N6339421R0016_Exhibit_(A)_CDRLS.pdf

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Attached to
System Module and Standard Module cable set Federal contract opportunity
Solicitation number
N6339421R0016
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This is a Contract Data Requirements List (CDRL) for a federal contract solicitation to procure System Module and Standard Module cable sets for the Naval Surface Warfare Center, Port Hueneme Division. The contractor will be required to fabricate, assemble, test and deliver the cable sets. Key deliverables under the contract include inspection schedules and reports, configuration management documentation submitted monthly, technical reports due within seven days after events, and a quality control program plan due five months after award. The solicitation number is N6339421R0016 and questions must be submitted by email to the Contract Specialist and Contracting Officer by two weeks prior to the closing date. Offerors can request the specifications and drawings through the Contract Specialist via email or DoD SAFE.

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Other files attached to System Module and Standard Module cable set, newest first.
File Type Posted
N6339421R0016_Conformed Copy_Amendment 8.pdf PDF
N6339421R0016_Summary of Changes Amendment 8.pdf PDF
N6339421R0016_Conformed Copy_Amendment 7.pdf PDF
N6339421R0016_Summary of Changes__Amendment 7.pdf PDF
N6339421R0016_Summary of Changes__Amendment 6.pdf PDF
N6339421R0016_Conformed Copy_Amendment 6.pdf PDF
N6339421R0016_Conformed Copy_Amendment 5.pdf PDF
N6339421R0016_Summary of Changes_Amendment 5.pdf PDF
N6339421R0016_Conformed Copy_Amendment 4.pdf PDF
N6339421R0016_Summary of Changes__Amendment 4.pdf PDF
N6339421R0016_Summary of Changes__Amendment 3.pdf PDF
N6339421R0016_Conformed Copy_Amendment 3.pdf PDF
N6339421R0016_Summary of Changes__Amendment 2.pdf PDF
N6339421R0016_Conformed Copy_Amendment 2.pdf PDF
N6339421R0016_Summary of Changes__Amendment 1.pdf PDF
N6339421R0016_Conformed Copy_Amendment 1.pdf PDF
N6339421R0016_J-3_Material Part List_Enclosure.xlsx XLSX spreadsheet
N6339421R0016_VLS MODULE CABLES_SOLICITATION.pdf PDF
N6339421R0016_J-3_Material Part List_Enclosure.pdf PDF
N6339421R0016_J-S-1_Past Performance Questionnaire.doc DOC document
N6339421R0016_J-2_GFI_Attachment.xlsx XLSX spreadsheet
N6339421R0016_J-S-2_Pricing_Spreadsheet.xlsx XLSX spreadsheet
N6339421R0016_J-4_GFP Attachment.xlsx XLSX spreadsheet
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CONTRACT DAT A REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 0MB 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.

B. EXHIBIT C. CATEGORY:

A TDP TM OTHER MGMT--- --

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM I

E. CONTRACT/PR NO. F.CONTRACTOR

Module and System Cables N63394-21-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A00l Key Event Schedule Schedules of First Article Inspection (FAI) Events

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81791 SOWPara4.2 NSWC PHD Code A107

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

REQUIRED

ASREQ See BLK 16 LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D (See BLK 16) SUBMISSION Draft

NIA NIA See BLK 16 Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to

DOD and U.S. DOD contractors only; administrative or operational use;

November 2020. Other requests for this document shall be referred to

Program Executive Office Integrated Warfare Systems (PEO IWS), Attn: PEO IWS 3L.

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 ofDoD 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, PURCHASE ORDER,

ETC., USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

BLK 12: Submit no later than 20 days prior to the first event.

BLK 13: Submit no later than 10 days after the event.

BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or

DVD-ROM via Email Notification to Bonnie.Nguyen.@Navy.Mil.

G. PREPARED BY H.DATE I. APPROVED BY

Digitally signed by 11/2312020 MORA.REYNALDO.126712 NGUYEN.BONNIE.T.1230847718 NGUYEN.BONNIE.T.1230S47718 Date: 2020.11.23 20:16:36-08'00' 0222

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

See BLK 16

NSWCPHDTPOC 1

DCMA 1

15.TOTAL 0 2 0

J.DATE

Digitally signed by 02 JAN 2021 MORA.REYNALD0.1267120m

_ ,.n,-.,n1rv-, ,.,_ '.

Page l of

Pages

Adobe Professional 8. 0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

NIA

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 0MB 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.

B. EXHIBIT C. CATEGORY:

A TDP TM OTHER NDTI--- --

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM I

E. CONTRACT/PR NO. F.CONTRACTOR

Module and System Cables N63394-21-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B Para 4.2 NSWC PHD Code A107

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

REQUIRED

ASREQ 30 DARC LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D (See BLK 16) SUBMISSION Draft See BLK 16 NIA See BLK 16 Reg Repro

16. REMARKS

BLK 8: APP Code A - Comments/Approval/Disapproval from the Government will be submitted within 10 working days after receipt of draft report.

