N61331-14-T-5501_Exhibit_A_CDRLs.doc

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A

TDP

TM

OTHER

D.

SYSTEM/ITEM

E.

CONTRACT/PR NO.

F.

CONTRACTOR

Defense Compressed Air Testing (DCAT)

1.

DATA ITEM NO.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

AUTHORITY (Data Acquisition Document No.)

5.

CONTRACT REFERENCE

6.

REQUIRING OFFICE

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

DISTRIBUTION

LT

REQUIRED

b. COPIES

8.

APP CODE

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

N/A

SEE BLK 16

16.

REMARKS

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. Information shall include: (a) sample kit shipped and received by contractor, including field activity identification and sample kit identification; and (b) sample quantity.

Blk 9: Data shall be marked in accordance with Section D of the task order.

Blks 10, 12, 13: First report is due on the day that the first kits are shipped and shall continue throughout the contract period of performance.

Blk 14: Reports are to be transmitted to the COR and ACOR as Microsoft Word 2003 or later files via E-mail. COR and ACOR names will be provided at time of contract award.

15.

TOTAL

G.

PREPARED BY

H.

DATE

I.

APPROVED BY

J.

DATE

Kanesha Wimberly 26 November 2013

1161/183

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

N/A

SEE BLK 16

16.

Blk 4: The report shall contain the kit shipped, received, and lost for the month and shall include the Activity Code and total charges per line. A separate report is required for each type command (US Navy, Coast Guard Divers, Coast Guard Damage Control, Marine, Army Divers, Army Damage Control, etc.)

Blk 9: Data shall be marked in accordance with Section D of the task order Blks 10, 12, 13: First report is due thirty (30) days after the first shipment of the kit. Subsequent reports are due monthly, no later than the 1st of each month.

Blk 14: see A001

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

N/A

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. The report shall contain the funding and expenditures including the delivery order number, invoice number and charges, with the balance.

Blks 10, 12, 13: First report is due thirty (30) days after the first shipment of the kit. Subsequent reports are due monthly, no later than the 1st of each month.

LT Only:

NSWC PCD Code G02

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

N/A

SEE BLK 16

16.

Blk 4: The report shall contain fiscal year end funding report with fiscal year end balance to include number of samples, total charges to separate commands. Total charges to include sample costs, shipping, broken and missing, transportation, rental charges, dewpoint (if required).

Blk 9: Data shall be marked in accordance with Section D of the task order.

Blks 10, 12, 13: Submit on the last day of each fiscal year throughout the contract period of performance.

Blk 14: See A001.

LT Only:

NSWC PCD Code G02

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

N/A

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. Report content is specified in PWS paragraph 3.4.6 and 3.2.1.12.

Blks 10, 12, 13: The reports are due on the web by noon of the 2nd day after receipt of the kits. If the web is down, the report shall be e-mailed or mailed to the cognizant field activity. Notification of kit failures shall be made by telephone, followed by e-mail back-up as soon as completed. Standard format shall apply to all notifications.

LT ONLY:

NSWC PCD CODE G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

N/A

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. The report shall include a detailed listed of late sampling kit identification number, ordering field activity, date shipped, tracking number, delivery date, and who signed for the kit.

Blks 10, 12, 13: Initial submittal is due thirty (30) days after the first shipment of kits. Subsequent reports are due monthly, no later than the 15th of each.

Blk 14: See A001

LT ONLY:

NSWC PCD CODE G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 completig 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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

SEE BLK 16

16.

Blk 8: Government approval is required for the contractor's Quality System. The Government will review the initial submittal and comment within 5 days after receipt. All Government comments shall be incorporated into the subsequent submittal.

Blks 10, 12, 13: Initial submittal is due 30 days after contract award. The contractor shall submit updates to the Quality Assurance Plan every 180 days throughout the contract period of performance. Subsequent submission is due within 10 days after receipt of Government comments. Submit every 180 days as required thereafter, or more if major program changes dictate.

LT ONLY:

NSWC PCD CODE G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. The contractor shall provide a plan for maintaining configuration control of the sampling kit.

