N6660420Q8002.pdf

SEE ADDENDUM

(No Collect Calls)

N6660420Q8002 02-Mar-2020

b. TELEPHONE NUMBER

401-832-6587

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 09 Mar 2020

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

N666049. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

NICHOLAS P. SANGINARIO

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

1300831547

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

NAVAL UNDERSEA WARFARE CENTER

NICHOLAS P. SANGINARIO, CODE 0221

CONTRACTS DEPARTMENT

1176 HOWELL STREET, BLDG. 1258

NEWPORT RI 02841

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS AX

13b. RATING

DO-C9

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: 401-832-6567 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

332710

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF18

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

N6660420Q8002

Section A - Solicitation/Contract Form

GENERAL INFORMATION

Distribution: File, KR, NUWC 01, PI:15/R. Hodge

NUWCDIVNPT Requisition Number: 1300831547 NUWCDIVNPT PID Number: N66604-20-SIMACQ-NPT-15-0041

NUWCDIVNPT POC:

Nick Sanginario 401-832-6587 nicholas.sanginario@navy.mil

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 30 Each End Plate

FFP

Built in accordance with Distribution D Drawing Number: 1220D1176 FY of Funding: No Year Funds Type of Money: SCC Customer Code: 15 Sponsor: NWCF

TI#: N/A

The Contractor shall include the following “Mark For” information clearly marked on all packages (or items themselves if they are not packaged) delivered under this purchase order:

Mark For:

Receiving Officer, Naval Station Newport 47 Chandler Street Newport, RI 02841-1716 NUWC Division, Newport Code 15, Filled-in at award Order #: N66604-20-P-0041 FOB: Destination

PURCHASE REQUEST NUMBER: 1300831547

PSC CD: 5999

NET AMT

0002 25 Each Housing (9070B)

FFP

Built in accordance with Distribution D drawing number: 7345140 FY of Funding: No Year Funds Type of Money: SCC Customer Code: 15 Sponsor: NWCF

TI#: N/A

Built in accordance with Distribution D Drawing Number: 1220D1176 FY of Funding: No Year Funds Type of Money: SCC Customer Code: 15 Sponsor: NWCF

TI#: N/A

The Contractor shall include the following “Mark For” information clearly marked on all packages (or items themselves if they are not packaged) delivered under this purchase order:

Mark For:

Receiving Officer, Naval Station Newport 47 Chandler Street Newport, RI 02841-1716 NUWC Division, Newport Code 15, Filled-in at award Order #: N66604-20-P-0041 FOB: Destination

NSN: 59991018305229

PURCHASE REQUEST NUMBER: 1300831547

0003 1 Each Data

FFP

Data in accordance with Exhibit "A", Contract Data Requirements List (CDRL), DD form 1423.

The Contractor shall include the following “Mark For” information clearly marked on all packages (or items themselves if they are not packaged) delivered under this purchase order:

Mark For:

Receiving Officer, Naval Station Newport 47 Chandler Street Newport, RI 02841-1716 NUWC Division, Newport Code 15, Filled-in at award Order #: N66604-20-P-0041

NOT SEPARATELY PRICED

FOB: Destination

Section D - Packaging and Marking

CLAUSES INCORPORATED BY FULL TEXT

D-247-W002 UNPACKING INSTRUCTIONS (NAVSEA) (OCT 2018)

(a) Location on Container. When practical, one set of the unpacking instructions will be placed in a heavy water-proof envelope prominently marked "UNPACKING INFORMATION" and firmly affixed to the outside of the shipping container in a protected location, preferably between the cleats on the end of the container adjacent to the identification marking. If the instructions cover a set of equipment packed in multiple containers, the instructions will be affixed to the number one container of the set. When the unpacking instructions are too voluminous to be affixed to the exterior of the container, they will be placed inside and directions for locating them will be provided in the envelope marked

"UNPACKING INFORMATION".

