18a__DD1423_(A001)(4-20-15)(JMT_Signed)_MO.pdf

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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 and Communications 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

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

1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: CONTRACTOR'S PROGRESS STATUS AND MANAGEMENT REPORT
3_SUBTITLE: MONTHLY STATUS REPORT
4_AUTHORITY_Data_Acquisit: DI-MGMT-80227
5_CONTRACT_REFERENCE: SOW PARA 6.0
6_REQUIRING_OFFICE: NSWC CORONA (QA10)
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: C
10_FREQUENCY: MTHLY
11_AS_OF_DATE: 0
12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: J. Trunko (QA10)
draft1:
reg1: 1
repro1:
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addressee38:
draft38:
reg38x:
repro38:
total_draft: 0
total_repro: 0
16_REMARKS: BLK-4 – CONTRACTOR FORMAT IS ACCEPTABLE.

BLK 9 - USE THE FOLLOWING: "DISTRIBUTION STATEMENT C.

DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS ONLY. (REASON: ADMINISTRATIVE USE). (DATE: 5/26/99). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED NAVAL SURFACE WARFARE CENTER, CORONA DIVISION, CORONA CA."

BLK 12 - THE REPORTING PERIOD WILL BE FROM THE FIRST TO LAST

BUSINESS DAY OF EACH MONTH, BEGINNING WITHIN 30 CALENDAR

DAYS AFTER EFFECTIVE DATE OF ORDER.

BLK 13 - SUBSEQUENT REPORTS SUBMITTED MONTHLY THEREAFTER,

NOT LATER THAN THE 10TH DAY OF THE REPORTING MONTH.

BLK 14 - ELECTRONIC COPY SHALL BE BY E-MAIL IN MICROSOFT

OFFICE / WORD FORMAT.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE: 20 Apr 15
J_DATE: 29 Apr 2015
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: DATA MANAGEMENT SERVICES
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages: 1
Reset:
2015-04-20T08:06:56-0700
TRUNKO.JOSEPH.MICHAEL.1228939990
2015-04-29T14:53:23-0700
OLEA.MARIA.M.1251908121

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