N6449823R4047 - Exhibit 1 - CDRLS A001 - A011.pdf

PDF 2 MB Posted

Attached to
N6449823R4047 - Depot-Level Repair of US Navy 501-K34
Solicitation number
N6449823R4047
Issued by

About this file

This is a solicitation for depot-level repair of US Navy 501-K34 marine gas turbine engines. The solicitation requires repair and overhaul services including incoming inspection, disassembly inspection, testing and reliability reports. The contractor must submit regular status reports on inventory, deviations from specifications, small business utilization and repair of government furnished equipment. The Navy Naval Sea Systems Command is seeking these repair services with responses due by April 2023 and work to be performed over multiple years. Pricing will be fixed price with progress payments.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

For the best experience, open this PDF portfolio in

Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

http://www.adobe.com/go/reader

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 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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A008 title: Government Property (GP) Inventory Report sub: Government Furnished Property Inventory Monthly Report auth: DI-MGMT-80441D ref: SOW, Paragraph 8.0 req_ofc: NSWCPD Code 423 dd250: LT appcode: N/A dist: B* freq: MTHLY* asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: Tech POC (Email) draft1:

reg1: 1 repro1:

addressee2: COR (Email) draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 4: Contractor format acceptable. Tailoring instructions for DI-MGMT-81441D:

- General: Abbreviations are not allowed. Acronyms may be used if a term is defined on first usage.

- 3.R: Contractor may provide Federal Condition code or description of property.

BLK 7: I/A Destination.

BLK 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 1 December 2021. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.

BLK 10: One cumulative Inventory Report may be submitted and shall separate material by task order. Separate reports may be requested for a specific task order(s). The maximum total number of submissions for the POP of this contract is 60.

BLKS 11 and 12: First Monthly Inventory Report shall be submitted within 15 days of inital receipt and inspection of Government Furnished Property or Contractor Acquired Property by Contractor.

BLK 13: Subsequent reports shall be submitted every 30 days thereafter.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.

BLK 18: NSP

Email address for Accountable Property Officer shall be as follows, unless otherwise directed by the Government: james.p.soisson,civ@us.navy.mil group: N/A total_price:

prep_name: Jeffrey Patterson line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: MGMT system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb: Intentionally left blank

Page2:

Reset:

2023-05-11T17:00:49-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:49:28-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A011 title: Small Business Utilization Report sub:

auth: DI-MGMT-82041B ref: SOW Paragraph 4.11 req_ofc: MDA/SB dd250: LT appcode: A dist: E freq: SEMIA asof: See Blk16 firstsub: See Blk16 subsub: See Blk16 addressee1: MDA/SB draft1: 1 reg1: 1 repro1: 0 addressee2: Tech POC (Email) draft2: 0 reg2: 1 repro2: 0 addressee3: COR (Email) draft3: 0 reg3: 1 repro3: 0 addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 1 total_reg: 3 total_repro: 0 remarks: BLK 4: Contractor format is acceptable.

The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

Small Business Utilization Report shall be in contractor format or as specified in the contract, and include: (1) Name of the small business subcontractor(s), whether the subcontractor(s) is: (a) Small Business; (b) Veteran-Owned Small Business; (c) Service Disabled Veteran-Owned Small Business; (d) HUBZONE Small Business; (e) Small Disadvantaged Business; (f) Women-Owned Small Business. Also, briefly describe the subcontractor(s) efforts performed.

The contractor shall report actual achievements relative to proposed small business utilization in performance of the contract (including subcontracting dollars/percentages), and the results of efforts to:

(1) Expand the pool of qualified small businesses through increased competition for acquisition of components, parts (includes hardware and software), and/or to perform sustainability or support services for {Insert title of acquisition}.

(2) Engage small businesses to serve as alternative sources in order to mitigate the risks of single point failures in the supply chain and increase the quality of supplies or services.

