Exhibit0001_DD1423_CDRLS.pdf

PDF 272 KB Posted May 31, 2016

Attached to: Fuses and Primers Federal contract opportunity
Solicitation number: W15QKN16R0005
Issued by: Department of the Army Materiel Command Contracting Command Picatinny Arsenal

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DD1423 CDRLs

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File	Type	Posted
Reacted_JA_Mk419_Fuzes_for_Posting_to_Fed_Biz_Op.pdf	PDF	Jan 4, 2017
W15QKN16R0005-0003.pdf	PDF	Jul 8, 2016
W15QKN16R0005-0001.pdf	PDF	Jun 16, 2016
W15QKN16R0005-0002.pdf	PDF	Jun 16, 2016
Att0005_AMSTA-AR_1350.pdf	PDF	May 31, 2016
Att0007_Disclosure_of_Lobbying_Activities.pdf	PDF	May 31, 2016
Att0004_Mk_419_NDA.doc	DOC document	May 31, 2016
Att0003_Clearance_of_Tech_Info.pdf	PDF	May 31, 2016
Att0008_MFF_DD254.pdf	PDF	May 31, 2016
Att0006_DD2345.pdf	PDF	May 31, 2016
Att0009_SGFP_Data_Input_MK419_MFF.xlsx	XLSX spreadsheet	May 31, 2016
Att0010_SGFP_V5_MK419_MFF.pdf	PDF	May 31, 2016
W15QKN16R0005.pdf	PDF	May 31, 2016

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CONTRACT DATA REQUIREMENTS SEQUENCE LIST

FUZE, MULTI-FUNCTION, MK 419 MOD 1

ADL 53711-8347015 REV -

DODIC: NA22 NSN: 1390-01-620-7287

DESIGNATED TECHNICAL ACTIVITY: NSWC IHEODTD PICATINNY, G2 NAVSEA

POC: J. MICKOLAJCZYK, G22 MULTI-FUNCTION FUZE AEA

E-MAIL: JAMES.MICKOLAJCZYK@NAVY.MIL

PHONE: DSN: 880-9147 COMMERCIAL: 973-724-9147

# DATA ITEM TITLE CONTRACT REF DID

1 A001 FIRST ARTICLE TEST PROCEDURES SOW 3.2.1.1 DI-NDTI-80603A

2 A002 FIRST ARTICLE TEST REPORT SOW 3.2.1.3 DI-NDTI-80809B

3 A003 LOT ACCEPTANCE TEST PROCEDURES SOW 3.3.1.1 DI-NDTI-80603A

4 A004 LOT ACCEPTANCE TEST AND

INSPECTION REPORT

SOW 3.3.1.3 DI-NDTI-80809B

5 A005 STATISTICAL PROCESS CONTROL (SPC) 52.246-4014 DI-MGMT-80004A

6 A006 QUALITY PROGRAM PLAN (QPP) SOW 3.4.2 DI-QCIC-81722

7 A007 QUALITY DEFICIENCY REPORT SOW 3.4.5 DI-QCIC-80736

8 A008

ACCEPTANCE AND INSPECTION

EQUIPMENT - DWGS SOW 3.5/52.245-4537 DI-SESS-81004E

9 A009

ACCEPTANCE AND INSPECTION

EQUIPMENT – INSTRUCTIONS SOW 3.5/52.245-4537 DI-QCIC-81006

10 A010 CONFIGURATION MANAGEMENT PLAN SOW 3.6.1 DI-SESS-80858C

11 A011 ENGINEERING CHANGE PROPOSAL (ECP) SOW 3.6.4 DI-SESS-80639D

12 A012 NOTICE OF REVISION (NOR) SOW 3.6.4 DI-SESS-80642D

13 A013 REQUEST FOR VARIANCE (RFV) SOW 3.6.5 DI-SESS-80640D

14 A014 CRITICAL CHARACTERISTICS CONTROL

PLAN (CCCP)

