3._Exhibit_B_CDRL_DD1423-1_CPFF.pdf
DoD Form PDF 842 KB Posted
- Attached to
- Submarine High Data Rate (SubHDR) Antenna Pedestal Group (APG) Repairs, Supplies and Services
- Solicitation number
- N6660419R0355
About this file
This is a synopsis for a solicitation seeking proposals for Submarine High Data Rate Antenna Pedestal Group repairs, supplies, and engineering technical services. The Naval Undersea Warfare Center Division Newport is requesting these services to support the SubHDR system. Proposals will be sought through full and open competition using FAR Part 15 procedures. The resultant contract will be an IDIQ with firm fixed price, cost plus fixed fee, and cost contract line items over a five year period. The estimated level of effort for the CPFF engineering services is 91,000 hours. The NAICS code is 334511 with a size standard of 1,250 employees. The performance period is anticipated to begin in 2019. Proposals will be evaluated using a best value tradeoff methodology. The solicitation and related files will be issued electronically with the RFP anticipated in January to February 2019.
Sol. Exhibit B-CDRLs CPFF
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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 | ||
| 2._Exhibit_A_CDRL_DD1423-1_FFP.pdf | ||
| 8._Attch_5_RI_WD_2015-4089_Rev_9_dtd_12-26-2018.pdf | ||
| 5._Attch_2_GFP_Module_Attachment.pdf | ||
| 6._Attch_3_PBRST.docx | DOCX document |
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Text version
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
B CPFF
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.
B001
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# 4.4.1, 4.6.1
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 3: (SOW 4.4.1, 4.6.1) Analysis Report Code 3433 0 1 0
(SOW 4.6.1) Training/Certification and Licensing Report COR 0 1 0
3432 DM 0 1 0
Block 9: See attached Block 16 addendum.
Block 10: Estimated 40 submittals per year for 5 year period.
Block 12: (SOW 4.4.1, 4.6.1) Analysis 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.
Block 12: (SOW 4.6.1) Training/Certification and Licensing Report shall be submitted within 14 days of contract award. Subsequent submissions will be submitted to te Government within 14 days of Government request
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 3433: kristy.mosier@navy.mil
COR: yolima.delacruz@navy.mil
3432 DM: NUWC_NPT_3432DataMgt@navy.mil
15. TOTAL
______> 0 4 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 23 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.
B002
2. TITLE OF DATA ITEM:
TEST_INSPECTION REPORT
DI-NDTI-80809B
5. CONTRACT REFERENCE
SOW Para# 4.6.1
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 10: Estimated 50 submittals per year for 5 year period.
Block 12: Reports shall be submitted within 21 calendar days after completion of inspection.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 2 of 23 Pages
(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
TDP_________ TM___________ OTHER__SESS
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B003
2. TITLE OF DATA ITEM:
FAILURE SUMMARY ANALYSIS REPORT
DI-SESS-80255A
5. CONTRACT REFERENCE
SOW Para# 4.6.1
MTHLY*
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 12 submittals per year for 5 year period. 3432 DM 0 1 0
Block 12: Reports shall be submitted within 90 calendar days of delivery order.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 3 of 23 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.
B004
2. TITLE OF DATA ITEM:
MAINTENANCE SERVICE REPORT
DI-MGMT-80995A
5. CONTRACT REFERENCE
SOW Para# 4.4.1, 4.5.1, 4.6.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A N/A Reg Repro
16. REMARKS Code 3412 0 1 0
Block 3: (SOW 4.4.1) Maintenance Action Reports (MARs), Ultrasonic Scan Code 3433 0 1 0
Reports, and LRU Deficiency Reports, (SOW 4.5.1) Acceptance Test, COR 0 1 0
(SOW 4.6.1) Maintenance Action Report NESP Data Center 0 1 0
Block 10: Estimated 35 submittals per year for 5 year period.
Block 12: Reports shall be submitted within 21 calendar days after completion of repair.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 4 of 23 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.
B005
2. TITLE OF DATA ITEM:
ENGINEERING SERVICES MEMORANDUM
(ESM)
DI-MISC-80748
5. CONTRACT REFERENCE
SOW Para# 4.4.1, 4.5.1, 4.6.1
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 12: Reports shall be submitted no later than the15th of each month.
addressees listed below. Electronic and paper format is required for final.
