Exhibit_A_-_CDRLs_(Cost).pdf
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- Solicitation number
- N66604-19-R-0035
About this file
This solicitation seeks proposals for hardware, engineering, technical, and maintenance services to support submarine and non-SUBSAFE fleet systems programs. Offerors must provide SUBSAFE-certified services within the scope of existing and future fleet programs, including systems engineering, design, manufacturing, installation, testing, maintenance, and repair work. The Naval Undersea Warfare Center Division in Newport, Rhode Island will award five-year indefinite delivery, indefinite quantity contracts with both fixed price and cost reimbursement contract line items. Prospective offerors must register in the System for Award Management to be eligible for award. Proposals are due by specified dates in April 2019, and the North American Industry Classification System code for this requirement is 332510 with a size standard of 750 employees. Incumbents of the previous multiple-award contracts are Electric Boat Corporation, Huntington Ingalls Industries, and Oceaneering International Incorporated.
Exhibit A - CDRLs (Cost)
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Enclosure (3)
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
TBD TDP_______ TM ______________________ OTHER _______See Block 16______________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
TBD / PR 1300606670
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
System Safety Hazard Analysis Report (SSHAR)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SAFT-80101C
5. CONTRACT REFERENCE
SOW Paragraph 4.1
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT 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 NUWC Code 402 0 1 0
Block C Category: (Other) SAFT NUWC Code 40 COR 0 1 0
Block 3: Subtitles to be specified in Delivery or Task Order CDRLs.
Block 9: See Block 16 Distribution Statement Addendum
Block 10 & 12: Delivery as specified in Delivery or Task Order CDRLs. Submit in accordance with project schedule.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 0 2 0
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Technical Report - Study/Services
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
SOW Paragraphs 4.1, 4.3, 4.4, 4.7
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A
16. REMARKS NUWC Code 402 0 1 0
Block C Category: (Other) MISC NUWC Code 40 COR 0 1 0
Block 9: See Block 16 Distribution Statement Addendum.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 0 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
19 JUN 2018
DD Form 1423-2, AUG 96 eg Previous editions may be used
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
TBD TDP_______ TM ______________________ OTHER _____See Block 16______
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A003
2. TITLE OF DATA ITEM
Technical Data Package
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80776A
5. CONTRACT REFERENCE
SOW Paragraphs 4.1, 4.5, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
A (See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block C Category: (Other) SESS NUWC Code 40 COR 1 1 0
Block 10, 12 & 13: Delivery as specified in Delivery or Task Order CDRLs. Submit in accordance with
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Design Data and Calculations
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-GDRQ-80650
5. CONTRACT REFERENCE
SOW Paragraphs 4.1, 4.3, 4.4
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
16. REMARKS NUWC Code 402 1 1 0
Block C Category: (Other) GDRQ NUWC Code 40 COR 1 1 0
Block 7: Draft to be submitted via electronic submission on LT, final on DD.
Block 8, 10, 12 & 13: Contractor shall submit draft, Government will review and comment, and contractor shall deliver final within timeframe specified in Delivery or Task Order CDRLs.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________IPSC___________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A005
2. TITLE OF DATA ITEM
System/Subsystem Design Description (SSDD)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-IPSC-81432A
5. CONTRACT REFERENCE
SOW Paragraph 4.1
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block 3: Subtitles to be specified in Delivery or Task Order CDRLs. NUWC Code 40 COR 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Interface Design Description (IDD)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-IPSC-81436A
5. CONTRACT REFERENCE
SOW Paragraphs 4.1, 4.2
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A N/A
16. REMARKS NUWC Code 402 1 1 0
Block 3: SOW 4.1 - Weapon Integration Studies; SOW 4.2 - Interface Working Group
NUWC Code 40 COR 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________See Block 16___
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A007
2. TITLE OF DATA ITEM
Interface Specification
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81632
5. CONTRACT REFERENCE
SOW Paragraphs 4.1, 4.2
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block C Category: (Other) SESS NUWC Code 40 COR 1 1 0
Block 3: SOW 4.1 - Weapon Integration Studies; SOW 4.2 - Interface Working Group
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Presentation Material
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81373
5. CONTRACT REFERENCE
SOW Paragraphs 4.2, 4.5, 4.6
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A
16. REMARKS NUWC Code 402 0 1 0
Block C Category: (Other) ADMN NUWC Code 40 COR 0 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 0 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________See Block 16________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A009
