CDRLS N0010426RK052.pdf

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1356010240737 DW53 Propellant Assembly
Solicitation number
N0010426RK052
Issued by

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This Contract Data Requirements List (DD Form 1423-1) details six data items for a contract with the system/item number 4T-1356-01-024-0737-DW53, issued by NUWC Keyport. The data items include Test Procedure (A001), Test/Inspection Report (A002), Failure Analysis/Corrective Action Report (A003), Ammo Data Card (A004), Certificate of Compliance (A005), and Contractor's Progress, Status and Management Report (A006). Each data item specifies submission requirements, distribution lists, and specific instructions, such as preparing documents in accordance with military standards, submitting reports monthly or per lot, and ensuring compliance with technical specifications and contract requirements. The documents are to be distributed to NAVSUP WSS Contracting Officer, NAVSUP ALC, and NUWC-Keyport, with various submission frequencies ranging from one-time to monthly.

The data items require detailed documentation including process control instructions, inspection procedures, quality conformance reports, material certifications, and progress tracking. Specific requirements include preparing documents using standards like ANSI/ASQC Q9000-2000, submitting reports via mail or email by specified dates, and ensuring compliance with export control regulations. The contract emphasizes thorough documentation of production lots, first article testing, and ongoing quality assurance, with distribution statements indicating the documents are authorized for DOD and U.S. DOD contractors, with critical technology and export controls in place.

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N0010426RK052 0005.pdf PDF
N0010426RK052 0004.pdf PDF
N0010426RK052 0003.pdf PDF
N0010426RK052 0002.pdf PDF
N0010426RK052 0001.pdf PDF
Solicitation - N0010426RK052.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 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.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP ☐ TM ☐ OTHER ☐

D. SYSTEM/ITEM

4T-1356-01-024-0737-DW53

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test Procedure

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI 80603A

5. CONTRACT REFERENCE

ALL DRAWINGS

6. REQUIREING OFFICE

KEYPORT

18. ESTIMATED TOTAL

PRICE

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE TIME

12. DATE OF FIRST SUBMISSION

60 DADC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. ADP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16.REMARKS

THE PLAN IS TO SPECIFY PROCESS CONTROL INSTRUCTIONS AND INSPECTION

PROCEDURES NEEDED TO ENSURE PRODUCT CONFORMANCE TO DRAWINGS,

SPECIFICATIONS, AND CONTRACT REQUIREMENTS IAW ANSI/ASQC Q9000-2000 OR

EQUIVALENT. THE PLAN IS TO INCLUDE FIRST ARTICLE AND PRODUCTION LOT

QUALITY CONFORMANCE INSPECTION PROCEDURES IAW DI-NDTI-80603A ALONG

WITH ALL APPLICABLE DATA ENTRY SHEETS TO BE USED TO DOCUMENT PROCESS

INSPECTIONS.

BLK 14: Distribution List

1. NAVSUP WSS Contracting Officer N772

2. NAVSUP ALC, Code A151

3. NUWC-Keyport Code N323

See section H for distribution POC’s and their emails.

Contract Officer 1 1 0

Program Analyst 1 1 0

Engineer 1 1 0

15. TOTAL 3 3 0

G. PREPARED BY

Robert Kovach

H. DATE

18 June 2025

I. APPROVED BY

John Knecht

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 6 Pages

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 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.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A002

Test/Inspection Report

3. SUBTITLE

Pre-Production & Production Test

DI-NDTI 80809B

ALL DRAWINGS

NUWC KEYPORT

PER LOT

SEE BLOCK 16

Reg Repro

16.REMARKS

THE REPORT IS TO VERIFY PRODUCTION LOT CONFORMANCE TO THE APPLICABLE

DRAWINGS, SPECIFICATIONS, AND CONTRACT REQUIREMENTS. THE REPORT

CONSISTS OF THE PLAN (A001) CONTAINING ALL REQUIRED INSPECTION

RESULTS DOCUMENTED ON THE PLAN’S DATA ENTRY SHEETS. IN ADDITION, THE

REPORT IS TO INCLUDE MATERIAL CERTIFICATIONS AND ALL OTHER PERTINENT

OBJECTIVE QUALITY EVIDENCE. DCMC REVIEWIS REQUIRED PRIOR TO SUBMITTAL

TO NUWC DIVISION KEYPORT. THE REPORT MUST BE APPROVED BY NAVSEA

KEYPORT BEFORE FINAL ACCEPTANCE OF THIS LOT IN WAWF.

BLK 12: DATE OF PRE-PRODUCTION TEST REPORT SUBMISSION – NLT 15 DAYS

AFTER FIRST ARTICLE TEST COMPLETION.

BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 15 DAYS AFTER LOT

ACCEPTANCE TESTING OF SECOND LOT AND BEYOND.

