Attachment_J.9__DD1155.docx

ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO. 2. DELIVERY ORDER/CALL NO. 3. DATE OF ORDER/CALL

(YYYYMMMDD)

PAGE 1 OF

4. REQUISITION/PURCH REQUEST NO. 5. PRIORITY

N61331-17-R-0003 Attachment J.9 TBD TBD DO-C9E

6. ISSUED BY CODE

NSWC Panama City (T. Spradlin) 110 Vernon Avenue Panama City, FL 32407-7001

N61331 7. ADMINISTERED BY (If other than 6) CODE

TBD

TBD 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

9. CONTRACTOR CODE

TBD

NAME AND ADDRESS

TBD FACILITY

10. (

TBD

)DELIVER TO FOB POINT BY (Date) (YYYYMMMDD)

SEE SCHED

12. DISCOUNT TERMS

11. X IF BUSINESS IS

SMALL

SMALL DISAD- VANTAGED

WOMEN-OWNED

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

· SEE SECTION G

14. SHIP TO

NSWC Panama City c/o NSA PC - N61008

CODE N61331 15. PAYMENT WILL BE MADE BY CODE

TBD

TBD MARK ALL PACKAGES AND PAPERS WITH IDENTIFICATION

101 Vernon Ave. Panama City, FL 32407-7001 NUMBERS IN

BLOCKS 1 AND 2.

16. TYPE OF ORDER

DELIVERY/ CALL

PURCHASE

This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract. Reference your furnish the following on terms specified herein.

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.

NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED

(YYYYMMMDD)

If this box is marked, supplier must sign Acceptance and return the following number of copies:

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18. ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICES

20. QUANTITY ORDERED/ ACCEPTED*

21. UNIT

22. UNIT PRICE 23. AMOUNT

0.00

*If quantity accepted by the Government is same as quantity ordered, indicate by X.

If different, enter actual quantity accepted below quantity ordered and encircle.

27a. QUANTITY IN COLUMN 20 HAS BEEN 24.

UNITED STATES OF AMERICA 25. TOTAL

26. DIFFERENCES

BY: CONTRACTING/ORDERING OFFICER

0.00

INSPECTED RECEIVED

ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE

(YYYYMMMDD)

d.

PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

PARTIAL FINAL

31. PAYMENT

32.

PAID BY 33. AMOUNT VERIFIED CORRECT FOR

34. CHECK NUMBER

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT. COMPLETE

a. DATE

(YYYYMMMDD)

37. RECEIVED AT

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

38. RECEIVED BY (Print) 39. DATE RECEIVED

(YYYYMMMDD)

PARTIAL FINAL

40. TOTAL CON-

TAINERS

41. S/R ACCOUNT NUMBER

35. BILL OF LADING NO.

42. S/R VOUCHER NO.

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE. Reset Adobe Professional 8.0

Section B - Supplies or Services and Prices

ITEM NO

SUPPLY/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

MK-105 MOD 4 Depot Level Maintenance, Inventory, Logistics, and Engineering Support iaw the Statement of Work (SOW) in Section C. Firm Fixed Price (FFP).

FOB: Destination

ITEM NO

QUANTITY

UNIT

UNIT PRICE

AMOUNT

DATA REQUIREMENTS –

Technical Information and Data in accordance with Section J, Exhibit A, Contract Data Requirements List (CDRL) DD Form 1423-2. This line item is Not Separately Priced (NSP). See HQ B-2-0009 Note A.

ITEM NO

QUANTITY

UNIT

UNIT PRICE

AMOUNT

TRAVEL – Other Direct Costs (ODCs) for travel in support of CLIN 0001.

ITEM NO

QUANTITY

UNIT

UNIT PRICE

AMOUNT

MATERIALS – Other Direct Costs (ODCs) for materials in support of CLIN 0001.

