B08- Exhibit A- Contract Data Requirements List.pdf
PDF 4 MB Posted
- Solicitation number
- W519TC25R0013
About this file
This document is a Contract Data Requirements List (CDRL) for the production of TNT blocks in 1/4 lb, 1/2 lb, and 1 lb sizes. The CDRL details 20 separate data items that the contractor must submit throughout the contract, including technical reports, quality assurance documentation, test reports, and supply chain management information. Key submission requirements include:
The data items must be submitted electronically via email or the SAFE file transfer system, with specific requirements for timing, format, and distribution. Submissions range from 30 to 270 days after contract award and include documents such as a Quality Program Plan, First Article Test Reports, Measurement System Evaluation, Ammunition Data Cards, and Supply Chain Risk Management Plan. Most submissions require review and approval by the Procuring Contracting Officer (PCO) and Product Quality Manager (PQM), with specific instructions for revisions and government response times. The contract is a Small Business Set-Aside with a five-year Indefinite Delivery Indefinite Quantity (IDIQ) award mechanism, resulting in firm-fixed price task orders.
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CONTRACT DATA REQUIREMENTS LIST I
Form Approved 0MB No. 0704-0188
(1 Data Item)
Public reporting burden for this collection of information is estimated to average 220 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 infomiation. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for infom,ation Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN ,our form to either of these addresses. Send comoleted fom, to the Government lssuina Contractina Officer for the Contract/PR No.
A CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY
TDP TM OTHER
□. SYSTErv1/llEM F. CON"TRACTOR E. CONTRACT/ PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS
1. DATA ITEMNO. 2. TITLE OF DATAITEM 3. SUBTITLE
A001 REQUEST FOR VARIANCE (RFV)
4. AUTHORITY (Data Ar;quisilioo Documentalion No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-80640E SECTION C SOW FCDD-ACE-SP
7. DD 250 REQ. 9.DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
STATEMENT
REQUIRED
LT ASREQ ASREQ b. COPIES
8.APPCODE 11.AS OF DATE 13. DATE OF """'
SUBSEQUENT a. ADDRESSEE ,., SUBMISSION
N/A N/A ASREQ
16. REMARKS: A1.:,u 0 1 0
PCO 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING,
THEN THE WHOLE SUBMITTAL WILL BE LABELED "D".
THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED
AT www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY
TO usarmy.pica.devcom-ac.mbx.ecp-document@army.mil; COPY FURNISH
THIS SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL 0 2 0
H. DATE
I. APPROVED BY
J.DATE
G. PREPARED BY 10/08/2024
Steven Carpenter for SDMO, FCDD-ACE-SP
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 1 of 6 Pages
TBD
0004 A
OMBNo.0704-0188
(1 Data Item)
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Mington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A '-'Urtll'V\V "LINE 1cMNO. B.CAnlCI C.\JI\ICUVl"\T
TDP TM OTHER
□. ;:n:::ffEIWITEM F. '-iUNTRAv1uR E. CONTRACT/ PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. □ATA1lEMNu. 2. T1 LEur- DATA ITEM 3. ;:;UBTffLE
A002 ENGINEERING CHANGE PROPOSAL (ECP)
4. l'tU I m.1ro (DataAcqulsllJonDocumentalJonNo.) 5. '-'Vl'II I IV\\., l"\Cl"'C�l'II\JC 6. �l.,IUll"Qrt\.i Ul"'l"'l'-'C
DI-SESS-80639E SECTION C SOW FCDD-ACE-SP
7. DD 250 REQ.
9. DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
STATEMENT
LT REQUIRED ASREQ ASREQ b.1.AJPIE�
8.APP CODE 11.AS OF DATE 13. DATE OF r,n�
SUBSEQUENT a. ADDRESSEE , .. - -··
SUBMISSION
N/A N/A ASREQ
16. REMARKS: Ao..:,u 0 1 0
PCO 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D".THE PREFERRED METHOD
FOR SUBMITTAL IS DD FORM 1692 LOCATED AT https:// www.dtic.mil/whs/directives/infomgUforms/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@army.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL 0 2 0
H. un i::
I. APPROVED BY
J.Ul'I.IC
G. PREPARED BY
Steven Carpenter for SDMO, 10/08/2024
FCDD-ACE-SP
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 2 of 6 Pages
0MB No. 0704-0188
(1 Data Item)
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Mington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form lo either of these addresses. Send completed form lo the Government Issuing Contracting Officer for the Contract/PR No.
A CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
D. SYSTErv1/llEM E. CONTRACT/ PR NO. F. CONTRACTOR
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATAITEMNO. 2. TITLE OF DATAITEM 3.SUBTITLE
A003 NOTICE OF REVISION (NOR)
4. AUTHORITY /D""A-�No.) 5. CONTRACT REFEREN CE 6. REQUIRING OFFI CE
DI-SESS-80642E SECTION C SOW
7. DD 250 REQ. •. u,o, STATEMENT lU. -=�uc,w, l.i! . ...,...,i;;;..,,- -,""" ..,.,.,..,,..,..,,..,,,, 14.
REQUIRED
LT
ASREQ ASREQ
8.AP P CODE .l\.;)Vl"'UI\IC I.:>. LH\ICVI"'
SUBSEQUENT
SUBMISSION
N/A N/A ASREQ
16. REMARKS: AljU
PCO
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D". THE PREFERRED
METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT https:// www.dtic.mil/whs/directives/infomgUforms/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@army.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL
H. DATE
G. PRE PARED BY
I. AP PROVED BY
Steven Carpenter for SDMO, 10/08/2024
FCDD-ACE-SP
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED.
FCDD-ACE-SP
a. ADDRESSEE
b. CO PIES
"a
0 1 0
0 1 0
0 2 0
J.DATE
Page 3 of 6 Pages
CONTRACT DATA REQUIREMENTS LIST
0MB No. 0704-0188
(1 Data Item)
Public reporting burden for this collection of information is estimated to average 220 hours per response, including the lime 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Ar1ington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either oflhese addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B.EXHIBIT C.CATEGORY
TDP TM OTHER
D. SYSTEMnTEM F. CONTRACTOR
1/4 LB -1/2 LB -1 LB TNT BLOCKS
E. CONTRACT / PR NO.
TBD
1. DATA ITEM NO. a.SUBTITLE
A004
2. TITLE OF DATA ITEM
4. AUTHUKITY (DataAcqWBiticm Dccumentation No.) 5. LUNT IV'lv I REFEREN1.;E 6. REUUIKIN� UFFl(.;E
DI-MGMT-80934C Section H AMSJM-FP/G2
7. DD 250 REQ. •. u,� ,u. ·--~··-· ·1L. UI\.IC ...,, ,,,..., ..,..,..,m, ... ..,,...,,� , .. -•-•••-- "u�
STATEMENT
REQUIRED
xx ONE/R ASREQ b. COPIES
D
8.APPCODE 11.ASOFDATE 13. DATE OF ··-
SUBSEQUENT a. ADDRESSEE ,., - -··
A ASREQ
SUBMISSION
ASREQ
16. REMARKS: JMC OPSEC 0 1 0
PCO 0 1 0
DELETE REFERENCE 'APPLYING OPSEC TO U.S. GOVERNMENT
CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS
OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT
REVIEW AND APPROVAL. 30 CALENDAR DAYS AFTER THE
CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN CRITICAL
INFORMATION (Cl)/THREAT INFORMATION. RESUBMIT 10
CALENDAR DAYS AFTER GOVERNMENT REVIEW. SUBMIT
ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil.
15. TOTAL 0 2 0
H. DATE
I. APPROVED BY
J.DATE
G. PREPARED BY
Steven Carpenter for SDMO, 10/08/2024
FCDD-ACE-SP
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 4 of 6 Pages
Operations Security (OPSEC) Plan
CONTRACT DATA REQUIREMENTS LIST Form Apprond
(1 Data Item ) 0MB No. 0704-0188
The public reporting burdeo for this collection of ioformation is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing da1 sources, gathering aod maintaining the data needed, aod completing aod reviewing the collection of ioformation. Seod commeots regarding this burdeo estimate or aoy other aspe< of this collection of information, including suggestions for reducing the burdeo, to the Department of Defense, Executive Services Directorate (0704-0188). Respondeots should b aware that notwithstanding aoy other provision oflaw, no person shall be subject to aoy penalty for failing to comply with a collection ofioformation ifit does not display a current!
valid 0MB control number. Please do not return your form to the above organl:r.ation. Send completed form to the Government Issuing Contracting Officer for the Contract/Pl
No. listed in Block E.
