Exhibit A - Contract Data Requirements Lists (CDRLs).pdf
PDF 2 MB Posted
- Attached to
- Alteration and Installation Team Federal contract opportunity
- Solicitation number
- N6339422R0003
About this file
This Contract Data Requirements List (CDRL) outlines fourteen required data items for an Alteration and Installation Team (AIT) support services contract to provide planning and coordination for the installation of Ship Self-Defense Combat Systems aboard various naval vessels including aircraft carriers, cruisers, destroyers and other units.
The CDRL specifies details such as data item numbers, titles, distribution statements, required formats and frequencies, and responsible government offices for each required deliverable. Reports include funds and man-hours expenditure, meeting minutes, quality assurance plans, performance metrics, equipment inventories, hazardous materials management documentation, deficiency reports, and revision records. Distribution is primarily limited to U.S. government agencies and contractors for administrative use, with some deliverables restricted until further approval. Submission due dates and distribution requirements are provided within remarks sections of the document.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N6339422R0003_0003 Conformed.pdf | ||
| N6339422R0003_0003 Amendment.pdf | ||
| N6339422R0003 QandA 12082021.pdf | ||
| N6339422R0003 Amendment 0002 Mod Copy 12082021.pdf | ||
| N6339422R0003 Amendment 0002 Conformed Copy 12082021.pdf | ||
| N6339422R0003_0001 Conformed.pdf | ||
| N6339422R0003_QandA_ 11292021.pdf | ||
| Attachment 6 Cost_Summary Template.xls | XLS spreadsheet | |
| N6339422R0003_0001 Amendment.pdf | ||
| C4(a)_N6339422R0003_Solicitation_ 11182021.pdf | ||
| Attachment 8 Mandatory Staffing Plan.pdf | ||
| Attachment 7 Staffing Plan Matrix.xls | XLS spreadsheet | |
| Attachment 9 Ventura County Wage Determination.pdf | ||
| Attachment 1 _DD 254.pdf | ||
| Attachment 2 QASP.pdf | ||
| Attachment 5 - Sample Task and Scenario.pdf | ||
| Attachment 6 Cost_Summary Template.xls | XLS spreadsheet | |
| Attachment 4 - BLS.pdf | ||
| Attachment 3 Past Performance Information Form.docx | DOCX document |
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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:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
Reg Repro
16. REMARKS
15. TOTAL ▬▬▬▬►
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A002
2 TITLE OF DATA ITEM: Report, Record of Meeting/Minutes
3 SUBTITLE: Meeting Minutes and Action Items
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-ADMN-81505
5 CONTRACT REFERENCE: SOW para. 4.1.5
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: 10/21/21
a ADDRESSEE16 REMARKS: Code S033
Draft16 REMARKS: 0
Reg16 REMARKS: 1
Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: Code S31/S35
Draft16 REMARKS_2: 0
Reg16 REMARKS_2: 2
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Draft15 TOTAL: 0
Reg15 TOTAL: 3
J DATE: 7/72021
18 ESTIMATED TOTAL PRICE:
Repro15 TOTAL: 0
Pages: 14
Page: 2
2021-10-21T10:02:32-0700
MEDINA.JACQUELINE.1559322020
2021-07-07T09:51:50-0700
RAMOS.ELIZABETH.DELA CERNA.1589467058
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S033.
BLK 10, 12 & 13: Meeting Minutes and Action Items shall be submitted NLT 5 days following Quarterly Program Reviews (QPR) and status meetings.
BLK 14 & 14a: Media and Format: The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1215, Code 02.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE CONTRACT OR PURCHASE ORDER, USE OF GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN. GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN.
C CATEGORY TDP TM OTHER: ADMN
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A003
2 TITLE OF DATA ITEM: Contracting Officer's Status Report
3 SUBTITLE: Financial Status Report
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-ADMN-81864A
5 CONTRACT REFERENCE: SOW para. 4.1.6
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: 10/21/21
a ADDRESSEE16 REMARKS: Code S033
Draft16 REMARKS: 0
Reg16 REMARKS: 1
Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: Code S31/S35
Draft16 REMARKS_2: 0
Reg16 REMARKS_2: 2
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Draft15 TOTAL: 0
Reg15 TOTAL: 3
J DATE: 7/7/2021
18 ESTIMATED TOTAL PRICE:
Repro15 TOTAL: 0
Pages: 14
Page: 3
2021-10-21T10:25:14-0700
MEDINA.JACQUELINE.1559322020
2021-07-07T10:06:51-0700
RAMOS.ELIZABETH.DELA CERNA.1589467058
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S033.
BLK 10, 12 & 13: Meeting Minutes and Action Items shall be submitted NLT 5 days following Quarterly Program Reviews (QPR) and status meetings.
