J-6_CDRLS_USNS_LENTHALL_ROH.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT 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. Date 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 in DoD 5010.12-L (AMSDL), or one-time 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. DoDD 5230.24).

Item 10. Specify number of times 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 addressees 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 15.

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.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed 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 quality of the data item.

Estimated Price - Costs 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 of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

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 items 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 Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A020 title: Gas Free Certificates sub:

auth: See Blk 16 ref: MSC SWI-020 req_ofc: N751/N10 dd250: LT appcode: N/A dist: See Blk 16 freq: DAILY asof: See Blk 16 firstsub: ASREQ subsub: DAILY addressee1: ACO draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Block 4: Contractor Format is Acceptable with MSC Approval.

Block 9: Distribution Statement "F": Further dissemination only as directed by MSC or other higher DOD approval authority.

Block 10 and 11: As stated in the applicable Work Item, deliverables are as required on a daily basis as work necessitates.

Block 12, and 13: Required daily as work necessitates.

Abstract:

7.3 Furnish the MSCREP with two (2) copies of the gas free certificates signed by a NFPA certified Marine Chemist (or equivalent OCONUS Marine Chemist or Industrial Hygienist) prior to start of any confined space entry and/or hot work. Furnish a new gas free certificate, signed by a NFPA certified Marine Chemist (or equivalent OCONUS Marine Chemist or Industrial Hygienist), daily thereafter for the duration of the particular work necessitating gas freeing of spaces safe for men and hot work. One (1) copy of said certificate is also to the posted near the gangway(s).

7.3.1 Gas free certificates shall be maintained on a daily basis. This may be accomplished by a shipyard Competent Person, provided same Competent Person is acceptable to all regulatory agency (e.g. USCG, ABS) inspection personnel during inspections. Should regulatory agency inspectors require NFPA certified Marine Chemist (or equivalent OCONUS Marine Chemist or Industrial Hygienist) certificates, the additional costs of contracting a Marine Chemist shall be borne by the Contractor.

group:

total_price:

prep_name:

line_item: 0020 exhibit: J-6 xtdp: Off xtm: Off othercat: X system: General Requirements ctr_no: N32205-16-R-4010 contr: TBD remarksb:

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A021 title: Clean and Gas Free Tanks Voids and Cofferdams sub:

auth: See Blk 16 ref: MSC SWI-021 req_ofc: N751/N10 dd250: LT appcode: N/A dist: See Blk 16 freq: ASREQ asof: See Blk 16 firstsub: ASREQ subsub: ASREQ addressee1: ACO draft1:

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total_draft: 0 total_reg: 2 total_repro: 0 remarks: Block 4: Contractor Format is Acceptable with MSC Approval.

Block 9: Distribution Statement "F": Further dissemination only as directed by MSC or other higher DOD approval authority.

Block 10: Deliverables are required as per the Work Item Blocks 11, 12, and 13: Deliverables are required as per the Work Item

Abstract:

7.1 It is the contractor’s responsibility to analyze and properly plan tank unloading procedures to ensure that no undue stresses are imposed on the vessel structure. Ship’s force and MSCREP will assist contractor with ship loading documents and software. The contractor shall utilize the services of a Naval Architect or structural engineer to support this planning. The contractor shall provide their tank unloading plan to the MSCREP at least 2 business days prior to starting this work to permit review and approval by MSC Naval Architect.

7.2 Contractor and Ships Force shall take, record, and verify soundings of all tanks listed in enclosure 2.2.1, on arrival at the contractor’s facility. Chief Engineer shall review and endorse all soundings taken/recorded. Submit copy of endorsed record to the MSCREP.

7.10 Upon acceptance of final closeout inspection and by direction of the MSCREP, reinstall manhole covers using new gaskets, grommets, and wicking. Submit a Condition Found Report for any missing or damaged fasteners or hardware.

