Section_J_Exhibit_A_CDRLs_15MAY15.docx

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120MM, Precision Extended Range Munition (PERM)
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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.

1001, 2001, 3001, 4001 and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contractor’s Progress, Status and Management Report

3. SUBTITLE18. ESTIMATED TOTAL PRICE

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW para 3.1.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

QRTLY

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to Product Manager (PdM), Fire Support Systems (FSS), Marine Corps Systems Command (MCSC).

*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. (*Applies as required)

Block 12 - Submit 1st report 90 working days after Contract Award.

Block 13 - The Government requires 10 working days to review. The contractor shall submit final 10 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (Portable Document Format (PDF)) for the final submission. Files may be sent via email or AMRDEC SAFE site.

THE REPORT SHALL INDICATE THE PROGRESS OF WORK AND THE STATUS OF THE PROGRAM AND OF THE ASSIGNED TASK, REPORT COSTS, AND INFORMS OF EXISTING OR POTENTIAL PROBLEM AREAS.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

15 May 2015

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

1001, 2001, 3001, 4001 and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Integrated Program Management Report (IPMR)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81861

5. CONTRACT REFERENCE

SOW para 3.1.1.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

Qrtly

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, MCSC. *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. (*Applies as required)

Block 12 - Submit 1st report 90 working days after Contract Award.

Block 13 - The Government requires 10 working days to review. The contractor shall submit final 10 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

THE REPORT SHALL SUPPLY FUNDING DATA TO THE PROGRAM OFFICE FOR: (A) UPDATING AND FORECASTING CONTRACT FUNDS REQUIREMENTS, (B) PLANNING AND DECISION MAKING ON FUNDING CHANGES TO CONTRACTS, (C) DEVELOPING FUNDS REQUIREMENTS AND BUDGET ESTIMATES IN SUPPORT OF APPROVED PROGRAMS, (D) DETERMINING FUNDS IN EXCESS OF CONTRACT NEEDS AND AVAILABLE FOR DEOBLIGATION, AND (E) OBTAINING ROUGH ESTIMATES OF TERMINATION COSTS.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Receipt of Government Materiel Report

3. SUBTITLE18. ESTIMATED TOTAL PRICE

Receipt of GFE Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80389B

5. CONTRACT REFERENCE

SOW para 3.2.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 9 – As required. 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 - As required.

Block 12 - Submit Report 2 working days after receipt of Government Furnished Equipment (GFE).

Block 13 - The Government requires 20 working days to review. The contractor shall submit final 10 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

THE REPORT SHALL PROVIDE RECEIPT DATA FOR GOVERNMENT MATERIEL TO THE MANAGEMENT CONTROL ACTIVITY (MCA) OR ACCOUNTABLE SUPPLY DISTRIBUTION ACTIVITY (ASDA). ALL CODES WITHIN DI-MGMT-80389B SHALL BE LISTED, IF APPLICABLE.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Government Furnished Information Deficiency Report

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80596

5. CONTRACT REFERENCE

SOW para 3.2.2

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 - As required Block 12 - Submit Report 30 working days after receipt of deficient information.

Block 13 - The Government requires 20 working days to review. The contractor shall submit final 10 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

THE REPORT SHALL ADVISE THE GOVERNMENT OF POTENTIAL IMPACT OF DEFICIENT INFORMATION. THE DEFICIENCIES COULD INCLUDE ILLEGIBLE, INCONSISTENT, DEFECTIVE, AND NONUSABLE INFORMATION THAT WILL IMPEDE/PREVENT PROCEEDING WORK. THE REPORT SHALL BE IN CONTRACTORS FORMAT. THE CONTRACTOR SHALL DELIVER THIS REPORT WITHIN 30 DAYS AFTER RECEIPT OF DEFICIENT INFORMATION.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

1001, 2001, 3001, 4001, and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Conference Agenda

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81249A

5. CONTRACT REFERENCE

SOW para 3.3.1, 3.3.2, 3.3.3, 3.3.4, 3.3.5, 3.3.6

6. REQUIRING OFFICE

MARCORSYSCOM ( PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 4 - Agendas shall not include general company profiles, advertisements, etc., not directly related to the PERM program.

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 – As required. Agenda items shall be added, changed, or revised, as required, to provide the Government with accurate and complete data.

Block 12 – Submit 10 working days prior to each review/conference.

