NEWCDRLScombined.pdf

PDF 353 KB Posted Sep 18, 2018

Attached to: B-1 F-15 One-Way Transfer Federal contract opportunity
Solicitation number: FA821318R3075
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

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File	Type	Posted
FA821318R3075_______0001.pdf	PDF	Oct 11, 2018
FA821318R3075.pdf	PDF	Sep 18, 2018
IDscombined.pdf	PDF	Sep 18, 2018
BidSetscombined.pdf	PDF	Sep 18, 2018
EDLcombined.pdf	PDF	Sep 18, 2018
GFP.pdf	PDF	Sep 18, 2018
ES7034.doc	DOC document	Sep 18, 2018
SPIscombined.pdf	PDF	Sep 18, 2018
EXHIBITA.pdf	PDF	Sep 18, 2018
Attachments_1-4_Combined.pdf	PDF	Sep 18, 2018
QALIcombined.pdf	PDF	Sep 18, 2018
158Packagingcombined.pdf	PDF	Sep 18, 2018
AIRSPECScombined.pdf	PDF	Sep 18, 2018
JQRscombined.pdf	PDF	Sep 18, 2018

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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 and Communications 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

MISC

1377012297600ES* FD2020-19-50008**

A001 Ammunition Data Card (ADC)

DI-MISC-80043B Airmunitions Specification AFLCMC/EBHJ

A B

ASREQ

N/A

BLK 16

ASREQ

WAWF 0 1 0

DoDAAC, FA8213 Included with 0 1 0 item(s) shipped Sample ADC via 0 1 0 WARP system only

0 3 0

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement.

Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to

AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.) , as amended.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directives 5230.25.

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

BLK 10,12,13: Submit after successful Lot Acceptance Test and prior to delivery of each production lot.

BLK 14: A sample ADC or "draft" will be generated and submitted using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable. For the final submittals, two hard copies of ADCs shall be generated from the WARP. One copy shall accompany items shipped, and the second copy submitted with the electronic receiving report via WAWF to AFLCMC/ EBHJ. The final ammo data card shall be uploaded in WAWF under DoDAAC FA8213.

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH 18-066-005

Terry McCurdy, AFLCMC/EBHE, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.1

075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 11:12:15 -07'00'

HARGROVE.ERIC.V.

1167016843

Digitally signed by

HARGROVE.ERIC.V.1167016843

Date: 2018.03.08 14:21:17 -07'00'

(1 Data Item)

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

*1377013568732ES, 1377012321677ES, 1377013568734ES,1377012321960ES, 1377013568731ES, 1377012340719ES,1377013568735ES, 1377012340821ES, 1377013565593ES,1377012340822ES, 1377013565592ES, 1377012344044ES, 1377013568733ES, 1377012346208ES, 1377013568730ES, 1377012203746, 1377011676621, 1377012038651, 1377013550088.

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193, FD2020-19-50039, FD2020-18-50206

2 2

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

1377012297600ES* FD2020-19-50008

A002 Engineering Change Proposal (ECP)

DI-SESS-80639D Airmunitions Specification AFLCMC/EBHJ

A B

ASREQ

N/A

ASREQ

1 1 0

AFLCMC/EBHJ 1 1 0

AFLCMC/EBHE 1 1 0

AFLCMC/EBHKB 1 1 0

DCMA/QAR 1 1 0

DCMA/ACO

5 5 0

BLK 4: Format shall be in accordance with paragraph 2 of Data Item Description.

Data delivery description for content of Engineering Change Proposal (via DD Form 1692) shall be in accordance with EIA-649-1 and EIA-649.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

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

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the government contracting officer (AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHE)

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH 18-066-005

Terry McCurdy, AFLCMC/EBHE, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.1075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 11:14:12 -07'00'

HARGROVE.ERIC.V.

1167016843

Digitally signed by

Date: 2018.03.08 14:21:58 -07'00'

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193, (1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

SESS

1377012297600ES* FD2020-19-50008

A003 Notice of Revision (NOR)

DI-SESS-80642D Airmunitions Specification AFLCMC/EBHJ

A B

ASREQ

N/A

ASREQ

AFLCMC/EBHJ 1 1 0

(ref blk 16)

AFLCMC/EBHE 1 1 0

(ref blk 16)

AFLCMC/EBHKB 1 1 0

(ref blk 16)

DCMA/QAR 1 1 0

(LT only)

DCMA ACO 1 1 0

(LT only)

0 3 0

BLK 4: Format shall be in accordance with paragraph 2 of Data Item Description.

