Exhibit_J-1_CDRLs_&_DIDs_A001_through_A015.pdf

PDF 2 MB Posted Jun 27, 2017

Attached to: Docking & Maintenance of UF 15 & 53
Solicitation number: N4523A-17-R-0032
Issued by: Department of the Navy Naval Sea Systems Command

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Exhibit J-1 CDRLs & DIDs A001 through A015

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File	Type	Posted
N4523A17R00320002_Amendment_0002.pdf	PDF	Jul 26, 2017
Attachment_J-2_Price_Proposal_Worksheet_unlocked.xls	XLS spreadsheet	Jul 26, 2017
UF-15_&_53.zip	ZIP file	Jul 17, 2017
N4523A-17-R-0032_Amendement_0001.pdf	PDF	Jul 6, 2017
SOW_UF_15_&_53_-_ERRATA_1.pdf	PDF	Jul 6, 2017
UF_15_&_53_Rev_A_5-Way_Breakdown.xls	XLS spreadsheet	Jul 6, 2017
UF_15_&_53_Drawings.zip	ZIP file	Jun 29, 2017
Attachment_J-1_Statement_of_Work_(SOW).pdf	PDF	Jun 27, 2017
Attachment_J-4_Contract_Performance_Data_Sheet.doc	DOC document	Jun 27, 2017
Attachment_J-5_PSNS_&_IMF_Badging_&_Access_Requirements.pdf	PDF	Jun 27, 2017
Attachment_J-3_Request_for_Clarification_Form.doc	DOC document	Jun 27, 2017
N4523A17R0032.pdf	PDF	Jun 27, 2017
Attachment_J-2_Price_Proposal_Worksheet.xlsx	XLSX spreadsheet	Jun 27, 2017

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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 and Communications 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

MGMT

Vessel Repair Services N4523A-17-R-0032 TBD

A001 Production Schedule Report N/A

DI-MGMT-80227 CONTRACT PARAGRAPH 1.5.1 PSNS & IMF C/411

N/A D(SEE BLK16)

WEKLY*

N/A

SEE BLOCK 16

PSNS & IMF C/411 1

0 1 0

BLOCK 4: Paragraph 10.2: Delete "This report shall be typewritten on standard size (e.g. 8 1/2" by 11'") white paper, and securely stapled.".

Delete Paragraphs 10.3.d; 10.3.g; 10.3.i; 10.3.j; 10.3.k; 10.3.l.

BLOCK 9: “DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational use (February 2016). Other requests shall be referred to PSNS&IMF, C/411, Bremerton, WA 98314.

BLOCK 10, 12, and 13: Submit report 24 hours prior to each weekly scheduled production meeting.

BLOCK 14: Media requirement. The report shall be delivered electronically in Adobe Acrobat Version DC, as an e-mail attachment to the Contracting Officer's Representative (COR) specified in the contract.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:05:58 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:45:37 -07'00'

Source: https://assist.dla.mil -- Downloaded: 2016-05-07T22:28Z Check the source to verify that this is the current version before use.

Source: https://assist.dla.mil -- Downloaded: 2016-05-07T22:28Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

OCIC

Vessel Repair Services N4523A-17-R-0032 TBD

A002 Coating System Data Report N/A

DI-QCIC-82111 SOW PARAGRAPH 1.5.5 PSNS & IMF C/411

N/A D(SEE BLK16)

OTIME

N/A

SEE BLOCK 16

N/A

PSNS & IMF C/411 1

0 1 0

BLOCK 12: Report shall be submitted 5 business days after contract award.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:07:26 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:46:50 -07'00'

DATA ITEM DESCRIPTION

Title: COATING SYSTEM DATA REPORT

Number: DI-QCIC-82111 Approval Date: 20170327 AMSC Number: N9784 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: SH Project Number: QCIC-2017-004 Applicable Forms: N/A

Use/Relationship: Coating System data report is used by the Government to define product requirements.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

The Website cited in this DID can be accessed at: http://www.nstcenter.biz/tech-documents/astm-f718s/

Requirements:

1. References Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

2. Format. The Report shall be in contractor’s format.

3. Content. The Report shall include all of the information specified in The American Society of Testing and Materials, Standard Specification for Shipbuilders and Marine Paints and Coatings Product/Procedure Data Sheet(ASTM) F-718.

