Exhibit_A_-_CDRLs_(Cost).pdf

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Attached to
SUBSAFE Hardware and Engineering/Technical Services
Solicitation number
N66604-19-R-0035
Issued by

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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Other files

File Type Posted
SUBSAFE_RFP_Q&A_27_Mar.pdf PDF
SUBSAFE_RFP_Q&A_20_Mar.pdf PDF
ATT_2_-_SUBSAFE_Appendix_F.pdf PDF
ATT_5_-_Incidental_GFP_(RFP).pdf PDF
Exhibit_B_(Reserved)_-_CDRLs_(FFP).pdf PDF
N6660419R0035_SUBSAFE_IDIQ_RFP.pdf PDF
ATT_1_-_SUBSAFE_Appendix_A.pdf PDF
ATT_3_-_PRST.pdf PDF
ATT_4_-_DD254.pdf PDF
PAB_-_(10ee)_Revised_Draft_SOW.pdf PDF

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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).

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