A01_-_ExhibitG_CDRL_TMSS.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (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 collection 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 G

TMSS

Persistent Surveillance Systems – Tethered TBD TBD

G001 Equipment Technical Manual (Sanitized)

DI-TMSS-81675 PWS Para 3.4.1, 3.4.3 SFAE-IEW-TA

DD

A D

DFDEL

DFDEL

See Block 6 2 35

CCAP-CCC 1

DCMA 1

2 37 0

BLOCK 4: Deliverables shall provide information required by BLOCK 5 PWS reference and shall be submitted electronically in editable Microsoft Word/Excel/Powerpoint/Project format. The Contractor shall use MIL-STD-40051-2B as a guide. The Contractor shall use Authority format unless specified by the Government. Any media upon which the files are delivered are required to have the appropriate export controlled international trafficking in arms (ITAR) statement printed on the media (e.g., CD ROM label).

BLOCK 8: The Government will have 30 days to review and provide comments after each submission.

BLOCK 11, 12 & 13: The Contractor shall submit draft copies to the requiring office identified in BLOCK 6 for 30% and 70% reviews.

BLOCK 14: The Contractor shall provide up to 29 paper copies as directed by the Government, of the completed version for reset systems and up to 5 copies to the PD office. The Contractor shall provide editable electronic copies to all offices designated in BLOCK 14.

29May2015 29May2015FRANK.THOMAS.M.1370138814 Digitally signed by FRANK.THOMAS.M.1370138814 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=FRANK.THOMAS.M.1370138814 Date: 2015.05.29 11:10:47 -04'00'

CHELLIN.MATTHEW.D.1266374

Digitally signed by CHELLIN.MATTHEW.D.1266374131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=CHELLIN.MATTHEW.D.1266374131 Date: 2015.05.29 16:43:15 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (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 collection 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 G

TMSS

Persistent Surveillance Systems – Tethered TBD TBD

G002 Technical Manual Verification Discrepancy/Disposition Record

DI-TMSS-81820 PWS Para 3.4.6.3 SFAE-IEW-TA

LT

A D

DFDEL

DFDEL

See Block 6 1

CCAP-CCC 1

DCMA 1

0 3 0

BLOCK 4: Deliverables shall provide information required by BLOCK 5 PWS reference and shall be submitted electronically in editable Microsoft Word/Excel/Powerpoint/Project file format. Contractor format is acceptable. The requiring office in BLOCK 6 may specify alternate or additional formats.

BLOCK 8: The Government will have the opportunity to review and provide comments within 30 days of receipt of the deliverable.

BLOCKS 10, 12 & 13: The Contractor will document provide verification notes and conference minutes to the Government within 14 days after any hands-on verification or verification conference. The Government will review and provide comments, as stated in Block 8 remarks, as stated above.

29May2015 29May2015FRANK.THOMAS.M.1370138814 Digitally signed by FRANK.THOMAS.M.1370138814 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=FRANK.THOMAS.M.1370138814 Date: 2015.05.29 11:14:03 -04'00'

CHELLIN.MATTHEW.D.1266374

Digitally signed by CHELLIN.MATTHEW.D.1266374131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, Date: 2015.05.29 16:45:16 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (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 collection 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. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 G

TMSS

Persistent Surveillance Systems – Tethered TBD TBD

G003 Technical Manual Verification Incorporation Certificate

DI-TMSS-81821 PWS Para 3.4.7 SFAE-IEW-TA

LT

A D

DFDEL

DFDEL

See Block 6 1

CCAP-CCC 1

DCMA 1

0 3 0

BLOCK 4: Deliverables shall provide information required by BLOCK 5 PWS reference and shall be submitted electronically in editable Microsoft Word/Excel/Powerpoint/Project file format. Contractor format is acceptable. The requiring office in BLOCK 6 may specify alternate or additional formats.

BLOCK 8: The Government will have the opportunity to review and provide comments within 30 days of receipt of the deliverable.

BLOCK 10, 12 & 13: The Contractor will prepare TM verification incorporation certifications and submit to the Government for review and approval, as stated in Block 8 remarks above.

29May2015 29May2015FRANK.THOMAS.M.1370138814 Digitally signed by FRANK.THOMAS.M.1370138814 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=FRANK.THOMAS.M.1370138814 Date: 2015.05.29 11:14:33 -04'00'

CHELLIN.MATTHEW.D.1266374

Digitally signed by CHELLIN.MATTHEW.D.1266374131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, Date: 2015.05.29 16:45:42 -04'00'