ILSM 19F4A (MAYPORT) CDRLs_K_(10 JUN 19).pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

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

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0004 K TDP TM OTHER SESS

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

FFT 19F4A S/N 3 N61340-XX-X-XXXX

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

K001 TECHNICAL DIRECTIVE TRAINING EQUIPMENT CHANGE DIRECTIVE

(TECD)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-81269C SOW PARA 3.1.1.6.2 PMS 339

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

SD REQUIRED 2 TIMES SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A N/A SEE BLK 16 Reg Repro

16. REMARKS NAWCTSD ILSM 1 1 0

1. BLK 4: THE GOVERNMENT WILL ASSIGN DIRECTIVE NUMBER AND

RELEASE DATE. SUBMISSION SHALL BE IN ACCORDANCE WITH

APPENDIX E OF CONFIGURATION MANAGEMENT ADVISOR UNDER THE

ACQUISITION GUIDE ON THE NAWCTSD WEB PAGE.

(HTTP://WWW.NAWCTSD.NAVY.MIL/RESOURCES/LIBRARY/ACQGUIDE/AP

PECM.HTM).

PARAGRAPH 2. SHALL BE DELETED.

2. BLK 8: FOR ROUTINE INTERIM CHANGE, THE GOVERNMENT WILL HAVE

FIFTEEN (15) CALENDAR DAYS AFTER PHYSICAL CONFIGURATION

AUDIT (PCA) FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR

REJECTION OF SUBMISSION.

FOR RECORD PURPOSE CHANGE, THE GOVERNMENT WILL HAVE

THIRTY (30) DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH

COMMENTS, OR REJECTION OF SUBMISSION.

CONTRACTOR SHALL HAVE FIFTEEN (15) CALENDAR DAYS TO

CORRECT AND RESUBMIT ANY REJECTED MATERIALS.

3. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED ON THE

DELIVERABLE:

DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DOD AND U.S.

DOD CONTRACTORS ONLY (ADMINISTRATIVE OR OPERATIONAL USE) (DATE

DETERMINED AT CONTRACT AWARD). OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO THE COMMANDING OFFICER, NAVAL

AIR WARFARE CENTER TRAINING SYSTEMS DIVISION (NAWCTSD), 12211

SCIENCE DRIVE, ORLANDO, FL 32826.

4. BLK 12: FIRST SUBMISSION (ROUTINE INTERIM CHANGE) SHALL BE DUE

THIRTY (30) CALENDAR DAYS PRIOR TO TRAINER INSTALLATION START

DATE.

5. BLK 13: SECOND (FINAL) SUBMISSION (RECORD PURPOSE CHANGE)

SHALL BE DUE THIRTY (30) CALENDAR DAYS AFTER GOVERNMENT

ACCEPTANCE OF THE TRAINING DEVICE.

6. BLK 14: SUBMISSIONS SHALL BE DELIVERED IN MICROSOFT OFFICE

2016 WORD FORMAT VIA EMAIL TO BLK 14 ADDRESSEES. EMAIL

ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

THE NAWCTSD PCO AND PJM SHALL RECEIVE LETTER NOTIFICATIONS

FOR EACH DELIVERY.

NAWCTSD ISEO MP 1 1 0

NAWCTSD ENGR 1 1 0

NAWCTSD PJM 0 0 0

NAWCTSD PCO 0 0 0

MP = MAYPORT

15. TOTAL ▬▬▬▬► 3 3 0

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

M. JOHNSEN, NAWCTSD ILSM 10 JUNE 2019 ROBERTO SOTO-ALBINO, NAWCTSD PJM 10 JUNE 2019 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 4 Pages http://www.nawctsd.navy.mil/RESOURCES/LIBRARY/ACQGUIDE/APPECM.HTM http://www.nawctsd.navy.mil/RESOURCES/LIBRARY/ACQGUIDE/APPECM.HTM

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0004 K TDP TM OTHER: SESS

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

FFT 19F4A S/N 3 N61340-xx-x-xxxx

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

K002 WARRANTY PERFORMANCE REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-81639A SOW PARA 3.2.9.2 PMS 339

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

SD REQUIRED 2 TIMES SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A N/A SEE BLK 16 Reg Repro

16. REMARKS NAWCTSD ILSM 1 1 0

1. BLK 4: TAILOR OUT PARAGRAPHS 3.1.2 (ITEMS n, o, and p), 3.1.3 – 3.1.6, AND 3.2.1 – 3.2.5 FROM DI-SESS-81639A. THE CONTENT REFERENCED IN

DI-SESS-81639A IS INCLUDED AS AN ANNEX TO EXHIBIT D.

2. BLK 8: FOR THE FIRST SUBMISSION, THE GOVERNMENT WILL HAVE

FIFTEEN (15) CALENDAR DAYS AFTER PHYSICAL CONFIGURATION

AUDIT (PCA) FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR

REJECTION OF SUBMISSION.

