CDRLsB.pdf

PDF 975 KB Posted Aug 10, 2022

Attached to: RR-202 Chaff Federal contract opportunity
Solicitation number: FA8213-22-R-3020
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

About this file

Written by GovTribe AI · Dec 27, 2023

This document contains five Contract Data Requirements Lists (CDRLs) for the production of RR-202 Chaff under Solicitation Number FA8213-22-R-3020. The CDRLs require the submission of an Ammunition Data Card, Performance Oriented Packaging Test Report, Engineering Change Proposals, Notices of Revision, and Requests for Variance. Additional required deliverables include a Quality Assurance Program Plan, Contractor Progress Reports, Test/Inspection Reports for Lot Acceptance Testing, and Failure Summary and Analysis Reports. Submissions will be made electronically using Wide Area Workflow or via email in Microsoft Office or PDF format. The Department of the Air Force Materiel Command Lifecycle Management Center at Hill Air Force Base intends to award a sole source contract to Armtec Countermeasures Company for the production of RR-202 Chaff.

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Other files attached to RR-202 Chaff, newest first.
File	Type	Posted
FA821322R3020_______0002.pdf	PDF	Sep 22, 2022
FA821322R3020_______0001.pdf	PDF	Aug 30, 2022
CDRLsG.pdf	PDF	Aug 10, 2022
RR202SOWFinal.pdf	PDF	Aug 10, 2022
CDRLsH.pdf	PDF	Aug 10, 2022
CDRLsF.pdf	PDF	Aug 10, 2022
CDRLsC.pdf	PDF	Aug 10, 2022
CDRLsE.pdf	PDF	Aug 10, 2022
CDRLsD.pdf	PDF	Aug 10, 2022
Attachment1REPSHIP.pdf	PDF	Aug 10, 2022
Attachment2WARP.pdf	PDF	Aug 10, 2022
CDRLA.pdf	PDF	Aug 10, 2022
Attachment3ES7034.pdf	PDF	Aug 10, 2022
FA821322R3020.pdf	PDF	Aug 10, 2022

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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 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 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 MISC

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Ammunition Data Card (ADC)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80043B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 7: The electronic receiving report shall be annotated with Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.

BLK 8: Within 30 calendar days of receipt, Government Engineer thru WAWF notice of notice of approval/disapproval. If disapproved, Government Engineer response thru WAWF will include instruction for remediation.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only (Critical Technology)(Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHCC.

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(Title 50, U.S.C, App 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10, 12, 13: Submit after successful Lot Acceptance Test and prior to delivery of each production lot. Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: A sample ADC or "draft" will be generated and submitted using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable. For the final submittals, one hard copy of ADCs shall be generated from the WARP and submitted with the electronic receiving report via WAWF to AFLCMC/EBHCC. The final ammo data card shall be uploaded in WAWF under DoDAAC FA8213.

FOB DESTINATION

EBH 22-195-001

Terry McCurdy/AFLCMC/EBHEC/586-0535

WAWF 0 1 0

DoDAAC FA8213

Sample ADC via

WARP sys only 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

17. PRICE GROUP

2022071820220718

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER PACK

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

Performance Oriented Packaging (POP) Test Report

3. SUBTITLE

POP Test Reports Hazardous Material

4. AUTHORITY (Data Acquisition Document No.)

DI-PACK-81059B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Format and submission of the Performance Oriented Packaging Test Report shall be in accordance with requirements stated in DID.

BLK 7: Acceptance/Rejection of final report will be within 7 days from date of receipt. Electronic receiving report required via internet Wide Area Work Flow (WAWF, DoDAAC FA8213) at http://wawf.eb.mil. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMEN B. Distribution authorized to U.S.

Government agencies only (Administrative or Operational Use)(Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHCC.

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((Title 50, U.S.C, App 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 11, 12 & 13: Test report due 30 days prior to shipment. For Multi-year contracts, the contractor shall re-perform the POP testing at a U.S Government approved Performance-Oriented Packaging (POP) test laboratory IAW CFR 49 if:

(a) The initial POP test report expires before the end of the contract (single pack certification is valid for a period of 1 year;

combination pack POP certification is valid for a period of 2 years).

(b) There is a change in container manufacturer, design, or manufacturing processes of the container.

EXCEPTION TO POP MARKINGS: If the container is manufactured outside the USA, the contractor/container manufacturer shall be responsible to perform the POP certification tests IAW the United Nations Recommendations on the Transport of Dangerous Goods and apply the marking authorized by the Transportation Competent Authority of the country of manufacture.

FOB DESTINATION

EBH 22-195-001

Terry McCurdy, AFLCMC/EBHEC, 586-0535

WAWF 0 1 0

DoDAAC, FA8213

15. TOTAL 0 1 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

20220718

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80639E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of Engineering Change Proposal shall contain all information required by DD Form 1692.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 calendar days of receipt, Government Engineer thru the Government Contracting Officer will respond with notice of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed Engineering Change Proposal shall be by signed contract modification.

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(Title 50, U.S.C, App 2401 et seq.),, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the Government Contracting Officer (AFLCMC/EBHKC).

robert.morgan.27@us.af.mil (AFLCMC/EBHEC)

FOB DESTINATION

EBH 22-195-001

Terry McCurdy/AFLCMC/EBHEC/586-0535

AFLCMC/EBHEC 2 2 0

AFLCMC/EBHCC 1 1 0

AFLCMC/EBHKC 1 1 0

DCMA/QAR 1 1 0

DCMA/ACO 1 1 0

15. TOTAL 6 6 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80642E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of Notice of Revision shall contain all information required by DD Form 1695.