(3) Leverage Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) program funded technologies with high potential for transition into the {Insert title of acquisition}.

- Report the number and dollar amount of Phase III SBIR or STTR contracts (DoDI 5000.02).

BLK 7: I/A Destination BLK 8: Government review and approval (or disapproval) and comments will be provided within 30 days after receipt of each submittal or revision unless otherwise specified. If the Government provides any comments, submit an update incorporating Government comments within 15 days after receipt of Government comments unless otherwise specified.

BLK 9: Distribution Statement E: Distribution authorized to DoD Components only (Proprietary Information). Other requests shall be referred to (MDA/SB -VB III SB Office) group: N/A total_price:

prep_name: Jeffrey Patterson line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: MGMT system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb:

BLK 10: The semiannual report shall be submitted for the six month reporting period ending March 31 and the twelve month reporting period ending September 30. The maximum total number of submissions for the POP of this contract is 10.

BLKs 11/12/13: Reports are due 30 days after the close of each reporting period and within 30 days of contract completion.

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 (Title 50 U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Limited Rights technical data and/or Restricted Rights computer software shall not be incorporated into the design of any systems, diagrams, design documentation packages, prototypes, and/or models simulation thereof under this contract without the prior written authorization of the Contracting Officer.

Technical data or computer software that is not properly included on a data rights assertion list incorporated into the contract shall NOT be delivered with any restrictive markings.

Under no circumstances shall technical data or computer software to be delivered under or in conjunction with this CDRL, be marked "Proprietary" (or similar Nonconforming marking(s)).

BLK 14. Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications. Email address for MDA/SB submissions shall be as follows unless otherwise directed by the Government: Gerry Furey at Gerald.Furey@navy.mil.

BLK 18: NSP

TPOC Email: jeffrey.s.patterson38.civ@us.navy.mil

Page2:

Reset:

2023-05-11T17:51:25-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:48:15-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A001 title: Incoming Inspection Summary Report sub: N/A auth: DI-QCIC-80376A ref: SOW, Paragraph 4.1 req_ofc: NSWCPD Code 423 dd250: LT appcode: N/A dist: B* freq: ASREQ* asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: TBD addressee1: Tech POC (Email) draft1:

reg1: 1 repro1:

addressee2: COR (Email) draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 7: I/A Destination.

BLK 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 1 December 2021. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.

BLK 10, 11, 12, and 13: Within five (5) calendar days of container opening and receipt inspection of the US Navy 501-K34 MGT Engine, the repair activity shall contact NSWCPD Code 423 to report all parts/components that are missing, damaged or cannibalized. The maximum total number of submissions for the POP of this contract is 92.

Within five (5) working days after receipt of the US Navy 501-K34 MGT Engine, the contractor shall contact NSWCPD Code 423, to provide the serial number of the engine, and physical condition of the shipping container.

If the shipping container is unable to hold the nitrogen charge when the container is received, or at any other time when the engine is stored in the shipping container, the contractor shall notify NSWCPD Code 423 within two (2) working days.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.

group: NA total_price: NSP prep_name:

line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: QCIC system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb: Intentionally left blank

Page2:

Reset:

2023-05-11T16:31:02-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:41:02-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Test/Inspection Report sub: N/A auth: DI-NDTI-80809B NOT 2* ref: SOW, Paragraph 4.2 req_ofc: NSWCPD Code 423 dd250: LT appcode: N/A dist: C* freq: ASREQ* asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: TBD addressee1: Tech POC (Email) draft1:

reg1: 1 repro1:

addressee2: COR (Email) draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 4: Data elements may be in the contractor’s format. At a minimum, the DIR shall contain the following data elements:

• All incoming inspection results with tear-down inspection records

• All inspection data and damage reports

• 501-K34 MGT Engine serial number and selected component serial and part numbers.

