Exhibit A - CDRLs and DIDs - APL-62.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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

1_DATA_ITEM_NO: A012

2_TITLE_OF_DATA_ITEM: PROCESS CONTROL PROCEDURE (PCP)

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-82131

5_CONTRACT_REFERENCE: SOW PARAGRAPH 1.24

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: A*

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: ASGEN*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*

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16_REMARKS: 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 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: 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.

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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T09:57:16-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:47:41-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

DATA ITEM DESCRIPTION

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 Check the source to verify that this is the current version before use.

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

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

1_DATA_ITEM_NO: A013

2_TITLE_OF_DATA_ITEM: VESSEL DOCKING AND UNDOCKING PLAN

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-82094

5_CONTRACT_REFERENCE: SOW PARAGRAPH 3.1.2

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: A*

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: ASREQ*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*

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16_REMARKS: BLOCK 8: Product shall be approved for technical content. Government requires 5 work days to review and comment.

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 plan a minimum of 5 working days prior to docking and undocking 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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T09:58:49-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:48:12-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

Title: VESSEL DOCKING AND UNDOCKING PLAN

Number: DI-MGMT-82094 Approval Date: 20161208

AMSC Number: N9755 Limitation: N/A

Preparing Activity: SH Project Number: MGMT-2017-002

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.

by the specific and discrete task requirement as delineated in the contract.

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

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

1_DATA_ITEM_NO: A014

2_TITLE_OF_DATA_ITEM: VESSEL FINAL DOCKING REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-82130

5_CONTRACT_REFERENCE: SOW PARAGRAPH 3.1.13

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: OTIME*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS: 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 and 12: Submit report within 5 working days of final 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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T10:02:54-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:48:37-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

Title: VESSEL FINAL DOCKING REPORT

Number: DI-MGMT-82130 Approval Date: 20170608

AMSC Number: N9815 Limitation: N/A

Preparing Activity: SH Project Number: MGMT-2017-027

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.

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

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

2. Content. The Vessel Final Docking Report shall contain completed NAVSEA forms

9997/1 through 9997/5 applicable to each vessel.

End of DI-MGMT-82130

Source: https://assist.dla.mil -- Downloaded: 2017-06-16T14:14Z

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

1_DATA_ITEM_NO: A015

2_TITLE_OF_DATA_ITEM: AIR TEST REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-NDTI-82110

5_CONTRACT_REFERENCE: SOW PARAGRAPH 3.2.2.4

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: ASREQ*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*

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16_REMARKS: 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 each report within 2 working days of test.

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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: NDTI

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T10:06:33-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:49:04-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

Title: AIR TEST REPORT

Number: DI-NDTI-82110 Approval Date: 20170327

AMSC Number: N9783 Limitation: N/A

Preparing Activity: SH Project Number: NDTI-2017-003

Use/Relationship: The report will be used to provide Objective Quality Evidence (OQE) evidence of the contractor’s Air Test and to evaluate the need for vessel repairs that are not covered by the work specifications.

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

2. Content. The Report shall contain:

2.1 Test result.

2.2 Recommendation for corrective action.

2.3 Estimated costs, including labor, subcontractors, material, rework, and any additional costs to on-going work resulting from the inclusion of the proposed work.

2.4 Identification of related changes, if any, to production completion dates.

End of DI-NDTI-82110

Source: https://assist.dla.mil -- Downloaded: 2017-03-28T14:41Z

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

1_DATA_ITEM_NO: A016

2_TITLE_OF_DATA_ITEM: ZINC ANODE LOCATION REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-82108

5_CONTRACT_REFERENCE: SOW PARAGRAPH 3.2.3.3

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: OTIME*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: N/A

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total_draft: 0 total_repro: 0

16_REMARKS: 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 a minimum of 4 working days prior to an undocking event.

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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T10:09:10-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:49:30-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

Title: ZINC ANODE LOCATION REPORT

Number: DI-MGMT-82108 Approval Date: 20170327

AMSC Number: N9781 Limitation: N/A

Preparing Activity: SH Project Number: MGMT-2017-016

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

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

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

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Contractor's Progress, Status and Management Report

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-80227*

5_CONTRACT_REFERENCE: SOW PARAGRAPH 1.5.1

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: WEKLY*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*

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16_REMARKS: 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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T09:24:22-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:42:33-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

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

1_DATA_ITEM_NO: A017

2_TITLE_OF_DATA_ITEM: STRUCTURAL INSPECTION REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MGMT-82065*

5_CONTRACT_REFERENCE: SOW PARAGRAPH 3.2.5

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: ASREQ*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*

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16_REMARKS: BLOCK 4:

Use/Relationship Block: After the phrase "found during", delete "structural".

