CDRLs_Mk_200_Prop_Charge_Final_4-19-18_signed_v1.pdf

PDF 915 KB Posted Jul 18, 2018

Attached to: MK 200 Mod 0 Propelling Charge
Solicitation number: N0017418R0035
Issued by: Department of the Navy Naval Sea Systems Command

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File	Type	Posted
N00174-18-R-0035_Amendment_04.pdf	PDF	Jul 18, 2018
N00174-18-R-0035_(Conformed_Copy_7-18-18).pdf	PDF	Jul 18, 2018
N00174-18-R-0035_Amendment_03.pdf	PDF	Jul 16, 2018
N00174-18-R-0035_Amendment_02.pdf	PDF	Jun 21, 2018
N00174-18-R-0035_Amendment_01.pdf	PDF	Jun 8, 2018
Past_Performance_Matrix.doc	DOC document	Jun 1, 2018
N00174-18-R-0035.pdf	PDF	Jun 1, 2018
PastPerformanceQuestionnaireSept2013.doc	DOC document	Jun 1, 2018

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CONTRACT DATA REQUIREMENTS SEQUENCE LIST

CHARGE, PROPELLING, 5 INCH, MK 200 MOD 0

ADL 53711-8395317 REV -

DODIC DA65 NSN 1320-01-656-4841

CONTRACT: TBD

DESIGNATED TECHNICAL ACTIVITY: NSWC IHEODTD PICATINNY, G2 NAVSEA

POC: K. RODRIGUEZ, G21 MCAL PROPELLING CHARGE AEA

E-MAIL: karla.m.rodriguez@navy.mil

PHONE: DSN: 880-1908 COMMERCIAL: 973-724-1908

SEQUENCE DATA ITEM TITLE DID

1 A001 GOVERNMENT FURNISHED MATERIEL

(GFM) CONSUMPTION REPORT DI-MGMT-80438B

2 A002 TEST PROCEDURE DI-NDTI-80603A

3 A003 TEST PROCEDURE DI-NDTI-80603A

4 A004 TEST/INSPECTION REPORT DI-NDTI-80809B

5 A005 TEST/INSPECTION REPORT DI-NDTI-80809B

6 A006 QUALITY PROGRAM PLAN (QPP) DI-QCIC-81722

7 A007 QUALITY DEFICIENCY REPORT DI-QCIC-80736

8 A008

MEASUREMENT SYSTEM EVALUATION

(MSE) – MEASUREMENT AND

INSPECTION EQUIPMENT SYSTEM

DESIGN DOCUMENTATION FOR

ACCEPTANCE OF PRODUCT

DI-QCIC-81960

9 A009 STATISTICAL PROCESS CONTROL

(SPC) PLAN DI-MGMT-81987

10 A010 SUPPLIER'S CONFIGURATION

MANAGEMENT PLAN DI-SESS-80858C

11 A011 ENGINEERING CHANGE PROPOSAL

(ECP) DI-SESS-80639D

12 A012 NOTICE OF REVISION (NOR) DI-SESS-80642D

13 A013 REQUEST FOR VARIANCE (RFV) DI-SESS-80640D

14 A014 CRITICAL CHARACTERISTICS

CONTROL PLAN (CCCP) DI-MGMT-81986

15 A015 CRITICAL PLAN OF ACTION (CPOA) DI-MGMT-81996

16 A016 CRITICAL ITEM CHARACTERISTICS

LIST DI-MGMT-81988

17 A017 NOTIFICATION OF CRITICAL NON-

CONFORMANCE REPORT DI-SAFT-81985

18 A018

CRITICAL SAFETY ITEM,

CHARACTERISTIC AND

CRITICAL DEFECT REPORT

DI-SAFT-80970A

19 A019 FAILURE ANALYSIS AND CORRECTIVE

ACTION REPORT (FACAR)(NAVY) DI-SESS-81927

CONTRACT DATA REQUIREMENTS SEQUENCE LIST

CHARGE, PROPELLING, 5 INCH, MK 200 MOD 0

ADL 53711-8395317 REV -

DODIC DA65 NSN 1320-01-656-4841

CONTRACT: TBD

20 A020 REPORT, RECORD OF

MEETING/MINUTES DI-ADMN-81505

21 A021 INTEGRATED PROGRAM MANAGEMENT

REPORT (IPMR) DI-MGMT-81861A

22 A022 CONTRACT SUMMARY REPORT DI-ADMN-80447A

23 A023 OPERATIONS SECURITY (OPSEC)

PLAN DI-MGMT-80934C

24 A024 ACCIDENT/INCIDENT REPORT DI-SAFT-81563

25 A025 PERFORMANCE ORIENTED PACKAGING

TEST REPORT DI-PACK-81059A

26 A026 AMMUNITION DATA CARD (ADC) DI-MISC-80043B

27 A027 ACCEPTANCE DESCRIPTION SHEETS

(ADS) DI-MGMT-81978

CONTRACT DATA REQUIREMENTS DISTRIBUTION LIST

CHARGE, PROPELLING, 5 INCH, MK 200 MOD 0

ADL 53711-8395317 REV -

DODIC DA65 NSN 1320-01-656-4841

CONTRACT: TBD

