CDRL_A021_SAR.docx
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- Part 3 of 3- Complete RFP (Sections A through M) for Mortar Weapon System: W15QKN-15-R-0017
- Solicitation number
- W15QKN15R0017
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CDRL A021
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CONTRACT DATA REQUIREMENTS LIST (1 Data Item)
| Form Approved OMB No. 0704-0188 |
| | |
| Public reporting burden for this collection of information is estimated to average 440 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 Managements and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20403. Please DO NO 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 NO.LINE ITEM |
| B. EXHIBIT |
| C. CATEGORY: |
| | |
| TDP______ TM______ OTHER____________________ |
| | |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| | |
| Mortar Weapon Systems |
| | |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
Safety Assessment Report (SAR)
| 3. SUBTITLE |
| | |
| 17. PRICE GROUP |
A021
| | |
4. AUTHORITY (Data Acquisition Document No.)
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| | |
| 18 ESTIMATED |
| DI-SAFT-80102B |
| C.5.4 |
| RDAR-EIQ-WB |
| | |
| TOTAL PRICE |
| 7. DD 250REQ |
| 9. DIST STATEMENT REQUIRED |
D
| 10. FREQUENCY |
| 12. DATE OF FIRST SUB. |
| 14. DISTRIBUTION |
LT
| AS REQ |
| See BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
| | |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBS. SUB |
| Draft |
| Final |
| | |
| AS REQ |
| AS REQ |
| Reg |
| Repro |
| | |
16. REMARKS
RDAR-MEM-M
Mortar Weapons Systems
BLK 4: Plan shall provide information required by SOW paragraph C.5.4 and any other applicable paragraph/sections. Plan shall be complete and address all the concerns in the SOW. If the contractor utilizes a USG installation or facility to perform any test or demonstration, if the contractor makes any changes to existing USG SAR's, a SAR per MIL-STD-882E, task 301 is required.
BLK 9: Distribution is authorized to USG agencies only. Other requests shall be referred to: PM CAS, SFAE-AMO-CAS, Picatinny Arsenal, NJ 07806-5000
BLK 12: The SAR must be delivered to the USG 60 days prior to any scheduled test at a USG facility if the contractor makes any changes to existing USG SAR(s).
BLK 13: The USG will have 10 workdays to review, accept, and/or comment on the draft deliverable. After the USG review and comment on the deliverable, the contractor shall incorporate USG response into the final electronic deliverable within 10 workdays after the receipt of the comments/ need for revision is identified unless extended by the USG Technical Lead.
BLK 14: Submit electronically to:
See Section J
SFAE-AMO-CAS-GMS
RDAR-EIQ-WB
| 15. TOTAL ----------> |
| 0 |
| 2 |
| 0 |
| | |
G. PREPARED BY
F.CHASTEK
RDAR-EIQ-PE
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| | |
| 20 JAN 2015 |
| F.CHASTEK |
RDAR-EIQ-PE //s//
| 20 JAN 2015 |
| | |
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITIONS ARE OBSOLETE Page____ of____Pages |
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