2.02 SPRMM1-20-R-TC21 Amend 003.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

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B 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved 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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

15. TOTAL

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

0001AB A X

DEW POINT INDICATOR N0010420X7111

PRELIMINARY

A001 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS

DI-TMSS-80527 SEE SEC C PARA 3. NAVSUP WSS N96

DD ONE/R 30 DAC

A A NA NA

MARCORSYSCOM 00 01 00

ELECTRONIC FORMAT: All technical Manuals shall be contained on two separate CD/DVDs in Portable Document NAVSUP WSS N96 00 01 00 Format (PDF). One shall contain the Use and Installation Manual and one shall contain the Maintenance and Service NRL 5524 00 01 00 manual.

BLOCK 14 - ONE (1) COMPLETE SET OF THE COMMERCIALTECHNICAL

MANUAL(S) SHALL BE SUBMITTED FOR REVIEW ANDAPPROVAL TO:

NAVAL RESEARCH LABORATORY ATTN: JOE MOLNAR/BLDG.12 /RM.13

4555 OVERLOOK AVE SW, WASHINGTON, DC20375-5000.

TECHNICAL MANUALS WILL BE REVIEWED/EVALUATED BY THE

APPROVED NAVAL ENGINEERING ACTIVITY USING THE TECHNICAL

MANUAL REVIEW STATUS CHECKLIST ENCLOSED AS A HARD COPY

(SECTION H) OF THIS PROPOSAL. The following copyright release/rights and date clause shall be included in alltechnical manuals: "REPRODUCTION AND DISTRIBUTION OF

THIS TECHNICAL MANUAL IS AUTHORIZED FOR US GOVERNMENT

PURPOSES ONLY" This includes technical manuals in both hard copyand CD formats supplied to the government. This statement will be located on the inside cover page of the techicalmanual and printed on the label of the CD.

00 03 00

FINAL

A002 COMMERCIAL OFF-THE-SHELF (COTS) MANUALS

DI-TMSS-80527 SEE SEC C PARA 3. NAVSUP WSS N96

DD ASREQ ASREQ

A A NA NA

MARCORSYSCOM 00 01 00

ELECTRONIC FORMAT: All technical Manuals shall be contained on two separate CD/DVDs in Portable Document NAVSUP WSS N96 00 01 00 Format (PDF). One shall contain the Use and InstallationManual and one shall contain the Maintenance NRL 5524 00 01 00 and ServiceManual.

One set of appoved manuals is required to be sent to:

NAVSUP WSS code N9633 Dane Nearhoof building 410, 5450 Carlisle Pk Mechanicsburg, Pa. 17055 One set of approved manuals is required to be provided to:USMC. MARCORSYSCOM ATTN: James Cerian, Bldg 3500 Wing 400 Cube 411B, 814 Radford Blvd STE 20343, Albany, Ga.

31704-0343 Phone 229-639-6019

00 03 00

KLMNOPQRST

NAVSUP WSS N9652.1N 2018 JUL 19 DANE W NEARHOOF 2018 JUL 19

1 5

DD FORMo1423-2 REVERSE, JUN 90

5010.12-L (AMSDL), or one-time DID number, that defines data

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will support

Self-explanatory

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative and other expenses related toreproducing and delivering such data item to the Government.

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B 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved 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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

PTD

A003 STATEMENT OF PRIOR SUBMISSION

DI-V-7196 SEE SEC C PARA 3. NAVSUP WSS N96

DD ASREQ ASREQ

NA A NA NA

NAVSUP-M N712 00 01 00

GOVERNMENT WILL RESPOND WITHIN 90 DAYS AFTER RECEIPT.

MIL-PRF-49506 APPLIES.

00 01 00

NA

A004 DESIGN CHANGE NOTICE

DI-V-7009A SEE SEC C PARA 3. NAVSUP WSS N96

DD ASREQ ASREQ

NA A NA NA

NAVSUP-M N712 00 01 00

DCNS WILL BE SUBMITTED 21 DAYS AFTER OFFICIAL RELEASE OF

CHANGE, 15 DAYS AFTER A GOVERNMENT REQUEST OR ERROR

DETECTION, OR 45 DAYS AFTER PARTIAL ACCEPTANCE OF SPS FOR

REVISIONS TO PREVIOUSLY SUBMITTED PROVISIONING TECHNICAL

DOCUMENTATION. COPY OF TRANSMITTAL LETTER TO BE

SENT TO NAVAL INVENTORY CONTROL POINT, ATTN: CODE N712,

5450 CARLISLE PIKE, P.O. BOX 2020, MECHANICSBURG, PA

17055-0788.

