Exhibit A - M81.pdf

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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 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 Adobe Professional 8.0

B EXHIBIT:

OTHER:

E CONTRACTPR NO:

F CONTRACTOR:

2 TITLE OF DATA ITEM: TEST/INSPECTION REPORT

3 SUBTITLE: PROPELLANT DATA SHEET/ENERGETIC DESCRIPTION SHEET

5 CONTRACT REFERENCE: SECTION C, PARAGRAPH C.3.8.2

6 REQUIRING OFFICE: FCDD-ACM-MG

9 DIST STATEMENT REQUIRED: SEE BLOCK 16

10 FREQUENCY: SEE BLOCK 16

12 DATE OF FIRST SUBMISSION: SEE BLOCK 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: N/A

H DATE: 4 Jun 21 a ADDRESSEERow1: MHP

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J DATE: 14 Jun 21

17 PRICE GROUP:

18 ESTIMATED TOTAL PRICE:

Page: 1 of: 1

Text1:

Text2: M81

Text3: A006

Text4: DI-NDTI-80809B (TAILORED)

Text5:

Text6:

Text7: BEKIM ISOVSKI

Text8: JAMES CASE

Text9: BLOCK 4: ONLY PARAGRAPHS 10.2.6.4, 10.2.6.4.1, AND 10.2.6.4.2 SHALL APPLY.

BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 10: A SUBMISSION SHALL BE MADE FOR EACH LOT OR BATCH PROCESSED.

BLOCK 12: SUBMISSION SHALL BE PRIOR TO ACCEPTANCE OF EACH PRODUCTION LOT IN WIDE AREA WORKFLOW (WAWF).

BLOCK 14: SUBMIT ELECTRONICALLY TO: HTTPS://MHP.REDSTONE.ARMY.MIL/MHPMAIN.ASPX

NOTE: THE DATA/DESCRIPTION SHEETS SHALL BE IN PDF FILE FORMAT AND UPLOADED DIRECTLY TO THE MUNITIONS HISTORY PROGRAM'S (MHP's) DESCRIPTION SHEETS AND LOADING AUTHORIZATIONS MODULE.

2021-06-04T07:44:43-0400

CASE.JAMES.W.1031609751

2021-06-14T09:04:46-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

Text14: 0

Text15: 2

Text16: 0

Check Box17: Off

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

B EXHIBIT:

OTHER:

E CONTRACTPR NO:

F CONTRACTOR:

2 TITLE OF DATA ITEM: CERTIFICATION/DATA REPORT

3 SUBTITLE: MATERIAL CERTIFICATIONS

5 CONTRACT REFERENCE: SECTION C, PARAGRAPH C.3.9

6 REQUIRING OFFICE: FCDD-ACM-MG

9 DIST STATEMENT REQUIRED: SEE BLOCK 16

10 FREQUENCY: SEE BLOCKS 12&13

12 DATE OF FIRST SUBMISSION: SEE BLOCK 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: SEE BLOCK 16

H DATE: 4 Jun 21 a ADDRESSEERow1: FCDD-ACM-MG

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J DATE: 14 Jun 21

17 PRICE GROUP:

18 ESTIMATED TOTAL PRICE:

Page: 1 of: 1

Text1:

Text2: M81

Text3: A007

Text4: DI-MISC-80678 (TAILORED)

Text5:

Text6:

Text7: BEKIM ISOVSKI

Text8: JAMES CASE

Text9: BLOCK 4: PARAGRAPHS 10.2.2, 10.2.3, AND 10.4 SHALL NOT APPLY.

BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 12: SUBMIT WITHIN 5 CALENDAR DAYS OF SHIPMENT OF DESIGN VERIFICATION TEST UNITS.

BLOCK 13: SUBMIT WITH PHYSICAL CONFIGURATION AUDIT (PCA) REPORT, FIRST ARTICLE TEST (FAT) REPORT, AND EVERY LOT ACCEPTANCE TEST (LAT) REPORT.

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:45:48-0400

CASE.JAMES.W.1031609751

2021-06-14T09:07:21-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

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Text15: 3

Text16: 0

Check Box17: Off

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

B EXHIBIT:

OTHER:

E CONTRACTPR NO:

F CONTRACTOR:

2 TITLE OF DATA ITEM: ACCIDENT/INCIDENT REPORT

3 SUBTITLE:

5 CONTRACT REFERENCE: SECTION C, PARAGRAPH C.3.10.2.1

6 REQUIRING OFFICE: FCDD-ACE-QSC

9 DIST STATEMENT REQUIRED: SEE BLOCK 16

10 FREQUENCY: AS REQUIRED

12 DATE OF FIRST SUBMISSION: N/A

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: N/A

H DATE: 4 Jun 21 a ADDRESSEERow1: CCNJ-ET

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J DATE: 14 Jun 21

17 PRICE GROUP:

18 ESTIMATED TOTAL PRICE:

Page: 1 of: 1

Text1:

Text2: M81

Text3: A008

Text4: DI-SAFT-81563

Text5:

Text6:

Text7: BEKIM ISOVSKI

Text8: JAMES CASE

Text9: BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 10: A SEPARATE SUBMISSION SHALL BE MADE WITHOUT DELAY FOR EACH OCCURRENCE.

