Exhibit A - Contract Data Requirements List.docx

DOCX document 381 KB Posted

Attached to
Advanced Software, Computer, and Network Development and Integration in support of NAWCAD WOLF
Solicitation number
N00421-20-R-0002
Issued by

About this file

This sources sought notice requests capability statements from businesses interested in providing advanced software, computer, and network development and integration services in support of the Naval Air Warfare Center Aircraft Division (NAWCAD) Advanced Concepts and Rapid Transition Division. Key details include:

  • Services include program management, research, analysis, design, demonstration, test and evaluation, and user/maintainer training.
  • The period of performance is anticipated to be a 5-year ordering period under a single-award indefinite-delivery/indefinite-quantity contract with cost-plus-fixed-fee terms.
  • Work will be performed at NAWCAD Patuxent River (45%), Yuma Proving Ground (15%), and the contractor's facility (40%).
  • Capability statements are due by May 21, 2019 and should demonstrate experience and qualifications to perform tasks outlined in the attached draft statement of work.

View the file

Other files

File Type Posted
N00421-20-R-0002-0006 Conform.pdf PDF
N00421-20-R-0002 Amendment 0005.pdf PDF
N00421-20-R-0002 Amendment 0004.pdf PDF
Attachment P8 - DoD SAFE Help.pdf PDF
Attachment P6 amd 4.xlsx XLSX spreadsheet
Attachment P7 amd 4.xlsx XLSX spreadsheet
N00421-20-R-0002 Amendment 0003.pdf PDF
N00421-20-R-0002 Amendment 0002.pdf PDF
N00421-20-R-0002 Amendment 0001.pdf PDF
P7 Subcontractor Cost Summary.xlsx XLSX spreadsheet
P3 Hourly Burdened Composite Labor Rates.xlsx XLSX spreadsheet
P6 Cost Summary.xlsx XLSX spreadsheet
Attachment 3 Data Item Transmittal Form.docx DOCX document
Attachment 5 Authorized Subcontractors.pdf PDF
P1 Past Performance Information Form.pdf PDF
P6 Cost Summary.xlsx XLSX spreadsheet
Attachment 8 COMR CDRL Template COR.pdf PDF
Exhibit A CDRLs.pdf PDF
Attachment 7 Sexual Assault.pdf PDF
Attachment 01 DD254 BID.pdf PDF
N00421-20-R-0002 ASCNDI.pdf PDF
P3 Composite Rates.xlsx XLSX spreadsheet
Attachment 9 COMR CDRL Template.pdf PDF
P4 Reserved.pdf PDF
P5 Reserved.pdf PDF
Attachment 4 OCI.pdf PDF
Attachment P7 - Subcontractor Cost Summary.xlsx XLSX spreadsheet
Attachment 2 QASP.pdf PDF
Attachment 10 MFR.pdf PDF
Attachment 6 Authorized Key Personnel.doc DOC document
Attachment 07 Sexual Assault and Sexual Harassment.docx DOCX document
Attachment 03 Data Item Transmittal Form.docx DOCX document
Attachment 08 COMR CDRL Template COR ONLY.xlsx XLSX spreadsheet
Attachment 06 Authorized Key Personnel.doc DOC document
Attachment 05 Authorized Subcontractors.docx DOCX document
Attachment 04 Organizational Conflict of Interest List.docx DOCX document
Attachment 01 DD 254.pdf PDF
Attachment 02 ASCNDI QASP CSP.docx DOCX document
P2 Contractor Performance Assessment Questionnaire.pdf PDF
Draft Solicitation (without Sample Task).pdf PDF
P3 Hourly Burdened Composite Labor Rates.xlsx XLSX spreadsheet
P6 Cost Summary.xlsx XLSX spreadsheet
Attachment 09 COMR CDRL Template.xlsx XLSX spreadsheet
P7 Subcontractor Cost Summary.xlsx XLSX spreadsheet
P1 Past Performance.pdf PDF
Labor_Categories.pdf PDF
Attachment_01_ASCNDI_SOW_PWS.pdf PDF
Draft_SOW_PWS_ASCNDI.pdf PDF
Draft_Labor_Hours_ASCNDI.pdf PDF
2.0_Industry_Communication_Guide_(June_2014).pdf PDF
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Text version

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER__ADMIN__________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A001
PRESENTATION MATERIAL
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-ADMN-81373 SEE BLOCK 16
SOW/PWS PARA 3.3.4.1.4
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

N/A

N/A
ASREQ
Reg
Repro
16. REMARKS
SEE BLOCK 16
0
1
0

BLOCK 4:

TO INCLUDE PROGRAM MANAGEMENT REVIEW PRESENTATIONS, PRELIMINARY DESIGN REVIEW PRESENTATIONS AND CRITICAL DESIGN REVIEW PRESENTATIONS.