A. CONTRACT LINE ITEM NO. B.EXHIBIT C.CATEGORY
TDP TM OTHER
1u. ou,..,,,..,,..,,,., .. • il'K F. CONTRACTOR
1/4 LB -1/2 LB -1 LB TNT BLOCKS
NO.
TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3.SUBTITLE .1.,. _.__._..._...,_..,.
GROUP
A005 Performance Oriented Packaging (POP) Test Report
4. AUTHORITY (Data Acquisition Document
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
18. ESTIMATED
No.) TOTAL PRICE
DI-PACK-81059C SECTION D FCDD-ACE-LTP (RI)
�- "'"' 14. DISTRIBUTION
7.DD 250 REQ STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
REQUIRED
LT ASREQ ASREQ b.COPIES
8.APP CODE 11. AS OF DATE Final N/A 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE
Draft N/A N/A
ASREQ
Reg Repro
16.REMARKS CCDC ARM CTR PACKAGIN 0 1 0
30 DAYS PRIOR TO FIRST ARTICLE TEST. REPORT TITLE SHALL INCLUDE ITEM NAME AND MODEL FCDD-ACE-LTP 0 1 0
NUMBER OF THE AMMUNITION THAT GOES INTO THE PACKAGE. IF ITEM IS A COMPONENT OF
AMMUNITION, THE AMMUNITION SYSTEM THAT THE ITEM IS USED ON SHALL ALSO BE INCLUDED.
REPORT SHALL BE SUBMITTED ELECTRONICALLY VIA E-MAIL TO
KARL.A.WEISS.CIV@ARMY.MIL AND DAVID.M.WALLSl.CIV@ARMY.MIL SAVED IN RICH TEXT
FORMAT (RTF), ASCII OR PDF FORMAT. SUBMIT EVERY TWO (2) YEARS.
IS.TOTAL 0 2 0
;. PREPARED BY H.DATE I. APPROVED BY J.DATE
Steven Carpenter for SDMO, 10/08/2024
FCDD-ACE-SP
DD Form 1423-1, FEB 2001 Previous editions may be used. Page: 5 of 6
CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) 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 completin�and reviewinB the collection of information. Send comments regarding this burden estimate or any other aspect of this co ection of information, including suggestions for reducing t burden, to epartment of Defense, Washilton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be subject to any penalty for failing to com� with a collection of information if It does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above address. Send completed form to the ovemment Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP
D.SYSTEMnTEM I
E. CONTRACT/PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
A006 Quality Program Plan (QPP)
TM
OTHER MISC
F. CONTRACTOR
3. SUBTITLE
NIA
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-QCIC-81722 (Current Revision) Section: E
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
ONE/R 150DAC
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 12: Quality Program Plan (QPP) shall be submitted no later than 150 calendar days after contract award. The Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the
Government shall provide response within 15 calendar days. Approval is required prior to first article test (FAT), if FAT is required, or prior to initiation of production. Disposition will be provided by the Procuring Contracting
Officer (PCO).
BLK 13: Submit updates/revisions for review and approval prior to implementation.
BLK 14: Submit via email or SAFE https://safe.apps.mil/
When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 ofthe CDRL.
Specific email addresses for the distribution list will be provided after contract award.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED.
