CDRLS.pdf
PDF 3 MB Posted
- Solicitation number
- N0017419R0099
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Exhibit 1 CDRLs
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_07.pdf | ||
| Amendment_05.pdf | ||
| 20_MM_Dummy_Rounds_-_Form_38_SGFP_Updated.pdf | ||
| amendment_04.pdf | ||
| Amendment_03.pdf | ||
| Form_146_NSWCIHEODTD_Capacity_Planning_Form-Exc.xlsx | XLSX spreadsheet | |
| PastPerformanceMatrix.doc | DOC document | |
| Amendment_02.pdf | ||
| PastPerformanceQuestionnaire.doc | DOC document | |
| Amendment_01.pdf | ||
| CAPFP_SUP_25_July_2017.doc | DOC document | |
| 20_MM_Dummy_Rounds_-_Form_38_SGFP.pdf | ||
| N0017419R0099.pdf |
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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_NO: A001
2_TITLE_OF_DATA_ITEM: TEST PROCEDURE
3_SUBTITLE: First Article Inspection & Test Procedure
4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A
5_CONTRACT_REFERENCE: SOW Para 3.2.2.4
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: B*
10_FREQUENCY: ONE/R
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 60DPTT*
13_DATE_OF_SUBSEQUENT_SUB: ASREQ*
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
draft5:
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total_draft: 0 total_repro: 0
16_REMARKS: Blk 8: The Government will provide approval/comments on submitted test procedure within 30 calendar days of receipt. Test procedure shall be approved prior to the beginning of First Article Testing.
Blk 9: Distribution Statement B: Distribution Authorized to U.S. Government agencies only; Proprietary, Export Controlled; November 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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: Procedures shall be submitted at least 60 calendar days prior to First Article Testing (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: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: NDTI
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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
1_DATA_ITEM_NO: A002
2_TITLE_OF_DATA_ITEM: TEST/INSPECTION REPORT
3_SUBTITLE: First Article Inspection & Test Report
4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B
5_CONTRACT_REFERENCE: SOW Para 3.2.2.5, 3.2.2.5.1
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: D*
10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 45DATC*
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
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total_draft: 0 total_repro: 0
16_REMARKS: Blk 8: The Government will provide approval/comments on submitted test report within 45 calendar days of receipt.
Blk 9: Distribution Statement D: Distribution authorized to the DoD and U.S. DoD contractors only; Critical Technology, Export Controlled; September 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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 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 comments.
Blk 14: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page: 18 reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: NDTI
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages: 27
Reset:
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
1_DATA_ITEM_NO: A003
2_TITLE_OF_DATA_ITEM: TEST PROCEDURE
3_SUBTITLE: Lot Acceptance Inspection & Test Procedure
4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A
5_CONTRACT_REFERENCE: SOW Para 3.3.1
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: B*
10_FREQUENCY: ONE/R*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 60DPTT*
13_DATE_OF_SUBSEQUENT_SUB: ASREQ*
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
draft5:
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total_draft: 0 total_repro: 0
16_REMARKS: Blk 8: The Government will provide approval/comments on submitted test procedure within 30 calendar days of receipt. Test procedure shall be approved prior to the beginning of production.
Blk 9: Distribution Statement B: Distribution Authorized to U.S. Government agencies only; Proprietary, Export Controlled; November 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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 10, 12, 13: Procedures shall be submitted at least 60 calendar days prior to 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: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page: 19 reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: NDTI
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages: 27
Reset:
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
1_DATA_ITEM_NO: A004
2_TITLE_OF_DATA_ITEM: TEST/INSPECTION REPORT
3_SUBTITLE: Lot Acceptance Inspection & Test Report
4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B
5_CONTRACT_REFERENCE: SOW Para 3.3.2
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: B*
10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 45DATC*
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
draft5:
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total_draft: 0 total_repro: 0
16_REMARKS: Blk 8: The Government will provide Approval/comments on submitted test report within 30 calendar days of receipt.
Blk 9: Distribution Statement B: Distribution Authorized to U.S. Government agencies only; Proprietary, Export Controlled; November 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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 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: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: NDTI
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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
1_DATA_ITEM_NO: A005
2_TITLE_OF_DATA_ITEM: Measurement System Evaluation (MSE)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-QCIC-81960*
5_CONTRACT_REFERENCE: SOW Para 3.5 incl. sub-paragraphs
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: B*
10_FREQUENCY: ONE/R*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 60DPTT*
13_DATE_OF_SUBSEQUENT_SUB: ASREQ*
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
draft5:
reg5:
repro5:
addressee6:
draft6:
reg6:
repro6:
addressee7:
draft7:
reg7:
repro7:
addressee8:
draft8:
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addressee38:
draft38:
reg38x:
repro38:
total_draft: 0 total_repro: 0
16_REMARKS: Blk 4: See attached TDP Option Selection Worksheet.