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:49:25-0400

CASE.JAMES.W.1031609751

2021-06-14T09:08:37-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

Text14: 0

Text15: 6

Text16: 0

Check Box17: Off

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

B EXHIBIT:

OTHER:

E CONTRACTPR NO:

F CONTRACTOR:

2 TITLE OF DATA ITEM: ENGINEERING CHANGE PROPOSAL (ECP)

3 SUBTITLE:

5 CONTRACT REFERENCE: SECTION C, PARAGRAPH C.3.11.1

6 REQUIRING OFFICE: FCDD-ACM-MG

9 DIST STATEMENT REQUIRED: SEE BLOCK 16

10 FREQUENCY: AS REQUIRED

12 DATE OF FIRST SUBMISSION: N/A

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: N/A

H DATE: 4 Jun 21 a ADDRESSEERow1: CCNJ-ET

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J DATE: 14 Jun 21

17 PRICE GROUP:

18 ESTIMATED TOTAL PRICE:

Page: 1 of: 1

Text1:

Text2: M81

Text3: A009

Text4: DI-SESS-80639E

Text5:

Text6:

Text7: BEKIM ISOVSKI

Text8: JAMES CASE

Text9: BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:50:38-0400

CASE.JAMES.W.1031609751

2021-06-14T09:10:04-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

Text14: 0

Text15: 4

Text16: 0

Check Box17: Off

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

B EXHIBIT:

OTHER:

E CONTRACTPR NO:

F CONTRACTOR:

2 TITLE OF DATA ITEM: NOTICE OF REVISION (NOR)

3 SUBTITLE:

5 CONTRACT REFERENCE: SECTION C, PARAGRAPH C.3.11.1

6 REQUIRING OFFICE: FCDD-ACM-MG

9 DIST STATEMENT REQUIRED: SEE BLOCK 16

10 FREQUENCY: AS REQUIRED

12 DATE OF FIRST SUBMISSION: N/A

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BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:51:32-0400

CASE.JAMES.W.1031609751

2021-06-14T09:12:29-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

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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

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Text9: BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:52:25-0400

CASE.JAMES.W.1031609751

2021-06-14T09:14:53-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

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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

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Text9: BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:53:35-0400

CASE.JAMES.W.1031609751

2021-06-14T09:15:59-0400

ISOVSKI.BEKIM.1298079972

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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

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Text9: BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 12: SUBMIT NO LATER THAN 30 CALENDAR DAYS PRIOR TO FIRST ARTICLE.

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:54:36-0400

CASE.JAMES.W.1031609751

2021-06-14T09:17:29-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

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Check Box17: Off

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

B EXHIBIT:

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10 FREQUENCY: AS REQUIRED

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J DATE: 14 Jun 21

17 PRICE GROUP:

18 ESTIMATED TOTAL PRICE:

Page: 1 of: 1

Text1:

Text2: M81

Text3: A014

Text4: DI-QCIC-81960

Text5:

Text6:

Text7: BEKIM ISOVSKI

Text8: JAMES CASE

Text9: BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 12: THE CONTRACTOR SHALL SUBMIT A COMPLETED MSE PACKAGE NO LATER THAN 120 CALENDAR DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT, FIRST ARTICLE TESTING, OR PRODUCTION, WHICHEVER OCCURS FIRST. THE GOVERNMENT WILL FURNISH DISPOSITION WITHIN 45 CALENDAR DAYS OF MSE PACKAGE RECEIPT.

BLOCK 13: UNLESS OTHERWISE SPECIFIED, IF THE MSE CHANGES AFTER GOVERNMENT APPROVAL, THE REVISED MSE SHALL BE RESUBMITTED FOR GOVERNMENT REVIEW AND APPROVAL BEFORE THE MSE IS USED FOR THE ACCEPTANCE OF PRODUCT. THE GOVERNMENT WILL RESPOND WITHIN 30 CALENDAR DAYS.

