Exhibit_A_N66604-18-Q-2922_CDRLs_with_Addendum.pdf
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- N66604-18-Q-2922
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Exhibit A CDRLs w/Addendum
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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 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:
0009 A TDP TM OTHER X BLK 16
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Surface Vessel Torpedo Tube Mk 32 TBD/1300720667
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 Test/Inspection Report Inspection Report; OQE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80809B SOW Para 4.1.1 Code 4024 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 D 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
Code 4024 0 1 0
Block 9: See Distribution Statement Addendum Code 409 TPM 0 1 0 Block 10, 12: Contractor shall deliver reports within 30 days after completion of inspection. Up to 2 deliveries are estimated. COR (TBD) 0 1 0
Block 14: Reg copy to be delivered via email or electronic submission
Block C (Other): NDTI
15. TOTAL 0 3 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 Technical Report – Study/Services Overhaul Recommendation Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80508B SOW Para 4.1.1 Code 4024 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 D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
A (See Block 16) N/A See Block 16 Reg Repro
16. REMARKS
Code 4024 1 1 0
Block 9: See Distribution Statement Addendum Code 409 TPM 1 1 0 Block 10, 12 & 13: Contractor shall deliver reports within 30 days after completion of inspection. The Government shall have 30 days to approve report. The Contractor shall commence refurbishment efforts within 30 days after receipt of Government
COR (TBD) 1 1 0
Block C (Other): ILSS
3 3 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Michael Connelly 9/5/18 James W. Coleman 9/18/18
DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 2 Pages
(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:
0009 A TDP TM OTHER X BLK 16
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Surface Vessel Torpedo Tube Mk 32 TBD/1300720667
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 Certificate of Compliance (CoC)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-81356A SOW Para 4.2.7 Code 4024 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 D 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
Code 4024 0 1 0
Block 9: See Distribution Statement Addendum Code 409 TPM 0 1 0 Block 10, 12: Contractor shall deliver CoCs within 5 days after delivery of hardware. Up to 2 deliveries are estimated COR (TBD) 0 1 0
Block C (Other): MISC
15. TOTAL 0 3 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 Contract Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81991 SOW Para 5.0 Code 4024 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 D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
N/A (See Block 16) N/A See Block 16 Reg Repro
16. REMARKS
COR (TBD) 0 1 0
Block C (Other): Other – MGMT Block 9: See attached BLK 16 Addendum.
Block 10: Task 5.0: Start and end status date same as start and end dates on i-RAPT invoice submission.
Blocks 12 & 13: Task 5.0: Submit reports same day as submission of each i-RAPT invoice throughout the Period of Performance for this order.
Block A: N/A
0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Michael Connelly 9/5/18 James W. Coleman 9/18/18
DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 2 Pages
DD FORM 1423
PR 1300725590
BLOCK 16 ADDENDUM
CDRLs A001-A004
BLOCK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only; (reason) (date of determination). Other requests for this document shall be referred to NUWCDIVNPT Code 4024.
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.
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