End of DI-QCIC-82111

Source: https://assist.dla.mil -- Downloaded: 2017-03-28T14:42Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

SAFT

VESSEL REPAIR SERVICES N4523A-17-R-0032 TBD

A003 SAFETY DATA SHEET (SDS) REPORT N/A

DI-SAFT-82112 SOW PARAGRAPH 1.5.6 PSNS & IMF C/411

N/A D(SEE BLK16)

OTIME

N/A

SEE BLOCK 16

N/A

PSNS & IMF C/411 1

0 1 0

BLOCK 12: Report shall be submitted 5 business days after contract award.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:08:25 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:47:46 -07'00'

Title: SAFETY DATA SHEET (SDS) REPORT

Number: DI-SAFT-82112 Approval Date: 20170327 AMSC Number: N9785 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: SH Project Number: SAFT-2017-004 Applicable Forms: N/A

Use/Relationship: The SDS Report will be used by the Government to define product safety and environmental procedures.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

The Website cited in this DID can be accessed at:

https://www.osha.gov/Publications/OSHA3514.html

Requirements:

1. References.

1.1 Occupational Safety and Health Administration (OSHA) Part Number 1910.1200 App D

SDS, Subpart Z Toxic and Hazardous Substances.

2. Format. The Report shall be in contractor’s format.

3. Content. The Report shall include all of the information specified in the Occupational Safety and Health Administration (OSHA) Part Number 1910.1200 App D SDS, Subpart Z Toxic and Hazardous Substances.

End of DI-SAFT-82112

Source: https://assist.dla.mil -- Downloaded: 2017-03-28T14:43Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

MGMT

Vessel Repair Services N4523A-17-R-0032 TBD

A004 Condition Found Report N/A

DI-MGMT-81648 CONTRACT PARAGRAPH 1.11 PSNS & IMF C/411

N/A D(SEE BLK16)

ASREQ*

N/A

SEE BLOCK 16

PSNS & IMF C/411 1

0 1 0

BLOCK 4: Delete paragraph 3.2.a.

Paragraph 3.2.b delete "Premium/Acceleration" and "premium".

Paragraph 3.2.c delete "internal milestones" and "and contract".

BLOCK 10, 12, and 13: Submit report within 5 working days of work item requirement discovery.

Submit report within 24 hours of anticipated difficulty in meeting contract requirements and/or schedule dates.

For required reports that could result in a change in work to be accomplished or additional material to be procured, submit the required report in a time frame to allow the CO, via the COR, to initiate early action, but no later than the first 20 percent of the scheduled availability.

Drydock related inspection reports shall be submitted no later than the first 20 percent of the scheduled docking period. Drydock related reports which contain readings (final, thickness, etc.) clearances, alignments, test results, or other such data for work that has to be completed prior to pre-flood/undocking, shall be submitted to the CO, via the COR, within 24 hours after recording the data but no later than 72 hours prior to pre-flood/undocking, whichever occurs first.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:09:07 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:48:39 -07'00'

Title: CONDITION FOUND REPORT

Number: DI-MGMT-81648 Approval Date: 20040809 AMSC Number: N7531 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: N PEO SHIPS-FL32 Applicable Forms: N/A

Use/Relationship: The Condition Found Report identifies needed repairs and recommends corrective action for work discovered during the contract performance period which are not covered by the work specifications.

This DID contains the format, content, and intended use information for the data product resulting from the work task described in the contract.

Requirements:

1. Reference documents. N/A.

2. Format. The report shall be in contractor’s format.

3. Content. The report shall be serialized by CFR Number, and shall include the following:

a. Contract number, ship and hull number

b. Work Item Number to which the CFR relates

c. Date work requirement was discovered

d. Clear description of the work requirement

e. Specific location of the work requirement

f. Recommendation for corrective action

3.1 Recommendation for appropriate/best time to accomplish (i.e. during current availability with or without schedule change, future CNO or Continuous Maintenance Availability), and supporting rationale for the recommendation (such as cost efficiencies, availability of work force, availability of material, premium expenditures, etc.).

