0414-04_-_FATEPEN_Support_-_CDRL_A001_Final_(Monthly_Report).pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

0001 A TDP ____ TM _____ OTHER X - MGMT

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

FATEPEN N00178-14-P- BALLISTIC IMPACT ENGINEERING, LLC (BIE)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001

CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT

REPORT

MONTHLY REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80227 (SEE BLK 16) SOW Para # 4.1 NSWC DAHLGREN, G24

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED MTHLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D (SEE BLK 16)

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

A 0 SEE BLK 16 Reg Repro

16. REMARKS G24 TPOC 1 1 0

BLK 4: DID TAILORED AS FOLLOWS:

DELETE PARAGRAPHS 10.3.F, 10.3.G, AND 10.3.H

BLK 8: GOVERNMENT HAS 7 DAYS FROM RECEIPT TO REVIEW AND COMMENT. THE

CONTRACTOR HAS 3 DAYS TO SUBMIT REVISIONS TO THE GOVERNMENT. IF THE GOVERNMENT

DOES NOT SUBMIT REVISION REQUESTS WITHIN 30 DAYS, SUBMITTAL IS APPROVED.

BLK 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE (7 MARCH 2013). OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER,

DAHLGREN DIVISION (CODE G24), 6138 NORC AVENUE, SUITE 313, DAHLGREN, VIRGINIA 22448.

BLKS 11, 12-13: FIRST SUBMISSION IS DUE 10 DAYS AFTER THE FIRST FULL MONTH OF

CONTRACT PERFORMANCE . SUBSEQUENT SUBMISSIONS ARE DUE 10 DAYS AFTER THE END OF

THE MONTH THEREAFTER.

BLK 14: ELECTRONIC MEDIA: SUBMIT IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR

ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE TECHNICAL POINT OF CONTACT, DAVID

DICKINSON, EMAIL: DAVID.DICKINSON1@NAVY.MIL.

SEE BLK 16

15. TOTAL ▬▬▬▬► 1 1

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

DAVID DICKINSON, G24

PATRICIA A. HONOSKY, DM

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 4 Pages