Attachment_3_CDRLs.pdf

Enclosure (3)

DD

Form

1423-2, AUG 96

eg

Previous editions may be used

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 440 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 complete 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

0001 TDP_______ TM ______________________ OTHER ________X_______________________

D. SYSTEM / ITEM

Mk 62 RCN A-Cables

E. CONTRACT / PR NO.

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Mk 62 RCN A-Cables

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW Paragraph 4.1

6. REQUIRING OFFICE

NUWCDIVNPT Code 4022

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT One Time 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 ) 0 See Block 16 Reg Repro

16. REMARKS TBD 0 1 0

Block 4: Contractor format acceptable TBD 0 1 0

Block 9: See Block 16 Addendum

A certificate of compliance shall be submitted by the contractor at time of delivery indicating that all the drawing specifications have been adhered to, including an indication that tests in the specification have been successfully passed.

15. TOTAL ----------------> 0 2 0

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

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

b. COPIES

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

SUBMISSION

a. ADDRESSEE

Draft

Final

16. REMARKS

15. TOTAL ---------------> 2 2 0

G. PREPARED BY

George M. Kotas

H. DATE

1/31/2019

I. APPROVED BY

J. DATE

Enclosure (3)

ERP PR#

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

Block 9: the following information is amplification of the Block 9

Distribution Statement Selected:

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

Distribution statement D: Applies to CDRL item Nos. A001. Distribution authorized to the DoD and DoD contractors only; CRITICAL TECHNOLOGY (date data generated). Other requests shall be referred to NUWC Division, Newport

(George M. Kotas Code 4022).

The following “EXPORT CONTROL WARNING NOTICE” must be used in conjunction with DISTRIBUTION STATEMENT identified in the above CDRL items.

Warning – This document contains technical data whose export is restricted by the Arms Export Control

Act (Title 22, U.S.C. Sec 27521 et seq.) or the Export

Administration Act of 1979, as amended, title 50, U.S.C., App 2401 et seq. Violation of these exports laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Sole Contractor for manufacture of Mk 62 RCN A-Cables

C/O Garrett Hoffman V.P. / General Manager - NewVac & DCX Divisions of DCX-

CHOL Enterprises, Inc.

9330 De Soto Ave. Chatsworth, CA 91311

Tel: 310-516-1692 ext.# 502 | 310-990-0401 Cell garrettmh@dcxchol.com

Commented [SPJCNN1]: Not sure about this either. We can discuss on thurs.