• Illustration and pictures of damage found

• Borescope inspection report(s) (if performed by the repair activity)

• List of all technical directives, mandatory upgrades and service bulletins pending

• All authorized deviations from US Navy 501-K34 MGT Engine depot level TMs

• Metallurgical evaluation and laboratory reports

• All parts, components missing

• Condition (Serviceable / Not Serviceable) or Applicability (501-K34 MGT Engine)

• Replace / Rework

• Findings Summary (FOD, MFG design, etc)

• Conditions found (dimensions vs. spec)

• Assembly nomenclature / part number

• Accessories and gearboxes

• Inspection and discrepancies found

• Assembly manufacturer

• Estimated level of repair in accordance with Performance Work Statement, 3.0.6.

BLK 7: I/A Destination.

BLK 9: Distribution Statement C. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 1 December 2021. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.

BLK 10, 11, 12, and 13: Within forty five (45) working days after induction of the US Navy 501-K34 MGT Engine, the contractor shall compile a Disassembly Inspection Report (DIR) containing the data elements described above in Block 4 clarification. The maximum total number of submissions for the POP of this contract is 92.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.

BLK 18: NSP

TPOC Email: jeffrey.s.patterson38.civ@us.navy.mil group: N/A total_price:

prep_name: Jeffrey Patterson line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: NDTI system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb: Intentionally left blank

Page2:

Reset:

2023-05-11T16:33:47-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:41:40-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: Request for Variance sub: Request for Waiver or Deviation auth: DI-SESS-80640E* ref: SOW, Paragraph 4.3 req_ofc: NSWCPD Code 423 dd250: LT appcode: A dist: C* freq: ASREQ* asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: TBD addressee1: Tech POC (Email) draft1:

reg1: 1 repro1:

addressee2: COR (Email) draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 4: Government format required (DD FORM 1694). The following information must be incorporated in blocks 22-24 in form 1694.

• Findings

• Proposed alternate procedure including chapter/figure/table reference

• Copy of proposed alternate procedure

• Applicable US Navy 501-K34 MGT Engine depot level technical manual chapter/figure/table reference

• Deviation description

• Reason for proposed deviation/waiver request/material substitution

All processes, procedures, inspection criteria, and components used in the repair of US Navy 501-K34 marine gas turbine engine shall be approved by NSWCPD Code 423 for use or implementation in the gas turbine engine repair. Approved procedures and components are listed in the 501-K34 technical manuals. The US Navy upon written request will evaluate additional procedures and components not listed in the aforementioned technical manuals on a case-by-case basis.

BLK 7: I/A Destination.

BLK 9: Distribution Statement C. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 1 December 2021. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.

BLK 10, 11 and 12: Within forty five (45) working days after induction of the US Navy 250-KS4 RIMSS Engine, the contractor shall provide a Request for Waiver or Deviation to NSWCPD Code 423. The maximum total number of submissions for the POP of this contract is 92.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.

group: N/A total_price:

prep_name: Jeffrey Patterson line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: SESS system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb: Intentionally left blank

Page2:

Reset:

2023-05-11T16:35:46-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:42:26-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: Government Furnished Equipment Repair Status Report sub: N/A auth: DI-ILSS-80620 ref: SOW, Paragraph 4.4 req_ofc: NSWCPD Code 423 dd250: LT appcode: N/A dist: B* freq: MTHLY* asof: 0 firstsub: 90 DAC* subsub: N/A addressee1: Tech POC (Email) draft1:

reg1: 1 repro1:

addressee2: COR (Email) draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 4: Report shall be in contractor's format.

BLK 7: I/A Destination.

BLK 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 1 December 2021. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.

