Exhibit A, DD Form 1423.pdf

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send 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:

TBD A TDP TM OTHER See Block 16

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

RFDACS PRODUCTION & SPARES 1300706237 TBD

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

17. PRICE GROUP

A001 FAILURE SUMMARY & ANALYSIS REPORT N/A

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

DI-SESS-80255A SOW PARA# 4.1, 4.3 NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

N/A See Blk 16 N/A See Blk 16 Reg Repr

16. REMARKS Code 3411 0 1 0

Block C: SESS Code COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Block 10: 2 submissions per year are anticipated.

Block 12 & 13: Contractor shall submit the report ten (10) business days after each repair has been verified by the .

Government.

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum) 15. TOTAL 0 3 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 PRESENTATION MATERIALS Program Status Presentations

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

DI-ADMN-81373 SOW PARA# 4.2 NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED ASREQ See Blk 16 b. COPIES

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

SUBMISSION

A See Blk 16 N/A See Blk 16 Reg Repr

16. REMARKS Code 3411 1 1 0

Block C: ADMN Code COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Block 10: 4 submissions per year are anticipated

Block 12 & 13: Contractor shall deliver draft presentation materials fifteen (15) business days prior to a Program

Management Review (PMR). Government will review and comment within ten (10) business days of PMR. Final to be submitted within five (5) business days of PMR.

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum) 15. TOTAL 1 3 0

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

Richard Carnevale

16 Nov 2018 20 Dec 19 (RFP approved)

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 5 Pages

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

RFDACS PRODUCTION & SPARES 1300706237

TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 BASELINE DESCRIPTION DOCUMENT N/A

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

6. REQUIRING OFFICE

DI-SESS-81121A SOW PARA# 4.4 NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED ASREQ See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A See Blk 16 N/A See Blk 16 Reg Repr

16. REMARKS Code 3411 1 1 0

Block C: SESS COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Block 10: 1 submissions per year are anticipated

Block 12 & 13: Contractor shall deliver redlined documents ten (10) business days after a change is recorded.

Government will review and comment within five (5) business days. Final documents due to five (5) business days after comments received.

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum) 1 3 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A004 REPORT, RECORD OF MEETING/MINUTES PMR Meeting Reports

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

DI-ADMN-81505 SOW PARA# 4.2

NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED ASREQ See Block 16 b. COPIES

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

SUBMISSION

N/A See Blk 16 N/A See Block 16

Reg Repr

Block C: ADMN Code COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Block 10: 4 submissions per year are anticipated

Block 12 & 13: Contractor shall submit PMR meeting minutes within five (5) business of PMR.

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum) 15. TOTAL 0 3 0

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 5 Pages

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

RFDACS PRODUCTION & SPARES 1300706237 TBD

A005 TEST/INSPECTION REPORT

N/A

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

DI-NDTI-80809B SOW PARA# 4.1 NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED ASREQ See Blk 16 b. COPIES

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

SUBMISSION

Block C: NDTI Code COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Block 10: 2 submissions per year are anticipated.

Block 12 & 13: Contractor shall submit the report ten (10).

business days after testing of each system is completed.

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum) 15. TOTAL 0 3 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A006 REQUEST FOR WAIVER (RFW) N/A

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

DI-SESS-81732 SOW PARA# 4.3 NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED ASREQ See Blk 16 b. COPIES

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

SUBMISSION

Block C: QCIC Code COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Block 10: 1 submissions per year are anticipated

Block 12 & 13: Contractor shall subit the RFW within ten

(10) business days of acceptance of Type I nonconformance items.

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum) 15. TOTAL 0 3 0

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 3 of 5 Pages

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

TBD A TDP TM OTHER See Blk 16

RFDACS PRODUCTION & SPARES 1300706237

TBD

A007 TECHNICAL DATA PACKAGE REVIEW REPORT TDP Trouble Report

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

DI-MISC-80750 SOW PARA# 4.7 NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED ASREQ See Blk 16 b. COPIES

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

SUBMISSION

Block C: MISC Code COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Block 10: 4 submissions per year are anticipated

Block 12 & 13: Contractor shall submit report within fifteen (15) days of discovery of any drawing errors or discrepancies.

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum)

15. TOTAL 0 3 0

A008 CONTRACT STATUS REPORT N/A

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

DI-MGMT-81991 SOW PARA# 5.0 NUWCDIVNPT CODE 349 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION* See Blk 16

LT REQUIRED MTHLY* See Blk 16 b. COPIES

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

SUBMISSION

N/A See Blk 16 N/A N/A Reg Repr

Block C: MGMT COR 0 1 0

Block 9: See Block 16 Addendum Code 3432 DM 0 1 0

Blcok 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).

Block 14 Media Requirements: Report shall be delivered electronically Microsoft Office 2016 with email notification to all addresses on Addressee List (see

Block 16 Addendum) 15. TOTAL 0 3 0

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 4 of 5 Pages

DD FORM 1423

BLOCK 14 ADDRESSEE LIST

DD Form 1423 (CDRL) Block 14 Entry Complete Address

NUWCDIVNPT 34

CODE 3413: william.sanchez@navy.mil COR: millo.remy@navy.mil

CODE 3432 DM: NUWC_NPT_3432DataMgt@navy.mil

BLOCK 16 ADDENDUM

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.

CDRL A001 – A007

Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (16 November 2018). Other requests shall be referred to NUWCDIVNPT Code 349.

The following 'EXPORT CONTROL WARNING NOTICE' must be used in conjunction with DISTRIBUTION STATEMENTS identified 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.

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 5 of 5 Pages

BLOCK 14 ADDRESSEE LIST