REDACTED_19NB020_WB15_WB16_CDRLs.pdf
PDF 579 KB Posted
- Attached to
- redacted J and A Federal contract opportunity
- Solicitation number
- N0010419RK009
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N0010419CK034_DOC000.pdf | ||
| N0010419RK0090001N0010419RK009_19NB020__WB15_WB16.pdf | ||
| N0010419RK009_19NB020__WB15_WB16.pdf | ||
| N0010419RK009_19NB020__WB15_WB16.pdf | ||
| N0010419RK009_N0010419NB020__PRE-SOL_Synopsis.pdf |
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages milton.reese Highlight
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001
| B_EXHIBIT: A |
| TDP: |
| TM: |
| E_CONTRACTPR_NO: N0010419NB020 |
| FCONTRACTOR: |
| RESET: |
| TDP 3: |
| TM 3: |
| OTHER 3: SESS |
| 1_DATA_ITEM_NO 3: A008 |
| 2_TITLE_OF_DATA_ITEM 3: As Built Configuration List - Common (ABCL-C) |
| 3_SUBTITLE 3: CONFIGURATION MARRIAGE RECORD |
| 4_AUTHORITY_Data_Acquisit 3: DI-SESS-81830 |
| 5_CONTRACT_REFERENCE 3: SEE BLOCK 16 |
| 7_DID_250_REQ 3: DD |
| 8_APP_CODE 3: N/A |
| DIST_STATEMENT 3: E |
| 10_FREQUENCY 3: SEE BLOCK 16 |
| 11_AS_OF_DATE 3: N/A |
| 12_DATE_OF_FIRST_SUBMISSI 3: SEE BLOCK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB 3: SEE BLOCK 16 |
| addressee1 3: SEE BLOCK 16 |
| draft1 3: 0 |
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| 16_REMARKS 3: Block 5. Contract Reference-Section E - CAD/PAD Inspection and Acceptance paragraph 23. |
Block 9. - DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Proprietary Information) (date of contract award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10 - Once for each production and/or first article lot on the contract.
Blocks 12 and 13. Due at the time of submission of lot acceptance test samples, for NSWC IHEODTD testing, or at time of LAT notification, for contractor testing, for each and every lot on the contract.
Block 14. Distribution Addresses:
N00174
NSWC IHEODTD
Indian Head, MD *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| 17_PRICE_GROUP 3: |
| ESTIMATED_TOTAL_PRICE 3: |
| 1_APPROVED_BY 3: |
| J_DATE 3: |
| Page 3: 8 |
| of_pages 3: 9 |
| Reset 3: |
| TDP 5: |
| TM 5: |
| OTHER 5: NDTI |
| 1_DATA_ITEM_NO 5: A003 |
| 2_TITLE_OF_DATA_ITEM 5: TEST/INSPECTION REPORT |
| 3_SUBTITLE 5: Lot Acceptance Test Report |
| 4_AUTHORITY_Data_Acquisit 5: DI-NDTI-80809B |
| 5_CONTRACT_REFERENCE 5: SEE BLOCK 16 |
| 7_DID_250_REQ 5: DD |
| 8_APP_CODE 5: N/A |
| DIST_STATEMENT 5: E |
| 10_FREQUENCY 5: SEE BLOCK 16 |
| 11_AS_OF_DATE 5: N/A |
| 12_DATE_OF_FIRST_SUBMISSI 5: SEE BLOCK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB 5: SEE BLOCK 16 |
| addressee1 5: SEE BLOCK 16 |
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| draft36 5: |
| reg36 5: |
| repro36 5: |
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| draft37 5: |
| reg37 5: |
| repro37 5: |
| addressee38 5: |
| draft38 5: |
| reg38x 5: |
| repro38 5: |
| total_draft 5: 0 |
| reg38t 5: 1 |
| total_repro 5: 0 |
| 16_REMARKS 5: Block 5. Contract Reference Section E - Production Lot Test Samples (Contractor testing) paragraph 7. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only (Test and Evaluation) (Date of Contract Award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10. Frequency- One report for each production or First Article lot that is produced.
Blocks 12 and 13. A report shall be provided no later than 15 days from the completion of testing for each lot.