FOR THE SECOND SUBMISSION, THE GOVERNMENT WILL HAVE THIRTY

(30) CALENDAR DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH

COMMENTS, OR REJECTION OF SUBMISSION.

CONTRACTOR SHALL HAVE FIFTEEN (15) CALENDAR DAYS TO

CORRECT AND RESUBMIT ANY REJECTED MATERIALS.

3. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED ON THE

DELIVERABLE:

DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DOD AND U.S.

DOD CONTRACTORS ONLY (ADMINISTRATIVE OR OPERATIONAL USE) (DATE

DETERMINED AT CONTRACT AWARD). OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO THE COMMANDING OFFICER, NAVAL

AIR WARFARE CENTER TRAINING SYSTEMS DIVISION (NAWCTSD), 12211

SCIENCE DRIVE, ORLANDO, FL 32826.

4. BLK 12: FIRST SUBMISSION SHALL BE DUE THIRTY (30) CALENDAR DAYS

PRIOR TO PCA.

5. BLK 13: SECOND (FINAL) SUBMISSION SHALL BE DUE THIRTY (30)

CALENDAR DAYS AFTER GOVERNMENT ACCEPTANCE OF THE

TRAINING DEVICE.

6. BLK 14: SUBMISSIONS SHALL BE DELIVERED IN MICROSOFT OFFICE

2016 EXCEL FORMAT VIA EMAIL TO BLK 14 ADDRESSEES. EMAIL

ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

THE NAWCTSD PCO AND PJM SHALL RECEIVE LETTER NOTIFICATIONS

FOR EACH DELIVERY.

NAWCTSD ISEO MP 1 1 0

NAWCTSD ENG 1 1 0

M. JOHNSEN, NAWCTSD ILSM 10 JUNE 2019 ROBERTO SOTO-ALBINO, NAWCTSD PJM 10 JUNE 2019 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 4 Pages

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0004 K TDP TM OTHER: SESS

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

FFT 19F4A S/N 3 N61340-xx-x-xxxx

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

K003 CONFIGURATION AUDIT SUMMARY REPORT AND

CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-81022D SOW PARA 3.2.8.12.2.2 PMS 339

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

SD REQUIRED 1 TIME SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final A N/A SEE BLK 16 Reg Repro

16. REMARKS NAWCTSD ILSM 1 1 0

1. BLK 8: THE GOVERNMENT WILL HAVE THIRTY (30) CALENDAR DAYS FOR

REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECTION OF

SUBMISSION.

CONTRACTOR SHALL HAVE FIFTEEN (15) CALENDAR DAYS TO

CORRECT AND RESUBMIT ANY REJECTED MATERIALS.

2. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED ON THE

DELIVERABLE:

DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DOD AND U.S.

DOD CONTRACTORS ONLY (ADMINISTRATIVE OR OPERATIONAL USE) (DATE

DETERMINED AT CONTRACT AWARD). OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO THE COMMANDING OFFICER, NAVAL

AIR WARFARE CENTER TRAINING SYSTEMS DIVISION (NAWCTSD), 12211

SCIENCE DRIVE, ORLANDO, FL 32826.

3. BLK 12: SUBMISSION SHALL BE DUE THIRTY (30) CALENDAR DAYS

AFTER COMPLETION OF THE PHYSICAL CONFIGURATION AUDIT (PCA).

4. BLK 14: SUBMISSIONS SHALL BE DELIVERED IN MICROSOFT OFFICE

2016 WORD FORMAT VIA EMAIL TO BLK 14 ADDRESSEES. EMAIL

ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

THE NAWCTSD PCO AND PJM SHALL RECEIVE LETTER NOTIFICATIONS

FOR EACH DELIVERY.

NAWCTSD ISEO MP 1 1 0

NAWCTSD ENG 1 1 0

M. JOHNSEN, NAWCTSD ILSM 10 JUNE 2019 ROBERTO SOTO-ALBINO, NAWCTSD PJM 10 JUNE 2019 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 4 Pages

ANNEX TO EXHIBIT "D"

WARRANTY PERFORMANCE REPORT REQUIREMENTS

The contractor shall include in the Warranty Performance Report the following for each piece of equipment delivered to the site:

ITEM COMMENT

Equipment Name/Item Name of the warranted equipment

Part Number/Model Number Part Number (vendor & OEM) CAGE Code Vendor and OEM

Unit Cost Dollar value when purchased Fiscal Year Fiscal Year purchased

Purchase Order # If available Purchase Date Date item was purchased

Company Name Vendor equipment purchased from POC name and phone number Sales or Tech Representative

Location Delivered Include Room Number Delivery Date Date the equipment was delivered to a Government site

Installation Date Date the contractor installed the equipment at a Government site

Warranty Start Date Date the warranty starts Warranty Length How long the item is under warranty

Warranty End Date Date the warranty ends Warranty Extensions Potential warranty extensions available from the warranty agent Warranty Company Name Company name of warranty agent Warranty Company POC POC of warranty agent (phone number and website)

Serial Number Include serial number for each piece of equipment