52.246-4011 DI-MGMT-80004A

15 A015 CRITICAL PLAN OF ACTION (CPOA) 52.246-4011 DI-MGMT-80004A

16 A016

CRITICAL SAFETY ITEM,

CHARACTERISTIC AND CRITICAL

DEFECT REPORT – CRITICAL ITEM

CHARACTERISTICS LIST (CICCL)

52.246-4011 DI-SAFT-80970A

17 A017

CRITICAL SAFETY ITEM,

CHARACTERISTIC AND CRITICAL

DEFECT REPORT – NOTIFICATION,

SEGREGATION, REPORT & RESTART

REQUEST

52.246-4011 DI-SAFT-80970A

18 A018 FAILURE ANALYSIS AND CORRECTIVE

ACTION REPORT (FACAR)

SOW 3.7 DI-SESS-81927

19 A019 MEETING MINUTES SOW 3.10.1, 3.10.5 DI-ADMN-81505

20 A020 INTEGRATED MASTER SCHEDULE (IMS) SOW 3.10.3 DI-MGMT-81861

21 A021 PRODUCTION READINESS REVIEW (PRR) SOW 3.10.4 DI-ADMN-80447A

22 A022 ACCIDENT/INCIDENT REPORT SOW 3.11.3 DI-SAFT-81563

23 A023 AMMUNITION DATA CARD 52.246-4015 DI-MISC-80043B

24 A024 PERFORMANCE ORIENTED PACKAGING SOW 3.11.4 DI-PACK-81059A

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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:

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A001 TEST PROCEDURE First Article Test Procedure

DI-NDTI-80603A SOW Para 3.2.1.1 NSWC IHEODTD G2

A* B*

ONE/R

N/A

60DPTT*

ASREQ*

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/comments on submitted test procedure within 30 calendar days of receipt. Test procedure shall be approved prior to the beginning of First Article Testing.

Blk 9: Distribution Statement B: Distribution authorized to U.S. Government agencies only; Test and Evaluation, Export Controlled; May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 12, 13: Procedures shall be submitted at least 60 calendar days prior to initiation of First Article Test. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 14 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:01:19 -04'00'

23-May-2016 1 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:37:26 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A002 TEST/INSPECTION REPORT First Article Test Report

DI-NDTI-80809B SOW Para 3.2.1.3 NSWC IHEODTD G2

A* B*

ASREQ*

N/A

45DATC*

SEE BLK 16

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/comments on submitted test report within 30 calendar days of receipt.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: Test report shall be submitted no later than 45 calendar days after completion of testing. Subsequent submission is required if, for any reason, the documentation is revised. If required, the Contractor shall resubmit within 14 calendar days after receiving comment.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:02:13 -04'00'

23-May-2016 2 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:38:12 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A003 TEST PROCEDURE Lot Acceptance Test Procedure

DI-NDTI-80603A SOW Para 3.3.1.1 NSWC IHEODTD G2

A* B*

ONE/R

N/A

60DPTT*

ASREQ*

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/comments on submitted test procedure within 30 calendar days of receipt. Test procedure shall be approved prior to the beginning of Lot Acceptance Testing.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 12, 13: Procedures shall be submitted at least 60 calendar days prior to initiation of Lot Acceptance Testing. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 14 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:03:00 -04'00'

23-May-2016 3 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:38:31 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

NDTI

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A004 TEST/INSPECTION REPORT Lot Acceptance Test & Inspection Report

DI-NDTI-80809B SOW Para 3.3.1.3 NSWC IHEODTD G2

A* B*

ASREQ*

N/A

45DATC*

SEE BLK 16

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/comments on submitted test report within 30 calendar days of receipt.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:03:34 -04'00'

23-May-2016 4 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:38:47 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

MGMT

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A005 MANAGEMENT PLAN Statistical Process Control (SPC)

DI-MGMT-80004A 52.246-4014 NSWC IHEODTD G2

A* B*

ONE/R*

N/A

60DPTT*

SEE BLK 16

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/Disapproval and comments on plan within 30 calendar days of submission receipt. Plan must be approved prior to beginning of First Article Testing (FAT).

