E01 EXHIBIT J - CO-B-VHI CDRL B003 TEST REPORT.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

Test Report

1. BLK 4: Prepare in contractor format IAW DID.

2. BLK 9: The following statement shall be included on the deliverable:

"Distribution D / REL TO Colombia: Distribution authorized to Department of Defense and U.S. DoD contractors only. Information has been predetermined by the DoD controlling agency, in accordance with established foreign disclosure policies, to be releasable through established foreign disclosure procedures and channels, to the foreign country and international organization indicated. Date of determination: 31 May 2024. Other requests for this document shall be referred to CECOM ILSC SAMD, AMEL-LCS, 6565 Surveillance Loop, Aberdeen Proving Ground, MD, 21005.

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 acccordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02."

3. Blocks 12 and 13. Provide initial report 20 calendar days after test conduct. Government will provide comments within 15 calendar days. Final due within 15 calendar days after receipt of Government comments.

4. Tailoring Guidance. DID Section 11. Distribution shall be IAW item 2, above.

4. All submissions shall be delivered in Microsoft Office suite of applications (MS Word, Excel, Power Point) by electronic transmittal (email) to the Contracting Officer’s Representative. Submissions to the partner nation shall also be accompanied by printed paper copy. Alternate formats may be allowed subject to Government review and approval.