CDRLs_26RK065.pdf
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- Solicitation number
- N0010426RK065
About this file
This is a Contract Data Requirements List (DD Form 1423) for contract N00104-26-N-B066 involving the Canopy Jettison Rocket Motor, SS67, awarded to an unidentified contractor by the Naval Sea Systems Command (NSWC) Indian Head Division.
The document specifies nine data items required throughout the contract lifecycle: (1) Obsolescence Alert Notice (Data Item A001); (2) Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report (A002); (3) Project Planning Chart (A003); (4) Failure Summary and Analysis Report/LAT/FAT FAR (A004); (5) Acceptance Test Plan with Radiographic Test Technique (A005); (6) Test/Inspection Report with Radiographic Report and Film (A006); (7) As Built Configuration List (ABCL-C) with Configuration Marriage Record (A007); (8) Test/Inspection Report with Energetic Materials Analysis Report (A008); and (9) Ammunition Data Card (A009). Distribution is authorized to DoD components only, with primary distribution to the CAD/PAD Joint Program Office at NSWC Indian Head Division in Maryland. Submission frequencies vary, with some items required once per contract and others triggered by production lots or discovery events. Submission timelines range from 20 to 150 days depending on the data item type. All data items are categorized as "Other" and carry export control restrictions under the Arms Export Control Act and Export Control Reform Act of 2018. The document includes mandatory destruction notices and requires cognizant Data Configuration Management Authority approval.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 4 N0010426RK065.pdf | ||
| Amendment 3 N0010426RK065.pdf | ||
| Amendment 2 N0010426RK065.pdf | ||
| Amendment 1 N0010426RK065.pdf | ||
| SS67 GFP Attachment Rev_26RK065.xlsx | XLSX spreadsheet | |
| RFV Form DD1694 Example Only dated 6_5_25.pdf | ||
| SS67 GFP Attachment_26RK065.xlsx | XLSX spreadsheet | |
| ADC SOW Rev Basic dated Jan 2018.pdf | ||
| ADC MASTER Rev 16.pdf | ||
| N0010426RK065.pdf | ||
| CADPAD Item Marking Instruction Ver 1.6.pdf |
Show all 11
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PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. SIGNATURE I. APPROVED BY J. SIGNATURE
Page 1 of ____
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Page 2 of ____
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Page 3 of ____
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. SIGNATURE I. APPROVED BY J. SIGNATURE
Page 4 of ____ jennifer.mudd Cross-Out
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Page 5 of ____
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Page 6 of ____
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Page 7 of ____
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Page 8 of ___
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Page 9 of ____
Untitled
| PRICE GROUP: N/A |
| EST TOTAL PRICE: NSP |
| PREPARED BY: Katie Lusk |
| OTHER CHECK: On |
| CONTRACT/PR NO: N00104-26-N-B066 |
| CONTRACTOR: N/A |
| CONTRACT REFERENCE: See Block 16 |
| APP CODE: N/A |
| DIST STATEMENT: See Block 16 |
| DATE OF FIRST SUBMISSION: 120 DADC |
| DATE OF SUBSEQUENT SUBMISSION: See Block 16 |
| ADDRESSEE: See Block 16 |
| DRAFT: 0 |
| REG: 1 |
| REPRO: 0 |
| DRAFT TOTAL: 0 |
| REG TOTAL: 1 |
| REPRO TOTAL: 0 |
| APPROVED BY: Alexandra Bienz |
| CONTRACT LINE ITEM NO _ 2: 0001 |
| OTHER _ 2: MGMT |
| DATA ITEM NO _ 2: A001 |
| TITLE OF DATA ITEM _2: Obsolescence Alert Notice |
| SUBTITLE _ 2: Obsolescence Alert Notice |
| AUTHORITY _ 2: DI-MGMT-81941 |
| DD 250 REQ _ 2: DD |
| REMARKS _ 2: Block 5. Contract Reference SECTION C – Section C - Description and Specifications, paragraph 3. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Proprietary Information) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any documents shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. To be submitted no more than one submission under contract per unique, affected subject part number(s).
Blocks 12 and 13 - Due within 60 days of discovery. No submission required if no new discoveries have occurred.