RFP

N61331-17-R-0003 Attachment

J.9 –

DD1155

MK

MOD

Depot

Level

Maintenance, Inventory, Logistics and

Engineering

Support

Section C – Descriptions and Specifications

STATEMENT OF WORK FOR

MK-105 MOD 4 DEPOT LEVEL MAINTENANCE, INVENTORY, LOGISTICS AND ENGINEERING SUPPORT

18 Sept 2017

1.0 SCOPE

This Statement of Work (SOW) defines the effort required to support Naval Surface Warfare Center Panama City (NSWC PC) in depot repairs, testing, and maintenance. The scope of the effort includes the task requirements identified in section 3.0.

2.0 APPLICABLE DOCUMENTS

The following documents, of the exact issue shown, form a part of this statement of work (SOW) to the extent specified herein. In the event of conflict between the documents referenced and the contents of this SOW, the SOW shall supersede. Second tier and lower references, (i.e., those referenced in the primary references) shall be used for guidance only.

None

AP-000

Airborne Mine Countermeasures Process Notebook

COMNAVAIRFORINST 4790.2 Naval Aviation Maintenance Program MIL-HDBK-61A Configuration Management Guidance

3.1 REQUIREMENTS

3.2 Drawing Support

3.2.1 The contractor shall provide Configuration drawing updates to support the MK-105 MOD 4 and MK-105 Ancillary equipment utilizing MIL-HDBK-61A, Configuration Management Guidance. Drawings shall be prepared and accepted in accordance with document number AP-040 Airborne Mine Countermeasures Uniform Drafting Guidance Process. The contractor shall provide one (1) full-time equivalent (FTE) drafter. (CDRL A001)

3.2.2 The contractor shall track all drawing revisions, deviations, and engineering report changes utilizing CMPRO. The contractor will propose these changes and government concurrence shall be obtained prior to any drawing being placed in workflow. Any drawings that are needed shall be provided as GFI to the contractor. (CDRL A001)

3.3 Inventory Support

The contractor shall provide inventory support for the MK-105 MOD 4 including support equipment and AMCM systems. The contractor shall provide 10,000 SF of secured warehouse space for the MK-105 assets. All items processed through Government inventory shall use MIL- STD-130, Department of Defense Standard Practice Identification marking of US Military Property. All inventory assets requiring Quality Control Documentation shall have that documentation with associated referential data (Report, Drawing No, Vendor Certificate of Compliance, etc.) attached to the inventory module in CMPRO. The contractor shall annotate inventory that is to be issued as GFP for any delivery order in As-Built module in CMPRO for contract tracking purposes. The contractor shall provide one (1) FTE Inventory Specialist.

3.4 Part Support

The contractor shall provide parts as requested by the government for the MK-105 MOD 4 system part number 120200-3. Not to exceed $650,000. The contractor shall provide a Planner at .25 FTE.

3.5 Engineering Support

The contractor shall provide engineering support for the

MK-105

MOD

and related

AMCM

systems.

The primary place of performance under this task order shall be the Contractor's

Facility.

The secondary place of performance under this task order shall be

NSWC

PCD.

Full time Mechanical

Engineering and full time Project

Engineering support is required.

The contractor shall provide support for updating technical drawings and reports.

These may include manufacturing changes, parts changes due to obsolescence, updating overhaul and test procedures, and updating specification documents.

All updates shall be coordinated wit h

NSWC

PCD.

The contractor shall submit and receive approval for any manufacturing deviations using

CMPRO.

Deviations shall include specific parts that deviate from the drawing, the cause for deviation, and the impact of those deviations.

The contractor shall provide recommendations for improved manufacturing processes or materials as they are identified.

No changes to process or material shall be implemented without

NSWC

PCD

concurrence.

These recommendations may be in the form of red lined drawings or engineering reports depending on complexity.

The contractor shall provide

NSWC

PCD with notice of parts or specifications that have become obsolete or have limited availability due to diminishing manufacturing sources and material shortages as they are identified.

Notice shall include recommendations for updating or replacing obsolete parts or specifications.

These recommendations may be in the form of red lined drawings or engineering reports depending on complexity.