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to

DOD and U.S. DOD contractors only; administrative or operational use;

November 2020. Other requests for this document shall be referred to

Program Executive Office Integrated Warfare Systems (PEO IWS), Attn: PEO IWS 3L.

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 ofDoD 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, PURCHASE ORDER,

ETC., USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

BLK 13: The draft and final report of each First Article Inspection shall be submitted five

(5) and no later than fourty-five (45) days after each scheduled event respectively.

BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or

DVD-ROM via Email Notification to Bonnie.Nguyen.@Navy.Mil.

G. PREPARED BY H.DATE I. APPROVED BY

Digitally signed by 11/23/2020 MORA.REYNALDO.126712 NGUYEN.BONNIE.T.1230847718 NGUYEN.BONNIE.T.1230S47718 Date: 2020.11.2320:20:I0-08'00' 0222

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

See BLK 16

NSWCPHDTPOC 1 1

DCMA 1 1

15.TOTAL 2 2 0

J.DATE

Digitally signed by 02 JAN 2021 MORA.REYNALD0.1267120m

_ ,.n,-.,n1rv-, ,.,_ '.

Page of

Pages

Adobe Professional 8. 0

17. PRICE GROUP

18. ESTIMATED

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 0MB 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.

B. EXHIBIT C. CATEGORY:

A TDP TM OTHER SESS--- --

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM I

E. CONTRACT/PR NO. F.CONTRACTOR

Module and System Cables N63394-21-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A003 Configuration Status Accounting Information Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81253E SOWPara6.0 NSWC PHD Code A107

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

REQUIRED

ASREQ See BLK 16 LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D (See BLK 16) SUBMISSION Draft

NIA NIA See BLK 16 Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to

DOD and U.S. DOD contractors only; administrative or operational use;

November 2020. Other requests for this document shall be referred to

Program Executive Office Integrated Warfare Systems (PEO IWS), Attn: PEO IWS 3L.

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 ofDoD 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, PURCHASE ORDER,

ETC., USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

BLK 12: Submit report four (4) months after contract award.

BLK 13: The report shall be submitted five (5) days after receiving the Government's request.

BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or

DVD-ROM via Email Notification to Bonnie.Nguyen.@Navy.Mil.

G. PREPARED BY H.DATE I. APPROVED BY

Digitally signed by 11/2312020 MORA.REYNALDO.126712 NGUYEN.BONNIE.T.1230847718 NGUYEN.BONNIE.T.1230S47718 Date: 2020.11.23 20:22:07-08'00' 0222

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

See BLK 16

NSWCPHDTPOC 1

DCMA 1

15.TOTAL 0 2 0

J.DATE

Digitally signed by 02 JAN 2021 MORA.REYNALD0.1267120m

_ ,.n,-.,n1rv-, ,.,_ '.

Page of

Pages

Adobe Professional 8. 0

17. PRICE GROUP

18. ESTIMATED

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 0MB 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.

B. EXHIBIT C. CATEGORY:

A TDP TM OTHER SESS--- --

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM I

E. CONTRACT/PR NO. F.CONTRACTOR

Module and System Cables N63394-21-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 AS BUILT CONFIGURATION LIST- COMMON (ABCL-C)

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81830 SOW Para 6 & 12.1 NSWC PHD Code A107

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

REQUIRED

Mthly See BLK 16 NIA b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D (See BLK 16) SUBMISSION Draft

NIA NIA See BLK 16 Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to

DOD and U.S. DOD contractors only; administrative or operational use;

November 2020. Other requests for this document shall be referred to

Program Executive Office Integrated Warfare Systems (PEO IWS), Attn: PEO IWS 3L.

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 ofDoD 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, PURCHASE ORDER,

ETC., USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

BLK 12: DUE within five (5) days after delivery.

BLK 13: Subsequent Submissions on the 10th of every month.

BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or

DVD-ROM via Email Notification to Bonnie.Nguyen.@Navy.Mil.

G. PREPARED BY H.DATE I. APPROVED BY

Digitally signed by 11/2312020 MORA.REYNALDO.126712 NGUYEN.BONNIE.T.1230847718 NGUYEN.BONNIE.T.1230S47718 Date: 2020.11.2320:26:54-08'00' 0222

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

See BLK 16

NSWCPHDTPOC 1

DCMA 1

15.TOTAL 0 2 0

J.DATE

Digitally signed by 04 JAN2021 MORA.REYNALD0.1267120m

_ ,.n,-.,n1n•=- '.

Page 4 of

Pages

Adobe Professional 8. 0

17. PRICE GROUP

18. ESTIMATED

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 0MB 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.

