P19R_CDRL.doc

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

E

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

P19 Replacement (P19R)

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E001

2. TITLE OF DATA ITEM

CORROSION PREVENTION AND CONTROL PLAN

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MFFP-81403

5. CONTRACT REFERENCE

SOW para 3.1.2.6

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 4 - All references to MIL-STD-1568 do not apply. MIL-HDBK-1568 may be used for guidance.

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

BLK 12 - The contractor shall submitt the CPCP to the Government 15 calendar days before the CDR. The Government requires 30 calendar days to review and comment on the CPCP. The contractor shall submit final 30 calendar days after receipt of government comments.

BLK 13 - The contractor shall update and submit 120 days prior to FPVI. The Government requires 30 calendar days to review and comment. The contractor shall submit final 30 calendar days after receipt of government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

Mark.Zaikarite@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

K

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E002

2. TITLE OF DATA ITEM

QUALITY ASSESSMENT REPORT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81187

5. CONTRACT REFERENCE

SOW para 3.1.2.9.3.1

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050.

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12/13 - Category I PQDR's require a response in 10 working days after receipt of PQDR. Category II PQDR’s require a response in 20 working days after receipt of Product Quality Deficiency Report (PQDR).

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

L

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E003

2. TITLE OF DATA ITEM

SAFETY ASSESSMENT REPORT (SAR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-80102B

5. CONTRACT REFERENCE

SOW para 3.1.5.1.2

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12 - Submit 90 calendar days prior to PVI. The Government requires 45 calendar days for review. The contractor shall submit final 30 calendar days after receipt of Government comments.

BLK 13 - The Contractor shall update and submit 120 calendar days prior to FPVI. The Government requires 45 calendar days for review. The contractor shall submit final 30 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

L

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E004

2. TITLE OF DATA ITEM

HEALTH HAZARD ASSESSMENT REPORT (HHAR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-80106B

5. CONTRACT REFERENCE

SOW para 3.1.5.2.1

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12 - Submit 90 calendar days prior to PVI. The Government requires 45 calendar days for review. The contractor shall submit final 30 calendar days after receipt of Government comments.

BLK 13 - The Contractor shall update and submit 90 calendar days prior to FPVI. The Government requires 45 calendar days for review. The contractor shall submit final 30 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

F

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E005

2. TITLE OF DATA ITEM

HAZARDOUS MATERIALS MANAGEMENT PROGRAM (HMMP) PLAN

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81398

5. CONTRACT REFERENCE

SOW para 3.1.5.3.1

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050.

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12 - The contractor shall submitt the HMMP to the Government 15 calendar days before the CDR. The Government will provide comments and recommendations 30 calendar days after receipt of the draft on the HMMP. The contractor shall submit final 15 calendar days after receipt of Government comments.

BLK 13 - The contractor shall update and submit 75 days prior to FPVI. The Government requires 30 calendar days to review and comment. The contractor shall submit final 15 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E006

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

LITHIUM BATTERY SAFETY QUALIFICATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW para 3.1.13.3

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

DD

9. DIST

STATEMENT

D

10. FREQUENCY

ONE/R

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050.

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12 - Report shall be submitted 30 days prior to PVI. The Government will provide comments and recommendations 30 calendar days after submission. The contractor shall submit final 15 calendar days after receipt of Government comments.

BLK 13 - The Contractor shall update and submit 90 calendar days prior to FPVI. The Government requires 45 calendar days for review. The contractor shall submit final 30 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED B

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

D

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E007

2. TITLE OF DATA ITEM

ENGINEERING CHANGE PROPOSAL (ECP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80639

5. CONTRACT REFERENCE

SOW para 3.1.6.3

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

16. REMARKS

BLK 4 - Submission shall be via a secure web-based Multi-User Engineering Change Proposal and Review System (MEARS).

