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EXHIBITS

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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Please DO NOT RETURN your form to either of these address. 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

0002AB B

TDP TM OTHER TMSS

D. SYSTEM/ITEM

Paint Shop Blast Booth Components Replacement Project

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

COMMERCIAL OFF-THE-SHELF (COTS) MANUALS

AND ASSOCIATED SUPPLEMENTAL DATA

3. SUBTITLE

Operation, Maintenance, and Repair Manuals

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80257C

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D*

10. FREQUENCY

ONE/R

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16*

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

A. ADDRESSEE Final

N/A Draft Reg Repr o 16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 7/23/2018. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

N68438 0 1 0

TOTAL 0 1 0

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

Carl S Jaeckel 7/23/2018 Carl S Jaeckel 7/23/2018

DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Project: Paint Shop Blast Booth Components Replacement Project (Project #863-834, Req #81383Y00 thru 14)

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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Please DO NOT RETURN your form to either of these address. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. Listed in Block E.

0002AC C

TDP TM OTHER SESS

Paint Shop Blast Booth Components Replacement Project

C001

WARRANTY PERFORMANCE REPORT

WARRANTY DOCUMENTATION

DI-SESS-81639A

referred to COMNAVSEASYSCOM.

Block 4 - Tailored to allow vendor to provide only 3.1.1 (a, c, d, e), 3.1.2 (a, b, c, d, e, f, g, h, j, k, l, m).

Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding

The warranty shall be for a period of 1 year (from the date of acceptance)

Carl Jaeckel 7/23/2018 Carl S Jaeckel 7/23/2018

Project: Paint Shop Blast Booth Components Replacement Project (Project #863-834, Req #81383Y00 thru 14)

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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Please DO NOT RETURN your form to either of these address. Send completed form to the Government issuing Contracting Officer for the Contract/PR No. Listed in Block E.

0002AA A

TDP TM OTHER MISC

Paint Shop Blast Booth Components Replacement Project

A001

CERTIFICATION/DATA REPORT

NATIONAL RECOGNIZED TESTING

LABORATORY (NRTL) CERTIFICATION

DI-MISC-80678 (DD)

referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding

Carl S Jaeckel 7/23/2018 Carl S Jaeckel 7/23/2018

Project: Paint Shop Blast Booth Components Replacement Project (Project #863-834, Req #81383Y00 thru 14)

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1_ of _1_ Pages

(2 Data Items)

The public reporting burden for this collect ion of information is est imated 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 o ther aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (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 collect ion 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.

0002AD

B. EXHIBIT

D

C. CATEGORY:

TDP TM _______ OTHER SESS/MISC________

Paint Shop Blast Booth Components Replacement Project

D001

PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS

ENGINEERING DRAWINGS

DI-SESS-81000E

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16* 14. DISTRIBUTION

a. ADDRESSEE

A*

Draft Final

Reg Repro

16. REMARKS

N4523A 0 1 0

15. TOTAL 0 1 0

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

CERTIFICATION/DATA REPORT

ENGINEERING DRAWINGS

DI-MISC-80678

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16 14. DISTRIBUTION

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 7/23/2018. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 4 - Tailored to allow vendor to provide only 10.2.4.

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Personnel Qualifications Report prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in iRAPT for certification acceptance prior to material shipment.

Block 14 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite: Invoice, Receipt, Acceptance, and Property Transfer (iRAPT). Upon submission in iRAPT send email notifications to: PSNS.WAWFQACertifications.FCM@navy.mil.

Document no.:

N4523A 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

Carl S Jaeckel

H. DATE

7/23/2018

I. APPROVED BY

Carl S Jaeckel

J. DATE

7/23/2018

Project: Paint Shop Blast Booth Components Replacement Project (Project #863-834, Req #81383Y00 thru 14)

17. PR

IC

E

18. E S T

17. PR

IC

E

18. E S T

Block 9: Distribution Statement D.

Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 7/23/2018.

Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 10 - Submit Engineering