Exhibit_A__CDRL_and_DIDs.pdf

PDF 2 MB Posted Dec 7, 2017

Attached to: Caisson 2 Federal contract opportunity
Solicitation number: N4523A18R1050
Issued by: Department of the Navy Naval Sea Systems Command

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Exhibit A CDRL and DIDs

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File	Type	Posted
N4523A18R1050_P0005_16FEB2018.pdf	PDF	Feb 16, 2018
Caisson__2_SOW_Errata_One_POP_Update_16FEB2018.pdf	PDF	Feb 16, 2018
N4523A18R1050_0004_1FEB2018.pdf	PDF	Feb 1, 2018
N4523A18R1050_00003.pdf	PDF	Jan 29, 2018
Attachment_J-2_Pricing_Sheet_01.29.18.xls	XLS spreadsheet	Jan 29, 2018
Pictures.zip	ZIP file	Jan 25, 2018
N4523A18R1050_00002.pdf	PDF	Jan 25, 2018
Attachement_J-2_pricing_sheet_23JAN2018.xls	XLS spreadsheet	Jan 25, 2018
N4523A18R1050_0001.pdf	PDF	Jan 17, 2018
Caisson__2_SOW_Errata_One.pdf	PDF	Jan 17, 2018
Photo&drawings.zip	ZIP file	Dec 13, 2017
Attachment_J-2_Pricing_Sheet.xls	XLS spreadsheet	Dec 7, 2017
Attachment_J-5_Corporate_Experience_Data_Sheet_17_Nov_17.doc	DOC document	Dec 7, 2017
Attachment_J-1_Statement_of_Work.docx	DOCX document	Dec 7, 2017
N4523A18R1050_Solicitation.docx	DOCX document	Dec 7, 2017
Attachment_J-3_Request_for_Clarifications_7_Dec_17.doc	DOC document	Dec 7, 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

A001 A

MGMT

VESSEL REPAIR SERVICES N4523A-18-R-1050 TBD

A001 PRODUCTION SCHEDULE REPORT N/A

DI-MGMT-80227 SOW 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 first report 5 working days prior to project start date.

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.

8/3/17 8/3/17

1 1

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.08.03 11:30:47 -07'00' STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=STUBBLEFIELD.MATTHEW.COREY.1166829778 Date: 2017.08.03 11:31:25 -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 A

QCIC

VESSEL REPAIR SERVICES N4523A-18-R-1050 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.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:12:44 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 07:58:29 -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 Check the source to verify that this is the current version before use.

http://www.nstcenter.biz/tech-documents/astm-f718s/ http://www.nstcenter.biz/tech-documents/astm-f718s/

(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 A

SAFT

VESSEL REPAIR SERVICES N4523A-18-R-1050 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.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:14:43 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:01:12 -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 https://www.osha.gov/Publications/OSHA3514.html

(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 A

MGMT

VESSEL REPAIR SERVICES N4523A-18-R-1050 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.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:15:25 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:02:29 -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 A

SAFT

VESSEL REPAIR SERVICES N4523A-18-R-1050 TBD

A005 ACCIDENT/INCIDENT REPORT N/A

DI-SAFT-81563 SOW 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.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:21:50 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:04:21 -07'00'

Title: Accidertflncident Report

Number DI-SAFT-8 1563 Approved Date: 2 Jun 98 AMSC Numbec A7315 Limitation:

DT3C Applicable: GIDEP Application:

Office of Primary Respomibility A/AR Applicable Fornw Use/relationship: This reportprovides tAeprocuring agency with immediate notification and information concerning any mrjor acciderrthncident (including fire) resulting in any one or more of the following: causing one or more fatalities, or two or snore disabling injuries; damaging government property exceeding $10,000; atTecting program planning or production schedules;

degrading the safety of the equipment under contract, such that persomel injury or property darnage may be involved, identi@ng a potential hazard requiring corrective action.

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

b. This Data Item Description replaces DI-H-I 329A.

Requirements:

1. Format. Contractor format is acceptable

2. Content. Report without delay any serious accident or incident (i.e. explosioq fire, flood pressure rupture, major rndfunction) which will adversely affect capabtity to meet contractual obligations. The report shall be made by the fkstest means, giving the following information.