AMJM-QA
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
PCO 0 I 0
PQM 0 I 0
15. TOTAL �
0 2 0
J. DATE
Page of Pages Designed using Perforiii"Pi'o,WHS1ffl!'.m, Aug 96
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS
1. DATA ITEM NO.
A007
TBD
2. TITLE OF DATA ITEM
Statistical Process Control (SPC)
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-MGMT-81987 (Current Revision) Section: E
TM
OTHER
MGMT
F. CONTRACTOR
3. SUBTITLE
NIA
6. REQUIRING OFFICE
AMJM-QA
7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
ONE/R 150DAC
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 12: The general plan shall be submitted no later than 150 calendar days after contract award. The final detailed plan shall be submitted 200 calendar days after contract award. Approval is required prior to first article test (FAT), or initiation of production if FAT is not required. The Government requires 30 days for review. Disposition of the general and detailed sections will be provided through the procuring contracting officer (PCO).
BLK 13: If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall review and provide disposition within 15 calendar days of receipt.
BLK 14: Submit via email or SAFE https://safe.apps.mil/
When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 ofthe CDRL.
Specific email addresses for the distribution list will be provided after contract award.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
PCO 0 1 0
POM 0 1 0
15. TOTAL 0 2 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
I
E. CONTRACT/PR NO.D. SYSTEM/ITEM
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TM
OTHER
QCIC
F. CONTRACTOR
3. SUBTITLE
A008 Measurement System Evaluation (MSE) - Measurement and Measurement System Evaluation/ Acceptance Inspection Equipment System Design Documentation for Acee Inspection Equipment (MSE/AIE)
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-QCIC-81960 (Current Revision) Section: E
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
DD
REQUIRED
ONE/R 120DAC
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 12: The Contractor shall submit a completed AIE package no later than (120) calendar days after contract award. The AIE shall be approved prior to First Article
Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract. The PCO will provide disposition within ( 45) calendar days of final
AIE package receipt.
BLK 13: If further revisions are necessary, the Contractor shall have (30) calendar days to generate them and the Government shall have (30) calendar days to review and respond to them. The approved AIE shall be available for First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract.
If Contractor revises a previously Government accepted AIE for this contract, the revised
AIE must be submitted to the Government for review and approval. Approval must be granted before AIE is used for acceptance of product. The Government will respond within
(30) calendar days.
The Contractor shall notify the responsible Government technical agency a minimum of
(30) calendar days prior to acceptance (prove out) testing for AAIE.
BLK 14: Submit via email or SAFE https://safe.apps.mil/
When sending by email, the email subject line shall include the Data Item No., Title of
Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.
Specific email addresses for the distribution list will be provided after contract award.
An MSE Review Guide is available to assist Contractors on the ARDEC Public Website
(http://www.ardec.army.mil/organizations/QESA/) in the application of the MSE Clause.
The MSE Review Guide's content, in its entirety, is provided solely for REFERENCE and
GUIDANCE PURPOSES ONLY- it is not, nor is it intended to be, contractually binding.
Accordingly, the information contained within the MSE Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the MSE clause itself nor into the terms and conditions of any underlying contract which contains the MSE clause.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
6. REQUIRING OFFICE
AMJM-QA
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
PCO 0 1 0
PQM 0 1 0
15. TOTAL 0 2 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS
1. DATA ITEM NO.
A009
TBD
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-NDTI-81307 (Current Revision) Section: E
TM
OTHER NDTI
F. CONTRACTOR
3. SUBTITLE
NIA
6. REQUIRING OFFICE
AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
ASREQ 120DAC
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 12: First Article Test Plans shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the
Contractor shall have 15 calendar days to provide revisions and the
Government shall provide response within 15 calendar days.
Disposition will be provided by the procuring contracting officer (PCO).
Approval of the plan shall be obtained prior to FAT.
BLK 14: Submit via email or SAFE https://safe.apps.miV
When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 ofthe CDRL.
Specific email addresses for the distribution list will be provided after contract award.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
PCO 0 1 0
PQM 0 1 0
15. TOTAL 0 2 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
First Article Qualification Test Plan and Procedure
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
I
E. CONTRACT/PR NO.D. SYSTEM/ITEM
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TM
OTHER NDTI
F. CONTRACTOR
3. SUBTITLE
A010 Test/Inspection Reports First Article Test Report (F ATR)
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80809 (Current Revision) Section: E AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION xx
REQUIRED
ASREQ 270DAC
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE
A NIA
SUBMISSION Draft
ASREQ
16. REMARKS PCO 0
POM 0
BLK 12: The First Article Test report shall be submitted with QAR findings on
DD Form 1222. The FATR shall be submitted 270 calendar days after contract award and no later than 30 calendar days after completion of the FAT. The
Government requires 30 calendar days for review. Disposition of the FAT report will be provided through the Procuring Contracting Officer.
