Exhibit A - Contract Data List Requirements (CDRLs) - DD 1423.pdf

PDF 5 MB Posted Oct 9, 2020

Attached to: MEDIUM CALIBER NON-RECURRING ENGINEERING (NRE) - AMENDMENT NO. 0001 Federal contract opportunity
Solicitation number: W15QKN20R0104
Issued by: Department of the Army Materiel Command Contracting Command Picatinny Arsenal

About this file

Written by GovTribe AI · Dec 31, 2023

This solicitation requests proposals for medium caliber non-recurring engineering support including development, manufacturing, design, and testing services. The Army Contracting Command - New Jersey is seeking these capabilities on behalf of the Project Manager for Maneuver Ammunition Systems for prototype and production samples of mechanical and electronic components and subsystems/systems in the 20mm to 50mm caliber range. The objectives are to assess enhanced lethality and accuracy technologies for legacy and future medium caliber ammunition components and improve production of standard cannon ammunition and components. The anticipated contract type is other than full and open competition in accordance with FAR 6.302-3 for industrial mobilization, engineering, development, or research capabilities.

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Other files attached to MEDIUM CALIBER NON-RECURRING ENGINEERING (NRE) - AMENDMENT NO. 0001, newest first.
File	Type	Posted
W15QKN20R0104-0001.pdf	PDF	Oct 28, 2020
Attachment 0003 - Non-Disclosure and Non-Use Agreement NRE 28Oct2020.doc	DOC document	Oct 28, 2020
W15QKN20R0104 Released 9OCT2020.pdf	PDF	Oct 9, 2020
Attachment 0010 Preaward_Survey_of_Prospective_Contractor_Accounting_System_Checklist.pdf	PDF	Oct 9, 2020
Attachment 0004 - Clearance of Technical Information - INME-PIC-IM Form 3002.pdf	PDF	Oct 9, 2020
Attachment 0009 MedCal NRE Price Matrix.xlsx	XLSX spreadsheet	Oct 9, 2020
Attachment 0001 - Past Performance Questionnaire.docx	DOCX document	Oct 9, 2020
Attachment 0007 - Additional Solicitation and Contract Requirements.docx	DOCX document	Oct 9, 2020
Attachment 0002 - Contract Quality Requirements.docx	DOCX document	Oct 9, 2020
Attachment 0008 - QASP for Med Cal NRE Base Task Order.pdf	PDF	Oct 9, 2020
Attachment 0005 - DD 2345 Military Critical Technical Agreement.pdf	PDF	Oct 9, 2020
Attachment 0003 - Non-Disclosure and Non-Use Agreement NRE.DOC	DOC document	Oct 9, 2020
Attachment 0006 - AMSTA-AR 1350 Tech Data Request Questionnaire.pdf	PDF	Oct 9, 2020

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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 (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 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

Med Cal NRE

A001 Ammunition Data Card (ADC) FCDD-ACE-QPB

DI-MISC-80043B SOW Paragraph 3.4.5 FCDD-ACE-QPB

As Required

Block 16

As Required

0 0 0

Ammo Data Cards (ADC) shall be prepared IAW MIL-STD-1168 (current revision) and electronic submission shall be accomplished by accessing the Worldwide Ammunition Data Repository Program (WARP) and shall follow the format required by the worldwide web application identified as WARP or Worldwide Ammunition-data Repository Program at https://mhp.redstone.army.mil.

Input a sample card into WARP thirty (30) days prior to First Article Test (FAT), or production if FAT is not applicable, for review and approval of technical content. When submitting the sample card for review, include the words "SAMPLE CARD ONLY" in the remarks section of the ADC.

Hard copy ADCs shall be generated from WARP and must accompany each production lot.

Card shall be signed and dated by the Government Agency Responsible for Government Acceptance (GARA) usually the DCMA QAR or other Government designee. When ballistic tests at Government proving grounds are required, two (2) hard copy ADCs shall be generated and accompany the lot. Further guidance for this requirement shall be specified/detailed in each order.

