N0010424RQ003 Attachment 3 - Technical Data Package.PDF

** INTEGRATED TECHNICAL, ITEM MANAGEMENT AND PROCUREMENT **

** TECHNICAL DATA PACKAGE **

** REQUESTED BY USER: ZAP6338 ****** ****** ****** *** * ** *** **

** DELIVER TO: STEPHEN R NETTLES ***** ****** ****** *** * * ** ****

** N9652.EL **** ****** ****** *** ** ** ** **********

** X-1523 *** ****** ****** *** ***** ** ***********

** REQUESTED COPIES: 001 * ***** ***** ** ***** ** ************

** REMARKS: **

** FOLDER: NA **

** NIIN: 011804521 **

** TYPE: B **

** VERSION: 15 **

TECHNICAL DATA PACKAGE

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ITEM NAME: DOME,OPTICAL DECEMBER 11, 2023

1. SCOPE

1.1 This contract/purchase order contains the requirements for manufacture and the contract quality requirements for the DOME,OPTICAL , part of the <sidewinder missile g&c section> .

2. APPLICABLE DOCUMENTS

2.1 Applicable Documents - The document(s) listed below form a part of this contract/purchase order including modifications or exclusions.

2.1.1 "Document References" listed below must be obtained by the Contractor. Ordering information is included as an attachment to this contract/purchase order.

2.1.2 The "Document Changes" section provides supersessions/changes to referenced documents.

2.2 Order of Precedence - In the event of a conflict between the text of this contract/purchase order and the references and/or drawings cited herein, the text of this contract/purchase order shall take precedence. Nothing in this contract/purchase order, however, shall supersede applicable laws and regulations unless a specific exemption has been obtained.

2.3 <Approved sources of supply must confirm with the cognizant Government Engineering Activity, that they have the most current drawings, documentation, and specifications during solicitation and award.>

2.4

DRAWING NO. CAGE REV DOC TYPE DISTR CD SHEET NR REV TYPE SIZE

639AS3103 30003 D3 0001 49998 0104277

DOCUMENT REFERENCES

SPEC NO. SLASH NO. PART NO REV DATE DISTR CD AMEND CHG NTC SUPP

ASQ/ANSI Z1.4 R18 01 OCT 18 A

MIL-STD-129 R 24 MAY 18 A 01

MIL-F-48616 14 MAR 97 A 2

MIL-STD-1916 01 APR 96 A

3. REQUIREMENTS

3.1 Design, Manufacture, and Performance - Except as modified herein, the DOME,OPTICAL furnished under this contract/purchase order shall meet the design, manufacture, and performance requirements specified on drawing <639AS3103> cage <30003> .

3.1.1 <The Vendor shall deviate from drawing 639AS3103, Note 5, as described below.

Note 5. The dome shall meet the following transmittance requirements.

A. Mid-wave IR transmittance values shall be greater than or equal to

85 percent.

B. The transmittance across the dome shall not vary more than @ 2.0 percent when measured at any arbitrary position using a spectrophotometer set at 3 - 5um (Midwave IR) wavelength.

The spectrophotometer shall be accurate within @ 1.0 percent.

The transmittance at all Midwave IR wavelengths shall be met at an angle incidence normal to the dome surface through an aperture not exceeding one half inch diameter.

C. Visible color variations across the dome that do not affect IR transmittance in the region of interest are acceptance.

*DRAWING 639AS3113 IS OMITTED FROM THIS REQUIREMENT*>

3.1.2 <Optical Dome (639AS3103) Material certification. Acceptance criteria for Optical Quality Optical Dome material shall require ingredient data with actual percentages of all ingredients, including contaminants, as mixed of the optical quality polycrystalline magnesium fluoride (MgF2). This shall be provided as tabulated data with each lot.