In the event that parts become unavailable, the contractor shall assist with reverse engineering or redesigning replacement parts.

The contractor shall assist with failure analysis of damaged items received from the fleet.

This may include damage assessment or root cause analysis depending on the cause of failure.

The contractor may be asked to provide recommendations for improving reliability or reducing damage to items based on these analyses.

The contractor shall provide, as requested, engineering reports in support of recommendations to part or process improvement.

These reports shall provide information to NSWC

PCD

regarding engineering analysis, analysis of alternatives, cost analysis, or factors supporting engineering decisions as appropriate.

Additional engineering support tasking may be req uired as requested by

NSWC

PCD.

(CDRL

A002)

3.6 Meeting Support

The contractor shall support the following meetings; all meetings are in the Panama City, FL area unless otherwise specified.

The contractor shall present the status of all open delivery orders and contracts that are managed by the NSWC PCD Airborne Fleet Readiness Branch (AFRB) at the Weekly Branch Head Meeting. (CDRL A003, A004, A005)

3.7 Technician Support

The contractor shall provide support to include testing, troubleshooting, alteration, modification, repair, and minor overhaul items for the MK-105 MOD 4, MK-105 MOD 4 ancillary equipment (e.g. Mobile Drum Winch, Cradle Assembly, Load Box Assembly and Control Programmer) . The contractor shall provide two (2) FTE technicians to work on site at NSWC PCD. No office or workstation will be provided. (CDRL A006)

3.8 Program Management

The contractor shall provide one (1) FTE Program Manager. The primary place of performance shall be the Contractor’s Facility. The secondary place of performance shall be NSWC PCD to attend meetings as detailed in paragraph 3.5 Meeting Support.

3.9 Kick-Off Brief

The contractor shall prepare a delivery order kick-off brief. This brief shall be presented to the Government no later than fifteen (15) days after delivery order award. (CDRL A007)

3.10 Travel

The Contractor shall plan on the following travel requirements:

Employees / Trip

3.11 Monthly Status Report

The contractor shall prepare a monthly status report that documents the status of contractor effort towards achieving contract objectives. The report shall identify accomplishments to date and difficulties encountered, and compare the status achieved to planned goals and the resources expended. The status report shall also include a summary of expended labor hours, and a detailed listing of all material purchases including the specific cost of each item procured. (CDRL A008)

4.0 GOVERNMENT FURNISHED INFORMATION (GFI)

GFI listed in SOW paragraph 2.3 will be provided to Offerors via a compact disc (CD) upon request after solicitation release. The Offeror may arrange to review any additional documents by contacting Contract Specialist, Tiphanie Spradlin via email at

Tiphanie.Spradlin@navy.mil. All GFI shall be returned to the Government upon proposal submission date, unless NSWC PCD provides alternate disposition instructions.

5.0 DELIVERABLES

All data deliverables shall be submitted in accordance with the attached DD Form 1423.

6.0 PERIOD OF PERFORMANCE

The period of performance shall be from 28 August 2018 to 29 August 2019.

7.1 SECURITY

This delivery order is UNCLASSIFIED. See Section C Part 5.0 of the basic contract Statement of Work for the Security Requirements.

Section E – Inspection and Acceptance

Section F – Deliveries or Performance

See SOW para 6.0

NSWC Panama City C/O NSA PC – N61008 101 Vernon Avenue Panama City Beach FL 32407-7001 FOB: Destination N61331

Section G – Contract Administration ACCOUNTING AND APPROPRIATION DATA Long Line of Accounting (LOA): TBD Cost Code: TBD Amount: TBD

CLAUSES INCORPORATED BY FULL TEXT

252.204-0003 LINE ITEM SPECIFIC: CONTRACTING OFFICER SPECIFIED ACRN ORDER. (SEP 2009)

The payment office shall make payment within the line item in the sequence ACRN order specified below, exhausting all funds in the previous ACRN before paying from the next ACRN.