Data delivery description for content of Engineering Change Proposal (via DD Form 1695) shall be in accordance with EIA-649-1 and EIA-649.

BLK 8: Within 30 days of receipt, Government engineer thru the Government contracting officer will respond with notice of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval of the proposed notice of revision shall be by signed contract modification.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

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

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the contracting officer (AFLCMC/EBHKB).

robert.morgan.27@ us.af.mil (AFLCMC/EBHE)

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH 18-066-005

Terry McCurdy, AFLCMC/EBHE, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.

1075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 11:17:47 -07'00'

HARGROVE.ERIC.V.1

167016843

Digitally signed by

Date: 2018.03.08 14:22:30 -07'00'

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193, (1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

SESS

1377012297600ES* FD2020-19-50008

A004 Request for Variance (RFV)

DI-SESS-80640D Airmunitions Specification AFLCMC/EBHJ

A B

ASREQ

N/A

ASREQ

AFLCMC/EBHE 1 1 0

(ref blk 16)

DCMA/QAR 1 1 0

(LT only)

DCMA/ACO 1 1 0

(LT only)

AFLCMC/EBHKB 1 1 0

(ref blk 16)

AFLCMC/EBHJ 1 1 0

(ref blk 16)

5 5 0

BLK 4: Format shall be in accordance with paragraph 2 of Data Item Description.

Data delivery description for content of Request for Variance (via DD Form 1694) shall be in accordance with EIA-649-1 and EIA-649.

BLK 8: Government engineer will perform review of the RFV. Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval shall be signed contract modification

(AFLCMC/EBHKB).

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

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

robert.morgan.27@us.af.mil (AFLCMC/EBHE)

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH 18-066-005

Terry McCurdy, AFLCMC/EBHEC, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.107

5978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 11:19:45 -07'00'

HARGROVE.ERIC.V.1

167016843

Digitally signed by

Date: 2018.03.08 14:22:59 -07'00'

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193, (1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

QCIC

1377012297600ES* FD2020-19-50008

A005 Lot Acceptance Test Plan

DI-QCIC-80553A Airmunitions Specification AFLCMC/EBHJ

A B

ASREQ

WAWF 0 1 0

DoDAAC FA8213

AFLCMC/EBHJ 1 1 0

(ref blk 16)

1 2 0

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil. The electronic receiving report shall be used only for this data item, do not combine other data item submittals with this requirement.

BLK 8: Comments/approval/disapproval will be submitted within 30 working days of receipt by AFLCMC/EBHJ.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

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

BLK 10,11, 12, 13: The contractor shall provide a Acceptance Test Plan after contract award and at least 90 days prior to Lot Acceptance Testing allowing for 30 day approval time. No changes to previously approved government Acceptance Test Plans shall be made without prior notification of AFLCMC/EBHJ.

Engineering approval in accordance with Airmunitions Specification.

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit through WAWF, DoDAAC, FA8213.

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH 18-066-005

Terry McCurdy, AFLCMC/EBHE, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.1075

978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 11:22:37 -07'00'

HARGROVE.ERIC.V.1

167016843

Digitally signed by

Date: 2018.03.08 14:23:28 -07'00'

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193, (1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

NDTI

1377012297600ES* FD2020-19-50008

A006 Test/Inspection Report Lot Acceptance Test

DI-NDTI-80809B Airmunitions Specification AFLCMC/EBHJ

N/A B

ASREQ

N/A

BLK 16

ASREQ

WAWF 0 1 0

DoDAAC, FA8213

0 1 0

BLK 4: Contractor's format is acceptable. Follow content preparation and requirements listed in the Data Item Description.

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil. The electronic receiving report shall be used only for that data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

Disseminate in accordance with provisions of DoD Directive 5230.25.

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

BLK 10,12,13: Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: Test plan shall be in Microsoft Office software or PDF format.

Submit through WAWF, DoDAAC, FA8213.

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH18-066-005

Terry McCurdy, AFLCMC/EBHE, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.1

075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 11:26:08 -07'00'

HARGROVE.ERIC.V.1

167016843

Digitally signed by

Date: 2018.03.08 14:24:28 -07'00'

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193, (1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

SESS

1377012297600ES* FD2020-19-50008

A007 Failure Summary & Analysis Report

DI-SESS-80255A Airmunitions Specification AFLCMC/EBHJ

A B

ASREQ

N/A

BLK 16

ASREQ

Contracting Officer 0 1 0 Hill AFB UT 84056

0 3 0

BLK 4: Contractor's format required for both the Preliminary and Final report.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data.