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 5 of 23 Pages
(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
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B006
2. TITLE OF DATA ITEM:
ENGINEERING AND TECHNICAL SERVICES
ACCOMPLISHMENT REPORT
DI-MGMT-80061A
5. CONTRACT REFERENCE
SOW Para# 4.4.1, 4.5.1, 4.6.1
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
______> 0 5 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 6 of 23 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 exist ing 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__ADMN
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B007
2. TITLE OF DATA ITEM:
REPORT RECORD OF MEETING/MINUTES
DI-ADMN-81505
5. CONTRACT REFERENCE
SOW Para# 4.4.1
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 3413 0 1 0
Code 3433 0 1 0
Block 10: Estimated 45 submittals per year for 5 year period. COR 0 1 0
3432 DM 0 1 0
Block 12: Meeting minutes shall be submitted within 7 calendar days of meeting.
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 23 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__ADMN
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B008
2. TITLE OF DATA ITEM:
PRESENTATION MATERIALS
DI-ADMN-81373
5. CONTRACT REFERENCE
SOW Para# 4.4.1
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 3413 1 1 0
Code 3433 1 1 0
Block 10: Estimated 6 submittals per year for 5 year period. COR 0 1 0
3432 DM 0 1 0
Block 11, 12, & 13: Draft materials shall be submitted within 14 calendar days prior to presentation. Government will review and comment within 7 calendar days of presentation. Final to be submitted within 3 calendar days of presentation.
Code 3413: mark.aiksnoras@navy.mil
Code 3433: kristy.mosier@navy.mil
______> 3 5 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 8 of 23 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.
B009
2. TITLE OF DATA ITEM:
CONTRACT FIELD SERVICE REPORT
DI-MGMT-81238
5. CONTRACT REFERENCE
SOW Para# 4.4.1
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 3413 0 1 0
Code 3433 0 1 0
Block 10: Estimated 35 submittals per year for 5 year period. COR 0 1 0
3432 DM 0 1 0
Block 12: Report shall be submitted within 7 calendar days after field services have been provided.
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 9 of 23 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.
B00A
2. TITLE OF DATA ITEM:
TRIP/TRAVEL REPORT
DI-MISC-81943
5. CONTRACT REFERENCE
SOW Para# 4.4.1
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 3413 0 1 0
Code 3433 0 1 0
Block 10: Estimated 35 submittals per year for 5 year period. COR 0 1 0
3432 DM 0 1 0
Block 12: Report shall be submitted within 7 calendar days after each trip is completed.
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 10 of 23 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__TMSS
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B00B
2. TITLE OF DATA ITEM:
FIELD CHANGE BULLETIN
DI-TMSS-81393
5. CONTRACT REFERENCE
SOW Para# 4.4.1
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 3413 1 1 0
Code 3433 1 1 0
Block 10: Estimated 2 submittals per year for 5 year period. COR 0 1 0
3432 DM 0 1 0
Block 11, 12, & 13: Draft materials shall be submitted within 60 calendar days of delivery order. Government will review and comment within 30 calendar days of contractor submission. Final to be submitted within 30 calendar days of Government review.
Code 3413: mark.aiksnoras@navy.mil
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 11 of 23 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.
B00C
2. TITLE OF DATA ITEM:
CONTRACTORS STANDARD OPERATING
PROCEDURES
3. SUBTITLE
Standard Operation Procedure (SOP) for
Operation, Maintenance and Repair
DI-MGMT-81580
5. CONTRACT REFERENCE
SOW Para# 4.4.1, 4.5.2
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 1 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
______> 2 4 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 12 of 23 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.
B00D
2. TITLE OF DATA ITEM:
DESIGN REVIEW INFORMATION PACKAGE
(DRIP)
Preliminary/Critical Design Review
DI-SESS-81757A
5. CONTRACT REFERENCE
SOW Para# 4.5.1
SUBMISSION
a. ADDRESSEE
Draft Final
A N/A N/A Reg Repro
16. REMARKS Code 3412 2 2 0
Block 9: See attached Block 16 addendum. Code 3433 1 1 0
Block 12: Draft shall be submitted within 90 calendar days of delivery order. Government will review and comment within 30
Code 3412: samuel.d.vorhes@navy.mil and gerard.cappiello@navy.mil
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 13 of 23 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.
