CDRL A001 -MHE.doc

NAVAIRINST 5200.39

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 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.

(See Block 16)

30 DAC

b. COPIES

8. APP CODE

Final

N/A

See Block 16

BLK 4: Contractor format is acceptable. Electronic submittal is acceptable.

BLK 9: Distribution authorized to U.S. Government Agencies only

The contractor is solely responsible for any and all spills or leaks during the performance of this contract, which occurs as a result of, or is contributed to by the actions of its agents, employees, of subcontractors. The contractor agrees to clean up such spills or leaks to the satisfaction of the Government in a manner that complies with applicable Federal, state, and local laws and regulations. The clean up shall be at no cost to the Government. The contractor shall report all such spills or leaks, regardless of their quantity, to the Government POC and KO immediately upon discovery. A written follow-up report shall be submitted to the Government POC and KO not later than twenty-four (24) hours after the initial telephonic report. The written report shall be in narrative form and as a minimum include the following:

(1) Description of item spilled (including identity, quantity, etc.).

(2) Whether amount spilled is EPA/state reportable, and if so, whether it was reported.

(3) Exact time and location of spill including a description of the area involved.

(4) Containment procedures initiated.

(5) Summary of any communications contractor has with press or Government officials other than the contracting officer.

(6) Description of clean-up procedures employed or to be employed at the site including disposal location of spill residue.

Peter Vandenberg

2/3/11

Peter Vandenberg

2/3/11

DD Form 1423-2 Feb 01 Previous editions are obsolete.

Page 1 of 1 Page

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

Enclosure (9)