The Letter of shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Comments/approval/disapproval will be submitted within 30 calendar days after receipt by AFLCMC/EBHJ.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only (Administrative/Operational Use)(Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

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

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Tile 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979, (Title 50, U.S.C. App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties.

Dissemination in accordance with provisions of DoD Directive 5230.25.

BLK 10, 12, 13: Submit within 7 calendar days of each failure. Final within 15 calendar days after receipt of AFLCMC/EBHJ comments.

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit via e-mail to cognizant Hill AFB Contracting Officer.

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH 18-066-005

Terry McCurdy, AFLCMC/EBHEC, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.1

075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 11:29:40 -07'00'

HARGROVE.ERIC.V.

1167016843

Digitally signed by

Date: 2018.03.08 14:24:59 -07'00'

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193, (1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

NDTI

1377012297600ES* FD2020-19-50008

B001 TEST PROCEDURE FIRST ARTICLE INSPECTION REPORT,

CONTRACTOR TEST

DI-NDTI-80603A Airmunitions Specification AFLCMC/EBHJ

A B

ONE TIME

N/A

BLK 16

ASREQ

WAWF 0 1 0

DoDAAC, FA8213

0 1 0

BLK 4: Follow format per DID. Incorporate the following applicable requirements:

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

b. Material utilized in the manufacture of "First Article" item shall be identified and certified as conforming to applicable data requirements.

c. Certification that identification markings, i.e., part number per MIL-STD-130 and Federal Supply manufacturer (FSCM) per H4-1 Cataloging Handbook (if applicable) have been complied with.

e. The test report will be certified by the responsible DCMA/QAR.

(Authorization for any deviations from the requirements specified by the manufacturing data must be obtained from the procuring agency prior to inclusion in the test report).

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number, and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use)(Date of Contract Award).

Other requests for this document shall be referred to AFLCMC/EBHJ.

Disseminate in accordance with provisions of DoD Directive 5230.25.

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

BLK 12: Submit no later than 30 calendar days after completion of First Article Acceptance Testing. Submit through Worldwide Ammunition-data Repository Program (WARP) and WAWF under DoDAAC FA8213.

(See BLOCK 16 REMARKS Cont.)

FOB DESTINATION

EBH 18-066-005

Terry McCurdy, AFLCMC/EBHE, 586-0535

7 MAR 18 7 MAR 18

1 2

MCCURDY.TERRY.D.107

5978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

Date: 2018.03.07 15:03:42 -07'00'

HARGROVE.ERIC.V

.1167016843

Digitally signed by

Date: 2018.03.08 14:25:42 -07'00'

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

TDP ________ TM _______ OTHER

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

DD FORM 1423-1, FEB 2001 Page of Pages

MISC

1377012297600ES* FD2020-19-50008**

16. REMARKS (Continued)

**FD2020-18-50197, FD2020-19-50005, FD2020-19-50004, FD2020-18-50194, FD2020-18-50193

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 MGMT

D. SYSTEM/ITEM

1377-01-203-8651*

E. CONTRACT/PR NO.

FD2020-19-50039**

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Report of Receipts, Inventory, Adjustments and Shipments of Government Property

3. SUBTITLE

Contractor Possessed Munitions Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80442

5. CONTRACT REFERENCE

AIRMUNITIONS SPECIFICATION

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Data Item Description (DID) DI-MGMT-80442 will be used to report on-hand inventory only. Receipt and shipment transactions, and adjustments will not be reported. In reference to DID para 10.1, format as follows:

Column 1(NSN Recd): Report the on-hand NSN Column 2(Related NSN): Report Lot Number if applicable Column 3(Document Number): Report the Contract Number Column 4(Serial Number): Report Serial Number if applicable Column 5(Qty Received): Do Not Use Column 6(Date Received): Do Not Use Column 7(Balance On-Hand): Report the on-hand balance quantity Column 8(Condition Code): Report the condition code of the on-hand balance Column 9(NSN Shipped): Do Not Use Column 10(Qty Shipped): Do Not Use Column 11(Date Shipped): Do Not Use Column 12(Shipment Number): Do Not Use Column 13(Adjustment Qty): Do Not Use Column 14(Explanation): Do Not Use Column 15(Remarks): Report the DODAAC of the contractor facility where inventory is located.

DID para 10.2: Do not report assets shipped or received during reporting period. Only report the on-hand balances.

DID para 10.2.2.1: Stock numbered components removed from items that will not be re-installed and/or are designated as spares will be reported in the format outlined above for DID para 10.1.

DID para 10.2.2.2: Stock numbered components that will be re-installed to the parent assembly should not be reported.