If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. PCO approval of the FATR shall be obtained prior to start of production.
BLK 14: Submit via email or SAFE https://safe.apps.mil/
When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 ofthe CDRL.
Specific email addresses for the distribution list will be provided after contract award.
15. TOTAL 0
b. COPIES
Final
Reg Repro
1 0
1 0
2 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
Nathan Ash
DD FORM 1423-1, AUG 96 (EG}
10/8/24
PREVIOUS EDITION MAY BE USED. Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
I
E. CONTRACT/PR NO.D. SYSTEM/ITEM
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
A011 Ammunition Data Card (ADC)
4. AUTHORITY (Data Acquisition Document No.) 1
DI-MISC-80043 (Current Revision)
5. CONTRACT REFERENCE
Section: E, MIL-STD-1168
TM
OTHER
MISC
F. CONTRACTOR
3. SUBTITLE
Data Input
6. REQUIRING OFFICE
AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION xx
REQUIRED
ASREQ ASREQ
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 12: Sample ADC shall be submitted into the Munitions History Program
(MHP) system and approved prior to First Article Testing (FAT) or initiation of production if FAT is not required. ADCs shall be prepared IA W
MIL-STD-1168 by accessing the data repository system WARP on the
Munitions History Program website at https://mhpwarp.redstone.army.mil/
BLK 10/13: An ADC shall be submitted with each lot.
Hard copy ADC provided with lot shipments shall be generated from the
WARP and signed/dated by the Government Agency Responsible for
Acceptance (GARA).
When ballistic test are required, one hard copy ADC generated from the WARP and signed/dated by the GARA shall be sent to the Proving Ground with sample shipment, plus an additional signed/dated, hard copy provided to the Proving
Ground by mail.
If the critical characteristic requirement is in the contract, the critical characteristic information fields in WARP for the ADC shall be completed for each lot.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
WARP 0 1 0
Lot Shipment 0 2 0
Mail to Dest 0 2 0
15. TOTAL 0 5 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
I
E. CONTRACT/PR NO.D. SYSTEM/ITEM
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TM
OTHER
MGMT
F. CONTRACTOR
3. SUBTITLE
A012 Acceptance Description Sheets Loading Authorizations and Description Sheets
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-MGMT-81978 (Current Revision) Section: E
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
NO
REQUIRED
ASREQ ASREQ
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 12: Loading authorizations, Propellant description sheets and/or description sheets for chemicals and explosives shall be submitted for each lot or batch processed and shall be loaded into WARP at the time of acceptance.
BLK 14: Electronic submissions are made by accessing the Worldwide
Ammunition Data Card Repository Program (WARP) housing the Description
Sheets and Loading Authorizations modules which are located on the
Munitions History Program (MHP) website at https:/ /mhpwarp.redstone.army.mil/
This requirement is in addition to the distribution requirements called out in the specification and contract.
Advisory note: The first energetic description sheet submitted in the WARP system will undergo a Government review.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
6. REQUIRING OFFICE
AMJM-QA
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
WARP 0 1 0
15. TOTAL 0 1 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
I
E. CONTRACT/PR NO.D. SYSTEM/ITEM
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TM
OTHER
MISC
F. CONTRACTOR
3. SUBTITLE
A013 Management Plan 2-D Bar Code Label Verification
4. AUTHORITY (Data Acquisition Document No.) 1 6. REQUIRING OFFICE
DI-MGMT-80004 (Current Revision)
5. CONTRACT REFERENCE
Section: D & E AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
ONE/R ASREQ
8.APP CODE
NIA
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE
A NIA
SUBMISSION Draft
NIA
16. REMARKS Mail to Dest 0
2-D Bar Codes shall be prepared IAW MIL-STD-129 and MIL-PRF-61002.