(b) Marking Containers. When unpacking instructions are provided, shipping containers will be stenciled "CAUTION-

THIS EQUIPMENT MAY BE SERIOUSLY DAMAGED UNLESS UNPACKING INSTRUCTIONS ARE

CAREFULLY FOLLOWED. UNPACKING INSTRUCTIONS ARE LOCATED [insert location]." When practical, this marking will be applied adjacent to the identification marking on the side of the container.

(End of Text)

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government

CLAUSES INCORPORATED BY REFERENCE

52.246-16 Responsibility For Supplies APR 1984

E-246-H016 INSPECTION AND ACCEPTANCE OF F.O.B. DESTINATION DELIVERIES (NAVSEA) (OCT 2018)

Item(s) CLINs 0001 and 0002 - Inspection and acceptance shall be made at destination by a representative of the Government.

(End of text)

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 13-JUL-2020 30 N/A

0002 13-JUL-2020 25 N/A

0003 13-JUL-2020 1 N/A

Section G - Contract Administration Data

252.204-7006 Billing Instructions OCT 2005

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232- 7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

Invoice and Receiving Report Combo

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC N62846

Issue By DoDAAC N66604

Admin DoDAAC** N66604

Inspect By DoDAAC N66604

Ship To Code N66604

Ship From Code N/A

Mark For Code N66604

Service Approver (DoDAAC) N/A

Service Acceptor (DoDAAC) N/A

Accept at Other DoDAAC N/A

LPO DoDAAC N/A

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

Jerry Palmer, (401) 832-4964 or Gerard.Palmer@navy.mil

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

G-232-H002 PAYMENT INSTRUCTIONS AND CONTRACT TYPE SUMMARY FOR PAYMENT

OFFICE (NAVSEA) (JUN 2018)

(a) The following table of payment office allocation methods applies to the extent indicated.

For Government Use Only

Contract/Order Payment Clause

Type of Payment Request

Su pp ly

Se rv ic e

C on st ru ct io n

Payment Office Allocation Method

52.212-4 (Alt I), Contract Terms and Conditions— Commercial Items 52.216-7, Allowable Cost and Payment 52.232-7, Payments under Time-and-Materials and Labor-Hour Contracts

Cost Voucher X X N/A Line item specific proration. If there is more than one ACRN within a deliverable line or deliverable subline item, the funds will be allocated in the same proportion as the amount of funding currently unliquidated for each ACRN on the deliverable line or deliverable subline item for which payment is requested.

52.232-1, Payments Navy Shipbuilding Invoice (Fixed Price)

X N/A N/A Line Item specific by fiscal year. If there is more than one ACRN within a deliverable line or deliverable subline item, the funds will be allocated using the oldest funds. In the event of a deliverable line or deliverable subline item with two ACRNs with the same fiscal year, those amounts will be prorated to the available unliquidated funds for that year.

Contract/Order Payment Clause

Type of Payment Request

Su ic e

C on st ru ct io n

Payment Office Allocation Method

52.232-1, Payments;

52.232-2, Payments under Fixed-Price Research and Development Contracts;

52.232-3, Payments under Personal Services Contracts;

52.232-4, Payments under Transportation Contracts and Transportation-Related Services Contracts; and 52.232-6, Payments under Communication Service Contracts with Common Carriers

Invoice X X N/A Line Item Specific proration. If there is more than one ACRN within a deliverable line or deliverable subline item, the funds will be allocated in the same proportion as the amount of funding currently unliquidated for each ACRN on the deliverable line or deliverable subline item for which payment is requested.

52.232-5, Payments Under Fixed-Price Construction Contracts

Construction Payment Invoice

N/A N/A X Line Item specific by fiscal year. If there is more than one ACRN within a deliverable line or deliverable subline item, the funds will be allocated using the oldest funds. In the event of a deliverable line or deliverable subline item with two ACRNs with the same fiscal year, those amounts will be prorated to the available unliquidated funds for that year.