BLK 14: Distribution List

1. NAVSUP WSS Contracting Officer N772

2. NAVSUP ALC, Code A112

Robert Kovach

H. DATE

18 June 2025

I. APPROVED BY

John Knecht

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 6 Pages

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 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.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A003

Failure Analysis/Corrective Action Report

DI-SESS-80255B

Section E

LT

Reg Repro

16.REMARKS

BLK 5: INCLUDE AND TAKE ACTION ON SECTION I IF FAT IS REQUIRED.

BLK 10: FREQUENCY - IS DETERMINED BY NUMBER OF FAT/LAT FAILURES.

BLK 12: DATE OF FIRST SUBMISSION – NLT AN INTERIM REPORT IS DUE NLT

10 DAYS AFTER NOTIFICATION OF LOT FAILURE. A FINAL REPORT IS DUE 30

DAYS AFTER NOTIFICATION OF LOT FAILURE.

BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 10 DAYS AFTER FAT

COMPLETION OF SECOND FAILED LOT AND BEYOND.

2. NAVSUP ALC, Code A112

Contract Officer 0 1 0

Program Analyst 0 1 0

Engineer 0 1 0

15. TOTAL 0 3 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 6 Pages

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 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.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A004

Ammo Data Card (ADC)

DID-MISC-80043B

Section C

AS OF DATE

Reg Repro

16.REMARKS

BLK 4: DATA CARD SHALL BE PREPARED IN ACCORDANCE WITH MIL-STD-1168,

AS CHANGED BY ADL EXCEPTIONS AND THE CONTRACT DOCUMENT LIST BY

ACCESSING THE WORLDWIDE AMMUNITION-DATA REPOSITORY (WARP) WHICH IS

LOCATED: https://mhpwarp.redstone.army.mil. AN ACCESS REQUEST FORM

MUST BE COMPLETED BEFORE WARP CAN BE ACCESSED. QUESTIONS SPECIFIC TO

WARP SHOULD BE ADDRESSED TO ONE OF THE RESPECTIVE POCs AS LISTED ON

THE WEBSITE.

BLK 10,12,13: DATA CARDS PROVIDED TO NAVSEA PMS-404 AND THOSE SENT

WITH SHIPMENTS SHALL BE HARDCOPY PRINTOUTS GENEREATED WITH THE WARP

PROGRAM AND SHALL BE SIGNED AND DATED BY THE GOVERNMENT INSPECTOR.

NAVSEA PMS-404 SUBMISSIONS SHALL ALSO INCLUDE HARDCOPY PRINTOUT OF

SAMPLES CARDS (SEE MIL-STD-1168, PARA 4.3.1.4)

2. NAVSUP ALC, Code A112

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 of 6 Pages

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 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.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A005

Certificate of Compliance

3. SUBTITLE

Certificate of Compliance

DID-81356

Reg Repro

16.REMARKS

BLK 5: ENSURE COMPLIANCE IAW DWG 3209534 REV G CERTIFICATES

OF COMPLIANCE (COC) ARE TO BE PROVIDED TO SHOW CONFORMANCE TO ALL

ASSOCIATED DRAWINGS, NOTICES OF REVISION, SPECIFICATIONS, AND

CONTRACT REQUIREMENTS AS PROVIDED IN TECHNICAL DATA PACKAGE.

BLK 9: DISTRIBUTION STATEMENT "D" - DISTRIBUTION AUTHORIZED TO

DOD AND U.S. DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY, EXPORT

CONTROLLED (8/25/2016). OTHER REQUESTS SHALL BE REFERRED TO

PEO-SUBS (PMS404).

"WARNING" THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT

IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C. SEC.

2751 ET. SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED,

TITLE 50, U.S.C. APP. 2401 ET. SEQ. VIOLATORS OF THESE EXPORT LAWS

ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE PER THE

PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE - FOR UNCLASSIFIED, LIMITED DOCUMENTS,

DESTROY BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF

CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10-13: COC SHALL BE SUBMITTED WITH EACH DELIVERY, INCLUDING

FIRST ARTICLE DELIVERY.

2. NAVSUP ALC, Code A112

15. TOTAL 0 1 0

Robert Kovach

H. DATE

18 June 2025

I. APPROVED BY

John Knecht

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 of 6 Pages

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 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.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

A006

Contractor’s Progress, Status and Management Report

DI-MGMT-81928

MNTHLY

Reg Repro

16. REMARKS

BLK 11, 12,14: THE DD-375 REPORT SHALL BE SUBMITTED VIA MAIL OR EMAIL ON OR BEFORE THE 5TH DAY OF EAC

MONTH AFTER CONTRACT AWARD.

2. NAVSUP ALC, Code A112

15. TOTAL

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 6 of 6 Pages

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