N6339421R0001_Exhibit A CDRL s Consolidated_20210211.pdf
PDF 6 MB Posted
- Attached to
- FY21 AN/SPS 77/80 Radar System Federal contract opportunity
- Solicitation number
- N6339421R0001
About this file
This document outlines twenty-seven Contract Data Requirements Lists (CDRLs) required under a solicitation for FY21 AN/SPS 77/80 Radar System technical and logistics support services.
The Navy seeks engineering analysis, software development, configuration management, testing, training, and parts and materials support. Required deliverables include personnel rosters, emergency plans, hazardous materials reports, program management status reports, engineering change proposals, interactive electronic technical manuals, and technical manual schedules. Submission dates vary from 30 to 60 days after contract award, with some recurring monthly or as-needed. The government allows 30 days for review of draft documents.
The solicitation is issued by the Department of the Navy Naval Sea Systems Command. Services are to support the AN/SPS-77 and AN/TPS-80 radar systems. CDRL responses are to be sent electronically to several Navy employees. The contract number is N6339421R0001 and appears to be for technical and logistics services to maintain and support existing radar systems.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N63394-21-R-0001 Amendment 03.doc | DOC document | |
| N6339421R0001 Solicitation_20210325.doc | DOC document | |
| N6339421R0001_Attach J5_Cost Summary_20210216.pdf | ||
| N6339421R0001_Attach J4_Key Personnel Requirements_20200910.docx | DOCX document | |
| N6339421R0001_Attach J1 DD254_20210120.pdf | ||
| N6339421R0001_Attach J6_Staffing Matrix_20210216.xls | XLS spreadsheet | |
| N6339421R0001_RFP Letter_20210325.pdf | ||
| N6339421R0001_Attach J3 Quality Assurance Surveillance Plan_20210216.docx | DOCX document | |
| N6339421R0001_Attach J2_eCRAFT Crosswalk_20210128.pdf |
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MGMT
AN/SPS-77 & AN/TPS-80 TBD TBD
A001 CONTRACTOR'S PERSONNEL ROSTER
DI-MGMT-81834A SOW para: 4.1.5 NSWC PHD VB DET
LT
N/A BLK 16
ASREQ
30DAC
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10-13: The report shall be submitted 30 days after the contract has been awarded and as required for updates. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:39:21 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:28:21 -05'00'
2/9/2021
1 1 Adobe Professional 8.0
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A EAP
AN/SPS-77 & AN/TPS-80 TBD TBD
A002 EMERGENCY ACTION PLAN (EAP)
29 CFR 1910.38 SOW para: 4.3.1 NSWC PHD VB DET
LT
N/A BLK 16
ASREQ
60DAC
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10-13: The report shall be submitted 60 days after the contract has been awarded and as required for updates. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:40:52 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:26:57 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MGMT
AN/SPS-77 & AN/TPS-80 TBD TBD
A004 HAZARDOUS MATERIALS MANAGEMENT PROGRAM
(HMMP) PLAN
DI-MGMT-81398C SOW para: 4.4.1 NSWC PHD VB DET
LT
A BLK 16
ASREQ
N/A
30DAC
See BLK 16
PHD VB - 01 1 1
PHD VB - 02 1 1
PHD VB - 03 1 1
3 3 0
Block 4: Contractor format acceptable.
Block 8: Government requires 30 days for review; contractor to re-submit 30 days after receipt of comments. Approval is for technical content and/or format.
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10, 12, and 13: The report shall be submitted 30 days after the contract has been awarded and as required for updates. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:42:21 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:25:09 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MISC
AN/SPS-77 & AN/TPS-80 TBD TBD
A005 HAZARDOUS MATERIALS MANAGEMENT PROGRAM
(HMMP) REPORT
DI-MISC-81397C SOW para: 4.4.2 NSWC PHD VB DET
LT
N/A BLK 16
ASREQ
30DAC
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10-13: The report shall be submitted 30 days after the contract has been awarded and as required for updates. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:43:38 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:23:41 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MISC
AN/SPS-77 & AN/TPS-80 TBD TBD
A006 TRIP/TRAVEL REPORT
DI-MISC-81943 SOW para: 4.5.1 NSWC PHD VB DET
LT
N/A BLK 16
ASREQ
ASREQ
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10-13: The report shall be submitted as required after the contractor has completed travel. The travel/trip report shall be provided 5 days after completion of travel for each instance. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:45:22 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:22:09 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MGMT
AN/SPS-77 & AN/TPS-80 TBD TBD
A007 CONTRACTORING OFFICER'S MANAGEMENT REPORT
DI-MGMT-81864A SOW para: 4.6.1, 4.9 NSWC PHD VB DET
LT
N/A BLK 16
MTHLY
30DAC
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10-13: The report shall be submitted 30 days after the contract has been awarded and monthly thereafter. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:46:21 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:19:07 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MGMT
AN/SPS-77 & AN/TPS-80 TBD TBD
A008 INTEGRATED PROGRAM MANAGEMENT DATA AND
ANALYSIS REPORT (IPMDAR)
DI-MGMT-81861B SOW para: 4.10.7 NSWC PHD VB DET
LT
N/A BLK 16
MTHLY
30DAC
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10-13: The report shall be submitted 30 days after the contract has been awarded and monthly thereafter. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:47:34 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:16:59 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MGMT
AN/SPS-77 & AN/TPS-80 TBD TBD
A009 STATUS REPORT Program Management Status Report
DI-MGMT-80368A SOW para: 4.10.9 NSWC PHD VB DET
LT
N/A BLK 16
MTHLY
30DAC
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10-13: The report shall be submitted 30 days after the contract has been awarded and monthly thereafter. The report shall be delivered NLT the first business day of the following month.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:48:42 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:14:53 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MISC
AN/SPS-77 & AN/TPS-80 TBA TBD
A010 TECHNICAL REPORT- STUDY/SERVICES Analysis and Studies - Technical Engineering Services
DI-MISC-80508B See BLK 16 NSWC PHD VB DET
LT
A See BLK 16
See BLK 16
N/A
See BLK 16
See BLK 16
PHD VB - 01 1 1
PHD VB - 02 1 1
PHD VB - 03 1 1
3 3 0
Block 4: Contractor format acceptable Block 5: 5.1.2, 5.1.3, 5.1.7, 5.1.11, 5.1.13, 5.1.14, 5.1.15, 5.1.17, 5.1.19 Block 8: , Government requires 30 days for review; contractor to re-submit 30 days after receipt of comments. Approval is for technical content and/or format.