*****Every avenue shall be pursued to ensure an accurate ADC is produced with all appropriate documentation included. Any unknown components, older components, off the shelf items and different lot interfix numbers (with the reason for different interfix numbers) can be annotated in the "REMARKS SECTION". This includes any and all information that is unavailable at the time of production.

*****With the permission of the GARA, older lots of ammunition that undergo the renovation process may not contain all required information. this unknown information can clarified in the REMARKS. Any additional special conditions that apply to the lot shall be documented in the REMARKS .

NOTE: Submission shall commence with the first deliverable lot and continue with each subsequent lot. ADCs shall include procurement acquisition numbers for each applicable Request for Deviation, Notice of Revision and Engineering Change Proposal listed on the card.

Submit an email Letter of Transmission (LT) notifying the Product Quality Manager identified below when a card has been entered into WARP.

Email to: Linda Torres (PQM), FCDD-ACE-QPB, linda.torres4.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

22-Jan-2020

Adobe Professional 8.0

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A002 MEASUREMENT SYSTEM EVALUATION (MSE) –

Measurement and Inspection Equipment System Design

Acceptance Inspection Equipment (AIE)

DI-QCIC-81960 SOW Paragraph 3.4.6 FCDD-ACM-MJ

As Required

Block 16

As Required

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QPB 0 1 0

0 5 0

EXPORT CONTROL WARNING NOTICE: 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 2401ET SEQ). Violations of these export laws are subject to severe criminal penalties. Dissemination shall be in accordance with provisions of DOD Instruction DODI 5230.24.

DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only to protect technical or operational data as determined on 10 March 2010. Other requests for this document shall be referred to the Office of the Project Manager for Maneuver Ammunition Systems: SFAE-AMO-MAS, Picatinny Arsenal, NJ 07806-5000.

Block 12: AIE for critical characteristics and key characteristics (as determined in accordance with sections 3.4.4 and 3.4.5) shall be submitted in accordance with Section E of the contract and DI-QCIC-81960. If Automated Acceptance Inspection Equipment (AAIE) is proposed, the design, testing, and approval of the equipment shall be in accordance with MIL-A-70625A Notice 2.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Linda Torres (PQM), FCDD-ACE-QPB, linda.torres4.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A003 Accident/lncident Report

DI-SAFT-81563 SOW Paragraph 3.5.1 FCDD-ACE-QPB

Block 16

As Required

Block 16

As Required

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QPB 0 1 0

0 5 0

Block 10 and 12: The Contractor shall report immediately any major accident/incident (including fire) resulting in any one or more of the following: causing one or more fatalities, or one or more disabling injuries; exceeding $10,000 of Government property damage;

affecting planning or production schedules; degrading the safety of equipment under contract, such that personal injury or property damage may be involved; identifying a potential hazard requiring corrective action. The Contractor shall prepare the report in accordance with DI-SAFT-81563 for each incident in accordance with the CDRL.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Linda Torres (PQM), FCDD-ACE-QPB, linda.torres4.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A004 SAFETY ASSESSMENT REPORT (SAR)

DI-SAFT-80102C SOW Paragraph 3.5.2 FCDD-ACE-QSF

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12 and 13: The Contractor shall prepare a Safety Assessment Report (SAR) of the item IAW Contract Data Requirements List (CDRL) requirements and deliver the SAR to the Government within ninety (90) days prior to testing at a government facility. The SAR should evaluate the risks associated with testing/demonstrating a system at the government facility, identify all safety features of the system and all related hazards associated with testing/demonstrating, and the mitigations (procedures, precautions, etc.) required to minimize risks and safely conduct testing. The SAR shall contain range safety data (e.g.

recommended Surface Danger Zone), results from the contractor’s safety assessments, hazard analyses, and testing IAW DI-SAFT-80102C. MIL-STD-882 (latest revision) can be used for guidance. One SAR shall be submitted for each unique configuration.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A005 Technical Report - Study/Services Final Hazard Classification