00 01 00

KLMNOPQRST

NAVSUP WSS N9652.1N 2018 JUL 19 DANE W NEARHOOF 2018 JUL 19

2 5

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative

B

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B

B

B

B

B

B

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B

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B

B

B 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved 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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

NA

A005 MANUFACTURER'S SHIPPING REPORT

SHIPPING REPORT SEE SEC C. PARA 3. NAVSUP WSS N96

LT ASREQ ASREQ

NA A NA NA

NAVSUP WSS N96 00 01 00

BLOCK 12 - THE CONTRACTER SHALL MONTHLY

PROVIDE THE FOLLOWING INFORMATION IN ELECTRONIC FORMAT VIA NAVSUP-M N712 00 01 00 E-MAIL In Micrsoft EXCEL. THE FILE SHALL CONTAIN ATLEAST 1

RECORD FOR EACH LINE ITEM.

1. CONTRACTOR COMPANY NAME AND CAGE CODE

2. CONTRACT NUMBER (22 CHARACTER MAXIMUM)

3. DELIVERY ORDER NUMBER (4 CHARACTER)

4. LINE ITEM NUMBER

5. NATIONAL STOCK NUMBER (19 CHARACTER)

6. PART NUMBER (45 CHARACTER MAXIMUM)

7. REQUISITION OR PR NUMBER (22 CHARACTER MAXIMUM)

8. SHIP TO UIC (6 CHAR)

9. QUANTITY SHIPPED (NUMBER)

10. UNIT PRICE (NUMBER)

11. METHOD OF SHIPMENT (CARRIER NAME)

12. DATE SHIPPED (DATE MATERIAL SHIPPED)

13. DOCUMENT NUMBER (SHIPPING DOCUMENT NUMBER FROM

CARRIER)

Send To: Pete.Smith2@navy.mil and cynthia.Beall.ctr@NRL.navy.mil

00 02 00

NA

A006 COMMERCIAL DRAWINGS AND ASSOC. LISTS

DI-DRPR-81003 SECTION C PARA. 3 NAVSUP WSS N96

SD ASREQ ASREQ

NA B NA NA

MARCORSYSCOM 00 01 00

The Contractor shall apply the following statement to page 1 of all drawings. (Additional page marking is at the NAVSUP WSS N96 00 01 00 Contractor's option. "DISTRIBUTION STATEMENT B - Distribution authorized to the U.S. Government agencies NRL 5524 00 01 00 only" (contractor shall fill-in the reason using one of the following statements and the date of determination, which maybe the date of the contract.)

- Proprietary information not owned by the U.S.

Government and protected by a contractor's "limited rights" statement.

- Foreign Government Information to be protected and limited in distribution in accordance with the desires of the government that furnished the technical information.

- Contractor performance evaluation in mangement reviews or other advisory documents evaluating programs of contractors.

(Other types of information that might be a basis for assigning Distribution Statement B are)

- Test and Evaluation Data

- Administrative or Operational Use Publications

- Software Documentation

00 03 00

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NAVSUP WSS N9652.1N 2018 JUL 19 DANE W NEARHOOF 2018 JUL 19

3 5

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative

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B

B

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B

B

B 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved 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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

NA

A007 LOGISTICS MANAGEMENT INFORMATION (LMI) DATA PRODUCT(S)

DI-ALSS-81529 SEE SEC C PARA 3. NAVSUP WSS N96

SD ONE/R ASREQ

NA A NA NA

MARCORSYSCOM 00 01 00

Block 4 - Logistics Management Information - (Provisioning Requirements) are defined in MIL-PRF-49506. NAVSUP WSS N96 00 01 00

NRL 5524 00 01 00

The following list of LMI Data Products, described in appendix B, Worksheet (figure 2), and the LMI Data Products Dicitionary, shall be adhered to by the Contractor in delivering the data as a Provisioning Parts List (PPL). Each shall be submitted via Electronic Digital Media. The preferred program is Interactive Computer Aided Provisioning System (ICAPS)-PC. The structure and format for the transfer of Digital Media shall be in accordance with MIL-STD-1840. ICAPS-PC Program is available on https://icaps.navsea.navy.mil/.

