N6660417Q1648_-_Exhibit_A.pdf

CONTRACT DATA REQUIREMENTS LIST

(2 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:

0003 A TDP TM OTHER MISC

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

Low bend loss, high strength, hytrel coated fiber

1300628952 TBD

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

A001 Technical Report – Study/Services Proof Test Report

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

DI-MISC-80508B Specification Proof Test NUWCDIVNPT Code 1512 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED 1 Time See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Block 16 N/A N/A Reg Repr o

16. REMARKS Code 1512(G.Ames) 1

Block 4- The report shall be in Contractor format.

B

Bljo

Block

Block 12- Report shall be submitted with fiber delivery.

Block 9 – see block 16 Addendum

15. TOTAL 1

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

A002 Technical Report – Study/Services Carbon coating performance report

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

DI-MISC-80508B Report NUWCDIVNPT Code 1512 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED 1 Time See block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Block 16 N/A N/A Reg Repr o

16. REMARKS Code 1512 (G. Ames) 1

Block 4- the report shall be in Contractor Format

Block 12- The report shall be submitted no later than 60 days after fiber delivery.

Block 9 – See Block 16 addendum

15. TOTAL 1

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

G. Ames 4/24/17 Martha Merriwether 4-24-17

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

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST

PR 1300628952

BLOCK 16 ADDENDUM

CDRLs A001 and A002

Distribution Statement D

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

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.