Attachment 5: A03. Contract Data Requirements List CLIN002 Base 2026 SC

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UNCLASSIFIED

Instructions

(Updated 20260512)

CONTRACT DATA REQUIREMENTS LIST

A. CONTRACT LINE ITEM NO.

TDP

D. SYSTEM/ITEM

1. DATA ITEM NO.

C. CATEGORY:

B. EXHIBIT

E. CONTRACT/PR NO.

OTHER Reports

TM

F. CONTRACTOR

2. TITLE OF DATA ITEM

3. SUBTITLE

17. PRICE GROUP

Toxicity Test

5. CONTRACT REFERENCE

4. AUTHORITY (Data Acquisition Document No.)

6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

ASPG-PWV

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

Distribution A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

a. ADDRESSEE

PWV-IRPM

16. REMARKS

Final
Draft

Reg

Repro

Task 2.1 Timely submit quarterly toxicity test reports as required by PBA's NPDES Permit AR0001678. Any additional toxicity tests required by the permit will also be submitted timely.

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G. PREPARED BY

Sarah Clem, Installation Restoration
Manager

DD FORM 1423, FEB 2024

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H. SIGNATURE

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I. APPROVED BY

signed by
CLEM.SARAH.A Digitally

CLEM.SARAH.ANNE.1554936969

NNE.1554936969 Date: 2026.10.19 10:48:45 -05'00'

UNCLASSIFIED

PREVIOUS EDITION MAY BE USED.

15.TOTAL

J. SIGNATURE

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(Updated 20260512)

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 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 (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Name of preparer of CDRL.

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.
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