2. TITLE OF DATA ITEM
Report, Record of Meeting/Minutes
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81505
5. CONTRACT REFERENCE
SOW Paragraphs 4.2, 4.7
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A Reg Repro
16. REMARKS NUWC Code 402 0 1 0
Block C Category: (Other) ADMN NUWC Code 40 COR 0 1 0
Block 3: SOW 4.2 - IWG Meeting; SOW 4.7 - Alteration and Installation Meeting
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 0 2 0
1. DATA ITEM NO.
A00A
2. TITLE OF DATA ITEM
Product Drawings/Models and Associated Lists (See Block 16)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81000E (See Block 16)
5. CONTRACT REFERENCE
SOW Paragraphs 4.3, 4.4, 4.5, 4.9
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A (See Block 16) N/A See Block 16
16. REMARKS NUWC Code 402 1 1 0
Block C Category: TDP NUWC Code 40 COR 1 1 0
Block 2 & 4: TDP Option Selection Worksheet will be provided in delivery and task orders.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP__X ____ TM ______________________ OTHER __ _______________________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00B
2. TITLE OF DATA ITEM
Commercial Drawings/Models and Associated Lists (See Block 16)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81003E (See Block 16)
5. CONTRACT REFERENCE
SOW Paragraphs 4.3, 4.4, 4.5, 4.9
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A (See Block 16) N/A See Block 16
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
1. DATA ITEM NO.
A00C
2. TITLE OF DATA ITEM
Developmental Design Drawings/Models and Associated Lists (See
Block 16)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81002F (See Block 16)
5. CONTRACT REFERENCE
SOW Paragraphs 4.3, 4.4, 4.5, 4.9
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A (See Block 16) N/A See Block 16 Reg Repro
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________See Block 16_______
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00D
2. TITLE OF DATA ITEM
Revisions to Existing Government Documents
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-80925A
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block C Category: (Other) ADMN NUWC Code 40 COR 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A00E
2. TITLE OF DATA ITEM
Engineering Change Proposal (ECP)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80639D
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
16. REMARKS NUWC Code 402 1 1 0
Block C Category: (Other) SESS NUWC Code 40 COR 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP______ TM ______________________ OTHER ________SESS__________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00F
2. TITLE OF DATA ITEM
Notice of Revision (NOR)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80642D
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A00G
2. TITLE OF DATA ITEM
Specification Change Notice
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80643D
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
16. REMARKS NUWC Code 402 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ______See Block 16________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00H
2. TITLE OF DATA ITEM
Quality Assurance Provisions
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80789A
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.9
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
16. REMARKS NUWC Code 402 1 1 0
Block C Category: (Other) SESS NUWC Code 40 COR 1 1 0
Block 3: SOW 4.5 – Quality Assurance/ Quality Control plans and documentation; SOW 4.9 – Subtitle to be specified in Delivery or Task Order CDRLs.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
1. DATA ITEM NO.
A00J
2. TITLE OF DATA ITEM
Conceptual Design Drawings/Models (See Block 16)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81001E (See Block 16)
5. CONTRACT REFERENCE
SOW Paragraph 4.5
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block C Category: TDP NUWC Code 40 COR 1 1 0
Block 2 & 4: TDP Option Selection Worksheet will be provided in delivery and task orders. 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________SESS_____
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00K
2. TITLE OF DATA ITEM
Request for Variance (RFV)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80640D
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.8, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A00L
2. TITLE OF DATA ITEM
Request for Waivers (RFW)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-81732
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.8, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
16. REMARKS NUWC Code 402 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________NDTI_________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00M
2. TITLE OF DATA ITEM
Test Plan
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80566A
5. CONTRACT REFERENCE
SOW Paragraph 4.5
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
16. REMARKS NUWC Code 402 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A00N
2. TITLE OF DATA ITEM
Test Procedure
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
SOW Paragraph 4.5
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
16. REMARKS NUWC Code 402 1 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________See Block 16_____
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00P
2. TITLE OF DATA ITEM
Training Materials
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-ILSS-80872
5. CONTRACT REFERENCE
SOW Paragraphs 4.5, 4.6
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16 Reg Repro
Block C Category: (Other) ILSS
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 2 2 0
1. DATA ITEM NO.
A00Q
2. TITLE OF DATA ITEM
Planned Maintenance System (PMS) Maintenance Requirement Card
(MRC)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-PSSS-80991B
5. CONTRACT REFERENCE
SOW Paragraph 4.5
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
Block C Category: (Other) PSSS
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ______See Block 16______
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00R
2. TITLE OF DATA ITEM
Planned Maintenance System (PMS) Maintenance Index Page (MIP)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-PSSS-80992B
