Exhibit A MK19 CDRLS.pdf
PDF 1 MB Posted
- Attached to
- MK19 Grenade Machine Gun (GMG) Federal contract opportunity
- Solicitation number
- W15QKN21R0062
About this file
This document is a Contract Data Requirements List (CDRL) outlining eighteen required data items for the MK19 Grenade Machine Gun (GMG) contract opportunity. The CDRL specifies reports on meeting minutes, configuration audits, test procedures, failure analyses, certifications, engineering change proposals, notices of revision, variance requests, government property reports, quality assessments, safety reports, and an operations security plan. Delivery of these data items will support production and delivery of the MK19 MOD 3 GMG system, spare parts, and spare barrel assemblies in accordance with the Statement of Work and Technical Data Package. Submittals are due as required or on specified schedules to the Army Contracting Command New Jersey and Project Manager Individual Weapons offices.
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Text version
DD FORM 1423-2, AUG 96
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A001 REPORT, RECORD OF MEETING/MINUTES
DI-ADMIN-81505 SOW Para. C.3.2 FCDD-ACW-WF
D As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
SFAE-SDR-CSW 1
FCDD-ACE-QWC 1
CCNJ-SL 1
0 4 0
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
A002
CONFIGURATION AUDIT SUMMARY REPORT PHYSICAL CONFIGURATION AUDIT (PCA)
DI-CMAN-81022C SOW Para. C.3.3.2 FCDD-ACE-QWC
LT
D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
SFAE-SDR-CSW 1
FCDD-ACE-QWC 1
CCNJ-SL 1
0 4 0
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
1 10 Adobe Professional 7.0
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A003 TEST PROCEDURE
DI-NDTI-80603B SOW Para. C.5 FCDD-ACE-QWC
LT
A D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
A004
FAILURE ANALYSIS AND CORRECTIVE ACTION
REPORT
DI-SESS-81315A Par.C.3.3.2.3, C.3.3.3,C.3.3.5,C.4.2,C.6 FCDD-ACE-QWC
LT
D
As Req'd
As Req'd
See BLK 16
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 12: Date of first Submission Contractor shall conduct an Engineering Failure Analysis and submit a report to the Government within 30 days of failure.
James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
2 10
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A005 CERTIFICATION / DATA REPORT
DI-MISC-80678 (Tailored) SOW Para. C.4.1.2.1 & C.4.1.2.2 FCDD-ACE-QWC
LT
D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 4: Tailor DID as follows:
Delete paragraph 10.1 of DID.
Contractor format is acceptable. Data must be in a GOVT compatible format.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
A006
SPECIAL INSPECTION EQUIPMENT DESCRIPTIVE
DOCUMENT
AIE
DI-QCIC-81006 (Tailored) SOW Para. C.4.1.4 FCDD-ACE-QWC
LT
A D
As Req'd
As Req'd
120 DACA
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 4: Tailor DID as follows:
Contractor format is acceptable. Data must be in a GOVT compatible format.
Disregard reference to "Special" inspection equipment; Data Item Applies to all inspection equipment. Contractor format is acceptable. Requirements of MIL-W-63150 also apply
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
3 10
DD FORM 1423-1, FEB 2001
(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
MK19 MOD 3 GMG
A007 TEST / INSPECTION REPORT
DI-NDTI-80809B (Tailored) SOW Para. C.5 FCDD-ACE-QWC
LT
D
As Req'd
As Req'd
Block 16
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 4: Tailor DID as follows:
Use paragraphs 10.1, 10.2, 10.2.1, 10.2.3.1, 10.2.3.2, 10.2.3.3, 10.2.6, 10.2.6.1, 10.2.6.2, 10.2.6.3, 10.2.6.4, 10.2.6.4.1, 10.2.6.4.2, 10.2.7, 10.2.7.1.
Contractor submitted First Article Inspection Report shall be limited to parts and assemblies tested by the contractor and shall be in contractor format.
Contractor submitted reports for all other Government required testing and inspections conducted by the contractor shall be in contractor format.
BLOCK 12: A Final First Article Test Reports shall be submitted within 120 days of the presentation of First Article hardware. The Government will respond within 30 days with a determination of acceptability, when a Government response is required.
Reports on all other Government required testing and inspections conducted by the contractor shall be submitted within 30 days after the event. The Government shall respond within 30 days with a determination of acceptability, when a Government response is required.
BLOCK 14: Submit electronically:
For Quality Conformance Inspection reports, submit:
1 copy to the local DCMA representative.
For all other required reports, submit to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
Jorge Ruiz MK19 GMG Engineer
15 Oct 2020 15 Oct 2020
4 10
(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
MK19 MOD 3 GMG
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A008 QUALITY ASSESSMENT REPORT
DI-QCIC-81187 SOW Para. C.7 FCDD-ACE-QWC
LT
D
As Req'd
As Req'd
See BLK 16
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 12: Date of First Submission Contractor shall submit the Quality Assessment Report to the Government within 30 days of incident.