3.2 Cost and time estimates and the time frame for which it is valid, including:

a. Class “C” cost estimates. For work requirements which could be estimated within five working days, a class “F” estimate (+/-40%) identifying any potential impact which may affect the current schedule shall be included. The Class “F” estimate shall also contain the date on which a class “C” estimate will be provided.

b. Estimated Premium/Acceleration Costs, including premium costs for; material, subcontractors, man-hours, rework and any additional costs to on going work resulting from inclusion of the CFR work requirement.

c. Identification of related changes, if any, to the internal milestones and production and contract completion dates shall be included. When no changes were required a statement to that fact shall also be included

4. Media. The electronic media requirements shall be as specified in the contract on the DD 1423 CDRL.

5. End of DI-MGMT-81648

Source: https://assist.dla.mil -- Downloaded: 2016-05-07T22:47Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

SAFT

Vessel Repair Services N4523A-17-R-0032 TBD

A005 Accident/Incident Report N/A

DI-SAFT-81563 CONTRACT PARAGRAPH 1.13.2 PSNS & IMF C/411

N/A D(SEE BLK16)

ASREQ*

N/A

SEE BLOCK 16

PSNS & IMF C/411 1

0 1 0

BLOCK 4: USE/RELATIONSHIP BLOCK: Delete the following: "major"; "one or more fatalities, or two or more disabling"; "exceeding $10,000;".

PARAGRAPH 2.: Delete "serious"; "which will adversely affect capability to meet contractual obligations".

PARAGRAPH 2.G: Delete "disabling"; "exposed to CBR agents".

BLOCK 10, 12, and 13: Report shall be submitted within 24 hours of investigation completion.

BLOCK 14: Media requirement. The report shall be delivered electronically to the Contracting Officer's Representative (COR) specified in the contract.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:09:46 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:49:28 -07'00'

Source: https://assist.dla.mil -- Downloaded: 2016-05-07T21:16Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

MISC

VESSEL REPAIR SERVICES N4523A-17-R-0-0032 TBD

A006 PAINT PRESERVATION APPENDICES N/A

DI-MISC-82120 SOW PARAGRAPH 1.16.1 PSNS & IMF C/411

N/A D(SEE BLK16)

ASREQ*

N/A

SEE BLOCK16

PSNS & IMF C/411 1

0 1 0

BLOCK 10, 12 and 13: Submit documents within 3 working days of completion of the following preservation operations: SSPC SP-1, Surface Profiles, and Top Coat Cure.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:10:40 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:50:18 -07'00'

Title: PAINT PRESERVATION APPENDICES REPORT

Number: DI-MISC-82120 Approval Date: 20170410 AMSC Number: N9794 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: SH Project Number: MISC-2017-006 Applicable Forms: N/A

Use/Relationship: The Preservation Appendices Report will provide the Government with evidence of completed preservation operations.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements as delineated in the contract.

Requirements:

Format. The Paint Preservation Appendices Report shall be in contractor’s format.

Content. The Paint Preservation Appendices Report shall contain all the information contained in Sample Figures 1 through 9.

Source: https://assist.dla.mil -- Downloaded: 2017-04-18T13:08Z

DI-MISC-82120

SAMPLE FIGURE-1

SAMPLE FIGURE-2

SAMPLE FIGURE-3

SAMPLE FIGURE-4

SAMPLE FIGURE-5

SAMPLE FIGURE-6

SAMPLE FIGURE-7

SAMPLE FIGURE-8

End of DI-MISC-82120

SAMPLE FIGURE 9

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

MISC

Vessel Repair Services N4523A-17-R-0032 TBD

A007 Hazardous Waste Report N/A

OT-17-20149 CONTRACT PARAGRAPH 1.17 PSNS & IMF C/411

N/A D(SEE BLK16)

OTIME*

N/A

SEE BLOCK 16

N/A

PSNS & IMF C/411 1

0 1 0

BLOCK 10: Submit report within 30 calendar days of project completion.

