N6339422R0021_Exhibit_(A)_CDRLS.pdf
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- Attached to
- System Module and Standard Module cable set Federal contract opportunity
- Solicitation number
- N6339422R0021
About this file
This Contract Data Requirements List (CDRL) outlines seven data items required under a solicitation from the Naval Surface Warfare Center Port Hueneme Division for the fabrication, assembly, testing and delivery of Vertical Launching System Module and Standard Module cable sets. Key requirements include the delivery of inspection schedules and reports, configuration management documentation, technical reports and presentations. Submissions are due on a recurring monthly, quarterly or one-time basis depending on the data item, with distribution restricted to the DoD and US contractors. The solicitation number is N6339422R0021 and offers are due by the closing date specified in the solicitation, with questions due two weeks prior.
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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 N63394-22-R-0021 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 N63394-22-R-0021 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 N63394-22-R-0021 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 N63394-22-R-0021 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 N63394-22-R-0021 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 N63394-22-R-0021 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 N63394-22-R-0021 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 .