CDRL.pdf

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Seal & O-Ring
Solicitation number
FA820626Q0989
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About this file

This document is a DD Form 1423-1, Contract Data Requirements List (CDRL), issued in February 2001, containing two data items required under contract PR# FD20202600989 for the Air Force.

The first data item (A001) is a Test/Inspection Report, specifically a First Article Test Report, based on authority DI-NDTI-80809B/T. This report must be submitted to 809 MXSS/MXDEB (DODAAC: FB2029) at Hill Air Force Base, Utah 84056-5713, marked "First Article Do Not Post." The report shall be submitted concurrently with the First Article item either in the shipping container or separately if it will not fit; when shipped in the container, it must be enclosed in a paper or plastic envelope. The report must include all dimensions and tolerances with actual inspection readings, materials used in manufacturing identified and certified along with material purchase requirements, and material processing details including finish requirements (plating, heat treatment, welding, anodizing, painting, etc.). The data is marked with distribution statement D, restricting distribution to Department of Defense and U.S. DoD contractors only for Controlled Technical Information. The submission includes controlled technical information with export restrictions under the Arms Export Control Act and Export Control Reform Act, subject to severe criminal penalties.

The second data item (A002) is a Counterfeit Prevention Plan based on authority DI-MISC-81832, required by 414 SCMS/GUEA. The contractor must submit an initial draft Counterfeit Prevention Plan within 60 days of contract award, with government approval/disapproval/comments provided within 30 days of receipt; the contractor must then submit the final counterfeit protection plan 15 days after receiving government comments. Document submission must be made electronically in MS Office 2016 format, or in Adobe Acrobat if incompatible with MS Office 2016. This data item is also marked with distribution statement D and contains controlled technical information subject to the same export control restrictions and criminal penalties as the first data item.

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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 0 1 0

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

1156244445C Text Box Block D:

NIIN: 010818892; PN: 76D41637P1; Description: Packing, Preformed

Block 4: Contractor format acceptable.

Paragraph 10.2 of DI-NDTI-80809B clarified as follows:

a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column, with the actual corresponding reading obtained from the inspection of the part listed in another column.

b. Materials used in the manufacture of the "First Article" shall be identified and certified along with a copy of material purchase requirements as conforming to applicable data requirements.

c. Material processing, including finish requirements (plating, heat treatment, welding, anodizing, painting, etc.) utilized in the manufacture of "First Article" item shall be identified and certified as conforming to applicable requirements. A copy of the purchase order certifying the process accomplished at other than contractor facility shall be included.

Block 9: Data submittal shall be marked with "CUI" as a header and footer on each page as well as the following on the cover page:

Controlled by: USAF Controlled by: AFNWC/NM CUI Category: Controlled Technical Information/Export Controlled Distribution/Dissemination Control: Distribution D POC: Peter Miller/801-586-2964/peter.miller.13@us.af.mil/AFNWC/NIMR

DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only for Controlled Technical Information & Export Controlled: Determined 3SEP2026. Other requests for this document must be referred to Minuteman III Program Office, Hill AFB, UT, 84056.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 Of Title 22, United States Code) or the Export Control Reform Act Of 2018 (Chapter 58 Sections 4801-4852 Of Title 50, United States Code). Violations of these export-control laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD directive 5230.25 and DoD instruction 2040.02.

DESTRUCTION: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Reset DD FORM 1423-1, FEB 2001 Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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

TDP TM OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL 2 2 0

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

1156244445C Text Box Block D:

NIIN: 010818892; PN: 76D41637P1; Description: Packing, Preformed A Block 9: Data submittal shall be marked with "CUI" as a header and footer on each page as well as the following on the cover page:

Controlled by: USAF Controlled by: 414th SCMS CUI Category: Controlled Technical Information/Export Controlled Distribution/Dissemination Control: Distribution D POC: Alden Hyde/801-586-6899/alden.hyde@us.af.mil/SCMS/GUEAA

DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only for Controlled Technical Information & Export Controlled: Determined 3SEP2026. Other requests for this document must be referred to 414 SCMS/GUEA, 6031 Gum Lane, Bldg. 1218, Hill AFB, UT 84056-5816.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 Of Title 22, United States Code) or the Export Control Reform Act Of 2018 (Chapter 58 Sections 4801-4852 Of Title 50, United States Code). Violations of these export-control laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD directive 5230.25 and DoD instruction 2040.02.

DESTRUCTION: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Blocks 10, 11, 12 and 13: Contractor shall submit initial draft Counterfeit Prevention Plan within 60 days of contract award. Government approval/disapproval/comments will be provided to the contractor within 30 days after receipt, with contractor submittal of final counterfeit protection plan due 15 days after receipt of government comments.

Block 14: Document submission shall be made electronically using MS Office 2016 format. Those documents not compatible with MS Office 2016 shall be delivered in Adobe Acrobat.