Line Item ACRN Order TBD TBD

(End of clause)

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(a) Definitions. As used in this clause--

Department of Defense Activity Address Code (DoDAAC) is a six-position code that uniquely identifies a unit, activity, or organization.

Document type means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

Local processing office (LPO) is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

INVOICE & RECEIVING COMBO

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

DESTINATION/DESTINATION

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

TO BE INSERTED AT TIME OF AWARD

(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

NSWC PCD WAWF Point of Contacts (POCs): Janet.Stone@navy.mil and Brian.W.Young@navy.mil

**Please send an e-mail to both POCs**

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988. (End of clause)

Section J – List of Documents, Exhibits and Other Attachments

18ESTIMATEDTOTA

L

PRICE

17.

PRICE GROUP

ESTIMATED

TOTAL

PRICE

CONTRACT

DATA

REQUIREMENTS

LIST

(2

Data

Items) Form

Approved

OMB

No.

0704-0188 Public reporting burden for this collection of information is estimated to average 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, 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

A C.

CATEGORY:

TDP

TM

D.

SYSTEM/ITEM

AMCM

Depot Maintenance Support

CONTRACT/PR

NO.

N61331-17-R-0003 F.

CONTRACTOR

TBD

1.

DATA

ITEM

NO.

A001 2.

TITLE

OF

DATA

ITEM

Revisions

To

Existing Government

Documents 3.

SUBTITLE

Engineering Drawing Updates 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-MISC-80925

5.

CONTRACT

REFERENCE

SOW

PARA

3.1.1

3.1.2 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

ASREQ

12.

DATE

OF

FIRST

SUBMISSION

SEE

BLK

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

DARC

Draft Final Reg Repro 16.

REMARKS

Blk

8:

Approval shall be for format and technical content.

The Government will review the initial submittal and comment within days after receipt.

All

Government comments shall be incorporated into the subsequent submittal.

Blk

12:

Initial submittals are due within days after receipt of

GFI.

Blk

13:

“DARC”

means

“Days

After

Receipt of

Government

Comments”.

Blk

14:

Reproducible copy shall be submitted on electronic media or via e-mail to:

Leah.Dunham@navy.mil

NSWC

PCD

Code A22

LT

ONLY:

NSWC

PCD

Code 022 15.

TOTAL

1.

DATA

ITEM

NO.

A002 2.

TITLE

OF

DATA

ITEM

Technical Report – Study/Services 3.

SUBTITLE

Engineering Support 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-MISC-80508B

5.

CONTRACT

REFERENCE

SOW

PARA

3.4 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

ASREQ

12.

DATE

OF

FIRST

SUBMISSION

SEE

BLK

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

DARC

Draft Final Reg Repro 16.

REMARKS

Blk

8:

Approval shall be for format and review the initial submittal and comment within days after receipt.

All

Government comments shall be incorporated into the subsequent submittal.

Blk

12:

Initial submittals are due within days after receipt of

GFI.

Blk

13:

“DARC”

means

“Days

After

Receipt of

Government

Comments”.

Blk

14:

Reproducible copy shall be submitted as

Microsoft

Word compatible files on electronic media or via e-mail to:

Leah.Dunham@navy.mil

NSWC

PCD

Code A22

LT

ONLY:

NSWC

PCD

Code 022 15.

TOTAL

G.

PREPARED

BY

Leah

Dunham, NSWC

PCD

Code

A22 H.

DATE

April

I.

APPROVED

BY

Tommy

Chatman J.

DATE

April

DD Form 1423-2, JUN 90 Previous editions are obsolete Page 1 of 4 Pages 1161/183

17.

PRICE GROUP

L

PRICE

17.

PRICE GROUP

ESTIMATED

TOTAL

PRICE

CONTRACT

DATA

REQUIREMENTS

LIST

(2

Data

Items) Form

Approved

OMB

No.

0704-0188 Public reporting burden for this collection of information is estimated to average 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, 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

ITEM

NO.

Depot

N61331-17-R-0003 F.

CONTRACTOR

TBD

1.

DATA

ITEM

NO.