Material certification shall be provided via the contract officer, to:

Sidewinder AIM-9M Technical Project Office:

Code D0AH280

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ITEM NAME: DOME,OPTICAL DECEMBER 11, 2023

Commander (Code D0AH280) Naval Air Warfare Center Weapons Division 1900 North Knox Road, MS 6518 China Lake, CA 93555-6001

If additional information is required:

richard.e.wagner1.civ@us.navy.mil alejandro.vasquez6.civ@us.navy.mil walter.o.escalante.civ@us.navy.mil

Alejandro Vasquez (AIM-9M TPO Lead) (760)-939-1956 Richard Wagner (AIM-9M Program Analyst) (760)939-5511

3.2 First Article Approval (Contractor Testing) - First Article Test (FAT) and approval is required.

3.3 First Article Approval (Government Testing) - First Article Test (FAT) and approval is required.

3.4 Production Lot Approval (Contractor Testing) - Production Lot Test and approval is required.

3.5 Marking - This item shall be physically identified in accordance with <MIL-STD-129, REV R, CHANGE 1, 24 MAY 2018> .

4. QUALITY ASSURANCE

4.1 Responsibility for Inspection - Unless otherwise specified in the contract/purchase order, the Contractor is responsible for the performance of all inspection requirements as specified herein. Except as otherwise specified in the contract/purchase order, the Contractor may use his own or any other facilities suitable for the performance of the inspection requirements specified herein, unless disapproved by the Government. The Government reserves the right to perform any of the inspections set forth in the specification where such inspections are deemed necessary to assure supplies and services conform to prescribed requirements.

4.2 Responsibility for Compliance - All items must meet all requirements of this contract/purchase order. The inspection set forth in this specification shall become a part of the Contractor's overall inspection system or quality program. The absence of any inspection requirements shall not relieve the Contractor of the responsibility of assuring that all products or supplies submitted to the Government for acceptance comply with all requirements of the contract/purchase order. Sampling in quality conformance does not authorize submission of known defective material, either indicated or actual, not does it commit the Government to acceptance of defective material.

4.3 Records - Records of all inspection work by the Contractor shall be kept complete and available to the Government during the performance of contract/purchase order and for a period of 365 calendar days after final delivery of supplies.

4.4 First Article Test/Inspection (Contractor) - The Contractor shall conduct <non-destructive> First Article Test/Inspection on <Three (3)> unit(s) in accordance with requirements <on drawing 639AS3103 and all related documents.> .

4.5 First Article Compatibility Test (Government) - Upon satisfactory completion of the First Article Test/Inspection by the Contractor, <Quantity 3 (In accordance with CDRL DI-DTI-DESTRUCTIVE).> unit(s) shall be shipped to <NAWC CHINA LAKE> for compatibility test to assure satisfactory, form, fit and function within the applicable end item or system.

Government First Article Compatibility Test shall consist of <destructive> testing. If the testing is nondestructive, the first article sample <shall not be returned> be returned.//

4.6 First Article Test Procedures - (Government Approval) - The Contractor shall prepare and submit test procedures in accordance with the Contract Data Requirements List (DD Form 1423). The test procedures shall be approved prior to production.

There is hereby created an option for the Government to waive the requirement for submission of a test procedure. If the Offeror has had its test procedure previously approved by the Government, furnish the name of the approval activity, date of approval, and contract number under which the test procedure was approved.

In the event the Government exercises the option to waive submission of a test procedure, the previously approved procedure shall apply to the contract/purchase order.

4.7 Production Lot Test Procedures - (Government Approval) - The Contractor shall prepare and submit test procedures in accordance with the Contract Data Requirements List (DD Form 1423).

There is hereby created an option for the Government to waive the requirement for submission of a test procedure. If the Offeror has had its test procedure proviously approved by the Government, furnish the name of the approval activity, date of approval, and contract number under which the test procedure was approved.

In the event the Government exercises the option to waive submission of a test procedure, the previously approved procedure shall apply to the contract/purchase order.

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ITEM NAME: DOME,OPTICAL DECEMBER 11, 2023

4.8 Production Lot Test (Contractor) - The Contractor shall perform 100% production testing in accordance with <drawing 639AS3103 notes 2, 3, 4, 6, 7, and 5 as written in paragraph 3.1.1 of this document> .

5. PACKAGING

5.1 Preservation, Packaging, Packing and Marking - Preservation, Packaging, Packing and Marking shall be in accordance with the Contract/Purchase Order Schedule and as specified below.

MIL-STD 2073 PACKAGING APPLIES AS FOUND ELSEWHERE IN THE SCHEDULE

6. NOTES

6.1 Ordering Information for Document References - The Department of Defense Single Stock Point (DODSSP), Website http://www.dsp.dla.mil/, provides product information for the Department Of Defense Index Of Specifications and Standards (DODISS) (i.e.Military/Federal Specifications and Standards), Data Item Descriptions (DIDs), and other DODSSP Products. Most Specifications can obtained directly from http://quicksearch.dla.mil/

A. Availability of Cancelled Documents - The DODSSP offers cancelled documentsthat are required by private industry in fulfillment of contractual obligationsin paper format. Documents can be requested by phoning the Subscription Services Desk.