B. EXHIBIT C. CATEGORY:

A TDP TM OTHER MISC--- --

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM I

E. CONTRACT/PR NO. F.CONTRACTOR

Module and System Cables N63394-21-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A005 Technical Report Study/Services

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B Para 12.5, 17.1, 17.2, 17.3, 19.2 NSWC PHD Code A107

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

REQUIRED

ASREQ See BLK 16 LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D (See BLK 16) SUBMISSION Draft

NIA NIA See BLK 16 Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to

DOD and U.S. DOD contractors only; administrative or operational use;

November 2020. Other requests for this document shall be referred to

Program Executive Office Integrated Warfare Systems (PEO IWS), Attn: PEO IWS 3L.

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 ofDoD 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, PURCHASE ORDER,

ETC., USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

BLK 12: Submit no later seven (7) days after event.

BLK 13: The report shall be submitted five (5) days after receiving the Government's request.

BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or

DVD-ROM via Email Notification to Bonnie.Nguyen.@Navy.Mil.

G. PREPARED BY H.DATE I. APPROVED BY

Digitally signed by 11/2312020 MORA.REYNALDO.126712 NGUYEN.BONNIE.T.1230847718 NGUYEN.BONNIE.T.1230S47718 Date: 2020.11.23 20:29:35-08'00' 0222

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

See BLK 16

NSWCPHDTPOC 1

DCMA 1

15.TOTAL 0 2 0

J.DATE

Digitally signed by 02 JAN 2021 MORA.REYNALD0.1267120m

_ ,.n,-.,n1rv-, ,.,_ '.

Page of

Pages

Adobe Professional 8. 0

17. PRICE GROUP

18. ESTIMATED

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 0MB 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.

B. EXHIBIT C. CATEGORY:

A TDP TM OTHER ADMN--- --

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM I

E. CONTRACT/PR NO. F.CONTRACTOR

Module and System Cables N63394-21-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A006 Presentation Material

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ADMN-81373 Para 16.1 NSWC PHD Code A107

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

REQUIRED

ASREQ See BLK 16 LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D (See BLK 16) SUBMISSION Draft

NIA NIA See BLK 16 Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to

DOD and U.S. DOD contractors only; administrative or operational use;

November 2020. Other requests for this document shall be referred to

Program Executive Office Integrated Warfare Systems (PEO IWS), Attn: PEO IWS 3L.

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 ofDoD 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, PURCHASE ORDER,

ETC., USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

BLK 12: Provide the presentation to the Government five (5) days prior to the scheduled event.

BLK 13: Provide the presentation to the Government five (5) days prior to the scheduled event.

BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or

DVD-ROM via Email Notification to Bonnie.Nguyen.@Navy.Mil.

G. PREPARED BY H.DATE I. APPROVED BY

Digitally signed by 11/2312020 MORA.REYNALDO.126712 NGUYEN.BONNIE.T.1230847718 NGUYEN.BONNIE.T.1230S47718 Date:2020.11.2320:31:40-08'00' 0222

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

See BLK 16

NSWCPHDTPOC 1

DCMA 1

15.TOTAL 0 2 0

J.DATE

Digitally signed by 04 JAN 2021 MORA.REYNALD0.1267120m

_ ,.n,-.,n1n•=- ·" '.

Page of

Pages

Adobe Professional 8. 0

17. PRICE GROUP

18. ESTIMATED

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 0MB 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.

B. EXHIBIT C. CATEGORY:

A TDP TM OTHER QCIC--- --

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM I

E. CONTRACT/PR NO. F.CONTRACTOR

Module and System Cables N63394-21-R-0016 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A007 Quality Control Program Plan

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-80756A SOW Para 19.1, 19.3, 19.4 NSWC PHD Code A107

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

REQUIRED

One Time See BLK 16 LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D (See BLK 16) SUBMISSION Draft

NIA NIA NIA Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to

DOD and U.S. DOD contractors only; administrative or operational use;

November 2020. Other requests for this document shall be referred to

Program Executive Office Integrated Warfare Systems (PEO IWS), Attn: PEO IWS 3L.

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 ofDoD 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, PURCHASE ORDER,

ETC., USE OF GOVERNMENT DOCUMENTATION FOR

COMMERCIAL PURPOSES IS FORBIDDEN.

BLK 12: Submit no later than five (5) months after contract award.

BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or

DVD-ROM via Email Notification to Bonnie.Nguyen.@Navy.Mil.

G. PREPARED BY H.DATE I. APPROVED BY

Digitally signed by 11/2312020 MORA.REYNALDO.126712 NGUYEN.BONNIE.T.1230847718 NGUYEN.BONNIE.T.1230S47 718 Date:2020.11.2320 :33:37-08'00' 0222

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

See BLK 16

NSWCPHDTPOC 1

DCMA 1

15.TOTAL 0 2 0

J.DATE

Digitally signed by 02 JAN 2021 MORA.REYNALD0.1267120m

_ ,.n,-.,n1rv-, ,.,_ '.

Page_?_ of_7_ Pages

Adobe Professional 8. 0

17. PRICE GROUP

18. ESTIMATED

Exhibit A
Exhibit A1
Exhibit A2
Exhibit A3
Exhibit A4
Exhibit A5
Exhibit A6

File details come from the government source that posted it. Updated .