***The contractor shall access the MEARS website and create ECP text files using the MEARS CREATE resident software format. Create enclosures and figures using widely accepted software formats of MICROSOFT OFFICE© or ADOBE© products. Use graphic formats that are accepted by the MEARS image viewers, for attaching engineering drawings, photographs, and illustrations. Acceptable graphic formats include CALS Group 4 Raster (.C4), JPEG, TIF, GIF, PDF, PCX, CGM, Windows Bitmap, or Windows Metafile. Create 'hot spots' within the ECP using the MEARS resident hypertext application. Ensure ECPs are formatted correctly and hotspots working by using the MEARS CREATE 'preview' feature prior to formal submission to the Government. ECP identifying numbers shall be assigned. The numbering sequence shall run consecutively and shall not total over 15 characters, to include any dashes or revision identifiers. The ECP number shall be unique once assigned and retained for all subsequent submissions. The contractor may submit revised ECPs by using the original number and adding a suffix of 'R1','R2'

Point of contact for MEARS CREATE questions or access to MEARS may be directed to 229-639-7351 or smblogcomconfigmgmnt@usmc.mil.

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12 - ECP's shall be submitted for all changes which affect Government established baselines. The opportunity to submit ECP's shall extend through contract finalization. In addition, ECP's shall be submitted at the request of the Government. The Government will provide comments and recommendations 30 calendar days after submission. The contractor shall submit final 15 calendar days after receipt of Government comments.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

G

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E008

2. TITLE OF DATA ITEM

TECHNICAL REPORT - STUDY/SERVICES (CCD)

3. SUBTITLE

CONFIGURATION CHANGE DOCUMENTATION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION ASREQ

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12 - CCD's shall be submitted for all changes which affect the to be tested baselines. The opportunity to submit CCD's shall extend through contract finalization. In addition, CCD's shall be submitted at the request of the Government. The Government will provide comments and recommendations 30 calendar days after submission. The contractor shall submit final 15 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E009

2. TITLE OF DATA ITEM

REQUEST FOR DEVIATION (RFD)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80640

5. CONTRACT REFERENCE

SOW para 3.1.6.3.3.2

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 4 - Submission shall be via a secure web-based Multi-User Engineering Change Proposal and Review System (MEARS).

***The contractor shall access the MEARS website and create ECP/RFD text files using the MEARS CREATE resident software format. Create enclosures and figures using widely accepted software formats of MICROSOFT OFFICE© or ADOBE© products. Use graphic formats that are accepted by the MEARS image viewers, for attaching engineering drawings, photographs, and illustrations. Acceptable graphic formats include CALS Group 4 Raster (.C4), JPEG, TIF, GIF, PDF, PCX, CGM, Windows Bitmap, or Windows Metafile. Create ?hot spots? within the ECP/RFD using the MEARS resident hypertext application. Ensure ECP/RFDs are formatted correctly and hotspots working by using the MEARS CREATE ?preview? feature prior to formal submission to the Government. ECP/RFD identifying numbers shall be assigned. The numbering sequence shall run consecutively and shall not total over 15 characters, to include any dashes or revision identifiers. The ECP/RFD number shall be unique once assigned and retained for all subsequent submissions. The contractor may submit revised ECP/RFDs by using the original number and adding a suffix of 'R1'R2*

Point of contact for MEARS CREATE questions or access to MEARS may be directed to 229-639-7351 or smblogcomconfigmgmnt@usmc.mil.

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 BLK 12/13 - Deviations shall be submitted for all changes which affect Government established baselines. The opportunity to submit deviations shall extend through contract finalization. In addition, deviations shall be submitted at the request of the Government. The Government will provide comments and recommendations 30 calendar days after submission. The contractor shall submit final 15 calendar days after receipt of Government comments.

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E010

2. TITLE OF DATA ITEM

NOTICE OF REVISION (NOR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80642C

5. CONTRACT REFERENCE

SOW para 3.1.6.3.4

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

16. REMARKS

BLK 4 - Submission shall be via a secure web-based Multi-User Engineering Change Proposal and Review System (MEARS).

***The contractor shall access the MEARS website and create ECP/RFD text files using the MEARS CREATE resident software format. Create enclosures and figures using widely accepted software formats of MICROSOFT OFFICE© or ADOBE© products. Use graphic formats that are accepted by the MEARS image viewers, for attaching engineering drawings, photographs, and illustrations. Acceptable graphic formats include CALS Group 4 Raster (.C4), JPEG, TIF, GIF, PDF, PCX, CGM, Windows Bitmap, or Windows Metafile. Create hot spots within the ECP/RFD using the MEARS resident hypertext application. Ensure ECP/RFDs are formatted correctly and hotspots working by using the MEARS CREATE preview feature prior to formal submission to the Government. ECP/RFD identifying numbers shall be assigned. The numbering sequence shall run consecutively and shall not total over 15 characters, to include any dashes or revision identifiers. The ECP/RFD number shall be unique once assigned and retained for all subsequent submissions. The contractor may submit revised ECP/RFDs by using the original number and adding a suffix of 'R1'R2*

Point of contact for MEARS CREATE questions or access to MEARS may be directed to 229-639-7351 or smblogcomconfigmgmnt@usmc.mil.