B. Commercial Specifications, Standards, and Descriptions - These specifications, standards and descriptions are not available from Government sources. Theymay be obtained from the publishers of the applicable societies.

C. Ordnance Standards (OS), Weapons Specifications (WS), and NAVORD OSTD 600 Pages - These type publications may be obtained by submitting a request to:

Commander, Indian Head Division, Naval Surface Warfare Center Code 8410P, 101 Strauss Avenue Indian Head, MD 20640-5035

D. On post-award actions, requests for "Official Use Only" and "NOFORN" (Not Releasable To Foreign Nationals) documents must identify the Government ContractNumber, and must be submitted via the cognizant Defense Contract Management Command (DCMC) for certification of need for the document. On pre-award actions such requests must be submitted to the PCO for certification of need for the document.

E. NOFORN Military Specifications and Standards (including Amendments, Change Notices and Supplements, but NOT interim Changes) to be ordered from:

Contracting Officer

NAVSUP-WSS

Code 87321 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

F. Nuclear Reactor Publications Assigned NAVSEA Documents and Identification Numbers (i.e. NAVSEA Welding Standard, NAVSEA 250-1500-1) are to be ordered enue:

Commanding Officer

NAVSUP-WSS

Code 009 5450 Carlisle Pike P.O. Box 2020 Mechanicsburg, Pa. 17055-0788

G. Technical Manuals Assigned NAVSEA Identification Numbers (i.e. NAVSEA Welding And Brazing Procedure, NAVSEA S9074-AQ-GIB-010/248) are to be ordered from:

Commanding Officer

NAVSUP-WSS

Code 1 Support Branch 700 Robbins Avenue Philadelphia, Pa. 19111-5094

H. Interim Changes and Classified Specifications must be obtained by submitting a request on DD Form 1425 to

NAVSUP-WSS.

6.2 In accordance with OPNAVINST 5510.1 all documents and drawings provided by the U.S. Navy to perspective Contractors must include a "Distribution Statement" to inform the contractor of the limits of distribution, and the safeguarding of the information contained on those documents and drawings.

There are 7 (seven) seperate distribution statement codes used for non-classified documents and drawings. The definition for each is as follows:

A... approved for public release; distribution is unlimited.

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ITEM NAME: DOME,OPTICAL DECEMBER 11, 2023

B... distribution authorized to US Governments agencies only.

C... distribution authorized to US Government agencies and their contractors.

D... distribution authorized to DoD and DoD contractors only.

E... distribution authorized to DoD Components only.

F... further distribution only as directed by Commander, Naval Sea

Systems Command, code 09T.

X... distribution is authorized to US Government agencies and private individuals or enterprises eligible to obtain export controlled technical data in accordance with OPNAVINST 5510.161.

6.3 Notice To Distributors/Offerors - Consideration for award of contract shall be given only to authorized distributors of the original manufacturer's item represented in this solicitation. If you desire to be considered as a potential source for award of this contract, proof of being an authorized distributor shall be provided on company letterhead signed by a responsible company official and sent with your offer to the Procurement Contracting Officer.

6.4 Statement of Prior Approval Data - If the item(s) being offered meet the requirements specified in the contract/purchase order and is an exact duplicate of item(s) previously approved by the Government, furnish the NSN, name of prime manufacturer, drawing number, technical manual number, and previous contract number. Provide this information on company letterhead signed by a responsible company official.

6.5 Information regarding abbreviations, symbols and codes appearing on DD Form 1423 - The following information is provided to assist in understanding the intent of the requirement to provide a deliverable item to the government.

The explanation of abbreviation, symbols and codes found in a block follows the block number as they appear on the DD Form 1423.

Block A: Is the actual contract line item no.

Block B: Is the actual collective physical list of the deliverable item(s) which are part of the total requirement of the contract/purchase order.

Block C: Is the category of data required, TDP is defined in MIL-T-31000. TM is defined in Part 1X, Section B of DODI 5000.2. NAVICP has reasoned that most DD Form 1423's included in our solicitations meet the requirement of TDP as NAVICP does not regularly purchase only Technical Manuals without purchasing hardware and related TDP software. Therefore, most NAVICP DD Form 1423 category code will be TDP.