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:55:48-0400

CASE.JAMES.W.1031609751

2021-06-14T09:19:50-0400

ISOVSKI.BEKIM.1298079972

Check Box12: Off

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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

B EXHIBIT:

OTHER:

E CONTRACTPR NO:

F CONTRACTOR:

2 TITLE OF DATA ITEM: AMMUNITION DATA CARD

3 SUBTITLE:

5 CONTRACT REFERENCE: SECTION J, QA REQUIREMENT 32

6 REQUIRING OFFICE: FCDD-ACE-QPB

9 DIST STATEMENT REQUIRED: SEE BLOCK 16

10 FREQUENCY: AS REQUIRED

12 DATE OF FIRST SUBMISSION: SEE BLOCK 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: SEE BLOCK 16

H DATE: 4 Jun 21 a ADDRESSEERow1: MHP

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J DATE: 14 Jun 21

17 PRICE GROUP:

18 ESTIMATED TOTAL PRICE:

Page: 1 of: 1

Text1:

Text2: M81

Text3: A015

Text4: DI-MISC-80043B

Text5:

Text6:

Text7: BEKIM ISOVSKI

Text8: JAMES CASE

Text9: AMMO DATA CARDS (ADCs) SHALL BE PREPARED IN ACCORDANCE WITH MIL-STD-1168 AND ELECTRONIC SUBMISSION SHALL BE ACCOMPLISHED BY ACCESSING THE MUNITIONS HISTORY PROGRAM (MHP). INPUT A SAMPLE CARD INTO MHP 30 CALENDAR DAYS PRIOR TO FIRST ARTICLE (FA), OR PRODUCTION IF FA IS NOT APPLICABLE, FOR REVIEW AND APPROVAL OF THE TECHNICAL CONTENT. WHEN SUBMITTING THE SAMPLE ADC FOR REVIEW INPUT THE WORDS "SAMPLE CARD ONLY" IN THE "REMARKS SECTION."

HARD COPY ADCs SHALL BE GENERATED FROM MHP AND ACCOMPANY EACH LOT, AND SHALL BE SIGNED & DATED BY THE REPRESENTATIVE OF THE GOVERNMENT AGENCY RESPONSIBLE FOR ACCEPTANCE (GARA), WHICH IS USUALLY THE DCMA QAR OR OTHER GOVERNMENT DESIGNEE.

*****EVERY AVENUE SHOULD BE PURSUED TO ENSURE AN ACCURATE ADC IS PRODUCED WITH ALL THE APPROPRIATE DOCUMENTATION INCLUDED. ANY UNKOWN COMPONENTS, OLDER COMPONENTS, OFF THE SHELF ITEMS, AND DIFFERENT LOT INTERFIX NUMBERS (WITH THE REASON FOR DIFFERENT LOT INTERFIX NUMBERS) CAN BE ANNOTATED IN THE "REMARKS SECTION." THIS IS TO INCLUDE 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 THE REQUIRED INFORMATION. THIS UNKNOWN INFORMATION CAN BE CLARIFIED IN THE "REMARKS SECTION" OF THE ADC. WHEN AN OLDER LOT OF AMMUNITION IS USED AND A LOT NUMBER IS NOT AVAILABLE FOR REFERENCE, A DETAILED EXPLANATION SHOULD BE DOCUMENTED IN THE "REMARKS SECTION," AS WELL AS ANY ADDITIONAL SPECIAL CONDITIONS THAT APPLY.

BLOCK 9: DISTRIBUTION STATEMENT SHALL BE 'A', UNLESS INFORMATION INCLUDED RAISES THE DISTRIBUTION LEVEL. REFER TO THE STATEMENT OF WORK (SOW).

BLOCK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

2021-06-04T07:57:05-0400

CASE.JAMES.W.1031609751

2021-06-14T09:22:46-0400

ISOVSKI.BEKIM.1298079972

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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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

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total_draft: 0 total_reg: 3 total_repro: 0 remarks: USE DATA ITEM CONTENT, OR SEE SECTION J (OPSEC PLAN TEMPLATE) FOR GUIDANCE IN PREPARATION FOR THIS OPSEC PLAN.

BLK 14: SUBMIT ELECTRONICALLY. FOR DISTRIBUTION DETAILS SEE SECTION J - CDRL DISTRIBUTION LIST.

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2021-08-13T09:03:35-0400

CASE.JAMES.W.1031609751

prep_date: 13 AUG 21 app_by: BEKIM ISOVSKI

2021-08-13T09:07:01-0400

ISOVSKI.BEKIM.1298079972

app_date: 13 AUG 21

Page: 1 of_pages: 1 app: Adobe Professional 8.0

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

B EXHIBIT:

OTHER:

E CONTRACTPR NO:

F CONTRACTOR:

2 TITLE OF DATA ITEM: CONFERENCE MINUTES

3 SUBTITLE: POST AWARD CONFERENCE

5 CONTRACT REFERENCE: SECTION C, PARAGRAPH C.3.2.1

6 REQUIRING OFFICE: FCDD-ACM-MG

9 DIST STATEMENT REQUIRED: SEE BLOCK 16

H DATE: 4 Jun 21 a ADDRESSEERow1: CCNJ-ET

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