B08 - Exhibit B - Contract Data Requirement List - MHU-212_BE Pallet.pdf
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G. PREPARED BY
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
Designed using Perform Pro, WHS/DIOR, Aug 96
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
QA CDRL Distribution block - IPT members list Distribution with specific contact information will be provided at Post Award
PQM – Product Quality Manager
PCO – Procuring Contracting Officer
CS – Contract Specialist
QAR – Quality Assurance Representative
PO or PM – Project Officer or Project Manager
AQE – Army Quality Engineer
APO - Army Lead Engineer (Project Officer)
DA – Design Agent (NAVSEA)
PL – Project Lead (NAVAIR)
NQA – Navy Quality Assurance
ME – Material Engineer (NAVAIR)
PE – Program Engineer (Air Force)
AEA – Acquisition Engineering Agent (NAVSEA) GE – Gage Engineer
Production Manager, JMC - Production Manager, Joint Munitions Command
MCEA – Marine Corp Engineering Activity
CDM – Configuration/Data Management (NAVAIR)
WARP - Worldwide Ammunition-Data Repository Program
SAFE - Safe Access File Exchange
FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR
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
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.
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 5. 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.
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 (BACK)
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.
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.
INSTRUCTIONS FOR COMPLETING DD FORM 1423
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.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
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.
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 III. 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.
of
| Distro List |
| Instructions |
| number: |
| TDP: |
| TM: |
| 17: |
| 18: |
| Draft15 TOTAL: 0 |
| Repro15 TOTAL: 0 |
| MSE OTHER: QCIC |
| MSE CDRL #: A001 |
| MSE TITLE OF DATA ITEM: Measurement System Evaluation (MSE) – Measurement and Inspection Equipment System Design Documentation for Acce |
| MSE SUBTITLE: Measurement System Evaluation/Acceptance Inspection Equipment (MSE/AIE) |
| MSE Authority: DI-QCIC-81960 (Current Revision) |
| MSE CONTRACT REFERENCE: Section E |
| MSE DD 250: LT |
| MSE FREQUENCY: ONE/R |
| MSE DATE OF FIRST SUBMISSION: 120DAC |
| MSE DATE OF SUBSEQUENT SUBMISSION: ASREQ |
| CCCP OTHER: SESS |
| CCCP CDRL #: A003 |
| CCCP TITLE OF DATA ITEM: ENGINEERING CHANGE PROPOSAL (ECP) |
| CCCP SUBTITLE: |
| CCCP CONTRACT REFERENCE: Section C SOW |
| CCCP DD 250: LT |
| CCCP FREQUENCY: ASREQ |
| CCCP DATE OF FIRST SUBMISSION: ASREQ |
| CCCP DATE OF SUBSEQUENT SUBMISSION: ASREQ |
| CCCP Remarks: 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. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1692 LOCATED AT https://www.dtic.mil/whs/directives/infomgt/forms/. |
| CPOA OTHER: SESS |
| CPOA CDRL #: A004 |
| CPOA TITLE OF DATA ITEM: REQUEST FOR VARIANCE (RFV) |
| CPOA 3 SUBTITLE: |
| CPOA Authority: DI-SESS-80604 (Current Revision) |
| CPOA 5 CONTRACT REFERENCE: SECTION C SOW |
| CPOA DD 250: LT |
| CPOA 10 FREQUENCY: ASREQ |
| CPOA 12 DATE OF FIRST SUBMISSION: ASREQ |
| CPOA 13 DATE OF SUBSEQUENT SUBMISSION: ASREQ |
| CPOA Remarks: DATA MUST BE IN GOVERMENT 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 https://www.dtic.mil/whs/directives/infomgt/forms/.
| CCCPRegRow2: 1 |
| CCCPRegRow3: 1 |
| CCCPRegRow4: 1 |
| CCCPRegRow5: 1 |
| CCCPRegRow1: 1 |
| MSE 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 DOD-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.
