UPX-46 Shock Testing_0484_CDRLs.docx

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) Form Approved OMB No. 0704-0188

The 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 collectio of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstandin 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 d 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

A

D. SYSTEM/ITEM

UPX-46(V) IFF System

E. CONTRACT/PR NO.

1301145167

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Shock Test Report

3. SUBTITLE

Shock Test Procedure

4. AUTHORITY (Data Acquisition Document No.)

DI-ENVR-80708A

5. CONTRACT REFERENCE

SOW Paragraph 3.1.2

6. REQUIRING OFFICE

NAWCAD WOLF CI&IDS

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

D (See 16)

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See Blk 16

Draft Final

16. REMARKS

Block 9: Distribution authorized to Department of Defense and U.S. DOD Contractors (Controlled Technical Information) (6 June 2024). Other requests for this document shall be referred to (Combat Integration & Identification Systems).

Block 10: The Contractor shall prepare and submit a shock test procedure report within 30 days of contract award

Block 12: The Contractor shall allow the Government up to 30 days to provide final comments on Preliminary Test Report.

Block 14: Request all data in digital format. Transmit electronically in an editable software format (Microsoft Office) to ensure compatible with Navy Marine Corps Intranet information technology computer infrastructure system.

Technical Point of Contact (TPOC) ATTN: Qui Q. Tran

NAWCAD WOLF CI&IDS

Email: qui.q.tran.civ@us.navy.mil

G. PREPARED BY

Qui Q. Tran

H. DATE

6/7/2024

I. APPROVED BY

TRAN.QUI.QUO Digitally signed by

TRAN.QUI.QUOC.1369942120

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _1_ of _2_Pages.17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

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. Data 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 on the ASSIST website), or onetime 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. DoD 5230.24).

Item 10. Specify number of time 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 addresses 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 12. 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 CONTRACTOR PERSONNEL

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item 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 the data item.

Estimated Price - Cost 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 or submittal, preparation, control, and quality of the data item.

Estimated Price - Cost 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 Item 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 Governments’ right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) Form Approved OMB No. 0704-0188

The 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 collectio of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstandin 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 d 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

A

D. SYSTEM/ITEM

UPX-46(V) IFF System

E. CONTRACT/PR NO.

1301145167

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Shock Test Report

3. SUBTITLE

Final Shock Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-ENVR-80708A

5. CONTRACT REFERENCE

SOW Paragraph 3.1.16

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

10DAC

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

Final

16. REMARKS

Block 9: Distribution authorized to Department of Defense and U.S. DOD Contractors (Controlled Technical Information) (6 June 2024). Other requests for this document shall be referred to (Combat Integration & Identification Systems).

Blocks 10 and 13: The contractor shall prepare and submit a Final Shock test report within 10 workdays of test completion. Block 13: The Contractor shall prepare and submit a final test report within 14 days of final comments or approval to release.

Block 14: Request all data in digital format. Transmit electronically in an editable software format (Microsoft Office) to ensure compatible with Navy Marine Corps Intranet information technology computer infrastructure system.

Technical Point of Contact (TPOC) ATTN: Qui Q. Tran

NAWCAD WOLF CI&IDS

Email: qui.q.tran.civ@us.navy.mil

G. PREPARED BY

Qui Q. Tran

H. DATE

6/7/2024 I. ATPRPRAONV.EQDUBI.YQUO Digitally signed by

TRAN.QUI.QUOC.1369942120

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _2 of _3 Pages.17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) Form Approved OMB No. 0704-0188

The 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 collectio of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstandin 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 d 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

A

D. SYSTEM/ITEM

UPX-46(V) IFF System

E. CONTRACT/PR NO.

1301145167

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Status of Government Furnished Equipment (GFE) Report

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

SOW Paragraph 3.1.17

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

EOM

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

Final

16. REMARKS

Block 9: Distribution authorized to Department of Defense and U.S. DOD Contractors (Controlled Technical Information) (6 June 2024). Other requests for this document shall be referred to (Combat Integration & Identification Systems).

Block 14: Request all data in digital format. Transmit electronically in an editable software format (Microsoft Office) to ensure compatible with Navy Marine Corps Intranet information technology computer infrastructure system.

Technical Point of Contact (TPOC) ATTN: Qui Q. Tran

NAWCAD WOLF CI&IDS

Email: qui.q.tran.civ@us.navy.mil

NAWCAD WOLF CI&IDS

G. PREPARED BY

Qui Q. Tran

H. DATE

6/7/2024 I. ATPRPRAONV.QEDUBI.YQUO Digitally signed by

TRAN.QUI.QUOC.1369942120

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _3 of _3 Pages.17. PRICE GROUP