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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

0007AA A

TDP TM OTHER MISC

D. SYSTEM/ITEM

Tool Room Carousels (Qty 2)

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

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 7/31/2018. 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 7/31/2018 Carl S Jaeckel 7/31/2018

Project: Tool Room Vertical Carousels (Qty 2, Project # 802-832, Req #s: 81294C50-4C59)

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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.

0007AB B

TDP TM OTHER MISC

Tool Room Carousels (Qty 2)

B001

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

Project: Tool Room Vertical Carousels (Qty 2, Project # 802-832, Req #s: 81294C50-4C59)

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.

0007AC C

TDP TM OTHER TMSS

Tool Room Vertical Carousels (Qty 2)

C001

COMMERCIAL OFF-THE-SHELF (COTS) MANUALS

AND ASSOCIATED SUPPLEMENTAL DATA

Operation, Maintenance, and Repair Manuals

DI-TMSS-80257C

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

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

Project: Tool Room Vertical Carousels (Qty 2, Project # 802-832, Req #s 81294C50-4C59)

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.

0007AD D

TDP TM OTHER TMSS

D001

COMMERCIAL OFF-THE-SHELF (COTS) MANUALS

AND ASSOCIATED SUPPLEMENTAL DATA

Operation, Maintenance, and Repair Manuals

DI-TMSS-80257C

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

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

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.

0007AE E

TDP TM OTHER SESS

E001

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 7/31/2018 Carl S Jaeckel 7/31/2018

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.

0007AF F

TDP TM OTHER SESS

F001

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 7/31/2018 Carl S Jaeckel 7/31/2018