2._Exhibit_A_CDRL_DD1423-1_FFP.pdf
DoD Form PDF 545 KB Posted
- Attached to
- Submarine High Data Rate (SubHDR) Antenna Pedestal Group (APG) Repairs, Supplies and Services
- Solicitation number
- N6660419R0355
About this file
This Contract Data Requirements List (CDRL) outlines nine data items required under a contract for repairs, supplies, and engineering services for Submarine High Data Rate Antenna Pedestal Groups. The Naval Undersea Warfare Center Division Newport requires test reports, inspection reports, failure analysis reports, spare parts usage reports, and other deliverables under the contract. Reports are due monthly or as required and must be submitted electronically in Microsoft Word format to several government recipients. The contract will have a five-year period of performance with firm-fixed-price and cost-plus-fixed-fee contract line items. An offeror must be registered in the System for Award Management to be eligible for award of the follow-on contract to an existing IDIQ awarded to Serco Inc.
Sol. Exhibit A-CDRLs FFP
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Other files
| File | Type | Posted |
|---|---|---|
| 7._Attch_4_SubHDR_Inventory_Spare_Parts_List_04122019.XLSX | XLSX spreadsheet | |
| N6660419R03550001.pdf | ||
| 9._Attch6_Incidental_Govt_Property_04122019.doc | DOC document | |
| 4._Attch_1_DD254.pdf | ||
| 7._Attch_4_SubHDR_Inventory_Spare_Parts_List_04122019.pdf | ||
| N6660419R0355.pdf | ||
| 8._Attch_5_RI_WD_2015-4089_Rev_9_dtd_12-26-2018.pdf | ||
| 5._Attch_2_GFP_Module_Attachment.pdf | ||
| 3._Exhibit_B_CDRL_DD1423-1_CPFF.pdf | ||
| 6._Attch_3_PBRST.docx | DOCX document |
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
A FFP
C. CATEGORY
TDP_________ TM___________ OTHER_______MISC
D. SYSTEM/ITEM
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM:
TECHNICAL REPORT-STUDY/SERVICES
3. SUBTITLE
Analysis Report
4. AUTHORITY (Date Acquisition Document No.)
DI-MISC-80508B
5. CONTRACT REFERENCE
SOW Para# 4.1.1
6. REQUIRING OFFICE
NUWCDIVNPT, Code 349
7. DD 250 REQ
LT
9. DIST STATEMNT
REQUIRED
10. FREQUENCY
ASREQ*
12. DATE OF FIRST
SUBMISSION
See Block 16
14. DISTRIBUTION *
D* b. COPIES
8. APP CODE See Block 16 11. AS OF DATE 13. DATE OF SUBSEQNT
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A N/A Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3413 0 1 0
Code 3433 0 1 0
Block 10: Estimated 40 submittals per year for 5 year period. COR 0 1 0
3432 DM 0 1 0
Block 12: Reports shall be submitted within 14 calendar days after
Government acceptance of the repaired unit and shall provide detailed information relative to the repair activities performed. Updated Serial
Assembly Records and Test Data.
Block 14: Media Requirements: The report shall be delivered electronically in editable Microsoft 2010 compatible format with email notification to all addressees:
Code 3412: samuel.d.vorhes@navy.mil
Code 3413: mark.aiksnoras@navy.mil
Code 3433: kristy.mosier@navy.mil
COR: yolima.delacruz@navy.mil
3432 DM: NUWC_NPT_3432DataMgt@navy.mil
15. TOTAL
______> 0 5 0
G. PREPARED BY:
Samuel Vorhes
H. DATE
05/08/2018
I. APPROVED BY
Charlene Canuel
J. DATE
05/16/2018
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 1 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__QCIC
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM:
INCOMING INSPECTION SUMMARY REPORT
Visual Inspection for Configuration and Condition
DI-QCIC-80376A
5. CONTRACT REFERENCE
SOW Para# 4.1.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A N/A Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3433 0 1 0
COR 0 1 0
Block 10: Estimated 40 submittals per year for 5 year period. 3432 DM 0 1 0
Block 12: Reports shall be submitted within 14 calendar days after receipt of hardware.
Code 3433: kristy.mosier@navy.mil
______> 0 4 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 2 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__NDTI
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM:
TEST_INSPECTION REPORT
DI-NDTI-80809B
5. CONTRACT REFERENCE
SOW Para# 4.1.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A N/A Reg Repro
16. REMARKS Code 3412 0 1 0
Block 3: Mechanical Test Report, Electrical Test Report, LRU Deficiency Code 3433 0 1 0
Report COR 0 1 0
3432 DM 0 1 0
Block 9: See attached Block 16 addendum.
Block 10: Estimated 50 submittals per year for 5 year period.
Block 12: Reports shall be submitted within 14 calendar days after completion of inspection.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 3 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__SESS
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM:
FAILURE SUMMARY ANALYSIS REPORT
DI-SESS-80255A
5. CONTRACT REFERENCE
SOW Para# 4.1.1
MTHLY*
SUBMISSION
a. ADDRESSEE
Draft Final
N/A 15 EOM Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3433 0 1 0
Block 10: Estimated 12 submittals per year for 5 year period. 3432 DM 0 1 0
Block 12: Reports shall be submitted no later than the15th of each month.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 4 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__MGMT
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM:
MAINTENANCE SERVICE REPORT
DI-MGMT-80995A
5. CONTRACT REFERENCE
SOW Para# 4.2.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A N/A Reg Repro
16. REMARKS Code 3412 0 1 0
Block 3: Trouble Failure Data (TFD), Acceptance Test Procedure (ATP) Code 3433 0 1 0
Block 9: See attached Block 16 addendum. 3432 DM 0 1 0
Block 10: Estimated 50 submittals per year for 5 year period.