Block D: Is the name of the parent system, next higher assembly, or the item being purchased.

Block E: Is the purchase request number, request for proposal number, invitation for bid number or another number for tracking and monitoring purposes.

Block F: Is the successful offerors name and or cage code.

Block G: Is the name of the individual and or the code/activity of the individual who prepared the DD Form 1423 and included the requirement in the Technical Data Package (TDP).

Block H: Self explanatory.

Block I: Is the name and signature of the individual who approved the content and the need for inclusion of the DD Form 1423 in the TDP.

Block J: Self explanatory.

Block 1: Is the Exhibit Line Item Number (ELIN).

Block 2: Is the title of the data item cited in Block 4.

Block 3: Is the subtitle of the data item cited in Block 4 and is used if the title requires clarification.

Block 4: Is the actual Data Item Description (DID) number or the actual Technical Manual Contract Requirements Number. In the event the DD Form 1423 is requiring a technical manual the numbered TMCR will be an attachment to the contract/purchase order.

Block 5: Is the section and paragraph area, where the requirement statement for the DD Form 1423 will be found.

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ITEM NAME: DOME,OPTICAL DECEMBER 11, 2023

Block 6: Is the activity that will inform the contractor of approval, conditional approval or disapproval of the deliverable item.

Block 7: Is a code which designates authority for inspection and acceptance of the deliverable item. The definition of the codes is as follows:

DD Form 250 Code Inspection Acceptance

SS (1) (2)

DD (3) (4)

SD (1) (4)

DS (3) (5)

LT (6) (7)

NO (8) (8)

XX (9) (9)

(1) Inspection at source.

(2) Acceptance at source.

(3) No inspection performed at source. Final inspection performance at destination.

(4) Acceptance at destination.

(5) Acceptance at source. Acceptance based on written approval from the Contract Officer.

(6) Letter of transmittal only. LT should not be used when inspection is required. The data is sent by the contractor directly to the personnel listed in Block 14 of the DD Form 1423. LT is used when the contracting agency does not desire to have a DD Form 250 for each and every piece of data developed by the contractor.

The only other authorized use of LT is the special case where the contracting agency does not desire to have separate DD Forms 250 but desires to have a Government quality assurance representative perform inspection. The Government quality assurance representative shall be listed on the distribution in Block 14 and requested to provide comments via the quality assurance letter of inspection.

Use of the symbol LT is not authorized for data comprising final delivery of Technical Data Package of for Technical Manuals. (LT may, however, be used for delivery of preliminary TDP's or TM's).

(7) As specified in Block 8 of the DD Form 1423.

(8) No inspection or acceptance required. No DD Form 250 or letter of transmittal required.

Use of the symbol NO is not authorized for data comprising Technical Data Packages or for Technical Manuals.

(9) Inspection and acceptance requirements specified elsewhere in the contract.

Block 8: Is the approval code - Items of critical data requiring specific advanced written approval prior to distribution of the final data item will be identified by placing an "A" in this field. This data item requires submission of a preliminary draft prior to publication of a final document.

When a preliminary draft is required, Block 16 of the DD Form 1423 will show length of time required for Government approval/disapproval and subsequent turn-around time for the contractor to resubmit the data after Government approval/disapproval has been issued. Block 16 will also indicate the extent of the approval requirements, e.g., approval of technical content and/or format.

Block 9: Is the distribution statement code which explains how the

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Government can circulate the deliverable item. The definition of codes A, B, C, D, E, F or X is as follows:

A. Distribution of the item is unrestricted.

B. Distribution of the item is limited to agencies only.

C. Distribution of the item is limited to contractors with a cage code and have a DD Form 2345 on file with the Defense Logistics Service Center (DLSC) Battle Creek, Mich. or Government activities.

D. Distribution of the item is limited to DOD activities and DOD contractors only.

E. Distribution of the item is limited to DOD components only.

F. Distribution of the item is restricted from Foreign Nations and Forign Nationals.

Block 10: Is the frequency which the deliverable item is expected to be delivered to the Government. The abbreviations and their meaning.

ANNLY Annually

ASGEN As generated

ASREQ As required

BI-MO Every two months

BI-WE Every two weeks

DAILY Daily

DFDEL Deferred Delivery

MTHLY Monthly

ONE/R One time with revisions

QRTLY Quarterly

SEMIA Every six months

WEKLY Weekly

XTIME Number of times to be submitted (1time, 2times...9times)

Use of these codes requires further explanation in Block 16 to provide the contractor with guidance necessary to accurately price the deliverable data item.