BLK 14 & 14a: Media and Format: The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA
C CATEGORY TDP TM OTHER: ADMN
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A004
2 TITLE OF DATA ITEM: Quality Assurance Program Plan (QAPP)
3 SUBTITLE: Quality Program Plan
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-QCIC-81794A
5 CONTRACT REFERENCE: SOW para. 4.2.1
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: ONE/R
12 DATE OF FIRST SUBMISSION: 120 DAYS
11 AS OF DATE: N/A
H DATE: 10/21/21
a ADDRESSEE16 REMARKS: Code S033
Draft16 REMARKS: 1
Reg16 REMARKS: 1
Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: Code S31/S35
Draft16 REMARKS_2: 0
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Draft15 TOTAL: 1
Reg15 TOTAL: 2
J DATE: 7/12/2021
18 ESTIMATED TOTAL PRICE:
Repro15 TOTAL: 0
Pages: 14
Page: 5
2021-10-21T10:26:00-0700
MEDINA.JACQUELINE.1559322020
2021-07-12T18:10:41-0700
RAMOS.ELIZABETH.DELA CERNA.1589467058
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 8: Draft copy shall be submitted for review and approval of technical content and/or format. Government response time is thirty (30) business days. Any rejected submission shall be corrected and resubmitted within fifteen (15) business days after comments adjudication.
BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S31.
BLK 14 & 14a: Media and Format: The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1215, Code 02.
C CATEGORY TDP TM OTHER: QCIC
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A005
2 TITLE OF DATA ITEM: Performance and Cost Report
3 SUBTITLE: Performance Metrics
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-FNCL-80912A
5 CONTRACT REFERENCE: SOW para. 4.3.1
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: MTHLY
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: 0
H DATE: 10/21/21
a ADDRESSEE16 REMARKS: Code S033
Draft16 REMARKS: 0
Reg16 REMARKS: 1
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Draft16 REMARKS_2: 0
Reg16 REMARKS_2: 2
Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3:
Draft16 REMARKS_3:
Reg16 REMARKS_3:
Repro16 REMARKS_3:
a ADDRESSEE16 REMARKS_4:
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a ADDRESSEE16 REMARKS_14:
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Reg16 REMARKS_29:
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18 ESTIMATED TOTAL PRICE:
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Page: 5
2021-10-21T10:05:03-0700
MEDINA.JACQUELINE.1559322020
2021-07-08T13:22:53-0700
RAMOS.ELIZABETH.DELA CERNA.1589467058
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S033.
BLK 12 & 13: Performance Metrics shall be submitted at the end of each month during period of project performance.
BLK 14 & 14a: Media and Format: The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1215, Code 02.
C CATEGORY TDP TM OTHER: FNCL
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A006
2 TITLE OF DATA ITEM: Site Preparation Requirements and Installation Plan
3 SUBTITLE: Pre-Installation Checkout (PICO) Report
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-MGMT-80033A
5 CONTRACT REFERENCE: SOW para. 5.2, 7.3
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: 10/21/21
a ADDRESSEE16 REMARKS: Code S033
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Draft16 REMARKS_3:
Reg16 REMARKS_3:
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a ADDRESSEE16 REMARKS_4:
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a ADDRESSEE16 REMARKS_14:
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Reg16 REMARKS_16:
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a ADDRESSEE16 REMARKS_29:
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Reg16 REMARKS_29:
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18 ESTIMATED TOTAL PRICE:
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Pages: 14
Page: 6
2021-10-21T10:06:13-0700
MEDINA.JACQUELINE.1559322020
2021-07-08T13:26:51-0700
RAMOS.ELIZABETH.DELA CERNA.1589467058
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S033.
BLK 10, 12 & 13: Pre-Installation Checkout (PICO) report shall be submitted for every installation project.
BLK 14: Media and Format: The deliverable shall be created using the latest NMC compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA
C CATEGORY TDP TM OTHER: MGMT
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A007
2 TITLE OF DATA ITEM: AIT Quality Assurance (QA) Workbook
3 SUBTITLE: AIT Quality Assurance (QA) Workbook
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-QCIC-81870
5 CONTRACT REFERENCE: SOW para. 5.3,7.8, 7.12
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: 10/21/21
a ADDRESSEE16 REMARKS: Code S033
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Reg16 REMARKS: 1
Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: Code S31/S35
Draft16 REMARKS_2: 0
Reg16 REMARKS_2: 2
Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3:
Draft16 REMARKS_3:
Reg16 REMARKS_3:
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a ADDRESSEE16 REMARKS_4:
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Reg16 REMARKS_10:
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J DATE: 7/12/82021
18 ESTIMATED TOTAL PRICE:
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Pages: 14
Page: 7
2021-10-21T10:07:09-0700
MEDINA.JACQUELINE.1559322020
2021-07-12T12:18:27-0700
RAMOS.ELIZABETH.DELA CERNA.1589467058
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S033.
BLK 10, 12 & 13: AIT Quality Assurance (QA) workbook shall be submitted after the completion of an installation project.
BLK 14: Media and Format: The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1215, Code 02.