ADDRESSEE NAME EMAIL TELEPHONE

NSWC IHEODTD G21 KARLA

RODRIGUEZ-

GONZALEZ

W_PCYA_PCYA_G2_MCAL_AUR-

Fuze_US@navy.mil

973-724-1908

NSWC IHEODTD G22 CM ANGELA

LAUBACH

usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil

973-724-1699

NSWC IHEODTD G22 QA BRYAN

STEVENS

BRYAN.M.STEVENS@NAVY.MIL 973-724-5087

PCO DEMETRIUS

GREEN

DEMETRIUS.GREEN@NAVY.MIL 301-744-6626

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

TBD A

MGMT

Mk 200 Mod 0 Propelling Charge TBD TBD

A001 GOVERNMENT FURNISHED MATERIEL (GFM)

CONSUMPTION REPORT

DI-MGMT-80438B* SOW Para 3.1.2.3 NSWC IHEODTD G2

NO D*

MTHLY

N/A

SEE BLK 16

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 CM 0 1 0

NSWC IHEODTD G22 QA 0 1 0

0 4 0

Blk 4: Paragraphs 2.8, 2.11 and 2.16 do not apply.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD, Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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.

Blk 12, 13: Report must be submitted 30 days after production commences. Follow on submissions shall be sent no later than the 5th calendar day of each month.

Subsequent submissions shall only be required if deemed necessary by the Government.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

See attached Distribution List for addressee details.

4 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

Mk 200 Mod 0 Propelling Charge TBD TBD

A002 TEST PROCEDURE First Article Inspection & Test Procedure

DI-NDTI-80603A SOW Para 3.3.1 NSWC IHEODTD G2

A* D*

ONE/R*

N/A

SEE BLK 16*

ASREQ*

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 CM 0 1 0

NSWC IHEODTD G22 QA 0 1 0

0 4 0

Blk 8: The Government will provide approval/comments on submitted test procedure within 45 calendar days of receipt. The Government will provide approval/comments on re-submissions within 15 calendar days of receipt. Test procedure shall be approved prior to notification of First Article Testing. CDRL A002, A008 and A014 shall be submitted and approved together.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment , Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Procedures shall be submitted no later than 90 calendar days prior to FAT. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 15 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

5 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

Mk 200 Mod 0 Propelling Charge TBD TBD

A003 TEST PROCEDURE Lot Acceptance Inspection & Test Procedure

DI-NDTI-80603A SOW Para 3.3.2 NSWC IHEODTD G2

A* D*

ONE/R*

N/A

SEE BLK 16

ASREQ*

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 CM 0 1 0

NSWC IHEODTD G22 QA 0 1 0

0 4 0

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Procedures shall be submitted no later than 90 calendar days prior to start of production. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 15 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

6 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

Mk 200 Mod 0 Propelling Charge TBD TBD

A004 TEST/INSPECTION REPORT First Article Inspection & Test Report

DI-NDTI-80809B SOW Para 3.3.3 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