Blk 9: Distribution Statement B: Distribution authorized to U.S. Government agencies only; Critical Technology, Test and Evaluation, Export Controlled; May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: General and detail plans shall be submitted at least 60 calendar days prior to initiation of First Article Test. Subsequent submission is required if, for any reason, the plans are revised. The Contractor shall submit revisions within 14 calendar days of receipt if necessary. Approval upheld to same duration as stated in Block 8.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:08:25 -04'00'

23-May-2016 5 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:39:04 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

QCIC

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A006 QUALITY PROGRAM PLAN (QPP)

DI-QCIC-81722 SOW Para 3.4.2 NSWC IHEODTD G2

A* B*

ONE/R

N/A

60DPTT*

ASREQ*

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/Disapproval and comments on plan within 30 calendar days of submission receipt. Plan must be approved prior to beginning of First Article Testing (FAT).

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 12, 13: Plan shall be submitted at least 60 calendar days prior to initiation of First Article Test. Subsequent submission shall only be required if, for any reason, the documentation is revised. Unless otherwise specified, the Contractor shall submit revisions within 14 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.24 08:10:33 -04'00'

24-May-2016 6 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:40:38 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

QCIC

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A007 QUALITY DEFICIENCY REPORT

DI-QCIC-80736 SOW Para 3.4.5 NSWC IHEDOTD G2

N/A B*

ASREQ*

N/A

ASREQ*

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 9: Distribution Statement B: Distribution authorized to U.S. Government agencies only; Critical Technology, Export Controlled; May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

BLK 10, 12, 13: Report shall be submitted no later than 7 calendar days after discovery of any deficient Government Furnished Material (GFM). Subsequent submissions shall only be required if deemed necessary by the Government.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:08:57 -04'00'

23-May-2016 7 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:40:53 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A008 SPECIAL INSPECTION EQUIPMENT (SIE)

DRAWINGS/MODELS AND ASSOCIATED LISTS

Acceptance and Inspection Equipment - Drawings

DI-SESS-81004E SOW Para 3.5/52.245-4537 NSWC IHEODTD G2

A* B*

ONE/R

N/A

60DPTT*

ASREQ*

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/Disapproval and comments on package within 30 calendar days of submission receipt. Package shall be Approved prior to beginning of First Article Testing.

Blk 9: Distribution Statement B: Distribution authorized to U.S. Government agencies only; Critical Technology, Test & Evaluation, Export Controlled; May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 12, 13: Package shall be submitted at least 60 days prior to initiation of First Article Test. Subsequent submissions shall only be required if deemed necessary by the Government. Unless otherwise specified, the Contractor shall submit revisions within 14 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the full package to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:10:40 -04'00'

23-May-2016 8 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:41:30 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

QCIC

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A009 SPECIAL INSPECTION EQUIPMENT DESCRIPTIVE

DOCUMENTATION

Acceptance and Inspection Equipment - Operating Instructions

DI-QCIC-81006* SOW Para 3.5/52.245-4537 NSWC IHEODTD G2

A* B*

ASREQ*

N/A

60DPTT*

ASREQ*

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

BLK 4: If all the specified requirements of this data item have been completely incorporated in the Special Inspection Equipment drawings (A008), separate submittal to comply with this DD1423 is not required.

BLK 8: The Government will provide Approval/Disapproval and comments on operating instructions within 30 calendar days of submission receipt. Instructions shall be Approved prior to beginning of First Article Testing.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: All Special Inspection Equipment shall be provided to the Government at least 60 calendar days prior to initiation of First Article Test.

Subsequent submissions shall only be required if deemed necessary by the Government. Unless otherwise specified, the Contractor shall submit revisions within 14 calendar days of receipt of Government review.