BLOCK 14: Media requirement. The report shall be delivered electronically to the Contracting Officer's Representative (COR) specified in the contract.

5/1/17 5/18/17 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:11:19 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:51:12 -07'00'

DATA ITEM DESCRIPTION (DID

Title: Hazardous Waste Report

Number: OT-17-20149 dsw Approval Date: 20170414 dsw AMSC Number: N/A Limitation: N4523A-17-R-0032 DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: SH/PSN/IMF Project Number: N/A Applicable Forms: N/A

Use/Relationship: The Hazardous Waste Report will identify type, amount, and disposal cost of hazardous waste removed during the period of performance. It will provide the Government with evidence of proper hazardous waste disposal.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

This DID is for one time use on solicitation N4523A-17-R-0032 only. dsw

Requirements:

1. Format. The Report shall be in contractor’s format.

2. Content. The report shall contain:

a. Name of each item.

b. Title of each item.

c. Description of each item.

d. Quantity of each item.

e. Analysis used to identify the hazardous waste.

f. Copies of paid invoices for the disposal of hazardous wastes.

g. Copies of paid receipts for the disposal of hazardous wastes.

End of OT-17-20149. dsw

Page 1 of 1 Page

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

MGMT

VESSEL REPAIR SERVICES N4523A-17-R-0032 TBD

A008 GAS FREE PROGRAM REPORT N/A

DI-MGMT-82093 SOW PARAGRAPH 1.21.2 PSNS & IMF C/411

A D(SEE BLK16)

ASREQ*

N/A

SEE BLOCK 16

PSNS & IMF C/411 1 1

1 1 0

BlOCK 8: Product shall be approved for technical content. Government requires 5 work days to review and comment. Contractor has 3 working days to incorporate comments and send back to the Government.

BLOCK 10, 12, AND 13: BLOCK 10, 12, and 13: Submit report a minimum of 8 working days prior to the start of contract period of performance.

Submit revised report within 2 work days of a change to the Gas Free Program, Personnel, or Certifications/Qualifications.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:12:28 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:52:12 -07'00'

Title: GAS FREE PROGRAM REPORT

Number: DI-MGMT-82093 Approval Date: 20161208 AMSC Number: N9754 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: SH Project Number: MGMT-2017-001 Applicable Forms: N/A

Use/Relationship: The Gas Free Program Report will provide the Government with proof of the Contractor’s confined space entry/gas free certification processes and qualified personnel, including sub-contractors.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements as delineated in the contract.

Requirements:

1. Format. The Report shall be in contractor’s format.

2. Content. The Gas Free Program Report shall contain the following Sections:

2.1 Objective.

2.2 Background.

2.3 Assignment of Responsibility for:

a. Employer

b. Program Manager

c. Entry Supervisors

d. Attendants

e. Rescue Team

f. Entrants/Affected Employees

2.4 Training:

a. Training Frequency

b. General Training

c. Specific Training

d. Verification of Training

2.5 Identification of Hazards and Evaluation of Confined Spaces:

a. Survey

b. Hazard Reevaluation

c. Pre-Entry Hazard Assessment

d. Hazard Controls

Source: https://assist.dla.mil -- Downloaded: 2017-01-05T18:11Z

DI-MGMT-82093

2.6 Entry Permits:

a. Key Elements of Entry Permits

b. Permit Scope and Duration

2.7 Entry Procedures:

a. Prior to Entry

b. Opening a Confined Space

c. Atmospheric Testing

d. Isolation and Lockout/Tagout Safeguards

e. Ingress/Egress Safeguards

f. Warning Signs and Symbols

2.8 Maintenance of Safe Conditions:

a. Conditions

b. Tests required

2.9 Emergency Response:

a. Emergency Response Plan

b. Retrieval Systems and Methods of Non-Entry Rescue

2.10 Current Roster of the following personnel:

a. Certified National Fire Protection Association (NFPA) Marine Chemists

b. Certified Industrial Hygienists

c. Qualified Competent Persons

End of DI-MGMT-82093

Source: https://assist.dla.mil -- Downloaded: 2017-01-05T18:11Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

MGMT

Vessel Repair Services N4523A-17-R-0032 TBD

A009 Test and Inspection Plan (TIP) N/A

DI-MGMT-82062 SOW PARAGRAPH 1.22.1 PSNS & IMF C/411

A* D(SEE BLK16)

ASREQ*

N/A

SEE BLOCK16

PSNS & IMF C/411 1 1

1 1 0

BLOCK 8: Government requires 5 days prior to project start date to review and comment. Contractor has 3 days to incorporate any changes and return to Government.

