Exhibit_A_CDRL.doc
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- N61331-15-R-0015
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Text version
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items) Form Approved OMB No. 0704-0188
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 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 form to either of these addresses. 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:
A
TDP
TM
OTHER
D.
SYSTEM/ITEM
E.
CONTRACT/PR NO.
F.
CONTRACTOR
LCAC Lightweight Armor
1.
DATA ITEM NO.
2.
TITLE OF DATA ITEM
3.
SUBTITLE
17. PRICE GROUP
| A001 |
| Certificate of Compliance |
4.
AUTHORITY (Data Acquisition Document No.)
5.
CONTRACT REFERENCE
6.
REQUIRING OFFICE
| DI-MISC-81356A |
| SOW paragraph 3.2 |
| NSWC PCD CODE E34 |
ESTIMATED
TOTAL PRICE
7.
DD 250 REQ
9.
DIST STATEMENT
10.
FREQUENCY
12.
DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
LT
REQUIRED
| OTIME |
| SEE BLK 16 |
b. COPIES
8.
APP CODE
| N/A |
| 11. |
AS OF DATE
13.
DATE OF SUBSEQUENT
SUBMISSION
| a. ADDRESSEE |
| Draft |
| Final |
N
| Reg |
| Repro |
16.
REMARKS
| NSWC PCD CODE E34 |
| 0 |
| 1 |
| 0 |
BLK 4: Certificate of conformance for the manufacture that product meets or exceeds all requirements of the drawing and specification.
Blk 12: Submit with the finished panels
LT ONLY:
NSWC PCD CODE 023
15.
TOTAL
| 0 |
| 1 |
| 0 |
1.
DATA ITEM NO.
2.
TITLE OF DATA ITEM
3.
SUBTITLE
17. PRICE GROUP
| A002 |
| Test/inspection Report |
| Test/Inspection Report |
4.
AUTHORITY (Data Acquisition Document No.)
5.
CONTRACT REFERENCE
6.
REQUIRING OFFICE
| DI-NDTI-80809B |
| SOW paragraph 3.1.1 and 3.2 |
| NSWC PCD CODE E34 |
ESTIMATED
TOTAL PRICE
7.
DD 250 REQ
9.
DIST STATEMENT
10.
FREQUENCY
12.
DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
LT
REQUIRED
| ASREQ |
| 15 DATC |
b. COPIES
8.
APP CODE
| N/A |
| 11. |
AS OF DATE
13.
DATE OF SUBSEQUENT
SUBMISSION
| a. ADDRESSEE |
| Draft |
| Final |
N
N/A
| Reg |
| Repro |
16.
REMARKS
| NSWC PCD Code E34 |
| 0 |
| 1 |
| 0 |
Blk 4: DID cited as guidance only as to content-Contractor format is acceptable.
LT ONLY :
NSWC PCD Code 023
15.
TOTAL
| 0 |
| 1 |
| 0 |
G.
PREPARED BY
H.
DATE
I.
APPROVED BY
J.
DATE
M. Riley, NSWC PCD Code E34
02/23/2015
W.T. Sawyer, NSWC PCD Code 0213
02/23/2015
| DD Form 1423-2, JUN 90 |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
1161/183
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