Other abbreviations not appearing on the above list may on occasion be used in Block 10 of the DD Form 1423. When other abbreviations are used they will be fully explained in Block 16 of the DD Form 1423.

Block 11: Is the last calendar date, expressed in year/month/day format, the deliverable item is to be received by the requiring office cited in Block 6 of the DD Form 1423 for an item with a Block 10 entry indication a single delivery. If the item is to be submitted multiple times, the number stated is the number of calendar days after the frequency cited in Block 10 the item is to be received by the requiring office cited in Block 6 of the DD Form 1423. On occasion the deliverable item will be required to be submitted prior to the end of the frequency cited in Block 6. In that event the requirement will be fully explained in Block 16 of the DD Form 1423.

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ITEM NAME: DOME,OPTICAL DECEMBER 11, 2023

Block 12: Is the date of first submission of the deliverable item to the requiring office (Block 4) expressed in year/month/day format. The abbreviations and their meaning are as follows:

ASGEN As generated ASREQ As required DAC Days after contract date

DFDEL Deferred Delivery

EOC End of contract

EOM End of month

EOQ End of quarter

Specific instructions for these requirements will be provided in Block 16. If the deliverable item is constrained by a specific event or milestone the constraint will be fully explained in Block 16 of the DD Form 1423. "As generated", "As required", and "Deferred Delivery" will always be fully explained in Block 16.

Block 13: Is the date of subsequent submission of the deliverable item, after the initial submission. Subsequent submission is only used to indicate the specific time period. The data is required when Block 10 of the DD Form 1423 indicates multiple delivery is required. This does not apply to resubmission of a deliverable item that has been reviewed by the requiring office and determined to be only conditionally acceptable or unacceptable.

Block 14a: Will contain the activity name(s) where the deliverable item is to be sent. If the activity is other than DCMC or NSPCC the full name, address (including code) will be specified. That specific information will be located in Block 16 of the DD Form 1423.

Block 14b: Is the number of copies of draft and or final copies to be submitted. When final "Repro" copies ar to be submitted Block 16 will clarify the type of Repro copies required.

(e.g., vellum, negative, etc.)

Block 15: Is the total of each type of copies to be submitted as required by Block 14.

Block 16: Is the block used to provide additional or clarifying information Blocks 1 through 15. This block is also the only area used to tailor the document listed in Block 4. Only deletions to the minimum requirements stated in the document in Block 4 are allowed. Block 16 may also be used to specify the medium for delivery of the data.

Block 17: Is the block where the bidder or offerer is to enter the appropriate price group. The price group are defines as follows:

A. Group I - Data which the contractor prepares to satisfy the Government's requirements.

The contractor does not need this type of data to perform the rest of the contract. Price would be based on identifiable direct costs, overhead, General and Administrative (G&A) and profit.

B. Group II - Data essential to contract performance which must be reworked or amended to conform to Government requirements.

The price for data in this group would be based on the direct cost to convert the original data to meet Government needs and to deliver it, plus allocable overhead, G&A and profit.

C. Group III - Data which the contractor must develop for his own use and which requires no substantial change to conform to Government requirements regarding depth of content, format, frequency of submittal, preparation, and quality of data. Only the costs of reproducing, handling and delivery, plus overhead, G&A and profit, are considered inpricing data in this group.

D. Group IV - Data which the contractor has developed as part

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ITEM NAME: DOME,OPTICAL DECEMBER 11, 2023

of his commercial business. Not much of this data is required and the cost is insignificant. The item should normally becoded "no charge." An example is a brochure or brief manual developed for commercial application which will be acquired in small quantities, and the added cost is too small to justify the expense of computing the charge that otherwise would go with the acquisition.

Block 18: Enter the total estimated price 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. THE ENTRY "N/C" FOR "NO CHARGE" is acceptable.

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

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

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

15. TOTAL

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

X

DOME,OPTICAL

FIRST ARTICLE NDTI

TEST PROCEDURE

DI-NDTI-80603A (NDTI) DD 1423 BLK 16 NAVAIR MS 6518

DD ASREQ ASREQ

A E NA NA

CHINA LAKE CA. 01 01 00

First Submission (Block 12): 120DPTT Blocks 8, 10 thru 13: Draft plan due 120 days prior to DCMA QAR 00 01 00 start of test. Review by NAWCWD China Lake D0AH280 and DCMA QAR. Government comments within 60 days after receipt NAVSUP WSS PCO 00 02 00 of test plan, Submit revisions NLT 15 days after receipt of Government comments. The First Article Test Plan shall be approved by NAWCWD China Lake D0AH280 30 days prior to the start of contractor First Article Testing.