Block 14. Distribution Addresses:
N00174 CAD/PAD Joint Program Office
NSWC IHD
Attn: Code JP via E21* 3817 Strauss Ave, Bldg D323, Ste 230 Indian Head, MD 20640 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution.
Cognizant DCMA (Indicated in Block 6 of SF26)
| REQUIRING OFFICE _ 2: NSWC IHD, JP |
| EXHIBIT _ 2: A |
| CONTRACT LINE ITEM NO _ 3: 0001 |
| OTHER _ 3: MGMT |
| SYSTEM/ITEM _ 2: Canopy Jettison Rocket Motor, SS67 |
| EXHIBIT _ 3: A |
| SYSTEM/ITEM _ 3: Canopy Jettison Rocket Motor, SS67 |
| TITLE OF DATA ITEM _ 3: Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report |
| SUBTITLE _ 3: DMSMS Health Assessment Report |
| AUTHORITY _ 3: DI-MGMT-82273 |
| DATA ITEM NO _ 3: A002 |
| DD 250 REQ _ 3: DD |
| REMARKS _ 3: Block 5. Contract Reference SECTION C - CAD/PAD Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report, paragraph 4. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Proprietary Information) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any documents shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Once for each contract.
Blocks 13. Any revisions require resubmission.
Block 14. Distribution Addresses:
N00174 CAD/PAD Joint Program Office
NSWC IHD
Attn: Code JP via E21* 3817 Strauss Ave, Bldg D323 20640, Ste 230 Indian Head, MD 20640 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution.
Cognizant DCMA (Indicated in Block 6 of SF26)
| REQUIRING OFFICE _ 3: NSWC IHD, JP |
| REQUIRING OFFICE _ 6: NSWC IHD, E21 |
| CONTRACT LINE ITEM NO _ 6: 0001 |
| EXHIBIT _ 6: A |
| OTHER _ 6: SESS |
| SYSTEM/ITEM _ 6: Canopy Jettison Rocket Motor, SS67 |
| DATA ITEM NO _ 6: A004 |
| TITLE OF DATA ITEM _ 6: Failure Summary and Analysis Report |
| SUBTITLE _ 6: LAT/FAT FAR |
| AUTHORITY _ 6: DI-SESS-80255B |
| DD 250 REQ _ 6: LT |
| REMARKS _ 6: Block 5. Contract Reference Section E - Production Lot Test Samples (NSWC IHD), |
paragraph 9c. Section E - CAD/PAD Inspection and Acceptance, paragraph 24. Section I - First Article Approval (Contractor Testing ALT), Note 1.
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only (Test and Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code).
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any documents shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Frequency- Is determined by the number of Lot Acceptance Test (LAT) or First Article failures.
Blocks 12. Date of first submission - An preliminary report is due no later than 15 days after notification of lot failure. A final report is due 30 days after notification of lot failure.
Block 13 - Date of Subsequent Submission- NLT 15 days after failure analysis completion of second failed lot and beyond.
Block 14. Distribution Addresses:
N00174 N00104 CAD/PAD Department Commander NSWC IHD NAVSUP Weapons Systems Support Attn: Code E21* Attn: Code N772* 4393 Benson Road 5450 Carlisle Pike Indian Head, MD 20640-5092 Mechanicsburg PA 10755-0788 *See Section H - Administrative Points of Contact, paragraphs 1 and 2 for email distribution.
Cognizant DCMA (Indicated in Block 6 of SF26)
| CONTRACT LINE ITEM NO _ 7: 0001 |
| EXHIBIT _ 7: A |
| OTHER _ 7: QCIC |
| SYSTEM/ITEM _ 7: Canopy Jettison Rocket Motor, SS67 |
| DATA ITEM NO _ 7: A005 |
| TITLE OF DATA ITEM _ 7: Acceptance Test Plan |
| SUBTITLE _ 7: Radiographic Test Technique (RTT) |
| AUTHORITY _ 7: DI-QCIC-80553A |
| DD 250 REQ _ 7: DD |
| REMARKS _ 7: Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance, paragraph 8a for x-rays. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Test & Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Once per contract per line item being procured.
Blocks 12 & 13. Shall be submitted 45 days prior to submission of first article test (FAT) or lot acceptance test (LAT) samples.
