Load_Banks_signed_CDRLs_combined.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 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: A001 title: Contractor's Progress, Status and Management Report sub:

auth: DI-MGMT-80227 ref: SOW para. 2.B.1 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: ASREQ asof: N/A firstsub: See block16 subsub: See block16 addressee1: See block 16 draft1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 4: Contractor format acceptable, must be compatible with Word and searchable.

Blk 10: As required by the SOW .

Blk 12: The first submittal of the plan shall establish a baseline schedule that must remain frozen and visible throughout the period of performance. Any requested changes to the baseline must be submitted in writing to the Procuring Contracting Officer (PCO) for approval with a description of justification and what consideration will be offered to the Government.

Blk 13 Subsequent submissions on a monthly basis.

Blk 14: Delivery shall be through electronic mail. Delivery shall be to the designated Government Point of Contact (chris.dafis@navy.mil).

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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: Packaging Plan sub: Packaging Plan auth: DI-PACK-80455 ref: SOW para. 2.B.8, 6.6 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: OTIME asof: N/A firstsub: See block16 subsub: N/A addressee1: See block 16 draft1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 4: Data Item Description (DID) provided for guidance only. Contractor’s format is acceptable. Document shall be searchable and format shall be compatible with Microsoft Office or Adobe Acrobat.

Blk 12: Submit NLT 15 days prior to delivery of equipment.

Blk 14: Delivery shall be through electronic mail. Delivery shall be to the designated Government Point of Contact (chris.dafis@navy.mil).

group:

total_price:

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app_date: 7/7/2015

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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: E001 title: Commercial Drawings/Models And Associated Lists sub: Load Bank General Arrangement Drawings auth: DI-SESS-81003 ref: SOW para. 2.B.2; 5.3 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: ONE/R asof: N/A firstsub: See block16 subsub: N/A addressee1: See block 16 draft1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 12: Submittal NLT 30 days prior to Preliminary Design Review or combined PDR/CDR.

Blk 14: Delivery of submittal shall be through electronic mail. Drawing format shall be AutoCAD 2012 (or earlier version) and PDF. Electronic delivery shall be to the designated Government Point of Contact (chris.dafis@navy.mil).

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: SESS system: Load Bank ctr_no:

contr:

remarksb:

Page2:

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app_date: 7/7/2015

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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: E002 title: Commercial Drawings/Models And Associated Lists sub: Load Bank Drawings auth: DI-SESS-81003 ref: SOW para. 2.B.3; 5.3; 7.2, 7.3, 7.4.1, req_ofc: NAVSSES dd250:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 12: Submittal 30 days prior to Preliminary Design Review or combined PDR/CDR.

Blk 14: Delivery of submittals shall be through electronic mail. Drawing format shall be AutoCAD 2012 (or earlier version) and/or PDF. Electronic delivery shall be to the designated Government Point of Contact ( chris.dafis@navy.mil).

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: SESS system: Load Bank ctr_no:

contr:

remarksb:

Page2:

Reset:

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prep_date: 07/07/2015 app_by:

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app_date: 7/7/2015

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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: E003 title: Commercial Drawings/Models And Associated Lists sub: Load Bank Electrical Single Line Drawings auth: DI-SESS-81003 ref: SOWpara.2.B.4; 2.B.3, 5.3.A.3, 5.3.A.4 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: ONE/R asof: N/A firstsub: See block16 subsub: N/A addressee1: See block 16 draft1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 12: Submittal NLT 30 days prior to Preliminary Design Review or combined PDR/CDR.

Blk 14: Delivery of submittals shall be through electronic mail. Drawing format shall be AutoCAD 2012 (or earlier version) and/or PDF. Electronic delivery shall be to the designated Government Point of Contact ( chris.dafis@navy.mil).

group:

total_price:

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app_date: 7/7/2015

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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: E004 title: Commercial Off the Shelf (COTS) Manuals and Associated Supplemental Data sub: Load Bank Manuals auth: DI-TMSS-80527 ref: SOW para. 6.2 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: OTIME asof: N/A firstsub: See block16 subsub: N/A addressee1: See block 16 draft1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 12: Submit NLT 30 days prior to delivery of equipment.

Blk 14: Final version shall be submitted in both hard copy and electronic format. Electronic delivery shall be to the designated Government Point of Contact (chris.dafis@navy.mil).

Hard copy delivery shall be to the following address:

ATTENTION: Chris Dafis, Code 323, 215-897-7956 Philadelphia Naval Business Center Naval Ship System Engineering Station (NAVSSES) 4850 South 15th Street - Bldg. 633 Philadelphia PA. 19112-5083 group:

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app_date: 7/7/2015

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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: E005 title: Commercial Drawings/Models And Associated Lists sub: Lifting Arrangement Drawings auth: DI-SESS-81003 ref: SOW para. 2.B.9; 6.6 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: OTIME asof: N/A firstsub: See block16 subsub: N/A addressee1: See block 16 draft1:

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reg38x:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 12: Submit NLT 15 days prior to delivery of equipment.

Blk 14: Delivery of submittal shall be through electronic mail. Drawing format shall be AutoCAD 2012 (or earlier version) and/or PDF. Electronic delivery shall be to the designated Government Point of Contact (chris.dafis@navy.mil).

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: SESS system: Load Bank ctr_no:

contr:

remarksb:

Page2:

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2015-07-07T18:51:41-0400

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prep_date: 07/07/2015 app_by:

2015-07-07T08:19:04-0400

DEZENDORF.DEBRA.J.1228894172

app_date: 7/6/2015

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: T001 title: Test Procedures sub: Factory Acceptance Tests auth: DI-NDTI-80603 ref: SOW para. 2.B.6, 9.1 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: OTIME asof: N/A firstsub: 30 DPTT subsub: N/A addressee1: See block 16 draft1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 4: Document shall be searchable and format shall be compatible with Microsoft Office or Adobe Acrobat.

Blk 12: Submit NLT 30 Days Prior To Test

Blk 14: Delivery shall be through electronic mail. Delivery shall be to the designated Government Point of Contact (chris.dafis@navy.mil).

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: NDTI system: Load Bank ctr_no:

contr:

remarksb:

Page2:

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prep_date: 07/07/2015 app_by:

2015-07-07T08:21:26-0400

DEZENDORF.DEBRA.J.1228894172

app_date: 7/7/2015

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: T002 title: Test/Inspection Report sub: FAT Test Reports auth: DI-NDTI-80809 ref: SOW para. 2.B.7; 9.1 req_ofc: NAVSSES dd250:

appcode: N/A dist: A freq: ONE/R asof: N/A firstsub: 15 DATC subsub: N/A addressee1: See block 16 draft1:

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reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Blk 4: Document shall be searchable and format shall be compatible with Microsoft Office or Adobe Acrobat.

Blk 12: Submittal NLT 30 days after test completion.

Blk 13: The final test report will be submitted only after failures (if any) have been corrected, and the applicable test has been repeated to verify adequacy of the correction.

Blk 14: Delivery shall be through electronic mail. Delivery shall be to the designated Government Point of Contact (chris.dafis@navy.mil).

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat: NDTI system: Load Bank ctr_no:

contr:

remarksb:

Page2:

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prep_date: 07/07/2015 app_by:

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DEZENDORF.DEBRA.J.1228894172

app_date: 7/7/2015

Page:

of_pages:

app: Adobe Professional 8.0