A003 2.

TITLE

OF

DATA

ITEM

Conference

Agenda 3.

SUBTITLE

Meeting Support 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-ADMN-81249

5.

CONTRACT

REFERENCE

SOW

PARA

3.5 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

ASREQ

12.

DATE

OF

FIRST

SUBMISSION

SEE

BLK

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

DARC

Draft Final Reg Repro 16.

REMARKS

Blk

8:

Approval shall be for format and review the initial submittal and comment within days after receipt.

All

Government comments shall be incorporated into the subsequent submittal.

Blk

12:

Initial submittals are due no later than days after receipt of

GFI.

Blk

14:

Reproducible copy shall be submitted as

Microsoft

Word compatible files on electronic media or via e-mail to:

Leah.Dunham@navy.mil

NSWC

PCD

Code A22

LT

ONLY:

NSWC

PCD

Code 022 15.

TOTAL

1.

DATA

ITEM

NO.

A004 2.

TITLE

OF

DATA

ITEM

Conference Minutes 3.

SUBTITLE

Meeting Support 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-ADMN-81250

5.

CONTRACT

REFERENCE

SOW

PARA

3.5 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

ASREQ

12.

DATE

OF

FIRST

SUBMISSION

SEE

BLK

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

DARC

Draft Final Reg Repro 16.

REMARKS

Blk

8:

Approval shall be for format and review the initial submittal and comment within days after receipt.

All

Government comments shall be incorporated into the subsequent submittal.

Blk

12:

Initial submittals are due within working days after each meeting.

Blk

13:

“DARC”

means

“Days

After

Receipt of

Government

Comments”.

Blk

14:

Reproducible copy shall be submitted as

Microsoft

Word compatible files on electronic media or via e-mail to:

Leah.Dunham@navy.mil

NSWC

PCD

Code A22

LT

ONLY:

NSWC

PCD

Code 022 15.

TOTAL

G.

PREPARED

BY

Leah

Dunham, NSWC

PCD

Code

April

I.

APPROVED

BY

Tommy

Chatman J.

DATE

April

DD Form 1423-2, JUN 90 Previous editions are obsolete Page 2 of 4 Pages

17.

L

PRICE

17.

PRICE GROUP

ESTIMATED

TOTAL

PRICE

CONTRACT

DATA

REQUIREMENTS

LIST

(2

Data

Items) Form

Approved

OMB

No.

0704-0188 Public reporting burden for this collection of information is estimated to average 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, 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

ITEM

NO.

Depot

N61331-17-R-0003 F.

CONTRACTOR

TBD

1.

DATA

ITEM

NO.

A005 2.

TITLE

OF

DATA

ITEM

Presentation Materials 3.

SUBTITLE

Meeting Support 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-ADMN-81373

5.

CONTRACT

REFERENCE

SOW

PARA

3.5 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

ASREQ

12.

DATE

OF

FIRST

SUBMISSION

SEE

BLK

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

DARC

Draft Final Reg Repro 16.

REMARKS

Blk

8:

Approval shall be for format and review the initial submittal and comment within days after receipt.

All

Government comments shall be incorporated into the subsequent submittal.

Blk

12:

Submit no later than working days after award of task order.

Blk

13:

“DARC”

means

“Days

After

Receipt of

Government

Comments”.

Blk

14:

Reproducible copy shall be submitted as

Microsoft

Powerpoint compatible files on electronic media or via e-mail to:

Leah.Dunham@navy.mil

NSWC

PCD

Code A22

LT

ONLY:

NSWC

PCD

Code 022 15.

TOTAL

1.

DATA

ITEM

NO.

A006 2.

TITLE

OF

DATA

ITEM

Test / Inspection

Report 3.

SUBTITLE

Technician

Support

(Troubleshooting Results) 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-MISC-80809B

5.

CONTRACT

REFERENCE

SOW

PARA

3.6 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

ASREQ

12.

DATE

OF

FIRST

SUBMISSION

SEE

BLK

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

DARC

Draft Final Reg Repro 16.