All necessary files and instructions are av ailable under "ICAPS-PC Window Topics" on this web site. Download the latest version "ICAPS (Full Installation)" and "Plain Text Instructions for installing ICAPS-PC Windows". The User Guide for ICAPS-PC Windows - PDF format or ICAPS-PC Windows User Guide MS Word 97 is also available. Output format shall be 80 character file (ASCII text) and file type 'LMI'delivered on a CD ROM or DVD

0010 ALLOWANCE ITEM CODE (AIC)

0020 ALLOWANCE ITEM QUANTITY

0140 COMMERCIAL AND GOVERNMENT ENTITY (CAGE) CODE

0170 CONTRACTOR TECHNICAL INFORMATION CODE

- CONTINUED - 00 03 00

A007 CONTINUED

0190 CRITICALITY CODE

0230 DEMILITARIZATION CODE (DMIL)

0280 ESSENTIALITY CODE

0340 HARDNESS CRITICAL ITEM (HCI)

0370 INDENTURE CODE

0430 INTERCHANGEABILITY CODE

0480 ITEM NAME

0490 ITEM NAME CODE

0560 MAINTENANCE REPLACEMENT RATE I (MRRI)

0620 MAXIMUM ALLOWABLE OPERATIMNG TIME (MAOT)

* MINIMUM REPLACEMENT UNIT (MRU)

0680 NATIONAL STOCK NUMBER AND RELATED DATA

0690 NEXT HIGHER ASSEMBLY PROVISIONING LIST ITEM SEQUENCE

NUMBER (NHA PLISN)

0700 NEXT HIGHER ASSEMBLY PROVISIONING LIST ITEM SEQUENCE

NUMBER INDICATOR (NHA IND)

0740 OVERHAUL REPLACEMENT RATE (ORR)

0790 PRECIOUS METAL INDICATOR CODE (PMIC)

0830 PRODUCTION LEAD TIME (PLT)

0840 PROGRAM PARTS SELECTION LIST (PPSL)

0870 PROVISIONING CONTRACT CONTROL NUMBER (PCCN)

0880 PROVISIONING LIST CATEGORY CODE (PLCC)

0890 PROVISIONING LIST ITEM SEQUENCE NUMBER (PLISN)

0900 PROVISIONING NOMENCLATURE

0920 PROVISIONING REMARKS

0930 QUANTITY PER ASSEMBLY (QPA)

- CONTINUED -

KLMNOPQRST

NAVSUP WSS N9652.1N 2018 JUL 19 DANE W NEARHOOF 2018 JUL 19

4 5

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative

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B 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved 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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

A007 CONTINUED

0950 QUANTITY PER END ITEM (QPEI)

1050 REFERENCE NUMBER

1060 REFERENCE NUMBER CATEGORY CODE (RNCC)

1070 REFERENCE NUMBER VARIATION CODE (RNVC)

1190 SHELF LIFE (SL)

1200 SHELF LIFE ACTION CODE (SLAC)

1240 SPECIAL MAINTENANCE ITEM CODE (SMIC)

1260 SPECIAL MATERIAL CONTENT CODE (SMCC)

1400 TOTAL QUANTITY RECOMMENDED

1470 UNIT OF ISSUE (UI)

1500 UNIT OF ISSUE/UNIT OF MEASURE PRICE (UI/UM PRICE)

1530 UNIT SIZE

(* MRU is not currently in LMI see ICAPS-PC for definition) The following list of LMI Data Products shall be submitted via Electronic Digital Media. The structure and format for the transfer of DIGITAL Media shall be in accordance with MICRO SOFT WORD format on Company letterhead

0150 CONTRACTOR FURNISHED EQUIPMENT/GOVERNMENT FURNISHED

EQUIPMENT (CFEE/GFE)

0360 HAZARDOUS CODE

0390 INPUT POWER SOURCE

0630 MEAN TIME BETWEEN FAILURES (MTBF)

0640 MEAN TIME TO REPAIR (MTTR)

0750 PACKAGING CATEGORY CODE

1270 SPECIAL PACKAGING INSTRUCTION NUMBER

- CONTINUED -

A007 CONTINUED

1310 SUPPORT EQUIPMENT EXPLANATION

1370 TECHNICAL MANUAL NUMBER

1550 UNIT WEIGHT

A copy of the final drawings shall be submitted with the LMI Data.

One complete set of PTD is required to be sent to:

NAVSUP wss, Code N96 Peter Smith Bldg 410, 5450 Carlisle Pk Mechanicsburg, Pa. 17055 One complete set of PTD is required to be provided to USMC. MARCORSYSCOM ATTN: James Cerjan, Bldg 3500 Wing 400 Cube 411B 814 Radford Blvd STE 20343, Albany, Ga.

31704-0343 Phone 229-639-6019

KLMNOPQRST

NAVSUP WSS N9652.1N 2018 JUL 19 DANE W NEARHOOF 2018 JUL 19

5 5

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative

5450 Carlisle Pike, Suite 9 Mechanicsburg, PA 17050-2411 Buyer: Brian J. Stevens, D.Sc., ZIAC1 brian.stevens@dla.mil

Forms are hereby added to solicitation.