Block 14. Distribution Addresses:
N00174 CAD/PAD Department
NSWC IHD
Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| REQUIRING OFFICE _ 7: NSWC IHD, E21 |
| CONTRACT LINE ITEM NO _ 8: 0001 |
| EXHIBIT _ 8: A |
| OTHER _ 8: NDTI |
| SYSTEM/ITEM _ 8: Canopy Jettison Rocket Motor, SS67 |
| DATA ITEM NO _8: A006 |
| TITLE OF DATA ITEM _8: Test/Inspection Report |
| SUBTITLE _ 8: Radiographic Report and Film |
| AUTHORITY _ 8: DI-NDTI-80809B |
| DD 250 REQ _ 8: DD |
| REMARKS _ 8: Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance, paragraph 16. |
Note: Digital x-rays shall be submitted via CD format.
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Test & Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document with the exception of the radiographs (x-ray or n-ray). Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Frequency - One report for each production or first article lot that is produced.
Blocks 12 & 13. Due 20 days prior to submission of lot acceptance (LAT) samples or first article test (FAT) samples, for NSWC IHD testing, or 20 days prior to LAT, for contractor testing, for every lot on the contract.
Block 14. Distribution Addresses:
N00174 CAD/PAD Department
NSWC IHD
Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| REQUIRING OFFICE _ 8: NSWC IHD, E21 |
| CONTRACT LINE ITEM NO _ 9: 0001 |
| EXHIBIT _ 9: A |
| OTHER _ 9: SESS |
| SYSTEM/ITEM _ 9: Canopy Jettison Rocket Motor, SS67 |
| DATA ITEM NO _9: A007 |
| TITLE OF DATA ITEM _9: As Built Configuration List - Common (ABCL-C) |
| SUBTITLE _ 9: Configuration Marriage Record |
| REQUIRING OFFICE _ 9: NSWC IHD, E21 |
| AUTHORITY _ 9: DI-SESS-81830 |
| DD 250 REQ _ 9: DD |
| REMARKS _ 9: Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance, paragraph 22. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (CTI) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Once for each production and/or first article lot on the contract.
Blocks 12 & 13. Due 20 days prior to submission of lot acceptance (LAT) samples or first article test (FAT) samples, for NSWC IHD testing, or 20 days prior to LAT, for contractor testing, for every lot on the contract.
Block 14. Distribution Addresses:
N00174 CAD/PAD Department
NSWC IHD
Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| CONTRACT LINE ITEM NO _ 10: 0001 |
| EXHIBIT _ 10: A |
| OTHER _ 10: NDTI |
| SYSTEM/ITEM _ 10: Canopy Jettison Rocket Motor, SS67 |
| TITLE OF DATA ITEM _10: Test/Inspection Report |
| DATA ITEM NO _10: A008 |
| SUBTITLE _ 10: Energetic Materials Analysis Report |
| REQUIRING OFFICE _ 10: NSWC IHD, E21 |
| DD 250 REQ _ 10: DD |
| AUTHORITY _ 10: DI-NDTI-80809B |
| REMARKS _ 10: Block 5. Contract Reference Section E - CAD/PAD Energetic Materials Requirements, paragraph 4. Report will be based on the energetic material used in the item being procured. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Test and Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Once for each production and/or first article lot on the contract.
Blocks 12 & 13. Due 20 days prior to submission of lot acceptance (LAT) samples or first article test (FAT) samples, for NSWC IHD testing, or 20 days prior to LAT, for contractor testing, for every lot on the contract.
Block 14. Distribution Addresses:
N00174 CAD/PAD Department
NSWC IHD
Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| CONTRACT LINE ITEM NO _ 13: 0001 |
| EXHIBIT _ 13: A |
| OTHER _ 13: MISC |
| SYSTEM/ITEM _ 13: Canopy Jettison Rocket Motor, SS67 |
| DATA ITEM NO _13: A009 |
| TITLE OF DATA ITEM _13: Ammunition Data Card |
| SUBTITLE _ 13: FAT/LAT ADC |
| AUTHORITY _ 13: DI-MISC-80043B |
| DD 250 REQ _ 13: SD |
| REMARKS _ 13: Block 5. Contract Reference Section E - CAD/PAD Ammunition Data Cards (ADC) and Material Inspection and Receiving Report, paragraph 1. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (CTI) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Once for each production and/or first article lot on the contract.