BLOCK 7: LETTER OF TRANSMITTAL (LT) ONLY.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO AD-4.11.6 CONTRACTING OFFICER’S REPRESENTATIVE (COR).

15.TOTAL▬▬▬▬►
0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _1_ of _22_Pages.18. ESTIMATED TOTAL PRICE

17. PRICE GROUP

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL
FOR 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 (BACK), FEB 2001

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHERI__NDTI_________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A002
TEST PROCEDURES
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-80603A
SOW/PWS PARA 3.3.1.3.2
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
45DPTT
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
10 DPTT SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 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 THIRTY (30) DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) DAYS TO COMMENT.

BLOCK 14: UNLESS OTHERWISE STATED, DELIVER IN ELECTRONIC FORMAT TO AD-4.11.6 COR.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _3_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER___NDTI_______________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A003
TEST PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-80566A
SOW/PWS PARA 3.3.1.3.2
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
45DPTT
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
10 DPTT SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 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 THIRTY (30) DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _4_ of _22_Pages.18. ESTIMATED TOTAL PRICE

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER_____IPSC______________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A004
SOFTWARE DEVELOPMENT PLAN (SDP)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81427B SEE BLOCK 16
SOW/PWS PARA 3.3.1.1.1
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
ASREQ SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE.

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _5_ of _22_Pages.18. ESTIMATED TOTAL PRICE

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:

0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021

TDP_______
TM_______
OTHER_____MGMT_________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A005
MANAGEMENT PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-80004A
SOW/PWS PARA 3.1.3.2
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
30DAC
a. ADDRESSEE
b. COPIES
8. APP CODE
E
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: THE CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN TEN (10) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _6_ of _22_Pages.18. ESTIMATED TOTAL PRICE

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:

0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021

A
TDP_______
TM_______
OTHER____MGMT_______________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A006
PHASE-OUT TRANSITION PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81945
SOW/PWS PARA 3.1.8
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

1TIME
90 DPT EOC
a. ADDRESSEE
b. COPIES
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
50 DPT EOC
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: FINAL DUE TEN (10) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) BUSINESS DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _7_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:

0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021

A
TDP_______
TM_______
OTHER______ADMIN_____________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A007
CONTRACT SUMMARY REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-ADMN-80447A SEE BLOCK 16
SOW/PWS PARA 3.1.8.5, 3.1.8.6
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
15 DPT EOC
a. ADDRESSEE
b. COPIES
8. APP CODE
E
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

30 DPT EOC
5 DPT EOC SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4:

THIS REPORT WILL INCLUDE THE FOLLOWING: TOTAL ESTIMATED COSTS, TECHNICAL OBJECTIVES MET, TECHNICAL OBJECTIVES NOT MET, REASONING/JUSTIFICATION FOR OBJECTIVES NOT BEING MET, INVENTORY

STATUS AND LIST, AND LESSONS LEARNED.

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: FINAL DUE FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT

SUBMISSION. COR HAS FIVE (5) BUSINESS DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _8_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:

0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021

A
TDP_______
TM_______
OTHER_____MISC_______________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A008
TRIP/TRAVEL REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-81943 SEE BLOCK 16
SOW/PWS PARA 3.1.5.1.5
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT SEE BLOCK 16

ASREQ
SEE BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
E
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

N/A

N/A
N/A
Reg
Repro
16. REMARKS
SEE BLOCK 16
0
1
0

BLOCK 4: MUST INCLUDE THE FOLLOWING: ACTUAL COST; JUSTIFICATION FOR OVERAGES; TECH OBJECTIVES MET; TECH OBJECTIVES NOT MET AND REASONING; LESSONS LEARNED; AND FOLLOW-ON RECOMMENDATIONS.

BLOCK 7: LT ONLY.