Block 12: Reports shall be submitted within 14 calendar days after completion of repair.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 5 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__MISC
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM:
ENGINEERING SERVICES MEMORANDUM
(ESM)
DI-MISC-80748
5. CONTRACT REFERENCE
SOW Para# 4.1.1, 4.2.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A 15 EOM Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3413 0 1 0
Code 3433 0 1 0
Block 10: Estimated 12 submittals per year for 5 year period. COR 0 1 0 addressees listed below. Electronic and paper format is required for final.
Code 3413: mark.aiksnoras@navy.mil
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 6 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM:
ENGINEERING AND TECHNICAL SERVICES
ACCOMPLISHMENT REPORT
DI-MGMT-80061A
5. CONTRACT REFERENCE
SOW Para# 4.1.1, 4.2.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A 15 EOM Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3413 0 1 0
Code 3433 0 1 0
Block 10: Estimated 12 submittals per year for 5 year period. COR 0 1 0
Code 3413: mark.aiksnoras@navy.mil
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 7 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__ILSS
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM:
SPARE PARTS USAGE REPORT
DI-ILSS-80483
5. CONTRACT REFERENCE
SOW Para# 4.1.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A 15 EOM Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3433 0 1 0
Block 10: Estimated 4 submittals per year for 5 year period. 3432 DM 0 1 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 8 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER_ MGMT
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM:
LIST OF ITEMS DELIVERED DURING THE TERM
OF A CONTRACT
DI-MGMT-80920
5. CONTRACT REFERENCE
SOW Para# 4.3.1
D*
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQNT
SUBMISSION
a. ADDRESSEE
Draft Final
N/A 15 EOM Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3433 0 1 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 9 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__MISC
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A00A
2. TITLE OF DATA ITEM:
INVENTORY UTILIZATION DATA REPORT
DI-MISC-81107
5. CONTRACT REFERENCE
SOW Para# 4.3.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A 15 EOM Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3433 0 1 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 10 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER MGMT
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A00B
2. TITLE OF DATA ITEM:
CONTRACTORS STANDARD OPERATING
PROCEDURES
3. SUBTITLE
Standard Operation Procedure (SOP) for
Operation, Maintenance and Repair
17. PRICE GROUP
4. AUTHORITY (Date Acquisition Document No.)
DI-MGMT-81580
5. CONTRACT REFERENCE
SOW Para# 4.1.1, 4.1.2
6. REQUIRING OFFICE
NUWCDIVNPT, Code 349
18. ESTIMATED
TOTAL PRICE
14DAC
SUBMISSION
a. ADDRESSEE
Draft Final
A See Block 16 See Block 16 Reg Repro
16. REMARKS Code 3412 1 1 0
Block 9: See attached Block 16 addendum. Code 3433 0 1 0
Block 10: Estimated 4 submittal per year for 5 year period. 3432 DM 0 1 0
Block 11 & 13: Draft SOP shall be submitted within 14 calendar days of contract award. Government will review and comment within 7 calendar days of contractor submission. Final to be submitted within 7 calendar days of Government review.
______> 1 4 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 11 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
TDP_________ TM___________ OTHER__FNCL
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A00C
2. TITLE OF DATA ITEM:
FUNDS AND MAN-HOURS EXPENDITURE
REPORT
17. PRICE GROUP
DI-FNCL-80331A
5. CONTRACT REFERENCE
SOW Para# 5.0
6. REQUIRING OFFICE
NUWCDIVNPT, Code 349
18. ESTIMATED
TOTAL PRICE
SUBMISSION
a. ADDRESSEE
Draft Final
N/A 15 EOM Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. Code 3433 0 1 0
Block 10: Estimated 12 submittal per year for 5 year period. 3432 DM 0 1 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 12 of 13 Pages
Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 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 Service, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project
(0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A00D
2. TITLE OF DATA ITEM:
CONTRACT STATUS REPORT
DI-MGMT-81991
5. CONTRACT REFERENCE
SOW Para# 5.0
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A N/A Reg Repro
16. REMARKS Code 3412 0 1 0
Block 9: See attached Block 16 addendum. COR 0 1 0
3432 DM 0 1 0
Block 10 & 12 : The contractor shall submit the 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).
addressees listed below. Electronic and paper format is required for final.
______> 0 3 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 13 of 13 Pages
DD FORM 1423
BLOCK 16 ADDENDUM
PR 1300621248
BLOCK 9: The following information is provided in amplification of the Block 9 Distribution Statement shown on each DD FORM 1423.
Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.
CDRLs A001, A002, A003, A004, A005, A006, A007, A008, A009, A00A, A00B, A00C, A00D
Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only
Critical Technology (24 Sept 2017). Other requests shall be referred to NUWCDIVNPT, Code 349.
The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION
STATEMENTS identified in the CDRL.
WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act
(Title 22, U.S.C. Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App.
2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
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