Exhibit A CDRLs.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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A007

2_TITLE_OF_DATA_ITEM: Test Plan

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: See BLK 16

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

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total_draft: 0 total_repro: 0

16_REMARKS: BLK 5: PWS Para - 3.3.1, 3.3.2, 3.3.4, 3.5.5, 3.9.2, 3.9.2.1

BLK 12: NLT Ten (10) working days after notification of requirement

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:13:12-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:02:02-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A008

2_TITLE_OF_DATA_ITEM: Test Report/SOVT

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

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total_draft: 0 total_repro: 0

16_REMARKS: BLK 5: PWS Para - 3.3.1, 3.3.2, 3.3.4, 3.5.5, 3.8.1, 3.8.2, 3.9.2, 3.9.2.1

BLK 12: Test Report/SOVT - NLT Ten (10) working days after completion of test

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:26:42-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:02:39-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A009

2_TITLE_OF_DATA_ITEM: Technical Activity Report/Trip Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: See BLK 16

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

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16_REMARKS: BLK 5: PWS Para - 3.5.1.3, 3.5.7, 3.6.3, 3.7.1, 3.7.2, 3.8.1, 3.8.2

BLK 12: NLT ten (10) working days after completion of requirement

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:27:21-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:03:11-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A010

2_TITLE_OF_DATA_ITEM: Product Drawings/Lists

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: See BLK 16

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

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repro2:

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16_REMARKS: BLK 5: PWS Para - 3.4.1, 3.5.2, 3.7.1, 3.8.2, 3.9.1

BLK 12: NLT thirty (30) working days after notification of requirement

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:28:06-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:03:40-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A011

2_TITLE_OF_DATA_ITEM: Technical Activity Report/Training Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: See BLK 16

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

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total_draft: 0 total_repro: 0

16_REMARKS: BLK 5: PWS Para - 3.3.3, 3.5.4, 3.8.1

BLK 12: NLT ten (10) working days after the completion of training

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:28:57-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:04:11-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A012

2_TITLE_OF_DATA_ITEM: Technical Report/Studies

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: See BLK 16

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

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total_draft: 0 total_repro: 0

16_REMARKS: BLK 5: PWS Para - 3.7.1, 3.9.1, 3.9.2, 3.9.2.1.

BLK 12:, NLT ten (10) working days after notification of requirement;

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:29:37-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:04:40-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A013

2_TITLE_OF_DATA_ITEM: Training Documentation

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: See BLK 16

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

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total_draft: 0 total_repro: 0

16_REMARKS: Training Documentation includes but not limited to following types of documents: Training Plans/Procedures, Training Manuals, Training Presentation/Aids, Training Path Systems, Personnel Performance Profiles, training curricula, Training Data Products, etc.

Any formatting requirements shall be specified within the PWS.

BLK 5: PWS Para - 3.3.3, 3.5.2

BLK 12: NLT twenty (20) working days prior to training event

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:30:34-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:05:09-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A014

2_TITLE_OF_DATA_ITEM: Cost Analysis Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: PWS Para - 3.9.2.1

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

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total_draft: 0 total_repro: 0

16_REMARKS:

BLK 12: NLT thirty (30) working days after notification of requirement

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:31:15-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:05:38-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A015

2_TITLE_OF_DATA_ITEM: BESEP

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: PWS Para 3.7.2

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1: 1 reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

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total_draft: 1 total_repro: 0

16_REMARKS:

BLK 12: NLT ten (10) working days after approval of the site survey report;

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:31:48-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:06:09-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A016

2_TITLE_OF_DATA_ITEM: AS-Built Drawings

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: PWS Para 3.8.2

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1: 1 reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

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addressee4:

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reg38x:

repro38:

total_draft: 1 total_repro: 0

16_REMARKS:

BLK 12: NLT thirty (30) working days after completion of installation

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:32:22-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:06:50-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A017

2_TITLE_OF_DATA_ITEM: Cybersecurity Validation Report

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: PWS Para - 3.5.3.3

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: MTHLY

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

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16_REMARKS:

BLK 12: MTHLY; monthly via CD or DVD format

BLK 13; MTHLY; NLT 15th day of each month

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

2017-07-12T07:34:27-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:07:22-0400

FARLEY.JAMES.K.JR.1229716197

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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

TDP:

TM:

OTHER: ENGR

DSYSTEMITEM: UCVS SECURE VOICE SYSTEMS

E_CONTRACTPR_NO: N65236-17-R-0001

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A018

2_TITLE_OF_DATA_ITEM: Device/System Image

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit:

5_CONTRACT_REFERENCE: PWS Para - 3.5.3.3

6_REQUIRING_OFFICE: SPAWARSYSCEN Atlantic

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: QRTLY

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

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16_REMARKS: BLK 12 and 13: QRTLY; quarterly in a CD or DVD format, for mail out to the sites NLT fifteen (15) days following the end of each calendar quarter.

BLK 14: COR will perform inspection and acceptance.

Unless otherwise directed by TO, Contractor shall provide CDRL document to govt as an editable, electronic transmission.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE: NSP

G_PREPARED_BY:

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of_pages:

Reset:

reg38t: 1

2017-07-12T07:35:22-0400

BROWN.ANTHONY.P.1103337999

2017-07-12T10:07:54-0400

FARLEY.JAMES.K.JR.1229716197

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

Employees&Labor

Type (Per) michelle.deforest: govt:

Personnel Type:

N = New addition C = Currently working R = Released Employee Name (Last, First) Company Name Task Order # Name of Pgrm/Proj Supporting Task Order COR PWS Para # Total Proposed Labor Hrs

Proposed Labor Hrs = estimated hours that were proposed prior contract/TO award; may only be adjusted during contract/TO modification.

Number should correspond to hours reported in CSR-TOSR CDRL Attachment 2 Monthly Actual Labor Hrs worked

Number should correspond to hours reported in CSR-TOSR CDRL Attachment 2 Cummulative Actual Labor Hrs worked % Hours Used to date

N LastA, First1 ABCDwarf Co. 0021 Green River ISEA Brown 3.5 700 90 380 54%

C LastB, First2 ABCDwarf Co. 0021 Green River Sys Smith 5.1 300 20 120 40%

R LastC, First3 PoisonApple Inc 0021 XYZ Project Brown 3.2 1080 150 660 61%

C LastB, First2 ABCDwarf Co. 0004 ABC Pgrm Allen 5.1 200 12 50 25%

N65236-##-D-####/ TO ####

Period of Performance: mm/dd/yy to mm/dd/yy

COR contact phone #: ###-###-#### File Name: &F

* FOR OFFICIAL USE ONLY -- Privacy sensitive.

Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. Page &P of &N

Key Personnel

Employee Name (Last, First) Company Name Task Order # Key Pesonnel Labor Category (Y) Resume Approval Date (mm/dd/yy) Release Date (mm/dd/yy)

LastA, First1 ABCDwarf Co. 0 Y 06/20/96

LastB, First2 ABCDwarf Co. 0 Y 06/20/96

LastC, First3 PoisonApple Inc 0 09/05/97 02/21/99

LastB, First2 ABCDwarf Co. 0 Y 06/20/96

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Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N

Security

Employee Name (Last, First) Company Name Task Order # Security Clearance Required (Y/N) Investigation Type (NACI, SBI) NACI Equiv (Y/N) Date (mm/dd/yy) COR Approval

LastA, First1 ABCDwarf Co. 0 Y NACI Y 02/22/99 Y

LastB, First2 ABCDwarf Co. 0 Y SBI Y Y

LastC, First3 PoisonApple Inc 0 N

LastB, First2 ABCDwarf Co. 0 Y SBI Y Y

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N65236-##-D-####/ TO #### Security Personnel Tracking &D

&10* FOR OFFICIAL USE ONLY -- Privacy sensitive.

Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N

ERP-CAC-SPAWAR BADGE

Employee Name (Last, First) Company Name Task Order # ERP ACCESS (Y/N) Type I= Initial R= Renewal T=Terminated O=Other Date CAC Issued (mm/dd/yy) Date CAC Expired (mm/dd/yy) CAC Returned (Y/N) Site Badge Date Issued (mm/dd/yy) Date Expried (mm/dd/yy) Badge returned (Y/N) Escort Priviledge (Y/N)

LastA, First1 ABCDwarf Co. 0 N I 06/20/96 02/21/99 Y

LastB, First2 ABCDwarf Co. 0 N I 06/20/96

LastC, First3 PoisonApple Inc 0 N T Y

LastB, First2 ABCDwarf Co. 0 N I 06/20/96 03/31/66 10/31/02

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N65236-##-D-####/ TO #### ERP, CAC, and SSC LANT Badge Tracking &D

Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N

Training

Employee Name (Last, First) Company Name Task Order # IA Awarness Training Required (Y/N) Date Due (mm/dd/yy) Date Completed (mm/dd/yy) Date SAAR Form Submitted (mm/dd/yy) Approved Access (Y/N) Privacy and PII Awarness Training Required (Y/N) Date Due (mm/dd/yy) Date Completed (mm/dd/yy)

LastA, First1 ABCDwarf Co. 0 Y 03/11/08 03/22/08 03/04/04 Y Y 03/11/08 03/22/08

LastB, First2 ABCDwarf Co. 0 Y

LastC, First3 PoisonApple Inc 0 N

LastB, First2 ABCDwarf Co. 0 Y

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N65236-##-D-####/ TO #### Personnel Mandatory Training - IA, SAAR, and Privacy Act &D

Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. &P of &N

Sheet1

Employee Code (123… or ABC...)

Contractor can protect Employee identity within this report by providing an Employee Code. If utilized, a separate email (Employee Key List) is required to the COR/OO specifiying Employee Name and corresponding code. Labor Category (IAW Basic Contract) Proposed B_Labor Hourly Rate

B_Labor = Fully Burdened Labor

Proposed B_Labor = estimated hourly rate that was proposed prior contract/TO award; maybe adjusted during contract/TO modification. Total Proposed Labor Hrs

Proposed Labor Hrs = estimated hours that were proposed prior contract/TO award; maybe adjusted during contract/TO modification.

Number should correspond to hours reported in CSR-TOSR CDRL Attachment 1 Monthly Actual B_Labor Cost Monthly Actual Labor Hrs worked

Number should correspond to hours reported in CSR-TOSR CDRL Attachment 1 Actual B_Labor Hourly Rate

B_Labor = Fully Burdened Labor

Actual B_Labor Rate = actual B_labor cost/actual B_labor hrs worked

NOTE TO CONTRACTORS:

Highlight employee row (selected row and fill color) if an actual B_labor hourly rate exceeds the specified labor rate threshold in the PWS (see Labor Rate Limitation Notification requirement). Current Month's Actual-to-Proposed Variation

Contractor shall monitor monthly average actual labor rates (total actual fully burdened labor costs/total number of hours worked) compared to average negiotiated labor rates (total proposed fully burdened labor costs/total number of hours proposed)

Variation, hourly rate = (actual-proposed)/proposed

Variances greater than 15% in any reporting month are reported to COR through Limitation Notification CDRL.

Variances greater than 15% for 3 consecutive months are reported to COR through Limitation Notification CDRL. Previous Month's Actual-to-Proposed Variation Previous 2 Month's Actual-to-Proposed Variation

0001 Engineer 5 $ 98 700 $ 9,910 90 $ 110 12% 11% 14%

0002 Program Manager $ 110 300 $ 2,282 20 $ 114 4% 5% 7%

0003 Com Sys Analyst 3 $ 100 1080 $ 14,701 150 $ 98 -2% 0% 1%

0004 Program Manager $ 110 200 $ 1,368 12 $ 114 4% 5% 7%

N65236-##-D-####/ TO ####

Period of Performance: mm/dd/yy to mm/dd/yy TO Completion Date: mm/dd/yy Personnel Listing COR: John Doe Engineer COR contact phone #: ###-###-####