BLOCK 10, 12 and 13:

Submit TIP 24 hours prior to each weekly scheduled production meeting.

5/1/17 5/18/17 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:13:12 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:53:00 -07'00'

Title: TEST AND INSPECTION PLAN (TIP)

Number: DI-MGMT-82062 AMSC Number: N9711 DTIC Applicable: No Preparing Activity: SH Applicable Forms: N/A

Approval Date: 20161003 Limitation: N/A GIDEP Applicable: No Project Number: MGMT-2016-049

Use/Relationship: This DID is used to identify all inspections and tests required by zero-tier references and first tier references, as well as symbols (I)(V)(Q) test/inspections and (G) government notification identified in the Work Item, and any additional tests and inspections the contractor deems necessary to substantiate product conformance.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

Requirements:

Format. The TIP shall be in the contractor’s format.

Content. The TIP shall include the following information:

Ship’s name/hull number Work Item number Work Item Paragraph number Identification of item/component to be inspected/tested Standard Item Number Standard Item Paragraph Location Sub-Contractor (if applicable) Inspection Symbol (I, V, Q, G) Accept/Reject Criteria Test Result (Accept or Reject) Notify Date Notify Time Request Date Request Time Inspection Date Name of Person Notified Name of Government Representative at Inspection Name of Contractor’s authorized representative who witnessed/performed test.

End of DI-MGMT-82062

Source: https://assist.dla.mil -- Downloaded: 2016-12-06T20:05Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

MGMT

Vessel Repair Services N4523A-17-R-0032 TBD

A010 Vessel Docking and Undocking Plan N/A

DI-MGMT-82094 SOW PARAGRAPH 3.1.3 PSNS & IMF C/411

A* D(SEE BLK16)

ASREQ*

N/A

SEE BLOCK 16

PSNS & IMF C/411 1 1

PSNS & IMF C/242 1 1

2 2 0

BlOCK 8: Product shall be approved for technical content. Government requires 5 work days to review and comment.

BLOCK 10, 12, and 13: Submit plan a minimum of 5 working days prior to docking and undocking the vessel.

BLOCK 14: Media requirement. The report shall be delivered electronically to the Government Docking Observer (GDO) and the Contracting Officer's Representative (COR) specified in the contract.

5/18/17 5/18/17 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.18 12:01:31 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 12:05:34 -07'00'

Title: VESSEL DOCKING AND UNDOCKING PLAN

Number: DI-MGMT-82094 Approval Date: 20161208 AMSC Number: N9755 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: SH Project Number: MGMT-2017-002 Applicable Forms: N/A

Use/Relationship: The plan will document a detailed plan to safely dock and undock the vessel(s). It is used by the Government to review, comment, and approve docking and undocking plans prior to each docking and undocking evolution.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

Requirements:

1. Format. The Plan shall be in contractor’s format.

2. Content. The Plan shall include the following Docking Procedures:

a. Operating Practices

b. Safety and Security Plans

c. Special precautions or actions required by the characteristics of the dock, marine railway, or other docking methods

d. Pumping/flooding schedule

e. Specific list, trim, and stability requirements

3. The Plan shall contain:

a. Set and align docking blocks

b. A scaled drawing including block size, block spacing, and location of vessel with respect to the blocks at landing

c. Docking clearances utilizing references for guidance

d. The use of haul, fixed, or fitted blocks

e. The number, distance from centerline, and square footage of the side blocks per side sufficient to resist overturning moments

4. The Plan shall show that at least 90 percent of blocks land on longitudinal strength members or main transverse bulkheads.