| MSE RegRow1: 1 |
| MSE RegRow2: 1 |
| MSE RegRow3: 1 |
| MSE RegRow4: 1 |
| MSE RegRow5: 1 |
| MSE Reg15 TOTAL: 5 |
| MSE System: MHU-212B/E PALLET |
| 9 MSE DIST STATEMENT REQUIRED: D |
| MSE App Code: A |
| 11 MSE AS OF DATE: N/A |
| 6 MSE REQUIRING OFFICE: NSWC(MS-21) |
| A MSE 0(CDRL#): |
| MSE Exhibit: |
| E MSE CONTRACTPR NO: |
| F MSE CONTRACTOR: |
| A CCCP 0(CDRL#): |
| CCCP Exhibit: |
| CCCP System: MHU-212B/E PALLET |
| E CCCP CONTRACTPR NO: |
| F CCCP CONTRACTOR: |
| CCCP Authority: DI-SESS-80639 (Current Revision) |
| 6 CCCP REQUIRING OFFICE: FCDD-ACE-SP |
| CCCP App Code: A |
| 9 CCCP DIST STATEMENT REQUIRED: D |
| 11 CCCP AS OF DATE: N/A |
| A CPOA 0(CDRL#): |
| CPOA Exhibit: |
| CPOA System: MHU-212B/E PALLET |
| E CPOA CONTRACTPR NO: |
| F CPOA CONTRACTOR: |
| 6 CPOA REQUIRING OFFICE: FCDD-ACE-SP |
| CPOA App Code: A |
| 9 CPOA DIST STATEMENT REQUIRED: D |
| 11 CPOA AS OF DATE: N/A |
| DATE: |
| MSE number: |
| A DATE: |
| CCCP number: |
| CPOA number: |
| MSE DraftRow1: 0 |
| MSE DraftRow2: 0 |
| MSE DraftRow3: 0 |
| MSE DraftRow4: 0 |
| MSE DraftRow5: 0 |
| MSE ReproRow1: 0 |
| MSE ReproRow2: 0 |
| MSE ReproRow3: 0 |
| MSE ReproRow4: 0 |
| MSE ReproRow5: 0 |
| CCCP DraftRow1: 0 |
| CCCP DraftRow2: 0 |
| CCCP DraftRow3: 0 |
| CCCP DraftRow4: 0 |
| CCCP DraftRow5: 0 |
| CCCP ReproRow1: 0 |
| CCCP ReproRow2: 0 |
| CCCP ReproRow3: 0 |
| CCCP ReproRow4: 0 |
| CCCP ReproRow5: 0 |
| CCCP Reg15 TOTAL: 5 |
| CPOA DraftRow1: 0 |
| CPOA DraftRow2: 0 |
| CPOA DraftRow3: 0 |
| CPOA DraftRow4: 0 |
| CPOA DraftRow5: 0 |
| CPOA ReproRow1: 0 |
| CPOA ReproRow2: 0 |
| CPOA ReproRow3: 0 |
| CPOA ReproRow4: 0 |
| CPOA ReproRow5: 0 |
| CPOA Reg15 TOTAL: 5 |
| CPOA RegRow1: 1 |
| CPOA RegRow2: 1 |
| CPOA RegRow3: 1 |
| CPOA RegRow4: 1 |
| CPOA RegRow5: 1 |
| MSE Addressee 1: PCO |
| MSE Addressee 2: PQM |
| MSE Addressee 3: PO |
| MSE Addressee 4: PE |
| MSE Addressee 5: PL |
| MSE Addressee 6: |
| MSE Addressee 7: |
| MSE Addressee 8: |
| MSE DraftRow6: |
| MSE DraftRow7: |
| MSE DraftRow8: |
| MSE RegRow6: |
| MSE RegRow7: |
| MSE RegRow8: |
| MSE ReproRow6: |
| MSE ReproRow7: |
| MSE ReproRow8: |
| CCCP Addressee 1: PCO |
| CCCP Addressee 2: ACO |
| CCCP Addressee 3: PO |
| CCCP Addressee 4: PE |
| CCCP Addressee 5: PL |
| CCCP Addressee 6: |
| CCCP Addressee 7: |
| CCCP Addressee 8: |
| CCCP DraftRow6: |
| CCCP DraftRow7: |
| CCCP DraftRow8: |
| CCCPRegRow6: |
| CCCPRegRow7: |
| CCCPRegRow8: |
| CCCP ReproRow6: |
| CCCP ReproRow7: |
| CCCP ReproRow8: |
| CPOA Addressee 1: PCO |
| CPOA Addressee 2: ACO |
| CPOA Addressee 3: PO |
| CPOA Addressee 4: PE |
| CPOA Addressee 5: PL |
| CPOA Addressee 6: |
| CPOA Addressee 7: |
| CPOA Addressee 8: |
| CPOA DraftRow6: |
| CPOA DraftRow7: |
| CPOA DraftRow8: |
| CPOA RegRow6: |
| CPOA RegRow7: |
| CPOA RegRow8: |
| CPOA ReproRow6: |
| CPOA ReproRow7: |
| CPOA ReproRow8: |
| A0 HP (CDRL#): |
| HP Exhibit: |
| HP OTHER: MGMT |
| HP System: MHU-212B/E PALLET |
| E HP CONTRACTPR NO: |
| F HP CONTRACTOR: |
| HP CDRL #: A005 |
| HP TITLE OF DATA ITEM: Diminishing Manufacturing Sources |
| HP Authority: DI-MGMT-81948 (SEE BLK 16) |
| HP SUBTITLE: N/A |
| HP CONTRACT REFERENCE: SEE BLK 16 |
| HP REQUIRING OFFICE: AFLCMC/EBHCB |
| HP DD 250: LT |
| HP 9 DIST STATEMENT REQUIRED: D |
| 10 HP FREQUENCY: ASREQ |
| HP DATE OF FIRST SUBMISSION: See BLK 16 |
| HP App Code: A |
| HP HP AS OF DATE: N/A |
| HP DATE OF SUBSEQUENT SUBMISSION: ASREQ |
| HP Addressee 1: PCO |
| HP DraftRow1: 0 |
| HP RegRow1: 1 |
| HP ReproRow1: 0 |
| HP Addressee 2: PQM |
| HP DraftRow2: 0 |
| HP RegRow2: 1 |
| HP ReproRow2: 0 |
| HP Remarks: BLK 4: 1. The contractor shall be responsible for managing the supply chain of all materials, components, assemblies, and sources of supply as directed in Section 1.2 of this SOW in order to meet contract delivery schedules. |
2. The contractor shall submit a DMSMS Plan that documents the process being followed to ensure DMSMS issues are being adequately identified and addressed. The DMSMS Plan shall be submitted 90 days prior to FAAT activities. The Government has 30 days for review, disposition will be provided by the Procuring Contracting Officer (PCO).