Use/Relationship Block: After the phrase "inspection of", delete "each exposed piping penetration, deck drain, deck plating and bulkheads for".

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 within 2 working days of completion of each inspection.

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

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T10:11:09-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:50:02-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

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

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

Title: STRUCTURAL INSPECTION REPORT

Number: DI-MGMT-82065

AMSC Number: N9714

DTIC Applicable: No

Preparing Activity: SH

Approval Date: 20161003

Limitation: N/A

GIDEP Applicable: No

Project Number: MGMT-2016-052

Use/Relationship: This DID will report the conditions found during structural inspection of each exposed piping penetration, deck drain, deck plating and bulkheads for structural integrity, deterioration, pitting, cracks, and areas of damage or distortion.

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

2. Content. The report shall contain the following information:

a. Name and Hull number of ship

b. Job Order

c. Work Item

d. Paragraph numbers including standard item paragraph number

e. Compartment (number and name)

f. Date of inspection

g. Material condition

h. Deficiencies noted

i. Recommendation for repairs

End of DI-MGMT-82065

Source: https://assist.dla.mil -- Downloaded: 2016-10-13T13:23Z

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

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: COATING SYSTEM DATA REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-QCIC-82111

5_CONTRACT_REFERENCE: SOW PARAGRAPH 1.5.5

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: OTIME*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS: 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 and 12: Report shall be submitted 5 business days after contract award.

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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: QCIC

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T09:27:06-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:43:19-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

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

1_DATA_ITEM_NO: A018

2_TITLE_OF_DATA_ITEM: ULTRASONIC TEST (UT) REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-NDTI-82095

5_CONTRACT_REFERENCE: SOW PARAGRAPH 3.2.6

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: ASREQ*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*

addressee1: PSNS & IMF C/411 draft1:

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16_REMARKS: 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 each report within 2 working days of test

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.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: NDTI

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T10:12:03-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:50:31-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

Title: COATING SYSTEM DATA REPORT

Number: DI-QCIC-82111 Approval Date: 20170327

AMSC Number: N9784 Limitation: N/A

Preparing Activity: SH Project Number: QCIC-2017-004

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

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

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

Title: Ultrasonic Test (UT) Report

Number: DI-NDTI-82095 Approval Date: 20161208

AMSC Number: N9756 Limitation: N/A

Preparing Activity: SH Project Number: NDTI-2017-002

Use/Relationship: The Ultrasonic Test (UT) Report will document the results of Ultrasonic

Testing. It will provide the Government with evidence of structural damage and deterioration.

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

2. Content. The UT report shall include the following:

a. Contractor’s name and address.

b. Contract number.

c. Work item number.

d. Paragraph number.

e. Date of report.

f. Test results.

End of DI-NDTI-82095

Source: https://assist.dla.mil -- Downloaded: 2017-01-05T18:03Z

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

1_DATA_ITEM_NO: A019

2_TITLE_OF_DATA_ITEM: CERTIFICATION/DATA REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-MISC-80678*

5_CONTRACT_REFERENCE: SOW PARAGRAPH 3.3.2.4

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: ASREQ*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16*

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16_REMARKS: BLOCK 4:

Preparation Instructions Block: Delete paragraphs 10.1, 10.2.2, 10.2.3, 10.2.4.

Paragraph 10.2.1, Delete after the word Objective evidence, "may", Delete after the words "such items as", spectrographs, radiographs, material sampling, analysis"

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 within 2 working days of completion of each inspection and test.

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

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE: 12/10/19

1_APPROVED_BY:

J_DATE: 12-20-19

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0003

B_EXHIBIT: A

TDP:

TM:

OTHER: MISC

DSYSTEMITEM: APL-62

E_CONTRACTPR_NO: N4523A20R1063

FCONTRACTOR: TBD

of_pages: 1

Reset:

2019-12-10T10:12:49-0800

MARROW.JOSEPH.W.1367419004

2019-12-20T13:50:55-0800

STUBBLEFIELD.MATTHEW.COR.1166829778

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

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: SAFETY DATA SHEET (SDS) REPORT

3_SUBTITLE: N/A

4_AUTHORITY_Data_Acquisit: DI-SAFT-82112

5_CONTRACT_REFERENCE: SOW PARAGRAPH 1.5.6

6_REQUIRING_OFFICE: PSNS & IMF C/411

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D(See Block 16)

10_FREQUENCY: OTIME*

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16*

13_DATE_OF_SUBSEQUENT_SUB: N/A

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16_REMARKS: 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 and 12: Report shall be submitted 5 business days…