DD Form 1423-1 SWI-015 ILS GFM Support.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 3 Pages

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17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(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:

TDP TM OTHER X

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

1. DATA ITEM NO.

A015

2. TITLE OF DATA ITEM

ILS/GFM Support Requirements

3. SUBTITLE

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

MSC WI 015

6. REQUIRING OFFICE

PM_CM_/N10

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

See Blk 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final Reg Repro

16. REMARKS

Abstract:

7.1.1 Technical Manual Requirements: Equipment procured under this contract shall be delivered with 3 hard copy and 1 electronic copy of the supporting technical manual. All data will be provided in hard-copy and electronic copy in PDF or Excel formats.

7.1.2 Technical Support Data (TSD): A bill of materials/list of all repair parts, assemblies and subassemblies, special tools and test equipment required to maintain, repair or overhaul the equipment/components as specified by an illustrated parts breakdown. Alternate

Submission of TSD: The Contractor may substitute the requirements of TSD documentation with an equipment technical manual as required in paragraph 7.1.1.

Statement of Prior Submission (SPS): The contractor may submit SPS documentation in lieu of the requirement in paragraph 7.1.2, as applicable. PDF or Excel formats apply.

7.1.5 Repair Parts Support: The Contractor is required to provide the MSCREP a pre-priced recommended list of spare parts with delivery of equipment. Listing should be in electronic (Excel) format.

7.1.6 Purchase Orders: The contractor shall provide hard copies of all purchase orders for all work items where contractor-furnished materials and equipment were procured.

7.1.7 Provisioning Guidance Conference (PGC) Minutes: The contractor shall take the minutes of the meeting and provide a copy (PDF) to each attendee.

7.2 DRAWINGS: The contractor shall provide specific drawings as called out in the individual work item. Drawings shall be per MSC GTR No.5 (AUTOCAD).

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ACO 1

PPE 1

MSC Tech Library 1 Onsite Gov't ILS Rep 2

15. TOTAL 0 5 0

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

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DD FORM 1423-1, FEB 2001 Page 2 of 3 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT

C. CATEGORY:

X TDP TM OTHER

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

16. REMARKS (Continued)

Abstract:

7.3.1 Receipt of material:

7.3.1.1 The contractor shall receive all GFM listed in this work package, whether on board the ship or delivered to the contractor by common carrier or other means.

7.3.1.2 The contractor shall inspect the GFM at the time of receipt and verify that the material received is the same as that indicated on the GFM listing. Any physical/visible damage or defects to the equipment/packaging will be noted on the carriers Bill of Laden or Delivery Confirmation to include obtaining a printed name and signature of the individual transferring custody indicating acknowledgement of condition at time of delivery. The contractor shall immediately notify the MSCREP of the condition and schedule a joint surveyed with the MSCREP.

7.3.1.3 Contractor receiving report which notes discrepancies of documented and observed damage to the GFM will only be signed by the MSCREP if the MSCREP concurs that the discrepancy/damage was not the result of contractor negligence.

7.3.4.4 Material and equipment designated for turn over to the Government shall be packed, crated, and prepared for shipment by the Contractor. Each work item or specification item will be prepared for shipment in its own unique container; containers may be consolidated into larger shipping crate, but each crate must be clearly marked and copies of documents enclosed as noted below.

NOTE: An accurate material inventory to include, Nomenclature, Part Number and QTY shall be done for each container/crate. Copies of the inventory will be placed on the inside of the crate/container as well affixed to outside of crate/container. Both copies will be in a suitable weather resistant Packing Envelope. Two (2) additional copies shall be provided to the government onsite ILS Representative

7.3.5 REPORTS:

GFM/CFM Summary List - The contractor shall prepare (Excel) and update weekly a summary list of GFM and CFM received at commencement of the contract until contract completion.

Damage Report - Any damage to the GFM, while in the custody of the contractor, shall be reported immediately to the MSCREP so that arrangements for joint survey can be made. The contractor shall prepare (Excel) and provide electronic damage report outlining the damage, conditions that led to the damage, and proposed method of repair.

Scrap Report – Material and equipment permanently removed from the vessel as a result of work accomplished in this work package shall be documented (Excel) and provided to the MSCREP.

Residual Asset Report – The contractor shall provide to the MSCREP a list (Excel) of government furnished material (GFM) and contractor furnished material (CFM) that are residual assets at completion of the availability.

Technical Document Mailing Address:

MSC Technical Library - USNS COMFORT (T-AH 20)

9276 3rd Ave., Bldg LP-26

Norfolk, VA 23511

Tel: (757) 443-2595

DD FORM 1423-1 (BACK), FEB 2001

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 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 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.