Exibit A - CDRLs Package.pdf

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Attached to
5. 56mm and 7. 62mm Short Range Training Ammunition (SRTA) Federal contract opportunity
Solicitation number
W15QKN23R0005
Issued by
Department of the Army Materiel Command Contracting Command Picatinny Arsenal

About this file

This is a Contract Data Requirements List (CDRL) for a solicitation seeking a contractor to produce 5.56mm and 7.62mm Short Range Training Ammunition. Key requirements include the contractor submitting production status reports monthly, a hazardous materials management plan within 30 days of award, design verification testing results within 45 days, a configuration audit plan 30 days before physical configuration audits, and ammunition data cards for each lot submitted 30 days prior to first article testing or production. Safety assessment reports and technical data packages are also required. Submittals will be electronic with distribution lists provided after award.

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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

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

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

data_item: A004 title: Special Inspection Equipment (SIE) Engineering Design Data and Associated Lists sub:

auth: DI-SESS-81004F ref: SOW Paragraph 3.4.2 req_ofc: SFAE-AA-MAS dd250:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks:

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

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2022-05-02T09:34:59-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:12:59-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Configuration Audit Summary Report and Certification sub: Physical Configuration Audit (PCA) auth: DI-SESS-81022E ref: SOW Paragraph 3.5 req_ofc: SFAE-AA-MAS dd250:

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dist: D freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 12: The Contractor shall submit PCA Report within 30 days of PCA.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

Page2:

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2022-05-02T09:35:56-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:16:30-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Configuration Audit Plan sub: Physical Configuration Audit (PCA) auth: DI-SESS-81646C ref: SOW Paragraph 3.5 req_ofc: SFAE-AA-MAS dd250:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 12: The Contractor shall submit the Configuration Audit Plan to the US Government within thirty (30) days of a planned PCA for approval.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

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Reset:

2022-05-02T09:37:02-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:18:10-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: Technical Report sub: Design Verification Testing (DVT) auth: DI-MISC - 80508B ref: SOW Paragraph 3.6 req_ofc: SFAE-AA-MAS dd250:

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total_draft: 0 total_reg: 0 total_repro: 0 remarks: BLOCK 12: Contractor shall submitted to the PCO a design verification report within forty five (45) calendar days to be reviewed and evaluated by the USG prior to close of the solicitation. The PCO will provide a written determination concerning the qualification status of the contractors design.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

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Reset:

2022-05-02T09:38:20-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

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MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A008 title: Acceptance Test Plan sub: Lot Acceptance Test (LAT) auth: DI-QCIC-80553A ref: SOW Paragraph 3.7 req_ofc: SFAE-AA-MAS dd250:

appcode:

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reg15:

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draft16:

reg16:

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draft17:

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draft18:

reg18:

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draft22:

reg22:

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draft23:

reg23:

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draft24:

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reg25:

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addressee27:

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draft28:

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addressee31:

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draft34:

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reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 12: If an unforeseen issue occurs and the Lot Acceptance Test must be delayed, the contractor shall submit an official letter to the PCO at least seven (7) days in advanced acknowledging the cause for delay, in addition to the new Lot Acceptance Test date.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

Page2:

Reset:

2022-05-02T09:39:52-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:20:51-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A009 title: Engineering Change Proposal (ECP) sub:

auth: DI-SESS-80639E ref: SOW Paragraph 3.8 req_ofc: SFAE-AA-MAS dd250:

appcode:

dist: D freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1:

draft1:

reg1:

repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

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draft5:

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draft6:

reg6:

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draft7:

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draft8:

reg8:

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draft9:

reg9:

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draft11:

reg11:

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addressee12:

draft12:

reg12:

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addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

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draft16:

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draft17:

reg17:

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draft18:

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draft19:

reg19:

repro19:

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draft20:

reg20:

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reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

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addressee24:

draft24:

reg24:

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draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

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addressee34:

draft34:

reg34:

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addressee35:

draft35:

reg35:

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addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38: 511 reg38x:

repro38:

total_draft: 511 total_reg: 0 total_repro: 0 remarks: BLOCK 12: The contractor shall submit all ECPs & VECPs. The contractor shall submit to the PCO for review and written approval any changes to the contractor or U.S. Government drawings, specifications, or inspection plans.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

Page2:

Reset:

2022-05-02T09:40:42-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:22:05-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A010 title: Engineering Change Proposal System Safety Report (ECPSSR) sub: ECPs auth: DI-SAFT-80103C ref: SOW Paragraph 3.8.1, 4.2.4 req_ofc: SFAE-AA-MAS dd250:

appcode:

dist: D freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1:

draft1:

reg1:

repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

repro5:

addressee6:

draft6:

reg6:

repro6:

addressee7:

draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

draft11:

reg11:

repro11:

addressee12:

draft12:

reg12:

repro12:

addressee13:

draft13:

reg13:

repro13:

addressee14:

draft14:

reg14:

repro14:

addressee15:

draft15:

reg15:

repro15:

addressee16:

draft16:

reg16:

repro16:

addressee17:

draft17:

reg17:

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draft18:

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draft19:

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repro19:

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draft20:

reg20:

repro20:

addressee21:

draft21:

reg21:

repro21:

addressee22:

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addressee23:

draft23:

reg23:

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addressee24:

draft24:

reg24:

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addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

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draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

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addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 12: The Government will respond within 45 days of receipt. Revision due not later than 10 days after receipt of Government comments.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

Page2:

Reset:

2022-05-02T09:41:44-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:23:55-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A011 title: Notice of Revision (NOR) sub:

auth: DI-SESS-80642E ref: SOW Paragraph 3.8.2 req_ofc: SFAE-AA-MAS dd250:

appcode:

dist: D freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1:

draft1:

reg1:

repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

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draft32:

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repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 12: The Contractor shall submit to the Government for review and approval any changes to the contractor or Government drawings, specifications, or inspections plans as document by NOR.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

Page2:

Reset:

2022-05-02T09:42:29-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:25:07-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A012 title: Request for Variance (RFV) sub:

auth: DI-SESS-80640E ref: SOW Paragraph 3.8.3, 4.2.4 req_ofc: SFAE-AA-MAS dd250:

appcode:

dist: D freq: As Required asof: As Required firstsub: Block 16 subsub: As Required addressee1:

draft1:

reg1:

repro1:

addressee2:

draft2:

reg2:

repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

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repro4:

addressee5:

draft5:

reg5:

repro5:

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draft10:

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repro10:

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draft12:

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draft20:

reg20:

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draft21:

reg21:

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draft23:

reg23:

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draft24:

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draft25:

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draft26:

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reg28:

repro28:

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draft29:

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draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 0 total_repro: 0 remarks: Block 12: The Contractor shall perform and submit an analysis of all RFVs.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system: Cartridges, 5.56mm & 7.62mm SRTA ctr_no:

contr:

remarksb:

Page2:

Reset:

2022-05-02T09:43:27-0400

FAWNS.MICHAEL.WILLIAM.1030196410

prep_date: 5/02/2022 app_by:

2022-05-11T13:29:16-0400

MICHAELS-KURTZ.ROSE.M.1094965477

app_date: 5/11/22

Page:

of_pages:

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not re

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