1.05_MT95M190 FY26 CDRLs_N0010426NB072.pdf

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1377 - 1377-01-364-7322, Impulse Cartridge, CCU-107/B; 1377-00-103-3434, Impulse Cartridge, MK 2 MOD 1
Solicitation number
N0010426RK061
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This is a DD Form 1423 (Contract Data Requirements List) for contract N00104-26-N-B072, issued by the Naval Surface Warfare Center (NSWC) Indian Head Division. The contract covers systems MT95 and M190, with contract line item 0001-0002.

The form specifies five data deliverables required throughout contract performance: (1) Obsolescence Alert Notice (A001/MGMT category), (2) Failure Summary and Analysis Report (A002/SESS category) with LAT/FAT FAR specifications, (3) Acceptance Test Plan (A003/QCIC category) using Radiographic Test Technique methodology, (4) Test/Inspection Report (A004/NDTI category) for radiographic reports and film submitted via CD format, and (5) Ammunition Data Card (A005/MISC category) for FAT/LAT ADC documentation. All deliverables are categorized as "OTHER" and require distribution to CAD/PAD Joint Program Office at NSWC IHD (Indian Head, Maryland 20640) with copies designated as Draft, Final, Registered, and Reproduction. Submission frequencies are determined by lot acceptance tests, first article failures, and production lots. Preliminary reports for failure analysis are due within 15 days of notification, with final reports due 30 days after notification. Acceptance test plans must be submitted 45 days prior to first article or lot acceptance testing. All documents contain technical data restricted under the Arms Export Control Act, with distribution limited to DoD components only. The form was prepared by Nicole Moore and approved by Alexandra Bienz on the February 2024 version.

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3.04_Amend0003_N0010426RK061.pdf PDF
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3.04_Amend0001_N0010426RK061.pdf PDF
3.02_RFP_N0010426RK061.pdf PDF
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ADC SOW Rev Basic dated Jan 2018.pdf PDF
ADC MASTER Rev 16.pdf PDF
RFV Form DD1694 Example Only dated 6_5_25.pdf PDF

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PREVIOUS EDITION MAY BE USED.

DD FORM 1423, FEB 2024

UNCLASSIFIED

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

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

16. REMARKS

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page 1 of ____

UNCLASSIFIED

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

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

16. REMARKS

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page 2 of ____ jennifer.mudd Cross-Out

UNCLASSIFIED

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

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

16. REMARKS

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Page 3 of ____

UNCLASSIFIED

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

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

16. REMARKS

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Page 4 of ____

UNCLASSIFIED

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

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

16. REMARKS

15.TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Page 5 of ____

PRICE GROUP: N/A
EST TOTAL PRICE: NSP
PREPARED BY: Nicole Moore
OTHER CHECK: On
CONTRACT/PR NO: N00104-26-N-B072
CONTRACTOR: N/A
CONTRACT REFERENCE: See Block 16
APP CODE: N/A
DIST STATEMENT: See Block 16
ADDRESSEE: See Block 16
DRAFT: 0
REG: 1
REPRO: 0
DRAFT TOTAL: 0
REG TOTAL: 1
REPRO TOTAL: 0
APPROVED BY: Alexandra Bienz
CONTRACT LINE ITEM NO _ 2: 0001-0002
OTHER _ 2: MGMT
DATA ITEM NO _ 2: A001
TITLE OF DATA ITEM _2: Obsolescence Alert Notice
SUBTITLE _ 2: Obsolescence Alert Notice
AUTHORITY _ 2: DI-MGMT-81941
DD 250 REQ _ 2: DD
REMARKS _ 2: Block 5. Contract Reference SECTION C – Section C - Description and Specifications, paragraph 3.

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Proprietary Information) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document. Destruction of any documents shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.

Block 10. To be submitted no more than one submission under contract per unique, affected subject part number(s).

Blocks 12 and 13 - Due within 60 days of discovery. No submission required if no new discoveries have occurred.

Block 14. Distribution Addresses:

N00174 CAD/PAD Joint Program Office

NSWC IHD

Attn: Code JP via E21* 3817 Strauss Ave, Bldg D323, Ste 230 Indian Head, MD 20640 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution.

Cognizant DCMA (Indicated in Block 6 of SF26)

REQUIRING OFFICE _ 2: NSWC IHD, JP
EXHIBIT _ 2: A
SYSTEM/ITEM _ 2: MT95, M190
REQUIRING OFFICE _ 6: NSWC IHD, E21
CONTRACT LINE ITEM NO _ 6: 0001-0002
EXHIBIT _ 6: A
OTHER _ 6: SESS
SYSTEM/ITEM _ 6: MT95, M190
DATA ITEM NO _ 6: A002
TITLE OF DATA ITEM _ 6: Failure Summary and Analysis Report
SUBTITLE _ 6: LAT/FAT FAR
AUTHORITY _ 6: DI-SESS-80255B
DD 250 REQ _ 6: LT
REMARKS _ 6: Block 5. Contract Reference Section E - Production Lot Test Samples (NSWC IHD),

paragraph 9c. Section E - CAD/PAD Inspection and Acceptance, paragraph 22. Section I - First Article Approval (Government Testing ALT I) Note J.

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only (Test and Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code).

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document. Destruction of any documents shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.

Block 10. Frequency- Is determined by the number of Lot Acceptance Test (LAT) or First Article failures.