BLOCK 12: REQUIRED SEVEN (7) BUSINESS DAYS AFTER COMPLETION OF TRAVEL.

15.TOTAL▬▬▬▬►
0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _9_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER___MGMT_______________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A009
DOD INFORMATION ASSURANCE CERTIFICATION AND ACCREDITATION PROCESS (DIACAP) AND RISK MANAGEMENT FRAMEWORK (RMF) DELIVERABLE DATA
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-82000
SOW/PWS PARA 3.3.1.4.1, 3.3.1.4.2, 3.3.2.1.1
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 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 THIRTY (30) DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: FINAL DUE TEN (10) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT

SUBMISSION. COR HAS THIRTY (30) BUSINESS DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _10_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:

0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021

A
TDP_______
TM_______
OTHER__ MGMT_____________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A010
OPERATIONS SECURITY (OPSEC) PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-80934C SEE BLOCK 16
SOW/PWS PARA 3.2.5
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

1TIME
90 DAC
a. ADDRESSEE
b. COPIES
8. APP CODE
B
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4:

THE CONTRACTOR SHALL DEVELOP, IMPLEMENT AND MAINTAIN AN OPSEC PLAN TO PROTECT CONTROLLED UNCLASSIFIED AND CLASSIFIED ACTIVITIES, INFORMATION, EQUIPMENT, AND MATERIAL USED OR DEVELOPED BY THE CONTRACTOR AND ANY SUBCONTRACTOR DURING THE PERFORMANCE OF THE CONTRACT. THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE SUBCONTRACTOR IMPLEMENTATION OF THE OPSEC REQUIREMENTS. THIS PROGRAM MAY INCLUDE INFORMATION ASSURANCE AND COMMUNICATIONS SECURITY (COMSEC). THE OPSEC PROGRAM SHALL BE IN ACCORDANCE WITH NATIONAL SECURITY DECISION DIRECTIVE (NSDD) 298, AND AT A MINIMUM SHALL INCLUDE:

1) ASSIGNMENT OF RESPONSIBILITY FOR OPSEC DIRECTION AND IMPLEMENTATION.

2) ISSUANCE OF PROCEDURES AND PLANNING GUIDANCE FOR THE USE OF OPSEC TECHNIQUES TO IDENTIFY VULNERABILITIES AND APPLY APPLICABLE COUNTERMEASURES.

3) ESTABLISHMENT OF OPSEC EDUCATION AND AWARENESS TRAINING.

4) PROVISIONS FOR MANAGEMENT, ANNUAL REVIEW, AND EVALUATION OF OPSEC PROGRAMS.

5) FLOW DOWN OF OPSEC REQUIREMENTS TO SUBCONTRACTORS WHEN APPLICABLE.

BLOCK 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 THIRTY (30) DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: FINAL DUE TEN (10) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _11_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER___MGMT__________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A011
NAVAIR CYBERSECURITY IMPLEMENTATION PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-82002A SEE BLOCK 16
SOW/PWS PARA 3.3.2.2.1
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4: CYBERSECURITY IMPLEMENTATION PLAN MAY BE REQUIRED FOR SYSTEMS AND SUBSYSTEMS UNDER DEVELOPMENT, AS APPLICABLE.

BLOCK 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 THIRTY (30) DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: FINAL DUE FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _12_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:

0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021

A
TDP_______
TM_______
OTHER___MISC_________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A012
SCIENTIFIC & TECHNICAL REPORTS SUMMARY
MONTHLY TECHNICAL REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-80048
SOW/PWS PARA 3.1.3.3
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT SEE BLOCK 16

MTHLY
45 DAC SEE BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

N/A

EOM
15 DARP
Reg
Repro
16. REMARKS
SEE BLOCK 16
0
1
0

BLOCK 7: LT ONLY.

BLOCK 12: FORTY FIVE (45) DAYS AFTER CONTRACT AWARD. REPORTING PERIOD IS END OF MONTH AFTER THE CONTRACT STARTS.

15.TOTAL▬▬▬▬►
0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _13_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER______MISC__________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A013
SCIENTIFIC & TECHNICAL REPORTS SUMMARY
AD-HOC TECHNICAL REPORTS/MEMOS
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-80048
SOW/PWS PARA 3.3.4.1.4
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

N/A

ASREQ
ASREQ
Reg
Repro
16. REMARKS
SEE BLOCK 16
0
1
0

BLOCK 7: LT ONLY.

