Exhibit A CDRLs.doc
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- Solicitation number
- N68335-12-R-0050
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Exhibit A - CDRLS
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| N68335-12-R-0050 Amendment 0002.doc | DOC document | |
| N68335-12-R-0050 AMENDMENT 0001.doc | DOC document | |
| N68335-12-R-0050 WITHOUT DRAFT WATERMARK.doc | DOC document | |
| Attachment 1 DD FORM 254.doc | DOC document | |
| N68335-12-R-0050.rtf | RTF text file | |
| Install Statement of Work 1 30 2012.doc | DOC document |
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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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
TBD
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER DRPR
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Engineering Drawings
3. SUBTITLE
Revised SHIP INSTALLATION DRAWINGS (SIDS)
4. AUTHORITY (Data Acquisition Document No.)
DI-DRPR-80651
5. CONTRACT REFERENCE
SOW PARA 3.1
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
SD
9. STATEMENT REQUIRED
C
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
8. APP CODE
N/A
11. AS OF DATE
See BLK 16
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: Level 3 revised SIDS for the installation, revised for as built installation. Existing format applies.
Block 11,12: Contractor shall provide four copies NLT 1 week after completion of project.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
Air 4.8 Install Lead
IPT Lead DI-DRPR-80651 Description/Purpose is hereby tailored to also include “revised for as built installation Level 3 (Production) SIDS”.
Applicable Military Specifications:
MIL-STD-100
ASME Y14.100
| 0 |
| 4 |
| 0 |
(See Block 16)
| 15. TOTAL ( |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
TBD
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
C. CATEGORY:
TDP TM OTHER FNCL
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
B001
2. TITLE OF DATA ITEM
Funds and Man-Hours Expenditure Report
3. SUBTITLE
Report of actual expenditures
4. AUTHORITY (Data Acquisition Document No.)
DI-FNCL-80331A
5. CONTRACT REFERENCE
SOW Para. 3.1.9
6. REQUIRING OFFICE
PMA – 251
7. DD 250 REQ
LT
9. STATEMENT REQUIRED
C
10. FREQUENCY
WEEKLY
12. DATE OF FIRST SUBMISSION
NLT 7DATC
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See BLK 16
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 13: After the first submission, every week that Data Item No. C004 is not due.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
Air 4.8 Install Lead
IPT Lead
| 4 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 4 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 13 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
C
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
C001
2. TITLE OF DATA ITEM
Contractor’s Personnel Roster
3. SUBTITLE
Artisan List
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81834
5. CONTRACT REFERENCE
SOW Para. 3.1.4
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
LT
9. STATEMENT REQUIRED
C
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
14 DAC
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
Air 4.8 Install Lead
DI-MGMT-81834 is hereby tailored to also include Personnel/Artist Certifications.
| 0 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
C
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
C002
2. TITLE OF DATA ITEM
CONDITION REPORT
3. SUBTITLE
Change in scope of work
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81648
5. CONTRACT REFERENCE
SOW PARA3.1.10
6. REQUIRING OFFICE
NAVAIR, Lakehurst, NJ
7. DD 250 REQ
LT
9. STATEMENT REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
N/A
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 0 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
C
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
C003
2. TITLE OF DATA ITEM
Liaison Action Request (LAR)
3. SUBTITLE
Deviation Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81792
5. CONTRACT REFERENCE
SOW PARA 3.1.11
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
LT
9. STATEMENT REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
See BLK 16
8. APP CODE
See BLK 16
11. AS OF DATE
See BLK 16
13. DATE OF SUBSEQUENT SUBMISSION
See BLK 16
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 8, 11, 12, 13: Contractor shall provide three draft copies as required. Government will review and provide comments/corrections to the contractor within 1 week after receiving draft. Contractor shall incorporate all comments/corrections into official submission within 1 week after receiving comments. Note: Draft copy is for approval only and not considered an official deliverable.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
Air 4.8 Install Lead
IPT Lead
| NAVAIR |
| 4 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 4 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
C
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
PR No. TBD
F. CONTRACTOR
N/A
1. DATA ITEM NO.
C004
| Contractor’s Progress, Status and Management Report |
| 3. SUBTITLE |
Detailed progress report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80227
5. CONTRACT REFERENCE
SOW PARA 3.1.12
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
DD
9. STATEMENT REQUIRED
C
10. FREQUENCY
See BLK 16
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See BLK 16
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 10, 12, 13: DI-MGMT-80227 Description/Purpose is hereby tailored to also include “Reports shall be issued at 30%, 60%, 90% completion of project and as requested”.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
Air 4.8 Install Lead
Deviation: Deviation from the authorized DID, DI-MGMT-80227, change in format is approved for delivery in any Microsoft Office application or combination.
| NAVAIR |
| 4 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 4 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
D
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
D001
2. TITLE OF DATA ITEM
QA Program Certification
3. SUBTITLE
Report of status
4. AUTHORITY (Data Acquisition Document No.)
See Block 16
5. CONTRACT REFERENCE
SOW PARA 3.1.4
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
LT
9. STATEMENT REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
NLT 7DAC
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See BLK 16
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable. Contractor shall provide a copy of their Quality Assurance Program Certification in accordance with Technical Specification 9090-310(F(or current series)).