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prep_name: PPE line_item: 0021 exhibit: J-6 xtdp: Off xtm: Off othercat: X system: General Requirements ctr_no: N32205-16-R-4010 contr: TBD remarksb: 7.12 Required Deliverable Report: Contractor shall create (Excel), maintain, update, and submit weekly during the progress meeting, a tank/space work matrix. This matrix shall contain the following information:

A. Tank/Space Name B. Tank/Space Location Designation C. Date Tank/Space Opened D. Date Gas Free Cleaning Started E. Date Gas Free Cleaning Completed F. Date Gas Free Cert. Received G. Date ABS Initial Structural Survey Complete H. Date Air Test/Hydro Test Completed I. Date Final Tank/Space Cleaning Started J. Date Final Tank/Space Cleaning Completed K. Date Tank/Space Final Close L. Tank/Space Related Repair Status: List major job sequence within a tank/space followed by date start & date completed (such as below):

* Access Cuts -> Date Removed/Date Installed

* Blasting -> date start/date complete

* Painting -> date start/date complete

* Related work items internal repairs (pipe, valve, structure, etc)

* Related work items external repairs (welding, UT’s, zincs, other structural related; etc.)

* Fluids added/removed from tank/space (pot water chlorination; Undocking Stability; fuels/oils; etc.)

M. Other

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auth: See Blk 16 ref: MSC SWI-022 req_ofc: N751/N10 dd250: LT appcode: N/A dist: See Blk 16 freq: ASREQ asof: See Blk 16 firstsub: ASREQ subsub: ASREQ addressee1: ACO draft1:

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Block 9: Distribution Statement "F": Further dissemination only as directed by MSC or other higher DOD approval authority.

Block 10: Deliverables are required as per the Work Item Block 11, 12, and 13: Deliverables are required as per the Work Item

Abstract:

7.1.1 Develop and submit to MSCREP, two (2) days prior to dock trials, a Dock Trial agenda that includes:

a. List of equipment to be tested

b. List of tests

c. Test performance criteria

d. Test acceptance criteria

e. Test schedule

f. Test data to be recorded

g. Test data recording format

h. Instrumentation required

7.1.2 Dock trials shall be carried out jointly with ship’s force. Representatives of contractor or subcontractor shall be present onboard to witness testing and record operational testing and performance data. Dock trial results shall be summarized by the contractor and submitt

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prep_name: PPE line_item: 0022 exhibit: J-6 xtdp: Off xtm: Off othercat: X system: General Requirements ctr_no: N32205-16-R-4010 contr: TBD remarksb: 7.2.1 Develop and submit to the MSCREP, two (2) days prior to sea trials, a Sea Trial agenda that includes:

a. List of equipment to be tested

b. List of tests

c. Test performance criteria

d. Test acceptance criteria

e. Test schedule

f. Test data to be recorded

g. Test data recording format

h. Instrumentation required

i. List of shipyard personnel involved

j. List of vendor technical representatives. All manufacturer and authorized technical representatives, used by the contractor to install, repair and/or modify any equipment or system shall be present during operational testing of that equipment or system during the sea trial event.

k. List of regulatory body representatives

l. List of equipment requiring special operating conditions (e.g., sea state, navigational clearance, test ranges, etc.).

m. Equipment requiring calibration and adjustment while at sea (e.g., compass adjustment).

7.2.8 Submit an as-found condition report to the MSCREP within 24-hours of Sea Trial completion documenting deficiencies identified during sea trials. Catalog deficiencies by work item number.

7.3.1 Prepare final Dock Trial and Sea Trial reports addressing:

a. Equipment/systems tested

b. Test environmental conditions

c. Test date and time

d. Test acceptance criteria

e. Test results

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auth: See Blk 16 ref: MSC SWI-23 req_ofc: N751/N10 dd250: LT appcode: N/A dist: See Blk 16 freq: ASREQ asof: See Blk 16 firstsub: ASREQ subsub: ASREQ addressee1: ACO draft1:

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Block 9: Distribution Statement "F": Further dissemination only as directed by MSC or other higher DOD approval authority.

Block 10: Deliverables are required as per the Work Item Block 11, 12, and 13: Deliverables are required as per the Work Item

Abstract:

7.1.2 The Contractor shall submit a Hazardous Waste Management and Control Plan, signed by the contractor’s Environmental Manager, as part of the bidder’s proposal submittal package.

