Exhibit_(a)_-_DD_Form_1423 _Contract_Data_Requirements_Listing.pdf

PDF 394 KB Posted Aug 17, 2016

Attached to: Depot Level Maintenance Support Services, FRCSW, North Island, CA
Solicitation number: N6893616R0012
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Exhibit (a) - DD Form 1423 Contract Data Requirements Listing

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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, Executive Services and Communications 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 MISC

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

DEPOT Level Maintenance N68936-16-R-0012 N/A

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

A001

Man Hours Expenditure Chart

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-FNCL-80003A

PWS Para. 6.1.1

FRCSW Code 6.1.3

TOTAL PRICE

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

REQUIRED

LT D WEEKLY 7 DAC

b. COPIES

8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Final

N/A N/A SEE BLK 16

Dra ft

Reg. Repro

16. Remarks: FRCSW 6.1.3 0 1 0

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only, Administrative or

Operation Use, 4 September 2013. Other requests shall be referred to

Fleet Readiness Center Southwest (FRCSW), Code 6.1.3, NAS North

Island, Bldg. 90-2 Wright AVE, San Diego, CA 92135-7058.

Blocks 10, 12 & 13: Contractor shall submit one report per site on the last working day of the week.

Block 14: Submit in an electronic format agreed upon by both

Government and Contractor prior to 1 st submittal.

See Contract Clause 5252.247-9505, Technical Data and Information for distribution addresses.

Code 254200D 0 LTR ONLY

15. TOTAL 0 1 0

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

Naval Air Warfare Center

Weapons Division

China Lake, CA 93555-6100

160809

DRRB Chairperson

DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED

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 PREVIOUS EDITION MAY BE USED.

A002

Physical Inventories Report

Material/Equipment Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80259

PWS Para. 3.4.2, 5.2.4, 6.1.2

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

REQUIRED

LT D WEEKLY 7 DAC

b. COPIES

Operation Use, 4 September 2013. Other requests shall be referred to working day of the week.

A003

Accident/Incident Report

Safety Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-SAFT-81563

PWS Para. 3.4.2, 6.1.3

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

REQUIRED

LT D MTHLY 30 DAC

b. COPIES

Operation Use, 4 September 2013. Other requests shall be referred to

Fleet Readiness Center Southwest (FRCSW), Code 6.1.3, NAS North

Island, Bldg. 90-2 Wright AVE, San Diego, CA 92135-7058 working day of the month.

A004

Contractor's Personnel Roster

Security Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81834

PWS Para. 6.1.4

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

REQUIRED

LT D MTHLY 30 DAC

b. COPIES

Operation Use, 4 September 2013. Other requests shall be referred to working day of the month.

A005

Quality Assurance Program Plan

Quality Control Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-81794

PWS Para. 5.3.1, 6.1.5

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

REQUIRED

LT D SEE BLK 16 0 DAC

b. COPIES

A N/A SEE BLK 16

16. Remarks: FRCSW 6.1.3 1 1 0

Operation Use, 4 September 2013. Other requests shall be referred to

Blocks 10, 12 & 13: Contractor shall submit with the proposal and provide revisions as updates are made to the plan.

15. TOTAL 1 1 0

A006

Tool Control Inventory

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

PWS Para. 6.1.6

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

REQUIRED

LT D 1TIME 30 DAC

b. COPIES

N/A N/A N/A

Operation Use, 4 September 2013. Other requests shall be referred to

Island, Bldg. 90-2 Wright AVE, San Diego, CA 92135-7058

Blocks 10, 12 & 13: Contractor shall submit NLT 30 DAC, thereafter, reporting will be in accordance with FRCSWINST 10290.1 Tool Control

Program.

A007

Broken/Lost/Missing Tool Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

PWS Para. 3.1.5.4 , 6.1.7

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

REQUIRED

LT D MTHLY 30 DAC

b. COPIES

Operation Use, 4 September 2013. Other requests shall be referred to

Blocks 10, 12 & 13: Contractor shall submit NLT the last working day of each month.

A008

Contractor's Progress and Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81928

PWS Para. 6.1.8

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

REQUIRED

LT D MTHLY 14 DAC

b. COPIES

A N/A SEE BLK 16

16. Remarks: FRCSW 6.1.3 1 1 0

Operation Use, 4 September 2013. Other requests shall be referred to

Blocks 10, 12 & 13: For first submission, the contractor shall submit a proposed format for the Contract Expense Status Report to the

Government for approval no later than 14 days after the effective date of the Contract.

Contractor shall submit subsequent reports NLT 5 days after the end of each month.

15. TOTAL 1 1 0

A009

Contract Funds Status Report (CFSR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81468

PWS Para. 6.1.9

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

REQUIRED

LT D MTHLY 30 DAC

b. COPIES

Operation Use, 4 September 2013. Other requests shall be referred to

Blocks 10, 12 & 13: Contractor shall submit subsequent reports NLT 5 days after the end of each month.

A00A

Certification/Data Report

Training Records

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80678

PWS Para. 5.1.1, 6.1.10

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

REQUIRED

LT D MTHLY 30 DAC

b. COPIES guidance. Tailor DID as follows. Remove sections 10.2.1, 10.2.3

Operation Use, 4 September 2013. Other requests shall be referred to

Blocks 10, 12 & 13: Contractor shall submit subsequent reports NLT 5 days after the end of each month.

A00B

Contractor's Standard Operating Procedures

Ground Operating Procedures

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81580

PWS Para. 3.1.1, 6.1.11

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

REQUIRED

LT D ANNLY 30 DAC

b. COPIES guidance. Tailor DID as follows. Remove sections 10.2.1, 10.2.3

Operation Use, 4 September 2013. Other requests shall be referred to

Blocks 10, 12 & 13: Contractor shall submit subsequent reports every 365 days.

File details come from the government source that posted it. Updated Nov 14, 2017.