N6660417Q3139_Attachment_3_Exhibit_A_CDRLs_08282017_Redacted.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 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 Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and 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 NO. C. CATEGORY:

0002 A TDP__ ___ TM _____ OTHER See Blk 16

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

Mission Configurable Mast EHP N66604-17-P-3139 / 1300653108 TBD

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

A001 Status Report Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-MGMT-80368A SOW 4.2 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

LT MTHLY 30 DAC b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Blk 16 O Monthly Thereafter Reg Repro

16. REMARKS NUWCDIVNPT

Blk C, Category: Other - MGMT

Blk.4: Contractor’s format acceptable.

Blk.9: See BLK 16 Addendum.

Code 0 1 0

CERTIFYING

ACTIVITY

DCMA 0 1 0

15. TOTAL 0 2 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

Quality Assurance Plan

17. PRICE GROUP

A002 Inspection and Test Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-QCIC-81110 SOW 4.3 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

S/D ONE/R See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repro

Blk C, Category: Other – QCIC

Blk 4: MIL-Q-9858 is replaced by ISO-9000 series.

Blk 8: Approval is for technical content

Blk 9: See BLK 16 Addendum.

Blk 10/12/13: Contractor shall submit DRAFT QA Plan within fifteen (15) calendar days after contract award. The Government will review and provide comments within thirty (30) calendar days. The Contractor shall incorporate all Government review comments and corrections in Final version. Contractor shall submit Final within five (5) calendar days after receipt of Government comments.

Code 1 1 0

DCMA 1 1 0

15. TOTAL 1 2 0

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

July 28, 2017

DD FORM 1423-2, AUG 96 (eg) Previous Editions May Be Used Page 1 of 8 Pages

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 Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and 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

0002 A TDP__ ___ TM _____ OTHER See Blk 16

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

Mission Configurable Mast EHP N66604-17-P-3139 / 1300653108 TBD

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

A005 Notice of Revision (NOR) Notice of Revision

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-SESS-80642D SOW 4.5 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

LT ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A N/A See Blk 16 Reg Repro

Blk C, Category: Other – SESS

Blk 4: Contractor format acceptable. Electronic copy.

Blk 8: Approval is for technical content.

BLK 10: Frequency of submittals shall be in accordance with SOW Appendix A.

Blk 12/13: Notice of Revision shall be delivered if the Contractor discovers any issues with Government approved drawings. Resubmission is required within five (5) calendar days after receipt of Government comments if first submission is considered a non-candidate.

Government will review and comment within thirty (30) calendar days. Final shall incorporate all Government review comments and corrections and is due five (5) calendar days after receipt of Government comments.

15. TOTAL 2 2 0

Final Pressure Test Report

17. PRICE GROUP

A006 Certification/Data Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-MISC-80678 SOW 4.1 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

SD ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repro

Blk C, Category: Other – MISC

Blk 10: Estimate two (2) submittals.

Blk 12/13: Final Pressure Test Report shall be forwarded to CERTIFYING ACTIVITY Code for review and acceptance NLT thirty (30) calendar days prior to anticipated ship date. The Government will review and comment within seven (7) calendar days.

Final report shall be delivered in concurrence with delivery of EHP.

15. TOTAL 2 3 0

DD FORM 1423-2, AUG 96 (eg) Previous Editions May Be Used Page 3 of 8 Pages

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 Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and 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

0002 A TDP__ ___ TM _____ OTHER See Blk 16

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

Mission Configurable Mast EHP N66604-17-P-3139 / 1300653108 TBD

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

A007 Certification/Data Report Mercury Exclusion Certification

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-MISC-80678 SOW Appendix A NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

SD ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Blk 16 N/A N/A Reg Repro

Blk C, Category: Other – MISC

Blk 12: Mercury Exclusion Certification shall be delivered in concurrence with delivery of hardware system, unit, or component.

15. TOTAL 0 3 0

Receipt Inspection Report

17. PRICE GROUP

A008 Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-NDTI-80809B SOW 4.1 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

SD ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Blk 16 N/A N/A Reg Repro

Blk C, Category: Other – NDTI

Blk 12/13: Receipt Inspection Report shall be delivered NLT fifteen (15) calendar days after Test/Inspection Performed.

15. TOTAL 0 2 0

DD FORM 1423-2, AUG 96 (eg) Previous Editions May Be Used Page 4 of 8 Pages

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 Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and 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. EXH BIT NO. C. CATEGORY:

0002 A TDP__ ___ TM _____ OTHER NDTI

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

Mission Configurable Mast EHP N66604-17-P-3139 / 1300653108 TBD

1. DATA ITEM

NO.

2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A00B Test/Inspection Report Acceptance Inspection Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-NDTI-80809B SOW.4.4 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

SD ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repro

16.

REMARKS

NUWCDIVNPT

B k 8: Approval is for technical content.

B k 9: See BLK 16 Addendum.

