N6660416Q2810_Exhibit_A.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Service, 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

A

C. CATEGORY

TDP_________ TM___________ OTHER_____x____________

D. SYSTEM/ITEM

FOCUS CABLE

E. CONTRACT / PR NO.

1300580140

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM:

FAILURE ANALYSIS AND CORRECTIVE ACTION

REPORT

3. SUBTITLE

CABLE FAILURE ANALYSIS

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-SESS-81315B

5. CONTRACT REFERENCE

SOW TASK 4.1

6. REQUIRING OFFICE

NUWCDIVNPT CODE 709

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

LT

9. DIST STATEMNT

REQUIRED 10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

D SEE BLOCK 16 b. COPIES

8. APP CODE See Block 16 11. AS OF DATE 13. DATE OF SUBSEQNT SUBMISSION a. ADDRESSEE

Draft Final A N/A SEE BLOCK 16 Reg Repro

16. REMARKS R. RACETTE 1 1

BLK 3: Sub-title per CABLE failure description.

BLK 4: Contractor specified format BLK 9: See Block 16 Addendum

BLK 10: FACAR submission as required.

BLK 12/13 Initial submission shall be within 5 BUSINESS days after failure event.

The Government will review and make comments within 5 BUSINESS days after receipt of the data item.

Subsequent final submission shall be made within 15 days after Government review.

Submissions shall be identified via highlighted track changes The final submission shall have accepted track changes.

All submissions shall be electronic and Microsoft 2010 compatible.

BLK 14: Distribution/delivery shall be electronic format If applicable, classified deliverable shall be sent via secure internet protocol network (SIPRNET) email. Unclassified deliverables shall be encrypted and sent via standard internet email.

15. TOTAL

______> 1 1

G. PREPARED BY:

A. FRENCH

H. DATE

6/20/16

I. APPROVED BY

Martha Merriwether

J. DATE

8-4-2016

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __1__ of _3 Pages

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Service, 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

C. CATEGORY

TDP_________ TM___________ OTHER________X________

D. SYSTEM/ITEM

FOCUS CABLE

E. CONTRACT / PR NO.

1300580140

F. CONTRACTOR

L3 COMMUNICATIONS MARIPRO

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM:

TEST PROCEDURE

3. SUBTITLE

FOCUS CABLE TEST PROCEDURE

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE

SOW TASK 4.2

6. REQUIRING OFFICE

NUWCDIVNPT, CODE 709

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

LT

9. DIST STATEMNT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

D SEE BLOCK 16 SEE BLOCK 16 b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

A N/A SEE BLOCK 16 Reg Repro

16. REMARKS R. RACETTE 2 2

BLK 4 Contractor specified format BLK 9 – See Block 16 Addendum BLK 10, 12, and 13: The estimated number of submittals is two (2).

BLK 12/13 Initial submission shall be within 30 BUSINESS days after contract award The Government will review and make comments within 5 BUSINESS days after receipt of the data item.

Subsequent final submission shall be made within 20 days after Government review

Submissions shall be identified via highlighted track changes

(SIPRNET) email. Unclassified deliverables shall be encrypted and sent via standard

______> 2 2

G. PREPARED BY:

A. FRENCH

H. DATE

6/20/16

I. APPROVED BY

Martha Merriwether

J. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _2__ of __3 Pages

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Service, 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

C. CATEGORY

TDP_________ TM___________ OTHER____________X_____

D. SYSTEM/ITEM

FOCUS CABLE

E. CONTRACT / PR NO.

1300580140

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM:

TEST/INSPECTION REPORT

3. SUBTITLE

FOCUS CABLE TEST REPORT

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW TASK 4.2

6. REQUIRING OFFICE

NUWCDIVNPT, CODE 709

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

LT

9. DIST STATEMNT

REQUIRED 10. FREQUENCY

12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

D See Block 16 See Block 16 b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION a. ADDRESSEE

Draft Final A N/A See Block 16 Reg Repro

16. REMARKS R. RACETTE 1 2

Block 3 Report coincides with procedures referenced in CDRL A002.

Block 4 Contractor specified format BLKs 8, 10, 12, and 13: The estimated number of submittals is two (2).

Contractor shall deliver test reports within 15 business days after test conduct.

The Government will review and make comments within 5 business days after receipt of test report.

The final submission shall be 10 business days after receipt of Government comments.

Note: final submission will not be required if Government approves initial submission

Subsequent submissions shall be identified via highlighted track changes and

All submissions shall be electronic and Microsoft 2010 compatible.

If data is delivered on CD or DVD it shall include the label “UNCLASSIFIED”.

The data item file size shall be less than 6 megabytes for email delivery.

BLK 14: Distribution/delivery shall be electronic format If applicable, classified deliverable shall be sent via secure internet protocol network (SIPRNET) email. Unclassified deliverables shall be encrypted and sent via standard

BLK 8; applies to final submission only.

______> 1 2

G. PREPARED BY:

A. FRENCH

H. DATE

6/20/16

I. APPROVED BY

Martha Merriwether

J. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __3__ of _3 Pages

DD FORM 1423

BLOCK 16 ADDENDUM

PR 1300580140

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.

CDRL A001 through A003

BLOCK 9:

Distribution Statement D: Distribution authorized to Dod and Dod Contractors only; Critical Technology;

(date data generated). Other requests for this document shall be referred to NUWCDIVNPT Code 709, Russell Racette.

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items.

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