B00E
2. TITLE OF DATA ITEM:
DEVELOPMENTAL DESIGN
DRAWINGS_MODELS AND ASSOCIATED
LISTS
DI-SESS-81002F
5. CONTRACT REFERENCE
SOW Para# 4.5.1
SUBMISSION
a. ADDRESSEE
Draft Final
A N/A N/A Reg Repro
16. REMARKS Code 3412 2 2 0
Block 9: See attached Block 16 addendum. Code 3433 1 1 0
Block 10: Estimated 6 submittal per year for 5 year period. 3432 DM 0 1 0
Block 12: Redlined drawings shall be submitted within 90 calendar
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 14 of 23 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.
B00F
2. TITLE OF DATA ITEM:
FUNDS AND MAN-HOURS EXPENDITURE
REPORT
DI-FNCL-80331A
5. CONTRACT REFERENCE
SOW Para# 5.0
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 15 of 23 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__TMSS
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B00G
2. TITLE OF DATA ITEM:
COMMERCIAL OFF-THE-SHELF (COTS)
MANUAL
Operations and Maintenance Manuals
DI-TMSS-81815
5. CONTRACT REFERENCE
SOW Para# 4.5.1
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A N/A Reg Repro
16. REMARKS Code 3412 2 2 0
Block 9: See attached Block 16 addendum. Code 3433 1 1 0
Block 12: Draft shall be submitted within 90 calendar
Code 3433: kristy.mosier@navy.mil
______> 1 4 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 16 of 23 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.
B00H
2. TITLE OF DATA ITEM:
ITEM UNIQUE IDENTIFICATION (IUID)
MARKING ACTIVITY VALIDATION AND
VERIFICATION REPORT
DI-MGMT-81804A
5. CONTRACT REFERENCE
SOW Para# 4.5.1
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
Block 10: Estimated 50 submittal per year for 5 year period. 3432 DM 0 1 0
Block 12: Report shall be submitted within 14 calendar days of delivery order.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 17 of 23 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.
B00J
2. TITLE OF DATA ITEM:
ITEM UNIQUE IDENTIFICATION (IUID)
MARKING AND VERIFICATION REPORT
DI-MGMT-81858
5. CONTRACT REFERENCE
SOW Para# 4.5.1
SUBMISSION
a. ADDRESSEE
Draft Final
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
Block 10: Estimated 50 submittal per year for 5 year period. 3432 DM 0 1 0
Block 12: Report shall be submitted within 14 calendar days of delivery order.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 18 of 23 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.
B00K
2. TITLE OF DATA ITEM:
CONFIGURATION STATUS ACCOUNTING
(CSA) INFORMATION
DI-SESS-81253C
5. CONTRACT REFERENCE
SOW Para# 4.6.1
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 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 19 of 23 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__SAFT
Submarine High Data Rate Mast
E. CONTRACT / PR NO.
1300621248
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B00L
2. TITLE OF DATA ITEM:
SAFETY ASSESSMENT REPORT (SAR)
DI-SAFT-80102C
5. CONTRACT REFERENCE
SOW Para# 4.5.1
SUBMISSION
a. ADDRESSEE
Draft Final
A N/A N/A Reg Repro
16. REMARKS Code 3412 2 2 0
Block 9: See attached Block 16 addendum. Code 3433 1 1 0
Block 10: Estimated 6 submittal per year for 5 year period. 3432 DM 0 1 0
Block 12: Draft shall be submitted within 14 calendar days of delivery order.
Government will review and comment within 7 calendar days of contractor submission. Final to be submitted within 7 calendar days of Government review.
Code 3433: kristy.mosier@navy.mil
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 20 of 23 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.
B00M
2. TITLE OF DATA ITEM:
INVENTORY UTILIZATION DATA REPORT
17. PRICE GROUP
DI-MISC-81107
5. CONTRACT REFERENCE
SOW Para# 4.6.1
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
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 21 of 23 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.
B00N
2. TITLE OF DATA ITEM:
INCOMING INSPECTION SUMMARY REPORT
3. SUBTITLE
Visual Inspection for Configuration and Condition
17. PRICE GROUP
4. AUTHORITY (Date Acquisition Document No.)
DI-QCIC-80376A
5. CONTRACT REFERENCE
SOW Para# 4.6.1
6. REQUIRING OFFICE
NUWCDIVNPT, Code 349
18. ESTIMATED
TOTAL PRICE
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
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.
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 22 of 23 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 est imate 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.
B00P
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. SAME A FFP 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).
______> 0 3 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 23 of 23 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 B001, B002, B003, B004, B005, B006, B007, B008, B009, B00A, B00B, B00C, B00D, B00E, B00F, B00G, B00H, B00J, B00K, B00L, B00M, B00N, B00P
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.
File details come from the government source that posted it. Updated .