Block 13 –

a. The Post Award Conference (PAC) – The Government requires 2 working days to review. The contractor shall submit final 2 working days after receipt of the Government comments.

b. All other - The Government requires 5 working days to review. The contractor shall submit final 5 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

1001, 2001, 3001, 4001, and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Conference Minutes

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81250A

5. CONTRACT REFERENCE

SOW para 3.3.1, 3.3.2, 3.3.3, 3.3.4, 3.3.5, 3.3.6

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 4 - Minutes shall not include general company profiles, advertisements, etc., not directly related to the PERM program. Minutes shall be unclassified.

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 – As required. Conference minutes shall be added, changed, or revised, as required, to provide the Government with accurate and complete data.

Block 12 - Submit 7 working days after each review/conference.

Block 13 - The Government requires 10 working days to review. The contractor shall submit final 5 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

1001, 2001, 3001, 4001, and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Presentation Materials

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81373

5. CONTRACT REFERENCE

SOW para 3.3.1, 3.3.2, 3.3.3, 3.3.4, 3.3.5, 3.3.6

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 4 - Presentation materials shall not include general company profiles, advertisements, etc., not directly related to the PERM program. Presentation materials shall be unclassified.

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 – As required. Presentation materials shall be added, changed, or revised, as required, to provide the Government with accurate and complete data.

Block 12 - Submit 10 working days prior to each review/conference.

Block 13 - The Government requires 5 working days to review. The contractor shall submit final 5 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft PowerPoint (for Windows) via email or AMRDEC SAFE site.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Configuration Audit Summary Report (Physical)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81022C

5. CONTRACT REFERENCE

SOW para 3.3.5

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 – As required.

Block 12 – Submit initial report within 60 days after Contract Award. Updated reports shall be submitted 60 days prior to Production Readiness Review.

Block 13 - The Government requires 10 working days to review. The contractor shall submit final 5 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

The Configuration Audit Summary Report provides text and marked-up technical documents (e.g., specifications, engineering drawings) which identify discrepancies between the material (including software) and the requirements delineated in the applicable technical documents. Depending on the type of audit, the identified discrepancies may be attributable to the material, technical documents, or both.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

15 May 2015

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Configuration Audit Plan (Physical)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81646

5. CONTRACT REFERENCE

SOW para 3.3.5

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 – As required.

Block 12 – Submit initial report within 30 days after Contract Award.

Block 13 - The Government requires 10 working days to review. The contractor shall submit final 5 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

The Configuration Audit Plan provides information required for conducting Functional Configuration Audits and Physical Configuration Audits. This Data Item description (DID) contains the content and preparation instructions for configuration audit plan specific task requirements as delineated in the contract.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00A

2. TITLE OF DATA ITEM

Systems Engineering Management Plan

(SEMP)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81785

5. CONTRACT REFERENCE

SOW para 3.4

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 – As required

Block 12 - Submit 20 working days after Contract Award.

Block 13 - The Government requires 15 working days to review. The contractor shall submit final 5 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

THE CONTRACTOR SHALL ESTABLISH AND MAINTAIN AN EFFECTIVE SYSTEMS ENGINEERING PROGRAM THROUGHOUT THE CONTRACT PERIOD OF PERFORMANCE. THE SYSTEMS ENGINEERING PROGRAM SHALL BE DOCUMENTED IN A SYSTEM ENGINEERING MANAGEMENT PLAN (SEMP) TO BE PROVIDED TO THE GOVERNMENT. THE SEMP SHALL INCLUDE THE ELEMENTS DESCRIBED IN SECTION 3.4 OF THE STATEMENT OF WORK (SOW). THE SEMP SHALL DESCRIBE THE CONTRACTOR'S TECHNICAL APPROACH AND PROPOSED PLAN FOR THE CONDUCT, MANAGEMENT, AND CONTROL OF THE INTERGRATED SYSTEMS ENGINEERING EFFORT. THE SEMP SHALL DETAIL THE OPERATIONAL PLAN FOR EXECUTING SYSTEMS ENGINEERING. INCLUDED IN THE SEMP SHALL BE THE FOLLOWING:

A. TECHNICAL SOLUTION ACTIVITIES:

1) DEVELOPMENT, DOCUMENTATION, MAINTENANCE, AND COMMUNICATION OF DETAILED SYSTEM ARCHITECTURES (FUNCTIONAL AND PHYSICAL) AND DETAILED INTERFACES – BOTH INTERNAL AND EXTERNAL

2) INTEGRATION, VERIFICATION, AND VALIDATION

B. RELATED PLANNING ASSOCIATED WITH APPLICATION OF THE CONTRACTOR’S SYSTEMS ENGINEERING PROCESSES AS TAILORED TO MEET THE NEEDS OF THE PROGRAM AND AT A LEVEL OF DETAIL NECESSARY FOR THE CONTRACTOR TO MANAGE AND EXECUTE THE TECHNICAL EFFORT. DETAILS OF PROCESS INTEGRATION AND COMMUNICATION WITH SUBCONTRACTORS AND SUPPLIERS SHALL BE PROVIDED.