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12 - Submit notices of revision when configuration management data requires revision. The Government will provide comments and recommendations 30 calendar days after submission. The contractor shall submit final 15 calendar days after receipt of Government comments.

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E011

2. TITLE OF DATA ITEM

CONFIGURATION STATUS ACCOUNTING INFORMATION

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81253A

5. CONTRACT REFERENCE

SOW para 3.1.6.4

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

QRTLY

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 Utilize the MEARS CREATE and REVIEW modules to identify the status of ECPs/RFDs being developed, reviewed, and dispositioned. Establish a database that captures the serial numbers of production units delivered to the Government along with the information required below.

The Contractor shall maintain the information in a manner that allows traceability of vendor assigned serial numbers to the vehicle’s U.S.M.C. registration/serial number and VIN. Required data elements for serialized tracking include:

· USMC Registration Number, Serial number, and VIN

· Vendor Part Number/Cage

· Vendor Serial Number

· Part Number Nomenclature (i.e. engine, transmission)

· Date of Report

· Configuration Document ECP/RFD/CCD Number

· Vendor Part/ Drawing Number

· Vendor Drawing Revision Level

· TIR Number

· Delivery Date

· Government Action Accept/Reject/Accept with Comments/Date

BLK 12 - Intitial submission 30 days after PCA. The Government requires 20 calendar days to review. The contractor shall submit final 20 calendar days after receipt of Government comments.

BLK 13 - Subsequent submissions shall be due quarterly starting with the first full quarter after the first submission.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil Martina.Sibley@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil Bryan.Baxter@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E012

2. TITLE OF DATA ITEM

INSTALLATION COMPLETION NOTIFICATION

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81245A

5. CONTRACT REFERENCE

SOW para 3.1.6.4.3

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12/13 - Submit 15 calendar days after installation. The Government requires 10 calendar days to review. The contractor shall submit final 5 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E013

2. TITLE OF DATA ITEM

CONFIGURATION AUDIT SUMMARY REPORT (PCA)

3. SUBTITLE

PHYSICAL CONFIGURATION AUDIT

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81022C

5. CONTRACT REFERENCE

SOW para 3.1.6.2

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050.

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12/13 - Submit 30 calendar days after each audit. The Government requires 30 calendar days to review. The contractor shall submit final 15 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E014

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES (PVI)

3. SUBTITLE

PROTOTYPE VERIFICATION INSPECTION (PVI)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW para 3.1.4.2

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

DD

9. DIST

STATEMENT

D

10. FREQUENCY

ONE/R

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other U.S. requests shall be referred to Program Executive Office Land Systems, ATTN: Program Manager M&HTV, 2200 Lester Street, Quantico, VA 22134-6050 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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK 12/13 - Report shall be submitted 10 days after PVI or correction of deficiencies found during inspection. The Government will provide comments and recommendations 30 calendar days after submission. The contractor shall submit final 15 calendar days after receipt of Government comments.

BLK - 14 Submission shall be via web-based data management system PER PARA 3.1.1.2. All deliverables will use current Marine Corps Microsoft Office Products. Electronic mail (email) notification shall be sent to the addressees below.

PEO LS (PM M&HTV):

Christopher.J.Connel@usmc.mil

Martina.Sibley@usmc.mil

Douglas.Kosky@usmc.mil

PEO LS (PM M&HTV/ALBANY):

Ronald.Pugh@usmc.mil

PEO LS:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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

M

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

E015

2. TITLE OF DATA ITEM

FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT (FACAR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81315A

5. CONTRACT REFERENCE

SOW para 3.1.7.14

6. REQUIRING OFFICE

PEO LS, PM M&HTV

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the…