Exhibit_A_CDRLs_Blk_16_Addendum.pdf

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Drive Drum Hub Mounts and Idler Drum Hub Mounts
Solicitation number
N66604-18-Q-0020
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Exhibit A - Contract Data Requirements Lists (CDRLs)

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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 RETURNS 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:

A TDP TM OTHER MISC

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

TOWED ARRAY HANDLING EQUIPMENT

FACILITY PR 1300671983

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

A001 CERTIFICATE OF CONFORMANCE CERTIFICATE OF CONFORMANCE (COC)

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

DI-MISC-81356A SOW 4.5.1 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

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

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS A. Clemente 0 1 0

BLOCK 10: COC SHALL BE DELIVERED WITH EACH SHIPMENT

BLOCK 9 – SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

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

A002 TECHNICAL REPORT – STUDY/SERVICES MERCURY FREE CERTIFICATION

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

DI-MISC-80508B SOW 4.5.2 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

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

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS

A. Clemente 0 1 0

BLOCK 10: CERTIFICATION REPORT SHALL BE DELIVERED WITH EACH

SHIPMENT

BLOCK 9 – SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

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

Anthony Clemente 9/11/2017

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 3 Pages

BRETZ.ROBERT.JAMES.JR.10402017

Digitally signed by

BRETZ.ROBERT.JAMES.JR.1040201714

Date: 2017.11.17 08:30:57 -05'00' kristina.michael Typewritten Text kristina.michael Typewritten Text

TBD

(1 Data Item)

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 RETURNS 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:

A TDP TM OTHER MISC

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

TOWED ARRAY HANDLING EQUIPMENT

FACILITY PR 1300671983

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

A003 TECHNICAL REPORT – STUDY/SERVICES CERTIFICATE OF ANALYSIS

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

DI-MISC-80508B SOW 4.5.3.1, 4.5.3.2 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

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

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS A. Clemente 0 1 0

BLOCK 10: CERTIFICATE SHALL BE DELIVERED WITH EACH SHIPMENT

BLOCK 9 – SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

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

A004 TECHNICAL REPORT – STUDY/SERVICES INSPECTION DATA SHEETS

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

DI-MISC-80508B SOW 4.5.4.1, 4.5.4.2 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

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

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS

A. Clemente 0 1 0

BLOCK 10: INSPECTION DATA SHEET SHALL BE DELIVERED WITH EACH

SHIPMENT

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

Anthony Clemente 9/11/2017

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 3 Pages

BRETZ.ROBERT.JAMES.JR.10402

01714

Digitally signed by

BRETZ.ROBERT.JAMES.JR.1040201714

Date: 2017.11.17 08:37:48 -05'00' kristina.michael Typewritten Text kristina.michael

(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 RETURNS 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:

A TDP TM OTHE MISC

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

TOWED ARRAY HANDLING EQUIPMENT

FACILITY PR 1300671983

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

A005 TECHNICAL REPORT – STUDY/SERVICES PROCESS CERTIFICATION - Weld Procedure Specification (WPS)

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

DI-MISC-80508B SOW 4.5.5 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL

C7. DD 250 REQ 9. DIST 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repr

16. REMARKS A. Clemente 0 1 0

BLOCK 10: CERTIFICATION SHALL BE DELIVERED WITH EACH

SHIPMENT

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

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

18 ESTIMATED

TOTAL

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

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

Reg Repr o

16. REMARKS

15. TOTAL 1

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

Anthony Clemente 9/11/2017

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE Page 3 of 3 Pages

BRETZ.ROBERT.JAMES.JR.10402

01714

Digitally signed by

BRETZ.ROBERT.JAMES.JR.1040201714

Date: 2017.11.17 08:44:49 -05'00' kristina.michael Typewritten Text kristina.michael

Enclosure (3)

DD FORM 1423, CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

PR 1300671983

BLOCK 9: The following information is provided in amplification of the Block 9 Distribution

Statement shown on each DD FORM 1423.

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

CDRLs A001 through A005

Distribution Statement C . Distribution authorized to U.S. Government Agencies and their contractors (Critical Technology) (4/26/2017). Other requests for this document shall be referred to insert (controlling DoD office – NUWCDIVNPT Code 1534

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.

1300671983 CDRLs (A001 A002) signed
1300671983 CDRLs (A003 A004) signed
1300671983 CDRL (A005) signed
1300671983 Blk 16 Addendum

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