3. The contractor shall provide DMSMS Plan updates as required to meet production and delivery schedule. The Government has 30 days for review and disposition of any updates.
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.
| HP Addressee 3: AFLCMC/EBHCB |
| HP DraftRow3: |
| HP RegRow3: |
| HP ReproRow3: |
| HP Addressee 4: SFAE-AA-JB |
| HP DraftRow4: |
| HP RegRow4: |
| HP ReproRow4: |
| HP Addressee 5: |
| HP DraftRow5: |
| HP RegRow5: |
| HP ReproRow5: |
| HP Addressee 6: |
| HP DraftRow6: |
| HP RegRow6: |
| HP ReproRow6: |
| HP Addressee 7: |
| HP DraftRow7: |
| HP RegRow7: |
| HP ReproRow7: |
| HP Addressee 8: |
| HP DraftRow8: |
| HP RegRow8: |
| HP ReproRow8: |
| HP Reg15 TOTAL: 2 |
| HP number: |
| A FATR 0(CDRL#): |
| FATR Exhibit: |
| FATR OTHER: NDTI |
| FATR System: MHU-212B/E PALLET |
| E FATR CONTRACTPR NO: |
| F FATR CONTRACTOR: |
| FATR CDRL #: A002 |
| FATR TITLE OF DATA ITEM: Test/Inspection Reports |
| FATR SUBTITLE: First Article Test Report (FATR) |
| FATR Authority: DI-NDTI-80809 (Current Revision) |
| 5 FATR CONTRACT REFERENCE: Section: E |
| 6 FATR REQUIRING OFFICE: AMJM-QA |
| FATR DD 250: XX |
| FATR DIST STATEMENT REQUIRED: B |
| FATR FREQUENCY: ASREQ |
| FATR DATE OF FIRST SUBMISSION: 270DAC |
| FATR App Code: A |
| FATR AS OF DATE: N/A |
| FATR DATE OF SUBSEQUENT SUBMISSION: ASREQ |
| FATR Addressee 1: PCO |
| FATR DraftRow1: 0 |
| FATR RegRow1: 1 |
| FATR ReproRow1: 0 |
| FATR Addressee 2: PQM |
| FATR DraftRow2: 0 |
| FATR RegRow2: 1 |
| FATR ReproRow2: 0 |
| FATR Remarks: 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 of the CDRL.
Specific email addresses for the distribution list will be provided after contract award.
| FATR Addressee 3: PO |
| FATR DraftRow3: 0 |
| FATR RegRow3: 1 |
| FATR ReproRow3: 0 |
| FATR Addressee 4: PE |
| FATR DraftRow4: 0 |
| FATR RegRow4: 1 |
| FATR ReproRow4: 0 |
| FATR Addressee 5: PL |
| FATR DraftRow5: 0 |
| FATR RegRow5: 1 |
| FATR ReproRow5: 0 |
| FATR Addressee 6: |
| FATR DraftRow6: |
| FATR RegRow6: |
| FATR ReproRow6: |
| FATR Addressee 7: |
| FATR DraftRow7: |
| FATR RegRow7: |
| FATR ReproRow7: |
| FATR Addressee 8: |
| FATR DraftRow8: |
| FATR RegRow8: |
| FATR ReproRow8: |
| FATR Reg15 TOTAL: 5 |
| FATR number: |
File details come from the government source that posted it. Updated .