Name, organization, telephone number, and location of the contractor and general manager Name and title of the person(s) reporting Date and time of accidenthcident Location of accidentiiciden~ i.e., building number, fkcility name Brief summary of accidentkscidcnt giving pertinent details”iircludihgtype ‘md qtiti~”of -materiel Cause of accidentliicident Camalties (fatalities, disabling irjuries, exposed to CBR agents) Estimated property damage, if applicable Nature of darnage; effect on production, operations, training or other activity Action taken by contractor Other damage or injuries sustained (public or private) Other pertinent information

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

DI-SAFT-81563

3. Malfunction. If a malfunction of equipment is involved, the following additional information shall be finmished:

a. Equipment nomenclature

b. @@ity illvokd

c. Production lot number(s)

d. Brief teehnieal description of malfunction

I 4. End of DI-SAFT-8 1563

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 A

MISC

VESSEL REPAIR SERVICES N4523A-18-R-1050 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, Prime Coat, Stripe Coat and Top Coat Cure.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:22:23 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:05:32 -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 A

MGMT

VESSEL REPAIR SERVICES N4523A-18-R-1050 TBD

A007 HAZARDOUS WASTE REPORT N/A

DI-MGMT-82129 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.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:23:01 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:06:24 -07'00'

Title: Hazardous Waste Report

Number: DI-MGMT-82129 Approval Date: 20170608

AMSC Number: N9814 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: SH Project Number: MGMT-2017-026

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.

Requirements:

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

2. Content. The report shall contain:

2.1. Name, title, description, and quantity of each item.

2.2. Analysis used to identify the hazardous waste.

2.3. Copies of paid invoices and receipts for the disposal of hazardous wastes.

End of DI-MGMT-82129

Source: https://assist.dla.mil -- Downloaded: 2017-06-16T14:12Z

(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 A

MGMT

VESSEL REPAIR SERVICES N4523A-18-R-1050 TBD

A008 GAS FREE PROGRAM REPORT N/A

DI-MGMT-82093 SOW PARAGRAPH 1.21 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: 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.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:24:03 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:07:43 -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

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 A

MGMT

VESSEL REPAIR SERVICES N4523A-18-R-1050 TBD

A009 TEST AND INSPECTION PLAN (TIP) N/A

DI-MGMT-82062 SOW PARAGRAPH 1.22 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.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:24:37 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:12:04 -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

0001 A

MGMT

VESSEL REPAIR SERVICES N4523A-18-R-1050 TBD

A010 PROCESS CONTROL PROCEDURE (PCP) N/A

DI-MGMT-82131 SOW PARAGRAPH 1.23 PSNS & IMF C/411

A* D(SEE BLK16)

ASGEN*

N/A

SEE BLOCK 16

PSNS & IMF C/411 1 1

1 1 0

BLOCK 8: Government requires 5 working days to review and comment.

Contractor has 5 working days to incorporate any changes and return to Government at least 5 working days prior to start of required process. Updated or changed procedures shall be submitted at least 3 working days prior to implementation for review and acceptance.

BLOCK 10, 12, and 13: Technical changes required after the start of work and require a revision that includes any change to work scope, work location, work sequence, testing technical parameters (torque, test pressure, flow rate, etc.), material, inspections, repair processes, references, or change which otherwise alters any technical aspect of the work shall be submitted within one day of identifying.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:25:25 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:13:08 -07'00'

Title: PROCESS CONTROL PROCEDURE (PCP)

Number: DI-MGMT-82131 Approval Date: 20170608

AMSC Number: N9816 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: SH Project Number: MGMT-2017-029

Applicable Forms: N/A

Use/Relationship: This Data Item Description (DID) shall identify the detailed procedure to ensure safety of personnel and vessel equipment during critical work evolutions.

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 report shall contain all the information contained in Sample Figure -1.

Source: https://assist.dla.mil -- Downloaded: 2017-06-16T14:15Z

DI-MGMT-82131

SAMPLE FIGURE -1

PCP Checklist

Section 1 - Identification:

1.1. Include the process title and procedure number, revision, and date developed.

1.2. List the work item title and paragraph that the PCP fulfills.

1.3. Include Contractor/Subcontractor names and addresses.

1.4. Include space for the Approval Signature and title of the Contractor’s representative, date developed, date of submission, and scheduled start date of the PCP.