45DATC*

ASREQ*

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 QA 0 1 0

NSWC IHEODTD G22 CM 0 1 0

0 4 0

Blk 8: The Government will provide approval/comments on submitted test report within 45 calendar days of receipt. The Government will provide approval/comments on re-submissions within 30 calendar days of receipt.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Test report shall be submitted no later than 45 calendar days after completion of testing. Subsequent submission is required if, for any reason, the documentation is revised. If required, the Contractor shall resubmit within 15 calendar days after receiving comment.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

7 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

Mk 200 Mod 0 Propelling Charge TBD TBD

A005 TEST/INSPECTION REPORT Lot Inspection & Test Report

DI-NDTI-80809B SOW Para 3.3.4 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

45DATC*

ASREQ*

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 QA 0 1 0

NSWC IHEODTD G22 CM 0 1 0

0 4 0

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

8 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

QCIC

Mk 200 Mod 0 Propelling Charge TBD TBD

A006 QUALITY PROGRAM PLAN (QPP)

DI-QCIC-81722 SOW Para 3.5.2 NSWC IHEODTD G2

A* D*

ONE/R*

N/A

SEE BLK 16

ASREQ*

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 QA 0 1 0

NSWC IHEODTD G22 CM 0 1 0

0 4 0

Blk 8: The Government will provide approval/comments on submitted test procedure within 45 calendar days of receipt. The Government will provide approval/comments on re-submissions within 15 calendar days of receipt. Plan shall be approved prior to notification of First Article Testing.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Plan shall be submitted no later than 120 calendar days after contract award. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 15 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

9 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

QCIC

Mk 200 Mod 0 Propelling Charge TBD TBD

A007 QUALITY DEFICIENCY REPORT GFM PQDR

DI-QCIC-80736 SOW Para 3.5.3 NSWC IHEDOTD G2

N/A D*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 CM 0 1 0

NSWC IHEODTD G22 QA 0 1 0

0 4 0

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

BLK 10, 12, 13: Report shall be submitted no later than 7 calendar days after discovery of any deficient Government Furnished Material (GFM). Subsequent submissions shall only be required if deemed necessary by the Government.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

10 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

QCIC

Mk 200 Mod 0 Propelling Charge TBD TBD

A008

MEASUREMENT SYSTEM EVALUATION (MSE) – MEASUREMENT AND INSPECTION

EQUIPMENT SYSTEM DESIGN DOCUMENTATION FOR ACCEPTANCE OF PRODUCT

DI-QCIC-81960 SOW Para 3.6.2 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 CM 0 1 0

NSWC IHEODTD G22 QA 0 1 0

0 4 0

Blk 8: The Government will provide approval/comments on submitted MSE within 45 calendar days of receipt. The Government will provide approval/comments on re-submissions within 15 calendar days of receipt. Prior to approval the Government shall conduct on-site physical verification of all MSE. MSE shall be approved prior to notification of First Article Testing. CDRL A002, A008 and A014 shall be submitted and approved together.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

Blk 10, 12, 13: All MSE shall be submitted no later than 90 calendar days prior to FAT. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 15 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. The following Government personnel shall be notified:

11 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

MGMT

Mk 200 Mod 0 Propelling Charge TBD TBD

A009 STATISTICAL PROCESS CONTROL (SPC) PLAN Statistical Process Control (SPC)

DI-MGMT-81987 SOW Para 3.7.1.1 NSWC IHEODTD G2

A* D*

ONE/R*

N/A

SEE BLK 16

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 QA 0 1 0

NSWC IHEODTD G22 CM 0 1 0

0 4 0

Blk 8: Government shall provide approval/comments within 45 calendar days of submissions. The Government will provide approval/comments on re-submissions within 15 calendar days of receipt. Plan must be approved prior to First Article Testing (FAT).

