PR 26NB081_MT87_GS_CDRLs.pdf
PDF 3 MB Posted
- Attached to
- 1377-01-271-0400 MT87
- Solicitation number
- N0010426QK083
About this file
This document is a Contract Data Requirements List (DD Form 1423, FEB 2024) specifying technical data deliverables for a federal contract.
The contract pertains to ASQ-13F SON AR Cable, MT87, with contract number N00104-26-N-B081, managed by the Naval Surface Warfare Center (NSWC) Indian Head Division, Code E21. Two data items are required: (1) Test/Inspection Report (LAT Report) under Data Item Number A1001, and (2) Ammunition Data Card (LAT ADC) under Data Item Number A1002. Both items are classified as "OTHER" category and reference Contract Reference Section E. The test/inspection report relates to Production Lot Test Samples conducted by the contractor, while the ammunition data card pertains to CAD/PAD ammunition cards and material inspection and receiving reports. Submissions must occur no later than 15 days following test completion for each production lot or first article. A provisionally accepted (PA-status) ADC must be submitted 20 days prior to lot acceptance testing or first article testing for NSWC IHD testing, or 20 days prior to contractor testing. Distribution is authorized to Department of Defense components only, with primary distribution to N00174 CAD/PAD Department at NSWC IHD, 4393 Benson Road, Indian Head, Maryland 20640-5092, Attention Code E21. The document carries export control restrictions under the Arms Export Control Act and requires destruction protocols per DoD directives. The form was prepared and approved by Nicole Vazquetelles (E26 DMS).
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3.04_Amendment_001_N0010426QK083.pdf | ||
| ADC SOW Rev Basic.pdf | ||
| 3.02_Solicitation_N0010426QK083.pdf | ||
| ADC MASTER .pdf | ||
| CADPAD Item Marking Instruction.pdf | ||
| RFV Form DD1694 Example.pdf |
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Text version
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
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
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. SIGNATURE I. APPROVED BY J. SIGNATURE
Page 1 of ____
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024
UNCLASSIFIED
UNCLASSIFIED
CONTRACT DATA REQUIREMENTS LIST
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
16. REMARKS
15.TOTAL
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. SIGNATURE I. APPROVED BY J. SIGNATURE
Page 2 of ____
| PRICE GROUP: N/A |
| EST TOTAL PRICE: NSP |
| PREPARED BY: Nicole Vazquetelles |
| OTHER CHECK: On |
| CONTRACT/PR NO: N00104-26-N-B081 |
| CONTRACTOR: N/A |
| CONTRACT REFERENCE: See Block 16 |
| APP CODE: N/A |
| DIST STATEMENT: See Block 16 |
| ADDRESSEE: See Block 16 |
| DRAFT: 0 |
| REG: 1 |
| REPRO: 0 |
| DRAFT TOTAL: 0 |
| REG TOTAL: 1 |
| REPRO TOTAL: 0 |
| APPROVED BY: (E26 DMS) |
| CONTRACT LINE ITEM NO _ 5: 0001 |
| EXHIBIT _ 5: A |
| OTHER _ 5: NDTI |
| TITLE OF DATA ITEM _5: Test/Inspection Report |
| DATA ITEM NO _5: A001 |
| SYSTEM/ITEM _ 5: ASQ-13F SON AR Cable, MT87 |
| SUBTITLE _ 5: LAT Report |
| DD 250 REQ _ 5: DD |
| REMARKS _ 5: Block 5. Contract Reference Section E - Production Lot Test Samples (Contractor testing), paragraph 7. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only (Test and Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any documents shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Frequency- One report for each production or First Article lot that is produced.
Blocks 12 and 13. A report shall be provided no later than 15 days from the completion of testing for each lot.
Block 14. Distribution Addresses:
N00174 CAD/PAD Department
NSWC IHD
Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| AUTHORITY _ 5: DI-NDTI-80809B |
| REQUIRING OFFICE _ 5: NSWC IHD, E21 |
| CONTRACT LINE ITEM NO _ 13: 0001 |
| EXHIBIT _ 13: A |
| OTHER _ 13: MISC |
| SYSTEM/ITEM _ 13: ASQ-13F SON AR Cable, MT87 |
| DATA ITEM NO _13: A002 |
| TITLE OF DATA ITEM _13: Ammunition Data Card |
| SUBTITLE _ 13: LAT ADC |
| AUTHORITY _ 13: DI-MISC-80043B |
| DD 250 REQ _ 13: SD |
| REMARKS _ 13: Block 5. Contract Reference Section E - CAD/PAD Ammunition Data Cards (ADC) and Material Inspection and Receiving Report, paragraph 1. |
Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only (CTI) (Date of Determination*). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.
*NOTE: Date of determination is defined as the date of contract award.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.
Block 10. Once for each production and/or first article lot on the contract.
Blocks 12 & 13. A provisionally accepted (PA-status) ADC is due 20 days prior to submission of lot acceptance test (LAT) samples or first article test (FAT) samples, for NSWC IHD testing, or 20 days prior of LAT/FAT, for contractor testing, for each and every lot on the contract.
Block 14. Distribution Addresses:
N00174 CAD/PAD Department
NSWC IHD
Attn: Code E21* 4393 Benson Road Indian Head, MD 20640-5092 *See Section H - Administrative Points of Contact, paragraph 2 for email distribution
Cognizant DCMA (Indicated in Block 6 of SF26)
| REQUIRING OFFICE _ 13: NSWC IHD, E21 | |
| FREQUENCY _ 5: See Block 16 | |
| AS OF DATE _ 5: N/A | |
| DATE OF FIRST SUBMISSION _ 5: See Block 16 | |
| DATE OF SUBSEQUENT SUBMISSION _ 5: See Block 16 | |
| FREQUENCY _ 13: See Block 16 | |
| AS OF DATE _ 13: N/A | |
| DATE OF FIRST SUBMISSION _ 13: See Block 16 | |
| DATE OF SUBSEQUENT SUBMISSION _ 13: See Block 16 | |
| 2026-07-07T07:59:08-0400 | |
| TAYLOR.TAYLOR.GARRISON.1540664958 |
| 2026-07-07T07:58:55-0400 | |
| TAYLOR.TAYLOR.GARRISON.1540664958 |
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