Block 14. Distribution Addresses:
N00174
NSWC IHEODTD
Indian Head, MD *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| 17_PRICE_GROUP 5: |
| ESTIMATED_TOTAL_PRICE 5: |
| 1_APPROVED_BY 5: |
| J_DATE 5: |
| Page 5: 3 |
| of_pages 5: 9 |
| Reset 5: |
| TDP 7: |
| TM 7: |
| OTHER 7: MISC |
| 1_DATA_ITEM_NO 7: A009 |
| 2_TITLE_OF_DATA_ITEM 7: AMMUNITION DATA CARD |
| 3_SUBTITLE 7: LAT ADC |
| 4_AUTHORITY_Data_Acquisit 7: DI-MISC-80043B |
| 5_CONTRACT_REFERENCE 7: SEE BLOCK 16 |
| 7_DID_250_REQ 7: SD |
| 8_APP_CODE 7: N/A |
| DIST_STATEMENT 7: E |
| 10_FREQUENCY 7: SEE BLOCK 16 |
| 11_AS_OF_DATE 7: N/A |
| 12_DATE_OF_FIRST_SUBMISSI 7: SEE BLOCK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB 7: SEE BLOCK 16 |
| addressee1 7: SEE BLOCK 16 |
| draft1 7: 0 |
| reg1 7: 1 |
| repro1 7: 0 |
| addressee2 7: |
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| reg2 7: |
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| draft24 7: |
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| draft26 7: |
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| draft37 7: |
| reg37 7: |
| repro37 7: |
| addressee38 7: |
| draft38 7: |
| reg38x 7: |
| repro38 7: |
| total_draft 7: 0 |
| reg38t 7: 1 |
| total_repro 7: 0 |
| 16_REMARKS 7: Block 5. Section E - Ammunition Data Cards (ADC) and Material Inspection and Receiving Report paragraph 1. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Critical Technology) (date of contract award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10. Once per First Article submission. Twice per production lot, per item being procured.
Block 12. A provisionally accepted ADC is due at the time of submission of lot acceptance test samples, for NSWC IHEODTD testing, or at time of LAT notification, for contractor testing, for each and every lot on the contract.
Block 13. The final ADC is due five days after LAT production lot release to be delivered with each shipment.
Block 14. Distribution Addresses:
N00174
NSWC IHEODTD
Indian Head, MD *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26) Hard copy to be included with each shipment
| 17_PRICE_GROUP 7: |
| ESTIMATED_TOTAL_PRICE 7: |
| 1_APPROVED_BY 7: |
| J_DATE 7: |
| Page 7: 9 |
| of_pages 7: 9 |
| Reset 7: |
| TDP 9: |
| TM 9: |
| OTHER 9: PACK |
| 1_DATA_ITEM_NO 9: A002 |
| 2_TITLE_OF_DATA_ITEM 9: PERFORMANCE ORIENTED PACKAGING TEST |
REPORT
| 3_SUBTITLE 9: |
| 4_AUTHORITY_Data_Acquisit 9: DI-PACK-81059A (SEE BLOCK 16) |
| 5_CONTRACT_REFERENCE 9: SEE BLOCK 16 |
| 7_DID_250_REQ 9: DD |
| 8_APP_CODE 9: N/A |
| DIST_STATEMENT 9: C |
| 10_FREQUENCY 9: SEE BLOCK 16 |
| 11_AS_OF_DATE 9: N/A |
| 12_DATE_OF_FIRST_SUBMISSI 9: SEE BLOCK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB 9: SEE BLOCK 16 |
| addressee1 9: SEE BLOCK 16 |
| draft1 9: 0 |
| reg1 9: 1 |
| repro1 9: 0 |
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| draft2 9: |
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| draft37 9: |
| reg37 9: |
| repro37 9: |
| addressee38 9: |
| draft38 9: |
| reg38x 9: |
| repro38 9: |
| total_draft 9: 0 |
| reg38t 9: 1 |
| total_repro 9: 0 |
| 16_REMARKS 9: Block 4. Modifications to DI-PACK-81059A -The test report shall |
indicate the appropriate POP markings.
Block 5. Contract Reference - Section D - Packaging,Marking, and Transportation - Paragraph 6.
