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

Adobe Professional 7.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB 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 Directorate (0704•01881. 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 0MB 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 IE. CONTRACT/PR NO.

Shipping and Labeling

F. CONTRACTOR

1. DATA ITEM NO.

A00I

2. TITLE OF DATA ITEM

Packaging Development Report

3. SUBTITLE

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

DI-PACK-81582 1 SOW Paragraphs 6, 7, and 8

6. REQUIRING OFFICE

AT&L AO/Partnered Forces

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ARQ

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

NIA

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

NIA

Draft

Final

Reg Repro

16. REMARKS

Block 5.3.1: For shipping and labeling, the contractor shall provide the Government with a packing list for each shipping container included in a delivery describing the contents. The document shall include the following: contractor's name, CONOP number, contract, order number, list of serial numbers, and weight. Packages containing weapons that are being shipped to CONUS locations only, should have a red colored in triangle placed on three sides of the containers.

US Special Operations Command SOF AT&L-AO Partnered Forces Operations MacDill AFB, FL 33621 Commercial: 813-826-5115 DSN: 299-5115

The deliverable shall be in one or a combination of the following formats: Microsoft Word 2008 compatible software or mutually agreed upon format. All deliverables shall be in the English language.

Electronic submissions may be addressed to george.padilla@socom.mil

Government review and approval shall be within 30 days of contractor submission.

Contractor revisions shall be within 2 weeks of Government review and approval.

HQ USSOCOM AO I

15.TOTAL 0 I

G. PREPARED BY

H. DATE I

AP VED BY '

J. DATE

mailto:george.padilla@socom.mil

(1 Data Item)

A. CONTRACT LINE-ITEM NO. B. EXHIBIT IC. CATEGORY:

I TOP TM OTHER

D. SYSTEM/ITEM IE. CONTRACT/PR NO. IF. CONTRACTOR

Shipping and Labeling

16. REMARKS (Continued/

DD FORM 1423-1. FEB 2001 Page of Pages

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 CORL.

Item H. Date CORL was prepared.

Item I. Signature of CORL approval authority.

Item J. Date CORL 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 in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 6. 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. DoDD 5230.24).

Item 10. Specify number of times 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 addressees 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 15.

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 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 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 quality of the data item.

Estimated Price - Costs 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 Ill. 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 of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group Ill are the administrative and other expenses related to reproducing and

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 items 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 Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK). FEB 2001

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

J

Page of Pages

--A-dobe Professional 7.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB No. 0704-0188 he public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing ata sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any ther aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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 f information if it does not display a currently valid OMS control number. Please do not return your form to the above organization. Send completed form to the overnment Issuing Contracting Officer for the Contract/PR No. listed in Block E.

�- CONTRACT LINE-ITEM NO. Exhibit C. CATEGORY:

TDP --- TM -- OTHER

�- SYSTEM/ITEM

Ammunition Lot Numbers

IE. CONTRACT/PR NO. • . CONTRACTOR

. DATA ITEM NO.

A002

. TITLE OF DATA ITEM

Ammunition Data Card

I. SUBTITLE ,..,..................,...,

. AUTHORITY (Data Acquisition Document No.I

DI-MISC-80043A

5. CONTRACT REFERENCE

SOW Paragraphs 5.6, and 6

6. REQUIRING OFFICE

AT&L AO/Partnered Forces

a. ESTIMATED

TOTAL PRICE

I'DD 25� ;EQ

DIST STATEMENT

REQUIRED

0. FREQUENCY

. APP CODE

NIA

1. AS OF DATE 13. DATE OF SUBSEQUENT

Reg Repro

I I I I

6. REMARKS

Block 5.3.2: The Contractor shall provide the Government with ammunition lot numbers, used to acquire a record containing essential data pertaining to the initial history of a lot of ammunition and explosive material or, in certain instances, of a serially numbered complete gound guided missile which contains all required data pertaining to each lot of the item.

the deliverable shall be in one or a combination of the following formats: Microsoft Word �008 compatible software or mutually agreed upon format.

Electronic submissions may be addressed to george.padilla@socom.mil

Government review and approval shall be within 30 days of contractor submission.

I l I

I l

15. TOTAL

3. PREPARED BY

Date At t1vv'tU

1· by

( 1 Dau, Item/

A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY:

I TDP TM OTHER

D. SYSTEM/ITEM IE. CONTRACT/PR NO. IF. CONTRACTOR

Ammunition Lot Numbers

16. REMARKS (Continued/

DD FORM 1423-1, FEB 2001 Page of Pages

(See DoD 5010.12-M for detailed instructions./

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other other categories of data, such as "Provisioning," "Configuration Management," etc.

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4. 71 for proper numbering.

one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement

Item 7. Specify requirement for inspection/acceptance of the data item

Item 9. For technical data, specify requirement for contractor to mark the

Item 11. Specify as-of date of data item, when applicable.

Item 14. Enter addresses and number of draft/final copies to be delivered submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the

b. Group II. Definition - Data which is essential to the required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 Government's right to use the data

DD FORM 1423-1 (BACK), FEB 2001

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 7.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB 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 Directorate 10704-0188). 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 0MB 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:

TOP --- TM -- OTHER

D. SYSTEM/ITEM IE. CONTRACT/PR NO.

End Item Final Inspection Report

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.J 5. CONTRACT REFERENCE

DI-NDTl-80809B 1 SOW Paragraph 8

6. REQUIRING OFFICE

AT&L AO/Partnered Forces

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

8. APP CODE

NIA

11. AS OF DATE 13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4.1: The contractor shall provide the Government, when required, a test/inspection report, certificate of conformance used to document test/inspection results, findings, and analyses that will enable the government or contracting agency to evaluate compliance with system requirements, performance objectives, and specifications.

The deliverable shall be in one or a combination of the following formats: Microsoft Word 2008 compatible software, or mutually agreed upon format. All deliverables shall be in the English language.

Electronic submissions may be addressed to george.padilla@socom.mil

Government review and approval shall be within 30 days of contractor submission.

15. TOTAL 0 1 0

G. PREPARED BY

H. DATE V ED

J. DATE

17. PRICE GROUP

( 1 Data Item)

A. CONTRACT LINE-ITEM NO. B. EXHIBIT IC. CATEGORY:

1 TDP TM OTHER

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

End Item Final Inspection Report I

16. REMARKS /Continued/

DD FORM 1423-1, FEB 2001 Page of Pages

(See DoD 5010. 12-M for detailed instructions.)

Item C. Mark (X) appropriate category: TOP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning." "Configuration Management," etc.

Item G. Signature of preparer of CORL.

Item H. Date CORL was prepared.

Item I. Signature of CORL approval authority.

Item J. Date CORL was approved.

Item 1. See DoD FAR Supplement Subpart 4. 71 for proper numbering.

one-time DID number. that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement

Item 7. Specify requirement for inspection/acceptance of the rtat;i item

Item 9. For technical data. specify requirement for contractor to mark the

Item 11. Specify as-of date of data item. when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered submittal dates in Items 12 and 13; Explanation of reproducible copies in conformance with Government requirements, and the

b. Group II. Definition Data which Is essential to the required to perform additional work to conform to Government requirements with regard to depth of content. format, frequency of without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 Government's right to use the data

DD FORM 1423-1 (BACK). FEB 2001