Blk 8: The Government will provide approval/comments on package within 30 calendar days of submission receipt. Package shall be Approved prior to beginning of First Article Testing.
Blk 9: Distribution Statement B: Distribution Authorized to U.S. Government agencies only; Proprietary, Export Controlled; September 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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 10, 12, 13: Package shall be submitted no later than 60 calendar days prior to initiation of First Article Testing. Package shall be submitted concurrently with A010 and A016. Subsequent submissions shall only be required if deemed necessary by the Government. Unless otherwise specified, the contractor shall submit revisions within 15 calendar days of receipt of Government review.
Blk 14: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP: X
TM:
OTHER:
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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
1_DATA_ITEM_NO: A006
2_TITLE_OF_DATA_ITEM: AMMUNITION DATA CARD (ADC)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-MISC-80043B*
5_CONTRACT_REFERENCE: SOW Para 3.5.1
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: N/A
10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: ASREQ*
13_DATE_OF_SUBSEQUENT_SUB: ASREQ*
addressee1: NSWC IHEODTD G21 draft1: 1 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 1 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G21 QA draft3: 1 reg3: 1 repro3: 0 addressee4: PCO draft4: 1 reg4: 1 repro4: 0 addressee5:
draft5:
reg5:
repro5:
addressee6:
draft6:
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total_draft: 4 total_repro: 0
16_REMARKS: Blk 4: Data cards will be prepared accessing the Munitions History Program (MHP) which is located https://mhpwarp.redstone.army.mil/.
Blk 8: The Government will provide Approval/Comments on Draft Ammunition Data Cards within 14 calendar days of submission receipt. Draft Ammunition Data Cards shall be approved prior to the beginning of First Article Testing (FAT).
BBlk 10, 12, 13: Draft Ammunition Data Cards shall be submitted no later than 90 days after contract award. Unless otherwise specified, the contractor shall submit revisions within 7 calendar days. Final Ammunition Data Cards provided shall be submitted upon completion of each lot. Subsequent submissions shall only be required if deemed necessary by the Government.
Blk 14: Ammunition Data Cards sent with shipments shall be hardcopy printouts generated with MHP and shall be signed and dated by the Government Inspector. Ammunition Data Cards provided to addressees shall be electronic copies generated with MHP. Upon uploading of the document to MHP, the Government personnel identified on the attached distribution list shall be notified.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: MISC
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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
1_DATA_ITEM_NO: A007
2_TITLE_OF_DATA_ITEM: FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT (FACAR)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-SESS-81927
5_CONTRACT_REFERENCE: SOW Para 4.1
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: B*
10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: ASREQ*
13_DATE_OF_SUBSEQUENT_SUB: ASREQ*
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
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addressee38:
draft38:
reg38x:
repro38:
total_draft: 0 total_repro: 0
16_REMARKS: Blk 9: Distribution Statement B: Distribution Authorized to U.S. Government agencies only; Proprietary, Export Controlled; November 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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 10, 12, 13: Report shall be submitted within 15 calendar days of any test failure. Subsequent submissions shall be provided if, for any reason requested by the Government. Unless otherwise specified, the contractor shall submit revisions within 15 calendar days of receipt of Government review.
Blk 14: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: SESS
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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
1_DATA_ITEM_NO: A008
2_TITLE_OF_DATA_ITEM: PERFORMANCE ORIENTED PACKAGING TEST REPORT
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-PACK-81059A
5_CONTRACT_REFERENCE: SOW Para 4.4
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: B*
10_FREQUENCY: ONE/R*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 30DPTT*
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWCDD G11 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
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reg37:
repro37:
addressee38:
draft38:
reg38x:
repro38:
total_draft: 0 total_repro: 0
16_REMARKS: Blk 9: Distribution Statement B: Distribution Authorized to U.S. Government agencies only; Proprietary, Export Controlled; November 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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 10, 12, 13: Report shall be submitted at least 30 calendar days prior to beginning of First Article Test (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: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: PACK
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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
1_DATA_ITEM_NO: A009
2_TITLE_OF_DATA_ITEM: SUPPLIER'S CONFIGURATION MANAGEMENT PLAN
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-SESS-80858C
5_CONTRACT_REFERENCE: SOW Para 4.5.1
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: B*
10_FREQUENCY: OTIME
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 90DAC
13_DATE_OF_SUBSEQUENT_SUB: N/A
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
draft5:
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repro5:
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draft6:
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draft37:
reg37:
repro37:
addressee38:
draft38:
reg38x:
repro38:
total_draft: 0 total_repro: 0
16_REMARKS: Blk 8: The Government will provide approval/comments on submitted plan within 30 calendar days of receipt. Plan shall be approved prior to beginning of First Article Test.
