Exhbit_A_LSE_CDRLs_23_May_2019.xlsx

XLSX spreadsheet 427 KB Posted

Attached to
AIR-4. 11, N00421-18-R-0017 Lifetime Support Engineering supporting AD-4. 11. 3 - N00421-18-R-0017
Solicitation number
N00421-18-R-0017
Issued by

About this file

This document provides a Contract Data Requirements List (CDRL) for a lifetime support engineering contract supporting the Naval Air Systems Command Naval Air Warfare Center. The CDRL outlines 34 data items required to be delivered by the contractor during contract performance. Key required deliverables include technical reports, drawings, plans, test procedures, progress reports and documentation related to logistics support, configuration management, training and project closeout. Delivery dates for draft and final versions are specified for each data item. The CDRL also provides distribution instructions and notes that acceptance of deliverables will be indicated via a transmittal form. Submission is to the Combat Systems Engineering Branch located in Maryland by the methods and dates detailed.

Exhibit A, Contract Data Requirement List

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Other files

File Type Posted
N00421-18-R-0017_Amendment_0003.docx DOCX document
P7_LSE_Cost_Spreadsheet_(Subcontractor).xlsx XLSX spreadsheet
P6_LSE_Cost_Spreadsheet_(Prime).xlsx XLSX spreadsheet
N00421-18-R-0017_Amendment_0002_Modification.docx DOCX document
N00421-18-R-0017_Amendment_0001_RFP.docx DOCX document
P6_LSE_Cost_Spreadsheet_(Prime).xlsx XLSX spreadsheet
P7_LSE_Cost_Spreadsheet_(Subcontractor).xlsx XLSX spreadsheet
N00421-18-R-0017_Amendment_0001_Modification.docx DOCX document
Wage_Determination.pdf PDF
Attachment_5_LSE_Authorized_Subcontractors.pdf PDF
P1_LSE_Past_Performance_Information_Form.pdf PDF
P6_LSE_Cost_Spreadsheet_(Prime).xlsx XLSX spreadsheet
Attachment_2_LSE_DD254.pdf PDF
P4_LSE_Streamline_Rates_for_Order_Pricing.xlsx XLSX spreadsheet
P5_LSE_Fully_Burdened_Rate_Hours_Salary.xlsx XLSX spreadsheet
Attachment_6_LSE__Wage_Determination.pdf PDF
N00421-18-R-0017.pdf PDF
Attachment_3_LSE_Data_Item_Transmittal_Acceptance_Rejection_Form.pdf PDF
Attachment_1_LSE_CSP.pdf PDF
Attachment_7_LSE__Key_Personnel.pdf PDF
P7_LSE_Cost_Spreadsheet_(Subcontractor).xlsx XLSX spreadsheet
Exhbit_A_LSE_CDRLs.xlsx XLSX spreadsheet
P2_LSE_Contracator_Performance_Assessment_Questionnaire.pdf PDF
Attachment_8_LSE_COR_Appointment_Letter.pdf PDF
Attachment_4_LSE_OCI_List.pdf PDF
P8_LSE_Labor_Hours.xlsx XLSX spreadsheet
N00421-18-R-0017_LSE_DRAFT_Solicitation.pdf PDF
Attachment_1_LSE_CSP.pdf PDF
P5_LSE_Fully_Burdened_Rate_Hours_Salary.xlsx XLSX spreadsheet
Attachment_8_LSE_COR_Appointment_Letter.pdf PDF
Attachment_5_LSE_Authorized_Subcontractors.pdf PDF
Attachment_3_LSE_Data_Item_Transmittal_Acceptance_Rejection_Form.pdf PDF
P8_LSE_Labor_Hours.xlsx XLSX spreadsheet
Attachment_7_LSE__Key_Personnel.pdf PDF
P6_LSE_Cost_Spreadsheet_(Prime).xlsx XLSX spreadsheet
P2_LSE_Contracator_Performance_Assessment_Questionnaire.pdf PDF
P4_LSE_Streamline_Rates_for_Order_Pricing.xlsx XLSX spreadsheet
Attachment_2_LSE_DD254.pdf PDF
P7_LSE_Cost_Spreadsheet_(Subcontractor).xlsx XLSX spreadsheet
P1_LSE_Past_Performance_Information_Form.pdf PDF
Attachment_6_LSE__Wage_Determination.pdf PDF
Exhbit_A_LSE_CDRLs.xlsx XLSX spreadsheet
Attachment_4_LSE_OCI_List.pdf PDF
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Input Sheet

ITEMVALUE
A. Contract Line Item NumberTBD
B. ExhibitA
D. System/ItemLifetime Support Engineering
E. Contract/PR No.TBD
F. ContractorTBD
G. Prepared ByA. Bennett
I. Approved By:R. Broom
6. Requiring OfficeAD-4.11.3.2
H. Date Prepared5/22/19
J. Date Approved5/22/19
Total Number of Pages50
Notes:
Renumbering of CDRLsJust rename the Tabs and the CDRL numbers will adjust.
You may also have to change the number of pages above.

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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A001Technical Report - Study/ServicesCOTS - Feasibility Studies of Emerging Technologies
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80508BSOW 3.1.2.2, 3.3.1.1, 3.3.1.2, 3.3.1.3, 3.3.1.3.1AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSNAWCAD 4.11.3.21
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 within 30 working days after request. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage1of50
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.