James Glenn : james.g.glenn.civ@.mail.mil
A009
ENGINEERING CHANGE PROPOSAL (ECP)
DI-CMAN-80639C (Tailored) SOW Para. C.9 FCDD-ACW-WF
LT
D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 4: Tailor DID as follows:
Contractor format is acceptable. Data must be in a GOVT compatible format.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
5 10
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A010 NOTICE OF REVISION (NOR)
DI-CMAN-80642C (Tailored) SOW Para. C.9 FCDD-ACW-WF
LT
D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 4: Tailor DID as follows:
Contractor format is acceptable. Data must be in a GOVT compatible format.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
A011
REQUEST FOR VARIANCE (RFV)
DI-SESS-81883 SOW Para. C.9 FCDD-ACW-WF
LT
D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 4: Tailor DID as follows:
Adequate data/analysis/testing to support the RFV shall be included.
Contractor format is acceptable. Data must be in a GOVT compatible format.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
6 10
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A012 GOVERNMENT FURNISHED MATERIAL (GFM)
CONSUMPTION REPORT
DI-MGMT-80438B SOW Para. C.10 FCDD-ACW-WF
DD
N/A
Monthly
N/A
270 DACA
As Req'd
FCDD-ACW-WF 1
CCNJ-SL 1
SFAE-SDR-CSW 1
0 3 0
Submission required to reflect GFM consumption during report period - negative report required.
BLOCK 10: 10th day of month following report month.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil
A013
QUALITY DEFICIENCY REPORT
DI-QCIC-80736 (Tailored) SOW Para. C.10 FCDD-ACE-QWC
LT
D
As Req'd
As Req'd
See BLK 16
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
BLOCK 4: Tailor DID as follows:
DO NOT ADDRESS para. 10.3 item 16, item 17, item18, item 19, item 20.
BLOCK 12: Date of First Submission Contractor shall submit the Quality Deficiency Report to the Government within 30 days of incident.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Matt Mcdonnell :matthew.j.mcdonnell13.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
7 10
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A014 SMALL ARMS SERIALIZATION PROGRAM
DI-MISC-80914B SOW Para. C.11.a. FCDD-ACW-WF
LT
D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
CCNJ-SL 1
SFAE-SDR-CSW 1
0 3 0
Submission required immediately upon Government acceptance of weapons. Also required upon receipt of contractor.
usarmy.redstone.logsa.list.uit@mail.mil Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
A015
REPORTS OF RECEIPTS, INVENTORY, ADJUSTMENTS,
AND SHIPMENTS OF GOVERNMENT PROPERTY
DI-MGMT-80442 (Tailored) SOW Para. C.12 FCDD-ACW-WF
LT
D
As Req'd
As Req'd
Block 16
Block 16
FCDD-ACW-WF 1
CCNJ-SL 1
SFAE-SDR-CSW 1
0 3 0
BLOCK 4: Tailor DID as follows:
Para. 10.1: The following items shall only be included in the report: NSN, quantity, condition code, document number and serial number of the receipt.
DO NOT ADDRESS para. 10.2.2, 10.2.2.1, and10.2.2.2.
DELETE para: 7.2, REPLACE with: This DID is applicable when contractor received any GFE or GFM.
BLOCK 12 and 13: Each submission is due NLT 10 days after receipt of the items.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
8 10
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A016 ACCIDENT / INCIDENT REPORT
DI-SAFT-81563 SOW Para. C.13 FCDD-ACE-QWC
LT
D
As Req'd
As Req'd
As Req'd
As Req'd
FCDD-ACW-WF 1
FCDD-ACE-QWC 1
SFAE-SDR-CSW 1
CCNJ-SL 1
0 4 0
1. Report to be submitted NLT 3 days after occurrence of the accident / incident.
2. Contractor format permissible; report to be transmitted via electronic means to the Government.
3. Report shall be prepared in Microsoft Word software.
BLOCK 14: Submit electronically to:
Jorge Ruiz : jorge.ruiz5.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil
A017
REQUEST FOR GOVERMENT FURNNISH MATERIAL
(GFM)
DI-MGMT-80408B SOW Para C10.1 AMSTA-LC-LEAP
LT
D
As req'd
As req'd
As Req'd
As Req'd
SFAE-SDR-CWS 1
CCNJ-SL 1
0 2 0
Submission required to receive GFM
Submit electronically to:
AMSTA-LC-LEAP: simss@tacom.army.mil AMSTA-MSS-C: elena.hunt.civ@mail.mil Jon Glassic : jon.m.glassic.civ@mail.mil James Glenn : james.g.glenn.civ@.mail.mil
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
9 10
(2 Data Items)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT
SUBMISSION
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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
MK19 MOD 3 GMG
A018 OPERATIONS SECURITY (OPSEC) PLAN
DI-MGMT-80934C SOW Para. C.16.4 FCDD-ACW-WF
D As Req'd
As Req'd
As Req'd
As Req'd
CCNJ-SL 1
0 1 0
BLOCK 14: Submit electronically to:
Jon Glassic : jon.m.glassic.civ@mail.mil
0 0 0
Jorge Ruiz
MK19 GMG Engineer 15 Oct 2020 15 Oct 2020
10 10
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| A008 |
| A010 |
| A012 |
| A014 |
| A016 |
| A018 |
File details come from the government source that posted it. Updated .