DID para 10.2.3: Do not report adjustments following physical inventories. Only report the resulting on-hand balance.

DID para 10.2.4: No dates should be reported.

continued on next page:

BLK 7: Electronic receiving report required via internet WAWF at:

https://wawf.eb.mil. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests shall be referred to AFLCMC/EBHJ.

WAWF 0 1 0

DODAAC, FA8213

AFLCMC/EBHKA 0 1 0

(Ltr Only)

DCMA ACO 0 1 0

(Ltr Only)

AFLCMC/EBHJ 0 1 0

6044 Dogwood Av

Hill AFB UT

84056-5816

15. TOTAL 0 4 0

G. PREPARED BY

brandt.lauri.a.1148234414

H. DATE

2018/05/09

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

2018/05/09

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 2 Pages

17. PRICE GROUP

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

TDP TM OTHER MGMT

D. SYSTEM/ITEM

1377-01-203-8651*

E. CONTRACT/PR NO.

FD2020-19-50039

F. CONTRACTOR

16. REMARKS (Continued) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Tile 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979, (Title 50, U.S.C. App. 2401 et seq.), as amended. Violation of these export-control laws is subject to severe criminal penalties.

Dissemination in accordance with provisions of DOD Directive 5230.25.

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

BLK 10: Data for all assets on hand shall be delivered every 30 days.

BLK 12: First submission will be within 5 days of receipt of initial quantity of government assets or within 30 days of new contract if government assets are already on site.

BLK 13: Data shall be delivered by the 5th day of the month.

BLK 14: Submittals shall be in .XML (preferred) or .CSV format in accordance with DID. Submit through

WAWF, DODAAC, FA8213.

*1377-01-355-0088.

**FD2020-18-50206

FOB DESTINATION

EBE 18-129-002

Lauri Brandt, AFLCMC/EBHEC, 777-4208

DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

MISC

1377-01-203-8651ES* FD2020-18-50206**

A009 COUNTERFEIT PREVENTION PLAN

DI-MISC-81832 Airmunitions Specification AFLCMC/EBHJ

N/A B

ASREQ

N/A

ASREQ

N/A

WAWF 1 1 0

DoDAAC, FA8213

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHKB 0 1 0

1 3 0

BLK 4: Contractor's format required. Follow content preparation instruction and requirements listed in the Data Item Description.

BLK 7: Receiving report shall be submitted electronically via the internet through Wide Area Work Flow (WAWF) at: https://wawf.eb.mil under DoDAAC FA 8213.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests shall be referred to AFLCMC/EBHJ.

Disseminate in accordance with provisions of DoD Directive 5230.25.

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

BLK 14: Submit reports electronically in Microsoft Office software or PDF format to e-mail recipient(s) listed below. Refer to contract for e-mail address of the Government Contracting Officer (AFLCMC/EBHKB).

timothy.culbertson.2@us.af.mil (AFLCMC/EBHJ) quinn.tidwell@us.af.mil (AFLCMC/EBHJ)

*1377-01-355-0088ES.

**FD2020-19-50039

FOB DESTINATION

EBE 17-122-007

Robert W. Morgan, Jr., AFLCMC/EBHE, 777-5126

2 MAY 2017 2 MAY 2017

1 1

MORGAN.ROBERT.WE

SLEY.JR.1158190040

Digitally signed by

MORGAN.ROBERT.WESLEY.JR.1158190040

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=MORGAN.ROBERT.WESLEY.JR.1158190040 Date: 2017.05.02 11:18:28 -06'00'

HARGROVE.ERIC.V.1

167016843

Digitally signed by HARGROVE.ERIC.V.1167016843 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HARGROVE.ERIC.V.1167016843 Date: 2017.05.02 11:29:06 -06'00'

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

NEW CED CDRLS

19-50008 CDRLs

A001- ADC - 08

A002- ECP-08

A003-NOR -08

A004 - RFV -08

A005 - QCIC -08

A006- NDTI -08

A007 - 80255A -08

B001 - lst Art - Contractor -08

CDRLs

CDRLa009.pdf

A001 DI-SESS-82098 Repship

A002 DI-MISC-80043B

A003 DI-SESS-80639D ECP

A004 DI-SESS-80642D NOR

A005 DI-SESS-80640D RFV

A006 DI-QCIC-80553A

A007 DI-NDTI-80809B

A008 DI-SESS-81315B

A009 DI-MISC-81832 Counterfeit PP

A010 DI-MGMT-80442

Page 3 Instructions

File details come from the government source that posted it.