52.232-16, Progress Payments

Progress Payment*

X X N/A Contract-wide proration. Funds shall be allocated in the same proportion as the amount of funding currently unliquidated for each ACRN. Progress Payments are considered contract level financing, and the “contract price” shall reflect the fixed price portion of the contract per FAR 32.501-3.

52.232-29, Terms for Financing of Purchases of Commercial Items;

52.232-30, Installment Payments for Commercial Items

Commercial Item Financing*

X X N/A Specified in approved payment. The contracting officer shall specify the amount to be paid and the account(s) to be charged for each payment approval in accordance with FAR 32.207(b)(2) and 32.1007(b)(2).

52.232-32, Performance- Based Payments

Performance- Based Payments*

X X N/A Specified in approved payment. The contracting officer shall specify the amount to be paid and the account(s) to be charged for each payment approval in accordance with FAR 32.207(b)(2) and 32.1007(b)(2).

252.232-7002, Progress Payments for Foreign Military Sales Acquisitions

Progress Payment*

X X N/A Allocate costs among line items and countries in a manner acceptable to the Administrative Contracting Officer.

Contract/Order Payment Clause

Type of Payment Request

Su ic e

C on st ru ct io n

Payment Office Allocation Method

*Liquidation of Financing Payments. Liquidation will be applied by the payment office against those ACRNs which are identified by the payment instructions for the delivery payment and in keeping with the liquidation provision of the applicable contract financing clause (i.e., progress payment, performance-based payment, or commercial item financing).

(b) This procurement contains the following contract type(s):

Item Type* CLINs 0001 and 0002 FP

*FP – Fixed Price

G-232-H005 SUPPLEMENTAL INSTRUCTIONS REGARDING INVOICING (NAVSEA) (JAN 2019)

(a) For other than firm fixed priced contract line item numbers (CLINs), the Contractor agrees to segregate costs incurred under this contract/task order (TO), as applicable, at the lowest level of performance, either at the sub line item number (SLIN) or CLIN level, rather than at the total contract/TO level, and to submit invoices reflecting costs incurred at that level. Supporting documentation in Wide Area Workflow (WAWF) for invoices shall include summaries of work charged during the period covered as well as overall cumulative summaries by individual labor categories, rates, and hours (both straight time and overtime) invoiced; as well as, a cost breakdown of other direct costs (ODCs), materials, and travel, by technical instruction (TI), SLIN, or CLIN level. For other than firm fixed price subcontracts, subcontractors are also required to provide labor categories, rates, and hours (both straight time and overtime) invoiced; as well as, a cost breakdown of ODCs, materials, and travel invoiced. Supporting documentation may be encrypted before submission to the prime contractor for WAWF invoice submittal.

Subcontractors may email encryption code information directly to the Contracting Officer and Contracting Officer Representative (COR). Should the subcontractor lack encryption capability, the subcontractor may also email detailed supporting cost information directly to the Contracting Officer and COR; or other method as agreed to by the Contracting Officer.

(b) Contractors submitting payment requests and receiving reports to WAWF using either Electronic Data Interchange (EDI) or Secure File Transfer Protocol (SFTP) shall separately send an email notification to the COR and Contracting Officer on the same date they submit the invoice in WAWF. No payments shall be due if the contractor does not provide the COR and Contracting Officer email notification as required herein.

Section I - Contract Clauses

52.204-13 System for Award Management Maintenance OCT 2018 52.204-24 Representation Regarding Certain Telecommunications and

Video Surveillance Services or Equipment.

DEC 2019

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

AUG 2019

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.211-5 Material Requirements AUG 2000 52.211-15 Defense Priority And Allocation Requirements APR 2008 52.213-4 Terms and Conditions--Simplified Acquisitions (Other Than

Commercial Items)

JAN 2020

52.219-28 Post-Award Small Business Program Rerepresentation JUL 2013 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.227-1 Authorization and Consent DEC 2007 52.242-15 Stop-Work Order AUG 1989 52.243-1 Changes--Fixed Price AUG 1987 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7009 Limitations on the Use or Disclosure of Third-Party Contractor Reported Cyber Incident Information

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

DEC 2019

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.215-7013 Supplies and Services Provided by Nontraditional Defense Contractors.