DI-MISC-80508B SOW Paragraph 3.5.3.1 FCDD-ACE-QSF

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12 and 13: The Contractor is responsible for obtaining Final Hazard Classification and an EX number for the MXX from the Department of Transportation. The Contractor shall make certain that the material is tested IAW Part 173, Subpart C, Section 173.58(a) of Title 49 Code of Federal Regulations (CFR) Parts 106-180 to assign proper class and division for all explosives (Division 1.1, 1.2, 1.3, and 1.4 explosives). Registration with the Associate Administrator of Hazardous Materials Safety is required IAW Part 173, Subpart , Section 173.56(b)(1) or 173.56(c) of Title 49 CFR so that markings in accordance with 172, Subpart D, Section 172.301(a) and 172.302(a) are met. Hazard classification documents, to to include the final DOT approved EX#, shall be forwarded to the U.S. Army RDECOM-ARDEC, ATTN: RDAR-EIQ-SF, Picatinny Arsenal, NJ 07806-5000 IAW DI-MISC-80508, Technical Report.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A006 Explosive Hazard Classification Data Report (EHCDR) Interim Hazard Classification (IHC)

DI-SAFT-81299C SOW Paragraph 3.5.3.2 FCDD-ACE-QSF

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12 and 13: The Contractor may, at his option, utilize the capability of ARDEC to obtain Interim Hazard Classification (IHC) for shipment of R&D quantities of energetic materials/items in support of this contract. If the Contractor elects to use RDECOM-ARDEC for this support, the Contractor will need to provide technical data to RDECOM-ARDEC sixty (60) days prior to shipment of the energetic materials/items. The necessary data is explained in Army Technical Bulletin (TB) 700-2 and DI-SAFT-81299C.

DOT and UN serial number information and packaging method are available in Title 49, Code of Federal Regulations (CFR). The explosive weight for quantity-distance determination is obtained using the guidance of paragraph 15.4 of AMC-R 385-100. If, during the contract, the Contractor needs to obtain or handle alternate explosives for this SOW, then this SOW must be resubmitted to the System Safety Office so that the appropriate safety data can be included in the SOW, if available.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A007 Technical Report–Study/Services US Supplier Hazard Classification

DI-MISC-80508B SOW Paragraph 3.5.4.2.1 FCDD-ACE-QSF

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12 and 13: For energetic materials or energetic items made in the US, the Contractor is responsible for obtaining hazard classification from the Department of Transportation prior to any shipment of energetic materials. All US manufacturers shall make certain that the material is tested IAW Part 173, Subpart C, Section 173.58(a) of Title 49, CFR Parts 106-180 to assign proper class and division for all explosives. Registration with the Associate Administrator of Hazardous Materials Safety is required IAW Part 173, Subpart C, Section 173.56(b)(1) or 173.56(c) of Title 49 CFR so that marking in accordance with Part 172, Subpart D, Section 172.301(a) and 172.32(a) are met. Hazard classification documents shall be submitted IAW DI-MISC-80508B.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A008 Technical Report–Study/Services Foreign Supplier Hazard Classification

DI-MISC-80508B SOW Paragraph 3.5.4.2.2 FCDD-ACE-QSF

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12 and 13: For energetic materials or energetic items from a foreign country, the foreign company shall provide specific hazard classification. This specific hazard classification information should include, at a minimum, a letter from the Competent Authority issued in accordance with part 2, Chapter 2.0 and Chapter 2.1, paragraph 2.1.2 of United Nations-Transport of Dangerous Goods, ST/SG/AC.10/1 Latest Revision, approves the hazard and a compatibility group assignment, and assigns an appropriate shipping name to the energetic material or energetic item. If available, the test data from running UN Test Series 4(a), 4(b)(ii), 6(a) or 6(b) and 6(c) should be obtained. The information and test data shall be submitted IAW DI-MISC-80508B.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A009 SYSTEM SAFETY HAZARD ANALYSIS REPORT

(SSHAR)

DI-SAFT-80101C SOW Paragraph 3.5.8.1 FCDD-ACE-QSF

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12 and 13: The Contractor shall perform a System Safety Hazard Analysis Report (SSHAR) (DI-SAFT-80101C) IAW MIL-STD-882D. MIL-STD-882D shall be used as a guide to establish severity and probability levels for all hazards that are assessed. The report shall be updated throughout the contract to provide a continuous hazard tracking capability.