Blocks 12. Date of first submission - An preliminary report is due no later than 15 days after notification of lot failure. A final report is due 30 days after notification of lot failure.

Block 13 - Date of Subsequent Submission- NLT 15 days after failure analysis completion of second failed lot and beyond.

Block 14. Distribution Addresses:

N00174 N00104 CAD/PAD Department Commander NSWC IHD NAVSUP Weapons Systems Support Attn: Code E21* Attn: Code N772* 4393 Benson Road 5450 Carlisle Pike Indian Head, MD 20640-5092 Mechanicsburg PA 10755-0788 *See Section H - Administrative Points of Contact, paragraphs 1 and 2 for email distribution.

Cognizant DCMA (Indicated in Block 6 of SF26)

CONTRACT LINE ITEM NO _ 7: 0001-0002
EXHIBIT _ 7: A
OTHER _ 7: QCIC
SYSTEM/ITEM _ 7: MT95, M190
DATA ITEM NO _ 7: A003
TITLE OF DATA ITEM _ 7: Acceptance Test Plan
SUBTITLE _ 7: Radiographic Test Technique (RTT)
AUTHORITY _ 7: DI-QCIC-80553A
DD 250 REQ _ 7: DD
REMARKS _ 7: Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance, paragraph 8a for x-rays are required.

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Test & Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.

Block 10. Once per contract per line item being procured.

Blocks 12 & 13. Shall be submitted 45 days prior to submission of first article test (FAT) or lot acceptance test (LAT) samples.

Block 14. Distribution Addresses:

N00174 CAD/PAD Department

NSWC IHD

Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution

Cognizant DCMA (Indicated in Block 6 of SF26)

REQUIRING OFFICE _ 7: NSWC IHD, E21
CONTRACT LINE ITEM NO _ 8: 0001-0002
EXHIBIT _ 8: A
OTHER _ 8: NDTI
SYSTEM/ITEM _ 8: MT95, M190
DATA ITEM NO _8: A004
TITLE OF DATA ITEM _8: Test/Inspection Report
SUBTITLE _ 8: Radiographic Report and Film
AUTHORITY _ 8: DI-NDTI-80809B
DD 250 REQ _ 8: DD
REMARKS _ 8: Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance, paragraph 16.

Note: Digital x-rays shall be submitted via CD format.

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Test & Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document with the exception of the radiographs (x-ray or n-ray). Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.

Block 10. Frequency - One report for each production or first article lot that is produced.

Blocks 12 & 13. Due 20 days prior to submission of lot acceptance (LAT) samples or first article test (FAT) samples, for NSWC IHD testing, or 20 days prior to LAT, for contractor testing, for every lot on the contract.

Block 14. Distribution Addresses:

N00174 CAD/PAD Department

NSWC IHD

Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution

Cognizant DCMA (Indicated in Block 6 of SF26)

REQUIRING OFFICE _ 8: NSWC IHD, E21
CONTRACT LINE ITEM NO _ 13: 0001-0002
EXHIBIT _ 13: A
OTHER _ 13: MISC
SYSTEM/ITEM _ 13: MT95, M190
DATA ITEM NO _13: A005
TITLE OF DATA ITEM _13: Ammunition Data Card
SUBTITLE _ 13: FAT/LAT ADC
AUTHORITY _ 13: DI-MISC-80043B
DD 250 REQ _ 13: SD
REMARKS _ 13: Block 5. Contract Reference Section E - CAD/PAD Ammunition Data Cards (ADC) and Material Inspection and Receiving Report, paragraph 1.

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (CTI) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.

Block 10. Once for each production and/or first article lot on the contract.

Blocks 12 & 13. A provisionally accepted (PA-status) ADC is due 20 days prior to submission of lot acceptance test (LAT) samples or first article test (FAT) samples, for NSWC IHD testing, or 20 days prior of LAT/FAT, for contractor testing, for each and every lot on the contract.

Block 14. Distribution Addresses:

N00174 CAD/PAD Department

NSWC IHD

Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution

Cognizant DCMA (Indicated in Block 6 of SF26)

REQUIRING OFFICE _ 13: NSWC IHD, E21
FREQUENCY _ 2: See Block 16
AS OF DATE _ 2: N/A
DATE OF FIRST SUBMISSION _ 2: See Block 16
DATE OF SUBSEQUENT SUBMISSION _ 2: See Block 16
FREQUENCY _ 6: See Block 16
AS OF DATE _ 6: N/A
DATE OF SUBSEQUENT SUBMISSION _6: See Block 16
DATE OF FIRST SUBMISSION _ 6: See Block 16
FREQUENCY _ 7: See Block 16
AS OF DATE _ 7: N/A
DATE OF FIRST SUBMISSION _ 7: See Block 16
DATE OF SUBSEQUENT SUBMISSION _ 7: See Block 16
FREQUENCY _ 8: See Block 16
AS OF DATE _ 8: N/A
DATE OF FIRST SUBMISSION _ 8: See Block 16
DATE OF SUBSEQUENT SUBMISSION _ 8: See Block 16
FREQUENCY _ 13: See Block 16
AS OF DATE _ 13: N/A
DATE OF FIRST SUBMISSION _ 13: See Block 16
DATE OF SUBSEQUENT SUBMISSION _ 13: See Block 16
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