C. REFERENCED LOWER-LEVEL AND SUBCONTRACTOR TECHNICAL PLANS, E.G., RISK MANAGEMENT, REQUIREMENTS MANAGEMENT, DATA MANAGEMENT, AND CONFIGURATION MANAGEMENT, AS DETERMINED NECESSARY BY THE CONTRACTOR TO PLAN AND EXECUTE A TOTAL SYSTEMS ENGINEERING EFFORT.

D. OTHER AREAS DEEMED NECESSARY TO EXECUTE SYSTEMS ENGINEERING TO MEET THE PROGRAM’S CONTRACT, OBJECTIVES, AND OVERALL TECHNICAL AND MANAGEMENT APPROACH.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00B

2. TITLE OF DATA ITEM

Contractor’s Configuration Management Plan (CMP)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80858B

5. CONTRACT REFERENCE

SOW para 3.4.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 10 - The CM Plan shall be changed or revised, as required, to provide the Government with complete and accurate data.

Block 12 - Submit 20 working days after Contract Award.

Block 13 - The Government requires 10 working days to review. The contractor shall submit final 5 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

2001, 3001, 4001 and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00C

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80642C

5. CONTRACT REFERENCE

SOW para 3.4.1.1, 3.5.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 12 - The contractor shall submit a NOR to the Government concurrently with ECPs when technical documentation controlled by another Contractor or Government agency requires changes following approval of an ECP.

Block 13 - The Government has 15 days to review and comment. Contractor has 10 days to respond. Government has 10 days to approve or disapprove.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

2001, 3001, 4001 and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00D

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80639C

5. CONTRACT REFERENCE

SOW para 3.4.1.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 12 - The contractor shall submit an ECP to the Government 40 working days before implementing any ECP. Notifications shall be submitted for all changes which affect Government established baselines. The opportunity to submit notifications shall extend through contract finalization. In addition, notifications shall be submitted at the request of the Government.

Block 13 - The Government has 15 days to review and comment. Contractor has 10 days to respond. Government has 10 days to approve or disapprove or approve contingent on passing qualification.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

2001, 3001, 4001 and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00E

2. TITLE OF DATA ITEM

Request for Variance (RFV)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81883

5. CONTRACT REFERENCE

SOW para 3.4.1.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Block 12 - The contractor shall submit a RFV to the Government concurrently with ECPs, as required.

Block 13 - The Government requires 20 working days to review. The contractor shall submit final 10 working days after receipt of Government comments.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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.

2001, 3001, 4001 and 5001

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00F

2. TITLE OF DATA ITEM

Technical Report – Study/Services (Change Notification)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

Notification of Changes to Commercial Equipment/Software

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW para 3.4.1.1.4

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 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. Export Controlled, 30 May 2013. Other requests shall be referred to PdM, FSS, Marine Corps Systems Command.

*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. (*Applies as required)

Blocks 13 – The Government requires 20 working days to review. The contractor shall submit final 10 working days after receipt of Government comments.

Block 12 – As required.

Block 14 - Delivery media shall be in Microsoft Word (for Windows) for the initial submission and Adobe Acrobat (PDF) for the final submission. Files may be sent via email or AMRDEC SAFE site.

The Contractor shall submit notification to the Government when changes occur to commercial equipment or software, which is being procured or fabricated by the Contractor off-the-shelf, and the Government does not control the developer’s design.

MCSC PdM FSS

COR
1
0
1

DCMA (ACO)

ACO
Cover Letter

ACO

15. TOTAL ---------
1
0
1

G. PREPARED BY:

Chad Kernen

H. DATE

I. APPROVED BY:

Joseph McPherson

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

A

C. CATEGORY:

TDP ___ TM ___ OTHER X .

D. SYSTEM/ITEM

USMC PERM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00G

2. TITLE OF DATA ITEM

System/Subsystem Design Description (SSDD)

3. SUBTITLE18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81432A

5. CONTRACT REFERENCE

SOW para 3.4.2.1

6. REQUIRING OFFICE

MARCORSYSCOM (PdM FSS)

7. DD 250 REQ

LT

9. DIST

STATEMENT

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Draft
Final
Reg
Repro

16. REMARKS

Block 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D:…

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