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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 TBD

0011AB B

TDP _________________ TM __________________ OTHER _____________________

D. SYSTEM/ITEM

Bore Welder System

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Commercial Off-The-Shelf (COTS) Manuals

3. SUBTITLE

Operator & Maintenance Manuals

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

PSNS & IMF, Bangor – C830E

7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

See Block 16

b. COPIES

8. APP CODE

N/R 11. AS OF DATE

13. DATE OF SUBSEQUENT

A. ADDRESSEE Final

N/A Draft Reg Repr

16. REMARKS

Block 3: The operator and maintenance manuals shall be in the Contractor’s format, but shall include all required items included in content section (paragraph 2.2) on page two of this document.

Blocks 10 & 12 & 14: The Contractor shall provide a total of three copies (for the Bore Welder System) of the manuals, prior to final acceptance.

See Block 16

Bore Welder System 3

TOTAL 3

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

Carl Jaeckel 8 Mar 2018 Carl Jaeckel 8 Mar 2018

DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 2 Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DATA ITEM DESCRIPTION

Title: Commercial Off-The-Shelf (COTS) Manuals Number: Approval date:

AMSC Number: Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: PSNS & IMF, Bangor Site, Code 830E Applicable Forms: N/A

1 Use/relationship. Commercial Off-the-Shelf (COTS) operations and maintenance manuals shall be used by operators of the Bore Welder System.

2 Requirements:

2.1 Format. The COTS manual shall be presented in the contractor’s format.

2.2 Content. The COTS manual shall contain all the mechanical and electrical schematics showing discrete components/block diagrams/wiring diagrams with inputs and outputs identified/system electrical interface documents and drawings for the specific model of all machine equipment/drives/controls supplied. The information contained in the manual(s) shall reflect the unit and its components in the “as built” configuration. The information contained in the manual(s) shall be adequate to permit trouble shooting and repair of the equipment by journeymen level personnel.

The information contained in the manual(s) shall be in the English language. The information contained in the manual(s) shall be in imperial units of measure. The vendor shall provide a “no asbestos used” statement, certifying that all products/materials (i.e. gaskets, etc.) used in the components of the equipment does not contain asbestos.

2.3 Media requirement. The manual(s) shall be “hard” copies, and shall be clearly legible and on 8-1/2 x 11 inch plain bond paper. Each manual shall be bound in its own durable three ring binder(s). A cover shall be provided, that identifies the type of manual, the manufacturer and its designation as for the Bore Welder System.

3 End of TBD

DTIC Applicable: N/A GIDEP Applicable: N/A

Office of Primary Responsibility: PSNS & IMF, Bangor Site, Code 830E

1 Use/relationship. Commercial Off-the-Shelf (COTS) operations and maintenance manuals shall be used by operators of the Bore Welder System.

2 Requirements:

2.1 Format. The COTS manual shall be presented in the contractor’s format.

2.2 Content. The COTS manual shall contain all the mechanical and electrical schematics showing discrete components/block diagrams/wiring diagrams with inputs and outputs identified/system electrical interface documents and drawings for the specific ...

2.3 Media requirement. The manual(s) shall be “hard” copies, and shall be clearly legible and on 8-1/2 x 11 inch plain bond paper. Each manual shall be bound in its own durable three ring binder(s). A cover shall be provided, that identifies the ty...

3 End of TBD

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

0011AA A

TDP TM OTHER MISC

D. SYSTEM/ITEM

Bore Welder System

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

NATIONAL RECOGNIZED TESTING

LABORATORY (NRTL) CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678 (DD)

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

SEE BLOCK 16*

14. DISTRIBUTION

b. COPIES

8. APP CODE

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 7/25/2018. 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 7/25/2018 Carl S Jaeckel 7/25/2018

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

PROJECT: Bore Welder System, Project #872-831