Exhibit_A_-_CDRLs_and_DIDs_Combined_IX-536.pdf

PDF 2 MB Posted Jul 3, 2018

Attached to: Maintenance, Repair and Preservation of IX-536
Solicitation number: N4523A18R1076
Issued by: Department of the Navy Naval Sea Systems Command

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Exhibit A, CDRLs and DIDs Combined IX-536

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File	Type	Posted
RFC5_Response.doc	DOC document	Jul 27, 2018
RFC4_Response.doc	DOC document	Jul 27, 2018
N4523A18R1076_SolicitationDrawings.zipx	ZIPX file	Jul 12, 2018
RFC3_Response.pdf	PDF	Jul 11, 2018
RFC2_Response.pdf	PDF	Jul 11, 2018
RFC1_Response.pdf	PDF	Jul 11, 2018
Attachment_J-3_Request_for_Clarification_Form.doc	DOC document	Jul 3, 2018
N4523A18R1076_IX-536.pdf	PDF	Jul 3, 2018
Attachment_J-2_Price_Proposal_Worksheet_IX-536.xls	XLS spreadsheet	Jul 3, 2018
Attachment_J-4_Contract_Performance_Data_Sheet.docx	DOCX document	Jul 3, 2018
Attachment_J-1_Statement_of_Work_IX-536_dated_9MAY2018.pdf	PDF	Jul 3, 2018
Attachment_J-7_BAVR_Instructions.docx	DOCX document	Jul 3, 2018
Attachment_J-5_Corporate_Experience_Data_Sheet.docx	DOCX document	Jul 3, 2018
Attachment_J-6_GFP_Attachment.pdf	PDF	Jul 3, 2018
IX-536_Draft_SOW.pdf	PDF	Jun 12, 2018

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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

0003 A

MGMT

IX 536 N4523A-18-R-1076 TBD

A001 Contractor's Progress, Status and Management Report N/A

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

N/A D(See Block16*)

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.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 05:47:39 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=STUBBLEFIELD.MATTHEW.COR.1166829778 Date: 2018.05.21 09:14:33 -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

0003 A

QCIC

IX 536 N4523A-18-R-1076 TBD

A002 COATING SYSTEM DATA REPORT N/A

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

N/A D(See Block16*)

OTIME*

N/A

SEE BLOCK 16*

N/A

PSNS & IMF C/411 1

0 1 0

BLOCK 10 and 12: Report shall be submitted 5 business days after contract award.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 05:48:52 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:15:24 -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

0003 A

SAFT

IX 536 N4523A-18-R-1076 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 Block16*)

OTIME*

N/A

SEE BLOCK 16*

N/A

PSNS & IMF C/411 1

0 1 0

BLOCK 10 and 12: Report shall be submitted 5 business days after contract award.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 05:49:39 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:16:17 -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

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

0003 A

MGMT

IX 536 N4523A-18-R-1076 TBD

A004 CONDITION FOUND REPORT N/A

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

N/A D(See Block16*)

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.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 05:52:27 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:17:30 -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

0003 A

MGMT

IX 536 N4523A-18-R-1076 TBD

A005 INCIDENT REPORT N/A

DI-MGMT-82071 SOW PARAGRAPH 1.13.2 PSNS & IMF C/411

N/A D(See Block16*)

ASREQ*

N/A

SEE BLOCK 16*

PSNS & IMF C/411 1

0 1 0

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

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 05:53:34 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:18:33 -07'00'

Title: INCIDENT REPORT

Number: DI-MGMT-82071 AMSC Number: N9720 DTIC Applicable: No Preparing Activity: SH Applicable Forms: N/A

Approval Date: 20161003 Limitation: N/A GIDEP Applicable: No Project Number: MGMT-2016-058

Use/Relationship: This DID will be used to describe each accident, electrical shock, and fire that requires medical treatment.

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

Requirements:

Format. The report shall be similar to that of Figure 1.

Content. The report shall contain all the information contained in Figure 1.

Source: https://assist.dla.mil -- Downloaded: 2017-01-05T15:48Z

DI-MGMT-82071

Figure 1

INCIDENT REPORT

Report #

INITIAL REPORT REQUESTED UPDATE FINAL REPORT

TYPE OF INCIDENT:

NAME(S) OF INJURED (if applicable):

INCIDENT DATE: TIME: COMPANY:

SUPERVISOR:

LOCATION OF INCIDENT: TYPE OF INJURY OR FIRE:

CAUSE OF INCIDENT: EQUIPMENT INVOLVED:

WORK ITEM NUMBER: CONTRACT NUMBER:

WITNESS AND/OR INDIVIDUALS INVOLVED

NAME(S) DEPT. COMPANY

DESCRIPTION OF INCIDENT

INVESTIGATED BY(NAME): TITLE:

SIGNATURE OF INVESTIGATOR: DATE:

DISPOSITION OF INJURED (if applicable)