Any misuse or unauthorized disclosure can result in both Civil and Criminal Penalties. Page &P of &N

Template Instructions - Example

Government Contractor Officer Representative e.g., DMR, GCCS-M 17 characters. No special characters. Enter 4 zero's when no task or delivery exists. Contract Modification Number that added item to contractor's stock as GFP. If was prime contract, enter zero. Contractor holding activity. Geographical location (address) and bldg/bin. Sample: San Diego, CA 92110; Old Town; Bldg 3, Bin 246A. Purchased, constructed, transferred in, loaned, etc. If item is a sub-category of GFE, enter "ST" or "STE" (Speccial Tooling or Special Test Equipment). If not, leave blank. Manufacturer's CAGE Code Part Number, usually found on the nameplate or receiving document. Serial Number, usally found on thenameplate or receiving document. Transaction Date for when item was received or shipped or when it was changed to 'on hand'. Sample: 01/10/2010 Quantity in (e.g., received) Quantitiy - Balance on hand. Quantity Out (e.g., shipped/issued/consumed/ disposed of) Original acquisition or historical cost. On Hand Subtotal $. Equals quantity on hand multiplied by $ value. Cognizance Code. 2-digit alphanumeric code prefixed to the NSN Part of the NSN, Federal Supply Class. Part of the NSN; National Item Identification Number. Noun Name, Description or Nomenclature. Accountable owner. Samples: SSC LANT 41354, PMW160, PMS485 e.g., DD1149, DD1348, receiving report number, purchase order, invoice number. Unit of Measure, Sample: EA For example: active or inactive (retired) staged, stored, in-transit, transferred, excess, awaiting disposal, disposed of. IUID Unique Item Identifier (UII)

COR email PGM Contract # and D.O. # Contract Mod # CTR Name Location ACQ Method ST/STE Mfr CAGE Code Part Number Serial No. Trans Date Qty Rcvd Qty O/H Qty Issued Value$ OH SBTL$ COG FSC NIIN DESCRIPTION SPONSOR Posting Ref UI Status UII john.henry@navy.mil ETVS FA877104D0004V726 0 Northrop Grumman 7040A Troy Hill Dr, Elkridge, MD 21075-7040 Purchased 25512 110023-023 Not Serialized 3/27/13 18 18 0 $1,240.84 $22,335.12 9T 5930 01-408-7577 FOOT SW ASSY, LINEMASTER 23 PMA213 DD1149 EA Active N/A john.henry@navy.mil ETVS FA877104D0004V726 0 Northrop Grumman 7040A Troy Hill Dr, Elkridge, MD 21075-7040 Loaned ST 25512 110666-001 Not Serialized 3/27/13 29 29 0 $3,951.48 $114,592.92 7E 5895 01-478-5179 POTS MODULE ASSY, NON-SPLIT PMA213 DD1149 EA Active N/A john.henry@navy.mil ETVS FA877104D0004V726 0 Northrop Grumman 7040A Troy Hill Dr, Elkridge, MD 21075-7040 Constructed STE 25512 110679-001 Not Serialized 3/27/13 41 41 0 $533.31 $21,865.71 5965 01-478-5202 SPEAKER MODULE ASSY, BEIGE PMA213 DD1149 EA Excess N/A

File name: Contract # and D.O. #_COR_YRMODA

GFP Report Template

COR email PGM Contract # and D.O. # Contract Mod # CTR Name Location ACQ Method ST/STE Mfr CAGE Code Part Number Serial No. Trans Date Qty Rcvd Qty O/H Qty Issued Value$ OH SBTL$ COG FSC NIIN DESCRIPTION SPONSOR Posting Ref UI Status UII

1_DATA_ITEM_NO: A019

2_TITLE_OF_DATA_ITEM: Task Order Status Reports (TOSR)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-MGMT-80227/80347 (guidance)

5_CONTRACT_REFERENCE: See BLK 16

6_REQUIRING_OFFICE:

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N./A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See BLK 16

13_DATE_OF_SUBSEQUENT_SUB: See BLK 16 addressee1: COR draft1:

reg1: 1 repro1:

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