BLK 10, 11, 12, and 13: Report shall consist of a monthly summary of all repairables sent to the contractor within that period. This action shall be accomplish at the end of the reporting month. Contract required delivery dates, estimated delivery dates and actuals shall be included. The maximum total number of submissions for the POP of this contract is 60.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.

group: N/A total_price:

prep_name: Jeffrey Patterson line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: ILSS system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb: Intentionally left blank

Page2:

Reset:

2023-05-11T16:37:27-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:42:52-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Reliability Test Report sub: Engine Repair Completion Report auth: DI-SESS-81628B* ref: SOW, Paragraph 4.5 req_ofc: NSWCPD Code 423 dd250: LT appcode: N/A dist: B* freq: ASREQ* asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: TBD addressee1: Tech POC (Email) draft1:

reg1: 1 repro1:

addressee2: COR (Email) draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 4: Contractor shall provide the data in accordance with the following (this report at a minimum shall contain):

- Table of contents

- All incoming inspection results with teardown inspection records

- All inspection data and damage reports

- Total overhaul work scope

- Provide a condition report showing the technical manual figure and item, part number, description, quantity, disposition, and details of the part condition and action taken to correct. A photographic disassembly and condition report of the gas generator at induction and all sub-assemblies during tear-down and inspection. Include photographs of components when required to show damage or unusual occurrences in the appropriate sub-assembly condition report

- The condition reports shall be segregated by engine sub-assembly as follows:

- Compressor Section

- Turbine Section

- Accessory Gearbox

- Accessories

- Engine Build

- Service Bulletins

- Engine Performance Test Section

- Acceptance Test

- Vibration Survey

BLK 7: I/A Destination.

BLK 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 1 December 2021. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.

BLK 10, 11 and 12: This report shall be submitted to NSWCPD Code 423 within sixty (60) days after completion of overhaul. The maximum total number of submissions for the POP of this contract is 92.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.

BLK 18: NSP

TPOC Email: jeffrey.s.patterson38.civ@us.navy.mil group: N/A total_price:

prep_name: Jeffrey Patterson line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: SESS system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb: Intentionally left blank

Page2:

Reset:

2023-05-11T16:40:37-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:44:00-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Contractor Status Reports sub: N/A auth: DI-MGMT-81928 ref: SOW, Paragraph 4.6 req_ofc: NSWCPD Code 423 dd250: LT appcode: N/A dist: B* freq: MTHLY asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: Tech POC (Email) draft1:

reg1: 1 repro1:

addressee2: COR (Email) draft2:

reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

repro17:

addressee18:

draft18:

reg18:

repro18:

addressee19:

draft19:

reg19:

repro19:

addressee20:

draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 2 total_repro: 0 remarks: BLK 4:

Section 2: For clarification, cover sheet shall also include: Engine Serial No.; Engine arrival date; Engine induction date/estimated workscope meeting date/estimated test date

Omit sections 2.5 & 2.6;

Section 2.7: Omit figure 1 & figure 3

BLK 7: I/A Destination.

BLK 9: Distribution Statement B. Distribution authorized to U.S. Government agencies only for contractor performance evaluation, 6 August 2015. Other requests for this document shall be referred to Commander, Naval Surface Warfare Center, Philadelphia Division, 5001 South Broad Street, Building 4, Philadelphia, PA 19112.

BLK 10, 11, 12, and 13: Contractor shall submit data monthly following induction of the engine for overhaul. The maximum total number of submissions for the POP of this contract is 60.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier) or Adobe PDF applications.

group: I/A total_price:

prep_name: Jeffrey Patterson line_item: TBD exhibit: A xtdp: Off xtm: Off othercat: MGMT system: 501-K34 MGT Engine ctr_no: TBD contr: TBD remarksb: Intentionally left blank

Page2:

Reset:

2023-05-11T16:42:17-0400

PATTERSON.JEFFREY.S.1228870168

prep_date: 05/11/2023 app_by: Carly Jordan

2023-05-15T12:44:45-0400

JORDAN.CARLY.L.1406689545

app_date: 5/15/2023

Page:

of_pages:

app: Adobe Professional 8.0

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

Item 7. Specify requirement for inspection/acceptanc

This is the start of the file's text. The full file is on GovTribe.

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