15.TOTAL▬▬▬▬►
0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _14_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:

0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021

A
TDP_______
TM_______
OTHER____MGMT________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A014
CONTRACTING OFFICER'S MANAGEMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81864A SEE BLOCK 16
SOW/PWS PARA 3.1.3.1
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

MTHLY
15 DARP SEE BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
E
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

EOM
15 DARP
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4: CONTRACTOR FORMAT IS ACCEPTABLE SO LONG AS IT CAPTURES ALL DATA FIELDS PRESENTED IN THE PROPOSED GOVERNMENT-PROVIDED TEMPLATE.

BLOCK 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 FIFTEEN (15) DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.IF CORRECTIONS ARE REQUIRED, CONTRACTOR SHALL INCORPORATE ADJUSTMENTS INTO THE NEXT MONTHS SUBMISSION, IN THE APPROPRIATE SECTION.

BLOCK 12: FIFTEEN (15) DAYS AFTER REPORTING PERIOD. REPORTING PERIOD IS END OF MONTH AFTER THE CONTRACT STARTS.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _15_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER_____NDTI_____________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A015
TEST/INSPECTION REPORT
TEST REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-80809B
SOW/PWS PARA 3.3.1.3.5
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
15 DATC
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
50 DATC SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 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 THIRTY (30) DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED.

BLOCK 13: FINAL DUE FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _16_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0006, 0007, 0008, 0009, 0010, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER___SAFT________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A016
ACCIDENT/INCIDENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-SAFT-81563 SEE BLOCK 16
SOW/PWS PARA 3.3.3.1.2
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
SEE BLOCK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4: REPORTS SHALL PROVIDE DETAILS ON THE DEFECT, THE CAUSE OF THE DEFECT, AND THE COURSE OF ACTION TAKEN TO CORRECT THE DAMAGED ITEM, AS WELL AS THE COURSE OF ACTION TO CORRECT ERRORS/MISTAKES/OVERSIGHTS THAT LED TO THE DAMAGE. REPORTS SHALL BE SUBMITTED IAW DFARS

CLAUSE 252.228-7005.

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED

BLOCK 12: CONTRACTOR SHALL PROVIDE DAMAGE REPORTS WITHIN THREE (3) BUSINESS DAYS OF DAMAGE.

BLOCK 13: FINAL DUE FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _17_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER___IPSC________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A017
SOFTWARE DESIGN DESCRIPTION
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81435A SEE BLOCK 16
SOW/PWS PARA 3.3.1.1.11
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
ASREQ SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE.

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED

BLOCK 13: CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) BUSINESS DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _18_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER___IPSC________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A018
SOFTWARE VERSION DESCRIPTION
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81442A SEE BLOCK 16
SOW/PWS PARA 3.3.1.1.12
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
ASREQ SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE.

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED

BLOCK 13: CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) BUSINESS DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _19_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0001, 0002, 0003, 0004, 0005, 0011, 0012, 0013, 0014, 0015, 0021
A
TDP_______
TM_______
OTHER___IPSC________________
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AD-4.11.6
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A019
INTERFACE REQUIREMENTS SPECIFICATION
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81434A SEE BLOCK 16
SOW/PWS PARA 3.3.1.1.13
AD-4.11.6
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX SEE BLOCK 16

ASREQ
ASREQ
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE
13. DATE OF SUBSEQUENTSUBMISSION
Draft
Final

A

N/A
ASREQ SEE BLOCK 16
Reg
Repro
16. REMARKS
SEE BLOCK 16
1
1
0

BLOCK 4: CONTRACTOR FORMAT ACCEPTABLE.

BLOCK 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 THIRTY (30)

DAYS OF SUBMISSION OF CDRL, THE CDRL IS CONSIDERED ACCEPTED

BLOCK 13: CONTRACTOR SHALL PROVIDE UPDATED AND FINALIZED DOCUMENTATION WITHIN FIVE (5) BUSINESS DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS ON DRAFT SUBMISSION. COR HAS THIRTY (30) BUSINESS DAYS TO COMMENT.

15.TOTAL▬▬▬▬►
1
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Katy Gates
04/15/2019

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _20_ of _22_Pages.18. ESTIMATED TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response,…

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