IMMEDIATE CORRECTIVE ACTION

FIGURE 1 (continued)

LONG TERM CORRECTIVE ACTION

INVESTIGATED BY (NAME): TITLE:

SIGNATURE OF INVESTIGATOR: DATE:

INCIDENT REPORT

Report #

ROOT CAUSE ANALYSIS

FIGURE 1 (continued) Incident Report Instructions

REPORT NUMBER- Unique tracking number created by contractor

TYPE OF INCIDENT- Injury, fire or near miss

NAME(S) OF INJURED- Self Explanatory

INCIDENT DATE: - Self Explanatory

TIME: - Self Explanatory

COMPANY: - Prime and subcontractors involved

SUPERVISOR – Supervisor of employee(s) involved

LOCATION OF INCIDENT: - Base/Yard, Ship name and hull number, space number and compartment name TYPE OF

INJURY OR FIRE – i.e. broken arm, laceration to head or Class A, B, C fires, smoldering

CAUSE OF INJURY – i.e. Equipment failure, PPE, process

EQUIPMENT INVOLVED – Equipment working on and equipment being used to cause incident WORK

ITEM NUMBER – Work Item being accomplished when incident occurred

CONTRACT NUMBER: - Contract Number assigned by government agency i.e. RMC, Alteration Installation Team (AIT) Sponsor.

WITNESS AND/OR INDIVIDUALS INVOLVED – Name, company of witnesses and or individuals involved with the incident.

DESCRIPTON OF INCIDENT OR NEAR MISS – Short description of events leading up to incident and extent of injuries and or damage to equipment.

DISPOSITION OF INJURED – i.e. Transported to hospital via ambulance or POV, transported to clinic, released from hospital, name of hospital or clinic, limited duty or loss time (if known).

IMMEDIATE CORRECTIVE ACTION – i.e. Scene/space secured, ship notified (who and when), RMC notified (who and when) clean-up of blood, equipment secured fire debris cleaned up.

INVESTIGATED BY – Self Explanatory.

TITLE – Self Explanatory.

SIGNATURE OF INVESTIGATOR – Self Explanatory.

DATE – Self Explanatory.

LONG TERM CORRECTIVE ACTION – What action(s) were taken so that incident does not reoccur, i.e. training, safety stand down or process/policy change?

ROOT CAUSE ANALYSIS – Process by which you will identify the cause or contributing factors of the incident.

Note: Attach additional information as necessary.

End of DI-MGMT-82071

(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

0003 A

MISC

IX 536 N4523A-18-R-1076 TBD

A006 PAINT PRESERVATION APPENDICES N/A

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

N/A D(See Block16*)

ASREQ*

N/A

SEE BLOCK16*

PSNS & IMF C/411 1

0 1 0

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

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 05:54:27 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:20:20 -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

0003 A

MGMT

IX 536 N4523A-18-R-1076 TBD

A007 HAZARDOUS WASTE REPORT N/A

DI-MGMT-82129 SOW PARAGRAPH 1.17 PSNS & IMF C/411

N/A D(See Block16*)

OTIME*

N/A

SEE BLOCK 16*

N/A

PSNS & IMF C/411 1

0 1 0

BLOCK 10 and 12: Submit report within 30 calendar days of project completion.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 05:55:53 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:21:26 -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.

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

0003 A

SESS

IX 536 N4523A-18-R-1076 TBD

A008 WEIGHT AND STABILITY REPORT N/A

DI-SESS-81404A* SOW PARAGRAPH 1.19 PSNS & IMF C/411

A* D(See Block16*)

ASREQ*

N/A

SEE BLOCK 16*

PSNS & IMF C/411 1 1

PSNS & IMF C/242 1 1

2 2 0

BLOCK 4: Paragraph 2.6 delete "from prior reports" and "and impact of future alterations".

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

BLOCK 10, 12 and 13: Submit report a minimum of 8 working days prior to each undocking of the vessel.

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

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 06:03:44 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:22:44 -07'00'

Title: WEIGHT AND STABILITY REPORTS FOR IN-SERVICE SURFACE SHIPS

Number: DI-SESS-81404A Approval Date: 20110609 AMSC Number: N9202 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: SH/SEA 05P3 Applicable Forms: N/A

Use/relationship: Weight and Stability reporting is required for in-service ships to ensure that ship’s weight and height of center of gravity above the bottom of the keel (KG) values are within the Naval Architectural limits and that stability characteristics are not compromised, as a result of authorized alterations. It provides the basis for planning for corrective or compensation for adverse conditions.

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. A table of contents.

2.2. For each ship, the report shall include light ship (Condition A) and full load (Condition D) displacement (in long tons), condition expected at the end of availability and recommended ballast or compensation measures.