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 4 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 4 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
D
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
D002
2. TITLE OF DATA ITEM
FINAL REPORT
3. SUBTITLE
Summary of tasks performed
4. AUTHORITY (Data Acquisition Document No.)
see BLK 16
5. CONTRACT REFERENCE
SOW PARA 3.1.13
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
DD
9. STATEMENT REQUIRED
C
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
See BLK 16
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4, 12: Contractor format is acceptable. Contractor shall provide three draft copies NLT 2 weeks after completion of project. At a minimum the report shall address a final breakdown of cost expenditures by Labor, Material, Sub-Contracts and Other Direct Costs (ODC). The report shall contain as attachments all inspection records, Quality checklists, test reports and certifications. The report shall contain a section summarizing the tasks completed and the deviations or alterations from the original task. The report shall also contain a section addressing lessons learned, both positive and negative, from the completed task. Government shall review and provide comments/corrections to the contractor within 1 week after receiving draft. Contractor shall incorporate all comments/corrections into official submission within 1 week after receiving comments. Note: Draft copy is for approval only and not considered an official deliverable.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 4 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 4 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
D
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
D003
2. TITLE OF DATA ITEM
Pre-Installation Check-Out (PICO) Test Document
3. SUBTITLE
Ship Yard Requirements
4. AUTHORITY (Data Acquisition Document No.)
See BLK 16
5. CONTRACT REFERENCE
SOW PARA 3.2.17
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
DD
9. STATEMENT REQUIRED
C
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
Immediately following completion Of Task
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: Pre-Installation Check-Out as per Section 3.5.5 of document TS 9090-310E: Alterations to Ships Accomplished by Alteration Installation Teams.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 0 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
D
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
PR No. TBD
F. CONTRACTOR
N/A
1. DATA ITEM NO.
D004
2. TITLE OF DATA ITEM
PICO Completion Report
3. SUBTITLE
Ship Yard Requirements
4. AUTHORITY (Data Acquisition Document No.)
See BLK 16
5. CONTRACT REFERENCE
SOW PARA 3.2.17
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
SD
9. STATEMENT REQUIRED
C
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
Immediately following completion Of Task
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: PICO Test Document supplied by NAVAIR 4.8.
Block 4: Pre-Installation Check-Out as per Section 3.5.5 of document TS 9090-310E: Alterations to Ships Accomplished by Alteration Installation Teams.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 0 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
D
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
D005
2. TITLE OF DATA ITEM
Plan of Action and Milestones Report (POA&M)
3. SUBTITLE
Management Progress Report
4. AUTHORITY (Data Acquisition Document No.)
See BLK 16
5. CONTRACT REFERENCE
SOW PARA 3.1.14
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
LT
9. STATEMENT REQUIRED
C
10. FREQUENCY
WEEKLY
12. DATE OF FIRST SUBMISSION
NLT 7 DAC
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See BLK 16
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: Provide POA&M in format as required by Naval Sea System Command in accordance with Technical Specification 9090-310F(or current series).
Block 13: Weekly after first submission.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 0 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
D
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
D006
2. TITLE OF DATA ITEM
Certified Paint Analysis Report
3. SUBTITLE
Paint Testing/Abatement
4. AUTHORITY (Data Acquisition Document No.)
See Block 16
5. CONTRACT REFERENCE
SOW PARA 3.2.12
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
DD
9. STATEMENT REQUIRED
C
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
NLT 7DAC
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See BLK 16
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: Contractor shall provide a Certified Paint Analysis Report as per NAVSEA Standard Item 009-02. This analysis must include the laboratory’s state license number and necessary accreditations.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 4 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 4 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. 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
D
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
ALRE Systems
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
TBD
1. DATA ITEM NO.
D007
2. TITLE OF DATA ITEM
Quality Assurance Manual
3. SUBTITLE
Ship Yard Requirements
4. AUTHORITY (Data Acquisition Document No.)
See Block 16
5. CONTRACT REFERENCE
SOW PARA 3.1.4
6. REQUIRING OFFICE
PMA - 251
7. DD 250 REQ
DD
9. STATEMENT REQUIRED
C
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
14 DAC
14. DISTRIBUTION
See BLK 16
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| a. ADDRESSEE |
| b. COPIES |
Draft Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable. Contractor shall provide a copy of their approved Quality Assurance Manual.
Block 14: The deliverable shall be submitted via hard copy and electronically to:
PMA 251 COR
PMA 251 ACOR
| 0 |
| 4 |
| 0 |
| 15. TOTAL ( |
| 0 |
| 4 |
| 0 |
G. PREPARED BY
PMA 251 COR
H. DATE
TBD
I. APPROVED BY
PMA 251 DPM
J. DATE
File details come from the government source that posted it. Updated .