Block 9. - DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors (date of contract award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10. Once per contract for each contract line item number (CLIN). If multiple CLINs share a common packaging requirement, one report can be submitted for all CLINs.
Blocks 12 and 13. Due at the time of submission of lot acceptance test samples, for NSWC IHEODTD testing, or at time of LAT notification, for contractor testing, for each and every lot on the contract.
Block 14. Distribution Addresses:
A printed copy of the applicable POP report shall be included with each shipment.
See section D-Packaging and Marking for applicable POP report See Section - Deliveries or Performance for applicable delivery address(es)
N00174
NSWC IHEODTD
Indian Head, MD *See Section H - Administrative Points of Contact, paragraph 2 for email distribution.
Cognizant DCMA (Indicated in Block 6 of SF26)
| 17_PRICE_GROUP 9: |
| ESTIMATED_TOTAL_PRICE 9: |
| 1_APPROVED_BY 9: |
| J_DATE 9: |
| Page 9: 2 |
| of_pages 9: 9 |
| Reset 9: |
| reg23 7: |
| repro28 7: |
| A_CONTRACT_LINE_ITEM_NO: 0001-0002 |
| DSYSTEMITEM: WB15, JAU-74/A & WB16, CCU-146/A |
| 6_REQUIRING_OFFICE: NSWC IHEODTD, CODE E21 |
| cover 17&18 blocks: |
| G_PREPARED_BY: |
| TDP 13: |
| TM 13: |
| OTHER 13: QCIC |
| 1_DATA_ITEM_NO 13: A006 |
| 2_TITLE_OF_DATA_ITEM 13: ACCEPTANCE TEST PLAN |
| 3_SUBTITLE 13: Radiographic Test Technique (RTT) |
| 4_AUTHORITY_Data_Acquisit 13: DI-QCIC-80553A |
| 5_CONTRACT_REFERENCE 13: SEE BLOCK 16 |
| 7_DID_250_REQ 13: DD |
| 8_APP_CODE13: N/A |
| DIST_STATEMENT13: E |
| 10_FREQUENCY13: SEE BLOCK 16 |
| 11_AS_OF_DATE13: N/A |
| 12_DATE_OF_FIRST_SUBMISSI 13: SEE BLOCK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB 13: SEE BLOCK 16 |
| addressee1 13: SEE BLOCK 16 |
| draft1 13: 0 |
| reg1 13: 1 |
| repro1 13: 0 |
| addressee2 13: |
| draft2 13: |
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| reg36 13: |
| repro36 13: |
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| draft37 13: |
| reg37 13: |
| repro37 13: |
| addressee38 13: |
| draft38 13: |
| reg38x 13: |
| repro38 13: |
| total_draft 13: 0 |
| reg38t 13: 1 |
| total_repro 13: 0 |
| 16_REMARKS 13: Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance paragraph 9a for X-RAYs. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Test & Evaluation) (date of contract award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10. Once per contract per line item being procured.
Blocks 12 and 13. Shall be submitted 45 days prior to submission of lot acceptance test samples.
Block 14. Distribution Addresses:
N00174
NSWC IHEODTD
Indian Head, MD **See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| 17_PRICE_GROUP: |
| ESTIMATED_TOTAL_PRICE: |
| H_DATE: |
| 1_APPROVED_BY 13: |
| J_DATE 13: |
| Page 13: 6 |
| of_pages 13: 9 |
| TDP 4: |
| TM 4: |
| OTHER 4: QCIC |
| 1_DATA_ITEM_NO 4: A005 |
| 2_TITLE_OF_DATA_ITEM 4: ACCEPTANCE TEST PLAN |
| 3_SUBTITLE 4: LAT ATP |
| 4_AUTHORITY_Data_Acquisit 4: DI-QCIC-80553A |
| 5_CONTRACT_REFERENCE 4: SEE BLOCK 16 |
| 7_DID_250_REQ 4: DD |
| 8_APP_CODE 4: N/A |
| DIST_STATEMENT 4: E |
| 10_FREQUENCY 4: SEE BLOCK 16 |
| 11_AS_OF_DATE 4: N/A |
| 12_DATE_OF_FIRST_SUBMISSI 4: 60DAC |
| 13_DATE_OF_SUBSEQUENT_SUB 4: N/A |
| addressee1 4: SEE BLOCK 16 |
| draft1 4: 0 |
| reg1 4: 1 |
| repro1 4: 0 |
| addressee2 4: |
| draft2 4: |
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| 16_REMARKS 4: Block 5. Contract Reference Section E - Inspection and Acceptance of Test Plans/Procedures paragraph 1. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Test & Evaluation) (date of contract award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10. Once per contract per line item being procured.