Blk 8: Government approval is required for the contractor's configuration control system. The Government will review the initial submittal and comment within 10 days after receipt. All Government comments shall be incorporated into the subsequent submittal.

Blk 9: Data shall be marked in accordance with Section D of the task order Blks 10, 12, 13: Initial submittal is due 180 days after receipt of contract. The contractor shall submit updates to the configuration management plan every 180 days throughout the contract period of performance. Subsequent submission is due within 10 days after receipt of Government comments. Submit every 180 days as required thereafter, or more if major program changes dictate.

LT ONLY:

NSWC PCD CODE G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. Report content is specified in SOW paragraph 4.2. The contractor shall also submit updates to CDRL A007 and A008 as an attachment to this document.

Blks 10, 12, 13: The contractor will be notified of the requirement to deliver this report not less than 72 hours in advance of the required delivery date.

Blk 14: See A001

LT ONLY:

NSWC PCD CODE G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

SEE BLK 16

16.

Blk 3: Air Sample Analysis & Oil Mist Particulate Process Instructions

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. The contractor shall provide a copy for the contractors’ instructions for the performance of air sample analysis and oil mist particulate sample analysis.

Blk 8: Government approval is required. The Government will review the initial submittal and comment within 10 days after receipt. All Government comments shall be incorporated into the subsequent submittal.

Blk 9: Data shall be marked in accordance with Section D of the task order Blks 10, 12, 13: Initial submittal is due within 20 days after contract award. Subsequent submission is due within 10 days after receipt of Government comments. Submit as required thereafter, when major program changes dictates.

LT ONLY:

NSWC PCD Code G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. The contractor shall provide a copy of the contractor's calibration system description for all measuring and test equipment to be used in fulfilling contractual requirements.

Blk 8: Government approval is required for the contractor's calibration system. The Government will review the initial submittal and comment within 10 days after receipt. All Government comments shall be incorporated into the subsequent submittal.

Blk 9: Data shall be marked in accordance with Section D of the task order Blks 10, 12, 13: Initial submittal is due 180 days after receipt of contract. The contractor shall submit updates to the calibrations certification reports every 180 days throughout the contract period of performance. Subsequent submission is due within 10 days after receipt of Government comments. Submit every 180 days as required thereafter, or more if major program changes dictate.

LT ONLY:

NSWC PCD CODE G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. The report shall include the Activity Code, make, model, and serial number of equipment sampled and test results.

Blks 10, 12, 13: Initial submittal shall be within 10 days after the first complete quarter. Subsequent submittals shall be within 10 days for each quarter.

LT ONLY:

NSWC PCD CODE G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

A

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only as to format and content. The contractor shall provide a plan for cleaning sample cylinders and other kit surfaces.

Blk 8: Government approval is required for technical content. The Government will review the initial submittal and comment within 10 days after receipt. All Government comments shall be incorporated into the subsequent submittal.

Blk 9: Data shall be marked in accordance with Section D of the task order Blks 10, 12, 13: Initial submittal is due within 20 days after contract award. Subsequent submission is due within 10 days after receipt of Government comments. Submit as required thereafter, when major program changes dictates.

LT ONLY:

NSWC PCD Code G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

26 November 2013

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

See BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only. The form shall include field activity, action taken, information of person contacted, and date.

Blk 8, 10, 12, 13: Initial submittal is due within 30 days after contract award. Approval is required for content. The Government will review the initial submittal and comment within 10 days after receipt. All Government comments shall be incorporated into the subsequent submittal. Subsequent submission is due within 10 days after receipt of Government comments. Submit as required thereafter, when major program changes dictates.

LT ONLY:

NSWC PCD Code G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

06 June 2014

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A see BLK 16

16.

Blk 4: Contractor format is acceptable. The website shall: (1) have the capability for field activities to log in securely, place sampling kit orders, maintain a current list of all testable equipment at the field activity, and maintain all analysis reports for their activity. (2) have the capability to allow group sponsors, as identified by the COR, to log in securely to view air sampling status of their group, and (3) allow the COR to log in securely to a dedicated page where the COR can authorize shipment of sampling kits ordered.