JAN 2018

252.225-7048 Export-Controlled Items JUN 2013 252.231-7000 Supplemental Cost Principles DEC 1991 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea FEB 2019

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of Defense Federal Acquisition Regulation Supplement (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause)

Section J - List of Documents, Exhibits and Other Attachments

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A Contract Data

Requirements Lists

6 26-FEB-2020

Attachment 1 Vendor Information 2 Attachment 2 Receipt Inspection Report 1 Attachment 3 Drawing 1 1 Attachment 4 Drawing 2 1

Section K - Representations, Certifications and Other Statements of Offerors

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law

FEB 2016

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

J:\LIBRARY\FORMS

FORM REV. 06/08/2009

REV. 06/08/2009

TAHE FACILITY

NETC, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NUMBER / DRAWING NUMBER

1220D1176, 7345140

REV

PART NOMENCLATURE

OA-9070 EM Sensor – Housings and End Plates

SOURCE:

S/N:

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W03390

OUTSIDE SERVICES SOW: TRAVELER:

QTY RECEIVED

SAMPLE SIZE**

AQL

CHARACTERISTIC MEASURED / VERIFIED

FINDINGS

ACCEPT REJECT

DISPOSITION-REMARKS

THE FOLLOWING QUALITY

DOCUMENTATION / INFORMATION /

INSTRUCTIONS MUST BE PROVIDED /

ADHERED TO:

QTY: 30, P/N: 1220D1176

QTY: 25, P/N: 7345140

Certificate of Compliance that items were manufactured in accordance with all applicable instructions and specifications

Required

(A001)

Mercury Free Statement: Mercury or mercury compounds shall not be intentionally added or come in direct contact with hardware or supplies furnished under this contract.

Required

(A002)

Domestically Sourced Material: All raw material must be sourced domestically.

Required

Product Identification must be in accordance with attached drawings/documentation. If not specified, then identification must appear on external surfaces of items or packages. (Military Specifications will be provided upon request)

Required – Mark cage code, part number, and revision IAW Note 5 of drawing 7345140 and Note 5 of drawing 1220D1176.

Certificate of Analysis of Raw Material stating that it meets the specifications identified

Required – Raw material must be IAW notes on provided drawings.

Required – Weld filler must be per approved WPS and S9074-AR-GIB- 010-278.

(A003)

Inspection is required by the vendor Required - Document all measured part dimensions and compare to required dimensions per drawing.

Process Certification that items were manufactured in accordance with special processes identified i.e., Welding, Post Weld Anneal, Painting

APPROVED WPS AND PQR MUST BE ON FILE

WITH TAHEF PRIOR TO PERFORMING

WELDING ON THIS WORK ORDER.

Required – Welding Submit WPS and PQR.

(A004)

Special packaging requirements Required - Package to protect part features during shipping and handling.

Test data to be provided Required – Provide weld NDT report demonstrating acceptable results.

(A005)

First Article Inspection required Not Required

TAHEF Incoming Inspection: *Quality Notes* Required

FORM REV. 06/08/2009

REV. 06/08/2009

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

7345140_53711_FN_A; 1220D1176_54497_FN_A

VIR_W03390, RIR_QAP_W03390

**SAMPLING PERFORMED IN ACCORDANCE WITH ANSI/ASQZ1.4 GENERAL INSPECTION LEVEL II

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE

Revision Date 7/21/16 1

NUWCDIVNPT TAHE FACILITY FAX 401.832.3937

NUWC, BLDG 6 NEWPORT, RI 02841 PHONE 401.832.3068

(REFER TO INSTRUCTIONS)

VENDOR INFORMATION REQUEST 1. VIR NO.:

2. SUPPLIER NAME AND ADDRESS

3. DATE

4. DATE DISPOSITION

REQUIRED

5. MATERIAL NOMENCLATURE

7. PART NUMBER

8. QUANTITY 9. SERIAL NUMBER

10. STATUS OF PART NOT STARTED IN-PROCESS COMPLETED

11. DESCRIPTION:

12. CAUSE OF NONCONFORMANCE:

13. RECOMMENDED CORRECTIVE ACTION:

14. RECOMMENDED DISPOSITION:

15. TECHNICAL JUSTIFICATION AND PURCHASER'S BENEFIT:

REPAIR COST:

REPLACEMENT COST:

16. DELIVERY IMPACT

IF DISAPPROVED, DELIVERY WILL BE: IF APPROVED, DELIVERY WILL BE:

THE VENDOR ACCEPTS FULL

RESPONSIBILITY FOR THE

CORRECTNESS OF INFORMATION

AFFECTING THE ABOVE PARTS

17. REPORTED BY:

SIGNATURE:

PHONE:

VENDOR: PLEASE DO NOT WRITE BELOW THIS LINE

18. QA POC 19. DATE VIR RECEIVED

20. DISPOSITION

APPROVED DISAPPROVED CONDITIONALLY APPROVED

NC# SOW# WO# W03390

BELOW SPACE IS FOR FINAL DISPOSITION AUTHORIZATION USE ONLY:

21. DISPOSITION RESULTS

RFD # YES NO

NAVSEA APPROVAL REQUIRED YES NO

RPR # YES NO

ISEA/TDA APPROVAL REQ’D YES NO

MINOR YES NO

MAJOR YES NO

COST IMPACT YES NO

SCHEDULE IMPACT YES NO

PART NUMBER IMPACT YES NO

APPROVALS

22. ENGINEERING DATE

23. QA DATE

24 TAHEF MANAGER DATE

25. ISEA or TDA DATE

26. DISPOSITION SENT TO SUPPLIER

BY PURCHASING:

DATE:

NOTICE TO SUPPLIER: THE DISPOSITION OUTLINED ABOVE IS APPLICABLE TO THE MATERIAL ON THIS VIR ONLY.

SHIPPING DOCUMENTS FOR THIS MATERIAL MUST REFERENCE THIS VIR.

6. WORK ORDER #

W03390

Revision Date 7/21/16 2

NUWCDIVNPT TAHE FACILITY FAX 401.832.3937

NUWC, BLDG 6 NEWPORT, RI 02841 PHONE 401.832.3068

VENDOR INFORMATION REQUEST FORM INSTRUCTIONS

A PROPERLY APPROVED VENDOR INFORMATION REQUEST (VIR) IS REQUIRED TO RESOLVE

TECHNICAL QUESTIONS OR PROBLEMS INVOLVING TOWED ARRAY HANDLING EQUIPMENT

FACILITY WORK ORDERS.

TO FACILITATE THE PREPARATION OF THE FORM, A BRIEF DESCRIPTION APPEARS BELOW

INDICATING THE INFORMATION REQUIRED TO BE ENTERED IN THE APPROPRIATE BLOCK. IF

MULTIPLE PAGES ARE REQUIRED, LINK ADDITIONAL PAGES BY BLOCK NUMBER TO THE FIRST

PAGE.

BLOCK NO. ENTRY (BLOCKS 2-16 TO BE FILLED IN BY VENDOR)

(BLOCKS 1, 17-25 TO BE FILLED IN BY TAHE FACILITY)

1. REFER TO THIS NUMBER (PROVIDED BY THE TOWED ARRAY FACILITY) ON ANY INQUIRY.

RECORD THIS NUMBER ON THE PACKING LIST PRIOR TO SHIPPING.

2. ENTER YOUR FULL MAILING ADDRESS, INCLUDING THE NAME OF ANYONE TO WHOM THE

RETURNED VIR SHOULD BE SENT.