Source of supply shall not commit to a production run, until reports have been approved by the ISEA. <All first article's will be witnessed by China Lake CA. 93555-6001, CODE

D0AH280. First articles will be subjected to all requirments of notes 2 thru 7a.b. > Block 10 - Note: If this data has been previously approved by the Navy, submittal of the original approval letter in lieu of the data is acceptable.

Block 12 - Submit for approval prior to production.

Block 12 - Submit for approval prior to First Article Test/Inspection.

Block 12 - Resubmit no later than <Thirty (30)> days after disapproval.

- CONTINUED - 01 04 00

CONTINUED

Block 13 - Approval shall be by written confirmation/rejection as well as DD 250 signature acceptance.

Block 14A - ISEA information copy to <Commander Naval Air Warfare Center Weapons Divison 1 Administration Circle China Lake CA 93555-6001 richard.e.wagner1.civ@us.navy.mil alejandro.vasquez6.civ@us.navy.mil walter.o.escalante.civ@us.navy.mil

1.1 Block 12 - Submit for approval in accordance with

the Delivery Schedule.

KLMNOPQRST

NAVSUP WSS N9652.QL 2023 APR 09 DAVID A SCHWARTZ 2023 APR 09

1 4

DD FORMo1423-2 REVERSE, JUN 90

5010.12-L (AMSDL), or one-time DID number, that defines data

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will support

Self-explanatory

INSTRUCTIONS FOR COMPLETING DD FORM 1423

FOR GOVERNMENT PERSONNEL

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative and other expenses related toreproducing and delivering such data item to the Government.

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

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

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

PRODUCTION LOT NDTI

TEST PROCEDURE

DI-NDTI-80603A (NDTI) DD 1423 BLK 16 NAVAIR MS 6518

DD ONE/R ASREQ

A E NA NA

CHINA LAKE CA 01 01 00

First Submission (Block 12): 120DPTT Blocks 8, 10 thru 13: Draft plan due 120 days prior to DCMA QAR 00 01 00 start of test. Review by NAWCWD China Lake D0AH280 and DCMA QAR. Government comments within 60 days after receipt NAVSUP WSS PCO 00 02 00 of test plan, Submit revisions NLT 15 days after receipt of Government comments. The Production Lot Test Plan shall be approved by NAWCWD China Lake D0AH280 30 days prior to the start of contractor Production Lot Testing.

Source of supply shall not commit to a production run, until reports have been approved by the ISEA.

Block 10 - Note:

If this data has been previously approved by the Navy, submittal of the original approval letter in lieu of the data is acceptable.

Block 12 - Submit for approval prior to production.

Block 12 - Resubmit no later than <Thirty (30)> days after disapproval.

Block 13 - Approval shall be by written confirmation/rejection as well as DD 250 signature acceptance.

Block 14A - ISEA information copy to <Commander Naval Air Warfare Center Weapons Divison

- CONTINUED - 01 04 00

CONTINUED

1 Administration Circle China Lake CA 92555-6001 richard.e.wagner1.civ@us.navy.mil alejandro.vasquez6.civ@us.navy.mil walter.o.escalante.civ@us.navy.mil

1.2 Block 12 - Submit for approval in accordance with

the Delivery Schedule.

KLMNOPQRST

NAVSUP WSS N9652.QL 2023 APR 09 DAVID A SCHWARTZ 2023 APR 09

2 4

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, Previous editions are obsolete searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1. DATA ITEM NO.

1. DATA ITEM NO.

(2 Data Items) Form Approved OMB No. 0704-0188

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

TDP ________ TM ________ OTHER ______________________________

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

DD Form 1423-2, JUN 90

S/N 0102-LF-010-5600

Page ______ of ______ Pages

2. TITLE OF DATA ITEM

2. TITLE OF DATA ITEM

18. ESTIMATED

TOTAL PRICE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

I

I

17. PRICE GROUP

17. PRICE GROUP 3. SUBTITLE

3. SUBTITLE

7. DD 250 REQ

7. DD 250 REQ

8. APP CODE

8. APP CODE

DIST STATEMENT

DIST STATEMENT

REQUIRED

REQUIRED

9.