DD Form 1423-1, JUN 90Previous editions are obsoletePage1of50
1007/183

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:
TBDATDP_________TM ________Other DRPR
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A002Installation Control Drawings
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-DRPR-81242SOW 3.3.1.4.1, 3.3.1.7, 3.3.2.5.1AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.211
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 within 30 working days upon completion of requirement. Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL110
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage2of50
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:
TBDATDP_________TM ________Other SESS
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A003Product Drawings/Models and Associated ListsProcurement Drawings
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81000ESOW 3.3.1.4.1, 3.3.1.7, 3.3.2.5.1AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.211
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 within 30 working days upon completion of requirement. Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL110
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage3of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A004Technical Information ReportHardware Technical Documentation
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80652 and See Blk 16SOW 3.3.1.4.1, 3.3.1.9.2, 3.3.1.9.3, 3.3.2.2.4AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
Blk 4: Contractor format as approved by COR/TPOC.

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 within 30 working days upon completion of requirement. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage4of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A005Technical Information ReportShipbuilder CDRL Item Review Comments & Technical Inputs
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80652 and See Blk 16SOW 3.3.1.5AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
Blk 4: Contractor format as approved by COR/TPOC.

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 within 30 working days upon completion of requirement. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage5of50
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:
TBDATDP_________TM ________Other SESS
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A006Failure Summary and Analysis Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-80255A and See Blk 16SOW 3.3.1.6AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
Blk 4: Contractor format as approved by COR/TPOC.

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 within 30 working days upon completion of requirement. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage6of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A007Technical Information ReportMaintenance Facilities Efficiency/Productivity Analysis Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80652SOW 3.3.1.7, 3.3.1.8, 3.3.3.2.1.3AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
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 within 30 working days upon completion of requirement. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage7of50
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:
TBDATDP_________TM ________Other ADMN
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A008Report, Record of Meeting/MinutesTrip Reports/Meeting Minutes
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-ADMN-81505SOW 3.1.3.4, 3.3.1.7, 3.3.1.8, 3.3.1.10.7, 3.3.1.10.8, 3.3.1.10.9, 3.3.1.11.1, 3.3.2.1.5, 3.3.2.3.4, 3.3.2.7.2, 3.3.2.7.4AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage8of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A009Technical Information ReportReadiness Deficiencies Resolution/Response Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80652SOW 3.3.1.10.8, 3.3.1.10.9, 3.3.2.1.1, 3.3.2.1.2, 3.3.2.1.3, 3.3.2.1.4AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments).

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage9of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A010Technical Information ReportReadiness Test Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80652SOW 3.3.1.9.6.2, 3.3.2.1.5AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
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 within 30 working days upon completion of requirement. Submit IAW SOW..

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage10of50
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:
TBDATDP_________TM ________Other SESS
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A011Training Program Structure DocumentOJT Plan
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81521BSOW 3.3.2.1.6AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.211
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 within 30 working days upon completion of requirement. Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL110
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage11of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A012Technical Information ReportSurvivability and Shock Trial Documentation
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80652SOW 3.3.2.3.2, 3.3.2.3.3, 3.3.2.3.5AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.211
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 within 30 working days upon completion of requirement. Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL110
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage12of50
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:
TBDATDP______TM ____Other QCIC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A013Inspection and Test PlanInspection System Plan
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-QCIC-81110SOW 3.1.9.1AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDONE/RSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.2111
Blk 7: Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection form (See Contract Section J Attachments). If this form has not been transmitted within 30 days of submission of CDRL, the CDRL is considered accepted.

Blks 11, 12 and 13: Submit within 180 days after contract award. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
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
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage13of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A014Technical Report - Study/ServicesMaterial Status Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80508B and see Blk 16SOW 3.3.2.4.1, 3.3.2.4.4AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
Blk 4: Report may be computer generated. Prior approval by AD-4.11.3.2 is required.

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

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage14of50
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:
TBDATDP_________TM ________Other MISC
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A015Technical Report - Study/ServicesLong Lead Item Status Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-MISC-80508B and see Blk 16SOW 3.3.2.4.2AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
N/ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.21
Blk 4: Contractor format as approved by COR/TPOC.

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

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL010
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage15of50
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:
TBDATDP_________TM ________Other SESS
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Lifetime Support EngineeringTBDTBD
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A016Product Drawings and Associated ListsSpace Arrangement Drawings/Equipment Elevation Drawings
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DI-SESS-81000ESOW 3.3.2.5.1, 3.3.2.5.1.1, 3.3.2.5.2, 3.3.2.5.3.1, 3.3.2.5.3.2AD-4.11.3.2
7. DD 250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
See Blk 16
XXREQUIREDASREQSee Blk 16b. COPIES
D
8. APP CODE11. AS OF DATE13. DATE OF SUBSEQUENT SUBMISSIONa. ADDRESSEEDraftFinal
ASee Blk 16See Blk 16RegRepro
16. REMARKSAD-4.11.3.211
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 within 30 working days upon completion of requirement. Final due 10 days after receipt of Government comments on draft submission. Government has 30 days to comment. If the Government does not reply within 30 days, the CDRL is considered accepted. Submit IAW SOW.

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 Combat Systems Engineering Branch, AD-4.11.3.2
17134 Webster Field Road, Bldg 8225, St. Inigoes, MD 20684-4009
Mark for: COR <insert contract number>
15. TOTAL110
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
A. Bennett5/22/19R. Broom5/22/19
DD Form 1423-1, JUN 90Previous editions are obsoletePage16of50
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

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