7.1.2.1 Additionally, the contractor shall submit up-to-date reference documentation delineating all Hazardous Waste regulations applicable for work performed at their facility. This document is to be in Portable Document Format (PDF) and shall be part of the contractor’s bid proposal submittal package.

7.3.2 Upon vessel arrival at the contractor’s facility, the contractor shall survey all ship spaces, areas, equipment, lockers, and storerooms in the presence of the MSCREP to identify material requiring disposal which may be characterized as hazardous waste. The nature of the potentially hazardous waste shall be determined through the testing requirements of this work item listed in 6.1. The survey results shall be tabulated in a spreadsheet format per Enclosure 2.2.2 of this work item.

7.3.3 Following the arrival survey, if potentially hazardous wastes are discovered through any work associated with a work item in this work package, the contractor is required to notify the MSCREP in writing. Each notification shall be in accordance with Enclosure 2.2.2.

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7.3.9 The contractor shall submit weekly reports itemizing all materials being handled as hazardous waste up to that time. This report shall be submitted whether hazardous wastes have been handled or not.

7.4.2 All applicable documentation, including hard copy invoices and proof of disposal at an authorized hazardous waste disposal site and signed by an authorized representative of the authorized disposal facility shall be required for reimbursement.

7.4.4 Submit hard copy Uniform Hazardous Waste Manifest Forms to the MSCREP when disposing of hazardous waste complete with the contractor’s EPA generator number.

7.6 The contractor must submit the following in order to receive compensation under this work item. If any of the items listed in 7.6.1 through 7.6.5 are not provided, the contractor shall not receive compensation until such time as they are provided:

7.6.1 Shipyard’s hard copy invoice for the waste disposal. The invoice shall cover the pass through charge from the waste disposal facility and the shipyard’s pro-rata charge for the management and handling fees.

7.6.2 A PDF document identifying the regulatory reference and method utilized under section 6.1 to determine the material was hazardous waste. When analytical testing is utilized, test results shall be included.

7.6.3 Hard copies of the outgoing Uniform Hazardous Waste Manifests.

7.6.4 Hard copies of the return Uniform Hazardous Waste Manifests

7.6.5 Hard copies of invoices from the hazardous waste transfer and disposal facilities submitted for the transportation and disposal of the hazardous wastes. This invoice must be the invoice the shipyard receives from the transfer and disposal facility and show the amount the shipyard was charged for the hazardous waste disposal.

7.7 Upon completion of the work package, submit a Final Hazardous Waste Removal Summary Report (Excel) to the MSCREP.

7.7.1 An electronic copy of the Final Hazardous Waste Removal Summary Report shall be sent to:

a. The MSCREP (PPE)

b. The MSC Administrative Contracting Officer (ACO)

c. The MSC Technical Library at email address MSCTECHLIBRARY@navy.mil

MSC Technical Document Mailing Address:

MSC Technical Library - USNS _______ 9276 3rd Ave., Bldg LP-26 Norfolk, VA 23511 Tel: (757) 443-2595 MSCTECHLIBRARY@navy.mil

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Blocks 10, 11, 12, and 13: Deliverables required as per the Work Item

Abstract:

7.3 Offerors must submit with their proposals one legible written copy, and an additional copy in approved electronic transferrable media, of the security plan to be implemented for the protection of personnel, the USNS ANYSHIP, the material and equipment to be installed, and the dry dock at the Contractor's facility, which addresses the requirements of above paragraph 7.2. The security plan submitted shall be reviewed by MSC Norfolk in the technical evaluation process and approved only when compliance with 7.2 requirements are clearly evidenced.

7.4 Any changes at the Contractor's facility affecting physical security or the approved plan other than mandated FPCON settings shall be submitted in writing and approved transferable media to the MSCREP for approval within 24 hours.

7.5 The Contractor shall provide written (hard copy) designation to the MSCREP of the individual who will be in charge of the security effort.

