Exhibit_A.pdf

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

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Certificate of Compliance (CoC)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-81356 SOW PARA 3.3.3 & 3.4.2 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 5 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within ten (10) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Submit concurrently with each shipment of MBPs

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil William.R.Bradley@navy.mil David.Gwaltney@navy.mil

NAVSEA PMS408 1

LT Only:

NSWCPCD 023 (PCO)

15. TOTAL 1 1 3

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil mailto:William.R.Bradley@navy.mil mailto:David.Gwaltney@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 Contractor’s Progress, Status, and Management Report Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80227 SOW PARA 3.8.1 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code E14 2

Blk 11: Report shall be current through to the last day of each month.

Blk 12: First submittal is due the first month after approval of the First Article Units (i.e., Production portion of the contract).

Blk 13: Submit report monthly, no later than the 10th of each month.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

NSWCPCD 023 (PCO) 1

15. TOTAL 4

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 System Safety Hazard Analysis Report System Safety and Environmental Information Report (SSEIR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SAFT-80101C SOW PARA 3.8.2.1 – 3.8.2.4 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED 2TIMES 30 DAC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A004 Technical Report- Study/Services Environmental Considerations

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW PARA 3.8.2.5 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED 2TIMES 30 DAC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A005 Configuration Status Accounting Information Configuration Management

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81253C SOW PARA 3.8.3.1 – 3.8.3.3 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED 2TIMES 60 DAC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A006 Configuration Audit Summary Report and Certification Physical Configuration Audit Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81022D SOW PARA 3.8.4 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED 2TIMES SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Submit no later than thirty (30) days after completion of Physical Configuration Audit.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A007 Engineering Change Proposal (ECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80639D SOW PARA 3.8.5.1 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Submit no later than thirty (30) days after identification of need.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A008 Request for Variance (RFV)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80640D SOW PARA 3.8.5.2 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Submit no later than thirty (30) days after identification of need.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A009 Notice of Revision (NOR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80642D SOW PARA 3.8.5.3 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Submit no later than thirty (30) days after identification of need or approval of an ECP.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A010 Product Drawings /Models and Associated Lists Engineering Drawings

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81000E SOW PARA 3.8.6 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Submit no later than thirty (30) days prior to FAT or within thirty (30) days after approval of an ECP.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as AutoCAD 2016 files on CD-ROM or via e-mail (with proper encryption) to:

Kevin.Klamser@navy.mil

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

TDP OPTION SELECTION WORKSHEET

PRODUCT DRAWINGS AND ASSOCIATED LISTS

A. CONTRACT NO.

B. EXHIBIT/ATTACHMENT NO.

A

C. CLIN D. CDRL DATA ITEM NO.

A010

1. DELIVERABLE PRODUCT (X and complete as applicable)

a. ORIGINALS (Specify current design activity’s full size drawing or digital data file(s) on which is kept the revision record recognized as official)(Identify specification type, grade and class, etc.)

b. REPRODUCTIONS (Identify specification, type, grade and class, etc. and quantity of each)

c. DIGITAL DATA (Identify specification, exchange media, etc. and specify original master or copy) Drawings shall be in “dxf” using the Government Furnished Material (GFM) templates. Drawing masters shall be delivered on CD-ROM or passed electronically through EDI/EC conduits.

2. CAGE CODE AND DOCUMENT NUMBERS (X one)

a. CONTRACTOR

b. GOVERNMENT (Complete (1) and (2) or (3))

(1) Use CAGE Code 53711

(2) Use Document Numbers To be assigned by NSWC PCD

(3) To be Assigned b:

NSWC PCD

3. DRAWING FORMATS AND DRAWING FORMS (X one and complete as applicable)

a. CONTRACTOR FORMATS. Forms to be supplied by the Contractor.

b. GOVERNMENT FORMATS. Forms to be supplied by Contractor.

Samples supplied by (Specify)

c. GOVERNMENT FORMATS. Forms to be supplied as

Government Furnished Material by (Specify) provided by NSWC PCD

4. TYPES AND QUANTITY FOR DRAWINGS SELECTION (X one)

a. CONTRACTOR SELECTS b. GOVERNMENT SELECTS (specify in Item 9.

5. ASSOCIATED LISTS (X and complete as applicable)

a. PARTS LISTS (X one) (1) Integral (2) Separate

b. DATA LISTS (X one) (1) Not Required (2) Required (Specify levels of assembly)

c. INDEX LISTS (X one) (1) Not Required (2) Required (Specify levels of assembly)

d. WIRING LISTS (X one) (1) Not Required (2) Required (Specify levels of assembly)

e. INDENTURED DATA LISTS

(X one)

(1) Not Required (2) Required (Specify levels of assembly)

f. APPLICATION LISTS (X one) (1) Not Required (2) Required (Specify levels of assembly)

6. DETAILS (X one)

a. MULTIDETAIL DRAWINGS PERMITTED b. MONODETAIL DRAWINGS MANDATORY

7. VENDOR SUBSTANTIATION DATA (X one)

a. NOT REQUIRED b. REQUIRED

8. APPLICABILITY OF STANDARDS. The following standards apply (X as applicable)

a. ASME Y14.100M-

1998, ENGINEERING

DRAWING PRACTICES

b. MIL-STD-100G

ENGINEERING

DRAWING PRACTICES

c. ASME Y14.34M, ASSOCIATED LISTS

d. EXISTING

STANDARDS DO NOT

APPLY

9. OTHER TAILORING (Attach additional sheets as necessary) See attached tailoring sheets.

DD Form 2554-1, JUNE 1997 (computer generated)

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Maritime Buoyant Plates (MBP)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A011 Failure Analysis and Corrective Action Report (FACAR) Corrective Action Reports

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81315B SOW PARA 3.8.7 NSWC PCD CODE E14 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 15 DARC Reg Repro

16. REMARKS NSWC PCD Code E14 1 1 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within thirty (30) working days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Submit no later than ten (10) days after two consecutive LOT failures.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail (with proper encryption) to:

Kevin.Klamser@navy.mil

NSWCPCD 023 (PCO) 1

15. TOTAL 1 1 4

Kevin Klamser, NSWC PCD Code E14 28 November 2018 Tommy Chatman 30 November 2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 11 Pages 1161/183 mailto:Kevin.Klamser@navy.mil

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

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

TDP OPTION SELECTION WORKSHEET