Blocks 12 & 13. A provisionally accepted (PA-status) ADC is due 20 days prior to submission of lot acceptance test (LAT) samples or first article test (FAT) samples, for NSWC IHD testing, or 20 days prior of LAT/FAT, for contractor testing, for each and every lot on the contract.
Block 14. Distribution Addresses:
N00174 CAD/PAD Department
NSWC IHD
Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| REQUIRING OFFICE _ 13: NSWC IHD, E21 |
| OTHER _ 14: MGMT |
| CONTRACT LINE ITEM NO _ 14: 0001 |
| EXHIBIT _ 14: A |
| SYSTEM/ITEM _ 14: Canopy Jettison Rocket Motor, SS67 |
| DATA ITEM NO _14: A003 |
| TITLE OF DATA ITEM _14: Project Planning Chart |
| SUBTITLE _ 14: Project Planning Chart |
| AUTHORITY _ 14: DI-MGMT-80507C |
| REQUIRING OFFICE _ 14: NSWC IHD, JP |
| DD 250 REQ _ 14: DD |
| REMARKS _ 14: Block 5. Contract Reference Section C - CAD/PAD DESCRIPTION AND SPECIFICATIONS, paragraph 5. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Proprietary Information) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Once for each production and/or first article lot on the contract.
Blocks 13. Due 120 days after contract award with subsequent updates required every 120 days until delivery.
Block 14. Distribution Addresses:
N00174 CAD/PAD Joint Program Office
NSWC IHD
Attn: Code JP via E21* 3817 Strauss Ave, Bldg D323, Ste 230 Indian Head, MD 20640 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| FREQUENCY _ 2: See Block 16 | |
| AS OF DATE _ 2: N/A | |
| DATE OF FIRST SUBMISSION _ 2: See Block 16 | |
| DATE OF SUBSEQUENT SUBMISSION _ 2: See Block 16 | |
| FREQUENCY _ 3: See Block 16 | |
| AS OF DATE _ 3: N/A | |
| DATE OF FIRST SUBMISSION _ 3: 150 DADC | |
| DATE OF SUBSEQUENT SUBMISSION _ 3: See Block 16 | |
| FREQUENCY _ 6: See Block 16 | |
| AS OF DATE _ 6: N/A | |
| DATE OF SUBSEQUENT SUBMISSION _6: See Block 16 | |
| DATE OF FIRST SUBMISSION _ 6: See Block 16 | |
| FREQUENCY _ 7: See Block 16 | |
| AS OF DATE _ 7: N/A | |
| DATE OF FIRST SUBMISSION _ 7: See Block 16 | |
| DATE OF SUBSEQUENT SUBMISSION _ 7: See Block 16 | |
| FREQUENCY _ 8: See Block 16 | |
| AS OF DATE _ 8: N/A | |
| DATE OF FIRST SUBMISSION _ 8: See Block 16 | |
| DATE OF SUBSEQUENT SUBMISSION _ 8: See Block 16 | |
| FREQUENCY _ 9: See Block 16 | |
| AS OF DATE _ 9: N/A | |
| DATE OF SUBSEQUENT SUBMISSION _ 9: See Block 16 | |
| DATE OF FIRST SUBMISSION _ 9: See Block 16 | |
| FREQUENCY _ 10: See Block 16 | |
| AS OF DATE _ 10: N/A | |
| DATE OF SUBSEQUENT SUBMISSION _ 10: See Block 16 | |
| DATE OF FIRST SUBMISSION _ 10: See Block 16 | |
| FREQUENCY _ 13: See Block 16 | |
| AS OF DATE _ 13: N/A | |
| DATE OF FIRST SUBMISSION _ 13: See Block 16 | |
| DATE OF SUBSEQUENT SUBMISSION _ 13: See Block 16 | |
| FREQUENCY _ 14: See Block 16 | |
| AS OF DATE _ 14: N/A | |
| 2026-01-29T09:12:50-0500 | |
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| 2026-01-29T09:13:11-0500 | |
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