2.3. For each availability, a matrix or table showing alteration number with title description. For each alteration, show weight added or removed (pounds), height of vertical center of gravity above baseline and associated moment, distance of the longitudinal center of gravity from the mid-perpendicular reference point and associated moment, and distance of the transverse center of gravity from the centerline and associated moment. All levers are carried to nearest hundredth of a foot and all moments are carried to nearest a foot-pound. Vertical levers shall be indicated by a “+” or a blank for above the baseline, and a “-“ for below the baseline. Longitudinal levers shall be indicated by an “F” or an “-“ for forward of the mid-perpendicular reference point, and an “A”, a “+” or a blank for aft of the mid-perpendicular reference point. Transverse levers shall be indicated by a “P”, a “+“ or a blank for port, and an “S” or a “-“ for starboard. When an alteration causes a change in loads, include in the table with the appropriate sign.

2.4. By hull, a Stability Summary of:

a. Full load displacement (long tons)

b. KG (feet)

Source: https://assist.dla.mil -- Downloaded: 2016-02-26T14:18Z

DI-SESS-81404A

c. Date of last inclining experiment

d. Current ballast installed (long tons)

e. Recommendations for inclining

2.5. Summaries for all required loading conditions, and their associated drafts (forward, aft, and mean), list, trim, KG, and metacentric height, uncorrected and corrected for free surface affect of liquids in tanks. Include effects of changes of loads as well as weight and moment of alteration installations.

2.6. Analysis results and discussion of reasons for weight changes from prior reports, and recommendations for reversing unsatisfactory trends, such as exceeding established Naval Architectural limits. Include recommendations for weight removals for compensations, ballast adjustments, need for an inclining experiment, and impact of future alterations.

2.7. Background information, studies, directives, correspondence and all detailed calculations pertaining to weights, including density factor. Where applicable, include alteration Weight and Moment Worksheets as background information.

3. Media Requirements. The media requirements shall be as specified in the contract.

4. End of DI-SESS-81404A. .

Source: https://assist.dla.mil -- Downloaded: 2016-02-26T14:18Z

(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

0003 A

MGMT

IX 536 N4523A-18-R-1076 TBD

A009 GAS FREE PROGRAM REPORT N/A

DI-MGMT-82093 SOW PARAGRAPH 1.22.1 PSNS & IMF C/411

*A D(See Block16*)

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.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 06:19:14 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:23:34 -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

0003 A

MGMT

IX 536 N4523A-18-R-1076 TBD

A010 TEST AND INSPECTION PLAN (TIP) N/A

DI-MGMT-82062* SOW PARAGRAPH 1.23.1 PSNS & IMF C/411

A* D(See Block16*)

ASREQ*

N/A

SEE BLOCK16*

PSNS & IMF C/411 1 1

1 1 0

BLOCK 4: Delete "as well as symbols (I)(V)(Q) test/inspections and (G)" Delete "Work Item number" Delete "Inspection symbol (I, V, Q, G) Delete "Standard Item Number" Delete "Standard Item Paragraph"

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.

Final TIP submission shall be submitted within 24 hours after all testing is complete.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 06:19:58 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:24:50 -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

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

0003 A

MGMT

IX 536 N4523A-18-R-1076 TBD

A011 COMPARTMENT INSPECTION REPORT N/A

DI-MGMT-82063 SOW PARAGRAPH 1.24.1 PSNS & IMF C/411

N/A D(See Block16*)

ASREQ*

N/A

SEE BLOCK16*

PSNS & IMF C/411 1

0 1 0

BLOCK 10, 12 and 13: Submit report within 3 working days of each compartment inspection.

05/07/18 5/21/18

1 1 MARROW.JOSEPH.W.1367419004 Digitally signed by MARROW.JOSEPH.W.1367419004

Date: 2018.05.07 06:28:07 -07'00' STUBBLEFIELD.MATTHEW.COR.1166829778 Digitally signed by STUBBLEFIELD.MATTHEW.COR.1166829778

Date: 2018.05.21 09:25:39 -07'00'

Title: COMPARTMENT INSPECTION REPORT

Number: DI-MGMT-82063 AMSC Number: N9712 DTIC Applicable: No Preparing Activity: SH Applicable Forms: N/A

Approval Date: 20161003 Limitation: N/A

Project Number: MGMT-2016-050

Use/Relationship: This DID will be used to provide results of each compartment inspection, including discrepancies found, and provides objective quality evidence (OQE) for the work accomplished within the compartment.

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 report shall be in the contractor’s format.

Content. The report shall contain the following information:

Name and hull number of ship

Job Order

Work Item

Paragraph numbers including standard item paragraph number

Compartment (number and name)

Date of inspection

List of discrepancies and the identity of the Contractor responsibility and Government responsibility

Signature of Contractor representative

Signature of SUPERVISOR

Signature of Commanding Officer’s designated representative

End of DI-MGMT-82063

Source: https://assist.dla.mil -- Downloaded: 2016-10-13T13:27Z

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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.