BLKS 12 & 14: Prior to formal submission of product to the Government for acceptance, a first time sample of the supplier's 2-D Bar
Coding Label, comprising of two (2) each of the exterior pack label and two (2) each of the pallet label, shall be submitted and approved. A material certification (CoC) shall also be submitted that identifies the label being used conforms to the specifications ofMIL-PRF-61002.
2-D Bar Code samples and label CoC shall be sent to:
HQ, US ARMY JMC, 2695 Rodman Avenue, Rock Island, IL 61299
ATTN: AMJM-QAP/O, "Enter PQM name"
Within fifteen calendar days, the supplier will be notified electronically of the approval, conditional approval, or disapproval of the submitted 2-D Bar Code
Label.
15. TOTAL 0
b. COPIES
Final
Reg Repro
2 0
2 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
Nathan Ash
DD FORM 1423-1, AUG 96 (EG}
10/8/24
PREVIOUS EDITION MAY BE USED. Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
A014 Test/Inspection Reports
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-NDTI-80809 (Current Revision) Section: E
TM
OTHER NDTI
F. CONTRACTOR
3. SUBTITLE
Lot Acceptance Test Report
6. REQUIRING OFFICE
AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
NO
REQUIRED
ASREQ 30DATC
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
NIA NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 10/12: Lot Acceptance Test Reports (LATRs) shall be submitted for each lot and contain conformance testing results IA W the item specification and
MIL-STD-1916.
LATRs shall be submitted 30 calendar days after completion of LAT.
BLK 14: LATRs shall be submitted by accessing the worldwide ammunition data card repository program which is located on the munitions history program website at https:/ /mhp.redstone.army.miV.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
WARP 0 1 0
OAR 0 1 0
15. TOTAL 0 2 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
A0004
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS
1. DATA ITEM NO.
A015
TBD
2. TITLE OF DATA ITEM
Failure Summary and Analysis Report
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-SESS-80255 (Current Revision) Section: E
TM
OTHER
SESS
F. CONTRACTOR
3. SUBTITLE
NIA
6. REQUIRING OFFICE
AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
ASREQ ASREQ
8.APP CODE
B
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 10/12/13: Contractor shall notify the the addressee list in block 14 via email within 24 hours after the occurrence of a failure during acceptance testing, including but not limited to, any failures during FAT /LAT and any destructive/nondestructive test failures. Formal submittal shall be no later than
10 calendar days after reported failure. Final report shall be submitted no later than 30 calendar days after determining/conducting root cause/failure analysis.
The Government will provide a response within 15 calendar days of initial submission. If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions. Disposition will be provided by the procuring contracting officer (PCO).
BLK 14: Submit via email or SAFE https:/ /safe.apps.mil/
When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 oftheCDRL.
Specific email addresses for the distribution list will be provided after contract award.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
PCO 0 1 0
POM 0 1 0
15. TOTAL 0 2 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS
1. DATA ITEM NO.
A016
TBD
2. TITLE OF DATA ITEM
Quality Audit Site Visit Schedule
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-SESS-81925 (Current Revision) Section: E
TM
OTHER
SESS
F. CONTRACTOR
3. SUBTITLE
NIA
6. REQUIRING OFFICE
AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
NO
REQUIRED
ASREQ 30DAC
8.APP CODE
NIA
11. AS OF DATE 13. DATE OF SUBSEQUENT
A NIA
SUBMISSION
ASREQ
16. REMARKS
BLK 10/12/13: Contractor shall provide a schedule of all supplier/vendor audits within 30 calendar days after contract award. The Contractor shall notify the
USG 15 days prior to a scheduled audit and the USG will advise whether or not it plans to witness the audit.
BLK 14: Submit via email or SAFE https:/ /safe.apps.mil/
When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 ofthe CDRL.
