3.04_MF08_CDRLs_N0010426NB053_13JAN2026.pdf

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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. Required to be submitted once per contract, per item being procured.

Block 13. Any revisions to an approved Product Baseline require resubmission.

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)

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)

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. Once for each contract.

Blocks 13. Any revisions require resubmission.

Block 14. Distribution Addresses:

N00174 CAD/PAD Joint Program Office

NSWC IHD

Attn: Code JP via E21* 3817 Strauss Ave, Bldg D323 20640, 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)

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

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)

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)

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)

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)

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