C CATEGORY TDP TM OTHER: QCIC
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
8. APP CODE
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A008
2 TITLE OF DATA ITEM: Contractor's Progress and Status Report
3 SUBTITLE: AIT Weekly Progress Report
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-MGMT-81928
5 CONTRACT REFERENCE: SOW para. 5.4,6.1
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: WKLY
12 DATE OF FIRST SUBMISSION: 35DAC
11 AS OF DATE: 0
H DATE: 10/21/2021
a ADDRESSEE16 REMARKS: Code S033
Draft16 REMARKS: 0
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Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: S31/S35
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Reg16 REMARKS_2: 2
Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3:
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a ADDRESSEE16 REMARKS_29:
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Draft15 TOTAL: 0
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J DATE: 7/7/2021
18 ESTIMATED TOTAL PRICE:
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Pages: 14
Page: 8
2021-10-21T10:44:47-0700
LOPEZ-DIAZ.HIRAMELIZ.1181747788
2021-07-07T15:04:54-0700
MEDINA.JACQUELINE.1559322020
13 DATE IF SUBSEQUENT SUBM: 5DARP
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S033.
BLK 10, 12 & 13: The AIT Monthly Progress Report shall be delivered NLT 5 days after reporting period.
BLK 14 & 14a: Media and Format: The deliverable shall be created using the latest NMC compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA
C CATEGORY TDP TM OTHER: MGMT
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A009
2 TITLE OF DATA ITEM: Equipment Inventory Records (EIRs)
3 SUBTITLE: SID Package Master Materials List (MML)
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-ILSS-81251
5 CONTRACT REFERENCE: SOW para. 6.2, 6.3, 6.6 and 6.7
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: 10/21/2021
a ADDRESSEE16 REMARKS: Code S033
Draft16 REMARKS: 0
Reg16 REMARKS: 1
Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: Code S31/S35
Draft16 REMARKS_2: 0
Reg16 REMARKS_2: 2
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Draft15 TOTAL: 0
Reg15 TOTAL: 3
J DATE: 7/7/2021
18 ESTIMATED TOTAL PRICE:
Repro15 TOTAL: 0
Pages: 14
Page: 9
2021-10-21T11:44:35-0700
LOPEZ-DIAZ.HIRAMELIZ.1181747788
2021-07-07T15:09:04-0700
MEDINA.JACQUELINE.1559322020
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S31.
BLK 10, 12 & 13: The SID Package Master Materials List (MML) shall be submitted within 15 days upon receipt of SID package.
BLK 14: Media and Format: The deliverable shall be created using the latest NMC compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. 1389, Code S033 and Contracting Officer at 4363 Missile Way, Port Hueneme, CA
C CATEGORY TDP TM OTHER: ILSS
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
A CONTRACT LINE ITEM NO: 0004
B EXHIBIT: A
D SYSTEMITEM: AIT Support Services
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A010
2 TITLE OF DATA ITEM: Hazardous Materials Management Program (HMMP) Report
3 SUBTITLE: Hazmat/Hazwaste Report
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-MISC-81397C
5 CONTRACT REFERENCE: SOW para. 6.9
6 REQUIRING OFFICE: NSWC PHD, Code S31
7 DD 250 REQ: LT
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: C
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: 10/21/2021
a ADDRESSEE16 REMARKS: Code S033
Draft16 REMARKS: 0
Reg16 REMARKS: 1
Repro16 REMARKS: 0 a ADDRESSEE16 REMARKS_2: Code S31/S35
Draft16 REMARKS_2: 0
Reg16 REMARKS_2: 2
Repro16 REMARKS_2: 0 a ADDRESSEE16 REMARKS_3:
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Draft15 TOTAL: 0
Reg15 TOTAL: 3
J DATE: 7/7/2021
18 ESTIMATED TOTAL PRICE:
Repro15 TOTAL: 0
Pages: 14
Page: 10
2021-10-21T11:45:55-0700
LOPEZ-DIAZ.HIRAMELIZ.1181747788
2021-07-07T15:14:26-0700
MEDINA.JACQUELINE.1559322020
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 9: DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government agencies and their contractors, administrative/operational use (January, 2020); Other requests for this document shall be referred to NSWC PHD, Code S033.
BLK 10, 12 & 13: Hazmat/Hazwaste Report shall be submitted prior to commencing work that has environmental concerns and impact.
BLK 14: Media and Format: The deliverable shall be created using the latest NMC compatible version of Microsoft Office. Deliverable shall be e-mailed as an electronic mail attachment to the current COR and Contracting Officer. Mail addresses of recipients are as follows:
COR: See Contracting Officer's Representative listed in Section G of the contract (contract clause HQ G-2-0003).
KO: See Purchasing Office Representative listed in Section G of the contract (contract clause HQ G-2-0004).
If contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM and mailed to the current COR at 4363 Missile Way, Port Hueneme, CA 93043-4307, Bldg. XXXX, Code XXX and Contracting Officer at 4363 Missile Way, Port Hueneme, CA
C CATEGORY TDP TM OTHER: MISC
TM:
TDP:
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.
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