9.

10. FREQUENCY

10. FREQUENCY

11. AS OF DATE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

12. DATE OF FIRST SUBMISSION

DATE OF SUBSEQUENT

DATE OF SUBSEQUENT

SUBMISSION

SUBMISSION

13.

13.

14. DISTRIBUTION

14. DISTRIBUTION

b. COPIES

b. COPIES

4. AUTHORITY

4. AUTHORITY

(Data Acquisition Document No.)

(Data Acquisition Document No.)

5. CONTRACT REFERENCE

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

6. REQUIRING OFFICE

16. REMARKS

16. REMARKS

a. ADDRESSEE

a. ADDRESSEE

Draft

Draft

Repro

Repro

Reg

Reg

Final

Final

15. TOTAL

TEST/INSPECTION REPORT

TEST REPORT

DI-NDTI-80809B DD 1423 BLK 16 NAVAIR MS 6518

DD ONE/R ASREQ

A A NA NA

CHINA LAKE CA 01 01 00

First Submission (Block 12): 60DPTT Submit draft 60 days after completion of test. Review by DCMA QAR 00 01 00 NAWCWD China Lake D0AH280 and DCMA QAR. Government comments within 30 days after receipt of draft. Submit NAVSUP WSS PCO 00 02 00 revisions NLT 15 days after receipt of Government comments. For subsequent test(s), submit report(s) 30 days after completion of test(s).

Source of supply shall not commit to a production run, until reports have been approved by the ISEA.

Block 12 - Submit for approval prior to production.

Block 12 - Production will not be authorized until First Article Test Report has been approved.

Block 13 - Approval shall be by written confirmation/rejection as well as DD 250 signature acceptance.

Block 14A - ISEA information copy to <Submit report to:

richard.e.wagner1.civ@us.navy.mil alejandro.vasquez6.civ@us.navy.mil walter.o.escalante.civ@us.navy.mil

01 04 00

AIM 9 DOME

DESTRUCTIVE TESTING

DI-DTI-DESTRUCTIVE DD 1423 BLK 16 NAVAIR MS 6518

DD ASREQ ASREQ

A E NA NA

DCMA QAR 00 01 00

Manufacturer will provided 3 domes upon completion of manufacture. NAVSUP WSS 00 01 00 Manufacturer will have 60 days to deliver domes for destructive testing.

Government requires 90 days for testing and evaluation.

Domes will be shipped to the following government facility:

Weapons Component Engineering & Test Branch Commander Code D55J200 (MS 6614)

NAVAIRWARCENWPNDIV

1900 N. Knox Road China Lake, CA 93555-6001 POC: Richard Wagner

DODAAC: N60530

Manufacturer will be informed by official letter, for destructive testing results.

If domes do not pass destructive testing, manufacturer will have 90 days for

- CONTINUED - 00 02 00

KLMNOPQRST

NAVSUP WSS N9652.QL 2023 APR 09 DAVID A SCHWARTZ 2023 APR 09

3 4

Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management", etc.

(See DoD 5010. 12-M for detailed instructions.)

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.

Enter total number of draft/final copies to be delivered.

Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Specify when subsequent submittals are required, when applicable.

Specify when first submittal is required.

Specify as-of date of data item, when applicable.

Specify number of times data items are to be delivered.

For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoD 5230.24).

Specify requirement for approval of a draft before preparation of the final data item.

Specify requirement for inspection/acceptance of the data item by the Government.

Enter technical office responsible for ensuring adequacy of the data item.

Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD content and format requirements.

Enter subtitle of data item for further definition of data item (optional entry).

Enter title as it appears on data acquisition document cited in Item 4.

Date CDRL was approved.

Signature of CDRL approval authority.

Date CDRL was prepared.

Signature of preparer of CDRL.

Enter name of system/item being acquired that data will

Item A.

Item B.

Item C.

Self-explanatory

Mark (X) appropriate category: TDP - Technical Data

Item D.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G.

Item H.

Item I.

Item J.

Item 1.

Item 2.

See Dod FAR Supplement Subpart 4.71 for proper numbering.

Item 3.

Item 4.

Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

Item 15.

Item 16.

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.

b. 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 theperformance 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.

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 requirements 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.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essentialdata item without conforming to Government requirements,and the administrative

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B

B regarding this burden estimate or any other aspect of this collection of information, including…