The SSHAR shall address both hardware and software safety as an integral part of the overall system safety effort.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A010 Hazardous Materials Management Program (HMMP) Plan

DI-MGMT-81398C SOW Paragraph 3.6.2 FCDD-ACE-QSF

As Required

Block 16

As Required

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12: The Contractor shall prepare and follow a Hazardous Material Management Program (HMMP) Plan using paragraph 5.2 of NAS 411 for guidance. The full HMMP shall be generated IAW DI-MGMT-81398C and will be reviewed and approved by the contracting officer. The production efforts under this contract shall be conducted IAW the HMMP plan.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A011 Hazardous Materials Management Program (HMMP) Report

DI-MISC-81397C SOW Paragraph 3.6.2 FCDD-ACE-QSF

As Required

Block 16

As Required

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12: The Contractor shall prepare an HMMP report IAW DI-MISC-81397C. The report shall include a description of the hazardous materials used in the development and production processes and the hazardous materials that have been eliminated or reduced in the production processes. Submission shall also address ozone depleting chemicals (ODCs), as required by Public Law 102-484, Section 326.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A012 Certificate of Compliance

DI-MISC-81356A SOW Paragraph 3.6.3 FCDD-ACE-QSF

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

0 5 0

Block 12 and 13: The Contractor shall provide records to verify that all materials used for the manufacturing of the munitions are in compliance with the materials, construction and design requirements specified in the TDP or specifications for each lot of cartridges submitted for acceptance, including a certification that Class 1 Ozone Depleting Chemicals (ODCs) are not being used. A Certificate of Compliance shall be prepared and submitted to the US Government representative IAW DI-MISC-81356A. The Contractor shall also advise that this procurement does not include any of the Designated Items identified in the Environmental Protection Agency (EPA's) Comprehensive Procurement Guidelines (CPG).

Parts II and III are not applicable.

Submit requested data electronically to the points of contact listed below:

(1) Kathy N. Conklin (PCO), ACC-NJ-MC, katherine.n.conklin.civ@mail.mil,

(2) Reagan W Weltner (Contract Specialist), ACC-NJ-MC, reagan.w.weltner.civ@mail.mil,

(3) Meghan P Katara (Technical COR), FCDD-ACM-MJ, meghan.p.katara.civ@mail.mil,

(4) Erinn H McCarthy (Alternate Technical COR), FCDD-ACM-MJ, erinn.h.mccarthy.civ@mail.mil,

(5) Hector A Rodriguez Pacheco (Safety), FCDD-ACE-QSF, hector.a.rodriguezpacheco.civ@mail.mil

Linda Torres TORRES.LINDA.1393687629 Digitally signed by TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:23 -05'00' 22-Jan-2020

Linda Torres

TORRES.LINDA.1393687629

Digitally signed by

TORRES.LINDA.1393687629

Date: 2020.01.22 09:16:44 -05'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

Med Cal NRE

A013 Explosive Ordnance Disposal Data EOD Source Data, EOD Testing, EOD Test Data

DI-SAFT-80931B SOW Paragraph 3.7.1, 3.7.2, 3.7.3 FCDD-ACM-XO

As Required

Block 16

ACC-NJ-MC 0 2 0

FCDD-ACM-MJ 0 2 0

FCDD-ACE-QSF 0 1 0

FCDD-ACM-XO 0 1 0

0 6 0

Block 12 and 13: The Contractor shall meet all EOD requirements as stated by DoD directive 5160.62, and use AR 75-15 for reference and information only. The contractor shall prepare EOD data IAW DI-SAFT-80931B.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Oct 9, 2020.