Blk 8, 10, 12, 13: Initial website shall be established within 14 days after contract award. Approval is required for content. The Government will review the initial site and comment within 5 days after site establishment. All Government comments shall be incorporated into website. Updates to website due within 5 days after receipt of Government comments. Update as required, when major program changes dictates.

Blk 14: DCAT website URL shall be transmitted to the COR and ACOR via E-mail. COR and ACOR names will be provided at time of contract award.

LT ONLY:

NSWC PCD Code G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

06 June 2014

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

SEE BLK 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only. The instructions shall be an easy to read, one page, wipe-off plastic, pictogram.

Blk 8, 10, 12, 13: Initial submittal of sampling kit instructions for each type of sampling kit is due 14 days after contract award. Approval is required for content. The Government will review the initial submittal and comment within 5 days after receipt. All Government comments shall be incorporated into the subsequent submittal. Subsequent submission is due within 10 days after receipt of Government comments. Submit as required thereafter, when major program changes dictates.

Blk 14: DCAT website URL shall be transmitted to the COR and ACOR via E-mail. COR and ACOR names will be provided at time of contract award.

LT ONLY:

NSWC PCD Code G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

06 June 2014

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A.

B.

EXHIBIT

C.

TM

OTHER

D.

E.

CONTRACT/PR NO.

F.

Defense Compressed Air Testing (DCAT)

1.

2.

TITLE OF DATA ITEM

3.

SUBTITLE

17. PRICE GROUP

4.

5.

CONTRACT REFERENCE

6.

ESTIMATED

TOTAL PRICE

7.

DD 250 REQ

9.

DIST STATEMENT

10.

FREQUENCY

12.

DATE OF FIRST SUBMISSION

14.

LT

b. COPIES

8.

AS OF DATE

13.

DATE OF SUBSEQUENT

SUBMISSION

A

See Blk 16

16.

Blk 4: Contractor format is acceptable. DID is cited for guidance only. The form shall include sampling component identification, air source identity, flow rates, flow times, and POC information.

Blk 8, 10, 12, 13: Initial submittal is due within 30 days after contract award. Approval is required for content. The Government will review the initial submittal and comment within 10 days after receipt. All Government comments shall be incorporated into the subsequent submittal. Subsequent submission is due within 10 days after receipt of Government comments. Submit as required thereafter, when major program changes dictates.

LT ONLY:

NSWC PCD Code G2

15.

G.

H.

DATE

I.

APPROVED BY

J.

16 July 2014

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

Item A.

Self-explanatory.

Item B.

Self-explanatory.

Item C.

Mark (x) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as “Provisioning”, “Configuration Management”, etc.

Item D.

Enter name of system/item being acquired that data will support

Item E.

Self-explanatory (to be filled in after contract award).

Item F.

Self-explanatory (to be filled in after contract award).

Item G.

Signature of preparer of CDRL.

Item H.

Date CDRL was prepared.

Item I.

Signature of CDRL approval AUTHORITY .

Item J.

Date CDRL was approved.

Item 1.

See DoD FAR Supplement 4.71 for proper numbering.

Item 2.

Enter title as it appears on data acquisition document cited in Item 4.

Item 3.

Enter subtitle of data item for further definition of data item (optional entry).

Item 4.

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5.

Enter reference to tasking in contact that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6.

Enter technical office responsible for ensuring adequacy of the data item.

Item 7.

Specify requirement for inspection/acceptance of the data item by the Government.

Item 8.

Specify requirement for approval of a draft before preparation of the final data item.

Item 9.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10.

Specify number of times data items are to be delivered.

Item 11.

Specify as-of date of data item, when applicable.

Item 12.

Specify when first submittal is required.

Item 13.

Specify when subsequent submittals are required, when applicable.

Item 14.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15.

Enter total number of draft/final copies to be delivered.

Item 16.

Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.

Item 17.

Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a.

Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b.

Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c.

Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d.

Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18.

For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred, as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s right to use the data shall be governed by the pertinent provisions of the contract.

DD Form 1423-1 Reverse, JUN