A4_CDRL_A003_SwFwChangeReq_N6426719R0037.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0005 A TDP________ TM __ ____ OTHER MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Dial Indicator Calibrator

N64267-19-D-XXXX TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A003 Software/Firmware Change Request Software/Firmware Change Request II

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-81807

(See Block 16)

SOW Paragraph 5.1.8

(See Block 16)

NSWC, Corona Division TOTAL PRICE

$ 3,420.00

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

SUBMISSION

14. DISTRIBUTION

XX C

(See Block 16) (See Block 16) (See Block 16)

(See Block 16)

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

A

(See Block 16) N/A (See Block 16)

Draft Reg

Rep ro

16. REMARKS Daniel M Martinez (MS35) 1 1 0

Block 4/5: DI-MISC-81807 shall be used as guidance and is provided for reference.

SOW Paragraph 5.1.8 is mandatory to this requirement.

Block 8: Prior notification and Government approval of all Software/Firmware

Change Request(s) (CDRL A003 subtitle) for the Dial Indicator Calibrator is required by the Government. Contractor shall provide a Software/Firmware Change Request to the Government for review, comment, and approval no later than (NLT) 15 calendar days prior to installation of software and/or firmware revisions to any Dial

Indicator Calibrator. Government comments with or without approval will be provided to the contractor within 15 days of receipt of Software/Firmware Change

Request providing information explained in DI-MISC-81807.

Block 9: DISTRIBUTION STATEMENT C. DISTRIBUTION AUTHORIZED TO

U. S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS TO PROTECT

PUBLICATIONS REQUIRED FOR OFFICIAL USE OR FOR ADMINISTRATIVE

OR OPERATIONAL PURPOSES ONLY. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO MEASUREMENT SCIENCE

DIRECTORATE, NAVAL SURFACE WARFARE CENTER, CORONA

DIVISION, P.O. BOX 5000, CORONA.

Block 10/12/13: Submission(s) of Software/Firmware Change Request(s) apply to both new and warranty repaired Dial Indicator Calibrator and shall be provided to the

Government prior to each software/firmware change and initial operating capability

(IOC) of the Dial Indicator Calibrator. Transmission of the Software/Firmware

Change Request(s) data shall follow the requirements specified in SOW paragraph

5.1.8.

Block 14: Submission in Contractor format is acceptable. Quantity and copies shall be provided IAW CDRL distribution (Block 14). Addressee's POC information provided on CDRL supplemental page 2.

NSWC Corona Division

Hien Le (MS33) 1 1 0

NSWC Corona Division

15. TOTAL 2 2

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

D. M. Martinez NSWC, Corona (MS35) K. Bergland NSWC, Corona MS35 CDM 08/05/2019

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 2 Pages

1077/183

DD FORM 1423 (CDRL) Supplemental

BLOCK 14 ENTRY COMPLETE ADDRESS

Daniel M Martinez, NSWC, Corona MS35, daniel.m.martinez@navy.mil

NSWC Corona Division

MS Department (Attn: Daniel M Martinez, MS35, Building 521)

PO Box 5000

Corona CA 92878-5000

Hien Le, NSWC, Corona MS33, hien.t.le@navy.mil

NSWC Corona Division

MS Department (Attn: Hien Le MS33, Building 521)

PO Box 5000

Corona CA 92878-5000

Page 2 of 2 Pages mailto:daniel.m.martinez@navy.mil mailto:hien.t.le@navy.mil