Exhibit_A_ECW-50_CDRLs__05.15.19.pdf

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Attached to
Electronics Cooling Water (ECW-50) Federal contract opportunity
Solicitation number
N68335-19-R-0202
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Exhibit A

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ATT_2_P1_Pricing_Spreadsheet_SSP.xlsx XLSX spreadsheet
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ATT_4_Data_Item_Transmittal_Acceptance_Rejection_Form_.doc DOC document
Att_3_Cross_Reference_Matrix_Template.docx DOCX document
Exhibit_A_ECW-50_CDRLs__05.15.19.pdf PDF
ATT_2_P1_Pricing_Spreadsheet_SSP.xlsx XLSX spreadsheet
Att_1_ECW-50_Specifications.docx DOCX document
N68335-19-R-0202.docx DOCX document
ATT_4_Data_Item_Transmittal_Acceptance_Rejection_Form_.doc DOC document
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CONTRACTS DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

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

TDP_________ TM Other __

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

TBD

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

A001

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

Contractor Format

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

REQUIRED

8. APP CODE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 18

1007/183

Block 8, 13: The Government will have 60 calendar days for review and comment. The Contractor will have 30 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the Contractor.

Block 12: Shall be provided during TIM

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

Department of the Navy

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

LT See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

N68335-17-R-XXXX

Technical Report Reliability Prediciton Report

SOW Para. 3.1.1 NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A002

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

Contractor Format

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

A (See Block 16) Reg Repro

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 18

1007/183

Block 8: The Government will have 60 calendar days for review and comment. The Contractor will have 30 calendar days to incorporate

Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the Contractor.

17454 Webster Field Road

Department of the Navy

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.2, Building 8271

Block 10, 11, and 13: First submission due with First Article, Second submission due with first production unit

St. Inigoes, MD 20684-4012

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

b. COPIES

C

N68335-17-R-XXXX

Supportability Documentation

SOW Para. 3.1.2 NAWCAD 4.11.7.2

Final

See Block 16 See Block 16

LT See Block 16 See Block 16

11. AS OF DATE

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

TDP_________ TM Other __

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

TBD

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

A003

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

DI-NDTI-81307A

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 18

1007/183

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

N68335-17-R-XXXX

First Article Qualification Test Plan and Procedures Test Plan and Procedures

SOW Para. 3.1.3 NAWCAD 4.11.7.2

LT See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Blocks 10,11,12 &13: Test plan and procedures submitted 45 days after TIM.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater)

Department of the Navy

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

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

TDP_________ TM Other __

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

TBD

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

A004

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

DI-NDTI-80809B

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 18

1007/183

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

N68335-17-R-XXXX

Test/Inspection Report First Article Unit Test Report

SOW Para. 3.1.4 NAWCAD 4.11.7.2

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Department of the Navy

Commander, NAVAIRWARCENACDIV

LT See Block 16 See Block 16

Block 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate

Government comments. Subsequent Government approval is required 15 calendar days after incorporation of comments by the

Contractor.

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Blocks 10,11,12 &13: Submitted no later than 30 calendar days after First Article Test.

Block 14: Deliverables to be provided in electronic format (Microsoft Office 2003 or greater or Adobe Acrobat compatible).

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

TDP_________ TM Other __

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

TBD

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

A005

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 18

1007/183

Blocks 10,11,12 &13: Submitted with train-the-trainer event or earlier.

Block 14: Deliverables to be provided in both hard copy and electronic format (Microsoft 2003 or greater) upon delivery of the first year production units.

Department of the Navy

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

LT See Block 16

Block 8: The Government will have 25 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate

Government comments. Subsequent Government approval is required 15 calendar days after incorporation of comments by the

Contractor.

See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

N68335-17-R-XXXX

Training Conduct Support Document OJT Handbook

SOW Para. 3.3.3 NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A006

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

DI-SESS-81758A

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 18

1007/183

Block 8: The Government will have 60 calendar days for review and comment. The Contractor will have 30 calendar days to incorporate

Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the Contractor.

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 12: Shall be provided during TIM

LT Once See Block 16

b. COPIES

C 11. AS OF DATE Final

N/A N/A

N68335-17-R-XXXX

Logistics Product Data Interim Spares List

SOW Para. 3.3.1 NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A007

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 18

1007/183

Block 13: Final submission shall be provided 31 November 2019

Commander, NAVAIRWARCENACDIV

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 15 calendar days for review and comment. The Contractor will have 30 calendar days to incorporate

Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the Contractor.

Block 12: Draft submission due 60 calendar days after award.

Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater) or Autocad for drawings

Department of the Navy

LT See Block 16 See Block 16

b. COPIES

C (See Block 16) 11. AS OF DATE Final

N/A See Block 16

N68335-17-R-XXXX

Installation Control Drawings

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A008

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

DI-EMCS-80201

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 18

1007/183

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

N68335-17-R-XXXX

Electromagnetic Interference Test Procedure (EMITP)

SOW Para. 3.1.3a NAWCAD 4.11.7.2

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Blocks 10,11,12 &13: Test procedures submitted 60 calendar days prior to each EMI test event.

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

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

TDP_________ TM Other __

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

TBD

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

A009

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

DI-EMCS-80200

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 18

1007/183

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

N68335-17-R-XXXX

Electromagnetic Interference Test Report (EMITR)

SOW Para. 3.1.3a NAWCAD 4.11.7.2

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Blocks 10,11,12 &13: Test reports submitted 20 calendar days after each EMI test event.

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

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

TDP_________ TM Other __

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

TBD

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

A010

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Blocks 10,11,12 &13: Test reports submitted 20 calendar days after each test event.

N68335-17-R-XXXX

Shipboard Power Requirements Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A011

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Shock Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A012

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Vibration Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A013

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Ambient Temperature Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A014

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 14 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Humidity Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A015

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 15 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Dust Conditions Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A016

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 16 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Salt Corrosion Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A017

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 17 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Shipboard Chilled Water Characteristics Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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:

TDP_________ TM Other __

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

TBD

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

A018

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

Contractor Format

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

16. REMARKS NAWCAD 4.11.7.2 2 1 1

Block 14 Address:

15. TOTAL 2 1 1

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

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 18 of 18

1007/183

ATTN: Code 4.11.7.2, Building 8271

17454 Webster Field Road

St. Inigoes, MD 20684-4012

Block 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Susbsequent Government final disposition is required 10 calendar days after incorporation fo comments by the contractor.

Commander, NAVAIRWARCENACDIV

LT

As required.

See Block 16 See Block 16

b. COPIES

C 11. AS OF DATE Final

See Block 16 See Block 16

Shipboard Accessibility Test Report

SOW Para. 3.1.3a NAWCAD 4.11.7.2

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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.

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