5 CONTRACT REFERENCE:
A CONTRACT LINE ITEM NO:
B EXHIBIT: A
TDP:
TM:
OTHER:
F CONTRACTOR:
2026-09-03T07:35:03-0600
HYDE.ALDEN.SHANE.1558515453
2026-09-09T08:48:44-0600
MURRISON.RAY.D.JR.1513506828
CPP CONTRACTPR NO: PR# FD20202600989
CPP TITLE OF DATA ITEM: Counterfeit Prevention Plan
CPP DATA ITEM NO: A002
CPP SYSTEMITEM: See Blk 16
CPP SUBTITLE:
CPP AUTHORITY Data Acquisition Document No: DI-MISC-81832
CPP REQUIRING OFFICE: 414 SCMS/GUEA
cpp ADDRESSEE16 REMARKS: 414 SCMS/GUEAA
cpp ADDRESSEE16 REMARKS_2: 6031 Gum Lane
cpp ADDRESSEE16 REMARKS_3: Bldg 1218
cpp ADDRESSEE16 REMARKS_4: Hill AFB, UT 84056
cpp ADDRESSEE16 REMARKS_5: Attn: Alden Hyde
cpp ADDRESSEE16 REMARKS_6:
cpp ADDRESSEE16 REMARKS_7: 414 SCMS/GUMAC
cpp ADDRESSEE16 REMARKS_8: 6031 Gum Lane
cpp ADDRESSEE16 REMARKS_9: Bldg 1218
cpp ADDRESSEE16 REMARKS_10: Hill AFB, UT 84056
cpp ADDRESSEE16 REMARKS_11: Attn: Darweesh Snounou
cpp ADDRESSEE16 REMARKS_12:
cpp ADDRESSEE16 REMARKS_13:
cpp PREPARED BY: Alden Hyde
cpp APPROVED BY: Dean Murrison
17 PRICE GROUP: NSP
18 ESTIMATED TOTAL PRICE: $0
Draft16 REMARKS:
a ADDRESSEE16 REMARKS_33:
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1 DATA ITEM NO3: A001
2 TITLE OF DATA ITEM3: Test/Inspection Report
3 SUBTITLE3: First Article Test Report
4 AUTHORITY Data Acquisition Document No3: DI-NDTI-80809B/T
5 CONTRACT REFERENCE3:
6 REQUIRING OFFICE3: 414 SCMS/GUEA
9 DIST STATEMENT REQUIRED: See Blk 16
10 FREQUENCY: See Blk 16
12 DATE OF FIRST SUBMISSION: See Blk 16
14 DISTRIBUTION:
8 APP CODE: A
11 AS OF DATE: See Blk 16
13 DATE OF SUBSEQUENT SUBMISSION: See Blk 16
a ADDRESSEE16 REMARKS_23:
a ADDRESSEE16 REMARKS3: 809 MXSS/MXDEB
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G PREPARED BY3: Alden Hyde
H DATE: 3 SEP 2026
I APPROVED BY3: Dean Murrison
J DATE: 09 SEP 2026
Page: 1
of: 2
2026-09-03T07:24:44-0600
HYDE.ALDEN.SHANE.1558515453
2026-09-09T08:49:08-0600
MURRISON.RAY.D.JR.1513506828
A CONTRACT LINE ITEM NO3:
B EXHIBIT3: A
TDP3:
TM3:
OTHER3:
D SYSTEMITEM3: See Blk 16
E CONTRACTPR NO3: PR# FD20202600989
F CONTRACTOR3:
Reg16 REMARKS cpp: 1
a ADDRESSEE16 REMARKS_13:
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4-9 CONTRACT LINE ITEM NO:
4-9 EXHIBIT: A
TDP4-9:
TM4-9:
OTHER4-9:
4-9 SYSTEMITEM: See Blk 16
4-9 CONTRACTPR NO: PR# FD20202600989
4-9 CONTRACTOR:
4-9 REMARKS Continued: Block 10: ONE/R, Report shall be submitted concurrently with the "First Article" item either in the shipping container or separately if the report will not fit within the container unfolded. When shipped in the "First Article" container, report shall be enclosed in a paper or plastic envelope.

Block 11, 12, and 13: Defined in Contract

Block 14: Complete mailing address is:

809 MXSS/MXDEB (DODAAC: FB2029)

Bldg 849, Attn: Non-Accountable Bay Mark For: First Article Do Not Post Hill AFB, UT 84056-5713

Page_2: 2
of_2: 2
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Draft16 REMARKS-cpp: 1
ofcpp: 1
a ADDRESSEE16 REMARKS_23FA: SEE BLOCK 16
7 DD 250 REQFA: SD
7 DD 250 REQ-CPP: DD

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