B k 10: Estimate two (2) submittals.

B k 12/13: Acceptance Inspection Report shall be submitted NLT thirty (30) calendar days prior to shipment of EHP. The Government will review and comment within seven (7) calendar days. Final report shall be delivered in concurrence with delivery of EHP.

15. TOTAL 1 2 0

1. DATA ITEM

NO.

2. TITLE OF DATA ITEM 3. SUBTITLE

Hydrostatic Pressure Test Report

17. PRICE GROUP

A00C Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-NDTI-80809B SOW 4.1 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250

REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

SD ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repro

16.

REMARKS

NUWCDIVNPT

B k 8: Approval is for technical content.

B k 10: Estimate two (2) submittals.

B k 12/13: Submit Test/Inspection Reports to DCMA NLT thirty (30) calendar days prior to shipment of EHP. The Government will review and comment within five (5) calendar days. Final Reports shall be delivered in concurrence with delivery of EHP.

DD FORM 1423-2, AUG 96 (eg) Previous Editions May Be Used Page 6 of 8 Pages

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 Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and 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

0002 A TDP__ ___ TM _____ OTHER NDTI

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

Mission Configurable Mast EHP N66604-17-P-3139 / 1300653108 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

3. SUBTITLE Radiographic and/or Dye Penetrant 17. PRICE GROUP

A00D Test/Inspection Report & Visual Inspection Test Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-NDTI-80809B SOW 4.1 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

SD ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repro

Blk 12/13: Submit Radiographic and/or Dye Penetrant and Visual Inspection Rest Report to DCMA NLT thirty (30) calendar days prior to shipment of EHP. The Government will review and comment within five (5) calendar days. Final Reports shall be delivered in concurrence with delivery of EHP.

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

A00E Test Procedure Radiographic and/or Dye Penetrant and Visual Inspection Procedures

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-NDTI-80603 SOW Appendix A NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

SD ONE/R See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repro

16. REMARKS NUWCDIVNPT

Blk 4: The Radiographic and/or Dye Penetrant and Visual Inspection procedures shall be in accordance with NAVSEA S9074-AR-GIB-010/271.

Blk 9: See BLK 16 addendum.

Blk 10/12/13: Contractor shall submit DRAFT Procedures within sixty (60) calendar days after contract award. Government will review and comment within thirty (30) calendar days. Final Procedures shall incorporate all Government comments and corrections.

Contractor shall submit Final Procedures within seven (7) calendar days after receipt of Government comments.

DD FORM 1423-2, AUG 96 (eg) Previous Editions May Be Used Page 7 of 8 Pages

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 Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and 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

0002 A TDP__ ___ TM _____ OTHER SESS

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

Mission Configurable Mast EHP N66604-17-P-3139 / 1300653108 TBD

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

A00F Specification Change Notice (SCN) Specification Change Notice

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

DI-SESS-80643D SOW 4.5 NUWCDIVNPT, Code TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

LT ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repro

Blk 4: Contractor format acceptable. Electronic copy.

Blk 10: Frequency of submittals shall be in accordance with SOW Appendix A.

Blk 12/13: Specification Change Notice shall be delivered if the Contractor discovers any issues with Government approved drawings. Resubmission is required within five (5) calendar days after receipt of Government comments if first submission is considered a non-candidate. Government will review and comment within thirty (30) calendar days.

Final shall incorporate all Government review comments and corrections and is due five

(5) calendar days after receipt of Government comments.

Code 1 1 0

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

A00G

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 16. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF F RST

SUBMISSION

14. DISTRIBUTION

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

Reg Repro

16. REMARKS

Intentionally Left Blank

15. TOTAL

DD FORM 1423-2, AUG 96 (eg) Previous Editions May Be Used Page 8 of 8 Pages

BLOCK 16 ADDENDUM

ADDITIONAL CONTRACT DATA REQUIREMENTS INFORMATION

PR 1300653108

BLOCK 14 ADDRESSEE LIST

DD Form 1423 (CDRL) Block 14 Entry Complete Address

NUWCDIVNPT Commanding Officer

Naval Undersea Warfare Center Division, Newport, RI 02841-1708

Attn: Code

CERTIFYING ACTIVITY Commanding Officer

Naval Surface Warfare Center, Philadelphia

Division

Philadelphia, PA 19112

Attn: Code

Defense Contract Management Agency

(DCMA)

To be determined at contract award

BLOCK 16 ADDENDUM

Block 9: The following information is specifically included in amplification of the Block 9

Distribution Statement selected:

Distribution Statement paragraphs is in addition to CLASSIFICATION markings of the data.

Distribution Statement D. Distribution authorized to US Government agencies only; Critical

Technology; (July 28, 2017). Other requests for this document shall be referred to

NUWCDIVNPT Code 3423 or higher DoD authority.

EXPORT 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 provision of DoD Directive 5230.25.