REMARKS

Blk

8:

Approval shall be for format and review the initial submittal and comment within days after receipt.

All

Government comments shall be incorporated into the subsequent submittal.

Blk

12:

Initial submittals are due within days after each test

(troubleshooting).

Blk

13:

“DARC”

means

“Days

After

Receipt of

Government

Comments”.

Blk

14:

Reproducible copy shall be submitted as

Microsoft

Word compatible files on electronic media or via e-mail to:

Leah.Dunham@navy.mil

NSWC

PCD

Code A22

LT

ONLY:

NSWC

PCD

Code 15.

TOTAL

G.

PREPARED

BY

Leah

Dunham, NSWC

PCD Code

April

I.

APPROVED

BY

Tommy

Chatman J.

DATE

April

DD Form 1423-2, JUN 90 Previous editions are obsolete Page 3 of 4 Pages

17.

DATA

REQUIREMENTS

LIST

(2

Data

Items) Form

Approved

OMB

No.

0704-0188 Public reporting burden for this collection of information is estimated to average 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, 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

ITEM

NO.

Depot Maintenance

N61331-17-R-0003 F.

CONTRACTOR

TBD

1.

DATA

ITEM

NO.

A007 2.

TITLE

OF

DATA

ITEM

Presentation Materials 3.

SUBTITLE

Kick-Off

Brief 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-ADMN-81373

5.

CONTRACT

REFERENCE

SOW

PARA

3.8 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

OTIME

12.

DATE

OF

FIRST

SUBMISSION

SEE

BLK

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

DARC

Draft Final Reg Repro 16.

REMARKS

Blk

8:

Approval shall be for format and review the initial submittal and comment within days after receipt.

All

Government comments shall be incorporated into the subsequent submittal.

Blk

12:

Initial submittals are due within days prior to the Kick-Off

Brief.

Blk

13:

“DARC”

means

“Days

After

Receipt of

Government

Comments”.

Blk

14:

Reproducible copy shall be submitted as

Microsoft

Word compatible files on electronic media or via e-mail to:

Leah.Dunham@navy.mil

NSWC

PCD

Code A22

LT

ONLY:

NSWC

PCD

Code 022 15.

TOTAL

1.

DATA

ITEM

NO.

A008 2.

TITLE

OF

DATA

ITEM

Status Report 3.

SUBTITLE

Monthly

Status Report 4.

AUTHORITY

(Data

Acquisition

Document

No.)

DI-MGMT-80368

5.

CONTRACT

REFERENCE

SOW

PARA

3.10 6.

REQUIRING

OFFICE

NSWC

PCD

CODE

A22 7.

DD

REQ

LT

9.

DIST

STATEMENT

REQUIRED

B 10.

FREQUENCY

MTHLY

12.

DATE

OF

FIRST

SUBMISSION

DAC

14.

DISTRIBUTION

a.

ADDRESSEE

b.

COPIES

8.

APP CODE

A 11.

AS

OF

DATE

13.

DATE

OF

SUBSEQUENT

SUBMISSION

SEE

BLK

Draft Final Reg Repro 16.

REMARKS

Blk

11:

Report shall be current through to the last day of each month.

Blk

13:

Submit report monthly, no later than the th of each month.

Blk

14:

Submit report as

Microsoft

Word compatible files via e-mail to:

Leah.Dunham@navy.mil

Tiphanie.Spradlin@navy.mil

NSWC

PCD

Code A22

NSWC

PCD

Code 022 15.

TOTAL

G.

PREPARED

BY

Leah

Dunham, NSWC

PCD Code

April

I.

APPROVED

BY

Tommy

Chatman J.

DATE

April

18ESTIMATEDTOTA

L

PRICE

17.

PRICE GROUP

ESTIMATED

TOTAL

PRICE

DD Form 1423-2, JUN 90 Previous editions are obsolete Page 4 of 4 Pages 1161/183

17.

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 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 1423-2 Reverse, JUN image1.png