Specific email addresses for the distribution list will be provided after contract award.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
PCO 0 1 0
POM 0 1 0
15. TOTAL 0 2 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
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, Hathering and maintaining the data needed, and completin� and reviewin� the collection of information. Send comments regarding this burden estimate or any other aspect of this co action of information, including suggestions for reducin� t e burden, to apartment of Defense, Washin�ton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 204, Mington, VA 22202-4302. Respondents s ould be aware that notwithstandin�any other provision of law, no person shall be sub�·ect to any penalty for failing to comply with a collection of information if it does not display a currenUy valid 0MB control number. lease DO NOT RETURN your form to the above a dress. 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
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO.
1/4 LB -1/2 LB -1 LB TNT BLOCKS
1. DATA ITEM NO.
A017
TBD
2. TITLE OF DATA ITEM
Contractual Baseline Report
4. AUTHORITY (Data Acquisition Document No.) 1 5. CONTRACT REFERENCE
DI-SESS-81856 (Current Revision) NIA
TM
OTHER
SESS
F. CONTRACTOR
3. SUBTITLE
Baseline Summary Report
6. REQUIRING OFFICE
AMJM-QA
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT
REQUIRED
SEMIA 180DAC
8.APP CODE
D
11. AS OF DATE 13. DATE OF SUBSEQUENT
A ASREQ
SUBMISSION
ASREQ
16. REMARKS
Contractor format acceptable. Each report shall be annotated with calendar date for revision control. submit electronically in portable document format (PDF) six (6) months after contract award and every six (6) months (Semi-Annually) thereafter.
BLK 14: Submit via email or SAFE https:/ /safe.apps.mil/
When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 ofthe CDRL.
Specific email addresses for the distribution list will be provided after contract award.
G. PREPARED BY H.DATE I. APPROVED BY
Nathan Ash 10/8/24
DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.
b. COPIES
a. ADDRESSEE Final Draft
Reg Repro
PCO 0 1 0
PQM 0 1 0
15. TOTAL 0 2 0
J. DATE
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
CONTRACT DATA REQUIREMENTS LIST Form Approved 0MB No. 0704-0188
(1 Data Item) 0MB Approval Expires 20221130
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 (0704-0188). 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:
TDP TM OTHER
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A018 PRODUCTION/SHIPPING PROGRESS REPORT PRODUCTION/SHIPPING STATUS REPORT
4. AUTHORITY (Data Acquisition Document No./
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81255 Section H AMJM-SPG
7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12, DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
ASREQ ASREQ* NO b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final NIA SUBMISSION Draft
NIA NIA ASREQ** Reg Repro
16. REMARKS ***POC's *30 Days prior to production commencement to include CLINs that are contractually scheduled to be produced with a rolling 12 Month period.
**5th working day of each month, but provided on an as required basis. Submit Production/Shipping Progress Report on the provided spreadsheet. Production Progress data will include CLIN level information, such as: DODIC, Model/Nomenclature, Delivery Order, CLIN, MILSTRlP, Ship To Address (DODAAC), MILSTRlP QTY, and Actual Schedule for a rolling 12 Month period. Shipping progress data will include DODIC, Model/Nomenclature, Delivery Order, CLIN, DD250/Shipment Number, Lot Number, MlLSTRlP, Ship To Address (DODAAC), Shipment QTY, DD250 Date, Shipment Request/SIR Submit and Sign Date. Submit electronically to the POC's identified in block 14a.
***Distribution list will be provided after each delivery order award
15.TOTAL 0 0 0
G. PREPARED BY H. DATE I. APPROVED BY J.DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages
Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
DD FORM 1423-1, FEB 2001
(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 (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 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 A SESS
1/4 LB -1/2 LB -1 LB TNT BLOCKS TBD
A019 Supply Chain Risk Management (SCRM) Plan
DI-SESS-81856 (Current Revision) N/A SFAE-AA-CCS
D
As Required
As Required
See Blk 16
See Blk 16
PCO 1
PQM 1
0 2 0
BLOCK 4: The following sections maybe omitted based on procurement action: paragraph
3.4 section c (1) & (2), Paragraph 3.4 (d) section (2), paragraph 3.4 section (e) (2);
Paragraph 3.4 section f. (1) & (5), paragraph 3.4 section g. (1) (b); Paragraph 3.4 section h.
(1) & (2) paragraph 3.4 section I. (1), (2), (3) & (4)
1. The contractor shall…
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