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: General and detail plans shall be submitted no later than 120 calendar days prior to FAT. Subsequent submission is required if, for any reason, the plans are revised. The Contractor shall submit revisions within 15 calendar days of receipt if necessary.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

12 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

Mk 200 Mod 0 Propelling Charge TBD TBD

A010 SUPPLIER'S CONFIGURATION MANAGEMENT PLAN Configuration Management Plan

DI-SESS-80858C SOW Para 3.8.1 NSWC IHEODTD G2

A* D*

ONE/R*

N/A

SEE BLK 16

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 CM 0 1 0

NSWC IHEODTD G22 QA 0 1 0

0 4 0

Blk 8: The Government will provide approval/disapproval and comments on plan within 45 calendar days of submission receipt. The Government will provide approval/comments on re-submissions within 15 calendar days of receipt. Plan must be approved prior to beginning of First Article Testing (FAT).

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Detachment Picatinny, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

13 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

Mk 200 Mod 0 Propelling Charge TBD TBD

A011 ENGINEERING CHANGE PROPOSAL (ECP)

DI-SESS-80639D* SOW Para 3.8.3 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

SEE BLK 16

NSWC IHEODTD G21 1 1 0

PCO 1 1 0

NSWC IHEODTD G22 QA 0 1 0

NSWC IHEODTD G22 CM 1 1 0

3 4 0

Blk 4: DD Form 1692 available upon request by contacting:

(usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil)

Blk 8: Government review and approval duration shall be in accordance with classification as determined by Government configuration management documentation.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blks 10, 12, 13: If a revision is requested by the Government for any reason, the Contractor shall resubmit an ECP within 15 calendar days.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

14 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

Mk 200 Mod 0 Propelling Charge TBD TBD

A012 NOTICE OF REVISION (NOR)

DI-SESS-80642D* SOW Para 3.8.3 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

SEE BLK 16

NSWC IHEODTD G21 1 1 0

PCO 1 1 0

NSWC IHEODTD G22 CM 1 1 0

NSWC IHEODTD G22 QA 0 1 0

3 4 0

Blk 4: DD Form 1695 available upon request by contacting:

(usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil)

Blk 8: Government review and approval duration shall be in accordance with ECP classification as determined by Government configuration management documentation in A011.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blks 10, 12, 13: The contractor shall submit an NOR in conjunction with any submitted ECP. If a revision is requested by the Government for any reason, the Contractor shall resubmit a NOR within 15 calendar days.

BLK 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

15 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

Mk 200 Mod 0 Propelling Charge TBD TBD

A013 REQUEST FOR VARIANCE (RFV)

DI-SESS-80640D* SOW Para 3.8.6 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

SEE BLK 16

NSWC IHEODTD G21 1 1 0

PCO 1 1 0

NSWC IHEODTD G22 CM 1 1 0

NSWC IHEODTD G22 QA 0 1 0

3 4 0

Blk 4: DD Form 1694 available upon request by contacting:

(usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil)

Blk 8: Government review and approval duration shall be in accordance with classification as determined by Government configuration management documentation.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blks 10, 12, 13: The contractor shall submit a RFV when it proposes a temporary departure from a requirement of the technical data package. If a revision is requested by the Government for any reason, the Contractor shall resubmit an RFV within 15 calendar days.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

16 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

MGMT

Mk 200 Mod 0 Propelling Charge TBD TBD

A014 CRITICAL CHARACTERISTICS CONTROL PLAN (CCCP) Critical Characteristic Control (CCCP) Plan

DI-MGMT-81986 SOW Para 3.9.1 NSWC IHEODTD G2

A* D*

ONE/R*

N/A

SEE BLK 16

ASREQ*

NSWC IHEODTD G2 0 1 0

PCO 0 1 0

NSWC IHEODTD G22 CM 0 1 0

NSWC IHEODTD G22 QA 0 1 0

0 4 0

Blk 8: The Government will provide approval/disapproval and comments on plan within 45 calendar days of submission receipt. Upon re-submittal the Government will provide approval/disapproval and comments on plan within 15 calendar days.

Plan must be approved prior to beginning of First Article Test. CDRL A002, A008 and A014 shall be submitted and approved together.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

February 2018. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division (NSWC IHEODTD), Picatinny Detachment, Picatinny Arsenal, NJ 07806-5000.

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

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Plan shall be submitted to the Government at least 90 calendar days prior to beginning of First Article Test. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 15 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

17 30

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

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