Blk 14: Electronic submission requested. Upon uploading of the document to the contractor owned data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:11:36 -04'00'

23-May-2016 9 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:42:01 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A010 SUPPLIER'S CONFIGURATION MANAGEMENT PLAN Configuration Management Plan

DI-SESS-80858C SOW Para 3.6.1 NSWC IHEODTD G2

A* B*

ONE/R

N/A

60DPTT*

ASREQ*

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 8: The Government will provide Approval/Disapproval and comments on plan within 30 calendar days of submission receipt. Plan must be approved prior to beginning of First Article Testing (FAT).

Blk 9: Distribution Statement B: Distribution authorized to U.S. Government agencies only; Administrative Use, Export Controlled; May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:12:23 -04'00'

23-May-2016 10 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:42:20 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A011 ENGINEERING CHANGE PROPOSAL (ECP)

DI-SESS-80639D SOW Para 3.6.4 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

SEE BLK 16

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 4: DD Form 1692 available upon request by contacting:

(usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil)

Blk 8: Government review and approval duration shall be in accordance with classification as determined by Government configuration management documentation.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blks 10, 12, 13: If a revision is requested by the Government for any reason, the Contractor shall resubmit an ECP within 14 calendar days.

Blk 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:13:10 -04'00'

23-May-2016 11 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:42:35 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A012 NOTICE OF REVISION (NOR)

DI-SESS-80642D SOW Para 3.6.4 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

SEE BLK 16

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 4: DD Form 1695 available upon request by contacting:

(usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil)

Blk 8: Government review and approval duration shall be in accordance with ECP classification as determined by Government configuration management documentation in A011.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blks 10, 12, 13: The contractor shall submit an NOR in conjunction with any submitted ECP. If a revision is requested by the Government for any reason, the Contractor shall resubmit a NOR within 14 calendar days.

BLK 14: Electronic submission requested. Upon uploading of the document to the data exchange, the following Government personnel shall be notified:

NSWC IHEODTD G2:

James Mickolajczyk; james.mickolajczyk@navy.mil; (973)724-9147

NSWCDD E33:

Jason Koonts; jason.koonts@navy.mil; (540)284-0179

NSWC IHEODTD G21:

Angelo Almeida; angelo.almeida@navy.mil; (973)724-5273

PCO:

Margaret Heyrich; margaret.a.heyrich.civ@mail.mil; (973)724-3871

23-May-2016 LAUBACH.ANGE

LA.G.1388324623

Digitally signed by

LAUBACH.ANGELA.G.1388324623

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=LAUBACH.ANGELA.G.1388324623 Date: 2016.05.23 16:13:51 -04'00'

23-May-2016 12 24

Digitally signed by

MICKOLAJCZYK.JAMES.S.13934441

Date: 2016.05.23 14:42:49 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

SESS

MK 419 MOD 1 Multi-Function Fuze W15QKN-16-R-0005 Orbital ATK

A013 REQUEST FOR VARIANCE (RFV)

DI-SESS-80640D SOW Para 3.6.5 NSWC IHEODTD G2

A* D*

ASREQ*

N/A

ASREQ*

SEE BLK 16

NSWC IHEODTD G2 0 1 0

NSWCDD E33 0 1 0

NSWC IHEODTD G21 0 1 0

PCO 0 1 0

0 4 0

Blk 4: DD Form 1694 available upon request by contacting:

(usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil)

Blk 8: Government review and approval duration shall be in accordance with classification as determined by Government configuration management documentation.

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled;

May 2016. Other requests for this document shall be referred to NAVSEASYSCOM, 2T Ammo Commodity Management Office, GP, Picatinny Arsenal, New Jersey, 07806.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

Blks 10, 12, 13: The contractor shall submit a RFV when it proposes a temporary departure from a requirement of the technical data package.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Nov 14, 2017.