BLK 8: Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed Notice of Revision shall be by signed contract modification (AFLCMC/EBHKC).

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipient(s) listed below.

Refer to contract for e-mail address of the Government Contracting Officer (AFLCMC/EBHKC).

robert.morgan.27@us.af.mil (AFLCMC/EBHEC)

FOB DESTINATION

EBH 21-313-001

Terry McCurdy/AFLCMC/EBHEC/586-0535

AFLCMC/EBHEC 1 1 0

AFLCMC/EBHKC 1 1 0

DCMA/QAR 1 1 0

DCMA/ACO 1 1 0

15. TOTAL 4 4 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B005

2. TITLE OF DATA ITEM

Request for Variance (RFV)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80640E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of Request for Variance shall contain all information required by DD Form 1694.

BLK 8: Government Engineer will perform review of the RFV. Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval shall be signed contract modification (AFLCMC/EBHKC).

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 (Title 50, U.S.C, App 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

(AFLCMC/EBHKC).

robert.morgan.27@us.af.mil (AFLCMC/EBHEC)

FOB DESTINATION

EBH 22-195-001

Terry McCurdy/AFLCMC/EBHEC/586-0535

AFLCMC/EBHEC 1 1 0

AFLCMC/EBHCC 1 1 0

DCMA/QAR 1 1 0

DCMA/ACO 1 1 0

15. TOTAL 4 4 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B006

2. TITLE OF DATA ITEM

Failure Summary and Analysis Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format required for both the Preliminary and Final report.

BLK 8: Within 30 calendar days of receipt, Government Engineer thru the Government Contracting Officer will respond with notice of approval/disapproval. If disapproved, Government Engineer response through the Government Contracting Officer will include instruction for remediation.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only (Critical Technology) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHCC.

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 (Title 50, U.S.C, App 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10, 12, 13: Notify AFLCMC/EBHCC Engineering of failure of lot acceptance testing, or failure to complete lot acceptance testing within 1 business day. Submit a preliminary report within 7 calendar days of each failure. Submit a revision or final report within 15 calendar days after receipt of AFLCMC/EBHCC revised or final comments.

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail listed below. Refer to contract for e-mail address of the Government Contracting Officer.

FOB DESTINATION

EBH 22-195-001

Terry McCurdy/AFLCMC/EBHEC/586-0535

Contr. Officer 1 1 0

AFLCMC/EBHCC 1 1 0

DCMA/QAR 1 1 0

15. TOTAL 3 3 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B007

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Lot Acceptance Test

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable.

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:

https://wawf.eb.mil. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 calendar days of receipt, Government Engineer thru WAWF notice of approval/disapproval. If disapproved, Government Engineer response thru WAWF will include instructions for remediation.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to Department of Defense and U.S. DoD contractors only (Critical Technology)(Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHCC.

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( Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10,12,13: Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit through WAWF, DoDAAC, FA8213, as well as the Worldwide Ammunition-Data Repository Program (WARP) system.

FOB DESTINATION

EBH 22-195-001

Terry McCurdy/AFLCMC/EBHEC/586-0535

WAWF 0 1 0

DoDAAC, FA8213

WARP 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER QCIC

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B008

2. TITLE OF DATA ITEM

Quality Assurance Program Plan (QAPP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81794A

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4 : Contractor's format is acceptable.

BLK 7: The electronic receiving report required via internet Wide Area Work Flow (WAWF, DoDAAC FA8213) at: https://wawf.eb.mil. The electronic receiving report shall be used only for that data item; do not combine other data item submittals with this requirement.

Electronic receiving report shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data.

BLK 8: Within 30 calendar days of receipt, the Government Engineer through the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response through the Government Contracting Officer will include instructions for remediation.

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(Title 50, U.S.C, App 2401 et seq.), , as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10, 12, 13: The Contractor shall provide a Quality Assurance Program Plan 30 calendar days after contract award. No changes to previously approved QAPP shall be made without prior approval from AFLCMC/EBHCC Engineering, in accordance with Airmunitions Specification.

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit through WAWF under DoDAAC FA8213.

FOB DESTINATION

EBH 22-195-001

Terry McCurdy/AFLCMC/EBHEC/586-0535

WAWF 0 1 0

DoDAAC, FA8213

15. TOTAL 0 1 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

1377016421574

E. CONTRACT/PR NO.

FD2020-22-52833

F. CONTRACTOR

1. DATA ITEM NO.

B009

2. TITLE OF DATA ITEM

Contractor's Progress and Status Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81928

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format and content preparation instructions as specified in the Data Item Description.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to U.S.

Government agencies (Critical Technology)(Date of Contract Award).

Other requests for this document shall be referred to AFLCMC/EBHCC.

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 (Title 50, U.S.C. App. 2401 et seq.) as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10, 12, 13: Initial submission of report shall be made 30 days after contract award. Subsequent submittals are due monthly until successful completion of contract.

BLK 14: Submit report electronically via e-mail in Microsoft Office software or PDF format to the e-mail recipients listed below. Refer to contract for address of the government contracting officer.

mark.r.noorda@us.af.mil (AFLCMC/EBHCC) AFLCMC.EBHC.CMFlares@us.af.mil

FOB DESTINATION

EBH 21-313-001

Terry McCurdy, AFLCMC/EBHEC, 586-0535

AFLCMC/EBHCC 0 1 0

AFLCMA/EBHKC 0 1 0

DCMA/QAR 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 4 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/07/15

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL PRICE

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

File details come from the government source that posted it. Updated Aug 10, 2022.