N66604-15-Q-2231_CDRL_w_Addendum.pdf

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Annual Preventative Maintenance - Generators
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N66604-15-Q-2231
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N66604-15-Q-2231 CDRL with Addendum

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www.acquisition.gov/far/CONTRACT DATA REQUIREMENTS LIST (3 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER X

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

1300488956

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

A001 Technical Report – Study/Services Annual Preventive Maintenance Inspections

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

DI-MISC-80508B Sow 3.1 NUWC Facilities, Code 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A SEE Block 16 N/A N/A Reg Repro

16. REMARKS

Block 9 – See Block 16 Addendum COR 1

1021 (J. McGuire) 1

Blocks 10/12 Provide report within 10 days after completion

Of each electrical motor generator preventative maintenance

Service identified in GFI

15. TOTAL 2

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

A002 Technical Report – Study/Services Emergency Diagnostic and Repair Report

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

DI-MISC-80508B SOW 3.2 NUWC Facilities, Code 1021 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Block 16 N/A N/A Reg Repro

16. REMARKS

Block 9 – See Block 16 Addendum COR 1

1021 (J. McGuire) 1

Blocks 10/12 Provide report of completed repair services

Within 10 days after service call identified in GFI.

15. TOTAL

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

James McGuire 6 April 2015 Martha Merriwether 9-10-2015

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 2 Pages

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST

Block 16 Addendum

PR 1300488956

Block 9: the following information is specifically included in amplification of the block 9 distribution statement selected:

Distribution Statement paragraphs are in addition to classification markings of the data.

CDRLs A001 and A002

Distribution Statement B: Distribution authorized to U.S Government agencies only; Operational use (date data generated) other requests for this document shall be referred to the Naval Undersea Warfare Center Division, Newport,. J McGuire.Code 1021

The following “Export Control Warning Notice” must be used in conjunction with distribution statements identification in all CDRLitems.

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; as emended, title 50, u.s.c., app 2401 et seq.

Violations of these export laws are subject to severe criminal penalties, diseminate in accordance with provisions of DoD Directive 5230.25.

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