N3904026Q5335_Exhibit A_DD 1423 CDRL Form with Electronic Signature_SIGNED.pdf

This is a Contract Data Requirements List (CDRL) form that specifies data delivery requirements for a federal contract.

The data item pertains to First Article Test/Inspection Procedures and Report (FAT/IPR) for Ethylene Inspection Rubber Formulas under contract number DI-NDTI-82326. The requiring office is C134, with distribution authorized to U.S. Government agencies and their contractors. The contract references Statement of Work Paragraph 4.1. Testing frequency will be completed as samples are supplied, with submission dates tied to when individual tests are completed for each sample set. The initial submission deadline corresponds to the completion date of the first test for samples, with subsequent submissions following upon completion of additional tests for samples provided after initial samples. All reports must be submitted electronically through Wide Area Workflow (AWFM). The form was prepared on 2/18/26 and approved by Kenney, Amand. Block 2 and 4 content sections are omitted except for specific subsections, and Block 9 restricts distribution with referral instructions to PNSY, C134, and Adam Wypyski for other requests. No specific pricing terms, set-asides, response deadlines, or award dates are identified on this CDRL form.