7 7.7 Any changes at the Contractor's facility affecting physical security or the approved plan other than mandated FPCON settings shall be submitted in writing and approved transferable media to the MSCREP for approval within 24 hours.

7.8 The Contractor shall provide competent and trained security personnel to conduct an inspection of the pier area the USNS ANYSHIP will be berthed at prior to arrival.

7.11 The Contractor shall provide a hard copy sketch of the security area (land and water) identifying the distance of barriers from vessel, types of barrier construction (land and water barriers), and location of Entry Control Point.

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auth: See Blk 16 ref: MSC SWI-025 (FPCONs B-D) req_ofc: N751/N10 dd250: LT appcode: N/A dist: See Blk 16 freq: ASREQ asof: See Blk 16 firstsub: ASREQ subsub: ASREQ addressee1: ACO draft1:

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Block 9: Distribution Statement "F": Further dissemination only as directed by MSC or other higher DOD approval authority.

Block 10, 11, 12, and 13: Deliverables are required as per the Work Item

7.2 Offerors must submit with their proposals one legible written copy, and an additional copy in approved electronic transferrable media, of their additions to the security plan provided in support of MSC Standard Work Item 024 (NSP) for increasing protection from FP Condition ALPHA to FP Conditions (FPCONs) BRAVO, CHARLIE and DELTA.

7.4 The contractor shall provide a bid price for achieving each FP Condition above FPCON ALPHA. The contractor shall provide to the MSCREP a condition found report (CFR) for each FP Condition attained when increasing protection from FPCON ALPHA during the availability. Additionally, a per-day rate for each FP Condition above FPCON ALPHA shall be calculated and used in CFR pricing determinations. Anticipate that FP Conditions greater than FPCON ALPHA shall not be maintained for durations longer than deemed necessary to ensure adequate safety.

7.5 The Government may perform an audit of the Contractor’s statement of cost incurred. The Contractor, upon request, shall make available to the MSCREP all records, related correspondence, and the substantiating data upon which the statement of cost incurred is based.

7.7 The Contractor shall provide written designation to the MSCREP of the individual who will be in charge of the security effort.

7.9 Any changes at the Contractor's facility affecting physical security or the approved plan other than mandated FPCON settings shall be submitted in writing and approved transferrable media to the MSCREP for approval within 24 hours.

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Block 9: Distribution Statement "F": Further dissemination only as directed by MSC or other higher DOD approval authority.

Block 10: Deliverables are as per the Work Item.

Block 11, 12, and 13: Required 90 days after Contract completion unless otherwise specified within the Work Item.

7.1.3 Prepare working drawings, submit them to the MSCREP and Regulatory Bodies for approval, and accomplish work in accordance with the working drawings as approved. Working drawings shall be approved prior to commencement of any work requiring such drawings. Submit a working drawing schedule. MSCREP shall provide drawing numbers as requested by the contractor.

7.2.5 The Contractor shall obtain all necessary compliance and approval certificates and documents and submit them to the MSCREP.

7.2.5.d Prepare and submit reports, drawings, and other documents required per the above paragraphs in accordance with the Contract Data Requirements List (CDRL).

MSC Technical Documents Mailing Address:

MSC Technical Library - USNS _______ 9276 3rd Ave., Bldg LP-26 Norfolk, VA 23511 Tel: (757) 443-2595 MSCTECHLIBRARY@navy.mil group:

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Block 10: As stated in the applicable Work Item, deliverables are as required prior to Contract Award.

Block 11, 12, and 13: Required prior to Contract Award and where applicable revisions apply.

7.1 The ship must be afforded a safe approach, secure berth, and safe mooring at all times. The contractor shall provide accurate documentation, in addition to data provided in support of initial contract proposal, (i.e. charts, sounding tables, mooring plans, etc.) for review by the MSCREP where inter/intra-facility movement of the ship is expected to occur.

MSC Technical Documents Mailing Address:

MSC Technical Library - USNS _______ 9276 3rd Ave., Bldg LP-26 Norfolk, VA 23511 Tel: (757) 443-2595 MSCTECHLIBRARY@navy.mil group:

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It