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10, 12, and 13: The report shall be submitted 30 days after completion of each analysis/study. Submit as required as cited in the SOW.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:50:34 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:13:25 -05'00'
2/9/2021
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A ADMN
AN/SPS-77 & AN/TPS-80 TBA TBD
A011 PRESENTATION MATERIAL
DI-ADMN-81373 SOW para. 5.1.5 NSWC PHD VB DET
LT
N/A See BLK 16
See BLK 16
N/A
See BLK 16
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10, 12, and 13: The presentation material shall be submitted seven (7) days prior to each event. Submit as required as cited in the SOW.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:51:47 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:11:25 -05'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A ADMN
AN/SPS-77 & AN/TPS-80 TBA TBD
A012 CONFERENCE MINUTES
DI-ADMIN-81250B SOW para 5.1.6 NSWC PHD VB DET
LT
N/A See BLK 16
See BLK 16
N/A
See BLK 16
See BLK 16
PHD VB - 01 1
PHD VB - 02 1
PHD VB - 03 1
0 3 0
Block 4: Contractor format acceptable
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10, 12, and 13: The Conference Meeting Minutes shall be submitted five (5) days after completion of event. Submit as required as cited in the SOW.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:52:56 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:09:36 -05'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A MISC
AN/SPS-77 & AN/TPS-80 TBA TBD
A013 TECHNICAL REPORT- STUDY/SERVICES Analysis and Studies - Interim Support Plan
DI-MISC-80508B SOW para 5.1.7 NSWC PHD VB DET
LT
A See BLK 16
See BLK 16
N/A
See BLK 16
See BLK 16
PHD VB - 01 1 1
PHD VB - 02 1 1
PHD VB - 03 1 1
3 3 0
Block 4: Contractor format acceptable
BLK 8 - Government requires 30 days for review; contractor to re-submit 30 days after receipt of comments. Approval is for technical content and/or format.
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10, 12, and 13: The report shall be submitted 30 days after completion of each analysis/study. Submit as required as cited in the SOW.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:54:04 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:08:04 -05'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A SESS
AN/SPS-77 & AN/TPS-80 TBA TBD
A014 TEST PLANS/TEST PROCEDURES Test Plans
DI-SESS-81704 SOW para 5.1.7 NSWC PHD VB DET
LT
A See BLK 16
See BLK 16
N/A
See BLK 16
See BLK 16
PHD VB - 01 1 1
PHD VB - 02 1 1
PHD VB - 03 1 1
3 3 0
Block 4: Contractor format acceptable
Block 8: Government requires 30 days for review; contractor to re-submit 30 days after receipt of comments. Approval is for technical content and/or format.
Block 9: Controlled Unclassified Information (CUI): Federal Employees and Contractors Only. Other requests shall be referred to NSWC PHD VA Beach Detachment, Code S40, Virginia Beach, VA.
Blocks 10, 12 and 13: The Test Plan shall be submitted 30 days after completion. Submit as required as cited in the SOW.
Block 14:
Addressee List:
PHD VB – 01: paul.clary@navy.mil PHD VB – 02: deana.corriere@navy.mil PHD VB – 03: rubin.viera1@navy.mil Additional addressee list will be provided specific to each technical instruction or delivery order.
Media Statement:
Revisions to Existing Government Documents shall be delivered via electronic mail to addressee list. If native format is not Microsoft Office 2000 or later, provide in Adobe .pdf format.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 - 19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON
COMPLETION OF THE CONTRACT OR PURCHASE ORDER. USE OF
GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS
FORBIDDEN.
VIERA.RUBIN.JR.1033645518 Digitally signed by VIERA.RUBIN.JR.1033645518 Date: 2021.02.05 12:55:14 -05'00'
2/5/2021 CORRIERE.DEANA.JAYE.1
011751551
Digitally signed by
CORRIERE.DEANA.JAYE.1011751551
Date: 2021.02.09 12:06:14 -05'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10.…
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