A8 CDRL A001 A002 A003.pdf

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 3 Pages

1161/183

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 MISC

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

Tower Inspection at Beach Site 4 1301201864 International Towers LLC

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

A001 Scientific and Technical Reports Summary High Hazard Operations Form

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

DI-MISC-80048 SOW para. 4.8.1 NSWC PCD Code 1022 18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ONE/R SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS

NSWC PCD Code 1022 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blk 8, 10, 12, 13: Submittal due 5 business days after award of contract. The

Government will approve or provide written comments within 5 business days of initial submittal. If re-submittal is required, the Contractor shall re-submit within 3 business days of receipt of comments from the Government.

Blk 9: Technical Documents generated under this contract shall carry the Distribution

Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.

Blks 14: MEDIA Requirements: Microsoft Office 365 compatible files via e-mail. E-mail addresses will be provided at award.

LT ONLY

NSWC PCD Code 024

15. TOTAL 0 1 0

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

NSWC PCD Code 1022 See Section G. Jason Zimmerman, NSWC PCD Code 02T See Section I.

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 3 Pages

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 MGMT

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

Tower Inspection at Beach Site 4 1301201864 International Towers LLC

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

A002 Engineering and Technical Services Accomplishment Report ECATTS Training Certificates and Personnel

Training Roster

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

DI-MISC-80048 SOW Para. 4.8.2 NSWC PCD Code 1022 18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ONE/P SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS

NSWC PCD Code 1022 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable, but shall conform to the general requirements of DI-MGMT-80061A. Adherence to

Section 7.2 is not required.

Blk 8, 10, 12, 13: Initial Submittal due 5 business days after award of contract.

Updates are due upon completion of training by all individuals who will work at NSWC

PCD.

Blk 9: Technical Documents generated under this contract shall carry the Distribution

Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.

Blks 14: MEDIA Requirements: Microsoft Office 365 compatible files via e-mail. E-mail addresses will be provided at award.

LT ONLY

NSWC PCD Code 024

15. TOTAL 0 1 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 3 Pages

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 MISC

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

Tower Inspection at Beach Site 4 1301201864 International Towers LLC

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

A003 Scientific and Technical Reports Summary Inspection Report

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

DI-MISC-80048 SOW Para. 5.1 NSWC PCD Code 1022 18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ONE/P SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS

NSWC PCD Code 1022 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blk 8, 10, 12, 13: Submittal due 14 calendar days after completion of inspection.

Blk 9: Technical Documents generated under this contract shall carry the Distribution

Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.

Blks 14: MEDIA Requirements: Microsoft Office 365 compatible files via e-mail. E-mail addresses will be provided at award.

LT ONLY

NSWC PCD Code 024

15. TOTAL 0 1 0