End of DI-MGMT-82094

Source: https://assist.dla.mil -- Downloaded: 2017-01-10T14:39Z

DATA ITEM DESCRIPTION (DID)

Title: Final Docking Report

Number:OT-17-20150 dsw Approval Date: 20170414 dsw AMSC Number: N/A Limitation:N4523A-17-R-0032 DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: SH Project Number: N/A Applicable Forms: NAVSEA Forms 9997/1 through 9997/5

Use/Relationship: The report will document the results of various vessel drydocking evolutions. It will provide the Government with historical information to be applied to future drydockings.

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

This DID is for one time use on solicitation N4523A-17-R-0032 only.

The NAVSEA forms 9997/1 through 9997/5 can be obtained as specified in the contract.

Requirements:

1. Format. The Report shall be presented on NAVSEA forms 9997/1 through 9997/5.

2. Content. The Report shall contain all the information specified in NAVSEA forms 9997/1 through 9997/5 as applicable to each vessel.

End of OT-17-20150. dsw

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

MISC

Vessel Repair Services N4523A-17-R-0032 TBD

A011 Vessel Final Docking Report N/A

OT-17-20150 SOW PARAGRAPH 3.1.11 PSNS & IMF C/411

N/A D(SEE BLK16)

OTIME*

N/A

SEE BLOCK 16

N/A

PSNS & IMF C/411 1

PSNS & IMF C/242 1

0 2 0

BLOCK 10: Submit report within 5 working days of final undocking of the vessel.

BLOCK 14: Media requirement. The report shall be delivered electronically to the Government Docking Observer (GDO) and the Contracting Officer's Representative (COR) specified in the contract.

5/1/17 5/18/17 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:14:45 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:55:17 -07'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

A001, 0003 A

MGMT

VESSEL REPAIR SERVICES N4523A-17-R-0032 TBD

A012 ZINC ANODE LOCATION REPORT N/A

DI-MGMT-82108 SOW PARAGRAPH 3.2.3.2 PSNS & IMF C/411

N/A D(SEE BLK16)

OTIME*

N/A

SEE BLOCK 16

N/A

PSNS & IMF C/411 1

0 1 0

BLOCK 10, 12, and 13: Submit report a minimum of 4 working days prior to an undocking event.

5/1/17 5/18/17

1 1 CARNEY.SEAN.ROBERT.1165148165 Digitally signed by CARNEY.SEAN.ROBERT.1165148165

Date: 2017.05.01 14:16:37 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.05.18 11:57:36 -07'00'

Title: ZINC ANODE LOCATION REPORT

Number: DI-MGMT-82108 Approval Date: 20170327 AMSC Number: N9781 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing Activity: SH Project Number: MGMT-2017-016 Applicable Forms: N/A

Use/Relationship: The report will provide detailed current zinc anode locations of the underwater hull of vessel(s).

This DID contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

Requirements:

1. Format. The report shall be in contractor’s format.

2. Content. The Zinc Anode Location report shall contain a sketch of the underwater body and freeboard plating surfaces with the following information:

2.1 Specific locations of fixed hull structural members.

2.2 Specific locations of docking block locations.

2.3 Specific locations of hull reference points.

2.4 Specific measurements of zinc anodes to docking block locations.

2.5 Specific measurements of zinc anodes to hull reference points.

2.6 Specific measurements of zinc anodes to fixed hull structural members.

End of DI-MGMT-82108

Source: https://assist.dla.mil -- Downloaded: 2017-03-30T17:25Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

0001, 0003 A

NDTI

Vessel Repair Services N4523A-17-R-0032 TBD

A013 Ultrasonic Test (UT) Report N/A

DI-NDTI-82095 SOW PARAGRAPH 3.2.6.1 PSNS & IMF C/411

N/A D(SEE BLK16)

ASREQ*

N/A

SEE BLOCK 16

PSNS & IMF C/411 1

0 1 0

BLOCK 10, 12, and 13: Submit each report within 2 working days of test

BLOCK 14: Media requirement. The report shall be delivered electronically to the Contracting Officer's…

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