5. CONTRACT REFERENCE
SOW Paragraph 4.5
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
1. DATA ITEM NO.
A00S
2. TITLE OF DATA ITEM
Trip/Travel Report
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81943
5. CONTRACT REFERENCE
SOW Paragraphs 4.6, 4.7
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A Reg Repro
16. REMARKS NUWC Code 402 0 1 0
Block C Category: (Other) MISC
NUWC Code 40 COR 0 1 0
Block 3: SOW 4.6 – Fleet Training; SOW 4.7 – Alteration and Installation Meetings
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 0 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ______See Block 16______
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00T
2. TITLE OF DATA ITEM
Conference Minutes
3. SUBTITLE
Alteration and Installation Meetings
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81250B
5. CONTRACT REFERENCE
SOW Paragraph 4.7
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A
Block C Category: (Other) ADMN
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 0 2 0
1. DATA ITEM NO.
A00U
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
SOW Paragraphs 4.8, 4.11
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A Reg Repro
Block C Category: (Other) NDTI
Block 3: SOW 4.11 – Fleet Component Repair; SOW 4.8 – Subtitle to be specified in Delivery or Task
Order CDRLs.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 0 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________MISC___________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00V
2. TITLE OF DATA ITEM
Certification/Data Report
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
SOW Paragraphs 4.8, 4.9, 4.10, 4.11
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A
16. REMARKS NUWC Code 402 0 1 0
NUWC Code 40 COR 0 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 0 2 0
1. DATA ITEM NO.
A00W
2. TITLE OF DATA ITEM
Certificate of Compliance
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
SOW Paragraphs 4.8, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A Reg Repro
Block 3: Subtitles to be specified in Delivery or Task Order CDRLs. NUWC Code 40 COR 0 1 0
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 0 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ______See Block 16________
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00X
2. TITLE OF DATA ITEM
Certification Data for Non-Nuclear Level-I Material
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81020
5. CONTRACT REFERENCE
SOW Paragraphs 4.8, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A
Block C Category: (Other) MISC
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 0 2 0
1. DATA ITEM NO.
A00Y
2. TITLE OF DATA ITEM
Acceptance Test Report (ATR)
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-81891
5. CONTRACT REFERENCE
SOW Paragraphs 4.8, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A Reg Repro
Block C Category: (Other) QCIC
Block 3: SOW 4.10 – Evaluation and Tech Analysis; SOW 4.8 – Subtitle to be specified in delivery or task orders.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ----------------> 0 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________See Block 16______
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A00Z
2. TITLE OF DATA ITEM
Inspection and Test Plan
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-81110
5. CONTRACT REFERENCE
SOW Paragraphs 4.8, 4.9, 4.10
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
See Block 16 See Block 16 See Block 16 b. COPIES
A
(See Block 16)
(See Block 16) N/A See Block 16
Block C Category: (Other) QCIC
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 2 2 0
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Repairable Item Inspection Report
3. SUBTITLE
VLS Components
4. AUTHORITY (Data Acquisition Document No.)
DI-PSSS-80386A
5. CONTRACT REFERENCE
SOW Paragraph 4.11
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A Reg Repro
Block 10 & 12: Contractor shall deliver a report within 10 days after completion of failure inspection of each unit. Upon Government disapproval the contractor shall return the hardware to the
Government.
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 0 2 0
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
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
TBD TDP_______ TM ______________________ OTHER ________See Block 16_____
D. SYSTEM / ITEM
SUBSAFE/L1 Hardware, Engineering and Technical Services
E. CONTRACT / PR NO.
A011
2. TITLE OF DATA ITEM
Contract Status Report
3. SUBTITLE
See Block 16
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81991
5. CONTRACT REFERENCE
SOW Paragraph 5.0
6. REQUIRING OFFICE
NUWCDIVNPT Code 40
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
See Block 16
LT See Block 16 See Block 16 b. COPIES
N/A (See Block 16) N/A N/A
Block C Category: (Other) MGMT project schedule. The Contractor shall submit the Contract Status Report for the same timeframe as each invoice submitted in the Invoicing, Receipt, Acceptance, and Property Transfer (iRAPT) module of Wide Area Work Flow (WAWF).
Block 14: See contract section UW G-2-0002 Contractual Authority and Communications for distribution.
Reg copy to be delivered via electronic submission. Addressees to be identified at contract award. 15. TOTAL ---------------> 0 2 0
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
Reg Repro
16. REMARKS
INTENTIONALLY LEFT BLANK
15. TOTAL ---------------->
G. PREPARED BY
J. Broadmeadow
H. DATE
19 JUN 2018
I. APPROVED BY
BURKHARD SCHWILLINSKI
J. DATE
ERP PR# 1300606670
DD FORM 1423
BLOCK 16 DISTRIBUTION STATEMENT ADDENDUM
Block 9: the following information is amplification of the Block 9 Distribution Statement Selected:
Distribution Statement paragraph is in addition to CLASSIFICATION markings of the data.
Distribution Statement D: Applies to CDRL item Nos. A001-A009 and A00A-A00Z. Distribution authorized to the DoD and DoD contractors only; CRITICAL TECHNOLOGY (date data generated). Other requests for this document shall be referred to NUWC Division, Newport (Code 402).
The following…
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