Blk 9: Distribution Statement B: Distribution Authorized to U.S. Government agencies only; Proprietary, Export Controlled; September 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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 14: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: SESS
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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 james.mickolajczyk
Cross-Out
1_DATA_ITEM_NO: A010
2_TITLE_OF_DATA_ITEM: ENGINEERING CHANGE PROPOSAL (ECP)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-SESS-80639*
5_CONTRACT_REFERENCE: SOW Para 4.5.4
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
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10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: ASREQ*
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: NSWC IHEODTD G21 draft1: 1 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 1 reg4: 1 repro4: 0 addressee5:
draft5:
reg5:
repro5:
addressee6:
draft6:
reg6:
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addressee7:
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reg18:
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addressee19:
draft19:
reg19:
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draft20:
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draft21:
reg21:
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draft22:
reg22:
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draft24:
reg24:
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addressee25:
draft25:
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draft26:
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addressee27:
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reg27:
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addressee37:
draft37:
reg37:
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addressee38:
draft38:
reg38x:
repro38:
total_draft: 2 total_repro: 0
16_REMARKS: Blk 4: DD Form 1692 is available upon request from NSWC IHEODTD G22 (usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil). The contractor shall request a Procuring Activity Number (PAN) from NSWC IHEODTD G22 prior to formal submission. The number shall be populated on the change request form whe
Blk 8: Approval of the ECPs will be in accordance with classification as determined by Government configuration management documentation. If submitted, the Government will review draft ECPs and provide comments within 1
Blk 9: Distribution Statement D: Distribution authorized to the DoD and U.S. DoD contractors only; Critical Technology, Export Controlled; September 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, Picatinny Arsenal
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.
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: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: SESS
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
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Reset:
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
1_DATA_ITEM_NO: A011
2_TITLE_OF_DATA_ITEM: NOTICE OF REVISION (NOR)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-SESS-81881*
5_CONTRACT_REFERENCE: SOW Para 4.5.4
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: D*
10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: ASREQ*
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
draft5:
reg5:
repro5:
addressee6:
draft6:
reg6:
repro6:
addressee7:
draft7:
reg7:
repro7:
addressee8:
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reg8:
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addressee27:
draft27:
reg27:
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addressee28:
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draft29:
reg29:
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addressee30:
draft30:
reg30:
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addressee31:
draft31:
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addressee33:
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repro36:
addressee37:
draft37:
reg37:
repro37:
addressee38:
draft38:
reg38x:
repro38:
total_draft: 0 total_repro: 0
16_REMARKS: Blk 4: DD Form 1695 available upon request by contacting: (usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil)
Blk 8: Approval of the NORs will be in accordance with classification as determined by Government configuration management documentation. If submitted, the Government
Blk 9: Distribution Statement D: Distribution authorized to the DoD and U.S. DoD contractors only; Critical Technology, Export Controlled; September 2017. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, NSWC Indian Head Explosive Ordnance Disposal Technology Division, Detachment Picatinny, 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.
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: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via secure email system providing secured, but unclassified, transmittance. Delivery shall be made in accordance with the attached distribution list.
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38t: 4
A_CONTRACT_LINE_ITEM_NO: TBD
B_EXHIBIT: A
TDP:
TM:
OTHER: SESS
DSYSTEMITEM: M51A4N 20MM PLASTIC DUMMY CARTRIDGE
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
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
1_DATA_ITEM_NO: A012
2_TITLE_OF_DATA_ITEM: REQUEST FOR VARIANCE (RFV)
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-SESS-81883*
5_CONTRACT_REFERENCE: SOW Para 4.5.7
6_REQUIRING_OFFICE: NSWC IHEODTD G2
7_DID_250_REQ: LT
8_APP_CODE: A*
DIST_STATEMENT: D*
10_FREQUENCY: ASREQ*
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: ASREQ*
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: NSWC IHEODTD G21 draft1: 0 reg1: 1 repro1: 0 addressee2: NSWCDD E33 draft2: 0 reg2: 1 repro2: 0 addressee3: NSWC IHEODTD G22 draft3: 0 reg3: 1 repro3: 0 addressee4: PCO draft4: 0 reg4: 1 repro4: 0 addressee5:
draft5:
reg5:
repro5:
addressee6:
draft6:
reg6:
repro6:
addressee7:
draft7:
reg7:
repro7:
addressee8:
draft8:
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addressee9:
draft9:
reg9:
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addressee10:
draft10:
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addressee24:
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addressee25:
draft25:
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add…
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