Section 2 - Personnel Qualifications:

2.1. List the qualification requirements for the personnel performing the work.

2.2. Include a statement that a briefing will be conducted prior to beginning work to ensure personnel have direct knowledge of the requirements of the procedure and the safety requirements of the job.

Section 3 - Process Description:

3.1. List any specialized or critical equipment needed to perform the work.

3.2. List any specialized or critical personal protective safety equipment required to be worn by personnel.

3.3. Identify Government notification points for the start and during the Contractor identified inspection points during the accomplishment of the PCP.

3.4. Describe the PCP as related to the sequence of work including critical factors which have a direct bearing on the process quality and safety.

3.5. List the acceptance and rejection criteria used for determining satisfactory PCP completion.

DI-MGMT-82131

SAMPLE FIGURE -1

PCP Checklist

3.6. Provide inspections required for the process.

3.7. Provide inspection and documentation forms applicable to the process.

3.8. The method to ensure an up-to-date copy of the PCP, work authorization forms (WAF’s), and tag-out record sheets (TORS’s) are at the worksite during the performance of the work.

3.9. The method utilized to control the PCP.

Section 4 - Hazardous Material:

4.1. State if no hazardous material/waste will be used or generated.

4.2. Identification of hazardous materials which will be used in the PCP and hazardous waste that will be generated by the accomplishment of the PCP. Include a Safety Data Sheet (SDS) for each hazardous material that will be used aboard the vessel.

4.3. Include the methodology which will be utilized to minimize the quantity of hazardous materials which will require control and disposal.

4.4. Description of the methods and safeguards to be utilized for the capture, containment, control, and disposal of hazardous material or hazardous waste.

End of DI-MGMT-82131

(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 A

MGMT

VESSEL REPAIR SERVICES N4523A-18-R-1050 TBD

A011 RESERVATION TASKING REPORT N/A

DI-MGMT- 82109 SOW PARAGRAPH 1.24.3 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 initial reserve tasking request within 24 hours of identification.

Submit weekly report One working day prior to each weekly progress meeting.

Submit tasking completion report within 48 hours of tasking completion.

Submit final report within 5 working days of project completion.

7/18/17 7/18/17

1 1

CARNEY.SEAN.ROBERT.1165148165

Digitally signed by CARNEY.SEAN.ROBERT.1165148165 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=CARNEY.SEAN.ROBERT.1165148165 Date: 2017.07.18 07:26:18 -07'00'

STUBBLEFIELD.MATTHEW.COREY.1166829778

Digitally signed by STUBBLEFIELD.MATTHEW.COREY.1166829778

Date: 2017.07.18 08:14:56 -07'00'

Title: RESERVATION TASKING REPORT

Number: DI-MGMT- 82109 Approval Date: 20170327

AMSC Number: N9782 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: SH Project Number: MGMT-2017-017

Applicable Forms: N/A

Use/Relationship: The Reservation Tasking report will be used to monitor Reservation Tasking.

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 identification and completion of each reservation tasking shall be in accordance with Sample Figure-1.

2. Content. The Reservation Tasking report shall include all of the information specified in

Sample Figure-1.

Source: https://assist.dla.mil -- Downloaded: 2017-03-30T17:27Z

DI-MGMT-82109

SAMPLE Figure -1

RESERVATION TASK REQUEST/CONTROL FORM

REQUEST NO: SHIP/HULL:

WORK ITEM NO: CFR #: DATE:

WRITTEN BY:

DESCRIPTION OF SERVICE:

LOCATION:

CONTRACTOR’S ESTIMATE: Labor M/Hs Material $

NEGOTIATED TOTALS: Labor M/Hs Material $_

PM Authorization/ Agreement To Quote: Date:

Contractor Obligation/ Agreement To Quote: Date:

ACO Initial: Date:

COMPLETION SIGN OFFS:

Contractor: Date:

SBS: Date:

PM: Date:

End of DI-MGMT-82109

Source: https://assist.dla.mil -- Downloaded: 2017-03-30T17:27Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it.