx-xxxx-xxxx-xxxx, Company Name personnel 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 the

Contractor shall not use for purposes other than performance under this contract; 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 contract; 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, paper, etc.) 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 contract labor category with Company Name and assigned to support the

NAVAIR 4.1.10 Division for Reliability and Maintainability Engineering & Technical Support. 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 the Vehicle

Department 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 COR under this contract; (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 Company and the individual who violates this special contract requirement. However, 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 contract or employment with Company Name. Any actual or suspected unauthorized use, disclosure, release, or reproduction of such data or violation of this agreement will be reported to the Contracting Officer within one business day by Corporate Employee Name, Operations Manager.

Employee Name Date