3. THE DATE THE ENTRIES ARE BEING MADE.

4. GIVE DATE A REPLY TO THE VIR IS REQUIRED BY IN ORDER TO AVOID DELAY OF DELIVERY.

5. A GENERAL DESCRIPTION OF THE PART NAME THAT APPEARS ON THE PURCHASE ORDER.

6. WORK ORDER #

7. PART NUMBER

8. QUANTITY OF PIECES AFFECTED BY VIR (NOT QUANTITY ORDERED).

9. SERIAL NUMBER OF PIECE AFFECTED, WHERE APPLICABLE.

10. CHECK APPROPRIATE PART STATUS BLOCK.

11. DESCRIBE THE SPECIFIC PROBLEM/QUESTION/PROPOSED CHANGE, OR NONCONFORMANCE

IN DETAIL

INDICATE WHAT, IF ANYTHING, HAS BEEN VIOLATED

WHEN PROPOSING A MATERIAL SUBSTITUTION, INCLUDE A FULL DESCRIPTION OF THE

SUBSTITUTE MATERIAL (I.E.: ALLOY, CLASS, CONDITION OR TEMPER, SPECIFICATION,

ETC.). ATTACH A COPY OF THE TEST REPORT FOR THE MATERIAL IF AVAILABLE OR WITH

THE SHIPMENT OF THE COMPLETED HARDWARE.

WHEN REPORTING A NONCONFORMANCE INVOLVING THE HEAT TREATMENT OF

MATERIAL, A COPY OF THE APPLICABLE HEAT TREATMENT PROCEDURE USED SHOULD

BE ATTACHED.

WHEN REPORTING CHEMICAL AND MECHANICAL NONCONFORMANCE, ATTACH A COPY

OF THE TEST REPORT APPLICABLE LISTING BOTH CHEMICAL AND MECHANICAL TEST

RESULTS OF THE MATERIAL.

USE A CONTINUATION OR SKETCH SHEET IF THIS SPACE IS INADEQUATE TO SHOW A

SKETCH OR TO FULLY DESCRIBE THE PROBLEM.

12. INCLUDE THE CAUSE OF THE NONCONFORMANCE

13. INDICATE THE RECOMMENDED CORRECTIVE ACTION

14. INDICATE THE RECOMMENDED DISPOSITION

15. INCLUDE THE TECHNICAL JUSTIFICATION FOR ACCEPTING PERMANENT NONCONFORMANCE

BY INDICATING THE EFFECT OF THE DEVIATION ON THE FORM, FIT OR FUNCTION OF THE

MATERIAL, PART OR COMPONENT. IF UNABLE TO PROVIDE TECHNICAL JUSTIFICATION, SO

STATE. ALSO PROVIDE RATIONALE FOR PERCEIVED BENEFIT TO PURCHASER. FOR OUTSIDE

SERVICES INCLUDE REPAIR VS REPLACEMENT COST.

16. INDICATE THE DELIVERY IMPACT IF ACCEPTANCE OF THE REQUEST IS NOT GRANTED.

17. GIVE NAME OF PERSON TO CONTACT IN CASE OF ANY QUESTIONS REGARDING VIR.

18. FAX VIR to (401) 832-3937, to the attention of the Quality Assurance Department. QA Point Of Contact phone number is (401) 832-3068.

19. ENTER DATE VIR RECEIVED FROM VENDOR.

20. ENGINEERING, QA, AND MANAGEMENT ENTER REQUIRED INFORMATION.

21. ENGINEERING, QA, AND MANAGEMENT MARK EACH BLOCK AS APPLICABLE.

22– 25. APPROVALS AS REQUIRED.

26. PURCHASING: SIGN AND DATE WHEN COMPLETED VIR IS SENT TO SUPPLIER.

Block 10: Once

Block 12: Submit certification of compliance data sheet upon completion of each delivered batch.

Date: 2/26/2020 2:27:17 PM

Block 12: Mercury Free Certification data sheet upon completion of each delivered batch.

Date: 2/26/2020 2:27:27 PM

Block 12: Certificate of Analysis data sheet upon completion of each delivered batch.

Date: 2/26/2020 2:27:37 PM