Block 14. Distribution Addresses:
N00174
NSWC IHEODTD
Indian Head, MD *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| 17_PRICE_GROUP 4: |
| ESTIMATED_TOTAL_PRICE 4: |
| 1_APPROVED_BY 4: |
| J_DATE 4: |
| Page 4: 5 |
| of_pages 4: 9 |
| Reset 4: |
| TDP 21: |
| TM 21: |
| OTHER 21: SESS |
| 1_DATA_ITEM_NO 21: A004 |
| 2_TITLE_OF_DATA_ITEM 21: Failure Summary and Analysis Report |
| 3_SUBTITLE 21: LAT Failure Report |
| 4_AUTHORITY_Data_Acquisit 21: DI-SESS-80255A |
| 5_CONTRACT_REFERENCE 21: SEE BLOCK 16 |
| 7_DID_250_REQ 21: LT |
| 8_APP_CODE 21: N/A |
| DIST_STATEMENT21: E |
| 10_FREQUENCY21: SEE BLOCK 16 |
| 11_AS_OF_DATE21: N/A |
| 12_DATE_OF_FIRST_SUBMISSI 21: SEE BLOCK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB 21: SEE BLOCK 16 |
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| 16_REMARKS 21: Block 5. Contract Reference Section E - Production Lot Test Samples (NSWC IHEODTD) paragraph 8b or Section E Production Lot Test Samples (Contractor testing) paragraph 9b or both. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only (Test and Evaluation) (Date of Contract Award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10. Frequency- Is determined by the number of Lot Acceptance Test (LAT) or First Article failures.
Blocks 12. Date of first submission - An preliminary report is due no later than 15 days after notification of lot failure. A final report is due 30 days after notification of lot failure.
Block 13 - Date of Subsequent Submission- NLT 15 days after failure analysis completion of second failed lot and beyond.
Block 14. Distribution Addresses:
N00174 N00104 NSWC IHEODTD NAVSUP Weapons Systems Support Indian Head, MD Mechanicsburg PA *See Section H - Administrative Points of Contact, paragraphs 1 and 2 for email distribution.
Cognizant DCMA (Indicated in Block 6 of SF26)
| 1_APPROVED_BY 21: |
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| Reset 13: |
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| form#: FY18 6/16/17 |
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| OTHER: CMAN |
| 1_DATA_ITEM_NO: A001 |
| 2_TITLE_OF_DATA_ITEM: Product Base Line Index (PBLI) |
| 3_SUBTITLE: Product Baseline (PBI/PBL) |
| 4_AUTHORITY_Data_Acquisit: DI-CMAN-81218 |
| 5_CONTRACT_REFERENCE: SEE BLOCK 16 |
| 7_DID_250_REQ: DD |
| 8_APP_CODE: N/A |
| DIST_STATEMENT: E |
| 10_FREQUENCY: SEE BLOCK 16 |
| 11_AS_OF_DATE: N/A |
| 12_DATE_OF_FIRST_SUBMISSI: 90 DAC |
| 13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16 |
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| 16_REMARKS: Block 5. Contract Reference SECTION C – Section C - Description and Specifications paragraph 3. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (Proprietary Information) (Date of Contract Award). Other requests shall be referred to (NSWC IHEODTD Code E26).
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.
Block 10. Required to be submitted once per contract, per item being procured.
Block 13. Date of subsequent submission - Revision only required when an approved Engineering Change Proposal (ECP) has changed the contractor's Technical Drawing Package (TDP) for item(s) called out in section C.
Block 14. Distribution Addresses:
N00174
NSWC IHEODTD
Indian Head, MD *See Section H - Administrative Points of Contact, paragraph 2 for email distribution.
Cognizant DCMA (Indicated in Block 6 of SF26)
| reg38t: 1 |
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| Page: 1 |
| of_pages: 9 |
File details come from the government source that posted it.